LU GAN SHI () Calamina (smithsonite)
LIU HUANG () Sulfur (sulfur)
SHE CHUANG ZI () Cnidii Fructus (cnidium fruit)
ER CHA () Catechu (black cutch)
BAN MAO () Mylabris (mylabris, cantharides)
LU FENG FANG () Vespae Nidus (wasp nest)
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32. TOPICAL APPLICATION ()
BAI FAN LU GAN SHI LIU HUANG SHE CHUANG ZI ER CHA BAN MAO LU FENG FANG Alumen Calamina Sulfur Cnidii Fructus Catechu Mylabris Vespae Nidus () () () () () () ()
sour, astringent sweet sour acrid, bitter bitter, astringent acrid sweet
cold neutral hot, toxic warm, sl toxic sl cold cold, toxic neutral, toxic
LI LV LU SP LV ST KD LI PC KD LU LI LV ST LU ST
Applied topically for dermatological disorders
Externally: Ÿ Resolve toxicity, dry
damp, kill parasite, and alleviate itching
Ÿ Generate flesh and transform putrefaction
Ÿ Stop bleeding Ÿ = Ming Fan ( )
Ÿ = Ku Fan ( ) = calcined
Externally: Ÿ Brighten the eyes and
remove superficial visual obstructions
Externally: Ÿ Resolve toxicity, kill
parasites, and stop itching
and stop itching
seepage Ÿ Stop bleeding
Externally: Ÿ Attack toxins and wear
away sores (toxic, very irritating to the skin and mucous membranes)
Externally: Ÿ Resolve toxicity, expel
wind, and alleviate pain Ÿ Expel wind, dry damp,
and stop pain and itching Ÿ Used in the treatment of
a variety of tumors Ÿ = Feng Fang ( )
Internally: Ÿ Alleviate diarrhea Ÿ Clear heat and expel
phlegm
Internally: Ÿ Tonify the fire at the
gate of vitality and strengthens the Yang
Internally: Ÿ Expel wind-cold-damp Bi Ÿ Warm the KD and fortify
the Yang
Internally: Ÿ Break up blood stasis and
disperse clump
Internally: Ÿ Dispel wind-damp Bi Ÿ Used in the treatment of
a variety of masses, tumors, or cancers
General C/C: use with caution when taken internally
Contra Ÿ weak digestive systems Ÿ absence of damp-heat
Caution Ÿ always use with caution
when taken internally
Contra Ÿ during pregnancy Ÿ yin deficiency with heat
Caution Ÿ Prescribe with caution for
internal use
burner Ÿ yin deficiency with heat
Contra Ÿ none noted
Extreme Caution Ÿ must be exercised in
administering this substance
Ÿ it should be given only in very minute doses
Contra Ÿ sores that have already
burst and in patients with impaired renal function
Caution Ÿ qi or blood deficiency
1-3g (d), 0.6-1.5g (p) external use only 1-3g (p) 3-9g (d) 1-3g (d), 0.1-0.9g (p) 0.03-0.06g 3-6g (d), 1-2g (p)
place in a cheesecloth bag if used in decoction
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32. TOPICAL APPLICATION
Ÿ Substances for Topical Application are applied externally for localized problems such as bleeding, inflammation, swelling, pain, and oozing of fluids. Some are used to promote healing of skin lesions, others to stop itching. They are used alone as well as in combination, or as vehicles for other medications. They are applied as powders, ointments, washes, steams, or soaks. In some cases they are combined with other substances that are taken internally for local manifestations of a systemic disorder.
Ÿ While some of these substances can be taken internally, almost all of them have side effects. They must therefore be prescribed with caution and monitored very carefully. Those that are irritants should not be used on sensitive areas of the body.
Examples of dosage forms and applications to address two major distinguishing factors:
Wet disorders, such as ulcerations with pus and abscesses treated with powdered herbs to dry the affected area
Dry disorders, such as rashes and itching treated with herbal pastes to moisten the skin and facilitate recovery
Ming Fan (Alumen) is an important substance in dermatology and resolves toxicity, dries dampness, kills parasites, and alleviates itching. Which herbs are added to Ming Fan for profuse vaginal discharge and itching from damp-heat pouring downward as a sitz bath?
A. Huang Qin, Dan Shen, She Chuang Zi B. Huang Lian, Sha Shen, She Chuang Zi C. Huang Bai, Ku Shen, She Chuang Zi D. Zhi Zi, Tai Zi Shen, She Chuang Zi
She Chuang Zi Ku Shen Externally: dry dampness, expel wind, kill parasites, stop itching
acrid, bitter / warm bitter / cold Internally: Tonify Yang Internally: Clear Damp-Heat
Which substance is applied topically with Xue Jie, Ru Xiang, Bing Pian for bruising, bleeding, swelling, and pain from trauma, as in Qi Li San (Seven-Thousandths of a Tael Powder)?
A. Er Cha B. Lu Gan Shi C. Bai Fan D. She Chuang Zi
Minibook p.286
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Which substance is commonly used topically, treats various eye disorders, such as redness, swelling, pain, excessive tearing, photophobia, and pterygium?
A. Bai Fan B. Lu Gan Shi C. Liu Huang D. Lu Feng Fang
Ÿ English translation: calamine, smithsonite, galamina Ÿ Sweet, neutral, and nontoxic, but only used externally, __________ (Calamina) is an important ophthalmologic herb as it improves
the vision and removes superficial visual obstructions. Ÿ It also restrains dampness and stops itching, prevents putrefaction and generates flesh, and is often used in the treatment of
non-healing ulcers and damp, itching sores.
___________ resolves toxicity, kills parasites, and stops itching when used externally; tonifies the mingmen fire and strengthens yang when taken internally. Processing ___________ with heat is considered to be a standard process to minimize toxicity and prevent arsenic poisoning.
A. Er Cha B. Ban Mao C. Liu Huang D. She Chuang Zi
This substance is toxic in high oral doses (10-20g). Symptoms of toxicity develop 30-60 minutes after ingestion and include dizziness, headache, general weakness, nausea, vomiting, abdominal pain, diarrhea, bloody stools, fever, disorientation, contracted pupils, reduced sensitivity to light, low blood pressure, and, in severe cases, shock and coma.
Which herb dries dampness, kills parasites, and stops itching when used externally; warms the Kidneys and fortifies the Yang when taken internally?
A. Ban Mao B. She Chuang Zi C. Bai Fan D. Er Cha
Wu Zi Wan (Internal) Weeping and itchy skin lesions in the genital area Ÿ Gou Qi Zi Ÿ Tu Si Zi Ÿ Wu Wei Zi Ÿ Fu Pen Zi Ÿ She Chuang Zi
Ÿ She Chuang Zi 10g Ÿ Wei Ling Xian 10g Ÿ Dang Gui 10g Ÿ Ku Shen 10g
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Which Substances for Topical Application is highly toxic and the main reason for poisoning are its use in suicide and as an abortifacient?
A. Er Cha B. Lu Feng Fang C. Lu Gan Shidhl D. Ban Mao
Which Substances for Topical Application is recently used in the treatment of a variety of tumors? A. Bai Fan B. Lu Gan Shi C. Ban Mao D. Bai Fan E. Feng Fang
Fang Feng ( ) Feng Fang (a.k.a. Lu Feng Fang ) Disperse Wind-Cold External Use
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