CARB-TCMPA TCM Herbalist case studies
CARB-TCMPA TCM Herbalist · Put your knowledge to work in context.
The CARB-TCMPA TCM Herbalist credential is a professional certification for practitioners who prescribe and dispense Chinese herbal medicinals within a regulated scope of practice. It is intended for graduates of formal TCM herbal training who need to demonstrate, to a regulator and to the public, that they can move safely and coherently from pattern differentiation to an appropriate herbal prescription. The CARB-TCMPA TCM Herbalist case studies are 5 cases and about 2,440 words.
1Warfarin and a Self-Prescribed Blood-Quickening Formula
L, a 68-year-old retired teacher with atrial fibrillation, has taken warfarin 5 mg daily for four years; his INR has been stable at 2.3–2.6. Six weeks ago he began a self-purchased 'Blood Quickening' herbal capsule for chronic shoulder pain.
594 words, about 3 min2Mixed Cold-Heat Diarrhea After a Warming Formula
Chen, 45, presents with a six-month history of loose stools three to four times daily, worse after cold drinks and raw salads. She reports fatigue, cold hands and feet, and a sensation of heaviness in the abdomen.
530 words, about 3 min3Request to Stop Prednisone and Replace It With Herbs
Rahman, 61, has polymyalgia rheumatica and has taken prednisone 15 mg daily for eight months. He also takes levothyroxine 75 mcg for hypothyroidism.
445 words, about 2 min4Request to Dispense an Endangered-Species Formula
A patient brings a prescription from an overseas practitioner for a formula containing Chuan Shan Jia (Manis pentadactyla, pangolin scales) 10 g and Hu Gu (tiger bone) 15 g, to be taken daily for three months for chronic low back pain and 'bone weakness.' She has already purchased a small quantity abroad and asks you to dispense the remaining herbs and supervise the course. She says a friend obtained the same formula and that 'it is traditional, so it must be safe.' You practice in a jurisdiction that implements CITES and national wildlife protection law, and your dispensary does not stock either item.
457 words, about 2 min5Chronic Kidney Disease and a 'Kidney-Strengthening' Herb List
Okafor, 72, has stage 3b chronic kidney disease (eGFR 38 mL/min/1.73 m²), type 2 diabetes, and hypertension. She takes metformin, losartan, and furosemide.
414 words, about 2 min