First of all, IMO 45 gal. is too small for a mature yellow tang. Tangs need a lot of leg (fin) room so to speak. You should probably take the tang back to the LFS and get something that will be happier in your tank.
A Q (Quarantine) tank's main purpose is to quarantine your main tank from the new arrival, this prevents you from bringing in a disease and infecting all your fish. It also allows you to treat the fish if necessary without stressing out your main tank.
There are many ways to treat ich (garlic, etc..). Generally a good environment is the best measure. If your tank is too small for the fish, or if he is a victim of aggression, he may continue to be re-infected over and over. Good water quality and low stress is the key to overcoming ich. I'll let you do searches, or maybe someone else will give you some more info on specific measures to take. A fish can fight off ich on it's own.
You are correct about treating your main tank. Copper for example would be lethal to the starfish, and would mean you probably would never be able to keep corals in the tank (copper is very difficult to remove once added). Garlic could be administered in the main tank without harm to others.
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-Greg
Greg's Aquarium Links
[This message has been edited by gregt (edited 10-01-2000).]