This is the beginning of formula study for 2016 for students. Now that all the herbs have been covered, they are to be combined with other herbs to create balance and produce specific effects for the body to restore health. This is for students and licensed practitioners of TCM. WARNING: DO NOT SELF PRESCRIBE HERBAL FORMULAS WITHOUT GUIDANCE FROM QUALIFIED PRACTITIONER.
Formula Study guide II
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Got to know Diet first: 3 links are here: Our Dietary therapy Info
Herbs part 1 study guide
Herbs part 2 study guide
Study sheet: download . Right click “Save As”.
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References/recommended reading: Chinese Herbal Medicine: Formulas and Strategies. Sneid, Bensky, Ellis, and Barolet.
8 Principles:
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Flavors:
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Prepare:
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Nature:
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Formulas that Release Exterior: Wind-Cold, Wind-Heat
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Formulas that Clear Heat:
Formulas that Clear Heat at Qi level
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Formulas that clear heat at Ying level and cool blood:
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Formulas that clear heat at Qi and Blood level simultaneously:
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Formulas that Clear heat from Organs
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Formulas that Clear Summer Heat
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Formulas that Clear Heat from Deficiency
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Formulas that Warm the Interior
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to be continued (there are hundreds of herbal formulas to be added)
Formula for Early stage release
Cong Chi Tang (scallion and prepared soybean decoction)
Signs/Symptoms mild fever, chills no sweating, headache, nasal congestion, thin white coat
Pathogenesis: exterior wind cold or heat
Treatment principle: unblock yang qi at exterior, induce sweat
Formula Analysis Cong bai: warm, acrid, unblock yang qi at exterior, induce sweat 9-12g
Dan Dou Chi: sweet, bitter, release exterior, release internal constraint 12-30g
Formulas that release wind-cold
Ma Huang Tang (Ephedra decoction)
Signs/Symptoms fever, chills, no sweat,, body aches, aversion to wind/cold, wheezing, chest congestion
Pathogenesis: exterior wind cold
Treatment principle: release exterior, expel wind, stop wheezing
Formula Analysis Ma huang- Chief, warm, acrid, promote sweat, urination, disperse contrained lung qi 10g
Gui Zhi- Deputy, warm, sweet, spicy, promote sweating, Yang qi for channels, push out pathogens 6g
Xing Ren- Assistant, bitter, warm, descends rebellious qi, 10-12g
Gan Cao- envoy, warm, sweet, harmonizes other herbs. 3g
Modifications add: shi gao, zhi mu, huang qin for internal heat
add: huang qi, renshen, danggui, Shu Dihuang: qi and blood def.
reduce gui zhi: add: she gan, tienhuafen for sore throat
add fangfeng, qianghuo, and baizhu: accompanied dampness
add sizi, sangbaipi, fuling, chenpi: promote lung downward direction
add taoren and hong hua to invigorate blood.
Commentery key signs: aversion to cold, no sweating
can be used for wind-cold damp bi-syndromes
Contraindications: def. patients
hemophelicas
postpartum
long period usage.
Formulas that release wind-cold
Gui Zhi Tang Cinnamon twig decoction
Sign/symptoms fever chills, spontaneous sweat, body aches, aversion wind, cold, nasal congestion, stiff muscles, fatigue, short breath
Treatment principle: release exterior, expel wind from muscle layer, regulate ying and wei,
Chief herb: Gui Zhi- warm, acrid, tonify heart yang, promote yang qi circulation, push out pathogen from muscle layer 15g
Deputy herb: Shao Yao: sour, bitter, nourish yin to tonify ying qi that helps replenish body fluid loss due to qi def. 15g
Assistant herb: Sheng Jiang: warm, acrid, release exterior, help stomach Qi. 15g
Assistant herb: Da zao: warm, sweet, assist deputy nourishing and harmonizing ying qi 12g
Envoy: Gan Cao: warm and sweet, 10g
Formula analysis: yang herbs: gui zhi and sheng jiang expel pathogen, promote yang qi for weiqi,
yin herbs: shaoyao, dazao, gancao nourish yin by tonifying middle jiao to strengthen ying, transform blood.
gui zhi and shao yao- harmonize wei and ying levels
commentery: wei and ying disharmony is caused by wind-cold, excess exterior.
internal organ def., yin def. in interior
modifications: add fangfeng and xinyin hua for nasal congestion and sneezing
add chenpi, zhike, and houpo- shortness of breath
add juhua and chantui: swollen and heaviness with heat
add shigao, zhi mu, shengma and huangqin: internal heat
add chishao, baishao, and gaoben: severe headache
increase bai shao and sheng jiang, add chen pi and houpo: severe vomiting.
add fuling and zexie: diarrhea due to wind-cold, or summer heat.
add qinghou and baiwei: low grade fever.
Formulas that release wind-cold
Xiao Qing Long Tang Minor Bluegreen Dragon Decoction
Sign/symptoms fever and chills, no sweating, cough and wheezing, weak lungs, stuffy chest, copious mucous, difficult to exectorate
Pathogenesis: weak lungs, prones to EPF, pathogenic yin accumulation due to weak LU, KD, SP
Treatment principle: release exterior, transform congested pathogenic yin, warm the Lungs, redirect rebellious qi
Chief herb: Ma huang: warm , acrid, promote sweating to release exterior 10g
Gu Zhi: warm, sweet, acrid, warm KD yang to transform pathogenic water, warm and unblock channels, relax muscles. 10g
Deputy herb: Gan jiang: warm spleen 10g
Xi xin: descend qi 10g
Ban xia: dry damp 15g
wu wei zhi: prevent abnormal leakage of sweat 6g
bai shao: nourish yin to relax muscles 10g
Envoy: gan cao: tonify middle, harmonize other herbs. 10g
commentery: treats cough with thin copious mucous due to EPF
gan jiang and ban xia- tonify spleen to dry damp
xi xin and wu weizi: descend qi
bai shao and gan cao: relax muscle spasms
Modifications: reduce ma huang: less severe cold in exterior
increase shi gao: heat in interior with severe irritability, restlessness with thirst
increase Xing ren, add Su zi, ban xia, and sang bai pi: cough and wheezing with mucous.
add fu ling, zhu ling, ting Li zi, Sang bai pi: suferfical edema with scanty urination.
Formulas that release wind-cold
Jiu Wei Qiang Hou Tang 9 herb decotion with Notopterygium
Signs/symptoms: aversion to cold, fever, no sweating, headache, stiff neck, body ache
Pathogenesis: Exterior wind-cold damp w/accumulated internal heat
Treatment principle: Release Exterior, disperse damp
Chief herb: Qiang hou: warm, acrid, release wind cold, expel damp in upper body 4-5g
Deputy: Fang Feng: warm and acrid, release exterior wind cold 4-5g
Cang zhu: warm and sweet, transform damp 4-5g
Assistant herb: Xi xin: warm and acrid, dispels wind-cold obstruction, to alleviate pain 3g
Bai zhi: warm and acrid, , enters yang ming and alleviates frontal headache 3g
Chuan xiong: warm and spicy, invigorate blood to alleviate pain, shao yang headache 3g
Huang qin: cold and bitter, clear internal heat from upper jiao 3g
Sheng Di huang: cold and bitter, nourish blood and yin due to lossof body fluids from excess sweating 3g
Envoy herbs: Gan Cao: warm, sweet, harmonizes action of other herbs 3g
Bio medical disorders: Upper Respiratory tract infection URTI, Influenza, sinusitis, acute lower back pain, rheumatic fever
Modifications: Add Qin Jiao: upper jiao and shoulder
Remove shen di huang and jiang win: absent of thirst or bitter taste
Add shi gao and zhi mu: pronounced thirst and irritability
Add Jie jing, Niu bang Zi, and Bo he: dry and sore throat
add Xing Ren and Qian Hu- coughing up thick sputum
Remove Sheng di huang, add Hou xiang, and Zhi ban Xia: epigastric discomfort and distention.
Xiang Su San Cyperus and Perilla leaf powder
Signs: aversion to cold, fever, bodyaches, no sweating, loss appetite, thin white coating, wiry pulse
Pathogenesis: Exterior wind-cold w/pre-existing qi stagnation
Treatment principle: Release wind-cold, regulate and move Qi.
Chief: Zi Su Ye: warm, acrid, stimulates Lung D/D, expel wind-cold, stimulate SP T/T move qi, transform damp 12g
Deputy: Chen Pi: warm, acrid, aromatic, transform damp, regulate and move Qi. 12g
Assistant: Xiang fu: neutral, acrid, bitter, soothes Liver, moves qi 6g
Envoy: Gan Cao: warm, sweet, tonifies middle, harmoizes action of other herbs. 3g
Bio-Medically: URTI, Stomach flu.
Jia Wei xiang Su San Augmented Cyperus and Perilla Leaf powder
Signs: Aversion to cold, Fever, body aces, headache, no sweating, loss appetite, white coating, wiry pulse
Pathogenesis: Exterior wind-cold w/pre-existing qi stagnation
Treatment principle: Release wind-cold, regulate and move Qi.
Chief: Zi Su Ye: warm, acrid, stimulates Lung D/D, expel wind-cold, stimulate SP T/T move qi, transform damp 12g
Deputy: Fang Feng: acrid warm, release pathogens from muscles, channels, collaterals 3g
Qin jiao: acrid warm, release pathogens from muscles, channels, collaterals 3g
Man jing Zi: release pathogens from muscles, channels, collaterals 3g
Assistant: Xiang fu: neutral, acrid, bitter, soothes Liver, moves qi 1.5g
Chuan xiong: acrid, warm, invigorate blood to remove pain, soothes liver. 3.6g
Sheng jiang: acrid, warm, goes to Lung and control skin pores 3 piece
Chen Pi: warm, acrid, aromatic, transform damp, regulate and move Qi. 6g
Envoy: Gan Cao: warm, sweet, tonifies middle, harmoizes action of other herbs. 2g
Modifications: add Lai Fu zi and Zhi ke: constipation
add Zhi Mu and huang Qin: summer heat
Shi shen tong 10 Miracle Decoction
Signs: Epidemic disorders, wind-cold symptoms, headache, no sweat, fever, cough, nasal congestion, low voice, Qi stagnation: chest
Pathogenesis: Wind cold exterior affecting the LU D/D functions, wead D/D function leading to qi stagnation and water accumulation in chest
Treatment principle: Release exterior, regulate qi, descend LU rebellious Qi, alleviate cough
Chief: Zi Su Ye: warm, acrid, stimulates Lung D/D, expel wind-cold, stimulate SP T/T move qi, transform damp 6-9g
Deputy: Xiang fu: neutral, acrid, bitter, soothes Liver, moves qi in 3 burners. 6-9g
Chen Pi: warm, acrid, aromatic, transform damp, regulate and move Qi. 6-9g
*Three of them promote free flow of qi in san jiao.
Deputy: Ma Huang: acrid, warm 6g
Ge Gen: sweet, acrid, cool, aids the chief herb in release exterior, strong ascending 12-18g
Chuan Xiong: acrid, warm, invigorate blood to remove pain, soothes liver. 6g
Chi Shao: bitter, sour, cold, action of venting heat from interior to surface to be released. 6-9g
*Combo of chuan xiong and Chi shao: invigorate blood to remove painful stagnation 6g
Assistant: Sheng Ma: acrid, sweet, cool, works with Ge Gen to sooth muscles from stagnation. 6-9g
Bai Zhi: Acrid, warm, release constraints in Yang Ming channels 6g
*Combo of gen gen, chuan xiong, and Bai zhi treat wind cold headache and nasal congestion.
Envoy: Sheng jiang: acrid warm, release exterior, aids in main action of formula. 3g
Zhi Gan Cao: Neutral , Sweet, harmonizes the action of other herbs. 3g
Modifications: add Zhi Ke: for fullness in middle jiao
add huang qin and Mai Men dong: Tidal fever
Add Jie Geng, Sang Bai Pi, Zhi Ban Xia: cough
Add Xi xin, Shi Gao and Cong Bai: headache
Add Sha ren and Bai zhu: improves appetite
add ding xiang and Sh ren- vomiting
add Jiu Chao Bai, Bai Shao: abdominal pain.
Formulas that dispel Summer heat and resolve exterior.
Xiang Ru San Mosla Powder
signs: aversion to cold, warm skin upon touch, headache with heaviness in head, stifling sensation in chest, abdominal pain vomit/diahhrea
white greasy coating, floating soggy pulse.
Pathogenesis: Exterior wind-damp, internal damp from summer heat,
Treatment principle: Release exterior wind-cold, transform damp, harmonize middle jiao.
Chief: Xiang Ru: warm, spicy, aromatic, enters LU to release wind-cold, enters middle jiao harmonzing SP/ST, warming 9-12g
Deputy: Bai Bian Dou: neutral, sweet, enters middle jiao to strengthen SP T/T, transform turbit, raise clear yang qi. Assist chief damp transform 6-9g
Assistant: Hou Po: warm, bitter, aromatic, spicy, stimulates downward Qi movement, transform damp, removes fullness in ST. 6-9g
Cautions and contraindications: take cold, warm can cause vomiting.
Bio-Medicaly defined: URTI, gastroenteritis, bacillary dysentery, cholera.
Formulas that release Wind-heat exterior.
Sang Ju Yin Mulberry Leaf and Chrysanthemum Decoction
Signs/symptoms: Exterior wind-heat signs, coughing, mild fever, slight thirst, thin white coating, floating rapid pulse
Pathogenesis: Exterior wind-heat invading LU, disfunction of Lung D/d
Treatment principle: Release exterior heat, activate Lung D/D to stop cough
Chief: Sang ye: bitter sweet cold, release wind heat, clear heat from lung to stop cough 10g
Ju hua: bitter, cold, release wind heat exterior, clear heat from eyes 12g
Deputy: Lian Qiao: acrid and cool 10g
Bo he: acrid aromatic, cool 10g
*both herbs release wind heat exterior.
Xing Ren: bitter and warm 15g
Jie Geng: neutral bitter, acrid 10g
*combination of Xing Ren Lung qi descending and jie gang ascending yin to throat to help stop cough
Assistant herbs: Lu Gen: cold , sweet, generate fluids, clear heat to reduce thirst 10g
Envoy: Gan Cao: clear heat, harmonize other herbs. 3g
Commentery: formula is to stop cough due to wind-heat, can be used to moisten and treat eye disorders.
Biomedically: URTI,influenza, early stage bronchitis, tonsilitis, conjunctivitis.
Modifications: add shi gao and zhi mu: moisten qi level dryness, also for labored breathing and wheezing
add xuan shen and Xi jiao: clears ying level heat
Remove lu gen and bo he and Add main men dong, Yu Zhu , Sheng di huang and Mu dan Pi: clear heat from blood
add huang qin: clear lung heat
add tian hua fen: moisten thirst
add gua lou pi and Zhe bei mu: treats viscous mucus
add ma bo and niu bang zhi: sore throat
add Ci Ji Li, Jue Ming Zi and Xiao Ku Cao: wind heat affecting eyes.
Yin Qiao San Honeysuckle and Forsythia Powder
Signs/symptoms: Sore thorat, slight chills, fever, headache, thirst, cough, red tip w/thin yellow dry coating, floating rapid pulse
Pathogenesis: Wind-heat exterior invasion of upper jiao, early stage warm febrile disease
Treatment principle: release wind heat, clear heat, relieve toxicity
Chief: Jin Yin Hua: cold, sweet 10-15g
Lian qiao: acrid, cool 10-15g
* both these release wind-exterior and clear heat to relieve toxicity
Deputy: Jie Gang: neutral, bitter, acrid 3-6g
Niu Bang zi: cold, acrid, bitter 10-12g
* both these help lungs D/D and benefit throat.
Bo he: acrid aromatic, cool 3-6g
Dan dou Chi: sweet, bitter, cold 3-6g
*both these herbs clear internal heat.
Assistant: Jing Jie: warm , acrid, accentuates exterior releaseing w/o drying fluids 6-9g
Dan zhu ye: sweet cold 3-6g
Xian Lu gen: sweet, cold 15-30g
Gan Cao: sweet neutral 3g
* these 3 herbs generate fluids and alleviate thirst.
Commentery: This formula is for febrile disease where wind-heat is at the Wei level
Bio-Medicaly defined: URTI, Influenza, Early stage bronchitis, measles, epidemic parotis, acute endometritis, encephalisits, meningitis.
Modifications: add hou xiang: stifling sensation in chest
add xuan shen: severe sore throat
add Xing Ren: pronounced cough
add Pu gong Ying and Da Qing Ye: early stage carbuncle
add hou xiang and Yu jin: stiffling sensation in chest and epigastrium
add Chan tui and Fu Ping: early stage measles with incomplete eruption of rash.
Chai ge Jie Ji Tang Bupleurum and Kudzu Decoction to Release the Muscle Layer
Signs/symptoms: increase fever/decrease chills, headache, stiff extremeties, eye pain/pressure, irritability, insomnia, thin yellow coat, flooding pulse
Pathogenesis: wind cold and wind heat not properly treated leading to internal heat, EPF settles into muscle layer
Treatment principle: release the pathogen from muscles, clear internal heat.
Chief: Chai Hu: cold, bitter, acrid, harmonizes shao yang, soothes liver, raise clear yang 3-10g
Ge Gen: cool, sweet, acrid, release exterior, relax muscles, clear heat 6-12g
*these two release pathogens from muscle layer while clearing heat.
Deputy: Qiang Hou: warm, acrid 3-6g
Bai Zhi: Acrid, warm, release constraints in Yang Ming channels 3-6g
*these two will accenturate the chief herbs action of release exterior and alleviate pain.
Huang Qin: cold, bitter, drain internal heat from upper jiao. 6-9g
shi gao: cold, sweet, acrid 4.5-15g
*these two combined clear heat from yang ming channels.
Assistant herbs: Jie Gang: warm, acrid, dispel external pathogens by invigorating the Lungs D/D function 3-6g
Bai shao: cool, bitter, sour, nourish yin that may be lost due to sweating 6-9g
Envoy: Gan Cao: clear heat, harmonize other herbs. 3-6g
Sheng jiang: acrid warm, release exterior, aids in main action of formula. 3-6g
Da Zao: neutral sweet 2-3 pieces
*these 3 will regulate Wei and ying qi to release external pathogens.
Cautions and contraindications: if EPF has not entered interior or for Yang ming Fu stage syndrome.
Bio medical: Influenza, toothache
Modifications: add tian hua fen and Zhi mu: moisten dryness of mouth and tongue
remove qiang huo and Bai zhi: patient is w/o chills, headache and pain
add guo Lou pi and zhu Bei mu: coughing and viscous mucus.
Sheng MA Ge Gen Tang Cimicifuga and Kudzu Decoction
Signs/symptoms: Skin rashes, fever, headache, cough, red eyes, thirst, red tongue, rapid pulse
Pathogenesis: Early stage measles or rashes due to externally contracted heat trapped in LU and ST
Treatment principle: Release the pathogens from the muscle layer, vent rashes
Chief herbs: Sheng Ma: acrid, sweet, cool, disperse Yang pathogens from yang ming channels, raise yang qi, vent heat to surface. 3-6g
Ge Gen: cool, sweet, acrid, release exterior, relax muscles, clear heat 6-12g
Deputy: Chi shao: bitter, sour, cold, action of venting heat from interior to surface to be released. Goes to blood level to clear heat, skin rashes. 6-9g
Envoy: Zhi Gan Cao: Neutral , Sweet, harmonizes the action of other herbs. 3g
Cautions and contraindications: not to be used on erupted skin rashes
Bio medical: early stage febrile disease, influenza, herpes zoster, sinuses
Modifications: add bo he, chan tui, jing jie, niu bang zhi: vent pathogens from exterior
add Lian Qiao: strengthen the heat clearing and detoxification actions
add Zhi ke, Jie geng, qian Hu, Xing Ren: redirect rebellious lung qi
add Mai men dong and Sha Shen: protects fluid from toxic heat
add jie Geng, Xuan Shen, and Ma bo: swollen and sore throat
add Zi cao: viral rashes, herpes zoster
Qiang Lan tang Notopterygium and Isatis Root Decoction
Signs/symptoms: fevers, chills, headache, body soreness, sore throat
pathogenesis: Externally wind-heat, especially heat, affecting head and neck
Treatment principle: release wind heat exterior, clear heat, relieve toxicity
formula analysis: Qiang Hou: warm, acrid, release exterior, alleviate pain of head and throat 9-12g
Ban lan Gen: bitter, cold, clear heat, releive toxicitiy. 15-30g
Biomedically: URTI, influenza, acute tonsillitis, pharyngitis, epidemic parotitis.
Formulas that Release Exterior with Interior Deficiency
Ren Shen Bai Du San Ginseng Powder to Overcome Pathogenic Influences
Signs/symptoms: high fever, chills w/shivering, no sweating, stiff neck, sore extremities, chest full, nasal congestion, wet cough, greasy white coating, soggy pulse
Pathogenesis: Exterior wind-cold dampness invasion, underlying true qi def.
Treatment principle: release exterior, dispel wind damp, tonify true qi
Chief: Qiang hou: warm, acrid, entes upper UB channel, release exterior wind cold, expels damp in upper body. 30g
Du Huo: warm, acrid, enters lower UB channel, release exterior wind cold damp to alleviate pain in lower part. 30g
Deputy: Chuan xiong: warm, spicy, opens the meridian, invigorates blood to alleviate pain 30g
Chai Hu: cold, bitter, acrid, harmonizes shao yang, soothes liver, raise clear yang 30g
Bo he: acrid aromatic, cool
*Chai Hu and Bo he: disperse external pathogens and clear heat
Assistant: Jie Gang: warm, spicy, raises Qi 30g
Zhi Ke: cool, bitter, descends Qi 30g
Qian hu: cold, acrid, enters lung. 30g
*combo of jie gang and Zhi ke help move stagnant qi in Lung.
*Qian hu futher stimulates Lungs D/D to expel phlegm and stop cough.
Ren shen: warm, sweet, tonify True qi to prevent further invasion and expel external pathogen, nourish fluids. 30g
Fu Ling: neutral, bland, sweet, strengthen SP to transform Damp and phlegm, promote urination 30g
Gan Cao: sweet, neutral, harmoize herbs. 15g
Cautions and contraindications: not appropriate if Heat
Biomedically: early stage measles, URTI, influenza, early stage dysentery, surgical infections
Modifications: add Huang qi and Ren shen: qi def.
add xing ren and Bai qian: severe cough
increase dosage fo chai hu and add huang qin and bing lang: malarial disorders
add mu xiang and bai shao: dysentery with abdominal pain and blood
add chan tui and Ku shen: wind toxin dormant papules
remove ren shen and add lian qiao and jin yin hua: early stage sores.
Ma huang Fu Zi Xi Xin tang Ephedra, Prepared Aconite and Asarum Decoction
Signs/symptoms: Extreme aversion to cold, fever, dull spirit, sleepiness, deep, slow, weak pulse
Pathogenesis: Exterior wind cold invasion, underlying Yang Def.
Treatment principle: release exterior wind-cold , warm yang
Commentery: formula addresses root cause KD yang Def., and symptoms of Exterior syndrome
additional uses: chronic cough and wheezing, laryngitis, raspy voice and sore throat
Chief: Ma Huang: acrid, warm, strong diaphoretic, promote sweating 6g
Fu zi: hot, toxic, acrid, strong warming, warms KD Yang, and meridian to expel out external pathogens 10g
Assistant: Xi xin: warm, acrid, enters LU and KD, assist ma huang actions, treats coughing. 6g
Modifications: add huang qi and ren shen: pronounced qi and yang def.
add chuan xiong and sheng jiang: wind-cold headache
add cang zhu and du huo: dampness obstructing channels and collaterals
add Bai Jie Zi, Xing Ren, Su Zi: chronic wheezing from yang Def.
Zai Zao San Renewal Powder
Signs/symptoms: slight fever w/chills, no sweat, cold extremeties, chronic fatigue, pale complexion, weak voice, pale white coat, deep weak pulse
Pathogenesis: exterior wind-cold invasion with Yang and qi def.
Treatment principle: Tonify yang and Qi, induce sweating, release exterior
Chief: Huang Qi: sweet, warm, tonifies qi, blood, and middle jiao, tonifies wei qi to stabalize exterior. 6g
Ren shen: warm, sweet, tonify primary and True qi to prevent further invasion and expel external pathogen, nourish fluids. 3g
*these two are primary for tonify primary and True qi.
Deputy: Fu zi: hot, toxic, acrid, strong warming, warms KD Yang, and meridian to expel out external pathogens 3g
Gui Zhi: warm, sweet, spicy 3g
Xi xin: warm, acrid, enters LU and KD, assist ma huang actions, treats coughing. 3g
*these 3 combined aid to expel out the EPF by warming channels
Assistant: Qiang Huo: warm, acrid 3g
Fang Feng: warm acrid 3g
Chuan Xiong: warm, acrid 3g
* these three help release wind-cold exterior
Chao Chi Shao: tonifies blood and win to protect from dryness, aids in harmonizing Wei and Ying qi functions of Gui Zhi. 3g
Envoy herbs: Gan Cao: sweet and neutral 1.5g
Wei Sheng Jiang: warmer than sheng jiang 3g
Da Zao: warm and sweet 2 piece
*these all function to warm yang and strengthen middle jiao
Commentery: formula address root causes, Yang and Qi def, and wind-cold exterior
Modifications: add Du huo, Wei Ling Xian, and Sang Ji Sheng: joint pain and muscle aches
add Qian Hu, Jie Gang, Zhi ke, Zu Su ye, and Bai quan: nasal obstruction, runny nose, white mucous.
Cong Bai Qi Wei Yin Scallion decoction with seven ingrediants
sign/symptoms: headache, chills, fever, no sweating, pale complexion, pale tongue, hollow pulse
Pathogenesis: Ext. wind cold invasion due to blood def., or after significant blood loss
Treatment principle: Nourish blood, Release exterior wind-cold w/o inducing sweat.
formula analysis: Cong bai: warm, acrid 9-12g
Dan dou chi: warm acrid 9-12g
sheng jiang: acrid warm, release exterior. 6-9g
*three herbs release exterior w/o seating
Ge Gen: cold, acrid, sweet, releases exterior from muscle layer, generate fluids 6-9g
Ma men dong: cold, sweet, bitter 9-12g
Sheng di huang: cold, sweet, bitter 9-15g
*these two herbs is to generate yin and blood.
Commentery: sweating is not used with blood def.
mobile herbs are employed to counteract the cloying herbs that nourish blood
Cautions and contraindications: try not to induce sweat
Modifications: add Zi su Ye and Jing jie: strong chills
add jin yin Hua and Lian Qiao: high fever
add chen Pi: accompanied w/ indigestion
add bai ji, bai mao gen, ou jie, and E Jiao: bleeding w. exterior syndrome.
Jia Jian Wei Rui tang Modified Polygonatum Odoratum Decoction
Signs/symptoms: Fever and chill, absent sweating, headache, dry mouth/throat, cough, thirst, irritability, red dry, rapid
pathogenesis: Exterior wind-heat invasion, underlying Yin def. w/heat
Treatment principle: Nourish yin, clear heat, induce sweat, release exterior wind heat.
chief: Yu zhu: cold, sweet, nourishes yin, moistens lungs and ST to treat dryness w/o cloying, clear heat 6-9g
Deputy: Cong bai: warm, acrid 6g
Jie Geng: neutral bitter, acrid 3-5g
Dan Dou Chi: bitter and cold 9-12g
Bo he: acrid aromatic, cool 9-12g
*these 4 deputy herbs release exterior wind heat
Assistant: Bai wei: cold, bitter, salty, cool and nourish blood w/o injuring yin. 1.5-3g
Envoy: Gan Cao: sweet neutral 1.5g
Da Zao: warm and sweet 2 pieces
*harmonize other herbs and strengthen middle.
Modifications: add Fangfeng and ge gen: severe exterior syndrome.
add Niubangzi and guaLou pi: cough and dry throat w/mucus
add Tian hua fen and dan zhu ye: moisten dryness and remove irritability.
Formulas that release exterior-Interior Excess
Fang Feng Tong sheng San Ledebouriella Powder That Sagely Unblocks
fever, chills, light headed, dizziness, red eyes, difficult swallowing, nasal congesting w/ thick discharge, bitter taste, dry mouth, constipation
Pathogenesis: Exterior wind-heat invasion, internal heat
Treatment principle: Release Exterior, dispel wind, drain heat from LU and ST, unblock bowels
ChieF: Fang Feng: warm acrid 15g
Ma Huang: acrid warm, release exterior, induce sweat 15g
Jiu Da Huang: cold, bitter 15g
Mang xiao: cold, bitter, salty, drain heat, softens bowels 15g
Deputy: Jing jie: acrid, warm- release exterior 15g
Bo he: acrid, cold, release exterior 15g
Zhi Zi- cold , bitter 15g
Hua Shi: cold, bland 90g
*both clear internal heat via the urine.
shi gao: cold, sweet, acrid 30g
Huang Qin: cold, bitter, drain internal heat from upper jiao. 30g
Huang lian: cold, bitter, clears upper and middle burner heat
Jie Geng: neutral bitter, acrid, release exterior and bring fluids to throat and clear heat. 30g
balance out the sinking qi action of Da Huang and mang xiao
Assistant herbs: chuan xiong- acrid warm 15g
Dang gui- warm sweet 15g
Bai Shao: cool, sour 15g
*all three tonify blood
Bai zhu: warm, sweet, protect spleen 15g
Envoy: Gan Cao: warm, sweet, harmonizes action of other herbs 60g
biomedical: Influenza, food poisoning, carbuncle, urticaria, dermatitis, acne, erysipelas
modifications: remove ma huang: without strong chills
remove shi gao: w/o strong fever
add Zhi Ban xia: cough w/ mucus.
Ge Gen Huang Lian Huang Qi Tang
Signs/symptoms: fever sweating, thirst, dysentery, diarrhea, irritability, heat in chest, wheezing, red yellow coating, rapid
Pathogenesis: Lingering untreated Exterior wind-heat transformed into internal damp-heat.
Treatment principle: Raise clear yang qi, release external pathogen from muscle layer, clear and drain heat, stop diarrhea
Chief: Ge Gen: sweet, acrid, cool, aids the chief herb in release exterior, strong ascending, yang ming herb ascend clear yang of SP/ST, stop diahrea 15-24g
Deputy: Huang lian: cold, bitter, clears upper and middle burner heat 6g
Huang Qin: cold, bitter, drain internal heat from upper jiao.
*both clear heat nd drain damp-heat to treat dysentery
Assistant: Gan Cao: sweet , neutral, supports middle jiao, aids Ge Gens relaxing muscles action
Commentery: formula is used to treat unresolved exterior syndrome transforming into damp-heat, purge out damp-heat
Biomedically: acute gastoenterisis, acute enteritis, measles, bacillary dysentery
Modifications: add Mu xiang and Bai shao: abdominal pain
add mu xiang and bing lang: tenesmus
add Bai tou weng and qin Pi: high fever and stool with blood
add Sang bai pi: pronounced whezing
add Jin yin hua and Che Qian zi: dampness accumulation
add Ban Xia and zhu ru: nausea and vomiting
add shan sha and Shen qu: food stagnation.
Shi Gao Tang Lophatheri and Gypsum Decoction
Signs/symptoms: Fever and chill w/o sweating, headache, heaviness, tightness, red face and eyes, dry nasal passages, thirst, irritability, insominia, delerium, red/yellow, rapid
Pathogenesis: Exterior excess wind-cold, predominant cold, blazing pre-existing internal heat
Treatment principle: Release exterior, relieve toxicity, clear heat
Chief: Gypsum: very cold, acrid, enters LU and ST, clears heat LU and ST 6g
Deputy: Ma Huang: Warm, acrid 9g
Dan Dou Chi: warm, acrid 9g
*these combos release exterior, induce sweating, resolve irritability
Deputy: Huang lian: cold, bitter, clears upper and middle burner heat 6g
Huang Qin: cold, bitter, drain internal heat from upper jiao. 6g
Huang Bai: cold and bitter, drains damp-heat from lower jiao. 6g
Zhi Zi- cold , bitter, enters 3 jiaos. 6-9g
*deputy herbs clear heat from 3 jiaos, and remove irritability caused by internal heat.
Biomedically: acute infections including abscesses, erysipelas, cholecystits, pancreatitis, appendicitis,acute pelvic inflammatory.
Wu Ji San Five-Accumulation Powder
sign/symptoms: Fever and chills w/o sweating, headache, body aches, stiff neck and back, full of chest, nausea, vomiting, no appetite, diarrhea w/borborygmus
Pathogenesis: internal cold, phlegm, dampness, qi stagnation, Blood stasis
Treatment principle: Relese exterior, warm interior, smooth the Qi, transform phlegm and damp, invigorate blood, reduce accumulation
Chief: Ma Huang: Warm, acrid 4-5g
Bai Zhi: Acrid, warm, release constraints in Yang Ming channels, induce sweating 4-5g
Gan jiang: warm, acrid 4-5g
Rou Gui: warm, acrid 4-5g
*the above combo warm interior and treat cold accumulation, release exterior and address internal cold
Deputy: Cang Zhu: bitter, aromatic, warm 9g
Hou Po: warm, bitter, aromatic, spicy, stimulates downward Qi movement, transform damp, removes fullness in ST. 9g
*these transform and dry damp
Chen Pi: warm, acrid, aromatic, transform damp, regulate and move Qi. 9g
Ban xia: acrid, warm 9g
Fu Ling: neutral, bland, sweet, strengthen SP to transform Damp and phlegm, promote urination 9g
*these transform phlegm
Jie geng: acrid, neutral 9g
Zhi Ke: cool, bitter, descends Qi 4-5g
*Jie geng has upward qi movement, Zhi Ke has downward Qi movement. This combo of up and down removes qi stagnation.
Dan gui: warm, acrid, bitter 4-5g
Bai shao: cool and sour 4-5g
Chuan xiong: warm and acrid 4-5g
*these 3 help invigorate and nourish blood, remove blood stasis.
Envoy: Gan Cao- help all herbs functions 4-5g
Commentery: 5 accumulation refers to: cold, damp, phelgm, qi, Blood
Bio-Medicaly defined: URTI, gastritis.
Modifications: Sub Gui Zhi with rou gui: acute internal cold
add Wu Zhu Yu: severe cold w/ adbominal pain
remove ma huang and Cang Zhu: spontaneous sweating
remove Zhi ke, Chen pi, Add: Renshen and Bai zhu: qi def. with weakness.
Gui zhi Ren shen Tang Cinnamon Twig and Ginseng Decoction
Signs/symptoms: Chills, Fever, Headache, joint pain, severe diarrhea, hard distention in epigastric
Pathogenesis: Unresolved wind-cold invasion, transformed internal cold in SP/ST, cold affecting ST downward function, focal distention
Treatment principle: Release exterior, warm interior, tonify qi, remove focal distention
Chief: Gui Zhi: warm, sweet, spicy, warms Tai yang, transforms turbid qi downward 12g
Renshen: sweet, bitter, warm, tonify true qi, aids transformation and transportation. 9g
Deputy: Gan Jiang: warm, acrid, warms middle, dispels internal cold, aids in T/T function 9g
Assistant: Bai zhu: bitter, sweet, warm, strengthens SP, dry damp, stop diarrhea. 9g
envoy: Gan Cao: protect middle, harmonize all herbs. Aids ren shen and Bai zhu 12g
Modifications: Add Zhi Fu zi: severe internal cold
add Bai shao: abdominal pain
add Huang Qi and Sheng Ma: diarrhea that is not stopping.
Formulas that Clear heat
Formulas that clear heat at Qi Level
Bai hu Tang White Tiger Decoction
sign/symptoms: high fever, profuse sweatig, aversion to heat, red complexion, severe thirst, shen disturbance, red, thick dry coating, rapid and forceful
Pathogenesis: Full heat pattern that damages yin, fluid, and shen, excess heat in yang ming channel stage, 4 bigs. Qi level pattern
Treatment principle: Clear heat at Qi level, drain ST fire, Nourish Yin
Contraindications: Not for Exterior condition, fever due to blood def., not for true cold/false heat, any def. condition
formula analysis: Shi Gao: cold, sweet, acrid, enters ST and LU, cools heat, drain ST fire. 30g
Zhi Mu: deputy that is cold, bitter, enters ST and LU, drains fire, nourish yin. 10g
*Shi gao and Zhi Mu moisten fluid and remove irritability due to heat.
Gan Cao: sweet, neutral, harmoize herbs, strengthen middle. 3g
Geng Mi: protect middle, protect fluid. 10-15g
Commentery: Must be used in pure excess case.
Biomedically: Encephalitis, meningitis, pneumnia (lobar), heat stroke, diabetes mellitus, periodontitis.
Modifications: Add cong bai, dan dou chi and xi xin: concurrent wind-cold
add Huang lian and Huang Qin: red, swollen eyes and headache
add Tien Hua fen, Lu Gen, Mai Men Dong: wasting and thirsting disorder, thrist with intense heat.
Zhu Ye Shi Gao Tang Bamboo leaf and Gypsum Decoction
sign/symptoms: Lingering fever, vomiting, irritability, thirst, dry mouth, lip, throat, chocking cough, red dry tongue, rapid empty pulse
Pathogenesis: Heat in Qi level/Yang ming stage, heat injuring body fluid, heat consuming qi.
Treatment principle: Clear heat, tonify qi, generate fluid, harmonize ST/SP
Chief: Shi Gao: cold, sweet, bitter, enter ST, nourish yin and fluids, drain ST fire. 30g
Dan Zhu ye: sweet cold, enter ST and HT. 10-15g
*Combination of chief herbs clears yang ming heat and irritability.
Deputy: Ren shen: warm, sweet, tonifes Qi, nourish yin, protect ST from Shi gao. 6g
Mai men dong: cold, sweet, nourish yin and fluid. 10-18g
Assistant: Ban Xia: warm, acrid, transform phlegm, redirect ST qi down. 10g
Envoy: Zhi Gan Cao: Neutral , Sweet, harmonizes the action of other herbs. 3g
Geng Mi: protect middle, protect fluid. 10-15g
Commentery: can be used to treat summer heat exterior, commonly used for febrile disease that has injured qi and yin
Biomedically: Pharyngitis, nephritis, diabetes mellitus
Contraindications: fever remains high, qi and yin are not injured.
Modifications: Remove Shi Gao: no signs of ST heat
add Tian Hua fen and Shi Hu: ST yin def. w/mouth ulceration
add tien Hua fen and Zhi Mu: blazing ST fire w/persistent hunger.
add lu Gen: vomiting and hiccup
add XingRen: cough and wheezing
add bei mu and chen pi: profuse sputum.
Zhi Zi Dou Chi Tang Gardenia and Prepared Soybean Decoction
Signs/symptoms: Insomnia, irritability, stifiling chest, fullness in abdomen, hungry w/no desire to eat, red thin yellow greasy tongue, rapid pulse.
Pathogenesis: Lingering heat obstructing middle jiao, heat causeing sleep disturbance and irritability
Treatment principle: Clear heat, calm shen, remove irritability
Formula analysis: Zhi Zi: bitter, cold, enters san jiao, clears heat from 3 jiaos, removes irritability. 10g
Dan Dou Chi: cold and acrid, enters LU and ST, release exterior, clear heat, harmonize ST. 10g
Commentery: treat irritability and insomnia from aftermath of febrile disease
Biomedically: URTI, epidemic fever, autonomic dystonia,
Contraindications: Not for patient with loose stool due to SP qi def.
Formulas that Clear Heat from Ying level and Cool Blood
Qing Ying Tang Clear the Nutritive Level Decoction
sign/symptoms: High Fever worse at night, severe irritability, restlessness, insomnia, severe thirst/dryness, delirious, some faiting, red, dry yellow tongue, thin and rapid pulse
Pathogenesis: Heat in nutritive level, disturbing the shen, and damaging fluid.
Treatment principle: Clear the nutritive level, relieve fire toxin, drain heat, nourish yin.
Chief: Xi Jiao: Cold, bitter, acrid, salty, enters heart and liver, clears heat, cools blood, resolves toxicity. 10g
Deputy: Xuan shen: cold, salty, sweet 10g
Sheng di huang: cold, sweet 15g
Mai men dong: cold, sweet, nourish yin and fluid. 10g
*these will clear heat and cool blood
Assistant: Jin Yin Hua: cold, sweet, enters Lung 6g
Lian Qiao: cool and bitter, enters the heart 6g
Huang Lian: cold, bitter, clears upper and middle burner heat, Stomach and Heart. 4-5g
Dan Zhu ye: cold and bitter enters HT and LU 3g
*these assistants clear heat at Qi level.
Dan shen: cold, bitter, enters HT and PC, invigorates blood, cools blood. 6g
Commentery: when heat is in the Ying level, heat will linger in the Qi level. Qi level heat should be addressed.
Biomedically: Pneumonia, encephalitis, meningitis, septicemia, leukemic crisis
Modifications: Add sha Shen and gou Qi Zi: severe depletion of yin and fluid
Add Shi Gao: severe qi level fire
Add Gou Teng, ling Yang Jiao, Di long: tremors with spasm
Contraindications: presence of dampness (white slippery tongue coating).
Qing Gong Tang Clear the Palace Decoction
sign/symptoms: Fever, unconsciousness, dereanged speech, crimson tongue w/o coating
Pathogenesis: External wind-heat transformed into internal heat, internal heat enters HT and PC, impairs Yin and affects tongue speech
Treatment principle: Clear heat in HT, nourish Yin
Chief: Xuan shen: cold, salty, sweet, clear heat from heart and blood 9g
Shui Niu Jiao: Salty, cold, resolves toxicitiy to clear toxic heat from HT. 15-30g
*these two chiefs are black which are considered to control and clear heart fire.
Deputy: Mai Men Dong: cold, sweet, nourish yin and fluid.-enters the heart to clear heat, opens the collaterals in heart. 9g
Assistant: Lian Qiao: bitter, acrid, cold, resolves toxicity, dissipates clumps 6g
Dan zhu Ye: sweet, bland, cold, enters HT, clears heat via urine 6g
*these two clear exces heat from heart or heat in Qi level (full internal heat).
Envoy: Lian Zi Xin: bitter, cold, directs HT heat down to KD, reestablishes normal relationship with Imperial and Minister fire. 1.5g
Modifications: Add Zhu Li: pronounced phlegm heat
Add Gua Lou Pi: hacking cough with mucus
Add Jin Yin hua, He ye, and Shi chang pu: gradual impairment of consciousness
Contraindications: presence of dampness (white slippery tongue coating).
Xijiao Di Huang Tang Rhinoceros Horn and Rehmannia Decoction
sign/symptoms: Fever, all types of excess bleeding, skin rashes, dark dry stool, abdominal distention, thirst, delirium, deep red tongue with prickles, thin and rapid.
pathogenesis: heat entering blood level, heat entering blood vessels and blood, heat transformed into toxic
Treatment principle: Clear heat, Relieves fire toxic, cools blood, dispel blood stasis
Chief: Xi Jiao: Cold, bitter, acrid, salty, enters heart and liver, clears heat, cools blood, resolves toxicity. 3g
Deputy: Sheng di Huang: sweet, cool, bitter, clears heat, cools blood, nourish yin, generates fluid 24g
Assistants: Shao Yao: cold, sour, assist deputy cooling blood, it functions to nourish blood and yin. 10g
Mu Dan Pi: cold, bitter, spicy, cools blood to stop bleeding due to heat, invigorates blood to remove blood stasis. 6g
Commentaries: can be used to treat all kinds of excess or heat type, viscous and dark bleeding.
Cautions: Not for deficiency types
Bio-Medicaly defined: Septicemia, encephalitis, meningitis, toxemia, uremia, hepatic coma, glaucomoa, acute leukemia
Modifications: add Da huang and Huang qin: manic behavior
add Ce Bai ye and Bai Mao Gen: vomiting blood
add Di yu and Huai Mi: blood in stool
add Bai mao Gen and Xiao Ji: blood in urine
add Zi Cao and Qing Dai: rashes
add San qi: severe bleeding
Substitute Bai Shao with Chi Shao: severe injury to yin and blood
Add Chai Hu, Huang Qin, and zhi zi: irritability due to heat.
Formulas that Clear heat and Relieve Toxicity
Huang Lian Je Du Tang Coptis Decoction to Relieve Toxicity
sign/symptoms: High fever, Irritability, dry mouth and throat, incoherent speech, dark urine, excess bleeding, boils, swelling, jaundice, red w/yellow dry tongue, rapid pulse
Pathogenesis: Heat in all Jiaos, clumping toxing heat: swelling, fire rises to head to disturb shen
Treatment principle: Drain fire, relieve toxicity, calm shen
Commenteries: formula’s mechanism of clearing toxic heat or fire is via the urine.
Cautions/contra: short period use, not for yin def. w/empty heat pattern.
Chief: Huang Lian: Cold and bitter, enters ST and HT, clears fire from upper and middle jiao. 9g
Deputy: Huang qin: cold, bitter, enters LU, LI, GB, ST, drain internal heat from upper jiao. 6g
Assistant: Huang Bai: cold and bitter, enters KD and BL, drains damp-heat from lower jiao. 6g
Zhi Zi: bitter, cold, enters san jiao, clears heat from 3 jiaos, removes irritability. 6-12g
Modifications: add Da huang: constipation
add Yin chen and Da Huang: jaundice, damp-heat
add Mu Xiang, Bing lang, and Qin Pi: dysentery w/ blood and mucous, tenesmus.
add Mu Tong, Che Qian Zi, and Zi Xie: damp heat in lower jiao.
add Sheng Di Huang, Xuan shen, and Mu Dan Pi: nose bleeding, vomiting blood, erythma, Purpura.
Xie Xin Tang Drain the Epigastrium Powder
sign/symptoms: Bleeding vomit/nasal, irritability, focal distention, red complexion/ eyes, ulceration of tongue/mouth, dark urine, dry constipation, diarrhea, red/yellow/greasy, rapid, forceful
Pathogenesis: Toxic heat stored in the liver and heart which injures collaterals and vessels that cause bleeding, damp-heat that clumps internally.
Treatment principle: Drains fire, relieve toxicity, stop bleeding, dries damp, relieves focal distention.
Contraindications: SP Yang Def.
Chief: Da Huang: bitter, cold, strong draining and purging, clear heat from GB and LI, moves bowels, elimates blood stasis 12g
Huang Lian: bitter, cold 9g
Huang Qin: bitter , cold 6g
Combinations of the two resolve fire toxicity and drain heat.
Commentery: drains fire via purging stool and break up internal clumping., externally for skin sores, hemorroids, infections.
Bio-Medicaly defined: Gastroenteritis, hepatitis, cholecystitis, dysentery, conjuctivitis, stomatis, vascualr headache, Trigeminal neuralgia, pulmonary tuberculosis.
Modifications: Add: Quan Xie, Wu Gong, Chan Tui: Trigeminal neuralgia.
Pu Ji Xiao Du Yin Universal Benefit Decoction to Eliminate Toxin
Pathogenesis: Season/summer toxic heat, wind-heat obstructing upper jiao, heat rushing to head and face
Treatment principle: clear heat, Eliminate toxic fire, disperse exterior wind-heat
Contraindications: Yin def., most herbs have drying effect
Chief: Jiu Chao Huang Lian: bitter and cold 15g
Jiu Chao huang qin: bitter, cold 15g
*these two clear and drain fire from middle and upper jiao, wine fry helps them move up.
Deputy: Niu Bang zi: cold, acrid, bitter 3g
Liang qiao: cold, acrid 3g
Bo he: cool, acrid, aromatic 3g
Jiang Can: neutral , acrid 1.5g
*these 4 expel wind-heat from upper jiao and face, benefit the throat.
Assistants: Xuan Shen: cold, bitter, sweet, salty, softens mass, clears toxic heat, treat sore throat 6g
Ma Bo: neutral, acrid, resolves toxic heat and treats bleeding 3g
Ban lan Gen: cold and bitter, resolves toxic heat to benefit throat. 6g
Jie Geng: Neutral and bitter, clears heat a dbenefits throat 6g
Gan cao: generate fluids to benefit throat 6g
Chen Pi: warm, acrid, aromatic, transform damp, regulate and move Qi. Prevents clumping of pathogens. 6g
envoy: Chai hu: cool and acrid 6g
Sheng Ma: Cool and acrid 1.5g
**these 3 will disperse external wind heat, raise qi, disperse qi stagnation.
Commentery: action are for upper body: Lung, heart, throat, head, lift up and disperse out.
Biomedically: Epidemic parotitis, tonislitis, Otitis media, cellulitis of head and face, Lymphdentitis
Modifications: Add mu dan pi, chi shao, zhe bei Mu, XiaKu Cao, si gua Luo: hard, stubborn, localized swelling
Add Da huang, Zhi shi, xuan Ming Fen: internal heat with constipation
Add Ku Lian Gen Pi and Long Dan Cao: recurrent orchitis
Reduce Huang lian, Huang qin, add Jing jie, Fang Feng, sang ye: more exterior symptoms w/ less internal heat.
Liang Ge san Cool the Diaphragm Powder
Signs/symptoms: Fever, thirst, red face and eyes, dizziness, dry lips/throat, irritability/delerioum/mania, mouth and tongue sore, nose bleed, red,dry,yellow tongue, slippery rapid pulse
Pathogenesis: Accumulation of heat in 5 organs, exterior pathogen causing qi stagnation, heat accumulation in 3 jiao.
Treatment principle: Clear heat, detoxification, drain fire and move bowels, childhood convulsions
Notes: Clear the heat and upper middle jiaos and remove stool from lower jiao. Less powerful than previus formulas.
Formula analysis: Da huang: drain and guide yang ming heat from lower jiao
Mang xiao: drain and guide yang ming heat from lower jiao
Gan Cao: drain and guide yang ming heat from lower jiao
Dan Zhu ye: clear heat upper jiao
huang Qin: clear heat from liver and lung
Zhizi: clear heat from all 3 jiaos and removes irritability
Lian Qiao: clear toxic heat from Lungs
Bo he: clear heat from lungs and throat
Modifications: Add tien hua fen: severe thirst
add huang lian: mouth sores
add Ling Yang jiao and Gou Teng: childhood convulsions
add Yin Chen Hao and Yu Jin: jaundice
Add sheng Di Huang, Xuan shen, and Mai Men dong: yin def. or dryness
add chai Hu and Chuan Lian Zi: distending pain in chest.
Formulas that simultaneously clear heat from Qi and Blood
Qing Wen Bai Du Yin Clear Epidemics and Overcome Toxin Decoction
Signs/symptoms: High fever and chills, redness/swelling face, thirsty, dry heaves, irritability, delerium, skin rash, bleeding, internal wind, dark red tongue, rapid pulse
pathogenesis: Excess fire in the Qi and Blood levels, heat in blood
Treatment principle: Clear heat, drain fire, cool blood, resolve fire toxicity
Formula analysis: Shi Gao: cold, sweet 30-120g
Zhi Mu: deputy that is cold, bitter, enters ST and LU, drains fire, nourish yin. 6-12g
Gan Cao: neutral sweet 3-6g
Dan Zhu ye: cold and bitter enters HT and LU 3-6g
**these 4 clear heat from Qi level.
Xi Jiao: Cold, bitter, acrid, salty, enters heart and liver, clears heat, cools blood, resolves toxicity. 10-12g
Sheng Di Huang: cold, bitter 10-15g
Mu Dan Pi: cold, bitter, spicy, cools blood to stop bleeding due to heat, invigorates blood to remove blood stasis. 6-12g
Chi shao: bitter, sour, cold, action of venting heat from interior to surface to be released. Goes to blood level to clear heat, skin rashes. 6-12g
Xuan Shen: cold and bitter 6-12g
***these 5 clear heat from blood level while nourishing yin and invigorate blood.
Huang Lian: bitter cold 6-12g
Huang Qin: bitter cold 3-10g
Zhi Zi: bitter , cold 6-12g
Lian Qiao: cool, bitter 6-12g
***these 4 clear and drain heat, resolve fire toxicity
Jie Geng: neutral, acrid, bitter- enters lungs, opens throat, promotes lungs D/D and enhance other herbs. 3-6g
Commentery: typical formula to remove pathogenic fire iin both Qi and Blood levels
Contraindications: Yang Def., ST/SP def.
Biomedically: Meningitis, Encephalitis, typhoid fever, scarlet fever, necrosis of liver, septicemia
Modifications: add Da Qing Ye and Ban lan gen: constipation
add Zi hua di Dng and Da huang: swollen face
Add Qing Dai and Jin Yin Hua: swollen thyroid gland
Add zi Cao, hong hua, Tao ren, Mu tong: dark purple rashes
Add Ji Geng, Long dan Cao, Ju Hua: tremor caused by heat
Add Huang Bai and Mu tong: soreness in the joints and lower back.
Hua Ban Tang Transform Maculae Decoction
Signs/symptoms: Dark Red Macular rash, fever that is worse at night, rapid pulse
Pathogenesis: Heat entering Qi and Blood level, heat resulting in macular rash
Treatment principle: Clear Qi-level heat, cool Blood
Contraindications: Yang def., SP/ST weakness
Chief: Shi Gao: sweet, acrid, cold, clears heat Qi level 30g
Depty: Xuan Shen: Salty bitter, sweet 9g
Shui Niu Jiao: Salty, cold, resolves toxicitiy to clear toxic heat from HT. 30-120g
**both resolve toxicity, clear heat in blood, nourish yin, vent heat at Qi level.
Assistant herbs: Zhi Mu: cold, bitter, enters ST and LU, drains fire, nourish yin. 12g
Envoy: Gan Cao: sweet neutral 9g
Jing Mi: sweet warm 9-15g
**these protect middle, harmonize action of other herbs.
Commentery: White tiger variation, treats macular rashes, some invigorate blood as pathogenic heat can congeal blood and cause blood stasis.
Formulas that clear heat from organs
Ma Xing Shi Gan Tang Ephedra, Apricot Kernel, Gypsum and Licorice Decoction
sign/symptoms: Cough, wheezing, fever, sweat/no sweating, labored breathing, thirst, nasal flaring and pain, thin white/red coating tongue, rapid, floating pulse.
Pathogenesis: Heat lodged in lung obstructing Lung qi D/D function, fluid accumulation in Lung, rebellious qi.
Treatment principle: Facilitates the flow of lung Qi, clear heat, descend rebellious Qi, calm wheezing.
Contraindications: wheezing due to cold
Chief: Ma Huang: acrid, warm, Lung D/D functions and stop wheezing. 12g
Shi Gao: acrid, cold, drain heat from Lung, control diaphoretic action of ma huang, clear heat from ST and muscles. 24g
Deputy: Xing Ren: bitter and warm, aids Ma huang actions, both open chest 18g
Envoy: Zhi Gan Cao: Neutral , Sweet, harmonizes the action of other herbs. Moistens lungs to stop cough. 6g
Modifications: Add jin yin hua, Lian Qiao, Huang qin, Yu Xing Cao: severe heat.
Add Zhi Ban xia, Gua lou, Chen Pi, Zhi shi, Sheng Jiang: stubborn asthma
add Zi su zi and Ting Ling zi: wheezing and cough with copious mucous.
add Di Long: sinusitis
commentery: can be used for children urinary disorders with coughing and wheezing. Other lung disorders.
Xie Bai San Drain the White Powder
Signs/symptoms: Coughing, Wheezing, fever worsen after 3pm, skin hot, dry mouth, thin mucous difficult to expectorate, red tongue yellow coat, thin rapid pulse
Pathogenesis: Constrained heat lodged in Lung, dryness of skin, weak D/D funciton,
Treatment principle: Drain heat from lung, calm wheezing
Chief: Chao Sang Bai Pi: Sweet cold, drains constrained heat from lung, calm wheezing, moisten lungs, drain heat w/o damage lung. 15g
Deputy: Di gu pi: sweet, cold, clears def. heat in KD and LU, Pi= skin, where lung heat is reflected. Heat in skin mayindicate heat in lungs. 15g
Assistant: Zhi Gan Cao: Sweet neutral 3g
Geng Mi: protect middle, protect fluid. Protect ST from cold herbs. 15-30g
Commentery: Son herbs: Lungs, Mother herbs: Spleen. Lung yin is nourished by tonifying the spleen.
Modifications: Add Fu Ling and Geng Mi: further protect middle jiao, mild phlegm.
Add Huang qin and Zhi Mu: severe heat
Add Ting Li Zi and Bai Qian: stagnation due to phlegm
Add Gua Lou Pi, Xing Ren, Sha shen, Chuan Bei Mu- Dry cough.
Add Qing Hao, Bie Jia, and Yin Chai Hu: def. heat w/ afternoon fever.
Xin Yi Qing Fei Yin Magnolia Flower Drink to Clear the Lungs
Signs/symptoms: Nasal polyps, nasal congestion, rhinitis, sinusitis, allergic rhinitis, red tongue, rapid pulse.
Pathogenesis: Heat lodged in lung that results in impairment in Lungs controlling Qi and nose functions
Treatment principle: Disperse Lung Qi, clear heat, Unblock nasal cavity.
Chief: Xin Yin Hua: acrid, warm, disperse wind, unblock nose 2.5g
Deputy: Huang Qi: bitter, cold 3g
Zhi Zhi: bitter, cold 3g
Zhi Mu: bitter, cold 3g
Shi Gao: acrid, cold 3g
**all clear heat and resolve toxicity
Mai men Dong 3g
Bai he 3g
**both enter lung, nourish lung yin to address dryness,
Assistants: Pi Pa Ye: bitter, cold, aids in descending Lung Qi downward 3g
Sheng ma: acrid, sweet, cool, raises clear yang qi, clears heat to resolve toxicity 1g
**both these regulate qi flow in upper jiao so turbid qi can sescend which the result clear qi rise to nose.
Envoy: Gan Cao: Sweet, neutral, harmonize actions of other herbs, clear heat as well. 1.5g
Modifications: Add Chi Shao and Ge Gen: chronic rhinitis
Add Qian Hu, Dong Gua Zi, Sang Bai Pi: Dry cough due to Lung heat.
Add Qiang Huo, Lian Qiao, Bo he: dispel damp to unclog nose.
Xie Huang San Drain the Spleen Powder
Signs/symptoms: Mouth Ulcer, bad breath, thrist, Frequent hunger, Dry mouth and lips, red tongue, rapid pulse
pathogenesis: Heat lodged in Spleen and Stomach
Treatment principle: Drain lurking fire from SP and ST
Contraindications: not suitable for ST Yin Def.
Chief: Shi Gao: sweet, acrid, cold, clears heat Qi level. Principle herb for clearing heat in middle jiao. 15g
Zhi Zi: bitter, cold, enters san jiao, clears heat from 3 jiaos, removes irritability. 3g
**low dosage of the two herbs prevent their cooling and descending actions from further bottling up of lurking fire.
Deputy: Fang Feng: acrid, warm, disperses lurking heat in SP, aids SP action of raising clear qi to head. 120g
Huo Xiang Ye: revives the SP. 21g
**these combos harmonize and corrects Qi flow of SP and ST.
Envoy: Gan Cao: swet, neutral, clear heat. 90g
Modifications: add huang lian: Severe heat
add Chi fu Ling and Deng Xin Cao: irritability and restlessness.
Qing Wei San Clear the Stomach Powder
Signs/symptoms: Itching after eating certain foods, swelling of skin, redness swollen gums, bleeding gums, foul breath, swollen and painful lips and jaw,
dry mouth and tongue, red face, toothache, Red tongue, slippery, rapid, thin pulse.
Pathogenesis: Heat accumulated in ST, ST heat flaring upward along yang ming channel, heat entering blood causing stagnation and allergic skin reactions
Treatment principle: Clear heat, Dry damp, cool blood, disperse blood stasis.
Chief: Huang Lian: bitter, cold, clear heat from HT and ST 3-6g
Deputy: Sheng Ma: acrid, cold, disperses stomach heat 3-6g
Assistant: Mu Dan Pi: cold, bitter, spicy, cools blood to stop bleeding due to heat, invigorates blood to remove blood stasis. 6-9g
Sheng Di Huang: bitter, cold, cools and nourished blood, clears heat. 6-12g
Dang gui: sweet, bitter, invigorates blood and promotes circulation. 6-12g
Commentery: originally used to treat Tootch aches and swollen gums due to ST fire., allergic reaction to food is another form of ST fire.
Modifications: Remove Dang Gui, Add Xuan Shen, and Tien hua Fen: strong desire for cold drinks
Add Da huang: heat in LI w/constipation.
Yu Nu Jian Jade woman Decoction
Signs/symptoms: Headache, toothache, bleeding gums, thirst with no desire to drink, loose tooth, irritability, fever, red, yellow dry tongue, floating, slippery large pulse.
Pathogenesis: Def. of Stomach and Kidney Yin, gives rise to def. fire. Deficiency fire in ST may enter blood stream and lead to allergic skin reactions.
Treatment principle: Nourish Shao Yin, Clear Yang Ming heat.
Chief herbs: Shi Gao: sweet, acrid, cold, clears heat from ST and alleviates fever, irritability and thirst, important for toothache due to ST fire. 15-30g
Deputy: Shu Di Huang: sweet, warm, primary to nourish Kidney yin and blood. 9-30g
Assistant: Zhi Mu: biter, cold, aids shi gaos action of clearing heat and nourishing yin. 3-6g
Mai Men Dong: sweet, bitter, cold, moistens ST, enriches yin, and alleviates irritability. 6-9g
Envoy: Niu xi: bitter, sour, neutral, guides heat down, stops flow of blood into oral cavity. 3-6g
Modifications: add Nu zhen zi and Hua Lian Cao: severe yin def w/mild fire in ST
double shi gao, Niu Xi, add Bai men Gen: bleeding
Add Sha Ren and Shi Hu: dark purple tongue w/ coating
Add Wu Wei Zi: profuse sweating and thirst.
Dao Chi San Guide Out the Red Powder
Signs/symptoms: Insomnia w/violent dreams, irritability w/heat sensation in chest, thirst desire cold drinks, red face, ulceration tongue/mouth, dark scanty urine, Red tongue, Rapid pulse
Pathogenesis: Heat in Heart (Shao yin), Heat in SI (Tai yang), damp heat in lower jiao
Treatment principle: Clear heat, promote urination
Commentery: formula is used to clear heart heat vie SI, Heart heat disturbs shen and causes insomnia, clearing heart heat via urine cools heart.
Chief: Sheng Di huang: enters heart to cool heat, nourished kidney and heart yin: water controls fire. 15-30g
Deputy: Mu Tong: bitter, cool, clears heat from the Heart and promotes urination 3-6g
Assistant: Dan Zhu Ye: bitter, cold, enters heart and cools heat, reduce irritability. 3-6g
Envoy: Gan Cao: sweet, neutral, helps relax muscles and treat painful urination, harmonize and detox. 3-6g
Modifications: Add Shi Hu and Zhi Mu: yin def.
Add mo Han Lian and Bai mao Gen: blood in urine.
Qing XIn Lian Zi Yin Lotus Seed formula
Signs/symptoms: Seminal emission, turbid painful urinary dribbling, profuse uterine bleeding, vaginal discharge, KD yin def. signs w/dry mouth, irritabiltiy, fever
Pathogenesis: Heat arises due to KD Yin, unable to nourish heart yin, arising heart fire, damp heat develops from HT-KD disharmony.
Treatment principle: Clear Heat, Tonify Qi and Yin, stop turbid painful dribbling urine
Chief: Lian Zi: Sweet, neutral, clear heart fire, tonfiy qi and yin, drain damp heat, stop leakage. 15g
Deputy: Di gu pi: sweet, cold, clears def. heat in KD and LU, Pi= skin, where lung heat is reflected. Heat in skin mayindicate heat in lungs. 10g
Huang Qin: bitter , cold, 10g
**two deputy herbs nourish yin, and clear heat
Assistants: Fu Ling: neutral, bland, sweet, strengthen SP to transform Damp and phlegm, promote urination 15g
Che Qian Zi: sweet cold, promote urination , drain damp. 10g
Ren shen: warm, sweet, tonifes Qi, nourish yin, protect ST from Shi gao. 15g
Huang qi: tonify Qi, strengthen transformation functions 15g
Mai Men Dong: sweet, bitter, cold, moistens ST, enriches yin, and alleviates irritability. Clear heat and calm heart by nourish yin. 10g
Envoy: Gan Cao: Tonifies the middle, harmonizes other herbs. 10g
Modifications: Add Mu Li and Long gu: severe seminal emission
Add Bi Xie and shi Chang Pu: severe turbit painful dribbling urine
Add Chun Pi and Jingjie: severe uterine bleeding
Commentery: treats complex excess def. pattern, removing pathogen from HT and KD resestablishes relationship between HT and KD.
Long Dan Xie Gan Tang Gentiana Longdancao Decoction to Drain the Liver
Signs/symptoms: Hypochondria pain, headache, dizziness, red/sore eyes, hearing loss, bitter taste, irritability, short temper, wiry rapid pulse, red tongue yellow coat
women: difficult and burning urination, foul smelling leukorrhea, short menstral cycle with dark bleeding.
Pathogenesis: Excess heat in Liv/GB, shao yang exces heat affecting water metabolism, dampness, heat and damp in lower jiao.
Treatment principle: Drain excess heat from Liv/GB, clear damp-heat from lower jiao.
Contraindications: may injure sp
Chief: Long Dan Cao: bitter, cold, very effective in draining damp-heat bother Liv/GB and lower jiao. 3-9g
Deputy: Huang Qin: bitter, cold 6-12g
Zhi Zi: bitter , cold 6-12g
**both assist chief in draining damp and clearing heat
Chai Hu: bitter, cold, cools and soothes Liver fire. 3-9g
**Huang qin and chai Hu both enter shao yang and clear heat.
Assistants: Mu Tong: bitter, cool, clears heat from the Heart and promotes urination 3-6g
Che Qian Zi: sweet cold, promote urination , drain damp. 9-15g
Zi Xie: sweet, bland, cold
***these 3 drain heat from upper jiao and damp-heat from lower jiao by way of urination providing a pathway to drain liver fire.
Shu Di Huang: sweet, warm, primary to nourish Kidney yin and blood. 9-15g
Dang gui: sweet, bitter, invigorates blood and promotes circulation. 3-12g
Envoy: Gan Cao: harmonize actions of the herbs. 3-6g
Modifications: Add Ju Hua and Sang ye: severe headaches and painful red eyes.
Add Mu Dan Pi and Sang Ye: Liver insulting the metal (coughing up blood).
Add Gou Teng: Chaun Bei Mu: presence of tremors
Add Chi shao and Lian Xu: Pale Red leukorrhea
Remove Chai hu and Add Lian Qiao and Da Huang: ulceration of external genetralia, sores, and abscesses.
Xie Qing Wan Drain the Green Pill
Signs/symptoms: Red, sore, swollen eyes, restlessness, irritability, dark urine, constipation, tremors, convulsion, flooding pulse, red tongue w/yellow coat.
pathogenesis: constrained heat in Liver and Liv. Channel affecting eyes, drying up yin and disturbing shen
Treatment principle: Drain fire, clear and soothe the Liver
Contraindications: avoid if SP and ST def.
Chief: Long Dan Cao: bitter, cold, very effective in draining damp-heat bother Liv/GB and lower jiao. 30g
Deputy: Da Huang: bitter, cold, strong draining and purging, clear heat from GB and LI, moves bowels, elimates blood stasis 30g
Zhi Zi: bitter, cold, enters san jiao, clears heat from 3 jiaos, removes irritability. Guides Liver fire down via LI in stool and urine. 30g
Assistants: Fang feng: acrid warm 30g
Qiang Huo: warm, acrid 30g
**clumping is casued by constrained fire in Liver, clumping heat also has to disperse, acrid properties disperse contrained fire.
Dang gui: sweet, bitter, invigorates blood and promotes circulation. 30g
Chuan Xiong: acrid, warm, invigorate blood to remove pain, soothes liver. 30g
**both herbs nourish and move liver blood which prevents heat from damaging yin.
Dan Zhu Ye: sweet bland cold, clears heart fire by guiding out via urine, clear heat to remove restlessness and irritability.
Zou Jin Wan Left Metal Pill
Signs/symptoms: Sour regurgitation, bitter taste, epigastrium distention, gnawing hunger, hpyochondria pain, belching, thirst, red tongue w/yellow coat, wiry pulse
Pathogenesis: Heat retention in Liver, Liver heat over acting on Stomach.
Treatment principle: Clear Liver Fire, Descend rebellious ST qi, harmonize Liver and ST.
Formula analysis: Huang Lian: bitter , cold, drains fire from upper and middle jiao Liver and ST, as heat drains down so is ST Qi.
Wu Zhu Yu: acrid, bitter, hot, toxic, soothes Liver and promotes Stomach Qi, Downward movement. Harmonizies Liver and Stomach.
Modifications: Add Hai po Xiao and Wa Leng Zi: promounced acid regurgitation
Add Chuan Lian Zi: sever distention.
Ratio: Huang Lian: wu Zhu Yu= 6:1.
Bai Tou Weng Tang Pulsatilla Decoction
Signs/symptoms: Diarrhea w/blood or pus, abdominal pain, tenesmus, burning sensation anus, thirsty, red tongue w/yellow coat, wiry rapid pulse.
Pathogenesis: Toxic damp-heat traveling down and injuring Intestines.
Treatment principle: Clear Heat, Relieves Toxicity, Cools Blood, Stops Dysentery
** this formula often used in treating Jue yin stage dysentery due to heat.
Chief: Bai Tou Weng: bitter, cold, primary in dysentery, drain damp-heat, relieves toxic heat, cools blood 6g
Deputy: Huang Lian: bitter , cold, drains fire from upper and middle jiao Liver and ST, as heat drains down so is ST Qi. 9g
Huang Bai: bitter, cold, drains Damp-heat from the Lower Jiao 9g
**both treat dysentery
Assistant herbs: Qin Pi: bitter, cold, drains damp heat. 9g
Modifications: Add Shi Liu Pi: Amebic Dysentery
Add Qin Pi, Di Yu, Xian he Cao, and Mu Xiang: Bacillary dysentery
Add Mu Xiang, Bai Shao, and Bing lang: Severe tenesmus
Add Mu Tong, Bai mao Gen and Jin Qian Cao: frequent, urgent, and painful urination.
Shao Yao Tang Peony Decoction
Signs/symptoms: Diarrhea w/blood or pus, abdominal pain, difficult defecation, tenesmus, burning around anus, greasy yellow tongue, rapid slippery pulse.
Pathogenesis: Damp heat lodged in Intestines, leading to dysentery.
Treatment: Clear heat and resolve toxicity, drains dampness, regulates and harmonizes Qi and Blood.
Chief: Bai Shao: sour, bitter, cold, soothes liver, alleviates spasms 15-20g
Deputy: Dang gui: sweet, bitter, invigorates blood and promotes circulation. 6-9g
**bai shao and dang gui regulate ying and blood.
Mu xiang: acrid, bitter, warm 4-5g
Bai Ling: acrid, bitter, warm 4-5g
**both promote qi movement and eliminate stagnation and dampness.
***combos of Chief and deputies regulate qi and blood.
Assistant: Huang Lian- bitter, cold, clear heat and resolve toxic heat in intestines, dries dmp in intestines. 6-9g
Huang Qin: bitter, cold, clear heat and resolve toxic heat in intestines, dries dmp in intestines. 9-12g
Da Huang: Bitter cold, drain heat through the stools. 6-9g
Rou Gui: acrid, sweet, hot, enters at blood level and invigorates blood, balances action of cold and bitter herbs that can injure yang. 1.5-3g
Envoy: Zhi Gan cao: harmonizes other herbs, alleviates spasms and pain with Shao Yao and Dang Gui. 4-5g
Modifications: Omit Gan Cao, add Shan zha and Shen Qu: presence of food stagnation
Omit Rou gui: heat injuring body fluids
add Mu Dan pi and Di yu: prsence of Excess type bleeding
Comparison: Shao Yao Tang vs. Bai tou weng tang: both treat dysentey, but Bai tou weng tang is weak in heat clearing and toxic relieving action,
however it is stonger in Qi invigorating action.
Huang Qin Tang Scutellaria Decoction
signs/symptoms: Fever, bitter Taste in mouth, Abdominal pain, diarrhea, Red tongue w/yellow coat, Rapid, flooding pulse
pathogenesis: Constrained heat in Shao-yang that has forced into ST and LI. Heat in ST and LI resulting is Diarrhea/Dysentery
Treatment: Clear heat, alleviate dysentery, harmonize the middle, stop pain
Contraindications: Initial stage of dysentery, cold/yang def. dysentery
Chief: Huang Qin: bitter, cold, enters GB and ST, Drains heat from Shao Yang and Yang ming organs. Resolves toxicity, treats diarrhea. 9g
Deputy: Shao yao: bitter, sour, cold, bitter drains heat from middle, sour preserves and contains yin. 9g
Envoy: Zhi Gan cao: sweet, neutral, resolves toxicity, with Shao yao: treats abdominal cramping. 3g
Da Zao: sweet, warm, harmonize middle, tonify qi, nourish yin 4 piece
Modifications: Add Ban xia and Sheng jiang: rebellious Stomach Qi with retching (dry heaves)
Add Mu Xiang and Bing Lang: pronounced ab pain with tenesmus
Add Di yu and Shan Zha (charred): pus and blood in stool.
Formulas that dispel summer Heat
Qing Luo San Clear the Collaterals Decoction
Signs/symptoms: Fever, mild thirst, unclear head, lightheadedness, Slight distentin of head, blurred vision, pink tongue, thin white coat.
Pathogenesis: Summer heat injuring Qi level and Tai Yin Lung Meridian
Treatment principle: Release summer heat, clear lung heat
Chief: Xian Jin yin hua: sweet, cold, relieves summer-heat, clear wind, fire, damp from collaterals, resolve turbid qi. 6g
Xian He Ye: sweet, bitter, neutral, cools and clears summer heat, raise clear yang qi to head to transform damp that obstructs orifices. 6g
Deputy: Xian Bian Dou Hua: sweet, neutral, aromatic, clear summer heat while tonifying and harmonizing middle jiao. 6g
Xi gua: sweet, cool, relieves summer-heat, generates fluid and alleviates thirst. 6g
Assistant: Si gua Lou: Sweet, neutral, clears heat from the lung and collaterals. 6g
Dan Zhu ye: sweet, bland, cold, promotes smooth water passage from Lung, prevents external pathogen from entering heart. 6g
Commentery: Aromatic herbs are used to alleviate summer heat and transform dampness which accompanies the summer heat exterior.
Modifications: Add Gan Cao, Mai men dong, Jie Geng, and Xing Ren: non productive, clear high pitch cough.
Bio-medically defined disorders: hyperthermia, heat stroke, rheumatic fever.
Xiang Ru San Elsholtzia Powder
Signs/symptoms: Aversion to cold, fever, warm skin, headache with heaviness in head, stifling sensation in chest, abdominal pain w/diarrhea, fatigue
white greasy tongue, floating soggy pulse.
pathogenesis: Exterior wind-cold, internal dampness contracted during summer: summer-heat.
Treatment principle: Release the exterior wind-cold, transform dampness, Harmonize the Middle jiao.
Chief: Xiang Ru: warm, spicy, aromatic, enters LU to release wind-cold, enters middle jiao harmonzing SP/ST, warming, transform damp. 9-12g
Deputy: Bai Bian Dou: neutral, sweet, enters middle jiao to strengthen SP T/T, transform turbit, raise clear yang qi. Assist chief damp transform 6-9g
Assistant: Hou Po: warm, bitter, aromatic, spicy, stimulates downward Qi movement, transform damp, removes fullness in ST. 6-9g
Modifcations: Add Qing Hao: stronger exterior symptoms.
Cautions: taking while warm can cause vomiting, take when cool.
Biomedically: Upper Respiratory tract infection (URTI), gastroenteritis, Bacillary dysentery, Cholera.
Xin Jia Xiang Ru Yin Newly Augmented Elscholtzia Decoction
Signs/symptoms: Fever and chills, headache, thirst, flushed face, stifiling chest sensation, achy body, painful urine
tongue: red, white greasy coating. Pulse: flooding, on right, short on left.
pathogenesis: Exterior summer heat, graduate dampness accumulation, damp-heat trapped by wind-cold.
treatment: Dispel summer-heat, release exterior, clear heat, transform damp.
commentery: treats summer-heat with internally accumulated damp-heat, it concentrates on Lung, wei qi to expel exterior and induce sweating.
Chief: Xiang Ru: warm, spicy, aromatic, enters LU to release wind-cold, enters middle jiao harmonzing SP/ST, warming, transform damp. 6g
promote urine to drain damp
Deputy: Xian Bian Dou Hua: sweet, neutral, aromatic, clear summer heat while tonifying and harmonizing middle jiao. w/o injuring fluid. 9g
Bai Bien Dou: neutral, sweet, enter middle jiao to stregthen SP T/T for dampnes. 9g
Lian Qiao: Acrid, cold, vent wind-heat exterior and turbid qi through the exterior. 6g
Jin Yin Hua: acrid, cold, vent wind-heat exterior and turbid qi through the exterior. 9g
Assistant: Hou Po: warm, bitter, aromatic, spicy, stimulates downward Qi movement, transform damp, removes fullness in ST. 6g
counter balance the cold depty herbs.
Modifications: Add Qing Hou and Hua Shi: severe fever
Add Da Huang: severe internal heat
Add Huo Xiang and Fu Ling: pronounced dampness.
Cautions: Should NOT be used with fever with sweating.
Biomedically: common cold, influenza, acute gastritis, baciallary dysentery.
Liu Yi San Six One Powder
Signs/symptoms: Fever, Sweating, thirst, irritability, urinary difficult, diarrhea, nausea, vomiting, skin disease: damp heat,
Tongue with thin yellow greasey coating, Pulse that is soggy and rapid.
Pathogenesis: Summer-heat, injuring qi, dampness accumulation
Treatment: Clear summer heat, tonify qi, resolve damp.
Commentery: summer-heat is heat, dampness, and Qi def. combination. Damp is relieved by urination.
Chief: Hua Shi: cold, bland, clears summer heat, resolves damp, heavy in nature, downward qi movement, to open urinary passage. 180g
Deputy: Gan Cao: clear heat to resolve toxicity, protect middle, generate fluid. 60g
Modifications: Add Xi yang Shen: Depletion of Qi and Fluids
Add Jin qian Cao , Ji Nei Jin, and Hai Jin Hua: stony painful urination
add Bai mao Gen and Xiao Ji: blood in urine
Add Huang Bai: urethitis
Cautions: Copious clear urine, yin def., summer heat w/o dampness.
Biomedically: stomach flu, heat stroke, cystitis, UTI, gastroenteritis, Kidney stone, Urethritis.
Gui Ling Gan Lu Yin Cinnamon and Poria Sweet Dew Decoction
Signs/symptoms: Fever, headache, irritability, thirst, scanty/diff urination, vomiting and diarhea w/fullness, stifling sensation during summer.
Pathogenesis: summer heat exterior, water accumulation, dampness accumulation.
Treatment: Resolve summer-heat, clear heat, transform pathogenic water, resolve damp.
Chief: Hua shi akaTalcum: sweet, cold, resolves summer heat, unblocks urinary tract to promote urination, harmonize Stomach 120g
deputy: Shi Gao: 60g
Han shui Shi: cold, acrid, clear heat 60g
**both these have strong downward movement, unblock triple burner, does not injure or constrain Qi.
Assistants: Zhu Ling: sweet, bland, cold. 15g
Fu Ling: sweet, bland, neutral. 30g
Ze Xie: sweet, bland, cold. 30g
**Combo of the three expel dampness and promote urination.
Bai Zhu: sweet, warm, normalize qi movement, alleviate sudden turmoil disorder. 15g
Rou gui: sweet, warm, promotes transformation of turbid Qi at lower jiao. 15g
Gan Cao: sweet, neutral, harmonizes the action of other herbs. 60g
analysis: Gan cao and hua shi: clear heat
Can cao, Fu ling, and Bai zhu: tonify spleen.
Commenteries: Combinatin of Wu Ling San and Liu Yi San
promotes proper water metabolism without injuring True Qi.
Cautions: Not intended for summer-heat pattern with pronouced damp that heat.
Bio-medical: acute gastroenteritis, Cholera, heat stroke.
Qing Shu Yi Qi Tang Clear Summerheat and Augment the Qi Decoction
signs/symptoms: Fever, profuse sweating, irritability, thirst, scanty/dark urine, shortness of breath, weak limbs, apathy, deficency rapid pulse.
pathogenesis: summer-heat exterior, heat injuring Qi and body fluids.
Treatment principle: Clear summer heat, tonify qi, nourish yin, generate fluid.
Chief: Xi Yang Shen: sweet, bitter, cold, tonifies Qi, nourished yin and fluids, clears heat. 4.5-6g
Deputy: Mai Men Dong: Sweet, bitter, cold 6-9g
Shi Hu: swet, salty, cold, aids the chief herb Xi Yang Shen, nourishes Lung and ST yin. 12-15g
Xi gua: sweet, cool, relieves summer-heat, generates fluid and alleviates thirst. 24-30g
Lian Gen: bitter, sweet, neutral, aids Xi gua and clear summer-heat. 12-15g
Assistants: Dan zhu ye: sweet bland, cold 4.5-6g
Zhi mu: bitter, cold 4.5-6g
**both clear heat, resolve irritability, and alleviate thirst.
Huang Lian: bitter, cold, clear heat from HT and ST, resolve summer-heat. 2-3g
Gan Cao: sweet, neutral 2-3g
Jing Mi: sweet, warm 12-15g
**these two harmonize other herbs, protect middle jiao from cold herbs, prevent cloying of yin nourishing herbs.
Modifcations: Remove huang Lian: mild summer heat with severe fluid depletion
Biomedical: hyperthermia, heat stroke, fever, pneumonia, recovery from acute infectious disease.
Wu Shi Lian Mei Tang Master Wu’s Coptis and Mume Decoction
Signs/symptoms: Wasting and thirsting, heat in heart, irritability, restlessness, paralysis, cloudy consciousness, tongue: dry, cracks, Pulse: deep thin.
Pathogenesis: Exterior summer heat, heat enterins Shao yin and jue yin (HT and PC), heat injuring Yin and fluids.
Treatment principle: Drains heat, preserves fluids, nourish yin.
Commentaries: Most herbs are bitter and cold to drain pathogenic heat from heart.
Chief: Huang Lian: bitter, cold, drain summer heat from heart, root cause of disorder. 6g
Deputy: Wu mei: sour , warm, enters ST to preserve and generate fluid, treats wasting and thirsting disorder. 9g
**this combo allows heat from heart to drain without injuring true qi.
Assistant herbs: Mai men dong: 9g
Sheng di Huang: sweet, cool, bitter, clears heat, cools blood, nourish yin, generates fluid 9g
**both generate water to alleviate thirst. both extingusih wind.
E jiao: sweet, neutral, nourish blood, stop bleeding, generate yin, soothes liver to extinguish yin, used as an envoy herb to guid actions to shao yin and jue yin. 6g
Contraindications: Summer-heat invasion w/o severe fluid loss.
Bio medical: Diabetes, paroxysmal supraventricular tachycardia.
Formulas that Clear Heat from Deficency.
Qing Hao Bie Jia Tang Artemisia Annua and Soft Shelled Turtle Shell Decoction
Signs/symptoms: Fever at night, slight fever in morning, No sweating as fever recedes, emaciation with no loss of appetite, red tongue w/ less coating, fine and rapid pulse.
Pathogenesis: Heat lurking in Yin regions of the body, late stage warm febrile disease where heat gets in the Ying /nurtitive level that injures body fluid and blood.
Treatment: Nourish Yin, vent heat to Qi level
Contraindications: Early stage warm febrile disease
Formula strategies: Do not use cloying herbs which nourish yin and trap heat, do not use draining herbs to cool heat, action is to nourish yin and to vent pathogen to surface and then clear.
Chief: Bie Jia: Salty, cold, tracks down heat to deep level, jue yin (Liver) and then clear it, nourish yin, treat root cause. 15g
Qing hao: bitter, cold, vents heat, expel cold from body, treats branch. 6g
**chief combo: qing hao cannot penerate deep w/o Bie jia. Biejia cannot vent heat from deep level without Qing hao.
Deputy: Shu Di Huang: sweet, warm, primary to nourish Kidney yin and blood. 12g
Zhi Mu: bitter, cold, ?
**these assist Bie Jia to nourish yin, clear deficency heat, treat root cause.
Assistants: Mu Dan Pi: cold, bitter, spicy, cools blood to stop bleeding due to heat, invigorates blood to remove blood stasis. Drain heat from Liver. 9g
*assists Qing hao venting and dispersing of heat.
Modifications: Add Sha shen and mo han lian: Lung Consumption
Add Sang Bai Pi and Zi Wan: pronounced cough and wheezing.
Add Bai Wei and Di gu Pi: blazing fire with deficency
Add Bai Mao Gen: five centered heat.
Qing Gu San Cool the bones powder
Signs/symptoms: Steaming bone, afternoon fever, low fever, malar flush, red lips, lethargy, thrist irritability, insomnia, red cheeks, dry throat, red tongue no coat, thin rapid pulse.
Pathogenesis: Steaming bone disorder due to def. fire arsing from Liver and kidney Yin Def.
Treatment: Clear heat from Deficency, alleviate steaming bone disorder.
Chief: Yin Chai Hu: sweet, cold, reduces def fire w/o injuring yin 4-5g
Deputy: Zhi Mu: bitter, cold, nourish yin from kidney yin def. 3g
Hu Huang Lian: bitter, cold, clear heat blood level. 3g
Di gu pi: sweet, cold, clears def. heat in KD and LU, Pi= skin, where lung heat is reflected. Heat in skin mayindicate heat in lungs. Clear heat LU, Liv, KD. 3g
***Three Deputies alleviate steaming bone disorder.
Assistants: Qing hao: bitter, cold, vents heat, expel cold from body, treats branch. Guides heat from deeper level to surface, drain fire w/o injuring yin. 3g
Qin Jiao: acrid ,bitter, cold, drains def. heat from Liv/GB, treats steaming bone w/o sweating. 3g
Bie Jia: Salty, cold, tracks down heat to deep level, jue yin (Liver) and then clear it, nourish yin, treat root cause. Anchors floating Yang. 3g
Envoy: Gan Cao: sweet, neutral, harmonize actions of other herbs, clear heat as well, protect ST/SP form def. heat. 1.5g
Modifications: Add Shu di huang, Dan gui, Bai Shao: Blood Def.
Add E Jiao, Mai men Dong, Wu Wei Zi: coughing.
Add Dang shen, Huang Qi: pale Complexiion, Low voice, and Shallow breathing.
Qi Jiao Bie jia San Artemisia Annua and Soft Shelled Turtle Shell Decoction
Signs/symptoms: Night fever, emaciation, red lips and cheeks, afternoon fever, cough w/ sticky yellow/blood streak mucus, 5 center heat, exhaustion, red tonuge/less coat, faint rapid pulse.
Pathogenesis: Invasion of untreated external wind, external wind stirs up Yang qi that leads to the creation of Internal heat w/underlying Yin Def.
Treatment principle: Enrich yin, Nourish blood, Clear heat, Alleviate steaming bone disorder.
Chief: Bie Jia: Salty, Cold, enters collaterals and bones to nourish yin. 30g
Qin Jiao: acrid ,bitter, cold, drains def. heat from Liv/GB, treats steaming bone w/o sweating. Treats wind wheter acute or chronic old/new. 15g
Enters channels and collaterals to open up the clumps interior and exterior.
Deputy: Chai Hu: Bitter , cold, clears Liver and Shao-yang heat from muscle layer. 30g
Di gu Pi: sweet, cold, clear heat from the bones and drain fire. 30g
**combo of deputy herbs clear def. heat and regulare Qi dynamics.
Assistants: Zhi Mu: bitter, cold, drain heat, nourish yin. 15g
Dang gui: sweet, warm, nourish and harmonize blood. 15g
Formula strategy: Combination of Reducing and tonifying. Dispels pathogenic wind whuile tonifying yin.
Modifications: Add Sheng Di Huang: Exhaustion of yin or fluid.
Add Huang Qi: pronounced sweating.
Add Chuan Bei Mu and Gua Lou: pronounced coughing.
Dang gui Liu Huang Tang Tangkuei and Six Yellow Decoction
signs/symptoms: Fever, night sweats, red face, dry mouth, parched lips, irritability, dry stool, dark scanty urine, red dry tongue, rapid pulse.
pathogenesis: Night sweating due to Yin Def. heat, Deficiency heat arises from Heart yang wildly ascending up because Kidney yin is not properly nourishing Heart yin.
treatment principle: Nourish Yin, Drain fire, stabalize Exterior, stop sweating.
Chief: Dang Gui: sweet, bitter, invigorates blood and promotes circulation. Nourish blood, Moisten intestines /stool. 6-9g
Sheng Di Huang: Sweet, cool, bitter, clears heat, cools blood, nourish yin, generates fluid. 9-15g
Shu Di Huang: sweet, warm, primary to nourish Kidney yin and blood. 9-15g
**both are cloying in nature, both nourish blood, essence, and yin. Sheng Di huang clears def. heat.
Deputy: Huang Bai: 6-12g
Huang Qin: 6-12g
Huang Lian: 3-6g
***all these are bitter, cold, drain damp-heat from al three jiaos and eliminate irritability.
Assistants: Huang Qi: sweet, warm, tonifies qi, blood, and middle jiao, tonifies wei qi to stabalize exterior. Protects stomach. 12-24g
**Huang qi addresses stabalizing exterior that is damaged due to def. heat surfacing on skin and affecting skin pores.
Modifications: Add Ma huang gen and Fu xiao Mai: severe sweating.
add gui Ban and Zhi Mu: tidal fever, dry mouth, and strong pulse at rear position.
remove huang qin, huang bai and huang lian, add xuan shen and Mai men dong: Yin Def. w/o heat.
Bai He Di Huang Tang Lily and Rehmannia Combination
signs/symptoms: Mental irritation, insomnia, palpitation, transient cognitive/senory/motor dysfunctions, dark urine, bitter taste, slight rapid/weak pulse, tongue- less coating.
pathogenesis: Treats lily disorder: pathogenic heat entering Lung and penetrating to Ying and Blood level.
treatment: Moisten Lung, Nourish Yin, clear heat, cool blood.
formula strategy: Clear heat via stool and urine, vent heat from Ying level and blood by way of nourishing yin.
Chief herb: Bai he: sweet, bitter, cold, nourish Lung yin. 15-30g
Deputy: Sheng Di Huang: sweet, cool, cools heat in blood, calms spirit, nourished yin, vents heat from ying and blood to Qi level, heat is drained via urine and bowels by Bai he. 15-30g.
Formulas that Warm Interior cold
Formulas that warm channles and disperse cold
Dang Gui Si Ni Tang Tangkuei Decoction for Frigid Extremities
Signs/symptoms: Long standing cold hands and feet, cold to patient and cold to touch, tongue pale, white coat, Pulse: thin and deep.
Pathogenesis: Yang and Blood def. leading to cold extremeties
Treatment principles: Warm yang, disperse cold, nourish blood, Unblock Blood vessels.
Chief: Dang Gui: acrid , sweet, warm, tonifies blood, invigortes blood. 9g
Gui Zhi: acrid, sweet, warm, warms channels, disperses cold from the Qi and Ying level. 9g
Deputy: Shao Yao: Sweet, neutral, nourish blood, aids Dang gui. 9g
Xi Xin: acrid, warm, disperses interior and exterior cold, aids Gui zhi. 6g
**Gui zhi and shao yao hamonize wei and ying, eliminate cold from superficial level.
Assistant: Da Zao: sweet, warm, harmonize middle, tonify qi, nourish yin 25 pieces
Zhi Gan cao: sweet, neutral, resolves toxicity, with Shao yao: treats abdominal cramping. 6g
**Da Zao and Gan Cao both tonify spleen.
Mu Tong: bitter, cool, clears heat from the Heart and promotes urination. Facilitates qi and blood circulation and drains heat so that cold cannot accumulate. 6g
commentery: Use to treat cold extremeties due to blood def. as blood provides warmth.
Modifications: Add Bai Zhi and Fang feng: mild headache, vertigo, tinnitus.
Add Yi Mu Cao and xiang Fu: cold pain in the lower abdomen during menstruation.
Add Wu Yao, Xiao Hui Yang, and Gao Liang Jiang: bulging disorder due to cold.
Add Zhi fu Zi, Da huang, Xu duan, and Gou Ji: chronic sciatica.
Huang Qi gui Zhi Wu Wu Tang Astragalus and Cinnamon Twig Five-Substance Decoction
Signs/symptoms: Numbness w/o pain, paresthesias, numbness of skin and flesh. Pulse: faint, choppy, tight.
Pathogenesis: Exterior wind-cold invasion of the blood vessels, Obstruction of Qi and Blood circulation causes coldness of the extremeties.
Treatment: Tonifies Qi, warm and harmonize the channels, unblock painful obstruction.
Chief: Huang Qi: sweet, warm, tonifies qi, blood, and middle jiao, tonifies wei qi to stabalize exterior. Protects stomach. 9g
Gui Zhi: acrid, sweet, warm, warms channels, disperses cold from the Qi and Ying level. 9g
**chief combo: tonify qi and wei, warm yang, harmonize blood, unblock channels.
Deputy: Shao Yao: sweet, neutral, nourish blood, harmonize ying qi, unblock painful obstruciton. 9g
gui Zhi and Shao Yao: harmonize wei and ying to eliminate cold from superficial level.
Huang qi and shao yao: firm the exterior and nourish yin.
Assistants: Sheng Liang: acrid, warm, release wind-cold exterior. 18g
Combination of Sheng jiang and Gui zhi: warm blood and invigorates blood vessels.
Envoy: Da Zao: sweet, warm, harmonize middle, tonify qi, nourish yin. Regulates functions of other herbs. 12 pieces
Commentaries: variation fo Gui Zhi Tang, zhi gan cao is replaced by huang qi.
The strategy of the formula is to unblock the obstruction in the meridian to facilitate blood circulation.
Obstruction in the meridian, warming the meridian, tonifying yang.
Modifications: Add Dong Shen and increase Huang Qi: pronounced qi def.
add Dang gui and Ji Xue Tang: blood def.
add Fu Zi: Yang def.
Add Hong hua and Tao ren: blood stasis
Add Mu Gua and Wu Shao She: spasms of the sinew, numbness and painful obstruction.
Formulas the Warm the Middle and Disperse Cold
Li Zhong Wan Regulate the Middle Pill
Signs/symptoms: Middle jiao Yang def., diarrhea, loose stool, nausea, vomiting, absence of thirst, loss of appetite, abdominial distention,
tongue: pale, white coat. pulse: deep, thin, slow.
Pathogenesis: Cold in middle jiao, affecting Spleen T/T and blood controlling function, internal bleeding due to cold or Yang def., childhood convulsion,
chest obstruction due to excess yin and def. yang.
Treatment principle: Warm middle jiao, strengthen spleen.
Chief: Gan jiang: acrid, hot, warms spleen yang and stomach cold to eliminate internal cold. 9g
Deputy: Ren Shen: warm, sweet, tonifes Qi, nourish yin, protect ST from Shi gao. Harmonize qi circulation of middle jiao. 9g
Assistant: Bai Zhi: Acrid, warm, release constraints in Yang Ming channels, induce sweating. Aids function of Ren shen, strengthen SP, dry damp. Warming, tonifying. 9g
Envoy: Zhi Gan cao: sweet, neutral, harmonize action of other herbs. 9g
Commenteries: forumula treats internal cold that cannot be warmed by warming yang, it must be strongly warmed.
Contraindications: wind-heat exterior, yin Def. w/empty heat.
Modifications: Add sheng jiang: vomiting
Add Huang Qi, Dang gui, e jiao: bleeding due to yang def.
add Fu Ling: palpitations
add Zhi Fu zi and rou gui: severe cold and cold extermities.
add Zhi Ban Xia, Chen Pi, Xi xin, and Wu Wei Zhi: incessant cough.
Add Yin chen: cold type jaundice.
Wu zhu Yu Tang Evodia decoction
Signs/symptoms: Vomiting after eating, gnawing hunger, acid reflux, epigastric pain, dry heves, spitting clear fluids, vertex headache, diarrhea, cold extermeties, severe agitation
Tongue: pale, white, slippery coating. Pulse: thin , slow, wiry.
Pathogenesis: Deficiency cold in Liver and Stomach, turbid qi rebelling upward.
Treatment: Warm and tonify middle jiao, redirect rebellious ST qi, stop vomiting.
Chief: Wu Zhu Yu: acrid, bitter, hot, toxic, soothes Liver and promotes Stomach Qi, Downward movement. Harmonizies Liver and Stomach. 9-12g
warms the middle and disperses damp, regulates qi circulation of ST and middle, root cause: Liver cold over-acting on ST.
Deputy: Sheng jiang: acrid warm, release exterior, warms middle, re-directs rebellious Qi: phlegm. 18g
**chief and deputy address vomiting due to phlegm-cold.
Assistants: Ren shen: bitter, sweet, warm, tonifies Qi (middle jiao) in order to warm yang, nourish yin, calm shen due to loss of fluid from vomiting. 9g
Envoy: Da Zao: Sweet, warm, counter-acts drying property of chief and deputy, aids in qi tonfication of assistant herbs. 12 pieces
Commentery: Treats a wide range of vomiting due to disharmony between liver and stomach, except for presence of heat.
Modifications: Add Sha shen and Zhi ban xia: morning sickness
Add Chuan xiong and Dang gui: severe headaches.
Add Hou Jiao and Gan jiang: severe internal cold.
Add Dan shen and Mu xiang: severe epigastric pain.
Add Dang Gui and Fu Ling: palpitation and insomnia.
Add Wu ling Zi and Hai Piao Xiao: acid reflux.
Xiao Jian Zhong tang Minor Construct the Middle Decoction
Intermittent and spasmodic abdominal pain that gets better with warmth and pressure, lusterless complexion, loss of appetite. Low grade fever, cold extremeties
Tongue: pale, white coating. Pulse: thin, wiry, moderate. Also: palpitations, irritability, dry mouth and throat.
pathogenesis: Middle Jiao Def., Cold: Yang Def. , Liver and spleen disharmony, wood over acting on Earth.
treatment principle: Soothe the Liver, Harmonize wood and earth, tonify and warm middle jiao.
Chief: Yi tang: sweet, warm, warms middle jiao, generates fluid, alleviates thirst, alleviates abdominal spasm and pain. 18-30g
Deputy: Gui Zhi: acrid, sweet, warm, warms channels, disperses cold from the Qi and Ying level. Warm middle. 9g
Bai Shao: sour, bitter, cold, soothes liver, alleviates spasms, nourish yin, invigorate blood. 18g
Deputy herbs are warming, dispersing, cooling and dispersing.
Assistants: Sheng jiang: acrid warm, release exterior, warms middle, re-directs rebellious Qi: phlegm. 9g
Da Zao: Sweet, warm, strengthen middle. 12 pieces
Envoy: Zhi gan Cao: Sweet, neutral, harmonize other herbs, treat spasms and pain of abdomen. 6g
Modifications: Sub Rou gui with Gui zhi: severe cold.
Add Mi xiong and Ji Nei Jin: concurrent Qi Stagnation.
Add Bai Zhu: Diarrhea.
Add Chen Pi and Sha ren: abdominal fullness and nausea.
Commentery: Treats abdominal pain due to Yang Def.
Da Jian Zhong Tang Major Construct the Middle Decoction
Signs/symptoms: Excruciating epigastric pain, strong cold area in epigastric region, severe vomiting, unable to eat, tongue: white, slippery coating, Pulse: tight, wiry.
Pathogenesis: Accumulation of cold, def. cold, Yang def.,
Treatment principle: warm and tonify middle jiao, redirect rebellious ST qi, alleviates pain.
Contraindications: Internal clumping, damp-heat accumulation, Yin and Bood Def.
Chief: Hua Jiao: acrid, very hot, warms ming-men fire, Yang Qi of Middle Jiao, Dispels cold thus alleviating cold. 3-9g
Deputy: Gan jiang: acrid, hot, warms middle jiao, redirects rebellious qi due to cold. 12g
Assistant: Ren shen: sweet, bitter, warm 6g
Yi tang: sweet, warm, warms middle jiao, generates fluid, alleviates thirst, alleviates abdominal spasm and pain. Prevents drying action of chief herb. 18-30g
Commentery: the formula is used to treat severe abdominal pain and cold.
Modifications: Reduce dosage of yi tang, and add Wu Mei, Bing Lang, and Shi Ji Zi: round worm.
Add Zhi Ban Xia and Sheng Jiang: Nausea.
Add Gui Zhi: numbness of extremities.
Add Dan shen and Yan Hou Sou and Mi Xiang: sever pain.
Gan Cao Gan Jiang Tang Licorice and Ginger Decoction
Signs/symptoms: Cold extremeties, absence of thirst, dryness in throat, Excessive alivation, spitting clear fluids, irritability, dizziness, frequent urination.
Tongue: Pale, wet w/o coating. Pulse: Weak, slow.
Pathogenesis: Lung qi def., cold accumulation of Lung, Lung atrophy
Treatment: Warm the Lungs, strengthen the stomach
fomula analysis: Zhi gan Cao: sweet, neutral, tonfies middle jiao qi, tonifies Stomach to generate fluids to aid Lungs. 12g
Gan Jiang: acrid, warm, warms Lung to disperse cold, restore Yang qi of the Lung. 6g
Commentery: Strategy of the formula is application of generating cycle, treat mother (stomach) to nourish son (Lung).
Modifications: Add Yi Zhi ren and Wu Yao: incontinence of urine.
Add Gao Liang Jiang and Rou Gui: cold pain of the abdomen and epigastric.
Bai Zhu Fu Zi Tang Fu Zi: Restoring yang from collapse, reinforcing fire and strengthening yang
Signs/symptoms: Body pain, unable to rotate body or neck, hard stool, normal urination, absence of thirst and nausea, Pulse: floating, thin.
pathogenesis: Wind-cold-damp obstructing the channels and leading to pain with pre-existing yang def.
treatment: warm the channels, disperse cold, tonifies middle jiao, resolves dampness.
Chief: Zhi fu Zi: acrid, hot, toxic: Strongly warms yang Qi of ming men, ming men fire reaches exterior and interior (middle jiao and intestines).
Deputy: Bai Zhu: sweet, warm, normalize qi movement, alleviate sudden turmoil disorder. Tonifies spleen and dries damp. 12g
Zhi fu zi and Bai Zhu: both warm the muscles and treat pain. 9g
Assistant herbs: sheng Jiang: acrid, warm 9g
Da Zao: sweet , warm 12 pieces
Zhi Gan cao: sweet, neutral 6g
***these harmonize wei and ying levels, assist the T/T functions. Harmonize the action of other herbs.
Commenteries: Strategies: benefit the flesh by adjusting yin and yang of middle jiao, resolve damp w/o injuring fluid, promote movement of Yang Qi.
Modifications: Add Dang Shen: sweating due to Qi Def.
Add Cang zhu with Bai Zhu and yi yi ren: severe internal dampness.
Add Sang Zhi and Ji Xue Tneg: severe damp with numbness and loss of movement in joints.
Formulas That Rescue Devasted Yang
Si Ni Tang Frigid Extremities Decoction
Signs/symptoms: Extremely cold extremeties, intolerance to cold, sleeping curled up, lethargy, vomiting, diarrhea with undigested food, abdominal pain, lack of thirst.
tongue: pale, white slippery coat. Pulse: deep, weak, thready.
pathogenesis: shao Yin cold pattern, accumulation of internal cold.
Treatment: Rescue collapsed yang, warm the middle jiao, stop diarrhea.
Chief: Zhi fu Zi: acrid, hot, toxic: Strongly warms yang Qi of ming men, ming men fire reaches exterior and interior (middle jiao and intestines). 6-9g
Deputy: Gan jiang: acrid, warm, warms Lung to disperse cold, restore Yang qi of the Lung. Warm middle jiao and eliminate cold. 4-5g
Strengthen spleen funcitons, focus on middle jiao.
**both chief and deputy accentuate actions of each other.
Assistant: Zhi Gan cao: sweet, neutral, tonifies qi, tonifies middle jiao, reduces toxicity of zhi fu zi, neuatralizes drying of gan jiang. 6g
commentery: the formula is used to treat shao yin cold, true cold/false heat, deficency yang resulting in rising of yin.
Modifications: Add rou gui and Bai zhu: intractable arthritis due to wind-damp.
Add Dang shen, fu ling, Ze xie: edema due to spleen and kidney yang def.
Hui Yang Jiu Ji Tang Restore and Revive the Yang Decoction
Signs/symptoms: Chills, lying in curled position, cold extremities, vomiting, diarrhea, ab pain, lethary, tongue: pale white coating, Pulse: faint, deep, weak.
Pathogenesis: Pathogenic cold injuring yang qi, collapse of Yang qi and qi, weak qi circulation.
treatment: Restore and revive collapsed yang, tonify qi, restore the pulse.
Chief: Zhi fu Zi: acrid, hot, toxic: Strongly warms yang Qi of ming men, ming men fire reaches exterior and interior (middle jiao and intestines). 9g
Gan jiang: acrid warm 4-5g
Rou gui: acrid, sweet, warm 3g
***all three strongly revive Yang.
Deputy: Ren Shen: bitter, sweet, warm 6g
Bai zhu: sweet, warm 9g
Fu Ling: sweet, bland, neutral. 9g
Zhi gan Cao: sweet, neutral 4-5g
Chen Pi: warm, acrid, aromatic, transform damp, regulate and move Qi. Prevents clumping of pathogens. 6g
Zhi ban xia: Acrid, bitter, warm 9g
***these are I the Lu Jun Zi tang 96 gentleman decoction), strengthen middle jiao, aid in reviving Yang. 3g
Assistants: Wu wei zi: sour, warm, prevent escaping of true yang Qi. Generate pulse with ren shen.
She xiang: aromatic, acrid, warm, excellent to unblock vessels, aid in pulse.
envoy herbs: Zhi Gan Cao: sweet, neutral
Sheng jiang: acrid, warm, resolve toxicity of fu zi.
Cautions: emergency situations. Stop after feeling warm.
Modifications: Add Wu Zhu Yu: abdominal cold pain , spitting thin mucous.
Add Sheng Ma: incessant diarrhea
Add Jiang Zhi: incessant vomiting.
Shen Fu Tang Ginseng and Prepared Aconite Decoction
Signs/symptoms: Cold extremeties, cold sweat, shallow breathing, dizziness, pulse: feeble
pathogenesis: Severe def. yuan source Qi. Collapse of Yang Qi.
Treatment principles: Restore Yang Qi, Tonifies yuan source qi, rescues Qi from collapse.
Chief: Ren shen: bitter, sweet, warm, tonifies Qi (middle jiao) in order to warm yang, nourish yin, calm shen due to loss of fluid from vomiting. 6g
strongly tonifes post and preheaven qi, tonifies heart and lung qi, nourish yin and fluids.
Deputy: Zhi fu Zi: acrid, hot, toxic: Strongly warms yang Qi of ming men, ming men fire reaches exterior and interior (middle jiao and intestines). 15g
commentery: strongly revives middle jiao, center of transformation. Tonifying middle jiao also controls and nourishes the grandson: kidney.
Modifications: Add Long Gu, Mu Li, Bai shao, Zhi Gan Cao: shock or heart failure.
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