Herbal review- formulas Handout 9-12

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vivianrivera57  on October 3, 2011

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Herbal review- formulas Handout 9-12

Si Ni San
(Frigid Extremities Powder- 4 cold extremities)
Harmonize Liver & Spleen
D: Liver Qi stagnation
A: Vent pathogenic infl, release constraint,spread liver qi &regu Sp
I:Cold fingers & toes (even if body is warm),sensation of irritability & fullness in chest & epig, red tongue w/ a yellow coat, & wiry pulse. abd pain &/or severe diarh.
Hypoch pain& dist, epig pain& fullness, bitter taste, belching, reduced app, & wiry forceful pulse d/t liver qi stag invading spleen.
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Si Ni San
(Frigid Extremities Powder- 4 cold extremities)
Harmonize Liver & Spleen
D: Liver Qi stagnation
A: Vent pathogenic infl, release constraint,spread liver qi &regu Sp
I:Cold fingers & toes (even if body is warm),sensation of irritability & fullness in chest & epig, red tongue w/ a yellow coat, & wiry pulse. abd pain &/or severe diarh.
Hypoch pain& dist, epig pain& fullness, bitter taste, belching, reduced app, & wiry forceful pulse d/t liver qi stag invading spleen.
Chai Hu Shu Gan san
(Bupleurum Powder to Spread -Liver smooth lv powder)
Harmonize Liver & Spleen
D: Liver Qi stag w/blood stasis
A:Spread liver qi, harm blood,& alleviate pain(More for Lv qi stag)
I:Cold fingers & toes (even if body is warm),sensation of irritability & fullness in chest & epig, red tongue w/ a yellow coat, & wiry pulse. abd pain &/or severe diarh.
Hypoch pain& dist, epig pain& fullness, bitter taste, belching, reduced app, & wiry forceful pulse d/t liver qi stag invading spleen ADD: chen pi, chuan xiong, xiang fu, substitute zhi shi with zhi ke
Xiao Yao San
(Rambling Powder- free & easy wanderer)
D:Lv qi stag invading Sp qi def/ w/Lv blood def.
A:Spread liver qi, strent spleen, & nourish blood
I: Hypoch pain, headache, vertigo, a bitter taste, dry mouth & throat, fatigue, reduced appetite, pale-red tongue, wiry def. pulse.
Irreg menst, PMS. Chronic gastritis& peptic ulcer. Mental problems-Depression
Yue Ju Wan
(Escape 6 stag or Restraint Pill)
REGULATE QI
Qi stanation and restraint
A:Promote movement of qi & release constrain
I:Focal distention & sensation in the chest & abdomen, fixed pain in the hypochondria belching, vomiting, acid regurg, mild cough w/ copious sputum, appetite less & indigestion.Irregular menstruation, PMS. Chronic gastritis & peptic ulcer. Mental problems-depression
Tong Xie Yao Fang
(Important Formula for Painful Diarrhea)
Harmonize liver & Spleen
Diag:painful diarrhea d/t Lv & sp disharmony.
Spread liver qi & tonify Sp
Problems of borborygmus, abd pain, diarrhea w/ pain, thin white tongue coat & wiry, or wiry thin pulse
(more for spleen def)
Bu Zhong Yi Qi Tang
(Tonify the Middle and Augment the Qi Decoction)
Tonify qi
D:Qi def w/sinking of qi or yang
A:Tonify qi of the middle burner and raise sunken yang
I : Intermittent fever (worsen upon exertion), spontaneous sweating, aversion to cold, a thirst warm beverages, shortness of breath, a tendency to curl up, weak limbs, a shiny, pale complexion, loose & watery stools, a pale tongue w/thin white coat,a deficient pulse.
Prolapse of rectum or uterus, chronic diarrhea, incon, bleeding disorders. Vertigo, headache, visual or auditory disorders, acute upper respiratory infection. hyperthyroidism, irritable bowel syndrome & colitis.chronic diarrhea: add Sheng ma.This formula focuses on blood aspects of liver dysfunction & the damp aspects of spleen dysfuntions.For diminished visual acuity add Gou qi zi
Sheng Mai San
(Generate the Pulse Powder)
QI & Yin def for lung & Heart
D:Heart Qi & Yin def
A: Augment qi, generate fluids, preserve yin & stop excess sweat
I: Chronic cough w/sparse sputum hard to expectorate, short of breath, spontaneous sweating, a dry mouth & tongue, a pale red tongue w/ a dry thin coating,& def rapid or def thin pulse.
Palp w/stifling sensation in chest, short of breath, sweating, a dry mouth & thirst, poor sleep, irreg pulse. NOT FOR EXTERIOR OR EXCESS PATTERN
Ping wei san
(calm the stomach powder)
C:AROMATICALY DRY DAMPNESS
D:Dampness accumulation middle jiao
A:Dry damp, promote move qi, improve the function of spleen & stomach
I:Dist & fullness in the epig. & abdomen, loss of taste & appetite, a heavy sensation in limbs, loose stool or diarrhea, easily fatigued, vomiting, nausea, swollen tongue with thick, white & greasy tongue coating, & slippery pulse. CONTAINS warm, drying herbs which easily injure yin & blood. NOT for YIN OR BLOOD DEF For damp heat with a bitter taste, greasy yellow tongue coating, Add huang qin and huang lian
Wu ling san
(Five Ingredient Powder with Poria)
DRAIN DAMP & PROMOTE URINATION
D:dampness in middle & lower jaio &(Sp def)
A:Promote urination, drain dampness, strengthen spleen, warm yang &promote transforming function of qi
I:Headache, fever, irritability, strong thirst but with vomiting immediately after drinking, urinary difficulty,floating pulse.(Exterior attack Wind-Heat/Cold) plus Dampness )
*tiayang->jing channel syndrom->fu UB
Edema, sensation of heaviness, diarrhea, urinary difficulty & possible vomiting & diarrhea.
Throbbing pulsations just below the umbilicus, vomiting frothy saliva, vertigo, shortness of breath, & coughing.
Severe accumulation of water in the bladder & inability of the qi to transform fluids, manifested as urinary difficulty (with red urine) or edema
MORE LOWER JAIO & SPLEEN DEF
Si ling san
(four ingredient powder with poria)
DRAIN DAMP & PROMOTE URINATION
D:dampness in middle & lower jaio w/heat
A:Promote urination, drain damp, strengthen SP, warm yang & promote transforming function of qi
I:Headache, fever, irritability, strong thirst w/ vomiting immediately after drinking, urinary difficulty,floating pulse.*tiayang->jing channel syndrom->fu UB
Edema, sensation of heaviness, diarrhea, urinary difficulty & possible vomiting & Diarrhea.
Throbbing pulsations just below the umbilicus, vomiting frothy saliva, vertigo, shortness of breath, & coughing.(interior w/deeper Heat)
Severe accumulation of water in the bladder & inability of qi to transform fluids, manifested as urinary difficulty or edema
MORE LOWER JAIO & SPLEEN DEF w/heat
Omit gui zhi for damness injuring the sp & st , IND, by loose stools &urinary difficulty
Wei ling tang
(calm the ST & poria decoction-
severe damp)
DRAIN DAMP & PROMOTE URINATION
Wu ling san(Five Ingredient Powder with Poria)+ Ping wei san (calm the stomach powder) D:dampness in middle & lower jaio(severe damp)
A:Promote urination, drain damp, strengthen spleen, warm yang &promote transform function of qi for epigastric dist & pain, diarrhea & urinary difficulty. I:Headache, fever, irritability, strong thirst w/ vomiting immediately after drinking, urinary difficulty,floating pulse.*tiayang->jing channel syndrom->fu UB
Edema, sensation of heaviness, diarrhea, urinary difficulty & possible vomiting & Diarrhea.
Throbbing pulsations just below the umbilicus, vomiting frothy saliva, vertigo, shortness of breath, & coughing.(external attack of ST)
Severe accumulation of water in the bladder & inability of qi to transform fluids, manifested as urinary difficulty or edema
MORE LOWER JAIO & SPLEEN DEF W/ SEVERE DAMPNESS-
Er miao san
(Two Marvel Powder)
Clear Damp Heat
D:Damp heat in lower jiao /downward leg, knee ankle - Hang bai 9-12g, Cang zhu 6-9g
A: Clear heat & Dry damp
Pain in the lower back or extrm, weakness or atrophy lower extrem, red, hot, swollen& painful feet or knees, thick, yellow, foul smelling vaginal discharge, scanty yellow urine, a yellow greasy tongue coating.
Damp heat lodges in lower burner. Damp-heat in sinews & bones, pain lower back & extremities w/ red, hot, swollen, & painful joints. It may interfere w/nourishment of sinews & bones, resulting in weakness or atrophy. Damp heat lodged in genital region casues a thick yellow & foul-smelling leucorrhea.
San miao wan
(three marvel pill)
Clear Damp Heat
D:Damp heat downward w/blood stasis
A: Clear heat and Dry dampness
Pain in the lower back or extremities, weakness or atrophy of the lower extremities, red, hot, swollen and painful feet or knees, a thick, yellow, foul smelling vaginal discharge, scanty yellow urine, a yellow greasy tongue coating.
Damp heat lodges in lower burner. Damp-heat in sinews & bones, pain lower back & extrem w/ red, hot, swollen, & painful joints. It may interfere w/nourishment of sinews & bones, resulting in weakness or atrophy. Damp heat lodged in genital region casues thick yellow & foul-smelling leucorrhea.
add niu xi for numbness or burning pain in feet, or weakness in lower back & extremities
Si miao wan
(four marvel pill)
Clear Damp Heat
D:Damp heat downward w/ damp
A: Clear heat & Dry dampness
Pain in the lower back or extremities, weakness or atrophy of lower extrem, red, hot, swollen & painful feet or knees,thick, yellow, foul smelling vaginal discharge, scanty yellow urine,yellow greasy tongue coating. Damp heat lodges in lower burner. Damp-heat in sinews & bones, pain lower back & extrem w/ red, hot, swollen,
& painful joints. It may interfere w/nourishment of sinews & bones, resulting in weakness or atrophy. Damp heat lodged in genital region casues a thick yellow & foul-smelling leucorrhea.
Add yi yi ren, niu xi for severe numbness &weakness in lower extremities w/painful swollen feet.
STRONGLY DRY DAMPNESS
Xue Fu zhu yu tang
(Drive out stasis in the mansion of Blood decoction)
INVIGORATE BLOOD REMOVE BLOOD STASIS
D:BLOOD STASIS D/T QI STAG
A:Invigorate blood, dispel blood stasis, spread LV qi &unblock channels.
I:Pain in chest & hypoc chronic, headache w/fixed, piercing quality, chronic, incessant hiccough,choking sensation w/ drinking, depression, insomnia, palp, restless sleep, irritability, evening tidal fever,dark-red tongue, dark spots-tongue sides, dark or purplish lips, complexion or sclera &choppy or wiry& tight pulse.
* Tao hong Si wu tang (Four substances decoction) + (tao ren, hong hua) Shu di huang 9-21g, Bai shao 9-15g, Dang gui 9-12g, Chuan xiong 3-6g +Tao ren12g, Hong hua 9g,Chi shao 6g, Niu xi 9g, Chai hu 3g, Jie geng 4.5g, Zhi ke 6g, Gan cao 3g **check ingredients
Bu Yang Huan Wu tang
(Tonify yang to restore five tenths decoction)
REGULATE BLOOD
D:Blood stasis d/t Qi def
A:Tonify qi, invigorate blood, unblock channels.
I: Sequelae /wind-stroke including hemiplegia, paralysis,& atrophy the lower limbs, facial paralysis, slurred speech, drooling, dry stools, frequent urination or urinary incont,white tongue coating & moderate pulse. Contraindicated immediately after a stroke when cause is cerebral hemorrhage. Wind stroke w/ forceful pulse. Pregnancy. 1 month after stroke that is caused by bleeding
Gui Zhi Fu Ling Wan
(Cinnamon Twig and Poria Pill)
INVIGORATE BLOOD REMOVE BLOOD STASIS
D: MILD BLOOD STASIS IN UTERUS
A:Invigorate blood, dispel blood stasis,&reduce fixed abdominal masses
I:Mild, persistent uterine bleeding of purple/dark blood during pregnancy.abd pain/increase w/pressure. Immobile masses in the lower abd w/ pain & tender, abd spasms & tension, amenorrhea w/ abd dist & pain, dysmenorrheal, retion of lochia.Dark purple tongue, choppy pulse.
Use w/ care- preg or post-partum
Sheng Hua Tang
(Generation and Transformation Decoction)
INVIGORATE BLOOD REMOVE BLOOD STASIS
D: Retention of lohcia due to blood stasis d/t by cold
A:Invigorate blood, dispel blood stasis, warm menses & stop pain
I:Retention of lochia w/cold & pain inlower abd,pale-purple tongue or a pale tongue w/ purple spots. thin submerged & choppy pulse. Contraindicated blood stasis due to heat, pregnancy, active hemorrhagic disorder. After delivery - preventive as well

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