Herbology 6 Final

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jcunningham1494  on October 5, 2011

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traditional chinese medicine

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Pacific College of Oriental Medicine

Warren Sheir

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Herbology 6 Final

Yue Ju Wan
"Escape Restraint Pill"

FORMULAS THAT REGULATE THE QI - Promote the Movement of Qi

Cang Zhu- aromatic transform damp
Chuang Xiong- invigorate blood
Xiang Fu- regulate qi
Zhi Zi- clear heat drain fire
Shen Qu- relieve food stagnation

p. 507
ACTIONS: Promotes the movement of Qi and relieves constraint.

PATTERN: Constraint d/t stagnant qi

INDICATIONS: Focal distention, a stifling sensation in the chest and abdomen, fixed pain in the hypochondria, belching, acid reflux, mild coughing with copious sputum, reduced appetite

REMARKS: Focusses on unblocking the ascending and descending functions of the qi dynamic of the middle burner

KNOW HERBS
1/72
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Definitions

Yue Ju Wan
"Escape Restraint Pill"

FORMULAS THAT REGULATE THE QI - Promote the Movement of Qi

Cang Zhu- aromatic transform damp
Chuang Xiong- invigorate blood
Xiang Fu- regulate qi
Zhi Zi- clear heat drain fire
Shen Qu- relieve food stagnation

p. 507
ACTIONS: Promotes the movement of Qi and relieves constraint.

PATTERN: Constraint d/t stagnant qi

INDICATIONS: Focal distention, a stifling sensation in the chest and abdomen, fixed pain in the hypochondria, belching, acid reflux, mild coughing with copious sputum, reduced appetite

REMARKS: Focusses on unblocking the ascending and descending functions of the qi dynamic of the middle burner

KNOW HERBS
Chai Hu Shu Gan San
"Bupleurum Powder to Dredge the Liver"

FORMULAS THAT REGULATE THE QI - Promote the Movement of Qi

p.512
ACTIONS: Spreads LV Qi, harmonizes blood, alleviates pain

PATTERN: Constraint and Clumping of Liver Qi

INDICATIONS: Flank pain, a stifling sensation in the chest causing one to have deep sighs, suppressed emotions and feelings of frustration that easily give rise to anger, belching, abdominal distention and fullness, alternating fever and chills

P: wiry
Gua Lou Xie Bai Bai Jiu Tang
"Trichosanthes Fruit, Chinese Garlic, and Wine Decoction"

FORMULAS THAT REGULATE THE QI - Formulas that promote the movement of qi

p. 515
ACTIONS: Unblocks the yang, protects the movement of Qi, expels phlegm

INDICATIONS: Pain in the chest which often radiates to the upper back, wheezing, cough with copious sputum, shortness of breath.

T: thick, greasy
P: either submerged and wiry or tight.
Ban Xia Hou Po Tang
"Pinellia and Magnolia bark decoction"

FORMULAS THAT REGULATE THE QI - Formulas that promote the movement of qi

Zhi Ban Xia- transform phlegm
Hou Po- aromatic transform dampness
Fu Ling- drain dampness
Sheng Jiang- warm acrid release exterior
Zi Su Ye- warm acrid release exterior

p. 516
ACTIONS: Promotes movement of Qi, dissipates clumps, directs rebellious qi downward, and transforms phlegm

PATTERN: Constrained qi and phlegm dampness

INDICATIONS: a feeling of something caught in the throat, a stifling sensation in the chest and hypochondria

T: moist or greasy white coat
P: submerged, wiry or tight

REMARKS: This condition is known as plum pi qi. In severe cases there wil also be coughing and vomiting.

KNOW HERBS
Tian Tai Wu Yao San
"Top Quality Lindera Powder"

FORMULAS THAT REGULATE QI - formulas that promote the movement of qi

p. 527
ACTIONS: Promotes movement of Qi, spreads LV Qi, scatters cold, alleviates pain

PATTERN: Qi-type bulging disorder

INDICATIONS: Lower abdominal pain radiating to the testicles

T: pale with a white coat
P: submerged and slow or wiry
Su Zi Jiang Qi Tang
"Perilla Fruit Decoction for directing Qi downward"

FORMULAS THAT REGULATE QI - formulas that direct rebellious Qi downward

p. 537
ACTION: Directs rebellious qi downward, arrests wheezing, stops coughing, and warms and transforms phlegm-cold.

PATTERN: Congested fluids with KD deficiency.

INDICATIONS: Coughing and wheezing with watery, copious sputum, a stifling sensation in the chest and diaphragm, labored inhalation and smooth exhalation. There may also be pain and weakness in the low back and legs, edema of the extremities, and fatigue.

T: slippery or greasy white coat

REMARKS: one type of "abundance above and deficiency below"
Ding Chuan Tang
"Arrest Wheezing Decoction"

FORMULAS THAT REGULATE QI - formulas that direct rebellious Qi downward

p. 540
ACTIONS: Disseminates and redirects the LU Qi, arrests wheezing, clears LU heat, and transforms phlegm

PATTERN: Wheezing caused by wind-cold constraining the exterior and phlegm-heat smoldering the interior

INDICATIONS: Coughing and wheezing with copious, thick, and yellow sputum, labored breathing. There may also be simultaneous fever and chills.

T: greasy yellow coat
P: slippery, rapid
Ju Pi Zhu Rhu Tang
"Tangerine Peel and Bamboo Shavings Decoction"

FORMULAS THAT REGULATE QI - formulas that direct rebellious Qi downward

Chen Pi- regulate qi
Zhu Ru- transform phlegm stop cough; cool and transform phlegm heat
Ren Shen- supplement qi
Sheng Jiang- warm acrid release exterior
Gan Cao- supplement qi
Da Zao- supplement qi

p. 544
ACTIONS: Directs rebellious Qi downward, stops hiccough, augments Qi, and clears heat

PATTERN: Up-flushing of Qi that is due either to hot or cold excess or deficiency

INDICATIONS: Hiccough, nausea, dry heaves or retching. While in some texts a tender red tongue and a deficient rapid pulse are given as diagnostic indicators, they do not have to be present for this formula to be used. Also for vomiting resulting from debility following a prolonged illness.

KNOW HERBS
Tao He Cheng Qi Tang
"Peach Pit Decoction to order the Qi"

FORMULAS THAT INVIGORATE BLOOD AND DISPEL BLOOD STASIS

Tao Ren- invigorate blood
Da huang- downward draining (purgative)
Gui Zhi- warm acrid release exterior
Mang Xiao- downward draining (purgative)
Zhi Gan Cao- supplement qi

p. 559
ACTIONS: Drains heat and breaks up stasis

PATTERN: Blood buildup in the lower burner caused by accumulation of blood stasis and heat

INDICATIONS: Acute lower abdominal pain, smooth urination, night fevers, delirious speech, irritability, restlessness and thirst, dysmenorrhea or amenorrhea in women

P: submerged, full, or choppy

REMARKS: In severe cases there may be manic behavior. Focusses on draining heat and breaking up blood stasis.

KNOW HERBS
Xue Fu Zhu Yu Tang
"Drive out stasis from the Mansion of Blood Decoction"

FORMULAS THAT INVIGORATE BLOOD AND DISPEL BLOOD STASIS

p.564
ACTIONS: Invigorates blood, dispels blood stasis, spreads LV Qi, unblocks the channels.

PATTERN: Blood stasis in the "Mansion of Blood" with impairment of blood flow in the area above the diaphragm

INDICATIONS: Pain in the chest and hypochondria, chronic and fixed headache, incessant hiccough, dry heaves, depression accompanied by a sensation of warmth in the chest, palpitations, insomnia, irritability, evening tidal fever, dark or purplish lips, complexion or sclera

T: dark red with spots on the sides
P: choppy or tight & wiry

REMARKS: Focusses on invigorating the blood and relieving qi constraint.
Ge Xia Zhu Yu Tang
"Drive Out Stasis from Below the Diaphragm Decoction"

REGULATE THE BLOOD - invigorate the blood and dispel blood stasis

p. 567
ACTIONS: Invigorates the blood, dispels blood stasis, promotes movement of qi, alleviates pain.

PATTERN:

INDICATIONS: Blood Stasis in the area below diaphragm with palpable masses that are visible when lying down. Also for chronic diarrhea and daybreak diarrhea
Shao Fu Zhu Yu Tang
"Drive Out Stasis from the Lower Abdomen Decoction"

REGULATE THE BLOOD - invigorate the blood and dispel blood stasis

p. 567
ACTIONS: Invigorates the blood, dispels blood stasis, warms the menses, alleviates pain.

PATTERN: Blood stasis accumulating in the lower abdomen caused by cold

INDICATIONS: Characterized by palpable masses that may or may not be painful, or lower abdominal pain without palpable masses, or lower abdominal distention, or lower back pain and lower abdominal distention during menstruation, or frequent menstruation with dark purple menstrual blood, or abnormal uterine bleeding accompanied by lower abdominal soreness and pain.
Shen Tong Zhu Yu Tang
"Drive Out Stasis from a Painful Body Decoction"

REGULATE THE BLOOD - invigorate the blood and dispel blood stasis

p. 568
ACTIONS: Invigorates blood, promotes movement of qi, dispels blood stasis, unblocks the collaterals, unblocks painful obstruction, and alleviates pain.

PATTERN: Painful obstruction due to the obstruction of qi and blood in the channels and collaterals

INDICATIONS: Symptoms such as shoulder pain, arm pain, lower back pain, leg pain, or other chronic aches and pains of the body.
Bu Yang Huan Wu Tang
"Tonify The Yang to Restore 5/10"

REGULATE THE BLOOD - invigorate the blood and dispel blood stasis

p. 568
ACTIONS: Tonifies the Qi, invigorates the blood, and unblocks the channels

PATTERN: Qi deficiency leading to blood stasis obstructing the channels.

INDICATIONS: Sequele of wind-stoke including hemiplegia, paralysis, and atrophy of the lower limbs, facial paralysis, slurred speech, drooling, dry stools, urinary frequency or incontinence, a white tongue coating, and a moderate pulse. Atrophy disorders with the same underlying mechanism.
Fu Yuan Huo Xue Tang
"Revive Health by Invigorating the Blood Decoction"

REGULATE THE BLOOD - invigorate the blood and dispel blood stasis

p. 571
ACTIONS: Invigorates the blood, dispels blood stasis, spreads LV Qi, unblocks the channels.

PATTERN: Traumatic physical injury that results in blood leaving the vessels.

INDICATIONS: Excruciating pain associated with traumatic injury, especially in the chest, hypochondria or flanks.
Wen Jing Tang
"Warm The Menses Decoction"

REGULATE THE BLOOD - invigorate the blood and dispel blood stasis

p. 577
ACTIONS: Warms the vessels, dispels cold, nourishes the blood, and dispels blood stasis.

PATTERN: Deficiency and cold of the Conception and Penetrating vessels together with obstruction due to the stasis of blood.

INDICATIONS: Mild, persistent uterine bleeding, irregular menstruation (either early or late), extended or continuous menstrual flow, bleeding between periods, pain, distention, and cold in the lower abdomen, infertility, dry lips and mouth, low-grade fever at dusk, and warm palms and soles. Formula also used to tx infertility in women.

T: may be purplish
P: fine and rough
Sheng Hua Tang
"Generating and Transforming decoction"

FORMULAS THAT INVIGORATE THE BLOOD AND DISPEL BLOOD STASIS

p. 581
ACTIONS: Invigorates the blood, transforms and dispels blood stasis, warms the menses and alleviates pain.

PATTERN: Blood stasis in the womb resulting from cold with deficient blood

INDICATIONS: Retention of the lochia accompanied by cold and pain in the lower abdomen

T: a pale purple body or a pale tongue with purple spots
P; thin, submerged and choppy

REMARKS: used for a variety of gynecological problems. Focusses on unblocking stasis by warming the blood, while also generating new blood.
Gui Zhi Fu Ling Wan
"Cinnamon Twig and Poria Pill"

FORMULAS THAT INVIGORATE BLOOD AND DISPEL BLOOD STASIS

Gui Zhi- warm acrid release exterior
Fu Ling- drain dampness
Shao Yao- bai= supp xue, chi= invig xue
Mu Dan Pi- clear heat cool blood
Tao Ren- invigorate blood

p. 583
ACTIONS: Invigorates the blood, transforms blood stasis, and reduces fixed abdominal masses.

PATTERN: Restless fetus disorder d/t blood stasis in the womb

INDICATIONS: Mild, persistent uterine bleeding of purple or dark blood during pregnancy, accompanied by abdominal pain that increases with pressure.

REMARKS: Also for immobile masses in the lower abdomen with pain and tenderness or similar problems

T: dark body with purple stasis spot
P: submerged and choppy

KNOW HERBS
Bu Yang Huan Wu Tang
"Tonify The Yang To Restore 5/10"
What formula is know as a "post stroke" formula?
Fu Yuan Huo Xue Tang
"Revive Health By Invigorating The Blood Decoction"
What formula is known as the "trauma" formula?
Si Wu Tang (Shu Di Huang, Bai Shao, Dang Gui, Chuang Xiong)

and/or

Tao Hong Si Wu Tang (Tao Ren, Hong Hua, Shu Di Huang, Bai Shao, Dang Gui, Chuang Xiong)
Xue Fu Zhu Yu Tang is based on what formula?
Dang Gui Shao Yao San
"Tangkuei and Peony Powder"

REGULATE THE BLOOD - invigorate blood and dispel blood stasis

p. 587
ACTIONS: Nourishes LV blood, spreads LV Qi, strengthens SP, resolves dampness

PATTERN: Abdominal pain due to disharmony between the LV & SP, characterized by both blood stasis and Qi stagnation due to dampness

INDICATIONS: Continuous cramping pain of the abdomen that is not severe, urinary difficulty, and slight edema (primarily of the lower limbs). Such pain can occur during pregnancy or with a variety of gynecological disorders.
Shi Xiao San
"Sudden Smile Powder"

REGULATE THE BLOOD - invigorate blood and dispel blood stasis

p. 591

Wu Ling Zhi- invigorate blood
Pu Huang- stops bleeding
ACTIONS: Invigorates the blood, dispels blood stasis, disperses accumulation, and alleviates pain

PATTERN: Retention of blood stasis that obstructs the vessels that serve the lower abdomen

INDICATIONS: Irregular menstruation, dysmenorrhea, retention of the lochia, postpartum abdominal pain, acute colicky pain in the lower abdomen, severe pain in the middle abdomen, or epigastric pain

KNOW HERBS
Huo Luo Xiao Ling Dan
"Fantastically Effective Pill to Invigorate the Collaterals"

REGULATE THE BLOOD - invigorate blood and dispel blood stasis

p. 592
ACTIONS: Invigorates the blood, dispels blood stasis, unblocks the collaterals, alleviates pain

PATTERN: Painful conditions due to blood stasis obstructing the collaterals

INDICATIONS: Pain in various locations such as the heart, stomach, abdomen, back, leg, or arm; bruising and swelling ue to traumatic injury, rheumatic pain, fixed abdominal masses, internal or external ulceration

T: dark with stasis spots
P: wiry or rough
Dan Shen Yin
"Salvia Drink "

REGULATE THE BLOOD - invigorate blood and dispel blood stasis

Dan Shen (30g)- invigorate blood
Tan Xiang (3g)- regulate qi
Sha Ren (3g)- aromatic transform dampness

p. 594
ACTIONS: Invigorates the blood, dispels blood stasis, promotes the movement of Qi, alleviates pain

PATTERN: Blood stasis and Qi stagnation that has accumulated in the MJ where it causes abdominal or epigastric pain that may radiate upward

INDICATIONS: Abdominal or epigastric pain that may radiate upward, accompanied by signs and symptoms of blood stasis and Qi stagnation

KNOW HERBS
Huai Hua San
"Sophora Japonica Flower Powder"

STOP BLEEDING

p.605
ACTIONS: Cools intestines, stops bleeding, disperses wind, promotes the movement of Qi

PATTERN: Lodging of wind-heat or accumulation of damp-heat in the intestines and stomach where it forms toxins

INDICATIONS: Bright red bleeding from the rectum during defecation that typically precedes (but may also follow) the passage of stool, blood in the stools, hemorrhoids with either bright-red or dark-red bleeding

T: red
P: wiry & rapid, or soggy and rapid
Jiao Ai Tang
"Ass Hyde Gelatin and Mugwort Decoction"

STOP BLEEDING

p. 610
ACTIONS: Nourishes the blood, stops bleeding, regulates menstruation, calms the fetus

PATTERN: Injury and deficiency to the Conception and Penetrating vessels with a tendency toward cold

INDICATIONS: Abdominal pain with uterine bleeding, excessive menstruation, menstruation with constant spotting, postpartum bleeding, or bleeding during pregnancy. The blood is pale and thin without clots, and is accompanied by weakness and soreness of the lower back, and a dull compexion.

T: pale with thin white coat
P: Thin frail pulse
Xiao Huo Luo Dan
"Minor Invigorate the Collaterals Special Pill"

EXPEL WIND - formulas that dredge and disperse external wind

p. 631
ACTIONS: Dispels wind, eliminates dampness, transforms phlegm, invigorates the blood, unblocks the collaterals, alleviates pain

PATTERN: Persistent numbness and weakness in the extremities after the onset of wind-stroke, wind, dampness, phlegm, and lifeless blood obstructing the collaterals.

INDICATIONS: Chronic pain, weakness, and numbness (esp. in the lower extremities) due to wind-stroke. Also for fixed or migrating pain in the bones and joints with reduced range of motion due to wind-cold-damp painful obstruction. In both conditions, the symptoms are aggravated by cold.

T: coat is white and moist
Qian Zheng San
"Lead To Symmetry Powder"

EXPEL WIND - formulas that dredge and disperse external wind

p. 633
ACTIONS: Dispels wind, transforms phlegm, stops spasms

PATTERN: Sequele of channel stroke with symptoms confined to the head and face, a condition that occurs when normal Qi and unstable protective Qi allow pathogenic wind to invade the channels and collaterals.

INDICATIONS: Sudden facial paralysis with deviation of the eyes and mouth and facial muscle twitch.
Xiao Feng San
"Eliminate Wind Powder from Orthodox Lineage"

EXPEL WIND - formulas that dredge and disperse external wind

p. 636
ACTIONS: Disperses wind, eliminates dampness, clears heat, cools the blood

PATTERN: Wind-rash or damp-rash

INDICATIONS: Weepy, itchy, red skin lesions over a large part of the body.

T: yellow or white coat
P: forceful, floating and rapid
Ling Jiao Gou Teng Tang
"Antelope Horn and Uncaria Decoction"

EXPEL WIND - formulas that pacify and extinguish internal wind

p. 642
ACTIONS: Cools the LV, extinguishes wind, increases the fluids, relaxes the sinews

PATTERN: Excess heat in the LV channel stirring up LV wind

INDICATIONS: Persistent high fever, irritability, restlessness, vertigo and spasms of the extremities. In severe cases there may impaired or loss of consciousness

T: deep red, dry, or burnt with prickles
P: wiry, rapid
Zhen Gan Xi Feng Tang
"Sedate the Liver and Extinguish Wind Decoction"

EXPEL WIND - formulas that pacify and extinguish internal wind

p. 644
ACTIONS: Sedates the LV, extinguishes wind, nourishes yin, anchors yang

PATTERN: Wind-type stroke caused by the excessive gushing upward of Qi that, in turn, leads to congestion of blood in the brain

INDICATIONS: Dizziness, vertigo, a feeling of distention in the eyes, tinnitus, feverish sensation in the head, headache, irritability, flushed face (as if intoxicated). May also be frequent belching, progressive motor dysfunction of the body or development of facial asymmetry that occurs over a period of a few hours to a few days, severe dizziness and vertigo, sudden loss of consciousness, mental confusion with moments of clarity, and an inability to fully recover after a loss of consciousness.

P: wiry, long, forceful
Tian Ma Gou Teng Yin
"Gastrodia and Uncaria Decoction"

EXPEL WIND - formulas that pacify and extinguish internal wind

p. 647
ACTIONS: Calms the LV, extinguishes wind, clears heat, invigorates blood, tonifies the LV and KD's

PATTERN: Hyperactive LV yang leading to internal stirring of LV wind

INDICATIONS: Headache, dizziness, vertigo, tinnitus, blurred vision, a sensation of heat rushing to the head, insomnia with dream-disturbed sleep. In severe cases there may also be numbness, twitching and spasms of the extremities, or hemiplegia.

T: red
P: wiry, rapid
E Jiao Ji Zi Huang Tang
"Ass-Hyde Gelatin and Egg Yolk Decoction"

EXPEL WIND - formulas that pacify and extinguish internal wind

p. 653
ACTIONS: Enriches yin, nourishes blood, softens LV, extinguishes wind

PATTERN: Blood deficiency and insufficiency of yin fluids that leads to stirring of internal wind

INDICATIONS: Rigid extremities, muscle spasms and twitches in the extremities, dry mouth, parched lips. May also be dizziness and vertigo.

T: deep red with scanty coating
P: Thin, rapid
Xing Su San
"Apricot Kernel and Perilla Leaf Decoction"

TREAT DRYNESS- formulas that gently disperse and moisten dryness

p. 663
ACTIONS: Gently disperses cool-dryness, disseminates the LU Qi and transforms thin mucus

PATTERN: Externally contracted cool-dryness interfering with the disseminating, clearing, and downward-directing functions of the LU

INDICATIONS: Slight HA, chills w/o sweating, cough with watery sputum, stuffy nose, dry throat

T: white coat
P: wiry
Sang Xing Tang
"Mulberry Leaf and Apricot Kernel Decoction"

TREAT DRYNESS- formulas that gently disperse and moisten dryness

p. 665
ACTIONS: Clears heat and disperses warm-dryness

PATTERN: Externally contracted warm-dryness injuring the LU Qi at a relatively superficial level (exterior)

INDICATIONS: Moderate fever, HA, thirst, a dry hacking cough, or a cough with scanty, thick & sticky sputum

T: red with thin, dry & white coat
P: rapid (esp. on right)
Sha Shen Mai Men Dong Tang
"Glehnia and Ophiopogonis Decoction"

TREAT DRYNESS- formulas that gently disperse and moisten dryness

p. 669
ACTIONS: CLears and nourishes the LU and ST, generates fluids, moistens dryness

PATTERN: Injury to the LU, ST & fluids from dryness

INDICATIONS: Dry throat, thirst, fever, a hacking cough with scanty sputum

T: red w/ little coat
P: rapid, thin
Qing Zao Jiu Fei Tang
"Eliminate Dryness and Rescue the Lungs Decoction"

TREAT DRYNESS- formulas that gently disperse and moisten dryness

p. 667
ACTIONS: Clears dryness and moistens the LU

PATTERN: Warm-dryness attacking the LU with damage to both Qi and yin

INDICATIONS: HA, fever, hacking cough, wheezing, a dry & parched throat, dry nasal passages, a sensation of fullness in the chest, hypochondriac pain, irritability, thirst

T: dry and without coating
P: big, deficient and rapid
Mai Men Dong Tang
"Ophiopogonis Decoction"

TREAT DRYNESS- formulas that enrich the yin and moisten dryness

Mai Men Dong- supplement yin
Ren Shen- supplement qi
Jing Mi- rice
Da Zao- supplement qi
Gan Cao- supplement qi
Zhi Ban Xia- transform phlegm stop cough

p. 670
ACTIONS: Benefits the ST, generates fluids, directs rebellious Qi downward

PATTERN: The original indication of this formula is LU atrophy d/t heat...but the condition is actually caused by heat from deficiency in the ST, which rises rebelliously and scorches the LU yin

INDICATIONS: Coughing, wheezing, SOB, coughing up of phlegm that is difficult to expectorate, or spitting of saliva, a dry & uncomfortable sensation in the throat, dry mouth, heat of the palms and soles

T: dry & red w/ little coating
P: deficient, rapid pulse

KNOW HERBS
Ping Wei San
"Calm The Stomach Powder"

EXPEL DAMPNESS- formulas that transform damp turbidity & harmonize the Stomach

Chao Cang Zhu- aromatic transform damp
Jiang Chao-
Hou Po- aromatic transform damp
Chen Pi- regulate qi
Zhi Gan Cao- supplement qi

p. 687
ACTIONS: Dries dampness, improves SP's transportive fx, promotes movement of Qi, harmonizes the ST

PATTERN: Dampness stagnating the SP and ST

INDICATIONS: Distention and fullness in the epigastrium and abdomen, loss of taste and appetite, a heavy sensation in the limbs, loose stools or diarrhea, easily-fatigued, increased desire to sleep, nausea and vomiting, belching, acid reflux

T: swollen w/ thick, white & greasy coat
P: moderate or slippery

KNOW HERBS
Huo Xiang Zheng Qi Tang
"Patchouli/Agastache Powder to Rectify the Qi"

EXPEL DAMPNESS- formulas that transform damp turbidity & harmonize the Stomach

p. 691
ACTIONS: Releases the exterior, transforms dampness, regulates Qi, harmonizes MJ

PATTERN: Externally contracted WC with concurrent injury d/t dampness and stagnation

INDICATIONS: Fever & chills, HA, a sensation of fullness and stifling oppression in the chest, pain in the epigastrium and abdomen, nausea and vomiting, borborygmus, diarrhea, loss of taste. Also for sudden turmoil d/o or malarial disorders with the above symptomatology

T: white, greasy coat
P: moderate, soggy
Sha Ren Tang
"Three Seed Decoction"

EXPEL DAMPNESS- formulas that clear heat and expel dampness

Xing Ren- stop coughing and wheezing
Bai Dou Kou- aromatic transform damp
Yi Yi Ren- drain dampness
p. 699
ACTIONS: Disseminates the Qi, facilitates the Qi mechanisms, clears DH

PATTERN: Early stage damp-warmth disease or summer-heat warmth disease in which dampness predominates, and the pathogenic influences are lodged in the protective and Qi levels

INDICATIONS: HA, chills, afternoon fever, a heavy sensation in the body, generalized thin & pale yellow complexion, a stifling sensation in the chest, loss of appetite, absence of thirst

T: white coat
P: wiry, thin, soggy

KNOW 3 NUTS
Gan Lu Xiao Du Dan
"Sweet Dew Special Pill to Eliminate Toxin"

EXPEL DAMPNESS- formulas that clear heat and expel dampness

p. 702
ACTIONS: Resolves dampness, transforms turbidity, clears heat, resolves toxicity

PATTERN: Early stage damp-warmth epidemic disorder. (Problem is in Qi level, and heat & dampness are relatively equal..or with heat predominating)

INDICATIONS: Fever, achy limbs, lethargy, swollen throat, a stifling sensation in the chest, abdominal distention, dark & scanty urine. There may also be vomiting and diarrhea, jaundice or unremitting fever

T: white, greasy or yellow, dry tongue coat
P: soggy, rapid
Yin Chen Hao Tang
"Virgate Wormwood Decoction"

EXPEL DAMPNESS- formulas that clear heat and expel dampness

Yin Chen Hao- drain damp treat jaundice
Zhi Zi- clear heat drain fire
Da Huang- downward draining (purgative)

p. 710
ACTIONS: Clears heat, resolves dampness, and reduces jaundice

PATTERN: Yang-type DH jaundice, or DH in LV/GB
(not for use with DC jaundice- too cold)

INDICATIONS: Whole-body jaundice with a color that resembles a "fresh tangerine," slight abdominal distention, urinary difficulty, thirst (with the ability to take only sips), little or no sweating, or sweating from the head and stopping at the neck. CAUTIONED IN PREGNANCY.

T: yellow greasy coat
P: slippery, rapid

KNOW HERBS
Ba Zheng San
"Eight Herb Powder for Rectification"

EXPEL DAMPNESS- formulas that clear heat and expel dampness

p. 713
ACTIONS: Clears heat, drains fire, promotes urination, and unblocks painful urinary dribbling

PATTERN: DH collecting in the LJ, specifically the UB, causing painful urinary dribbling or urinary retention

INDICATIONS: Dark, turbid, scanty, difficult and painful urination, a dry mouth and throat. In severe cases there may be urinary retention and lower abdominal distention and pain. CONTRAINDICATED IN PREGNANCY- too draining.

T: yellow, greasy coating
P: slippery, rapid pulse
Er Miao San
"Two Marvel Powder"

EXPEL DAMPNESS- formulas that clear heat and expel dampness

Chao Huang Bai and Zhi Cang Zhu, washed down with ginger juice

p. 720
ACTIONS: Clears heat and dries dampness, esp. in LJ

PATTERN: DH lodged in the lower burner; DH in sinews or bones of lower buner; DH lodged in the genital region

INDICATIONS: For a variety of complaints accompanied by scanty, yellow urine. Low back or extremity pain (esp. sinews & bones), weakness or atrophy of lower ext.; red, hot, swollen and painful feet or knees; a thick, yellow, foul smelling vaginal discharge; and sores on the lower ext. due to dampness.

T: yellow, greasy coat

Tx Beriberi, which is a Vit B1 deficiency

KNOW HERBS
Wu Ling San
"Five Ingredient Powder with Poria"

EXPEL DAMPNESS- formulas that promote urination and leach out dampness

Ze Xie- drain damp treat edema
Fu Ling- drain damp treat edema
Zhu Ling- drain damp treat edema
Bai Zhu- supplement qi
Gui Zhi- warm acrid release exterior

p. 724
ACTIONS: Promotes urination, drains dampness, strengthens the SP, warms the yang and promotes the transforming fx of qi

PATTERN:
1) Manifestations of water buildup, greater yang warp d/o penetrating the UB, where pathogens have not been released to exterior
2) Sp Qi Xu (Earth failing to transform water)
3) Retention of thin mucus in the LJ

INDICATIONS:
1) HA, fever, irritability, strong thirst w/ vomiting immediately after drinking, urinary difficulty, floating pulse, white tongue coat
2) Edema, generalized sensation of heaviness, diarrhea, urinary difficulty, and possibly vomiting & diarrhea d/t sudden turmoil disorder
3) Throbbing pulsations just below the umbilicus, vomiting frothy saliva, vertigo, SOB, coughing

KNOW HERBS
Zhu Ling San
"Polyporus Decoction"

EXPEL DAMPNESS- formulas that promote urination and leach out dampness

Zhu Ling- drain damp treat edema
Fu Ling- drain damp treat edema
Ze Xie- drain damp treat edema
Hua Shi- drain damp treat lin syndrome
E Jiao- supplement blood

p. 729
ACTIONS: Promotes urination, clears heat, nourishes yin

PATTERN: Injury from cold entering the yang brightness or lesser yin warp where it transforms into heat

INDICATIONS: Urinary difficulty accompanied by fever and thirst with a desire to drink. There may also be diarrhea, cough, nausea, irritability, or insomnia.

T: red body with no coat or thin white coat

KNOW HERBS
Wu Pi San
"Five Peel Powder"

EXPEL DAMPNESS- formulas that promote urination and leach out dampness

Sang Bai Pi- relieve coughing & wheezing
Sheng Jiang Pi- drain damp treat edema
Fu Ling Pi- drain damp treat edema
Chen Pi- regulate qi
Da Fu Pi- regulate qi

p. 732
ACTIONS: Resolves dampness, reduces edema, regulates the Qi, strengthens SP

PATTERN: "Skin edema" Vigorous dampness and qi stagnation obstructing greater yin warp (LU & SP)

INDICATIONS: Generalized edema with a sensation of heaviness, distention, and fullness in the epigastrium and abdomen, labored and heavy breathing, urinary difficulty

T: white, greasy coating
P: submerged and moderate

KNOW THAT it treats dampness, qi stag & promotes urination

KNOW HERBS
Ze Xie- drain damp CALE & National Board Question:

What is the chief herb of Wu Ling San?
Sang Bai Pi- relieve coughing and wheezing CALE & National Board Question:

What is the single herb that is the "TCM version" of the western prescription drug Lasix?

(Warren said he once saw this question on boards, though is has probably been removed)
FINAL KNOW the herbs in common in Wu Ling San and Zhu Ling San, and the exterior releasing herbs of Huo Xiang Zheng Qi San
Chi Shao = stabbing pain

Bai Shao = dull, cramping pain
Shao Yao: which version is for stabbing pain and which is for dull, cramping pain?
Niu Xi- invigorate blood What herb guides formulas to lower body?
1) Jiang Huang (shoulders & upper back)

2) Qiang Huo (taiyang & nape of neck)

3) Ge Gen (neck)
What are 3 herbs that will drive formulas to the upper body?
Ling Gui Zhu Gan Tang
"Poria, Cinnamon Twig, Atractylodis Macrocephalae, and Licorice Decoction"

EXPEL DAMPNESS- warm and transform water and dampness

p. 738
ACTIONS: Warms and transforms phlegm and congested fluids, strengthens the SP, resolves dampness

PATTERN: Congested fluids in the epigastrium (area below the heart..upper part of the ST duct) This is a deficiency pattern with an accumulation of fluids

INDICATIONS: Fullness in the chest and hypochondria, palpitations, SOB, coughing up clear & watery sputum, dizziness and/or vertigo

T: pale w/ white greasy coat
P: slipper, wiry, soggy
Zhen Wu Tang
"True Warrior Decoction"
(Shang Han Lun)

EXPEL DAMPNESS- warm and transform water and dampness

Fu Zi- warm the interior
Bai Zhu- supplement qi
Fu Ling- drain damp treat edema
Sheng Jiang- warm acrid release exterior
Bai Shao- supplement blood

p. 744
ACTIONS: Warms the yang, promotes urination

PATTERN: 1) SP & KD yang xu due to retention of pathogenic water
2) Externally contracted wind-cold at the greater yang warp (the results of a taiyang attack where the ext. condition damages the qi and fluids, in a person w/ pre-existing yang xu; Tx. collapse of yang qi)

INDICATIONS: 1) Abdominal pain which is aggravated by cold, urinary difficulty, and a deep aching & heaviness in the extremities. There may also be generalized edema, loose stools, dizziness, a heavy sensation in the head, palpitations, coughing, vomiting
T: pale or dark swollen tongue w/ tooth marks & a white, slippery coat
P: submerged, thin, forceless

2) Ext. contracted d/o with sweating that does not reduce the fever, palpitations in the epigastrium, dizziness, generalized twitching, the patient feeling unstable on their feet as if they were about to fall
T: white, slippery coat
P: submerged, thin, forceless

cardiopulmonary diseases, hypothyroidism, CHF, hypertension

KNOW HERBS
Qiang Huo Sheng Shi Tang
"Notopterygium Decoction to Overcome Dampness"
(Li Dong Yuan)

EXPEL DAMPNESS- formulas that expel wind-dampness

p. 755
ACTIONS: Expels wind dampness

PATTERN: Painful obstruction with wind-dampness being prominent (early stage taiyang attack w/ HA)

INDICATIONS: A heavy painful head, generalized sensation of heaviness, back pain or generalized pain, stiffness of the neck, difficulty in rotating or bending the trunk, mild fever & chills

T: white coat
P: floating

*someone's catches a cold and has a HA- can use this
Juan Bi Tang
"Remove Painful Obstruction Decoction"

EXPEL DAMPNESS- formulas that expel wind-dampness

p. 756
ACTIONS: Tonifies and harmonizes the protective and nutritive Qi, dispels wind, eliminates dampness

PATTERN: Painful obstruction in a patient with deficiency of Qi and blood (w/ dampness)

INDICATIONS: A generalized sensation of heaviness in the body, stiffness in the neck, shoulder, and upper back, numbness in the extremities, difficulty in moving. Patient is often generally deficient. Can be used topically

T: white coat
P: moderate
Du Hou Ji Sheng Tang
"Pubescent Angelica and Taxillus Decoction"

EXPEL DAMPNESS- formulas that expel wind-dampness

p. 758

*most commonly given formula for chronic WCD in lower body in deficient patients
ACTIONS: Expels WD, disperses painful obstruction, tonifies deficiency

PATTERN: Painful obstruction with KD & LV xu

INDICATIONS: Heavy and painful sensations at fixed locations in the lower back and lower extremities accompanied by weakness and stiffness or hypertonicity and immobility, an aversion to cold and attraction to warmth, palpitations, SOB. Popular formula for the elderly.

T: pale w/ white coat
P: thin, slow, weak

chronic arthritic conditions, sciatic pain, taken for long term. Use w/ caution for blood thinners (Coumadin i.e. Warfarin)
Gui Zhi Shao Yao Zhi Mu Tang
"Cinnamon, Peony and Anemarrhena Decoction"

EXPEL DAMPNESS- formulas that expel wind-dampness

p. 760
ACTIONS: Unblocks the flow of yang Qi, promotes movement (in areas w/o painful obstruction), dispels wind, eliminates dampness, clears heat

PATTERN: Recurrent WCD painful obstruction in which localized constraint generates heat

INDICATIONS: Swollen and painful joints (esp. of the lower extremities) that are warm to the touch and worsen at night, reduced range of motion in the affected joints, chills, absence of sweating, weight loss, HA, dizziness, SOB, a feeling as if one wants to vomit. Patient who is constitutionally cold w/ hot bi of the joints d/t Qi constraint

T: white, greasy coat
P: wiry, slippery

*arthritis, RA, gouty arthritis, etc
Er Chen Tang
"Two-Aged Herb Decoction"

DISPEL PHLEGM- formulas that dry dampness and transform phlegm

zhi ban xia, ju hong (or chen pi is more modernly favored), fu ling, zhi gan cao (can contain sheng jiang and wu mei)

VARIATIONS: Jin Shui Liu Jun Jian, Liu An Jian, Jia Wei Er Chen Tang, Di Tan Tang,
Qing Shi Hua Tan Tang

p. 775
ACTIONS: Dries dampness, transforms phlegm, regulates Qi, harmonizes MJ

PATTERN: Phlegm-dampness, usually caused when the SP & LU fail to transform and transport the fluids, which thereupon accumulate and form phlegm

INDICATIONS: Coughing with copious, profuse white sputum that is easy to expectorate, focal distention and a stifling sensation in the chest and diaphragm, palpitations, nausea & vomiting, dizziness

T: white, moist, greasy tongue coating
P: slippery

*a drying formula, not used in cases of yin xu

KNOW HERBS
Wen Dan Tang
"Warm The Gallbladder Decoction"

DISPEL PHLEGM- formulas that dry dampness and transform phlegm

Zhu Ru- trans phlegm stop cough; cool and transform phlegm heat
Zhi Shi- regulate qi
Zhi Ban xia- stop cough transform phlegm Chen Pi- regulate qi
Fu Ling- drain damp treat edema
Zhi Gan Cao- regulate qi

p. 786

*considered a variation of Er Chen Tang
ACTIONS: Regulates Qi, transforms phlegm, clears the GB, harmonizes the ST

PATTERN: Disharmony between the GB and ST with phlegm-heat obstructing the Qi dynamic

INDICATIONS: Dizziness, vertigo, nausea or vomiting, insomnia, dream-disturbed sleep with strange or unusual dreams, palpitations, anxiety, indeterminate gnawing hunger, or seizures accompanied by copious sputum, focal distention of the chest, a bitter taste in the mouth, slight thirst

T: greasy, yellow coat
P: rapid and either slippery or wiry

*doesn't really warm the GB, but eliminates constraint
*has many and varied, broad clinical applications

KNOW HERBS
Huang Lian Wen Dan Tang
"Warm Gallbladder Decoction with Coptidis"

DISPEL PHLEGM- formulas that dry dampness and transform phlegm

*same as Wen Dan Tang, plus Huang Lian

p. 789
INDICATIONS: Same presentation as Wen Dan Tang, but more severe. Severe phlegm-heat with more restlessness and irritability, and a more intense bitter taste in the mouth

KNOW HERBS
Qing Qi Hua Tan Wan
"Clear The Qi And Transform Phlegm Pill"

DISPEL PHLEGM- formulas that clear heat and transform phlegm

p. 790

*representative formula for this presentation for phlegm-heat in the LU
ACTIONS: Clears heat, transforms phlegm, directs rebellious Qi downward, stops cough

PATTERN: Internal clumping of phlegm-heat that occurs when fire "brews" the fluids that have become stagnant due to a relative deficiency in the transforming function of the SP. "Phlegm-heat in the LU"

INDICATIONS: Coughing of yellow, viscous sputum that is difficult to expectorate, focal distention and a feeling of fullness in the chest and diaphragm, nausea. In severe cases, there may be difficulty breathing

T: greasy, yellow coat
P: slippery, rapid

*variation of Er Chen Tang
Xiao Xian Xiong Tang
"Minor Decoction [For Pathogens] Stuck In The Chest"

DISPEL PHLEGM- formulas that dry dampness and transform phlegm

p. 793
ACTIONS: Clears heat, transforms phlegm, expands the chest, dissipates clumps

PATTERN: Clumping in the chest which is caused by sinking of pathogenic heat into the chest and epigastrium (UJ & MJ) where it mixes with phlegm and forms clumps

INDICATIONS: Focal distention (with or without nodules) in the chest and epigastrium that are painful when pressed, coughing up yellow and viscous sputum, constipation, a bitter taste

T: yellow, greasy coat
P: slippery and either floating or rapid

*this formula is known to cause loose stools, should be avoided for those w/ deficiency of SP or int. cold
Xiao Luo Wan
"Reduce Scrofula Pill"

DISPEL PHLEGM - transform phlegm and reduce clumping

p. 798
ACTIONS: Clears heat, transforms phlegm, softens hardnesses, disperses clumping

PATTERN: Scrofula and goiter (swollen thyroid). Nodules on the sides of the neck.

INDICATIONS: Nodules on the neck that are firm and rubbery in consistency accompanied by dry mouth and throat

T: red
P: rapid and slippery or wiry

Biomed: tuberculosis, immunocompromised HIV, iodine deficiency (goiter), Hashimoto's, Lymphadenopathy(itis), hyperthyroidism
Bei Mu Gua Lou San
"Fritillaria and Trichosanthes Fruit Powder"

DISPEL PHLEGM - moisten dryness and transform phlegm

p. 802
ACTIONS: Moistens the LU, clears heat, regulates the Qi, transforms phlegm

PATTERN: Dryness in the LU that injures the fluids and causes phlegm. "Phlegm-Dryness."

INDICATIONS: Cough with deep-seated sputum that is difficult to expectorate, wheezing, a dry and sore throat

T: red and dry with white coat (white coat is key)
P: rapid and thin, but strong or slippery (excess condition)

CONTRA: for Yin Xu or deficient conditions..ONLY or excess

BIOMED: post-bronchitis

*often on comps and board exams
San Zi Yang Qin Tang
"Three-Seed Decoction To Nourish One's Parents"

DISPEL PHLEGM - warm and transform phlegm-cold

Bai Jie Zi- transform phlegm stop cough; warm and transform cold phlegm
Zi Su Zi- transform phlegm stop cough; warm and transform cold phlegm
Lai Fu Zi- relieve food stagnation

p. 808
ACTIONS: Directs the Qi downward, transforms phlegm, reduces harbored food

PATTERN: Phlegm clogging the LU with Qi stagnation

INDICATIONS: Coughing and wheezing, copious sputum, focal distention in the chest, loss of appetite, digestive difficulties

T: white, greasy coat
P: slippery

BIOMED: chronic cough, brochitis

*often seen in those with chronic MJ Qi Xu; cough potatoes who eat crappy food regularly.
*sipped throughout the day

KNOW HERBS
Ban Xia Bai Zhu Tian Ma Tang
"Pinellia, White Atractylodes, and Gastrodia Decoction"

DISPEL PHLEGM - transform phlegm and extinguish wind

CHIEFS: ban xia, tian ma

p. 811
ACTIONS: Strengthens SP, dispels dampness, transforms phlegm, extinguishes wind

PATTERN: Wind-phlegm, also known as upward disturbance of wind-phlegm

INDICATIONS: Dizziness or vertigo (possibly severe), HA, a stifling sensation in the chest, nausea or vomiting, copious sputum

T: white, greasy coat
P: wiry, slippery

*HA, Meniere's. Sereve HA: add Mang Jing Zi
*A variation of Er Chen Tang. KNOW CHIEF HERBS.
BIOMED: chronic sinusitis
Zhi Sou San
"Stop Coughing Powder"

DISPEL PHLEGM - transform phlegm and extinguish wind

KNOW: Jing Jie is the exterior releasing herb in this formula & tx scratchy throat

p. 815
ACTIONS: Stops coughing, transforms phlegm, disperses the exterior, disseminates the LU Qi

PATTERN: Cough that occurs as the sequela (aftermath) of an externally contracted wind-cold

INDICATIONS: Coughing with or without slight chills and fever, an itchy throat, phlegm that is difficult to expectorate

T: thin, white coat
P: moderate, floating

*NOT for sequela of wind-heat, only for wind-cold
*What herb in this formula is the exterior releasing herb?

BIO: bronchitis or receding upper respiratory infection
Lai Fu Zi and Ren Shen Two herbs not to be used together

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