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Formulas: Dispel Phlegm

Terms in this set (23)

Er Chen Tang at a glance
A: Dries Damp, transforms Phlegm, regulates Qi and harmonizes MJ

I: Phlegm Damp d/t LU & SP xu
--Cold-Phlegm Stag in UJ or MJ d/t SP Qi & Yang Xu

S/S: coughing with copious, white sputum that's easily expectorated, focal distension and stifled chest & diaphragm, palps, N/V, dizziness

T: white, moist or greasy coat
P: slippery

Modify for LU Yin xu
Er Chen Tang ingredients
C = Zhi Ban Xia @15g
C = Ju Hong @15g
D = Fu Ling @9g
A = ZGC @4.5
E = Sheng Jiang, 7 pieces
N/N = Wu Mei, 1 piece
Er Chen Tang mods
+Tian Nan Xing, Bai Fu Zi, Zhu Li for Wind Phlegm (stroke, HTN)

+Shi Gao, Qing Dai for Fire Phlegm

+Cang Zhu, Bai Zhu for more Damp, more severe edema

+Shan Zha, Shen Qu, Mai Ya for phlegm and food stag (stir fry)

+Xiang Fu, Zhi Ke for more severe Qi stag (full/distend)

+Fu Hai Shi, Mang Xiao, Zhi Shi, Meng Shi for severe stag of stubborn phlegm (old, invisible)

+Gan Jiang, Sha Ren for vomiting d/t Cold in ST

+Zhi Shi, Zhu Ru = Wen Dan Tang
Wen Dan Tang at a glance
A: Regulates Qi, transforms Phlegm, clears GB & harmonizes ST

I: ST/GB disharmony with Phlegm

S/S: dizziness, vertigo, N/V, insomnia, dream-distrubed sleep with strange or unusual dreams, palps, anxiety and indeterminate gnawing hunger, seizures with copious sputum, focal distension in chest, bitter taste, slight thirst
--mental/emotional disorders relating to GB

T: greasy, yellow coat
P: rapid - either slippery or wiry
Wen Dan Tang ingredients
C = Zhi Ban Xia @6g
D = Zhu Ru @6g
A = Zhi Shi @6g
A = Chen Pi @9g
A = Fu Ling @4.5g
A = ZGC @3g
E = Sheng Jiang, 5 slices
N/N = Gan Cao, 1 piece
Er Chen Tang + Zhu Ru + Zhi Shi = ?
Wen Dan Tang

Er Chen Tang: zhi ban xia, ju hong, fu ling, zgc, sheng jiang, wu mei
Wen Dan Tang mods
+Huang Qin, Bai Shao, Dai Zhe Si for severe vertigo

Zhu Ru - up to 18g to clear Phlegm Heat, goes to GB and helps calm Shen
Qin Qi Hua Tan Wan at a glance
A: Clears Heat, transforms Phlegm, directs Rebellious Qi downward and stops cough

I: Internal Phlegm Heat affecting SP/LU

S/S: coughing of yellow, viscous sputum that's hard to spit out, focal distension and fullness in chest & diaphragm with nausea; difficulty breathing in severe cases

T: red + greasy, yellow coat
P: slippery, rapid

Best for pt's with strong constitution, can exhaust weak pts
Qing Qi Hua Tan Wan ingredients
C = Dan Nan Xing @45g
D = Gua Lou Ren @30g
D = Huang Qin @30g
A = Zhi Ban Xia @45g
A = Chen Pi @30g
A = Xing Ren @30g
A = Zhi Shi @30g
A = Fu Ling @30g
Qing Qi Hua Tan Wan mods
+Yu Xing Cao, TIan Hua Fen for profuse sputum
Bei Mu Gua Lou San at a glance
A: Moistens LU, clears Heat, regulates Qi, transforms Phlegm

I: Dryness in LU --> Phlegm

S/S: cough with deep-seated sputum that's hard to cough up, wheezing, dry and sore throat

T: red, dry + white coat
P: rapid, thin but strong or slippery

Contra for Yin xu cough
Bei Mu Gua Lou San ingredients
C = Chuan Bei Mu @4.5g
D = Gua Lou (Ren) @3g
A = Tian Hua Fen @2.4g
A = Fu Ling @2.4g
A = Ju Hong @2.4g
A = Jie Geng @2.4g
Bei Mu Gua Lou San is a variation of?
Er Chen Tang

ban xia, chen pi, fu ling, gan cao
San Zi Yang Qin Tang at a glance
A: Directs Qi downward, transforms Phlegm, reduces Food stagnation

I: Phlegm in LU with Qi stag

S/S: coughing and wheezing with copious sputum, focal distension in chest, loss of appetite, digestive problems
-help elderly recover from phlegm & stag

T: white, greasy coat
P: slippery
San Zi Yang Qin Tang ingredients
No hierarchy noted

Bai Jie Zi @6-9g
Zi Su Zi @6-9g
Lai Fu Zi @6-9g
San Zi Yang Qin Tang mods
+Honey for constipation, nourish body fluids

+Sheng Jiang for cough or asthma in winter season
Ban Xia Bai Zhu Tian Ma Tang at a glance
A: Strengthens SP, dispels Damp, transforms Phlegm, extinguishes Wind

I: Wind Phlegm; dizziness/vertigo d/t SP Qi xu

S/S: dizziness or vertigo (possibly severe), HA, stifled chest, N/V, copious sputum

T: white, greasy coat
P: wiry, slippery
Ban Xia Bai Zhu Tian Ma Tang ingredients
C = Zhi Ban Xia @4.5g
C = Tian Ma @3g
D = Bai Zhu @9g
A = Ju Hong @3g
A = Fu Ling @3g
E = Sheng Jiang, 1 slice
E = Da Zao, 2 pieces
E = Gan Cao @1.5g

another variation of Er Chen Tang...ban xia, fu ling, chen pi (ju hong), zgc

add Man Jing Zi for severe HA
Zhi Sou San at a glance
A: Stops cough, transforms Phlegm, disperses Exterior, disseminates LU Qi

I: Sequela d/t External Wind Cold

S/S: coughing with or without slight chills and fever, itchy throat, phlegm hard to expectorate

T: thin, white coat
P: moderate, floating

Modify for cases of cough d/t LU Heat; contra'd for Yin xu cough
Zhi Sou San ingredients
C = Zi Wan @960g
C = Bai Bu @960g
D = Bai Qian @960g
D = Jie Geng @960g
A = Chen Pi @480g
A = Jing Jie @960g
E = Gan Cao @360g
Er Chen Tang ingredients
C = Zhi Ban Xia @15g
C = Ju Hong @15g
D = Fu Ling @9g
A = ZGC @4.5
E = Sheng Jiang, 7 pieces
N/N = Wu Mei, 1 piece
Er Chen Tang mods
+Tian Nan Xing, Bai Fu Zi, Zhu Li for Wind Phlegm (stroke, HTN)

+Shi Gao, Qing Dai for Fire Phlegm

+Cang Zhu, Bai Zhu for more Damp, more severe edema

+Shan Zha, Shen Q
Er Chen Tang ingredients
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