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PCOM #17
PCOM Herbs 4 - Final
| PIN YIN | ENGLISH | CATEGORY | SOURCE | INGREDIENTS | ACTIONS | DIAGNOSIS | PRESENTATION | TONGUE/PULSE |
|---|---|---|---|---|---|---|---|---|
| Dao Chi San | Guide out the Red Powder | Clear Heat from the Organs (HT) | Qian Yi (1119): Xiao Er Yao Zheng Zhi Jue - Craft of Medicinal Treatment for Childhood Diseases | C: sheng di (15-30g), D: mu tong (3-6g), A: dan zhu ye (3-6g), E: gan cao shao (3-6g) | Clears the HT and promotes urination | For Heat in the HT and SI Channels. Also for dark, scanty, rough and painful urination, or even blood in the urine | red face, sores around the mouth, sense of heat in the chest, thirst for cold, dark scanty rough urine, blood in urine, irritability | red tongue, rapid pulse |
| Long Dan Xie Gan Tang | Gentiana Longdancao Decoction to Drain the LV | Clear Heat from the Organs (LV) | Wang Ang (1682): Yi Fang Ji Jie - Analytic Collection of Medical Formulas | C: long dan cao (3-9g), D: huang qin (6-12g), D: zhi zi (6-12g), A: mu tong (3-6g), A: che qian zi (9-15g), A: ze xie (6-12g), D: chai hu (3-9g), A: sheng di (9-15g), A: dang gui (6-12g), E: gan cao (3-6g) | Drains fire excess from the LV and GB, and clears and drains damp-heat from the lower burner | For Heat Excess in the LV and/or GB Channels. Also for ear pain, difficult and painful urination w/ a sensation of heat in the urethra, swollen and pruritic external genitalia, or foul-smelling leukorrhea | HA, red sore eyes, hearing loss, swelling of ears, bitter taste, hypochondriacal pain, painful hot urination, swollen pruritic genitalia, dark menses, short cycles, foul leukorrhea, irritability, short temper, dizziness | red tongue w yellow coat, wiry forceful rapid pulse |
| Xie Qing Wan | Drain the Green Pill | Clear Heat from the Organs (LV) | Qian Yi (1119): Xiao Er Yao Zheng Zhi Jue - Craft of Medicinal Treatment for Childhood Diseases | dang gui (30g), long dan cao (30g), chuan xiong (30g), zhi zi (30g), da huang (30g), qiang huo (30g), fang feng (30g) | Clears the LV and drains fire | For Constrained LV Fire with internal wind | red sore swollen eyes, dark urine, constipation, (tremors & convulsions), restlessness, irritability | flooding excessive pulse |
| Qing Dan Xie Huo Tang | Clear the Gallbladder and Drain Fire Decoction | Clear Heat from the Organs (LV) | Nankai Hospital of Tianjin (1973): Zhong Xi Yi Jie He Zhi Liao Ji Fu Zheng - Combined Chinese & Western Medical Treatment of the Acute Abdomen | chai hu (15g), huang qin (15g), ban xia (9g), yin chen hao (30g), zhi zi (9g), long dan cao (9g), yu jin (9g), mu xiang (9g), da huang (9g) near end, mang xiao (9g) dissolve | Spreads LV qi, unblocks the interior, and resolves dampness | this formula is designed to treat the fire excess-type of acute cholecystits | alternating chills and fever, bitter taste, dry mouth, pain in the hypochondria, abdominal distention | red or dark-red tongue w dry yellow coat, wiry slippery or flooding rapid pulse |
| Dang Gui Long Hui Wan | Tangkuei, Gentiana Longdancao & Aloe Pill | Clear Heat from the Organs (LV) | Zhu Dan-Xi (1280-1358): Dan Xi Xin Fa - Teachings of Dan-Xi | dang gui (30g), long dan cao (15g), zhi zi (30g), huang lian (30g), huang bai (30g), huang qin (30g), lu hui (15g), da huang (15g), mu xiang (4.5g), she xiang (1.5g), take with sheng jiang | Drains LV & GB Fire Excess | Indicated for fire excess with mania & constipation | HA, dark, rough urination, constipation, restlessness, vertigo, delirious speech, manic behavior | |
| Chai Hu Qing Gan Tang | Bupleurum Decoction to Clear the LV | Clear Heat from the Organs (LV) | Wu Qian (1742): Yi Zong Jin Jian - Golden Mirror of the Medical Tradition | chai hu (4.5g), sheng di huang (4.5g), dang gui (6g), chi shao (4.5g), chuan xiong (3g), lian qiao (6g), niu bang zi (4.5g), huang qin (3g), zhi zi (4.5g), tian hua fen (3g), fang feng (3g), gan cao (3g) | Drains fire, relieves toxicity, spreads the LV qi, and strengthens the SP | For early-stage sores along the lesser yang channel on the head. Also for clumping of fire toxin | severe HA, flushed cheeks, tinnitus, hearing loss, bad breath, coughing, viscous thick sputum, dark urine, irritability | red tongue, wiry rapid pulse |
| Zuo Jin Wan | Left Metal Pill | Clear Heat from the Organs (ST) | Zhu Dan-Xi (1280-1358): Dan Xi Xin Fa - Teachings of Dan-Xi | C: huang lian (180/15-18g), D: wu zhu yu (15-30/2-3g) | Clears LV heat, directs rebellious qi downward and stops vomiting | For Heat in the LV Channel causing LV/ST Disharmony. Also for hernial disorders | bitter taste, dry mouth, epigastric focal distention, hypochondriacal pain, indeterminate gnawing hunger, vomiting, gerd, burping | red tongue w yellow coat, wiry rapid pulse |
| Xie Huang San | Drain the Yellow Powder | Clear Heat from the Organs (ST) | Qian Yi (1119): Xiao Er Yao Zheng Zhi Jue - Craft of Medicinal Treatment for Childhood Diseases | C: shi gao (15g), C: zhi zi (3g), D: fang feng (120g), A: huo xiang ye (21g), E: gan cao (90g) | Drains smoldering fire from the SP | For Smoldering Fire in the SP; also for tongue thrusting (in children) and yellowing of the schlera | mouth ulcers, dry mouth & lips, bad breath, frequent hunger, thirst | red tongue, rapid pulse |
| Qing Wei San | Clear the Stomach Powder | Clear Heat from the Organs (ST) | Li Ao (1336): Lang Shi Mi Cang - Secrets from the Orchid Chamber | C: huang lian (1.8/3-6g), D: sheng ma (3/3-6g), A: dan pi (1.5/6-9g), A: sheng di (0.9/6-12g), A: dang gui (0.9/6-12g) | Drains ST fire, cools the blood, and nourishes the yin | For Heat Accumulation in the ST | fever, (HA extending from teeth), facial swelling, toothache, dry mouth, swollen painful tongue lips jaw, bad breath, (bleeding, sores on gums) | red tongue w little coating, slippery & large rapid pulse |
| Yu Nu Jian | Jade Woman Decoction | Clear Heat from the Organs (ST) | Zhang Jing-Yue (early 17th cent, CE): Jing Yue Quan Shu - Collected Treatises of Jing-Yue | C: shi gao (15-30g), C: shu di huang (9-30g), D: zhi mu (3-6g), D: mai men dong (6-9g), E: niu xi (3-6g) | Drains heat from the ST and nourishes the yin | For ST Heat with Yin Deficiency due to Vigorous ST Fire Injuring the KD Yin; also for Wasting and Thirsting disorder | fever, frontal HA, toothache, loose teeth, thirst for cold, bleeding gums, irritability | red tongue w dry yellow coat, floating slippery deficient large pulse |
| Bai Tou Weng Tang | Pulsatilla Decoction | Clear Heat from the Organs | Zhang Zhong-Jing (150-219): Shang Han Lun - On Cold Damage | C: bai tou weng (6g), D: huang lian (9g), D: huang bai (9g), A: qin pi (9g) | Clears heat, relieves toxicity, cools the blood, and alleviates dysenteric disorders | For Hot Dysenteric Disorder due to heat toxin searing the ST and Intestines. Also for acute eye disorders from damp-heat | abdominal pain, thirst, burning anus, tenesmus, diarrhea containing more blood than pus | red tongue w yellow coat, wiry rapid pulse |
| Qing Hao Bie Jia Tang | Artemisia Annua and Soft-shelled Turtle Decoction | Clear Deficiency Heat | Wu Ju Tong (1798): Wen Bing Tiao Bian - Systematic Differentiation of Warm Diseases | C: bie jia - 15g, C: qing hao - 6g, D: sheng di huang - 12g, D: zhi mu - 6g, A: mu dan pi - 9g | Nourishes the yin and vents heat | Heat smoldering in the yin regions of the body | morning coolness, night fever, no sweat as fever subsides, no loss of appetite, emaciation | red tongue w little coating, fine rapid pulse |
| Qing Gu San | Cool The Bones Powder | Clear Deficiency Heat | Wang Ken-Tang (1602): Zheng Zhi Zhun Sheng - Standards of Patterns and Treatments | C: yin chai hu - 4.5g, D: zhi mu - 3g, D: hu huang lian - 3g, D: di gu pi - 3g, D: qing hao - 3g, D: qin jiao - 3g, A: zhi bie jia - 3g, E: gan cao - 1.5g | Clears heat from deficiency and alleviates steaming bone disorder | Steaming bone disorder due to LV & KD yin deficiency | unremitting chronic low-grade fever or afternoon tidal fever, night sweats, dark red cheeks, red lips, dry throat, thirst, heat in bones, skin not warm to touch, lethargy, irritability, emaciation, insomnia | red tongue w little coating, thin rapid pulse |
| Xiang Ru San | Elsholtzia Powder | Release Exterior Cold / Clear Summerheat | Government Pharmacopia (1078-85): Tai Ping Hui Min He Ji Ju Fang - Imperial Grace Formulary | C: xiang ru - 480/9-12g, D: bai bian dou - 240/6-9g, A: hou po - 240/6-9g | Releases the exterior, scatters cold, transforms dampness, and harmonizes the middle burner | Exterior cold with interior dampness contracted in the summer | aversion to cold, no sweating, sensation of heaviness in head, HA, stifling sensation in the chest, abdominal pain, vomiting, diarrhea, fatigued extremities, skin is warm to the touch | white greasy tongue coat, floating pulse |
| Liu Yi San | Six-to-One Powder | Clear Summerheat | Liu Wan-Su (1120-1200): Shang Han Zhi Ge Lun Fang - Direct Investigations of Formulas for Cold-Induced Disorders | hua shi - 6pts, gan cao - 1pt | Clears summerheat, resolves dampness, and augments the qi | Summerheat with dampness in the interior | fever, sweating, thirst, urinary difficulty, irritability | thin yellow greasy tongue coat, soggy rapid pulse |
| Yi Yuan San | Benefit the Basal Powder | Clear Summerheat | Liu Wan-Su (1120-1200): Shang Han Zhi Ge Lun Fang - Direct Investigations of Formulas for Cold-Induced Disorders | hua shi - 6pts, gan cao - 1pt, zhu sha - 1pt, hu po - 2pts | Calms the mind; diuretic | Summerheat with dampness beginning to harass the HT | fever, sweating, thirst, stony LIN, irritability, palpitations w anxiety, insomnia, dream-disturbed sleep | thin yellow greasy tongue coat, soggy rapid pulse |
| Ji Su San | Peppermint Powder | Clear Summerheat | Liu Wan-Su (1120-1200): Shang Han Zhi Ge Lun Fang - Direct Investigations of Formulas for Cold-Induced Disorders | hua shi - 6pts, gan cao - 1pt, bo he - 1pt | Eliminates Summer-Heat; releases the exterior; diuretic | Summerheat w dampness in the interior plus concurrent exterior condition | aversion to cold and wind, fever, sweating, HA with a sensation of distention in the head, cough, thirst, urinary difficulty, irritability | thin yellow greasy tongue coat, soggy rapid pulse |
| Bi Yu San | Jasper Powder | Clear Summerheat | Li Wan-Su (1120-1200): Shang Han Biao Ben Xin Fa Lei Cui - Collection of Methods Related to the Manifestations and Root of Cold-induced Disorders | hua shi - 6pts, gan cao - 1pt, qing dai - 1pt | Clears heat and relieves toxicity; eliminates Summer-Heat; diuretic | Summerheat with dampness internally, plus toxicity | fever, sweating, red eyes, mouth/tongue sores, sore throat, thirst, urinary difficulty, irritability | thin yellow greasy tongue coat, soggy rapid pulse |
| Gui Ling Gan Lu Yin | Cinnamon & Poria Sweet Dew Decoction | Clear Summerheat | Liu Wan-Su (1172 CE): Huang Di Su Wen Xuan Ming Lun Fang - Formulas from the Discussion Illuminating the Yellow Emperor's Basic Questions | C: hua shi - 60g, C: gan cao - 60g, D: shi gao - 60g, D: han shui shi - 60g, D: guan gui - 60g, A: zhu ling - 15g, A: fu ling - 30g, A: ze xie - 30g, A: bai zhu - 15g | Expels summerheat, clears heat, transforms the qi, and resolves dampness | Summerheat with internal stagnation of water and dampness | fever, HA, thirst, possible vomiting, urinary difficulty with reduced urine, possible diarrhea, irritability | |
| Qing Shu Yi Qi Tang | Clear Summerheat & Augment the Qi Decoction | Clear Summerheat | Wang Meng-Ying (1852): Wen Re Jing Wei - Warp and Woof of Warm-Febrile Diseases | C: xi yang shen - 4.5-6g, C: xi gua pi - 24-30g, D: lian geng - 12-15g, D: shi hu - 12-15g, D: mai men dong - 6-9g, A: zhi mu - 4.5-6g, A: dan zhu ye - 4.5-6g, A: huang lian - 2-3g, A: gan cao - 2-3g, A: geng mi - 12-15g | Clears summerheat, augments the qi, nourishes the yin, and generates fluids | Summerheat injuring the qi and fluids | fever, profuse sweating, shortness of breath, thirst, dark scanty urine, desire to curl up, irritability, apathy | deficient rapid pulse |
| Li Shi Qing Shu Yi Qi Tang | Master Li's Decoction to Clear Summerheat & Augment the Qi | Clear Summerheat | Li Dong-Yuan (1180-1252): Pi Wei Lun - Discussion of the SP/ST | huang qi, ren shen, cang zhu, bai zhu, mai men dong, wu wei zi, ge gen, chen pi, qing pi, dang gui, sheng ma, ze xie, huang bai, shen qu, zhi gan cao | Clears summerheat, augments the qi, strengthens the SP, and dries dampness | Damp-summerheat with qi deficiency | fever, spontaneous sweating, HA, fullness in the chest, loss of appetite, thirst, dark scanty urine, loose stools, heavy body, desire to curl up | greasy tongue coat, deficient pulse |
| Da Cheng Qi Tang | Major Order the Qi Decoction | Drain Downward: Purgatives | Zhang Zhong-Jing (150-219): Shang Han Lun - On Cold Damage | C: da huang - 12g, D: mang qiao - 9-12g, A: zhi shi - 5pc/12-15g, A: hou po - 24g | Vigorously purges heat accumulation | Yang Ming organ-stage disorders | tidal fevers, sweating palms/feet, focal distention, a tense firm abdomen, abdominal fullness, pain which increases w pressure, severe constipation and flatulence, delirious speech | tongue prickles w dry yellow or black tongue coat, submerged excessive pulse |
| Xiao Cheng Qi Tang | Minor Order the Qi Decoction | Drain Downward: Purgatives | Zhang Zhong-Jing (150-219): Shang Han Lun - On Cold Damage | da huang - 12g, hou po - 6g, zhi shi - 3pc/6-9g | Moderately purges clumped heat | Relatively mild Yang Ming organ-stage disorders; or early-stage dysenteric disorders | tidal fever, focal distention, abdominal fullness, abdominal pain that doesn't increase with pressure, constipation | dirty dry yellow tongue coat, slippery rapid pulse |
| Tiao Wei Cheng Qi Tang | Regulate the ST & Order the Qi Decoction | Drain Downward: Purgatives | Zhang Zhong-Jing (150-219): Shang Han Lun - On Cold Damage | da huang - 12g, gan cao - 6g, mang xiao - 9-12g | Mildly purges clumped heat | Mild constipation due to Yang Ming-stage heat; or heat in the Stomach and Intestines | nose bleed, swollen gums, swollen throat, absence of focal distention, absence of abdominal fullness, irritability | tongue petechiae, slippery rapid pulse |
| Da Huang Gan Cao Tang | Rhubarb & Licorice Decoction | Drain Downward: Purgatives | Zhang Zhong-Jing (150-219): Jin Gui Yao Lue - Essential Prescriptions from the Golden Coffer | da huang - 12g, gan cao - 3g | Unblocks the bowels, purges, harmonizes the ST, and stops vomiting | Heat clumping in the Intestines and fire rising to disturb the ST | vomiting, constipation | |
| Zeng Ye Cheng Qi Tang | Increase the Fluids & Order the Qi Decoction | Drain Downward: Purgatives | Wu Ju Tong (1798): Wen Bing Tiao Bian - Systematic Differentiation of Warm Diseases | xuan shen - 30g, mai men dong - 24g, sheng di huang - 24g, da huang - 9g, mang xiao - 4.5g | Enriches the yin, generates fluids, drains heat, and unblocks the bowels | Yang Ming organ-stage disorders with yin deficiency | dry mouth, dry throat, abdominal fullness , thirst, severe constipation not relieved by regular purgative method, dry immobile stools | |
| Da Huang Mu Dan Tang | Rhubarb & Moutan Decoction | Drain Downward: Purgatives | Zhang Zhong-Jing (150-219): Jin Gui Yao Lue - Essential Prescriptions from the Golden Coffer | C: da huang - 12g, D: mang xiao - 9-12g, D: mu dan pi - 3g, A: tao ren - 9-15g, A: dong gua ren - 15-30g | Drains heat, breaks up blood stasis, disperses clumping, and reduces swelling | Early-stage intestinal abscess; or damp-heat accumulating in the Intestines | alternating chills and intermittent fever, sweating w chills, lower abdominal distention pain (usually in LRQ) that increases w pressure, rebound tenderness and guarding, LRQ mass, groin pain relieved by hip flex, made worse by hip extention | thin yellow greasy tongue coat, slippery rapid pulse |
| Liang Ge San | Cool the Diaphragm Powder | Drain Downward: Purgatives | Government Pharmacopia (1078-85): Tai Ping Hui Min He Ji Ju Fang - Imperial Grace Formulary | da huang - 600g, mang xiao - 600g, gan cao - 600g, huang qin - 300g, zhi zi - 300g, lian qiao - 1200g, bo he - 300g | Drains fire an dunblocks the bowels by clearing th eupper burner and draining the middle burner | Formed or accumulated heat in the middle burner and unformed or blazing heat in the upper burner | flushed face, red eyes, nose bleed, red lips, mouth and tongue sores, sore throat, heat & irritability in chest and abdomen, thirst, dark scanty urine, constipation, delirious speech | red tongue (or red edges) swollen tongue w dry yellow or white coat, (slippery) rapid pulse |
| Da Xian Xiong Tang | Major Sinking into the Chest Decoction | Drain Downward: Purgatives | Zhang Zhong-Jing (150-219): Shang Han Lun - On Cold Damage | C: gan sui - 0.3-0.6g, D: da huang - 18g, D: mang xiao - 9-12g | Drains heat and drives out water by flushing downward | Clumping heat in the chest (jie xiong zheng) which arises when heat and internal accumulation of water & fluids clump in the chest interrupting flow of qi in the trunk | tidal fever at dusk, shortness of breath, epigastric fullness & hardness, fullness & hardness of the entire abdomen w severe pain that becomes unbearable upon even the slightest amount of pressure, thirst, severe constipation, irritability | very dry tongue coat, submerged tight and forceful pulse |
| Ma Zi Ren Wan | Hemp Seed Pill | Drain Downward: Moisten Intestines | Zhang Zhong-Jing (150-219): Shang Han Lun - On Cold Damage | C: huo ma ren - 500-600g, D: xing ren - 150-250g, D: shao yao - 150-250g, A: zhi shi - 150-250g, A: hou po - 150-250g, A: da huang - 300-500g, honey | Moisten the intestines, drain heat, promote the movement of qi, unblock the bowels | ST heat binding the SP: dryness & heat in the ST and Intestines accompanied by deficiency of body fluids | frequent urination, constipation, hard stool that is difficult to expel | dry yellow tongue coat, submerged rapid or floating choppy pulse |
| Wu Ren Wan | Five-Seed Pill | Drain Downward: Moisten Intestines | Wei Yi-Lin (1345) Shi Yi De Xiao Fang - Effective Formulas from Generations of Physicians | tao ren - 15g, xing ren - 30g, bai zi ren - 3.8g, song zi ren - 3g, yu li ren - 3g, chen pi - 120g, honey | Lubricates the intestines, facilitates bowel movements | Constipation and dry stool caused by severe body fluid deficiency | dry mouth, thirst with a desire to drink, constipation, dry stool | |
| Run Chang Wan (Master Shen's) | Moisten the Intestines Pill | Drain Downward: Moisten Intestines | Shen Jin-Ao (1773): Shen Shi Zun Sheng Shu - Master Shen's Book for Revering Life | huo ma ren - 15g, tao ren - 9g, dang gui - 9g, sheng di huang - 30g, zhi ke - 9g, honey | Moisten the intestines and unblock the bowels | Desicated Intestines | parched mouth, unquenchable thirst, constipation, lusterless nails, lusterless skin | dry tongue, thin pulse |
| Run Chang Wan (from the 'Pi Wei Lun') | Moisten the Intestines Pill | Drain Downward: Moisten Intestines | Li Yuan Su (1249) Pi Wei Lun - Discussion of the SP and ST | da huang - 15g, dang gui wei - 15g, qiang huo - 15g, tao ren - 30g, huo ma ren - 37.5g, honey | Moisten dryness, harmonize the blood, disperses wind | Constipation characterized by blood deficiency | loss of appetite, blood deficient constipation (habitual dry hard stools), lethargy, palpitations, dizziness | |
| Ji Chuan Jian | Benefit the River Decoction | Drain Downward: Moisten Intestines | Zhang Jing-Yue (early 17th cent, CE): Jing Yue Quan Shu - Collected Treatises of Jing-Yue | C: rou cong rong - 6-9g, D: dang gui - 9-15g, D: niu xi - 6g, A: ze xie - 4.5g, E: zhi ke - 3g, E: sheng ma - 1.5-3g | Warm the KD, moisten the intestines, unblock the bowels | KD Yang deficiency leading to constipation | copious clear urine, constipation, lower back pain, cold lumbus, sore weak knees, cold extremities, dizziness, vertigo | |
| Da Huang Fu Zi Tang | Rhubarb and Prepared Aconite Decoction | Drain Downward: Warm the Yang | Zhang Zhong-Jing (150-219): Jin Gui Yao Lue - Essential Prescrip-tions from the Golden Coffer | C: zhi fu zi - 6-12g, D: da huang - 9g, A: xi xin - 6g | Warm the interior, disperse cold, unblock the bowels, alleviate pain | Cold accumulation in the Interior | chills, low-grade fever, hypochondriacal pain, abdominal pain, constipation, cold hands and feet | white greasy tongue coat, submerged tight wiry pulse |
| San Wu Bei Ji Wan | Three Substance Pill for Emergencies | Drain Downward: Warm the Yang | Zhang Zhong-Jing (150-219): Jin Gui Yao Lue - Essential Prescrip-tions from the Golden Coffer | C: ba dou - 30g, D: gan jiang - 30g, A: da huang - 30g | Harshly purges cold accumulation | Sudden severe cold accumulation attributed to cold food stagnating in the ST & Int where it completely blocks the flow of qi | cyanotic complexion, rough uneven breathing, sudden severe abdominal & epigastric pain and distention, constipation, no bowel movements, possible loss of consciousness | bluish purple tongue w white coat, submerged tight pulse |
| Wen Pi Tang | Warm the SP Decoction | Drain Downward: Warm the Yang | Sun Si-Miao (650 CE): Qian Jin Yao Fang - Thousand Ducat Formulas | C: da huang - 12g, A: ren shen - 6g, E: gan cao - 6g, D: gan jiang - 6g, C: fu zi - 9g | Warms and tonifies the SP yang and purges cold accumulation | SP yang deficiency with accumulation of cold | abdominal pain that is relieved by warmth, epigastric rigidity, constipation, or dysentery with both pus and blood, cold extremities | white tongue coat, submerged wiry pulse |
| Shi Zao Tang | Ten Jujubae Decoction | Drain Downward: Drive out Excess Water | Zhang Zhong-Jing (150-219): Shang Han Lun - On Cold Damage | gan sui - 33%, jing da ji - 33%, yuan hua - 33%, da zao - 10pc | Purges and drives out congested fluids | Suspended congested fluids clogging the interior, excess water accumulation | HA, shortness of breath, cough, chest pain, hypochondriac pain, hard focal distention in the epigastrium, dry heaves, vertigo | white slippery tongue coat, submerged wiry pulse |
| Zhou Che Wan | Vessel & Vehicle Pill | Drain Downward: Drive out Excess Water | Zhang Jing-Yue (early 17th cent, CE): Jing Yue Quan Shu - Collected Treatises of Jing-Yue | gan sui - 30g, yuan hua - 30g, jing da ji - 30g, qian niu zi - 120g, da huang - 60g, qing pi - 15g, chen pi - 15g, bing lang - 15g, mu xiang - 15g, qing fen - 3g | Promotes the movement of qi and harshly drives out water and heat accumulation | Water accumulation accompanied by heat formation and qi stagnation | labored breathing, hard abdomen, thirst, scanty urine, constipation, ascites and watery distention in the robust patient, edema | submerged forceful rapid pulse |
| Xiao Chai Hu Tang | Minor Bupleurum Decoction | Harmonize Shao-Yang Stage Disorders | Zhang Zhong-Jing (150-219): Shang Han Lun - On Cold Damage | C: chai hu - 24g, D: huang qin - 9g, A: ban xia - 24g, A: sheng jiang - 9g, A: ren shen - 9g, A: zhi gan cao - 9g, A: da zao - 12pc | Harmonizes and releases shaoyang-stage disorders | This is shaoyang-stage of the six stages or disease, or the half-exterior, half-interior aspect of the eight parameters of disease | alternating chills & fever, bitter or sour taste in mouth, dry throat, difficulty taking deep breaths, fullness in the chest and hypochondrium, reduced appetite, heartburn, nausea and vomiting, irritability, dizziness | thin white tongue coat, wiry pulse |
| Chai Hu Gui Zhi Tang | Bupleurum & Cinnamon Twig Decoction | Harmonize Shao-Yang Stage Disorders | Zhang Zhong-Jing (150-219): Shang Han Lun - On Cold Damage & Jin Gui Yao Lue - Essentials from the Golden Cabinet | gui zhi - 4.5g, huang qin - 4.5g, ren shen - 4.5g, gan cao - 3g, ban xia - 6-9g, shao yao - 4.5g, chai hu - 12g, sheng jiang - 4.5g, da zao - 6pc | Releases muscle layer & exterior; release & harmonize shaoyang-stage disorders | For shaoyang-stage disorders where ext has not been completely released w crack-ling joint pain (wind in the joints); also for epigastric pain (LV & SP disharmony) | chills, fever, abdominal pain, feeling of obstruction beneath the heart, nausea, joint pain with a 'crackling' sensation | |
| Chai Hu Si Wu Tang | Bupleurum & Four-Substance Decoction | Harmonize Shao-Yang Stage Disorders | Zhang Yuan-Su (1186): Su Wen Bing Ji Qi Yi Bao Ming Ji - Collection of Writings on Mechanisms of Illness, Suitability of Qi & Safeguarding of Life | chai hu - 24g, huang qin - 9g, ban xia - 9g, zhi gan cao - 9g, ren shen - 9g, bai shao - 45g, shu di huang - 45g, dang gui - 45g, chuan xiong - 45g | Harmonizes jueyin & shaoyang channels; moves and nourishes blood | Externally-contracted pathogenic influences which penetrate to the terminal yin stage; also for chronic consumptive disorders | alternating chills and, fever, pain extending from the chest to the back (worse at night) | pale tongue w dark purple spots, wiry thin pulse |
| Da Chai Hu Tang | Major Bupleurum Decoction | Harmonize Shao-Yang Stage Disorders | Zhang Zhong-Jing (150-219): Shang Han Lun - On Cold Damage | C: chai hu - 24g, D: huang qin - 9g, D: zhi shi - 6-9g, D: da huang - 6g, A: bai shao - 9g, A: ban xia - 24g, E: sheng jiang - 15g, E: da zao - 12pc | Harmonizes & releases the shaoyang; drains internal clumping due to heat | This is a concurrent shaoyang and yangming disorder | alternating chills & fever, bitter taste in mouth, fullness in chest and hypochondrium w or w/out pain, epigastric hard focal distention & pain, nausea, continuous vomiting, burning diarrhea or no BM, slight irritability, despondency | yellow tongue coat, wiry forceful pulse |
| Hao Qin Qing Dan Tang | Artemisia Annua & Scutellaria Decoction to Clear the GB | Harmonize Shao-Yang Stage Disorders | Yu Gen-Chu (Qing): Chong Ding Tong Su Shang Han Lun - Revised Popular Guide to the Discussion of Cold-induced Disorders | C: qing hao - 4.5-6g, C: huang qin - 4.5-9g, D: zhu ru - 9g, D: zhi ke - 4.5g, D: chen pi - 4.5g, D: ban xia - 4.5g, A: chi fu ling - 9g, A: Bi Yu San (hua shi - 6pt, gan cao - 1pt, qing dai - 1pt) | Clears GB heat, harmonizes the ST qi, and transforms phlegm | This is damp-heat and turbid phlegm in the shaoyang channels battling the protective and nutritive qi to penetrate deeper into the body | alternating mild chils with, pronounced fever, bitter taste in mouth, stifling chest sensation, distention and pain in chest & hypochondrium, thirst w or w/out desire to drink, spitting up bitter sour fluids (vomit yellow brackish fluids or dry heaves) | red tongue w thick white or yellow greasy coat, soggy wiry or slippery in right pulse position, wiry in left pulse position |
| Da Yuan Yin | Reach the Membrane Source Decoction | Harmonize Shao-Yang Stage Disorders | Wu You-Xing (1642): Wen Yi Lun - Discussion of Epidemic Warm Diseases | C: cao guo - 1.5g, C: hou po - 3g, C: bing lang - 6g, D: huang qin - 3g, D: zhi mu - 3g, D: bai shao - 3g, E: gan cao - 1.5g | Spreads the qi and penetrates to the membrane source | A half-exterior, half-interior disorder caused by an epidemic pathogenic influence entering the membrane source (mo yuan) | alternating strong chills and strong fever, HA, stifling sensation in the chest, nausea and vomiting, irritability | deep red tongue edges w thick foul pasty tongue coat, wiry rapid pulse |
| Yin Qiao Ma Bo San | Honeysuckle, Forsythia & Puffball Powder | Clear Heat from the Organs (LU) | Wu Ju-Tong (18th Century CE): Wen Bing Tiao Bian - Systematic Differentiation of Warm Diseases | C: jin yin hua (15g), C: lian qiao (30g), D: niu bang zi (18g), D: she gan (9g), D: ma bo (9g), A: lu gen (18g) | Clears heat, relieves toxicity, and drains heat from the LU to improve the functioning of the throat | For Damp-Heat Collecting in the LU. This is called "painful obstruction of the throat" (hou bi) | severe sore throat with difficulty swallowing | red tongue w thick white or yellow coat, (floating) slippery rapid pulse |
| Ma Xing Shi Gan Tang | Ephedra, Apricot Kernel, Gypsum & Licorice Decoction | Clear Heat from the Organs (LU) | Zhang Zhong-Jing (150-219): Shang Han Lun - On Cold Damage | C: ma huang (12g), C: shi gao (48g), D: xing ren (50pc/18g), E: zhi gan cao (6g) | Facilitates the flow of LU qi, clears heat, and calms wheezing by directing rebellious qi downward | For Heat Lodged in the LU, especially useful in children | fever, sweat or no sweat, nasal flaring & pain, wheezing, laboured breathing, coughing, thirst | yellow tongue coating, slippery rapid pulse |
| Yue Bi Tang | Maidservant from Yue Decoction | Clear Heat from the Organs (LU) | Zhang Zhong-Jing (150-219): Jin Gui Yao Lue - Essential Prescriptions from the Golden Coffer | ma huang (18g), shi gao (48g), sheng jiang (9g), gan cao (6g), da zao (15pc) | Induces sweating, disseminates the LU qi, and moves water | For Wind Edema | aversion to wind, slight fever, slight but continuous sweat, generalized edema, begins in face | floating pulse |
| Yue Bi Jia Zhu Tang | Maidservant from Yue Decoction Plus Atractylodes | Clear Heat from the Organs (LU) | Zhang Zhong-Jing (150-219): Jin Gui Yao Lue - Essential Prescriptions from the Golden Coffer | ma huang (18g), shi gao (48g), sheng jiang (9g), gan cao (6g), bai zhu (12g), da zao (15pc) | Induces sweating, disseminates the LU qi, and moves water | For wind edema (This is a more severe condition than that indicated by Yue Bi Tang) | chills, fever, edematous orbits, reduced urination, wind edema, sore heavy limbs, floating or submerged, slippery | |
| Xie Bai San (Qian Yi) | Drain the White Powder | Clear Heat from the Organs (LU) | Qian Yi (1119): Xiao Er Yao Zheng Zhi Jue - Craft of Medicinal Treatment for Childhood Diseases | C: chao sang bai pi (30g), D: di gu pi (30g), A: zhi gan cao (3g), A: geng mi (15-30g) | Drains heat from the LU and calms wheezing | For Smouldering Fire due to Constrained Heat in the LU (especially useful in children); also for inverted menses | fever, dry mouth, wheezing, coughing, little or difficult-to-expectorate sputum, skin feels hot to the touch | red tongue w yellow coat, thin rapid pulse |
| Xie Bai San (Wang Ken-Tang) | Drain the Whie Powder | Clear Heat from the Organs (LU) | Wang Ken-Tang (1602): Zheng Zhi Zhun Sheng - Standards of Patterns and Treatments | sang bai pi (6g), di gu pi (3g), zhi gan cao (3g), zhe bei mu (3g), jie geng (3), gua lou ren (4.5g), sheng jiang (3pc) | Drains heat from the LU, transforms phlegm and pus, stops coughing | For Early-Stage LU Abscess | coughing, expectoration of dark-green or blood-streaks pus (worse in the morning) | |
| Wei Jing Tang | Reed Decoction | Clear Heat from the Organs (LU) | Sun Si-Miao (652 CE): Qian Jin Yao Fang - Thousand Ducat Formulas | C: lu gen (30g), D: yi yi ren (30g), D: dong gua ren (24g), A: tao ren (9g) | Clears heat from the LU, transforms phlegm, drives out blood stasis, and discharges pus | For LU Abscess from Heat-toxin Obstructing the LU. Also for eye disorders due to upward-blazing of heat toxin | slight fever, cough, foul-smelling sputum (may be blood-streaked), mild chest pain, dry scaly skin | red tongue w greasy yellow coat, slippery rapid pulse |
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