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PCOM #30

PCOM Herbs 6 - Midterm

CategoryFormulaSourceIngredientsActionsPatternIndicationsT&PWMC
Regulate and Harmonize the LV & SP Si Ni San* / Frigid Extremities Powder (145) Zhang Zhong-Jing (150-219): Shang Han Lun — On Cold Damage (C) Chai Hu - 9-12g, (D) Zhi Shi - 9-12g, (A) Bai Shao - 12-24g, (E) Zhi Gan Cao - 6-9g Vents pathogenic influences, releases constraint, spreads the LV qi, and regulates the SP Yang- or hot-type collapse (yang jue), which is most commonly due to heat entering the interior where it constrains the yang qi cold fingers and toes (although the body is warm) sometimes accompanied by a sensation of irritability and fullness in the chest and epigastrium, there may also be abdominal pain and / or severe diarrhea T: red with a yellow coating, P: wiry gastritis, peptic ulcer, cholecystitis, cholelithiasis, hepatitis, intestinal obstruction, mastitis, fibrocycstic breasts
Regulate and Harmonize the LV & SP Chai Hu Shu Gan Tang* / Bupleurum Powder to Spread the LV (146) Zhang Jing-Yue (early 17th cent, CE): Jing Yue Quan Shu — Collected Treatises of Jing-Yue Chen Pi - 6g, Chai Hu - 6g, Chuan Xiong - 4.5g, Zhi Ke - 4.5g, Bai Shao - 4.5g, Zhi Gan Cao - 1.5g, Xiang Fu - 4.5g Spreads the LV qi, harmonizes the blood, alleviates pain Constraint and clumping of LV qi hypochondriac pain and alternating fever and chills, also for PMS or dysmenorrhea.
Regulate and Harmonize the LV & SP Xiao Yao San* / Rambling Powder (147) Government Pharmacopia (1078-85): Tai Ping Hui Min He Ji Ju Fang — Imperial Grace Formulary (C) Chai Hu - 30g (9g), (D) Dang Gui - 30g (9g), (D) Bai Shao - 30g (9g), (A) Bai Zhu - 30g (9g), (A) Fu Ling - 30g (9g), (A) Zhi Gan Cao - 15g (6g), (E) Wei Jiang - 6g, (E) Bo He - 3g Spreads the LV qi, stengthens the SP, and nourishes blood LV constraint with blood deficiency; especially useful in women hypochondriac pain, HA, vertigo, a bitter taste in the mouth, dry mouth and throat, fatigue, reduced appetite, there may also be alternating fever and chills, and irregular menstruation or distended breasts T: pale-red, P: wiry, deficient hepatitis, pleurisy, chronic gastritis, peptic ulcer, anemia, functional uterine bleeding, menopausal syndrome, PID, fibrocystic breasts, neurasthenia, optic nerve atrophy, central retinitis
Regulate and Harmonize the LV & SP Jia Wei Xiao Yao San* / Augmented Rambling Powder (148) ed. Wen Sheng (mid 19th cent): Nei Ke Zhai Yao — Summary of Internal Medicine Dang Gui - 3g, Shao Yao - 3g, Fu Ling - 3g, Chao Bai Zhu - 3g, Chai Hu - 3g, Mu Dan Pi - 1.5g, Zhi Zi - 1.5g, Zhi Gan Cao - 1.5g, Sheng Jiang, Bo He, (Che Qian Zi) Spreads the LV qi, strengthens the SP, nourishes the blood, clears heat LV constraint with SP deficiency that transforms into heat irritability, a short termper with possible tidal fever and sweating, red eyes, dry mouth, palpitations, lower abdominal pressure, difficult painful urination and increased menstrual flow or uterine bleeding
Regulate and Harmonize the LV & SP Tong Xie Yao Fang* / Imported Formula for Painful Diarrhea (149) Zhang Jing-Yue (early 17th cent, CE): Jing Yue Quan Shu — Collected Treatises of Jing-Yue (C) Chao Bai Zhu - 90g (9-12g), (C) Chao Bai Shao - 60g (6-24g), (D) Chao Chen Pi - 45g (4.5-9g), (A) Fang Feng - 30-60g (3-6g) Spreads the LV qi and tonifies the SP SP deficiency leading to an overcontrolling LV, leading to painful diarrhea recurrent problems of borborygmus, abdominal pain, diarrhea w pain (which starts with the urge to defecate and subsides after completion) T: thin white tongue coat, P: wiry, moderate or wiry, thin pulse acute gastroenteritis, bacillar dysentery, hyperthyroidism, irritable bowel syndrome, and colitis
Harmonize the ST & Intestines Ban Xia Xie Xin Tang* / Pinellia Decoction to Drain the Epigastrium (150) Zhang Zhong-Jing (150-219): Shang Han Lun — On Cold Damage (C) Ban Xia - 9g (12g), (D) Gan Jiang - 9g, (D) Huang Qin - 9g, (D) Huang Lian - 3g, (A) Ren Shen - 9g, (A) Da Zao - 12pc (4pc), (E) Zhi Gan Cao - 9g (6g) Harmonizes the ST, directs rebellious qi downward, disperses clumping, and eliminates focal distention ST qi disharmony due to a cold-heat complex in the middle jiao; a form of internal clumping Epigastric focal distention, fullness and tightness w very slight or no pain, dry heaves or frank vomiting, borborygmus w diarrhea, reduced appetite T: thin, greasy yellow coat, P: wiry, rapid acute gastroenteritis, chronic gastritis, chronic hepatitis, early-stage cirrhosis, indigestion or gastric ulcers due to hypersecretion of acid
Harmonize the ST & Intestines Gan Cao Xie Xin Tang / Licorice Decoction to Drain the Epigastrium (152) Zhang Zhong-Jing (150-219): Shang Han Lun — On Cold Damage Zhi Gan Cao - 12-15g, Ban Xia - 9g (12g), Gan Jiang - 9g, Huang Qin - 9g, Huang Lian - 3g, [Ren Shen - 9g], Da Zao - 12pc (4pc) Harmonizes the ST, directs rebellious qi downward, disperses clumping, and eliminates focal distention More severe ST qi disharmony Similar to the presentation of Ban Xia Xie Xin Tang, but w diarrhea w undigested food & irritability acute gastroenteritis, chronic gastritis, chronic hepatitis, early-stage cirrhosis, indigestion or gastric ulcers due to hypersecretion of acid
Harmonize the ST & Intestines Sheng Jiang Xie Xin Tang / Fresh Ginger Decoction to Drain the Epigastrium Tang (152) Zhang Zhong-Jing (150-219): Shang Han Lun — On Cold Damage Sheng Jiang - 12g, Ban Xia - 9g, Gan Jiang - 3g, Huang Qin - 9g, Huang Lian - 3g, Ren Shen - 9g, Da Zao - 12pc (4pc), Zhi Gan Cao - 9g (6g) Harmonizes the ST, directs rebellious qi downward, disperses clumping, and eliminates focal distention For water and heat complexes, or ST deficiency with food stagnation and suspended fluids lingering internally Similar to the presentation of Ban Xia Xie Xin Tang, but w food stagnation and suspended fluids lingering internally
Invigorate Blood and Dispel Stasis Gui Zhi Fu Ling Wan* / Cinnamon Twig and Poria Pill (322) Zhang Zhong-Jing (150-219): Jin Gui Yao Lue — Essential Prescriptions from the Golden Coffer (C) Gui Zhi - 9-12g, (C) Fu Ling - 9-12g, (D) Shao Yao - 9-15g, (A) Mu Dan Pi - 9-12g, (A) Tao Ren - 9-12g, (E) Feng Mi (honey) Invigorates the blood, transforms blood stasis, and reduces fixed abdominal masses. Blood stasis in the Womb. Manifestations include a restless fetus disorder mild, persistent uterine bleeding of purple or dark blood during pregnancy accompanied by abdominal pain that increases w pressure. Also for such problems as immobile masses in the lower abdomen w pain and tenderness, abdominal spasms and tension, amenorr T: dark w stasis spots, P: submerged, choppy primary dysmenorrhea, leiomyoma (uterine fibroids), cervical erosion, ovarian cysts, chronic salpingitis, chronic pelvic inflammatory disease, endometriosis, and lochioschesis
Invigorate Blood and Dispel Stasis Tao He Cheng Qi Tang* / Peach Pit Decoction to Order the Qi (312) Zhang Zhong-Jing (150-219): Shang Han Lun — On Cold Damage (C) Tao Ren - 50pc (12-15g), (C) Jiu Zhi Da Huang - 12g, (D) Gui Zhi - 6g, (A) Mang Xiao - 6g, (E) Zhi Gan Cao - 6g Drains heat and breaks up blood stasis. Blood buildup (xu xue) in the lower burner, caused by the accumulation of blood stasis and heat. Also used for such disorders as intractable pain after trauma, amenorrhea, and severe wheezing with distention of the chest acute lower abdominal pain, incontinence of urine, nighttime feverishness, delirious speech, irritability, restlessness and thirst, in severe cases there may be manic behavior. Women will usually experience amenorrhea or dysmenorrhea. P: submerged, full or choppy acute endometritis, retained placenta, PID, and intestinal obstruction
Invigorate Blood and Dispel Stasis Xue Fu Zhu Yu Tang* / Drive Out Stasis in the Mansion of Blood Decoction (314) Wang Qing-Ren (1830): Yi Lin Gai Cuo — Corrections of Errors Among Physicians (C) Tao Ren - 12g, (C) Hong Hua - 9g, (D) Dang Gui - 9g, (C) Chuan Xiong - 4.5g, (D) Chi Shao - 6g, (D) Chuan Niu Xi - 9g, (A) Chai Hu - 3g, (A) Jie Geng - 4.5g, (A) Zhi Ke - 6g, (A) Sheng Di - 9g, (E) Gan Cao - 3g Invigorates the blood, dispels blood stasis, spreads the qi of the LV, and unblocks the channels. Blood stasis in the "mansion of blood" (chest) w impairment of blood flow in the area above the diaphragm. This condition is complicated by constrained LV qi pain in the chest and hypochondria, chronic stubborn HA w a fixed piercing quality, chronic incessant hiccough, a choking sensation when drinking, dry heaves, depression or low spirits accompanied by a sensation of warmth in the chest, palpitations, insom T: dark-red with dark spots on the sides of the tongue, P: choppy or wiry, tight pulse coronary artery disease, rheumatic valvular heart disease, hypertension, cor pulmonale, intercostal neuralgia, costochondritis, post-concussion syndrome, migraine, trigeminal neuralgia, psychosis, menopausal syndrome, primary dysmenorrhea, and urticaria.
Invigorate Blood and Dispel Stasis Tong Qiao Huo Xue Tang / Unblock the Orifices & Invigorate the Blood Decoction (315) Wang Qing-Ren (1830): Yi Lin Gai Cuo — Corrections of Errors Among Physicians Chi Shao - 3g, Chuan Xiong - 3g, Tao Ren - 9g, Hong Hua - 9g, Cong Bai - 3g, Da Zao - 7pc, Sheng Jiang - 9g, She Xiang - 0.15g small amount of white wine Invigorates the blood, dispels blood stasis, and opens up the orifices Accumulation of blood stasis in the head, face, and upper part of the body HA and vertigo, chronic tinnitus, hair loss, dark purple complexion, darkness around the eyes, and "brandy" nose; also for childhood nutritional impairment w progressive emaciation, abdominal distention, purplish discoloration of the sinews, tidal fever,
Invigorate Blood and Dispel Stasis Ge Xia Zhu Yu Tang* / Drive Out Stasis Below the Diaphragm Decoction (316) Wang Qing-Ren (1830): Yi Lin Gai Cuo — Corrections of Errors Among Physicians Chao Wu Ling Zhi - 9g, Dang Gui - 9g, Chuan Xiong - 6g, Tao Ren - 9g, Mu Dan Pi - 6g, Chi Shao - 6g, Wu Yao - 6-12g, Yan Hu Suo - 3g, Gan Cao - 9g, Xiang Fu - 4.5g, Hong Hua - 9g, Zhi Ke - 4.5g Invigorates the blood, dispels blood stasis, promotes the movement of qi, and alleviates pain Blood stasis and LV qi stagnation in the area below the diaphragm palpable abdominal masses accompanied by fixed pain, or abdominal masses which are visible when lying down
Invigorate Blood and Dispel Stasis Shao Fu Zhu Yu Tang* / Drive Out Stasis from the Lower Abdomen Decoction (316) Wang Qing-Ren (1830): Yi Lin Gai Cuo — Corrections of Errors Among Physicians Chao Xiao Hui Xiang - 1.5g, Chao Gan Jiang - 0.6g, Yan Hu Suo - 3g, Dang Gui - 9g, Chuan Xiong - 3g, Mo Yao - 3g, Guan Gui - 3g, Chi Shao - 6g, Pu Huang - 9g, Chao Wu Ling Zhi - 6g Invigorates the blood, dispels blood stasis, warms the menses, and alleviates pain Blood stasis accumulating in the lower abdomen palpable masses which 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 (3-5 times per month) with dark This formula has been used successfully in treating cirrhosis of the liver with edema by adding Sheng Di Huang, Xiang Fu, Wu Yao, Tao Ren, Hong Hua, and Si Gua Luo
Invigorate Blood and Dispel Stasis Shen Tong Zhu Yu Tang* / Drive Out Stasis from a Painful Body Decoction (316) Wang Qing-Ren (1830): Yi Lin Gai Cuo — Corrections of Errors Among Physicians Qin Jiao - 3g, Chuang Xiong - 6g, Tao Ren - 9g, Hong Hua - 9g, Gan Cao - 6g, Qiang Huo - 3g, Mo Yao - 6g, Dang Gui - 9g, Chao Wu Ling Zhi - 6g, Xiang Fu - 3g, Chuan Niu Xi - 9g, Di Long - 6g Invigorates the blood, promotes the movement of qi, dispels blood stasis, unblocks the collaterals, unblocks painful obstruction, and alleviates pain Painful obstruction due to the obstruction of qi and blood in the channels and collaterals shoulder pain, arm pain, lower back pain, leg pain or other chronic aches and pains of the body
Invigorate Blood and Dispel Stasis Bu Yang Huan Wu Tang* / Tonify the Yang to Restore Five [Tenths] Decoction (320) Wang Qing-Ren (1830): Yi Lin Gai Cuo — Corrections of Errors Among Physicians (C) Huang Qi - 120g, (D) Dang Gui (Wei) - 6g, (D) Chuan Xiong - 3g, (D) Chi Shao - 4.5g, (A) Tao Ren - 3g, (A) Hong Hua - 3g, (A) Di Long - 3g Tonifies the qi, invigorates the blood, and unblocks the channels Deficiency of the normal qi and the yang qi, together with blood stasis obstructing the channels sequelae of wind-stroke including hemiplegia, paralysis, and atrophy of the lower limbs, facial paralysis, slurred speech, drooling, dry stools, frequent urination or urinary incontinence. T: white coat; P: moderate sequelae of cerebrovascular accident, sequelae of poliomyelitis, acute myelitis, sciatica and thromboangiitis obliterans (Buerger's Disease)
Invigorate Blood and Dispel Stasis Shi Xiao San* / Sudden Smile Powder (316) Government Pharmacopia (1078-85): Tai Ping Hui Min He Ji Ju Fang — Imperial Grace Formulary Wu Ling Zhi - 50%, Pu Huang - 50% + white wine or vinegar Invigorates the blood, dispels blood stasis, disperses accumulation, and alleviates pain Retention of blood stasis which obstructs the vessels that serve the lower abdomen irregular menstruation, dysmenorrhea, retention of the lochia, post partum abdominal pain, acute colicky pain in the lower abdomen, severe pain in the middle abdomen, or epigastric pain
Warm the Menses and Dispel Blood Stasis Sheng Hua Tang* / Generation and Transformation Decoction (323) Fu Shan Qing-Zhu (1827): Fu Qing Zhu Nu Ke — Women's Diseases According to Fu Qing-Zhu (C) Dang Gui - 24g, (D) Chuan Xiong - 9g, (D) Tao Ren - 14pc (6-9g), (A) Pao Jiang - 1.5g, (A) Zhi Gan Cao - 1.5g, (A) Yellow Wine + Urine Invigorates the blood, transforms & dispels blood stasis, warms the menses, and alleviates pain. Blood stasis in the womb post partum due to cold entering the abdomen retention of the lochia accompanied by cold and pain in the lower abdomen T: pale-purple or pale body w purple spots; P: thin, submerged and choppy retention of placental fragments within the uterus, lochioschesis, painful post partum uterine contractions and chronic endometritis
Warm the Menses and Dispel Blood Stasis Wen Jing Tang* / Warm the Menses Decoction (324) Zhang Zhong-Jing (150-219): Jin Gui Yao Lue — Essential Prescriptions from the Golden Coffer (C) Wu Zhu Yu - 9g, (C) Gui Zhi - 6g, (D) Dang Gui - 9g, (D) Chaun Xiong - 6g, (D) Shao Yao - 6g, (D) E Jiao - 6g, (D) Mai Men Dong - 9g, (A) Mu Dan Pi - 6g, (A) Ren Shen - 6g, (E) Gan Cao - 6g, (A) Sheng Jiang - 6g, (A) Ban Xia - 6g Warms the menses, dispels cold, nourishes the blood, and dispels blood stasis. Deficiency and cold of the Conception (Ren) and Penetrating (Chong) vessels together with obstruction due to stasis of blood. 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, a functional uterine bleeding, irregular menstruation, primary dysmenorrhea, infertility, polycystic ovaries, chronic pelvic inflammatory disease, and menopausal syndrome
Invigorate the Blood in the Treatment of Traumatic Injury Fu Yuan Huo Xue Tang* / Revive Health by Invigorating the Blood Decoction (326) Li Ao (Jin-Tartar): Yi Xue Fa Ming — Medical Innovations (C) Dang Gui - 9g, (C) Tao Ren - 9g, (C) Hong Hua - 6g, (C) Chuang Shan Jia - 6g, (C) Jiu Zhi Da Huang - 30g, (D) Tian Hua Fen - 9g, (A) Chai Hu - 15g, (E) Gan Cao - 6g Invigorates the blood, dispels blood stasis, spreads the LV qi and unblocks the channels traumatic physical injury which results in blood leaving the vessels. Overflow of blood from the vessels remains localized and forms an internal obstruction which causes pain. excruciating pain associated w traumatic injury, especially in the chest, hypochondria or flanks traumatic injury, intercostal neuralgia, costochondritis, and acute lower back sprain.
Invigorate the Blood in the Treatment of Traumatic Injury Huo Luo Xiao Ling Dan / Fantastically Effective Pill to Invigorate the Collaterals (329) Zhang Xi-Chun (1918-34): Yi Xue Zhong Zhong Can Xi Lu — Records of Heart-felt Experiences in Medicine w Reference to the West (C) Dang Gui - 15g, (D) Dan Shen - 15g, (A) Ru Xiang - 15g, (A) Mo Yao - 15g + warm wine Invigorates the blood, dispels blood stasis, unblocks the collaterals, and alleviates pain. painful conditions due to qi stagnation and blood stasis obstructing the collaterals or vessels pain in various locations such as the heart, stomach, abdomen, back, leg or arm; bruising and swelling due to traumatic injury, rheumatic pain, fixed abdominal masses, internal or external ulceration T: dark, or with static points; P: wiry ectopic pregnancy, angina pectoris, cerebral thrombosis, sciatica, PID, arthritis, traumatic injury
Clear Heat and Stop Bleeding Shi Hui San / Ten Partially-Charred Substances Powder (336) Ge Qian-Sun (1348): Shi yao shen shu — Miraculous Book of Ten Remedies Da Ji - 9g, Xiao Ji - 15g, He Ye - 9g, Ce Bai Ye - 9g, Bai Mao Gen - 30g, Qian Cao Gen - 12g, Zhi Zi - 12g, Da Huang - 9g, Mu Dan Pi - 9g, Zong Lu Pi - 6g Cools the blood and stops bleeding Fire blazing in the middle and upper burners that injures the blood vessels, a form of reckless movement of hot blood which spills out of the channels. vomiting, spitting, or coughing up blood. These symptoms usually occur as acute bleeding disorders w sudden onset pulmonary tuberculosis, bronchiectasis, acute hemorrhagic esophagitis, or gastritis, bleeding peptic ulcer, hemorrhagic febrile diseases, functional uterine bleeding
Clear Heat and Stop Bleeding Ke Xue Fang / Coughing of Blood Formula (338) Zhu Dan-Xi (1280-1358): Dan Xi Xin Fa — Teachings of Dan-Xi (C) Qing Dai - 6-9g, (C) Zhi Zi - 9g, (D) Gua Lou Ren - 9g, (D) Fu Hai Shi - 9g, (A) He Zi - 6-9g + Honey + Ginger Juice Clears fire, transforms phlegm, preserves the LU, and stops coughing and bleeding. LV Fire attacking and scorching the LU coughing of blood-streaked sputum, thick sputum that is difficult to expectorate, a bitter tasted in the mouth, irritability and easily-provoked anger, constipation, red cheeks T: red tongue with yellow coat; P: wiry, rapid pulse pulmonary tuberculosis and bronchiectasis
Clear Heat and Stop Bleeding Huai Hua San / Sophora Japonica Flower Powder (339) Xu Shu-Wei (1132): Pu Ji Ben Shi Fang — Formulas of Universal Benefit from My Practice (C) Huai Hua - 9-30g, (D) Ce Bai Ye - 9-15g, (D) Jing Jie Sui - 6-9g, (A) Zhi Ke - 6-9g Cools the Intestines, stops bleeding, disperses wind, and promotes the movement of qi. the lodging of wind-heat or the accumulation of damp-heat in the Intestines and ST where it forms toxin. bright-red bleeding from the rectum during defecation which typically precedes (but may also follow) the passage of stool, blood in the stools, hemorrhoids w either bright-red or dark red bleeding T: red; P: wiry, rapid or soggy, rapid amoebic dysentery, ulcerative colitis, hemorrhoids, anal fissure, and rectal prolapse
Clear Heat and Stop Bleeding Xiao Ji Yin Zi / Small Thistle Drink (341) Yan Yong-He (1253): Ji Sheng Fang — Formulas to Aid the Living (C) Xiao Ji - 15g, (D) Ou Jie - 15g, (D) Chao Pu Huang - 15g, (A) Sheng Di Huang - 120g, (A) Hua Shi - 15g, (A) Mu Tong - 15g, (A) Dan Zhu Ye - 15g, (A) Zhi Zi - 15g, (A) Dang Gui - 15g, (E) Zhi Gan Cao - 15g Cools the blood, stops bleeding, promotes urination, and unblocks painful urinary dysfunction. Static heat accumulating in the lower burner where it injures the blood collaterals and causes the blood to seep downward into the UB, form which is is excreted in the urine. bloody, painful urinary dysfunction (w blood in the urine and urinary frequency, urgency, burning, and pain) or simple blood in the urine, accompanied by thirst, irritability T: red w thin yellow coat; P: rapid, forceful acute UTI, renal calculi, renal tuberculosis, polycystic kidneys, renal cysts, sickle cell disease, hydronephrosis, and benign prostatic hypertrophy.
Tonify and Stop Bleeding Bai Ye Tang / Arborvitae Decoction (343) Zhang Zhong-Jing (150-219): Jin Gui Yao Lue — Essential Prescriptions from the Golden Coffer (C) Ce Bai Ye - 9g, (D) Gan Jiang - 9g, (A) Ai Ye - 3 handfuls (9-12g) + urine from boys under the age of 12 (or strained horse feces) Warms the yang and stops bleeding. Cold from deficiency affecting the middle qi and results in the failure of the SP qi to govern the blood. unremitting vomiting or spitting up of blood or nosebleeds accompanied by a wan complexion T: pale w thin coat; P: deficient, rapid, forceless pulse acute hemorrhagic esophagitis, hemorrhagic gastritis, bleeding from peptic ulcer
Tonify and Stop Bleeding Huang Tu Tang* / Yellow Earth Decoction (343) Zhang Zhong-Jing (150-219): Jin Gui Yao Lue — Essential Prescriptions from the Golden Coffer (C) Zao Xin Tu - 18g, (A) Sheng Di Huang - 9g, (A) E Jiao - 9g, (D) Bai Zhu - 9g, (E) Gan Cao - 9g, (D) Fu Zi - 9g, (A) Huang Qin - 9g Warms the yang, strengthens the SP, nourishes the blood, and stops bleeding. SP yang deficiency, also known as cold from deficiency in the middle jiao, which is attributed to the failure of SP qi to govern the blood blood in the stool, vomiting or spitting up blood, nosebleeds, or abnormal uterine bleeding of pale-red blood accthin, and forceless chronic hemorrhagic gastritis, peptic ulcer
Tonify and Stop Bleeding Jiao Ai Tang* / Ass-Hide Gelatin and Mugwort Decoction (345) Zhang Zhong-Jing (150-219): Jin Gui Yao Lue — Essential Prescriptions from the Golden Coffer (C) E Jiao - 6g, (C) Ai Ye - 9g, (D) Sheng Di Huang - 18g, (D) Dang Gui - 9g, (D) Chuan Xiong - 6g, (D) Shao Yao - 12g, (A) Gan Cao - 6g, (E) rice wine Nourishes the blood, stops bleeding, regulates the menstruation and calms the fetus. this pattern is one of injury and deficiency of the Ren and Chong vessels abdominal pain w uterine bleeding, excessive menstruation, menstruation w constant spotting, post partum bleeding, or bleeding during pregnancy. The blood is pale and thin without clots and is accompanied by weakness and soreness of the lower back, a dull T: pale w thin white coat; P: thin, frail functional uterine bleeding, threatened miscarriage, post partum uterine bleeding, bleeding peptic ulcer, bleeding hemorrhoids
Stabilize the Exterior and the Lungs Yu Ping Feng San* / Jade Windscreen Powder (352) Zhu Dan-Xi (1280-1358): Dan Xi Xin Fa — Teachings of Dan-Xi (C) Haung Qi - 30g, (D) Bai Zhu - 60g, (A) Fang Feng - 60g + Sheng Jiang - 3pc Augments the qi, stabilizes the exterior, and stops sweating Deficiency of the Wei qi; also chronic colds, allergies, asthma and urticaria aversion to drafts, spontaneous sweating, recurrent colds, a shiny, pale complexion T: pale with white coat; P: floating, deficient, and soft upper respiratory infections (URI), exacerbation of chronic bronchitis, mild bronchitis (especially in children), allergic rhinitis, hyperthyroid condition, and autonomic dystonia
Stabilize the Exterior and the Lungs Mu Li San* / Oyster Shell Powder (353) Government Pharmacopia (1078-85): Tai Ping Hui Min He Ji Ju Fang — Imperial Grace Formulary (C) Mu Li - 30g (15-30g), (D) Huang Qi - 30g (9-15g), (A) Ma Huang Gen - 30g (3-9g), (A) Fu Xiao Mai - 30g (15-30g) Inhibits sweating and stabilizes the exterior. Stops sweating without any tonifying action. Unstable Wei qi w constrained heat at the level of the ying qi, causing injury to the HT yin spontaneous sweating that worsens at night, palpitations, easily startled, shortness of breath, irritability, general debility, lethargy T: pale-red; P: thin, frail
Stabilize the Exterior and the Lungs Dang Gui Liu Huang Tang* / Tangkuei & Six Yellow Decoction (354) Li Ao (1336): Lan shi mi cang — Secrets from the Orchid Chamber (C) Dang Gui - 15g (6-9g), (C) Sheng Di Huang - 15g (9-15g), (C) Shu Di Huang - 15g (9-15g), (D) Huang Lian - 15g (3-6g), (D) Huang Qin - 15g (6-12g), (D) Huang Bai - 15g (6-12g), (A) Huang Qi - 30g (12-24g) Enriches the yin, clears heat, stabilizes the exterior, and stops sweating Raging fire in the interior w deficiency of blood and yin; specifically for night-sweats that may accompany various disorders including LU consumption, steaming bone disorder, the aftermath of a severe febrile disease, and chronic nosebleeds fever, night sweats, red face, dry mouth and parched lips, irritability, dry stools, dark and scanty urine T: red dry tongue; P: rapid tuberculosis, hepatitis, silicosis, hyperthyroidism, myocarditis, chronic bronchitis, cholecystitis, nephritis, UTI, and neurasthenia
Bind Up the Intestines and Secure Abandoned Conditions Zhen Ren Yang Zang Tang / True Man's Decoction to Nourish the Organs (357) Government Pharmacopia (1078-85): Tai Ping Hui Min He Ji Ju Fang — Imperial Grace Formulary (C) Ren Shen - 18g, (C) Bai Zhu - 18g, (D) Rou Gui - 24g, (D) Wei Rou Dou Kou - 15g, (D) He Zi - 36g, (D) Zhi Ying Su Ke - 108g, (A) Bai Shao - 48g, (A) Dang Gui - 18g, (A) Mu Xiang - 42g, (E) Zhi Gan Cao - 24g Warms the middle, tonifies deficiency, restrains leakage from the Intestines, and stops diarrhea; treats both manifestation and root SP & KD yang deficiency. An abandoned disorder from loss of fluids due to chronic diarrhea / dysentery. chronic diarrhea/ dysenteric disorders w diarrhea to the point of incontinence; in severe cases, prolapsed rectum. The diarrhea may contain pus and blood, and tenesmus. Also mild, chronic abd. pain that responds favorably to local pressure/warmth, letharg T: pale w white coat; P: slow, thin chronic colitis, chronic diarrhea in children, ulcerative colitis, Crohn's disease, chronic dysentery
Bind Up the Intestines and Secure Abandoned Conditions Tao Hua Tang / Peach Blossom Decoction (358) Zhang Zhong-Jing (150-219): Shang Han Lun — On Cold Damage (C) Chi Shi Zhi - 48g (30g), (D) Gan Jiang - 3g (9g), (A) Geng Mi - 30g Warms the middle and binds up the bowels. Focuses more on the manifestations of the problem, than on the root. Injury to the collaterals of the Intestines w SP & KD yang deficiency chronic dysenteric disorder w dark blood and pus in the stool, abdominal pain that responds favorably to local pressure or warmth T: pale P: slow, frail or faint, thin ulcerative colitis, Crohn's disease, peptic ulcer, chronic dysentery, or hemorrhoids
Bind Up the Intestines and Secure Abandoned Conditions Si Shen Wan* / Four-Miracle Pill (359) Wang Ken-Tang (1602): Zheng Zhi Zhun Sheng — Standards of Patterns and Treatments (C) Bu Gu Zhi - 120g, (D) Wu Zhu Yu - 30g, (A) Rou Dou Kou - 60g, (A) Wu Wei Zi - 60g, (E) Sheng Jiang - 240g, (E) Da Zao - 100pc Warms and tonifies the SP and KD, binds up the Intestines, stops diarrhea. Insufficient fire at the gate of vitality, with deficient yang of the SP and KD day-break diarrhea (with possible abdominal pain), lack of interest in food and inability to digest what is eaten, soreness of the lower back w cold limbs, fatigue & lethargy; possibly abdominal pain T: pale w thin white coat; P: submerged, slow or forceless chronic colitis, chronic dysentery, autonomic dystonia of the intestinal tract, tuberculosis of the colon, and allergic colitis.
Stabilize the Kidneys Jin Suo Gu Jing Wan / Metal Lock Pill to Stabilize the Essence (360) Wang Ang (1682): Yi Fang Ji Jie — Analytic Collection of Medical Formulas (C) Sha Yuan Ji Li - 60g, (D) Qian Shi - 60g, (D) Lian Xu - 60g, (A) Su Zhi Long Gu - 30g, (A) Duan Mu Li - 30g, (A) Lian Zi - 120g Stabilizes the KD and binds up the semen KD deficiency leading to instability of the gate of essence; has been used to treat myasthenia gravis; also for diarrhea while moving, profuse uterine bleeding, and urinary incontinence. chronic spermatorrhea, impotence, fatigue and weakness, sore and weak limbs, lower back pain, tinnitus P: thin neurasthenia, sexual dysfunction, myasthenia gravis
Stabilize the Kidneys Suo Quan Wan / Restrict the Fountain Pil (363) Chen Zi-Ming (1237): Fu Ren Liang Fang — Fine Formulas for Women (C) Yi Zhi Ren - 9-12g, (D) Wu Yao - 6-12g, (A) Shan Yao - 9-15g Warms the KDs, dispels cold, shuts off urinary frequency and stops leakage. Cold from deficiency of the KD; this is one type of Bladder losing its restraint. This is usually combined with other formulas frequent, clear, and prolonged urination or enuresis P: submerged enuresis in children
Stabilize the Kidneys Gui Zhi Jia Long Gu Mu Li Tang* / Cinnamon Twig Decoction plus Dragon Bone and Oyster Shell (364) Zhang Zhong-Jing (150-219): Jin Gui Yao Lue — Essential Prescriptions from the Golden Coffer (C) Gui Zhi - 9g, (C) Bai Shao - 9g, (D) Long Gu - 9g, (D) Mu Li - 9g, (A) Sheng Jiang - 9g, (A) Da Zao - 12pc, (E) Gan Cao - 6g Restrains the essence, suppresses rebellion, and regulates and harmonizes the yin and yang. Deficient yin & yang such that yang floats above, draining yin essence below; also lack of communication between HT/KD; or for a variety of disorders due to yin xu w unstable yang from chronic constraint or overwork spermatorrhea or dreaming of sexual intercourse, lower abdominal contraction and pain, occasionally watery diarrhea, dizziness, palpitations, insomnia and dream-disturbed sleep, loss of hair P: hollow and slow neurosis, autonomic dystonia, and pain from varicocele
Stabilize the Kidneys Shou Tai Wan* / Fetus Longevity Pill (365) Zhang Xi-Chun (1918-34): Yi Xue Zhong Zhong Can Xi Lu — Records of Heart-felt Experiences in Medicine w Reference to the West (C) Tu Si Zi - 120g, (C) Sang Ji Sheng - 60g, (D) Xu Duan - 60g, (D) E Jiao - 60g Stabilizes the KDs and calms the fetus; the formula treats both root and manifestations of this disorder KD deficiency leading to instability of the Chong and Ren; also used as a preventative measure. Restless fetus disorder and, in severe cases, vaginal bleeding during pregnancy or miscarriage, dizziness, tinnitus, weak legs T: slippery coat; P: submerged threatened miscarriage or in pregnancies of women who've had repeat miscarriages
Secure Irregular Uterine Bleeding and Stop Vaginal Discharge Gu Chong Tang / Stabilize Gushing Decoction (366) Zhang Xi-Chun (1918-34): Yi Xue Zhong Zhong Can Xi Lu — Records of Heart-felt Experiences in Medicine w Reference to the West (C) Chao Bai Zhu - 30g, (C) Huang Qi - 18g, (D) Shan Zhu Yu - 24g, (D) Bai Shao - 12g, (A) Duan Long Gu - 24g, (A) Duan Mu Li - 24g, (A) Hai Piao Xiao - 12g, (A) Zong Lu Tan - 6g, (A) Wu Bei Zi - 1.5g, (A) Qian Cao Gen - 9g Augments the qi, strengthens the SP, stabilizes the Chong and stops bleeding. Instability of the Chong mai; also treats black tarry stools in patients with SP deficiency (SP unable to govern the blood). thin and pale blood that either pours down or continuously trickles, palpitations, shortness of breath; also for black tarry stools T: pale; P: deficient, big or thin, frail pulse functional uterine bleeding, excessive bleeding post partum, and bleeding peptic ulcer
Secure Irregular Uterine Bleeding and Stop Vaginal Discharge Gu Jing Wan / Stabilize the Menses Pill (367) Li Ting (1575): Yi Xue Ru Men — Introduction to Medicine (C) Gui Ban - 30g, (C) Bai Shao - 30g, (D) Huang Qin - 30g, (A) Chun Gen Pi - 21g, (D) Huang Bai - 9g, (A) Xiang Fu - 7.5g + wine Enriches the yin, clears heat, stops bleeding, and stabilizes the menses Heat in the Chong & Ren mai causing blood to move recklessly; this is due to LV heat from constraint, with deficient yin underling the heat very red blood that may contain dark-purple clots, sensation of heat and irritability in the chest, abdominal pain, dark urine T: red; P: rapid, wiry functional uterine bleeding, chronic PID
Secure Irregular Uterine Bleeding and Stop Vaginal Discharge Wan Dai Tang* / End Discharge Decoction (369) Fu Shan Qing-Zhu (1827): Fu Qing Zhu Nu Ke — Women's Diseases According to Fu Qing-Zhu (C) Chao Bai Zhu - 30g, (C) Chao Shan Yao - 30g, (C) Ren Shen - 6g, (D) Cang Zhu - 9g, (D) Chen Pi - 1.5g, (D) Jiu Chao Che Qian Zi - 9g, (A) Jiu Chao Bai Shao - 15g, (A) Chai Hu - 1.8g, (A) Jie Sui Tan - 1.5g, (E) Gan Cao - 3g Tonifies the middle burner, strengthens the SP, transforms dampness, and stops vaginal discharge. SP deficiency w dampness and LV qi constraint. This is deficiency of the Dai mai; also for diarrhea, edema during menstruation or pregnancy, HA and dizziness profuse, thin, white, or pale-yellow vaginal discharge, loose stools, fatigue, a shiny pale face T: pale w white coat; P: soggy, frail vaginal discharge due to SP deficiency, as well as other problems associated with SP deficiency and turbid dampness, such as diarrhea, edema during pregnancy, edema during menstruation, and HA
Secure Irregular Uterine Bleeding and Stop Vaginal Discharge Yi Huang Tang / Change Yellow [Discharge] Decoction (370) Fu Shan Qing-Zhu (1827): Fu Qing Zhu Nu Ke — Women's Diseases According to Fu Qing-Zhu (C) Chao Shan Yao - 30g, (A) Chao Qian Shi - 30g, (D) Huang Bai - 6g, (D) Che Qian Zi - 3g, (A) Yin Xing [crush] - 10 kernels Strengthens the SP, dries dampness, clears heat, and stops vaginal discharge. SP or KD qi deficiency w damp-heat from constraint; also damp-heat in the Ren mai. unremitting, yellowish-white, viscous and fishy-smelling vaginal discharge; pale-yellow face, sensation of heaviness in the head (loose stools), reduced appetite, late menstrual periods w pale blood T: pale w white coat; P: soft, slippery
Release Wind from the Skin and Channels Xiao Feng San* / Eliminate Wind Powder from Orthodox Lineage (394) Chen Shi-Gong (1617): Wai Ke Zheng Zong — True Lineage of External Medicine (C) Jing Jie - 3g, (C) Fang Feng - 3g, (C) Niu Bang Zi - 3g, (C) Chan Tui - 3g, (D) Cang Zhu - 3g, (D) Ku Shen - 3g, (D) Mu Tong - 1.5g, (D) Shi Gao - 3g, (D) Zhi Mu - 3g, (A) Sheng Di Huang - 3g, (A) Dang Gui - 3g, (A) Hei Zhi Ma - 3g, (E) Gan Cao - 1.5g Disperses wind, eliminates dampness, clears heat, and cools the blood Wind-heat or wind-dampness invading the body and contending with preexisting damp-heat; this is wind-rash or damp-rash; also applied topically. weepy, itchy, red skin lesions over a large part of the body T: yellow or white tongue coating; P: forceful, floating, rapid urticaria, eczema, psoriasis, contact dermatitis, Schönlein-Henoch purpura, tinea infection, and diaper rash
Release Wind from the Skin and Channels Xiao Xu Ming Tang / Minor Prolong Life Decoction (396) Sun Si-Miao (652 CE): Qian Jin Yao Fang - Thousand Ducat Formulas (C) Ma Huang - 30g, (A) Chuan Xiong - 30g, (C) Guang Fang Ji - 30g, (C) Xing Ren - 30g, (C) Fang Feng - 45g, (C) Sheng Jiang - 150g, (D) Ren Shen - 30g, (D) Fu Zi - 30g, (D) Rou Gui - 30g, (A) Shao Yao - 30g, (A) Huang Qin - 30g, (E) Gan Cao - 30g Warms the channels, unblocks the yang qi, dispels wind, and supports the normal qi. Wind-stroke due to invasion of wind from the exterior into the channels; there may be loss of consciousness; also used for pain from wind-damp painful obstruction hemiplegia, asymmetry of the face, slow and slurred speech. Usually accompanied by fever and chills; in severe cases there is loss of consciousness T: pale with a thin, white coating; P: deficient, floating central and peripheral facial paralysis, cerebrovascular accident and its sequelae, urticaria, and rheumatoid arthritis
Release Wind from the Skin and Channels Da Xu Ming Tang / Major Prolong Life Decoction Wang Tao (752): Wai Tai Bi Yao — Arcane Essentials from the Imperial Library Ma Huang - 9g, Gui Zhi - 9g, Ren Shen - 9g, Dang Gui - 9g, Chuan Xiong - 4.5g, Xing Ren - 9g, Gan Jiang - 9g, Gan Cao - 9g, Shi Gao - 9g Supports the normal qi, clears heat and disperses wind. external wind invading the channels with qi and blood deficiency, or internal stirring of LV wind with the production of heat characterized by flaccid hemiplegia and aphasia patient is unable to recognize friends or identify the source of pain. There is also dry stools, low-grade fever, malar flush; there may also be stiffness with an inability to rotate the trunk T: yellow greasy or yellow thin tongue coating; P: wiry, forceful or slippery, rapid
Release Wind from the Skin and Channels Wu Yao Shun Qi San / Lindera Powder to Smooth the Flow of Qi (397) Government Pharmacopia (1078-85): Tai Ping Hui Min He Ji Ju Fang — Imperial Grace Formulary Ma Huang - 60g, Chen Pi - 60g, Wu Yao - 60g, Jiang Can - 30g, Chuang Xiong - 30g, Zhi Ke - 30g, Gan Cao - 30g, Bai Zhi - 30g, Jie Geng - 30g, Pao Jiang - 15g + Sheng Jiang + Da Zao Disperses the wind and opens up the channels (especially in the extremities) Wind attacking the extremities; also for cold attacking the chest and axillae joint pain, numbness, headache, and dizziness; in severe cases there may be hemiplegia or difficulty in walking, aphasia, and spasms. syncope, cerebrovascular accident, cerebral hemorrhage, hemiplegia, trigeminal neuralgia, bell's palsy
Release Wind from the Skin and Channels Xiao Huo Luo Dan / Minor Invigorate the Channels Special Pill (398) Government Pharmacopia (1078-85): Tai Ping Hui Min He Ji Ju Fang — Imperial Grace Formulary (C) Zhi Cao Wu - 180g, (C) Zhi Chuan Wu - 180g, (D) Tian Nan Xing - 180g, (A) Mo Yao - 66g, (A) Ru Xiang - 66g, (A) Di Long - 180g, (E) wine Invigorates the blood, unblocks the collaterals, dispels dampness, and transforms phlegm. Obstruction of the channels and collaterals by wind-cold-damp pathogens, blood stasis, and phlegm following 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 chronic pain, weakness& numb (esp. in lower ext.) due to wind-stroke; also for fixed or migrating pain in the bones and joints w reduced range of motion due to wind-cold-damp painful obstruction. In both conditions, the symptoms are aggravated by cold T: white moist tongue coating hemiplegia after cerebrovascular accident, rheumatoid arthritis, osteoarthritis, and peripheral nervous disorders
Release Wind from the Skin and Channels Qian Zheng San / Lead to Symmetry Powder (399) Yang Tan (1178): Yang Shi Jia Zang Fang — Collected Formulas of the Yang Family (C) Bai Fu Zi - 6g, (D) Jiang Can - 6g, (A) Quan Xie - 6g, (E) hot wine Dispels wind, transforms phlegm, and stops spasms. Channel-stroke from wind-phlegm with symptoms confined to the head and face; most appropriate for treating wind-phlegm disorders due primarily to damp-cold sudden facial paralysis w deviation of the eyes and mouth and facial muscle twitch sequelae of cerebrovascular accident, Bell's palsy, trigeminal neuralgia, and peripheral neuritis
Release Wind from the Skin and Channels Zhi Jing San / Stop Spasms Powder (401) Shanghai College of Traditional Chinese Medicine (1975): Fang Ji Xue - Traditional Chinese Medical Formulas Quan Xie, Wu Gong Dispels wind, relieves spasms and alleviates pain Heat entering the terminal yin channel; also used for the treatment of stubborn headaches, migraine and joint pain muscle twitches of the extremities, rigidity and spasms of the entire body to the point of opisthotonos, trismus, or convulsions; in severe cases there is loss of consciousness encephalitis B, meningitis, tetanus, pediatric epilepsy, cluster headache, and migraine
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