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PCOM #18new
PCOM Herbs 5 Midterm
| FORMULA | CATEGORY | SOURCE | INGREDIENTS | ACTIONS | PATTERN | INDICATIONS |
|---|---|---|---|---|---|---|
| Bu Fei E Jiao Tang / Tonify the LU Decoction with Ass-Hide Gelatin (163) | Enrich Yin & Moisten Dryness | Qian Yi (1119): Xiao Er Yao Zheng Zhi Jue — Craft of Medicinal Treatment for Childhood Diseases | C: e jiao, D: ma dou ling, D: xing ren, D: niu bang zi, A: geng mi, A: zhi gan cao | Nourishes the yin, tonifies the LU, controls coughing and stops bleeding (clears heat) | LU yin xu w vigorous heat which disrupts the flow of the LU qi | dry parched throat, wheezing, coughing, scanty or blood-streaked sputum, red tongue, little coat, floating, thin , rapid pulse |
| Yang Yin Qing Fei Tang / Nourish the Yin & Clear the LU Decoction (164) | Enrich Yin & Moisten Dryness | Zheng Mei-Run (1838): Chong Lou Yu Yao — Jade Key to Many Towers | C: sheng di huang, C: xuan shen, D: mai men dong, D: chao bai shao, D: mu dan pi, A: chuan bei mu, bo he, gan cao | Nourishes the yin, clears the LU, relieves toxicity | white throat (bai hou) or diptherial disorder, usually developing in patients with constitutional yin xu & int. clumping of heat, who contract epidemic toxin (yin du) | fever, dry nasal passages, parched lips, sore swollen throat w white curd-like membrane that is difficult to scrape off, raspy wheezing-like breathing, possible cough, red, dry tongue, thin, rapid pulse |
| Mai Men Dong Tang / Ophiopogonis Decoction (165) | Enrich Yin & Moisten Dryness | Zhang Zhong-Jing (150-219): Jin Gui Yao Lue - Essential Prescriptions from the Golden Coffer | C: mai men dong, D: ren shen, A: geng mi, A: da zao, A: gan cao, A: ban xia | Benefits the ST, generates fluids, directs rebellious qi downward | a form of LU atrophy (fei wei) caused by heat from deficiency in the ST which rises in rebellion and scorches the LU yin | dry mouth, dry and uncomfortable sensation in the throat, wheezing, SOB, coughing, spitting of saliva, red, dry tongue, little coat, deficient, rapid pulse |
| Zeng Ye Tang / Increase the Fluids Decoction (166) | Enrich Yin & Moisten Dryness | Wu Ju-Tong (1798): Wen Bing Tiao Bian — Systematic Differentiation of Warm Diseases | C: xuan shen, D: mai men dong, D: sheng di huang | Generates fluids, moistens dryness, unblocks the bowels | dry Intestines due to injury to the fluids, usually from a warm-febrile disease (acute conditions) | thirst, constipation, red, dry tongue, thin or forceless, slightly rapid pulse |
| Yu Ye Tang / Jade Fluid Decoction (167) | Enrich Yin & Moisten Dryness | 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: shan yao, C: huang qi, D: zhi mu, D: tian hua fen, E: ji nei jin, E: ge gen, E: wu wei zi | Augments the qi, generates fluids, moistens dryness, alleviates thirst | wasting and thirsting due to yin deficiency, where the ST is dry and the KD is deficient. The qi is too weak to spread fluids. | SOB, excessive unquenchable thirst, copious frequent turbid urine, lassitude, deficient thin weak pulse |
| Wu Ling San / Five-Ingredient Powder with Poria (174) | Promote Urination and Leach out Dampness | Zhang Zhong-Jing (150-219): Shang Han Lun - On Cold Damage | C: ze xie, D: fu ling, D: zhu ling, A: bai zhu, E: gui zhi | Promotes urination, drains dampness, strengthens the SP, warms the yang, promotes the transforming functions of qi | water amassment (xu shui), a greater yang organ disorder | HA, strong thirst, but vomiting after small intake, (possible nausea and vomiting), urinary difficulty, (diarrhea), (edema, generalized heaviness), irritability, floating pulse |
| Wei Ling Tang / Calm the Stomach & Poria Decoction (176) | Promote Urination and Leach out Dampness | Zhu Dan-Xi (1280-1358): Dan Xi Xin Fa - Teachings of Dan-Xi | ze xie, cang zhu, fu ling, zhu ling, hou po, chen pi, bai zhu, zhi gan cao, gui zhi, sheng jiang, da zao | this is just a combination of two formulas: Wu Ling San + Ping Wei San | for epigastric discomfort with urinary difficulty | epigastric distention and pain, urinary difficulty, diarrhea |
| Yin Chen Wu Ling San / Artemisia Yinchenhao & Five Ingredient Powder with Poria (176) | Promote Urination and Leach out Dampness | Zhang Zhong-Jing (150-219): Jin Gui Yao Lue - Essential Prescriptions from the Golden Coffer | yin chen hao, C: ze xie, D: fu ling, D: zhu ling, A: bai zhu, E: gui zhi | jaundice due to damp-heat (dampness predominant) | urinary difficulty, jaundice, pale skin tone | |
| Zhu Ling Tang / Polyporus Decoction (176) | Promote Urination and Leach out Dampness | Zhang Zhong-Jing (150-219): Shang Han Lun - On Cold Damage | C: zhu ling, C: fu ling, D: ze xie, A: hua shi, e jiao | Promotes urination, clears heat, and nourishes yin | injury from cold entering the yang brightness or lesser yin stage where it transforms into heat | fever, cough, thirst with a desire to drink, nausea, urinary difficulty, diarrhea, irritability, insomnia |
| Wu Pi San / Five-Peel Powder (178) | Promote Urination and Leach out Dampness | Hua Tou (Six Dynasties): Zhong Zang Jing - Treasury Classic | sang bai pi, sheng jiang pi, fu ling pi, chen pi, da fu pi | Resolves dampness, reduces edema, regulates the qi, and strengthens the SP | skin edema (pi shui) | labored heavy breathing, distention and fullness of the epigastrium & abdomen, urinary difficulty, generalized edema with a sensation of heaviness, white greasy tongue coat, submerged, moderate pulse |
| Fang Ji Huang Qi Tang / Stephania & Astragalus Decoction (179) | Promote Urination and Leach out Dampness | Zhang Zhong-Jing (150-219): Jin Gui Yao Lue - Essential Prescriptions from the Golden Coffer | C: huang qi, C: han fang ji, D: bai zhu, A: zhi gan cao, E: sheng jiang, E: da zao | Augments the qi, strengthens the SP, promotes urination, reduces edema | wind-dampness or wind edema (feng shui) caused by deficiency in the exterior and an invasion of wind and dampness | sweating, urinary difficulty, heavy sensation in the body, superficial edema, pale tongue, white coat, floating pulse |
| Ping Wei San / Calm the Stomach Powder (181) | Transform Damp Turbidity | Government Pharmacopia (1078-85): Tai Ping Hui Min He Ji Ju Fang - Imperial Grace Formulary of the Tai Ping Era | C: cang zhu, D: hou po, A: chen pi, E: zhi gan cao, sheng jiang, da zao | Dries dampness, improves the SP transporting function, promotes the movement of qi, harmonizes the ST | Cold-damp stagnating in the SP and ST | loss of taste, distention and fullness of the epigastrium & abdomen, loss of appetite, nausea and vomiting, belching, gerd, loose stools and diarrhea, heavy sensation of the limbs, easily fatigued, increased desire to sleep, swollen tongue, thick white gr |
| Huo Xiang Zheng Qi San / Agastache Powder to Rectify the Qi (183) | Transform Damp Turbidity | Government Pharmacopia (1078-85): Tai Ping Hui Min He Ji Ju Fang - Imperial Grace Formulary of the Tai Ping Era | C: huo xiang, D: hou po, D: chen pi, D: zi su ye, D: bai zhi, A: ban xia, A: da fu pi, A: bai zhu, A: fu ling, A: jie geng, E: zhi gan cao, E: sheng jiang, E: da zao | Releases the exterior, transforms dampness, regulates the qi, harmonizes the middle burner | externally-contracted wind-cold with concurrent internal injury due to stagnation | chills, fever, HA, loss of taste, sensation of fullness and stifling oppression in chest, pain in the epigastrium and abdomen, nausea and vomiting, borborygmus, diarrhea, white greasy tongue coat, soggy, moderate pulse |
| San Ren Tang / Three-Nut Decoction (186) | Clear Damp-Heat | Wu Ju-Tong (1798): Wen Bing Tiao Bian — Systematic Differentiation of Warm Diseases | C: xing ren, C: bai dou kou, D: hou po, D: ban xia, C: yi yi ren, A: tong cao, A: dan zhu ye, A: hua shi | Disseminates the qi, facilitates the qi mechanisms, and clears damp-heat | Early-stage damp warm-febrile disease or summerheat warm-febrile disease in which damp predominates and the pathogenic influences are lodged in the wei and qi levels. | chills, afternoon fever, headache, pale yellow complexion, stifling sensation in the chest, loss of appetite, absence of thirst, possibly decreased urine, heavy sensation in the body, generalize pain, white coat, wiry, thin, soggy pulse |
| Gan Lu Xiao Du Dan / Sweet Dew Special Pill to Eliminate Toxin (187) | Clear Damp-Heat | Wang Meng-Ying (1852): Wen Re Jing Wei - Warp and Woof of Warm-Febrile Diseases | lian qiao, huang qin, bo he, she gan, chuan bei mu, hua shi, mu tong, yin chen hao, huo xiang, shi chang pu, bai dou kou | Resolves dampness, transforms turbidity, clears heat, and relieves toxicity | Early-stage of a damp warm-febrile disease, or a seasonal epidemic disorder. The problem is in the qi level and enters through the mouth and nose. | fever, swollen throat, stifling sensation in the chest, abdominal distention, may be vomiting, dark scanty urine, may be diarrhea, may be jaundice, achy limbs, lethargy, white greasy or yellow dry tongue coat, soggy, rapid pulse |
| Lian Po Yin / Coptis and Magnolia Bark Decoction (189) | Clear Damp-Heat | Wan Shi-Xiong (1862): Huo Luan Lun — Discussion of Sudden Turmoil Disorders | C: huang lian, C: hou po, D: zhi zi, D: dan dou chi, D: shi chang pu, D: ban xia, A: lu gen | clears heat, transforms dampness, regulates the qi, and harmonizes the middle jiao | Sudden turmoil disorder due to an aggregation of damp-heat smoldering in the body, also dampness obstructing the middle jiao, generating heat, especially when neither heat nor damp predominates | (fever), focal distention, stifling sensation in the chest & epigastrium, (thirst), vomiting, (dry heaves), dark scanty urine, diarrhea, (irritability), yellow greasy tongue coat |
| Yin Chen Hao Tang / Artemisia Yinchenhao Decoction (189) | Clear Damp-Heat | Zhang Zhong-Jing (150-219): Shang Han Lun - On Cold Damage | C: yin chen hao, D: zhi zi, A: da huang | clears heat, resolves dampness, reduces jaundice | Yang-type of damp-heat jaundice due to dampness and static heat accumulating in the interior. | possibly sweating above the head, slight abdominal distention, thirsty (but can only sip), urinary difficulty, whole-body jaundice resembling a fresh tangerine, yellow greasy tongue coat, slippery, rapid pulse |
| Zhong Man Fen Xiao Wan / Separate and Reduce Fullness in the Middle Pill (191) | Clear Damp-Heat | Li Ao (1336): Lang Shi Mi Cang - Secrets from the Orchid Chamber | hou po, chao zhi shi, jiang huang, chao huang qin, chao huang lian, gan jiang, ban xia, chao zhi mu, ze xie, zhu ling, fu ling, bai zhu, ren shen, zhi gan cao, chen pi, sha ren | Strengthens the SP, regulates the qi, drains heat, resolves dampness | Drum-like abdominal distention (gu zhang) due to heat. | fever, bitter taste in mouth, drum-like abdominal distention, firmness with a sensation of fullness and bursting pain in the epigastrium & abdomen, dark yellow urine, constipation or foul-smelling diarrhea, irritability, yellow greasy tongue coat, wiry, r |
| Ba Zheng San / Eight-Herb Powder for Rectification (192) | Clear Damp-Heat | Government Pharmacopia (1078-85): Tai Ping Hui Min He Ji Ju Fang - Imperial Grace Formulary | C: mu tong, D: hua shi, D: che qian zi, D: qu mai, D: bian xu, A: zhi zi, A: zhi da huang, E: deng xin cao, E: gan cao | Clears heat, promotes urination, unblocks painful urinary dysfunction | Hot or bloody painful urinary dysfunction caused by the clumping of damp-heat in the lower burner. This could be the beginning of venerial disease or a GI problem. | dry mouth, dry throat, dark scanty turbid difficult and painful urination, yellow greasy tongue coat, slippery, rapid pulse |
| Shao Yao Tang / Peony Decoction (194) | Clear Damp-Heat | Zhang Yuan-Su (1186): Su Wen Bing Ji Qi Yi Bao Ming Ji - Collection of Writings on the Mechanism of Illness, Suitability of Qi, and the Safeguarding of Life as Discussed in the Basic Questions | C: shao yao, D: dang gui, D: gan cao, D: mu xiang, D: bing lang, A: huang lian, A: huang qin, da huang, guan gui | regulates and harmonizes the qi and blood, clears heat, relieves toxicity | Damp-heat lodged in the Intestines where it causes the qi and blood to stagnate. This condition is frequently | abdominal pain, dark scanty urine, tenesmus, difficult defecation, diarrhea w equal pus and blood, burning sensation around the anus, slightly yellow greasy tongue coat, rapid pulse |
| Er Miao San / Two-Marvel Powder (195) | Clear Damp-Heat | Zhu Dan-Xi (1280-1358): Dan Xi Xin Fa - Teachings of Dan-Xi | huang bai, cang zhu | Clears heat, dries dampness | These are different presentations of damp-heat lodged in the lower burner | scanty yellow urine, pain weakness atrophy & sores in the lower extremities, red swollen painful feet or knees, yellow greasy tongue coat |
| San Miao San / Three-Marvel Powder (196) | Clear Damp-Heat | Yu Tian-Min (1515): Yi Xue Sheng Chuan - True Lineage of Medicine | huang bai, cang zhu, niu xi | Clears heat, resolves dampness | Damp-heat lodged in the lower burner w numbness & burning pain in the feet. There may also be weakness in the lower back & extremities | weakness in lower back, weakness in lower extremities, numbness and burning pain in the feet, yellow greasy tongue coat |
| Si Miao San / Four-Marvel Powder (196) | Clear Damp-Heat | Zhang Bing-Cheng (1904): Cheng Fang Bian Du - Convenient Reader of Established Formulas | huang bai, yi yi ren, cang zhu, niu xi | Clears heat, dries dampness | atrophy disorder characterized by numbness and weakness in the lower extremities with painful swollen feet | severe numbness and weakness in the lower extremities, painful swollen feet, yellow greasy tongue coat |
| Yu Dai Wan / Cure Discharge Pill (197) | Clear Damp-Heat | (1970s): Shang Hai Shi Zhong Yao Cheng Yao Zhi Ji Gui Fan — Shanghai Municipal Standards for the Manufacture of Chinese Prepared Medicines | chun gen pi, bai shao, liang jiang hui, huang bai hui, glutinous rice | Clears and transforms damp-heat and stops vaginal discharge | A condition of excess damp-heat | profuse viscous fishy-smelling red & white vaginal discharge due to damp-heat |
| Zhen Wu Tang / True Warrior Decoction (197) | warm and transform water & damp | Zhang Zhong-Jing (150-219): Shang Han Lun - On Cold Damage | C: fu zi, D: bai zhu, D: fu ling, A: sheng jiang, A: bai shao | Warms the yang and promotes urination. | KD yang xu or SP & KD yang xu with retention of pathogenic water | heavy head, coughing, abdominal pain aggravated by cold, vomiting, urinary difficulty, loose stools, generalized edema, deep aching and heaviness in the extremities, palpitations, dizziness, pale or dark, swollen and scalloped tongue, white slippery coat, |
| Shi Pi Yin / Bolster the Spleen Decoction (199) | warm and transform water & damp | Wei Yi-Lin (1345) Shi Yi De Xiao Fang - Effective Formulas from Generations of Physicians | C: fu zi, C: gan jiang, D: fu ling, D: bai zhu, A: mu gua, A: hou po, A: mu xiang, A: da fu pi, A: cao guo, E: zhi gan cao, E: sheng jiang, E: da zao | warms the yang, strengthens the SP, promotes the movement of qi, promotes urination. | yin-type edema due to SP & KD yang xu | chest/abdominal fullness & distention, loss of appetite, no thirst, scanty urine, semi-liquid unformed stools, generalized edema that is more severe below the waist, heavy sensation in the body, cold extremities, thick greasy coat, submerged, possibly thi |
| Bei Xie Fen Qing Yin / Dioscorea Hypoglauca Decoction to Separate the Clear (201) | warm and transform water & damp | Zhu Dan-Xi (1280-1358): Dan Xi Xin Fa - Teachings of Dan-Xi | C: bei xie, D: yi zhi ren, A: wu yao, A: shi chang pu | warms the KD, drains dampness, transforms and separates the turbid from the clear. | Cloudy painful urinary dysfunction (gao lin) due to cold from deficiency in the lower jiao, causing turbid dampness to pour downward. | frequent urination w cloudy dense milky (resembling rice water) or greasy urine |
| Ji Ming San / Powder to Take at Cock's Crow (201) | warm and transform water & damp | Zhu Zuo (1266): Lei bian zhu shi ji yan yi fang — Effective Medical Formulas Arranged by Category by Doctor Zhu | C: bing lang, C: mu gua, D: wu zhu yu, D: chen pi, A: zi su ye, A: jie geng, E: sheng jiang | Promotes the movement of qi, causes turbidity to descend, transforms damp-cold. | Damp leg qi which is caused by damp-cold settling in the legs & feet where it obstructs the channels and interrupts the smooth flow of qi & blood. | stifling sensation in the chest, nausea, difficulty walking, heavy & weak feet and calves, may also be numbness and pain in these areas, or ascending spasms |
| Qiang Huo Sheng Shi Tang / Notopterygium Decoction to Overcome Dampness (203) | dispel wind-damp | Li Ao (1247): Nei Wai Shang Bian Huo Lun - Clarifying Doubts about Injury from Internal and External Causes | C: qiang huo, C: du huo, D: gao ben, D: fang feng, A: chuan xiong, A: man jing zi, E: zhi gan cao | Expels wind and overcomes dampness. | Wind-dampness in the superficial aspects of the body, the exterior and muscle levels. | chills, mild fever, heavy painful head, generalized sense of heaviness, back or generalized pain, difficulty bending or rotating the trunk, white tongue coat, floating pulse |
| Juan Bi Tang / Remove Painful Obstruction Decoction (204) | dispel wind-damp | Cheng Guo-Peng (1732): Yin Xue Xin Wu - Medical Revelations | C: qiang huo, C: du huo, D: qin jiao, D: sang zhi, D: hai feng teng, A: dang gui, A: chuan xiong, A: ru xiang, A: mu xiang, E: rou gui, E: zhi gan cao | Removes wind-dampness and alleviates painful obstruction. | Joint pain due to local obstruction of qi from the effects of wind, dampness, and cold. This is painful obstruction (bi). | joint pain that increases w cold & diminishes w warmth, sensation of heaviness and numbness in the limbs, thick white tongue coat, possibly slippery, slow pulse |
| Gui Zhi Shao Yao Zhi Mu Tang / Cinnamon Twig, Peony & Anemarrhena Decoction (205) | dispel wind-damp | Zhang Zhong-Jing (150-219): Jin Gui Yao Lue - Essential Prescriptions from the Golden Coffer | C: gui zhi, D: ma huang, D: fu zi, D: zhi mu, D: shao yao, A: bai zhu, A: fang feng, E: sheng jiang, E: zhi gan cao | Unblocks the flow of yang qi, promotes movement (in areas w painful obstruction), dispels wind, & overcomes dampness. | Recurrent wind-cold-damp painful obstruction: localized constraint generates heat to cause swollen painful joints that are warm to the touch. | chills, absence of sweating, HA, swollen painful joints (esp in lower limbs) that are warm to the touch & worsen at night, reduced range of motion in affected joints, dizziness, weight loss, white greasy tongue coat, wiry slippery pulse |
| Xuan Bi Tang / Disband Painful Obstruction Decoction (206) | dispel wind-damp | Wu Ju-Tong (1798): Wen Bing Tiao Bian - Systematic Differentiation of Warm Diseases | C: guang fang ji, D: xing ren, D: yi yi ren, D: can sha, A: ban xia, A: lian qiao, A: zhi zi, A: hua shi, A: chi xiao dou | Clears and resolves damp-heat, unblocks the channels, and disbands painful obstruction. | Painful obstruction due to the containment of damp-heat in the channels. | shaking chills, fever, lusterless yellow complexion, scanty dark urine, heat and pain in the joints, reduced mobility, gray or yellow greasy coat |
| Du Huo Ji Sheng Tang / Angelica Pubescens and Sangjisheng Decoction (207) | dispel wind-damp | Sun Si-Miao (652 CE): Qian Jin Yao Fang - Thousand Ducat Formulas | C: du huo, D: xi xin, D: fang feng, D: qin jiao, A: sang ji sheng, A: du zhong, A: niu xi, A: rou gui, A: dang gui, A: chuan xiong, A: sheng di huang, A: bai shao, A: ren shen, A: fu ling, E: zhi gan cao | Expels wind-dampness, disperses painful obstruction, tonifies deficiency. | Painful obstruction w LV & KD deficiency. | aversion to cold, attraction to warmth, shortness of breath, heavy and painful sensations at fixed locations in the lower back and lower limbs, accompanied by weakness and stiffness, possibly also paresthesias or numbness, palpitations, pale tongue, white |
| Dang Gui Si Ni Tang / Tangkuei Decoction for Frigid Extremities (216) | warm interior cold | Zhang Zhong-Jing (150-219): Shang Han Lun - On Cold Damage | C: dang gui, D: shao yao, C: gui zhi, D: xi xin, A: zhi gan cao, A: da zao, E: mu tong | Warms the channels, disperses cold, nourishes the blood, and unblocks the blood vessels. | This is blood deficiency with cold in the channels; also for joint pain, irregular menstruation, and abdominal coldness and pain. | long-standing cold hands & feet, both subjectively and objectively cold, pale tongue, white coat, submerged, thin pulse, possibly so thin that it is almost imperceptible |
| Yang He Tang / Yang-Heartening Decoction (217) | warm interior cold | Wang Wei-De (1740): Wai Ke Zheng Zhi Quan Sheng Ji — Complete Collection of Patterns and Treatments in External Medicine | C: shu di huang, C: lu jiao jiao, D: rou gui, D: pao jiang, A: bai jie zi, A: ma huang, E: gan cao | Warms the yang, tonifies the blood, disperses cold and unblocks areas of stagnation. | yin-type localized swelling; also for internal problems from blood deficiency with cold causing stagnation. | no thirst, local painful swellings w/out heads that blend into the surrounding tissue and do not affect texture or color of skin, and are not hot to the touch, pale tongue, submerged, thin forceless pulse |
| Li Zhong Wan / Regulate the Middle Pill (219) | warm the middle and dispel cold | Zhang Zhong-Jing (150-219): Shang Han Lun - On Cold Damage | honey | C: gan jiang, D: ren shen, A: bai zhu, E: zhi gan cao | Warms the middle burner, strengthens the SP & ST. | middle burner cold from deficiency, which is also known as middle burner yang deficiency |
| Fu Zi Li Zhong Wan / Prepared Aconite Pill to Regulate the Middle (220) | warm the middle and dispel cold | Government Pharmacopia (1078-85): Tai Ping Hui Min He Ji Ju Fang - Imperial Grace Formulary | fu zi, gan jiang, ren shen, bai zhu, zhi gan cao, honey | Warms the yang, dispels cold, augments the qi, strengthens the SP. | For more severe internal cold than that for which the principal formula (Li Zhong Wan) is indicated. Also very effective for chronic or recurrent oral ulcers due to cold from deficiency of the SP/ST. It is more popular than the principal formula. | mild sweating, abdominal and epigastric pain, vomiting, inability to keep food down, diarrhea, cold body, cold extremities, faint pulse |
| Wu Zhu Yu Tang / Evodia Decoction (221) | warm the middle and dispel cold | Zhang Zhong-Jing (150-219): Shang Han Lun - On Cold Damage | C: wu zhu yu, A: ren shen, D: sheng jiang, E: da zao | Warms and tonifies the LV & ST, directs rebellious qi downward, and stops vomiting | Cold due to deficiency of the ST: the cold causes the ST qi to stagnate, which causes pain, and | forces the ST qi to rebel upward causing vomiting, possible epigastric pain, indeterminate gnawing hunger, vomiting immediately after eating, acid regurgitation, not red, white slippery coat, thin and possibly wiry, possibly slow pulse |
| Xiao Jian Zhong Tang / Minor Construct the Middle Decoction Powder (222) | warm the middle and dispel cold | Zhang Zhong-Jing (150-219): Shang Han Lun - On Cold Damage | C: yi tang, C: gui zhi, D: shao yao, A: zhi gan cao, E: sheng jiang, E: da zao | Warms and tonifies the middle burner and moderates spasmodic abdominal pain. | Consumptive deficiency (xu lao) causing spasmodic abdominal pain. Internal injury due to consumption (brought on by overwork, improper eating habits, poor diet, etc.) leads to cold from deficiency of the middle qi. | (low-grade fever), lusterless complexion, (dry mouth), (dry throat), Intermittent, spasmodic abdominal pain that responds favorably to local application of warmth and pressure, reduced appetite, cold sore extremities w nonspecific discomfort, (irritability |
| Huang Qi Jian Zhong Tang / Astragalus Decoction to Construct the Middle (224) | warm the middle and dispel cold | Zhang Zhong-Jing (150-219): Jin Gui Yao Lue - Essential Prescriptions from the Golden Coffer | huang qi, C: yi tang, C: gui zhi, D: shao yao, A: zhi gan cao, E: sheng jiang, E: da zao | Like the principal formula, but this formula focuses more on tonifying the qi. | For more severe qi deficiency, a popular formula, frequently used in pediatrics; also used in treating peptic ulcer and chronic allergies. | occasional fever, spontaneous sweating, shortness of breath, thin, faint, frail pulse |
| Dang Gui Jian Zhong Tang / TangKuei Decoction to Construct the Middle (224) | warm the middle and dispel cold | Sun Si-Miao (682) Qian Jin Yi Fang — Supplement to the Thousand Ducat Formulas | dang gui, C: yi tang, C: gui zhi, D: shao yao, A: zhi gan cao, E: sheng jiang, E: da zao | Like the principal formula, but this formula tonifies the blood. | for post-partum emaciation and weakness | shortness of breath, tight abdominal pain, emaciation & weakness |
| Da Jian Zhong Tang / Major Construct the Middle Decoction (224) | warm the middle and dispel cold | Zhang Zhong-Jing (150-219): Jin Gui Yao Lue - Essential Prescriptions from the Golden Coffer | C: chuan jiao, D: gan jiang, A: ren shen, A: yi tang | Warms and tonifies middle burner deficiency, directs rebellious qi downward, and alleviates pain. Its main focus is on the dispelling of cold. | This is cold from deficiency with internal ascendance of cold. The weakness and deficiency of the middle burner yang (the root), leads to yin or cold ascending in the interior (the manifestation). | strong epigastric & abdominal pain to the point that the patient cannot tolerate being touched, a strong sensation of cold in the epigastrium, vomiting to the point of being unable to eat, may also be borborygmus, white slippery coat, thin, tight or wiry, |
| Gan Cao Gan Jiang Tang / Licorice & Ginger Decoction (225) | warm the middle and dispel cold | Zhang Zhong-Jing (150-219): Jin Gui Yao Lue - Essential Prescriptions from the Golden Coffer | zhi gan cao, gan jiang | Warms the LU and strengthens the ST. | This is LU atrophy due to cold from deficiency of the LU and ST. | dry throat, absence of coughing, absence of thirst, excessive salivation with spitting up of clear fluids, frequent urination, cold extremities, irritability, dizziness, pale tongue, moist, no coat, submerged, frail, slow pulse |
| Si Ni Tang / Frigid Extremities Decoction (226) | rescue devastated yang | Zhang Zhong-Jing (150-219): Shang Han Lun - On Cold Damage | C: sheng fu zi, D: gan jiang, A: zhi gan cao | Rescues devastated yang, warms the middle burner, and stops diarrhea. | KD yang deficiency accompanied by an increase of internal cold; also for true cold and false heat | aversion to cold, abdominal pain and cold, lack of thirst, vomiting, diarrhea w undigested food particles, extremely cold extremities, lethargic state w constant desire to sleep, sleeping with knees drawn up, pale tongue, white slippery coat, submerged, t |
| Si Ni Jia Ren Shen Tang / Frigid Extremities Decoction + Ginseng (228) | rescue devastated yang | Zhang Zhong-Jing (150-219): Shang Han Lun - On Cold Damage | ren shen, sheng fu zi, gan jiang, zhi gan cao | Focuses more on nourishing the yin (fluids) and yang (qi) aspects of this type of collapse. | Based on Si Ni Tang, this formula is appropriate if the diarrhea ceases but the extremities remain cold (indicating severe injury to the yin and blood, which harms the source qi). | aversion to cold, abdominal pain and cold, lack of thirst, vomiting, no diarrhea, extremities are still cold, lethargic state w constant desire to sleep, sleeping with knees drawn up, pale tongue, white slippery coat, submerged, thin or faint pulse |
| Tong Mai Si Ni Tang / Unblock the Pulse Decoction for Frigid Extremities (228) | rescue devastated yang | Zhang Zhong-Jing (150-219): Shang Han Lun - On Cold Damage | zhi gan cao, sheng fu zi, gan jiang | Restores the yang and unblocks the pulse. | Lesser-yin stage disorders w interior cold and exterior heat. Another way of viewing this | problem is as a lesser yin-stage disorder with relatively severe yang deficiency of the HT. |
| Shen Fu Tang / Ginseng & Prepared Aconite Decoction (228) | rescue devastated yang | Bi Li-Zhai (16th Cent): Jiao zhu fu ren liang fang — Revised Fine Formulas for Women | C: ren shen, D: fu zi, sheng jiang, da zao | Restores the yang, strongly tonifies the source qi, rescues qi from collapse due to devastated yang. This focuses on source qi deficiency | Yang deficiency w severe deficiency of the source qi, and sudden collapse of the yang qi. | sweating, extremely pale complexion, weak breathing, SOB, cold extremities, dizziness, pale tongue, faint pulse, almost imperceptible |
| Du Shen Tang / Unaccompanied Ginseng Decoction (229) | rescue devastated yang | Ge Qian-Sun (1348): Shi yao shen shu — Miraculous Book of Ten Remedies | ren shen, da zao | Tonifies source qi and stabilizes collapse. In contrast to the principle formula which is used for chronic deficient yang patterns that have reached a critical stage, the emphasis of this formula is on strengthening the exhausted qi associated with acute, s | Qi collapse, following the [loss of] blood, a pattern of acute, severe blood loss or HT failure. | excessive sweating, extremely pale complexion, weak breathing, cold extremities, lethargic state, faint thin pulse, almost imperceptible |
| Zhu Fu Tang / Astragalus & Prepared Aconite Decoction (229) | rescue devastated yang | Yan Yong-He (1253): Ji Sheng Fang — Formulas to Aid the Living | bai zhu, fu zi, zhi gan cao, sheng jiang | Warms & strengthens the transporting function of the SP yang, dispels cold, dries dampness. | Pain in the joints and body due to damp-cold., spontaneous sweating, joint & body pain, general heaviness, thin pulse | betty's zebra's friend, Zha Zha, got cold sitting (in the) jungle |
| Hei Xi Dan / Lead Special Pill (230) | rescue devastated yang | Government Pharmacopia (1078-85): Tai Ping Hui Min He Ji Ju Fang - Imperial Grace Formulary | C: hei xi, C: liu huang, D: fu zi, D: rou gui, D: yang qi shi, D: bu gu zhi, D: hu lu ba, A: xiao hui xiang, A: mu xiang, A: rou dou kou, A: chen xiang, A: chuan lian zi, wine | Warms and strengthens the lower source, and forces the floating yang downward. | (1) True yang deficiency in which the KD qi is unable to grasp the LU qi; (2) A form of running piglet disorder (ben tun), associated with the KD. | unremitting cold sweat, wheezing and gasping for breath, cold extremities, pale tongue, white slippery coat, submerged, faint pulse, possibly a sensation of qi rapidly ascending from the lower abdomen to the chest accompanied by pain & distention of chest |
| Yue Ju Wan / Escape Constraint Pill (290) | promote the movement of qi | Zhu Dan-Xi (1280-1358): Dan Xi Xin Fa - Teachings of Dan-Xi | D: cang zhu, D: chuan xiong, C: xiang fu, D: shan zhi zi, D: shen qu | Promotes the movement of qi and releases constraint. The focus is on unblocking the ascending and descending functions of the qi dynamic in the middle burner. | constraint due to stagnant qi | mild coughing w copious sputum, stifling sensation in the chest, fixed pain in the hypochondria, focal distention, stifling sensation in the abdomen, reduced appetite, indigestion, belching, vomiting, acid regurgitation |
| Ban Xia Hou Po Tang / Pinellia & Magnolia Bark Decoction (291) | promote the movement of qi | Zhang Zhong-Jing (150-219): Jin Gui Yao Lue - Essential Prescriptions from the Golden Coffer | C: ban xia, D: hou po, D: fu ling, A: sheng jiang, E: zi su ye | Promotes the movement of qi, dissipates clumps, directs rebellious qi downward, and transforms phlegm. | plum-pit qi (mei he qi), or more generally, constrained qi with concurrent phlegm-dampness | a feeling of something caught in the throat that can neither be swallowed nor ejected, severe cases: coughing, a stifling sensation in the chest and hypochondria, severe cases: vomiting, moist or greasy white tongue coat, wiry slippery, or slow pulse |
| Gua Lou Xie Bai Bai Jiu Tang / Trichosanthes Fruit, Chinese Chive & Wine Decoction (292) | promote the movement of qi | Zhang Zhong-Jing (150-219): Jin Gui Yao Lue - Essential Prescriptions from the Golden Coffer | C: gua lou, D: xie bai, A: bai jiu | Unblocks the yang, promotes the movement of qi, and expels phlegm. | painful obstruction of the chest which results from the failure of the yang in the upper burner to be aroused; a form of yang deficiency | shortness of breath, wheezing, cough w copious sputum, thick greasy tongue coat, submerged, and wiry or tight pulse |
| Hou Po Wen Zhong Tang / Magnolia Bark Decoction for Warming the Middle (293) | promote the movement of qi | Li Ao (1247): Nei Wai Shang Bian Huo Lun - Clarifying Doubts about Injury from Internal and External Causes | C: hou po, D: cao dou kou, A: chen pi, A: mu xiang, A: gan jiang, A: fu ling, A: zhi gan cao, A: sheng jiang | Warms the middle burner, promotes the movement of qi, dries dampness, and eliminates fullness. This formula focuses on warming the middle burner and regulating the qi. | damp-cold injuring the SP / ST | epigastric and abdominal distention and fullness; if severe: abdominal pain, loss of appetite, if severe: vomiting of clear liquid, loose diarrhea, fatigue in the extremities, white slippery tongue coating |
| Liang Fu Wan / Galangal & Cyperus Pill (294) | promote the movement of qi | Xie Yuan-Qing (1842): Liang Fang Ji Ye - Small Collection of Fine Formulas | gao liang jiang, xiang fu (in vinegar), ginger juice | Warms the middle burner, dispels cold, promotes the movement of qi, and alleviates pain. | stagnation of the LV qi w cold congealing in the ST, one of many etiologies that lead to pain in both the epigastrium (corresp. to ST) and the hypochondria (corresponding to the LV) | a stifling sensation in the chest, hypochondriac pain, epigastric pain that responds favorably to warmth, painful menstruation, white tongue coating |
| Jin Ling Zi San / Melia Toosendan Powder (295) | promote the movement of qi | Zhang Yuan-Su (1186): Su Wen Bing Ji Qi Yi Bao Ming Ji - Collection of Writings on the Mechanism of Illness, Suitability of Qi, & Safe-guarding of Life as Discussed in the Basic Questions | C: jin ling zi, D: yan hu suo, wine | Spreads LV qi, drains heat, regulates the qi, and alleviates pain. | LV constraint turning into heat | intermittent epigastric and hypochondriac pain, hernial pain, menstrual pain that is aggravated by the ingestion of hot food or beverages, irritability, red tongue, yellow coating, wiry, or rapid pulse |
| Tian Tai Wu Yao San / Top-Quality Lindera Powder (296) | promote the movement of qi | Li Ao (Jin-Tartar): Yi Xue Fa Ming - Medical Innovations | C: wu yao, D: mu xiang, D: xiao hui xiang, D: qing pi, D: gao liang jiang, A: bing lang, A: jin ling zi, A: ba dou, wine | Promotes the movement of qi, spreads LV qi, scatters cold, and alleviates pain. | stagnation in the LV channel usually from the invasion of cold, causing hernial disorders | May be localized sensations of cold and hardness, lower abdominal pain radiating to the testicles, pale tongue, white coating, submerged, or wiry, slow pulse |
| Ju He Wan / Tangerine Seed Pill (298) | promote the movement of qi | Yan Yong-He (1253): Ji Sheng Fang — Formulas to Aid the Living | C: ju he, D: jin ling zi, D: mu xiang, D: tao ren, D: yan hu suo, A: rou gui, A: mu tong, A: hou po, A: zhi shi, A: hai zao, A: kun bu, A: hai dai, wine | Promotes the movement of qi, alleviates pain, softens hardness, and dissipates clumps. | hernial disorder due to damp-cold invading the LV channel | unilateral testicular swelling w colicky pain reaching to umbilicus, or a rock-like hardness & swelling of the scrotum w oozing of a yellow fluid. In severe cases, abscess and ulceration may occur |
| Su Zi Jiang Qi Tang / Perilla Fruit Decoction for Directing Qi Downward (299) | direct rebellious qi downward | Government Pharmacopia (1078-85): Tai Ping Hui Min He Ji Ju Fang - Imperial Grace Formulary | C: su zi, D: ban xia, A: dang gui, E: gan cao, D: hou po, D: qian hu, A: rou gui, E: sheng jiang, E: da zao, E: su ye | Directs rebellious qi downward, arrests wheezing, stops coughing, and warms and transforms phlegm-cold. | congested fluids with KD deficiency, a type of excess above and deficiency below | shortness of breath marked by relatively labored inhalation and smooth exhalation, stifling sensation in the chest and diaphragm, There may also be weakness & pain of the lower back & legs, edema of the limbs, slippery or greasy white tongue coat |
| Ding Chuan Tang / Arrest Wheezing Decoction (300) | direct rebellious qi downward | Wu Min (1530): Fu Shou Jing Fang - Exquisite Formulas for Fostering Longevity | C: yin xing, C: ma huang, D: ban xia, D: xing ren, D: kuan dong hua, D: su zi, A: huang qin, A: sang bai pi, E: gan cao | Disseminates and redirects the LU qi, arrests wheezing, clears heat, and transforms phlegm. | wheezing caused by wind-cold constraining the exterior and phlegm-heat smoldering in the interior | possibly simultaneous fever and chills, labored breathing, coughing and wheezing w copious, thick and yellow sputum, greasy yellow tongue coat , slippery, rapid pulse |
| Xuan Fu Dai Zhe Tang / Inula & Hematite Decoction (302) | direct rebellious qi downward | Zhang Zhong-Jing (150-219): Shang Han Lun - On Cold Damage | C: xuan fu hua, C: dai zhe shi, D: ban xia, D: sheng jiang, A: ren shen, A: zhi gan cao, A: da zao | Directs rebellious qi downward, transforms phlegm, augments the qi, and harmonizes the ST | phlegm turbidity obstructing the interior with weak deficient ST qi | hard epigastric focal distention, unremitting belching, hiccough, regurgitation, nausea or vomiting, white slippery tongue coat, wiry deficient pulse |
| Ju Pi Zhu Ru Tang / Tangerine Peel & Bamboo Shavings Decotion (304) | direct rebellious qi downward | Zhang Zhong-Jing (150-219): Jin Gui Yao Lue - Essential Prescriptions from the Golden Coffer | C: chen pi, C: zhu ru, D: ren shen, D: sheng jiang, A: da zao, A: gan cao | Directs rebellious qi downward, stops hiccough, augments the qi, and clears heat. Focus is on directing rebellious qi downward by resolving constraint. | ST deficiency w heat from constraint. Also for vomiting due to debility after a prolonged illness. | hiccough, nausea, dry heaves, or retching, red tongue, tender, deficient, rapid pulse |
| Ding Xiang Shi Di Tang / Clove & Persimmon Calyx Decoction (305) | direct rebellious qi downward | Qin Jing-Ming (1702): Zheng Yin Mai Zhi - Pattern, Cause, Pulse and Treatment | C: ding xiang, C: shi di, D: sheng jiang, A: ren shen | Augments the qi, warms the middle burner, directs rebellious qi downward, and stops hiccough. Focus is on directing rebellious qi downward and warming the middle burner. | hiccough, belching or vomiting due to cold from deficiency of the ST | focal distention of the chest, stifling sensation in the epigastrium, hiccough, belching, or vomiting, pale tongue, white coat, submerged, slow pulse |
| Xing Su San / Apricot Kernel & Perilla Leaf Powder (158) | Gently Disperse and Moisten Dryness | Wu Ju-Tong (1798): Wen Bing Tiao Bian — Systematic Differentiation of Warm Diseases | C: zi su ye, D: qian hu, C: xing ren, D: jie geng, D: zhi ke, A: chen pi, A: fu ling, A: ban xia, E: sheng jiang, E: da zao, E: gan cao | Gently disperses cool-dryness, disseminates the LU qi, and transforms congested fluids | Externally-contracted cool dryness interfering with the disseminating and descending functions of the LU | chills, no sweating, slight headache, stuffy nose, dry throat, cough, watery sputum, dry white tongue coat, wiry pulse |
| Sang Xing Tang / Mulberry Leaf & Apricot kernel Decoction (159) | Gently Disperse and Moisten Dryness | Wu Ju-Tong (1798): Wen Bing Tiao Bian — Systematic Differentiation of Warm Diseases | C: sang ye, D: zhi zi, D: dan dou chi, C: xing ren, D: zhe bei mu, A: sha shen, A: li pi | Clears and disperses warm-dryness | Warm-dryness injuring the LU qi at a relatively superficial level | moderate fever, headache, dry hacking cough, scanty thick sticky sputum, thirst, red tongue, thin dry white coat, floating, rapid pulse (esp on right) |
| Qing Zao Jiu Fei Tang / Eliminate Dryness & Rescue the LU Decoction (160) | Gently Disperse and Moisten Dryness | Yu Chang (1658): Yi Men Fa Lu — Precepts for Physicians | C: sang ye, C: shi gao, D: mai men dong, D: e jiao, D: hei zhi ma, A: xing ren, A: mi zhi pi pa ye, A: ren shen, A: gan cao | Clears dryness and moistens the LU | Warm-dryness attacking the LU and causing the LU qi to rebel | fever, headache, dry nasal passages, dry parched throat, wheezing, hacking cough, chest fullness, hypochondriac pain, thirst, irritability, dry tongue, no coat, deficient, big, rapid pulse |
| Sha Shen Mai Men Dong Tang / Glehnia & Ophiopogonis Decoction (161) | Gently Disperse and Moisten Dryness | Wu Ju-Tong (1798): Wen Bing Tiao Bian — Systematic Differentiation of Warm Diseases | sha shen, mai men dong, yu zhu, sang ye, tian hua fen, bai bian dou, gan cao | Clears and nourishes the LU and ST, generates fluids, moistens dryness | Injury to the LU, ST, and fluids from dryness. Treats mild conditions where only the yin and fluids are injured, not qi | dry throat, hacking cough, scanty sputum, thirst, red tongue, little coating |
| Bai He Gu Jin Tang / Lily Bulb Decoction to Preserve the Metal (161) | Enrich Yin & Moisten Dryness | Wang Ang (1682): Yi Fang Ji Jie — Analytic Collection of Medical Formulas | C: bai he, C: sheng di huang, C: shu di huang, D: mai men dong, D: xuan shen, A: chuan bei mu, A: jie geng, A: dang gui, A: bai shao, E: gan cao | Nourishes the yin, moistens the LU, transforms phlegm, stops coughing | Internal dryness of the LUs due to LU and KD yin deficiency | night sweats, dry sore throat, wheezing, coughing, blood-streaked sputum, hot palms and soles, red tongue, little coat, thin, rapid pulse |
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