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Herbs 4 Final

Straight from Bensky- Diagnosis, Indication, Ingredients of Formulas 1 formulas

QuestionAnswer
Early stages of exterior conditions Cong Chi Tang
Exterior cold XS Ma Huang Tang
"Tai Yang repletion" Ma Huang Tang
"Wind Cold repletion" Ma Huang Tang
Wind Cold in the exterior with HEAT CONSTRAINT in the interior Da Qing Long Tang
What does "Wind Cold in the exterior with HEAT CONSTRAINT in the interior" look like? No sweat, HA, general BA, c/b wheezing, irritability, tight pulse
No sweat, HA, general BA, c/b wheezing, irritability, tight pulse Da Qing Long Tang
Exterior Cold (under condition of deficiency) aka "Wind Strike" Gui Zhi Tang
"Cold 'fettering the exterior' with 'heat constraint' in the interior"; "presence of IRRITABILITY is the 'key clinical marker'" Da Cheng Qi Tang
Sweating that does not lead to improvement of condition, HA, aversion to wind, c/b stiff neck, nasal congestion, c/b dry heaves, no particular thirst, moderate (or 'frail') pulse Gui Zhi Tang pattern
Externally contracted Wind Cold "at the greater yang warp," which I guess means Yang Ming. Ge Gen Tang
"Can also use for Greater Yang (Tai Yang) and Yang Brightness (Yang Ming) patterns with diarrhea." Ge Gen Tang
F&C w/o sweating, stiff and rigid neck and upper back. TWC, tight pulse Ge Gen Tang
Externally contracted Wind Cold with THIN (CLEAR) MUCUS. ("In severe cases there may be 'floating edema' or orthpnea.") Xiao Cheng Qi Tang
Absense of sweat, cough, maybe wheezing. Sputum that is copious,white, stringy, and DTE. STIFLING SENSATION in the chest. Generalized sensation of heaviness and BA. No particular thirst. Moist T. Tight P. Xiao Cheng Qi Tang pattern
Exterior WCD with internal accumulation of heat Jiu Wei Qiang Huo Tang
Externally contracted Wind Cold Dampness with concurrent internal accumulation of heat Jiu Wei Qiang Huo Tang
Abscence of sweat. HA. Stiff neck. Generalized aches and pain. Slight thirst. Bitter taste in mouth. (Wow, this is not very helpful! Focus on WCD with beginnings of interior heat...) Jiu Wei Qiang Huo Tang
Exterior Wind Cold with qi constraint in the interior (Jia Wei) Xiang Su San
Abscence of sweat, HA, focal distention and stifling sensation in the chest and epigastrium. Poor appetite. Belching. (Jia Wei) Xiang Su San
For more advanced cases of "WC patterns with internal qi constraint." In this one, they use words "qi stagnation." Notes also say can be used for WCD painful obstruction. Shi Shen Tang (Ten Miracle Decoction)
HA, STIFLING OPPRESSION and focal distention in the chest. Abscence of sweat. FEVER, cough, nasal congestion, low voice (??), TWC. Shi Shen Tang (Ten Miracle Decoction)
Early SF stage of a warm pathogen disease Sang Ju Yin
Hmmm, interesting... "Also used for eye disorders d/t Wind Heat" Sang Ju Yin
Slight fever, cough, slight thirst, TWC Sang Ju Yin
"Protective level (Wei, I guess) warm pathogen disease" Yin Qiao San
HA, thirst, cough, SORE THROAT, red tipped T with either thin white or thin yellow coat. Pulse is floating and rapid. Yin Qiao San
(We didn't study this formula, but just for your future geniusness... "Early stages of SC with a PRODUCTIVE COUGH") Inula Powder (Jin Fei Cao San) I guess Jin Fei Ca is the old name for Xuan Fu Hua!
(We didn't study this formula, but just for your future geniusness... "Cough with COPIOUS sputum, nasal congestion, DEEP AND LOW VOICE,HA, clouded vision, fullness and oppression of the chest, PUFFY TONGUE with TM, WGC and floating P") Inula Powder (Jin Fei Cao San)
Exterior WC that is beginning (just beginning) to enter the Yang Ming (i.e., beginning to transform into interior heat) Chai Ge Jie Ji Tang
"INCREASING fever and DESCREASING chills accompanied by HA, stiffness of the extremities. ORBITAL AND EYE PAIN (interesting...), DRY NASAL PASSAGES, irritability, INSOMNIA (!!), thin & YELLOW T coating. 'slightly floating P'" Chai Ge Jie Ji Tang
"Early stage measles or rashes that 'do not surface evenly'" aka "Externally contracted heat collecting in the Lungs and Stomach" Sheng Ma Ge Gen Tang
(I DON'T THINK WE STUDIED THIS ONE, DID WE?) WH with "heat collecting in LU-ST (d/t toxins)" and "damage to fluids" (I DON'T THINK WE STUDIED THIS ONE) Zhu Ye Cheng Liu Tang
External "WCD" with pre-existing deficient qi Ren Shen Bai Du San
What does "External WCD with pre-existing deficient qi" look like? HIGH fever and SEVERE chills with SHIVERING!! Abscence of sweat. Pain and stiffness of head and neck. Soreness and pain of the extremities. Focal distention and fullnessof chest. Nasal congestion. Productive cough. Greasy, white T coat. "SOGGY" pulse.
HIGH fever and SEVERE chills with SHIVERING!! Abscence of sweat. Pain and stiffness of head and neck. Soreness and pain of the extremities. Focal distention and fullnessof chest. Nasal congestion. Productive cough. Greasy, white T coat. "SOGGY" pulse. Ren Shen Bai Du San
WC in exterior with Yang Xu in interior Ma Huang Xi Xin Fu Zi Tang!
"Extreme cold and chills. Slight fever. No sweating. EXHAUSTION. "Submerged" and faint pulse. Ma Huang Xi Xin Fu Zi Tang!
Exterior WH in a patient with deficient blood and/or yin Jia Jian Wei Rui Tang
HA, fever, slight chills with litle or no sweat. Thirst, irritability. "Dark red" T and rapid P. (This is supposedly WH in Yin or Blood Xu patient.) Jia Jian Wei Rui Tang
What is the dx for Jing Fang Bai Du San? Sounds like Exterior WCD with NO underlying qi defiency
What is the dx for Jing Fang Bai Du San? "Externally contracted WCD characterized by F&C, no sweating, pain and stiffness of head and neck, generalize BA and pain, TWC and floating pulse."
What does Shen Su Yin do? "Augments the qi, releases the exterior, harmonizes the Stomach, and TRANSFORM PHLEGM!"
Externally contracted WC with phlegm and thin mucus in the interior in patients of qi deficient constitution Shen Su Yin (Ginseng and Perilla Leaf Drink)
Release the Exterior and PURGE. We studied 2 formulas. What are they? Da Cheng Qi Tang and Fang Feng Tong Sheng San
Release the Exterior and CLEAR. We studied 2 formulas. What are they? Shi Gao Tang and Ge Gen Huang Qin Huang Lian Tang
What is the difference between RE & PURGE vs. RE & Clear? You RE & Clear instead of RE & Purge when the "heat in the interior has not yet 'clumped.'" So I guess in a word, 'clumping.'
Concurrent SHAO Yang and Yang Ming disorders Da Chai Hu Tang
"ALTERNATING F&C, fullness in chest and hypochondria, bitter taste, vomiting, epigastric distention and fullness and pain. BURNING DIARRHEA "or not B.M." "Slight irritability." Yellow T coat. Wiry, forceful P. Da Chai Hu Tang
Glomus, distention, DRYNESS and "repletion" What are the 4 symptoms for use of Da Cheng Qi Tang (Yang Ming bowel pattern)?
Heat XS in both exterior and interior Sapshnikovia Powder that Sagely Unblocks (Fang Feng Tong Sheng San)
Simultaneous Tai Yang and Yang Ming disorders. "Focuses on draining heat" Ge Gen Huang Qin Huang Lian Tang
"Incompletely resolved exterior with "blazing interior heat" Ge Gen Huang Qin Huang Lian Tang
"Exterior Cold damage with "blazing interior heat" Shi Gao Tang
"STRONG F&C without sweating. HA. Thirst. Irritability and insomnia. Possible nosebleeds. Coughing up blood OR SKIN BLOTCHES. Rapid, slippery or rapid, flooding P. Shi Gao Tang
"Focuses on clearing extreme interior heat" Shi Gao Tang
"Fever (b/c TaiYang), sweating (b/c YangMing), 'dysenteric diarrhea with especially foul smelling stools, burning sensation around the anus, sensation of heat in the chest and epigastrium. Irritability. Possible wheezing. Red T with YC. Rapid P. Ge Gen Huang Qin Huang Lian Tang
(Two formulas, Release Exterior with Interior Excess, we didn't study focus on releasing the exterior and WARMING the interior. What are they?) Gui Zhi Ren Shen Tang and Wu Ji San (Five Accumulations Powder). Gui Zhi Ren Shen Tang is for "complex pattern of cold in both exterior and interior."
Blazing heat in the Yang Ming Bai Hu Tang
Qi level heat "lingering in the Lungs and Stomach" Zhu Ye Shi Gao Tang
Qi level heat "lingering in the SF aspects of the Yang Ming" (muscle layer) Zhi Zi (Dou) Chi Tang
"Also treats HA, toothache, or bleeding of gums and nose" Bai Hu Tang
"Primarily focuses on clearing heat (from LU & ST) and only secondarily on tonifying qi and fluids." ("Often during aftermath of febrile illness.") Zhu Ye Shi Gao Tang
"Focuses on eliminating constrained heat by simultaneously venting it outward and directing it downward." Zhi Zi (Dou) Chi Tang
Fever, irritability, insomnia "with tossing and turningin bed." Stifling sensation in the chest "with a soft epigastrium." HWNDTE. Slightly yellow T coat. Slightly rapid P. Or... strong, floating pulse "at distal position." Zhi Zi (Dou) Chi Tang
HIGH fever. PROFUSE sweat. ATH. SEVERE thirst. Irritability. Red T with dry white or dry yellow coating. Flooding, forceful or slippery and rapid P. (Sounds like the Four Bigs to me...) White Tiger Decoction (Bai Hu Tang)
Heat entering the nutritive level Qing Ying Tang
Heat entering the blood level Xi Jiao Di Huang Tang
"Depending on the level of penetration, some patients may be thirsty, delirious, or exhibit faint and indistinct erythema and purpura." Qing Ying Tang
"High fever that worsens at night," severe irritability and restlessness. Scarle, dry T. Thin, rapid P. Qing Ying Tang
"Widely used in gynecology, pediatrics and ophthalmology for problems due to both heat AND blood stasis"!! Xi Jiao Di Huang Tang
FEVER. Various types of bleeding (including hemoptesis, epistaxis, hematuria, melena, rashes), black and tarry stools, abdominal distention and fullness." Thirst with an inability to swallow." Scarlet T with prickles. Thin, rapid P. Xi Jiao Di Huang Tang
"Severe obstruction by heat (fire toxin) in all 3 jiaos" Huang Lian Jie Du Tang (Coptis Decoction to Resolve Toxicity)
"Damp Heat XS with 'interior clumping'" Drain the Epigastrium Decoction (Xiwe Xin Tang)
"Epidemic toxin d/t wind heat and damp phlegm" Pu Ji Xiao Du Yin
"Unformed BLAZING HEAT in the Upper Burner" and formed accumulation in the Middle Burner Cool the Diaphragm Powder (Liang Ge San)
AMFDOH (Acute, massive febrile disorder of the head) Pu Ji Xiao Du Yin
There are basically only 3 formulas for qi level heat. What are they? Bai Hu Tang. Zhu Ye SHI GAO Tang. And Zhi Zi (Dou) Chi Tang.
There is basically only ONE formulas for heat entering the nutritive level. What is it? Qing Ying Tang
There is basically only ONE formulas for heat entering the blood level. What is it? Xi Jiao Di Huang Tang
In the Clear Heat, Resolve Toxicity category, we were given 5 base formulas (not counting Fu Zi Xi Xin Tang), even though Bensky et al. put Qing Wen Bai Du Yin in a category all of its own. What are these 5 formulas? Huang Lian Jie Du Tang. Xie Xin Tang. Pu Ji Xiao Du Yin. Liang Ge San. And... Qing Wen Bai Du Yin.
"SEVERE" heat in the qi AND blood levels Qing Wen Bai Du Yin
ABSCESSES AND SORES (really?). Okay. External. One is for nail/chestnut skin lesions. What is the formula? Five Ingredient Drink to Eliminate Toxins (Wu Wei Xiao Du Yin)
ABSCESSES AND SORES (really?). Okay. External. One is for "phlegm and fire rising in the throat" (aka "milk moth"). What is the formula? Six Miracle Pill (Liu Shen Wan)
ABSCESSES AND SORES (really?). Okay. External. The third one is for ulcerated, nonhealing, purulent (yin) sores. What is the formula? Yang He Tang
ABSCESSES AND SORES (really?). Okay. Internal. Which one for appendicitis? Da Huang Mu Dan Tang
ABSCESSES AND SORES (really?). Okay. Internal. Which one for Lung abscess ("accompanied by phlegm and blood stasis")? Reed Decoction (Wei Jing Tang) Wei Jing is old name for Lu Gen
Organ heat at last! "Heat lodged in lungs" Ma Xing Shi Gan Tang
Organ heat at last! "Lurking fire d/t constrained heat in the Lungs" Drain the White Powder (Xie Bai Tang)
Organ heat at last! "Wind edema with aversion to drafts: generalized edema that begins in the face" Yue Bi Tang (Maidservant from Yue's Decoction)
Organ heat at last! "Lurking Fire in the Spleen" Xie Huang San
Organ heat at last! "Heat accumulation in the Stomach" Qing Wei San
Organ heat at last! "Kidney yin xu with 'vigorous Stomach fire'" Yu Nu Jian
Organ heat at last! Heat in HT and SI Dao Chi San
Organ heat at last! XS Heat in LR/GB Long Dan Xie Gan Tang
(Organ heat Extra credit: "Red, sore, swollen eyes, restlessness and irritability, dark urine, constipation, flooding, excessive pulse") Xie Qing Wan (Clear the Green Pill)
(Organ heat Extra credit: "HCR pain, indeterminate 'gnawing' hunger, epigastric focal distention, vomiting, acid reflux, bitter taste, dry mouth, red T with yellow coat: wiry, rapid P") Left Metal Pill (Zuo Jin Wan)
More organ heat! "Dysenteric disorder d/t damp heat lodged in intestines Shao Yao Tang
More organ heat! "HOT dysenteric disorder d/t heat toxin SEARING the Stomach and Intestines Bai Tou Weng Tang
Xu Heat formulas... We studied 3. What are they? Cool the Bones, Sweet Wormwood and Soft Shelled Turtle Shell, and Tangkuei with Six Yellows: Qing Gu San. Qing Hao Bie Jia Tang. Dang Gui Liu Huang Tang.
Xu Heat: "Heat lurking in the yin aspects of the body" Qing Hao Bie Jia Tang
Xu Heat: "Steaming bone d/o" Qing Gu San
Xu Heat: RAGING FIRE in the interior with deficiency of Blood & Yin Dang Gui Jiu Huang Tang
Xu Heat. Now let's play with patterns/presentations: Night fever and morning coolness 'WITH NO SWEATING AS THE FEVER RECEDES.' 'Emaciation with no loss of appetite. Red T with little coat. 'Fine,' rapid P. Qing Hao Bie Jia Tang
Xu Heat. Now let's play with patterns/presentations: Tidal fever or unremitting, chronic, LG fever. Sensation of heat in the bones but flesh that is NOT warm to touch. IRRITABILITY. INSOMNIA. EMACIATION. Lethargy. Dark-red cheeks. NIGHT SWEATS. Thirst. Qing Gu San
Xu Heat. Now let's play with patterns/presentations: "Fever, night sweats, red face, dry mouth, parched lips, irritability, dry stools, SDU, red dry T, rapid P. Dang Gui Di Huang Tang
Drain Downward (Purge Heat Accumulation): What are there besides Da and Xiao Cheng Qi Tangs? Regulate Stomach and Order the Qi Decoction (Tiao Wei Cheng Qi Tang). Rhubarb and Licorice Decoction (Da Huang Gan Cao Tang). Major Decoction for Pathogen Stuck in the Chest (Da Xian Xiong Tang)
Drain Downward (Purge Heat Accumulation): What is the formula that "simultaneously attacks and tonifies?" It is a combination of 2 formulas (surprise), Zeng Ye Tang (a yin tonifying formula) and Da Cheng Qi Tang), thus the name, Zeng Ye Cheng Qi Tang :)
Are there really TWO formulas that "Warm the Yang and Purge?" What are they? Da Huang Fu Zi Tang. (sort of a no-brainer). And Three Substance Pill for Emergencies: San Wu Bei Ji Wan
Three formulas that moisten intestines and unblock the bowels... Run Chung Wan, Ma Zi Ren Wan, Ji Chuan Jian
Which of the three MI/UBB is indicated for "dessicated intestines?" Run Chang Wan
Which of the three MI/UBB is indicated for "heat-dryness blocking the movement of fluids?" Ma Zi Ren Wan
Which of the three MI/UBB is indicated for "KD Xu constipation?" Ji Chuan Jian (Benefit the River Drink/Decoction)
Bowel patterns/presentations: "Lusterless skin and nails. Dry mouth. Unquenchable thirst. Dry T. Thin P." Run Chang Wan (Moisten the Intestines Pill)
Bowel patterns/presentations: "Hard stool that is difficult to expel. Normal to frequent urination. Dry, yellow T. Submerged rapid or floating choppy P." Ma Zi Ren Wan (Hemp Seed Pill)
Bowel patterns/presentations: Clear and copious urine. LB pain. Coldness of back//knees." Ji Chuan Jian (Benefit the River Drink)
Motherfudding god... Drive Out XS Water. What is the difference between the two? Ten Jujube Decoction (Shi Zao Tang) is said to be for "suspended, thin mucus clogging up the chest and HCR" whereas Vessel and Vehicle Pill (Zhou Che Wan) sounds like it's for ascites.
XS Water: "Water and heat accumulation in the interior obstruting the qi mechanism" Zhou Che Wan (Vessel and Vehicle Pill)
XS Water: "Also used for edema d/t obstruction from accumulation of thin mucus." Ten Jujube Decoction (Shi Zao Tang)
XS Water: Cough with pain in the chest and HC. Hard focal distention of the epigastrium. Dry heaves, SOB, HA, vertigo. White, greasy (book says 'slippery') T coat; submerged, wiry P. Ten Jujube Decoction (Shi Zao Tang)
Harmonize Shao Yang d/o Xiao Chai Hu Tang
Damp Heat and turbid phlegm in the Shao Yang channels "constraining the protective and nutritive qi" Hao Qin Qing Dan Tang
"Problems in all three yang channels" Chai Hu Jia Long Gu Mu Li Tang
"Yang inversion d/t internal constraint of yang qi" Si Ni San
Liver constraint with blood deficiency and a "frail Spleen" Xiao Yao San
"Painful diarrhea d/t Spleen Xu with an overcontrolling Liver" Tong Xie Yao Fang (Important Formula for Painful Diarrhea)
"Clumping of constrained heat and fluids in the epigastrium" (Jason said "heat-cold complex in the MJ") Ban Xia Xie Xin Tang
"Clumping together (in the epigastrium) of cold and heat" Ban Xia Xie Xin Tang
Created by: mrbarr