Herbs that warm the interior and expel cold: Interior cold symptoms: aversion to cold, cold limbs, pale complexion, profuse and clear urine, pale tongue, and submerged and thin pulse Warm meridian & stop pain Warm the middle Jiao Zhi Cao Wu; Rou Gui; Wu Zhu Yu; Hua Jiao; Xiao Hui Xiang; Bi Ba; Gan Jiang; Gao Liang Jiang; Ding Xiang; Hu Jiao Zhi Fu Zi; Zhi chuan Wu; Contraindications Pregenancy Herbs that stop bleeding Part One Warm meridian & stop pain Zhi Cao Wu; 制草乌 Rou Gui; 肉桂 Wu Zhu Yu; 吴茱萸 Hua Jiao; 花椒 Xiao Hui Xiang; 小茴香 Bi Ba; 荜茇 Zhi Cao Wu 制草乌 Zhi Cao Wu 制草乌 (hot) Pharmaceutical Name Aconiti Kusnezoffii Radix preparata 1. Disperses cold, scours out wind Actions 1. Overcomes dampness 1. Stops pain Cold damp painful obstruction Indications (Excess ) Hemiplegia from wind-stroke Headache Cold pain in the abdomen Dosage 1.5 – 3 g Cook Toxic Sym. toxin Zhi Cao Wu 制草乌 (hot) Contraindications Hot disease Combinations Indications Sheng Nan Xing 生南星 Gan Jiang 干姜 Chi Shao 赤芍 Bai Zhi 白芷 Rou Gui 肉桂 Cold-damp painful obstruction Formular Rou Gui 肉桂 Rou Gui 肉桂 ( hot ) Pharmaceutical Name Cinnamomi Cortex 1. Fortifies the Kidney & spleen yang, warms the heart yang & fortifies the yang Actions 1. Disperses deep cold, warms the channels, unblocks the channels and vessels, and alleviates pain 3. Leads the fire back to its source 3. Encourages the generation of Qi & blood Insufficiency of kidney yang Indications (Excess & def. ) Dosage Amenorrhea or dysmenorrhea due to cold Cold-damp painful obstruction 1.5 – 4.5 g Cook Toxic Sym. Overdosage (18g per day or higher): dysuria, red colored urine, burning urination, a sensation of heat in the chest, thirst for cold beverages, dry, Rou Gui 肉桂 ( hot ) Contraindications Fire from yin def. ; escessive heat; Combinations Indications Formular Zhi Fu Zi 制附子 Shu Di Huang 熟地黄 Kidney Yang def. Jin Gui Shen qi Wan 金匮肾气丸 Zhi Fu Zi 制附子 Bai Zhu 白术 Spleen & kidney Yang def. Dang Gui 当归 Chuan Xiong 川芎 Dysmenorrhea or amenorrhea Wu Zhu Yu 吴茱萸 Xiao Hui Xiang 小茴香 Cold bulging discorders Huang Bai黄柏 Zhi Mu 知母 Urinary discomfort and urinary retention due to kidney yang def. Ai Ye 艾叶 Dang Gui 当归 Cramps due to cold Wu Zhu Yu 吴茱萸 Wu Zhu Yu 吴茱萸 ( Hot ) Pharmaceutical Name Evodiae Fructus 1. Warms the middle, disperses cold, promotes the movement of qi, and alleviates pain 2. Redirects rebellious qi downward & stops vomiting Actions 2. Warms the spleen 3. Leads the fire downward Epigastric pain , vomiting due to cold Indications ( Excess ) Dosage Dysmenorrhea due to cold Diarrhea due to spleen yang def. 1.5 – 4.5 g Cook Toxic Sym. Slightly toxin: Wu Zhu Yu 吴茱萸 ( Hot ) Contraindications Yin def. type heat Combinations Indications Formular Ren Shen 人参 Sheng Jiang 生姜 Epigastric pain, vomiting due to middle jiao def. Wu Zhu Yu Tang 吴茱萸汤 Ai Ye 艾叶 Xiang Fu 香附 Dysmenorrhea due to cold in the Womb Wen Jing Tang 温经汤 Wu Yao 乌药 Xiao Hui Xiang 小茴香 Cold bulging disorders Gan Jiang 干姜 Ban Xia 半夏 Abdominal pain, vomiting and acid regurgitation due to cold Huang Lian 黄连 Vomiting, epigastric pain & acid regurgitation due to disharmony between liver & St. Zuo Jin Wan 左金丸 Hua Jiao 花椒 Hua Jiao 花椒 ( Hot ) Pharmaceutical Name Zanthoxyli Pericarpium 1. Warms the middle burner, disperses cold, and alleviates pain Actions 2. Kills parasites and alleviates abdominal pain Cold and pain in the abdomen Indications ( Excess ) Vomiting & diarrhea Abdominal pain due to roundworms External wash for pruritus due to eczema Dosage 3 – 6g Cook Toxic Sym. Nausea, vomiting, dry mouth, and dizziness Hua Jiao 花椒 ( Hot ) Contraindications Blazing fire due to yin def. Combinations Indications Zhi Fu Zi 制附子 Cold dampness in either the middle or lower burner Gan Jiang 干姜 Ren Shen 人参 Epigastric & abdominla pain with strong sensation of cold Cang Zhu 苍术 Chen Pi 陈皮 Mu Xiang 木香 Cold-dampness induced diarrhea Wu Mei 乌梅 Abdominal pain and vomiting due to roundworms Formular Da Jian Zhong Tang 大建中汤 Wu Mei Wan 乌梅丸 Xiao Hui Xiang 小茴香 Xiao Hui Xiang 小茴香 ( warm) Pharmaceutical Name Foeniculi Fructus 1. Disperses cold, warms the liver & kidney Actions 1. Stops pain 2. Regulates the qi and harmonizes the stomach Liver Qi stag. Indications ( Excess ) Dosage Abdominal pain due to cold Vomiting & reduced appetite, indigestion 3-9 g Cook Toxic Sym. Allergic reactions Xiao Hui Xiang 小茴香 ( warm) Contraindications Blazing from yin def. Combinations Indications Formular Rou Gui 肉桂 Wu Yao 乌药 Abdominal pain that is aggravated by cold Tian Tai Wu Yao San 天台乌药散 Zhi Zi 栀子 Huang Qin 黄芩 Bulging disorders that have transformed into heat Bu Gu Zhi 补骨脂 Kidney yang def. Gan Jiang 干姜 Mu Xiang 木香 Vomiting & reduced appetite due to Stomach cold Gui Zhi 桂枝 Gao Liang Jiang 高良 姜 Yan Hu Suo 延胡索 Spasmodic epigastric pain due to spleen def. with Qi & blood stag. Ping Wei San 平胃散 Bi Ba 荜茇 Bi Ba 荜茇 ( hot ) Pharmaceutical Name Piperis Longi Fructus 1. Warms the middle, disperses cold from the stomach and Intestine Actions 1. Alleviates pain 2. Applied as a powder for toothache Nausea, vomiting, belching, acid regurgiation, loss of appetite, and abdominal pain due to cold Indications ( Excess ) Dosage Cook Toxic Sym. diarrhea due to cold Toothache 1.5 – 4.5 g Bi Ba 荜茇 ( hot ) Contraindications Yin def. & heat Combinations Indications Gao Liang Jiang 高良姜 Pao Jiang 炮姜 Diarrhea due to cold Dang Shen 党参 Bai Zhu 白术 Spleen & St. weakness He Zi 诃子 Rou Gui 肉桂 Chronic diarrhea due to cold from deficiency Formular Herbs that stop bleeding Part Two Warm Middle burner Gan Jiang; 干姜 Gao Liang Jiang; 高良姜 Ding Xiang; 丁香 Hu Jiao; 胡椒 Gan Jiang 干姜 Gan Jiang 干姜 ( hot ) Pharmaceutical Name Zingiberis Rhizoma 1. Warms the middle & expels cold Actions 2. Rescues devastated yang & expels interior cold 2. Warms the lung & transforms thin mucus 3. Warms the channels & stops bleeding Cold attacking Sp. & St. Indications ( Excess ) Devastated yang with very weak pulse & cold limbs Lung cold with thin watery sputum Uterine bleeding due to cold Dosage 3–9g Cook Toxic Sym. None noted Gan Jiang 干姜( hot ) Contraindications Internal heat from yin def. Combinations Indications Formular Ren Shen 人参 Spleen yang def. Li Zhong Wan 理中丸 Zhi Fu Zi 制附子 Kidney yang def. Huang Lian 黄连 Epigastric pain & distention, dysenteric disorder & indefinable epigastric discomfort Gan Cao 甘草 Epigastric pain & vomiting due to cold Fu Ling 茯苓 Bai Zhu 白术 Cold dampness in middle jiao Wu Wei Zi 五味子 Xi Xin 细辛 Cough & wheezing due to cold congested fluids Gao Liang Jiang 高良姜 Gao Liang Jiang 高良姜 ( Hot ) Pharmaceutical Name Alpiniae officinarum rhizoma 1. Warms the middle & alleviates pain Actions Epigastric & abdominal pain Indications ( Excess ) Dosage Vomiting, hiccough, or diarrhea due to cold in the middle burner 3–9g Cook Toxic Sym. Note noted Gao Liang Jiang 高良姜 ( Hot ) Contraindications Heat from yin def. Combinations Indications Pao Jiang 炮姜 Pain & vomiting due to cold Rou Gui 肉桂 Cold induced sudden turmoil discorder Xiang Fu 香附 Cold-induced epigastric pain Ban Xia 半夏 Sheng Jiang 生姜 Rebellious Qi with vomiting clear fluid Dang Shen 党参 Fu Ling 茯苓 Hiccough due to St. def. Formular Liang Fu Wan 良附丸 Ding Xiang 丁香 Ding Xiang 丁香 (warm) Pharmaceutical Name Caryophylli Flos 1. Warms the middle burner & directs rebellious qi downward Actions 2. Warms the kidneys & aids the yang Vomiting, hiccough, abdominal pain and diarrhea due to cold from yang def. Indications ( Excess & Def. ) Dosage Impotence Clear vaginal discharge due to yang def. 1 – 3g Cook Toxic sym. Overdosage: nausea, vomiting, diarrhea, & upper gastrointestinal hemorrhage Ding Xiang 丁香 (warm) Contraindications Internal heat Combinations Indications Ren Shen 人参 Shi Di 柿蒂 Hiccough due to cold from def. Sha Ren 砂仁 Bai Zhu 白术 Vomiting, diarrhea Rou Gui 肉桂 Ba Ji Tian 巴戟天 Male impotence or female discharge due to kid. Yang def. Shu Di Huang 熟地黄 E Jiao 阿胶 Ai Ye 艾叶 Persistence uterine bleeding with an ice-cold sensation in the lower burner Formular Ren Shen Shi Di San 人参柿蒂散 Hu Jiao 胡椒 Hu Jiao 胡椒 ( Hot ) Pharmaceutical Name Piperis Fructus 1. Warms the middle & disperses cold Actions Vomiting, diarrhea & abdominal pain due to cold Indications (Excess) Dosage 1.5 – 3 g in decoction (crush before using); 0.5 – 1 g in pills and powders Cook Toxic Sym. None noted Hu Jiao 胡椒 ( Hot ) Contraindications Pregnancy Indications Gao Liang Jiang 高良姜 Vomiting, diarrhea, and abdominal pain Sheng Jiang 生姜 Ban Xia 半夏 Severe vomiting dut to cold in the middle jiao Formular