Symptoms Tongue Pulse Tx Principle Syndrome Formula Paroxysmal vomiting w/ aversion to cold, chills, fever, HA, chest tightness and epigastrium fullness, diarrhea after or during vomit possible, loss of appetite, general aches and pain. ST flu/spoiled food: vomit 1st day, diarrhea 2nd (aka: sudden turmoil, traveler’s diarrhea) Acute nausea and vomit of gastric juices/undigested food that alleviates painful abdominal distention and bloating, epigastrum painful to touch, loss of appetite, aversion to food, sticky/smelly stools White, slimy coat (yellow w/ heat) Thick, greasy, maybe yellow Release ext WC, resolve dampness, harmonize ST, stop vomit Purge accumulations, descend ST qi, top vomit External WC invasion Huo Xiang Zheng Qi Tang Food Stagnation Bao He Wan Floating, soft, soggy Slippery, wiry Food stagnation w/ stagnant heat Food Stagnation w/heat Zhi Shi Dao Zhi Wan Accumulations in bowels w/focal distension, abdominal fullness and hardness w/o dryness Food Stagnation w/accumulations Phlegm-fluid retention Xiao Cheng Qi Tang LV overacting on ST Chai Hu Shu Gan San LV overacting on ST w/ phlegm causing rebellion LV overacting on ST w/ ST heat SP qi deficiency Ban Xia Hou Po San SP qi deficiency w/xu cold ST yin xu Fu Zi Li Zhong Wan Vomit of clear fluid, fullness and distension of epigastrium, lack of appetite, borborygmus/ water sounds in abdomen, chest oppression/sense of suffocation, heaviness of body, dizziness, palpitations, Meniere’s syndrome Pale, swollen w/ thick, sticky coat Slippery, soggy Acute/recurrent vomiting, bitter or sour taste, acid regurgitation, belching, hypochondriac distension/pain, chest oppression, stressful life or emotionally stressed Red w/ thin, white coat Wiry w/ qi stagnation and phlegm w/ ST heat Nausea, vomit after a little food intake/with food smells or dry heaving on empty stomach , common during early pregnancy, little or no appetite Slightly red or pale w/ white coat Weak, thready w/ xu cold in MJ Chronic, long history of repeating vomiting of minimal fluid or dry heaving, chemo-therapy or steroids for nausea, long time alcoholic, hunger w/o desire to eat, discomfort in epigastrium, dry mouth/throat Red w/ little coat Thready, rapid Warm middle, resolve phlegm fluid, harmonize & tonify ST, descend qi, stop vomit Soothe LV, harmonize ST, descend qi, stop vomit Tonify SP, resolve damp, harmonize ST, stop vomit 1. Ling Gui Zhu Gan San 2.Xiao Ban Xia Tang Zuo Jin Wan Xiang Sha Liu Jun Zi Tang Mai Men Dong Tang Descend Qi Ban xia Shi di Dai zhe shi Chen xiang Xuan fu hua Ding xiang Wu zhu yu --vomit, dry damp, ^ phlegm --hiccups --strong: rebelling ST/LU qi, floating yang --qi, warm middle, vomit --vomit (wrap in cheese cloth) Release Exterior Zi su ye Sheng jiang Resolve dampness/ phlegm Strengthen Bai zhu SP/ST & Bai bian dou Resolve Sha ren Damp Bai dou kou Pei lan Hou po Cang zhu Huang qi --SP qi/SP, dry damp --SP, dry damp, dry summer damp --middle burner qi mvmt, ^damp, warm MJ, stop vomit, morn sick, prevents cloying --MJ qi mvmt, ^damp, summer damp --aromatic ^damp, summer damp --dry damp, move qi, stagnation --revive SP, dry damp, release ext --SP qi Warm Middle Burner (MJ) Clear Heat --ST heat, vomit, generate fluids --clear heat, dry damp --drain ST fire, dry damp Nourish ST Yin Lu gen Huang qin Huang lian Huo xiang Harmonize Middle Ban xia Zhu ru Chen pi Wu zhu yu Ding xiang Gao liang jiang Xiao hui xiang Sheng jiang Gan cao Da zao Sheng jiang Mai men dong Sha shen Shi hu --ext WC/summer damp, ^ damp, vomit --diaphoretic WC, diaph. congestion, harm. Digestion (morning sick) --warm/harm, vomit, mild diaphr:WC --heat, ^ damp, vomit --SP/ST qi, ^ phlegm, dry damp, prevents cloying --warm SP/LV, constrained LV qi, rebel qi, vomit, diarrhea --warm, qi down, hiccups,pain --warm middle, allev pain --warm int, req qi, harm ST --tonify SP, harm Rx --in combo these herbs harm Rx, MJ, nutritive & defensive qi --nourish ST yin