Herbal Formulations – Dongxin Ma, L.Ac.
Classroom lecture notes: compiled by Fuyiu Yip, 2004-2005.
Older rough versions of notes originally compiled by Lesley Hamilton and modified by Jason Laird.
You may see notes in other colors throughout this document and these are comments from previous
compilers that I have left in.
References:
Bensky, D and Gamble, A, Compilers and Translators. Chinese Herbal Medicine: Materia Medica,
Revised Edition. Seattle: Eastland Press, Inc., 1993.
*All page numbers and English translations of formula names refer to Materia Medica, unless
otherwise stated.
To the recipient of these notes:
This is a work in progress and I ask you to respect that I wish that no part of
this publication be reproduced, stored in a retrieval system, or transmitted in
any form or by any means, electronic, mechanical, photocopying, recording, or
otherwise without my prior written permission. Thank you.
- Fuyiu Yip
This TOC was produced in Microsoft Word 2000 and is “interactive” or hyperlinked. Thus, you should be able to click on any Syndrome
or formula name below and have it bring you directly to that page. Some versions of Word require you to press Ctrl+clicking on the
mouse for it to work. This gives you easy access to finding the information you need within this 200+ page document.
Formulas: Dr. Ma
F.A.Yip, 2005
Table of contents
1
Table of Contents
Formulas that Release the Exterior ........................................................................................................... 9
Release Exterior Cold ........................................................................................................................... 9
Ma Huang Tang / Ephedra Decoction .......................................................................................... 9
Da Qing Long Tang / Major Blue Green Dragon Decoction ...................................................... 9
Gui Zhi Tang / Cinnamon Twig Decoction ................................................................................ 10
Sheng Jiang Hong Tang ............................................................................................................... 10
Jiu Wei Qiang Huo Tang / Nine Herb Decoction w/ Notopterygium....................................... 11
Jia Wei Xiang Su San / Augmented Cyperus & Perilla Leaf Powder ..................................... 11
Xiao Qing Long Tang / Minor Blue-Green Dragon Decoction................................................. 12
Ting Li Da Zao Xie Fei Tang / Descurainia & Jujube Decoction to Drain the Lungs ........... 12
Bu Fei Tang / Tonify the Lung Decoction .................................................................................. 13
Release Exterior Heat ......................................................................................................................... 14
Sang Ju Yin / Mulberry Leaf & Chrysanthemum Decoction ................................................... 14
Yin Qiao San / Honeysuckle & Forsythia Powder ..................................................................... 14
Ma Xing Shi Gan Tang / Ma Huang Xing Ren Shi Gao Gan Cao Tang / Ephedra, Apricot
Kernel, Gypsum, Licorice Decocotion .................................................................................... 15
Xiao Xian Xiong Tang .................................................................................................................. 15
Gua Luo Xie Bai Bai Jiu Tang..................................................................................................... 16
Gua Luo Xie Bai Ban Xia Tang ................................................................................................... 16
Ban Xia Tang................................................................................................................................. 16
Release Exterior and Tonify Interior Xu ............................................................................................ 17
Ren Shen Bai Du San / Ginseng Powder to Overcome Pathogennic Influences ..................... 17
Jing Fang Bai Du San / Schizonepeta & Ledebouriella to Overcome Pathogenic Influences 17
Zai Zao San / Renewal Powder.................................................................................................... 18
Cong Bai Qi Wei Yin / Scallion Decoction w/ Seven Ingredients ............................................. 18
Jia Jian Wei Rui Tang / Modified Polygonatum Odoratum Decoction ................................... 18
Drain Down ............................................................................................................................................ 19
Da Cheng Qi Tang / Major Order the Qi Decoction ................................................................. 19
Da Xian Xiong Tang ..................................................................................................................... 19
Da Huang Fu Zi Tang / Rhubarb & Aconite Decoction............................................................ 20
Wen Pi Tang / Warm the Spleen Decoction ............................................................................... 20
San Wu Bei Ji Wan / Three Substances Pill for Emergencies .................................................. 20
Moisten the Intestines and Unblock the Bowels................................................................................. 21
Ma Zi Ren Wan / Hemp Seed Pill ............................................................................................... 21
Ji Chuan Jian / Benefit the River (Flow) Decoction .................................................................. 21
Drive Out Excess Water ..................................................................................................................... 22
Shi Zao Tang / Ten Jujube Decoction ......................................................................................... 22
Zhou Che Wan / Vessel & Vehicle Pill........................................................................................ 22
Shu Zao Yin Zi .............................................................................................................................. 22
Drain Down & Tonify ........................................................................................................................ 23
Xin Jia Huang Long Tang / Newly Augmented Yellow Dragon Decoction ............................ 23
Zeng Ye Cheng Qi Tang / Increase Fluids & Order the Qi Decoction .................................... 23
Harmonize............................................................................................................................................... 24
Xiao Chai Hu Tang / Minor Bupleurum Decoction .................................................................. 24
Hao Qin Qing Dan Tang / Artemisia Annua & Scutellaria to Clear the Gallbladder ........... 24
Harmonize Liver & Spleen ................................................................................................................. 25
Si Ni San / Frigid Extremities Powder ........................................................................................ 25
Formulas: Dr. Ma
F.A.Yip, 2005
Table of contents
2
Xiao Yao San / Rambling Powder ............................................................................................... 26
Jia Wei Xiao Yao San / Dan Zhi Xiao Yao San / Augmented Rambling Powder................... 28
Hei Xiao Yao San / Black Rambling Powder ............................................................................. 28
Tong Xie Yao Fang / Important Formula for Painful Diarrhea .............................................. 29
Ban Xia Xie Xin Tang / Pinellia Decoction to Drain the Epigastrium ..................................... 30
Sheng Jiang Xie Xin Tang ............................................................................................................ 30
Gan Cao Xie Xin Tang ................................................................................................................. 30
Formulas that Clear (Internal) Heat ........................................................................................................ 31
Clear Heat From Qi Stage................................................................................................................... 31
Bai HuTang / White Tiger Decoction.......................................................................................... 31
Zhu Ye Shi Gao Tang / Lophatheru & Gypsum Decoction ...................................................... 32
Clear Heat From Ying/Blood Stage .................................................................................................... 33
Qing Ying Tang / Clear the Nutritive Level Decoction ............................................................. 33
Xi Jiao Di Huang Wan / Rhinocerous Horn & Rehmannia Decoction .................................... 33
Huang Lian Jie Du Tang / Coptis Decoction to Relieve Toxicity ............................................. 34
Liang Ge San / Cool the Diaphragm ........................................................................................... 34
Qing Wen Bai Du Yin / Clear Epidemics & Overcome Toxin Decoction................................ 35
Clear Heat From Zang-Fu Organs ...................................................................................................... 36
Dao Chi San / Guide Out the Red Powder ................................................................................. 36
Long Dan Xie Gan Tang / Gentiana to Drain the Liver ........................................................... 37
Xie Qing Wan / Drain the Green Pill .......................................................................................... 39
Dang Gui Long Hui Wan / Dang gui and Aloe Pill .................................................................... 39
Dai Ge San ..................................................................................................................................... 39
Xie Bai San .................................................................................................................................... 39
Zuo Jin Wan / Left Metal Pill ...................................................................................................... 40
Xie Bai San / Drain the White Powder ....................................................................................... 40
Ting Li Da Zao Xie Fei Tang ....................................................................................................... 41
Dao Chi San / Guide Out the Red Powder ................................................................................. 41
San Huang Xie Xin Tang ............................................................................................................. 41
Qing Xin Lian Zi Yin.................................................................................................................... 41
Qing Wei San / Clear the Stomach Powder................................................................................ 42
Yu Nu Jian / Jade Woman Decoction ......................................................................................... 42
Xie Huang San / Drain the Yellow Powder ................................................................................ 43
Xiang Lian Wan ............................................................................................................................ 43
Shao Yao Tang / Peony Decoction ............................................................................................... 43
Bai Tou Weng Tang / Pulsatilla Decoction ................................................................................. 44
Formulas that Clear Deficient Heat (Evil) .......................................................................................... 45
Qing Hao Bie Jia Tang / Artemisia Annua & Soft-shelled Turtle Shell Decoction ................ 45
Qing Gu San / Clear the Bone Powder ....................................................................................... 45
Dang Gui Liu Huang Tang / Tangkuei & Six-yellow Decoction .............................................. 45
Clear Summer Heat............................................................................................................................. 46
Qing Luo Yin / Clear the Collaterals Decoction ........................................................................ 46
Xin Jia Xiang Ru Yin / Newly Augmented Elsholtzia Decoction ............................................. 46
Liu Yi San / Six to One Powder ................................................................................................... 47
Gui Ling Gan Lu Yin / Cinnamon & Poria Sweet Dew Decoction .......................................... 47
Qing Shu Yi Qi Tang / Clear Summer Heat & Augment Qi Decoction .................................. 48
Warm The Interior (Interior Cold) .......................................................................................................... 49
Warm the Middle and Dispel Cold ..................................................................................................... 49
Li Zhong Wan / Regulate the Middle Pill ................................................................................... 49
Formulas: Dr. Ma
F.A.Yip, 2005
Table of contents
3
Fu Zi Li Zhong Tang / Aconite Pill to Regulate The Middle .................................................... 49
Wu Zhu Yu Tang / Evodia Decoction ......................................................................................... 50
Xiao Jian Zhong Tang / Minor Construct the Middle .............................................................. 50
Da Jian Zhong Tang / Major Construct the Middle Decoction................................................ 51
Da Wu Tou Tang .......................................................................................................................... 51
Rescue Yang ........................................................................................................................................... 52
Si Ni Tang / Frigid Extremities Decoction .................................................................................. 52
Hui Yang Jiu Ji Tang / Restore & Revive Yang Decoction ...................................................... 52
Dang Gui Si Ni Tang / Angelica for Frigid Extremities Decoction .......................................... 53
Huang Qi Gui Zhi Wu Wu Tang / Astragalus & Cinnamon Twig Five Substance Decoction
.................................................................................................................................................... 53
Release Interior & Exterior Diseases ...................................................................................................... 54
Da Chai Hu Tang / Major Bupleurum Decoction...................................................................... 54
Fang Feng Tong Sheng San / Ledebouriella Powder that Sagely Unblocks ........................... 55
Ge Gen Huang Qin Huang Lian Tang / Kudzu, Coptis, Scutellaria Decoction ...................... 55
Tonification............................................................................................................................................. 56
Tonify Qi ............................................................................................................................................ 57
Si Jun Zi Tang / Four Gentlemen Decoction .............................................................................. 57
Liu Jun Zi Tang ............................................................................................................................ 57
Xiang Sha Liu Jun Zi Tang.......................................................................................................... 58
Shen Ling Bai Zhu San / Ginseng, Poria, Atractylodes Powder .............................................. 58
Qi Wei Bai Zhu San ...................................................................................................................... 58
Bu Zhong Yi Qi Tang / Tonify the Middle & Augment the Qi Decoction ............................... 59
Sheng Mai San / Generate the Pulse Powder ............................................................................. 59
Tonify Blood ....................................................................................................................................... 61
Si Wu Tang / Four Substance Decoction .................................................................................... 61
Tao Hong Si Wu Tang .................................................................................................................. 61
Sheng Yu Tang / Sage-like Healing Decoction ........................................................................... 61
Xue Fu Zhu Yu Tang / Drive Out Stasis In The Mansion Decoction ...................................... 62
Dang Gui Bu Xue Tang / Dang Gui Tonify Xue Decoction ...................................................... 63
Gui Pi Tang / Restore the Spleen Decoction ............................................................................... 63
Zhi Gan Cao Tang / Fu Mai Tang / Honey-Fried Licorice Decoction ..................................... 64
Shen Fu Tang ................................................................................................................................ 64
Formulas that Tonify Qi & Blood ...................................................................................................... 65
Ba Zhen Tang / Eight Treasures Decoction ............................................................................... 65
Shi Quan Da Bu Tang / All-Inclusive Great tonifying Decoction ............................................ 65
Tai Shan Pan Shi San / Powder that gives Stability of Mount Tai........................................... 65
Formulas that Tonify Yin ................................................................................................................... 66
Liu Wei Di Huang Wan / Six Ingredient Pill with Rehmannia ................................................ 66
Zhi Bai Di Huang Wan / Anemarrhea, Phellodendron, & Rehmannia Pill ............................ 66
Du Qi Wan / Qi Wei Du Qi Wan / Capital One Pill .................................................................. 67
Mai Wei Di Huang Wan / Ba Xian Chang Shou Wan / Eight-Immortal Pill for Longevity . 67
Qi Ju Di Huang Wan / Lycium Fruit, Chrysanthemum, and Rehmannia Pill ....................... 67
Zuo Gui Wan / Restore the Left Pill ........................................................................................... 68
Da Bu Yin Wan / Great Tonify Yin Pill ...................................................................................... 68
Er Zhi Wan / Two-Ultimate Pill .................................................................................................. 69
Jin Gui Shen Qi Wan + Shen Ge San / KD Qi Pill from the Golden Cabinet + Ren shen
Gecko Powder ........................................................................................................................... 69
Yi Guan Jian / Linking Decoction ............................................................................................... 69
Formulas: Dr. Ma
F.A.Yip, 2005
Table of contents
4
Da Bu Yuan Jian / Great Tonify the Basal Decoction ............................................................... 70
Shi Hu Ye Guang Wan / Dendrobium Pill for Night Vision ..................................................... 70
Gui Lu Er Xian Jiao / Tortoise Shell & Deer Antler Syrup ..................................................... 70
Qi Bao Mei Ran Dan / Seven Treasure Special Pill for Beautiful Whiskers ........................... 71
Ji Sheng Mi Jing Wan .................................................................................................................. 71
Bu Shen Di Huang Wan ............................................................................................................... 71
Tonify Yang ........................................................................................................................................ 73
Jin Gui Shen Qi Wan / Kidney Qi Pill from Golden Chamber ................................................ 73
Ji Sheng Shen Qi Wan / Kidney Pill From Formulas to Aid the Living.................................. 73
You Gui Wan / Restore the Right KD Pill .................................................................................. 74
Er Xian Tang / Two Immortal Decoction ................................................................................... 74
Shen ........................................................................................................................................................ 75
Sedate Shen ......................................................................................................................................... 75
Zhu Sha An Shen Wan / Cinnabar Pill to Calm Spirit ............................................................. 75
Zhen Zhu Mu Wan / Mother of Pearl Pill .................................................................................. 75
Ci Zhu Wan / Magnetite & Cinnabar Pill .................................................................................. 76
Dao Tan Tang / Guide Out Phlegm Decoction ........................................................................... 76
Meng Shi Gun Tan Wan .............................................................................................................. 76
Nourish & Calm Shen ......................................................................................................................... 77
Suan Zao Ren Tang / Sour Jujube Decoction ............................................................................ 77
Ding Zhi Wan / Settle Emotions Pill ........................................................................................... 77
An Shen Ding Zhi Wan ................................................................................................................ 77
Tian Wang Bu Xin Dan / Emperor of Heaven’s Special Pill to Tonify the HT ...................... 78
Gan Mai Da Zao Tang / Licorice, Wheat & Jujube Decoction ................................................ 78
Open The Orifices................................................................................................................................... 79
An Gong Niu Huang Wan / Calm Palace Pill w/ Cattle Gallstone ........................................... 79
Guan Xin Su He Xiang Wan ........................................................................................................ 79
Si Wei Hui Yang Yin .................................................................................................................... 79
Du Shen Tang / Unaccompanied Ginseng Decoction ................................................................ 79
Herbs that Stabilize-Astringe .................................................................................................................. 80
Astringe the Exterior........................................................................................................................... 80
Yu Ping Feng San / Jade Windscreen Powder .......................................................................... 80
Mu Li San / Oyster Shell Powder ............................................................................................... 80
Jiu Xian San / Nine Immortal Powder ....................................................................................... 81
Diarrhea .............................................................................................................................................. 81
Zhen Ren Yang Zang Tang / Chun Yang Zhen Ren Yang Zang Tang / True Man’s Decoct
to Nourish Organs..................................................................................................................... 81
Si Shen Wan / Four Miracles Pill ............................................................................................... 82
Tao Hua Tang / Peach Blossom Decoction ................................................................................ 82
Essence ............................................................................................................................................... 82
Jin Suo Gu Jing Wan / Golden Lock to Stablize Essence ......................................................... 82
Frequent Urination .............................................................................................................................. 83
Sang Piao Xiao San / Mantis Egg-case Powder......................................................................... 83
Suo Quan Wan / Shut the Sluice Pill .......................................................................................... 83
Leukorrhea & Menses......................................................................................................................... 84
Gu Jing Wan / Stabilize Menses Pill .......................................................................................... 84
Wan Dai Tang / End Discharge Decoction ................................................................................ 84
Regulate Qi ............................................................................................................................................. 85
Yue Ju Wan / Escape Restraint Pill ........................................................................................... 85
Formulas: Dr. Ma
F.A.Yip, 2005
Table of contents
5
Jin Ling Zi San / Melia Toosendan Powder .............................................................................. 85
Ban Xia Hou Po Tang / Pinellia & Magnolia Bark Decoction ................................................. 86
Zhi Shi Xie Bai Gui Zhi Tang / Immature Bitter Orange, Chinese Chive, and Cinnamon
Twig Decoction .......................................................................................................................... 86
Zhi Shi Xie Bai Gui Zhi Tang ...................................................................................................... 86
Zhi Shi Gua Lou Gui Zhi Tang ................................................................................................... 86
Gua Lou Xie Bai Bai Jiu Tang..................................................................................................... 87
Gua Lou Xie Bai Ban Xia Tang ................................................................................................... 87
Ben Tun Tang................................................................................................................................ 87
Ju He Wan / Tangerine Seed Pill................................................................................................ 87
Tian Tai Wu Yao San / Top Quality Lindera Powder ............................................................. 88
Nuan Gan Jiang / Warm the Liver Decoction........................................................................... 88
Hou Po Wen Zhong Tang / Magnolia Bark for Warming the Middle ................................... 89
Mu Xiang Shun Qi Wan (LI) ....................................................................................................... 89
Dao Qi Tang (SI) ........................................................................................................................... 90
Descend Qi.............................................................................................................................................. 91
Su Zi Jiang Qi Tang / Perilla Fruit for Directing Qi Downward Decoction .......................... 91
Ding Chuan Tang / Arrest Wheezing Decoction ....................................................................... 91
Si Mo Tang / Four Milled-Herb Decoction................................................................................. 92
Xuan Fu Dai Zhe Tang / Inula & Hematite Decoction............................................................. 92
Ju Pi Zhu Ru Tang / Tangerine Peel & Bamboo Shavings Decoction .................................... 93
Ding Xiang Shi Di Tang / Clove & Persimmon Calyx ............................................................... 93
Jin Ling Zi San / Melia Toosendan Powder ............................................................................... 93
Regulate Blood ....................................................................................................................................... 94
Tao He Cheng Qi Tang / Peach Pit Decoction to Order the Qi ............................................... 94
Xue Fu Zhu Yu Tang / Drive Out Stasis in the Mansion of Blood Decoction ........................ 95
Tong Qiao Huo Xue Tang / Unblock Orifices & Invigorate Blood Decoction ....................... 96
Shao Fu Zhu Yu Tang / Drive Out Blood Stasis in the Lower Abdomen .............................. 96
Shen Tong Zhu Yu Tang / Unblock Orifices & Invigorate Blood Decoction ......................... 97
Ge Xia Zhu Yu Tang / Drive Out Stasis Below Diaphragm .................................................... 97
Fu Yuan Huo Xue Tang / Revive Health by Invigorating Blood ............................................. 97
Qi Li San / Seven Thousandths of a Tael Powder...................................................................... 98
Bu Yang Huan Wu Tang / Tonify the Yang to Restore the Five [Tenths] Decoction ............ 98
Shi Xiao San / Sudden Smile Powder .......................................................................................... 99
Dan Shen Yin / Salvia Decoction ................................................................................................. 99
Sheng Hua Tang / Generation & Transformation Decoction ................................................... 99
Wen Jing Tang / Warm the Menses Decoction [“Warm the Chong and Ren Channels”] .. 100
Huo Luo Xiao Ling Dan / Fantastically Effective to Invigorate Collaterals Pill .................. 100
Gui Zhi Fu Ling Wan / Cinnamon Twig & Poria Pill ............................................................. 101
Da Huang Zhe Chong Wan / Rhubarb & Eupolyphaga Pill .................................................. 101
Bleeding ................................................................................................................................................ 102
Shi Hui San / Ten Partially Charred Substances Powder ...................................................... 102
Si Sheng Wan / Four Fresh Pill ................................................................................................. 102
Ke Xue Fang / Coughing of Blood Formula ............................................................................. 102
Huai Hua San / Sophora Japonica Flower Powder ................................................................. 103
Xiao Ji Yin Zi / Cephalanoplos Decoction ................................................................................ 103
Huang Tu Tang / Yellow Earth Decoction ............................................................................... 104
Jiao Ai Tang / Jiao Ai Si Wu Tang / Ass-hide Gelatin & Mugwort Decoction ..................... 104
Release Wind ........................................................................................................................................ 105
Formulas: Dr. Ma
F.A.Yip, 2005
Table of contents
6
Da Qin Jiao Tang / Major Gentiana Qin Jiao Decoction ........................................................ 105
Xiao Feng San / Eliminate Wind Powder ................................................................................. 105
Chuan Xiong Cha Tiao San / Ligusticum Powder to be Taken with Green Tea .................. 106
Qian Zheng San / Lead to Symmetry Powder.......................................................................... 106
Ling Jiao Gou Teng Tang / Ling Yang Gou Teng Tang / Antelope Horn & Uncaria
Decoction ................................................................................................................................. 106
Zhen Gan Xi Feng Tang / Sedate the LIV & Extinguish Wind Decoction ............................ 107
Tian Ma Gou Teng Yin / Gastrodia and Uncaria Decoction .................................................. 107
Di Huang Yin Zi / Rehmannia Decoction ................................................................................. 108
Dryness ................................................................................................................................................. 109
Formulas that Gently Disperse & Moisten Dryness ......................................................................... 109
Xing Su San / Apricot Kernel & Perilla Leaf Powder ............................................................. 109
Sang Xing Tang / Mulberry Leaf & Apricot Kernel ............................................................... 109
Qing Zao Jiu Fei Tang / Eliminate Dryness & Rescue the Lungs Decoction ........................ 110
Formulas that Enrich Yin & Moisten Dryness ................................................................................. 110
Yang Yin Qing Fei Tang / Nourish Yin Clear Lung Decoction .............................................. 110
Bai He Gu Jin Tang / Lily Bulb Decoction to Preserve the Metal ......................................... 111
Mai Men Dong Tang / Ophiopogonis Decoction ...................................................................... 111
Qiong Yu Gao / Awesome Jade Syrup ...................................................................................... 111
Yu Ye Tang / Jade Fluid Decoction........................................................................................... 112
Zeng Ye Tang / Increase Fluids Decoction ............................................................................... 112
Dampness .............................................................................................................................................. 113
Ping Wei San / Calm the Stomach Powder .............................................................................. 113
Huo Xiang Zheng Qi Tang / Agastache Powder to Rectify the Qi ......................................... 113
Yin Chen Hao Tang / Artemisia Yinchenhao Decoction ......................................................... 114
San Ren Tang / Three Nut Decoction ....................................................................................... 114
Ba Zheng San / Eight Herb Powder for Rectification ............................................................. 115
Er Miao San / Two Marvel Power............................................................................................. 115
Wu Ling San / Five Ingredient Powder w/ Poria ..................................................................... 116
Zhu Ling Tang / Polyporus Decoction ...................................................................................... 116
Fang Ji Huang Qi Tang / Stephania & Astragalus Decoction ................................................ 117
Wu Pi San / Five Peel Powder ................................................................................................... 117
Ling Gui Zhu Gan Tang / Poria, Cinnamon, Atractylodes, Licorice Decoction .................. 117
Zhen Wu Tang / True Warrior Decoction ............................................................................... 118
Shi Pi San / Bolster the SP Decoction........................................................................................ 118
Bi/Bei Xie Fen Qing Yin / Dioscorea Hypoglauca to Separate the Clear .............................. 119
Clear Wind-Damp ............................................................................................................................. 120
Qiang Huo Sheng Shi Tang / Notopterygium to Overcome Dampness ................................. 120
Du Huo Ji Sheng Tang / Angelica Pubescens & Sangjisheng Decoction ............................... 120
Clear Phlegm .................................................................................................................................... 121
Er Chen Tang / Two Cured Decoction ..................................................................................... 121
Wen Dan Tang / Warm GB Decoction ..................................................................................... 122
(Zhi Mi) Fu Ling Wan ................................................................................................................ 122
Qing Qi Hua Tan Tang / Clear Qi & Transform Phlegm Decoction ..................................... 122
Xiao Xian Xiong Tang / Minor Sinking into the Chest Decoction ......................................... 123
(Meng Shi) Gun Tan Wan / Vaporize Phlegm Pill .................................................................. 123
Bei Mu Gua Lou San / Fritillaria & Trichosantes Fruit Powder ........................................... 124
Ling Gan Wu Wei Jiang Xin Tang / Poria, Licorice, Schisandra, Ginger, Asarum Decoction
.................................................................................................................................................. 124
Formulas: Dr. Ma
F.A.Yip, 2005
Table of contents
7
San Zi Yang Qin Tang / Three Seed Decoction to Nourish One’s Parents ........................... 124
Ban Xia Bai Zhu Tian Ma Tang / Pinellia, Atractylodis, and Gastrodia Decoction ............ 125
Ding Xian Wan / Arrest Seizures Pill ....................................................................................... 126
Zhi Sou San / Stop Coughing Powder ....................................................................................... 126
Reduce Stagnation ................................................................................................................................ 127
Food & Focal Distension .................................................................................................................. 127
Bao He Wan / Preserve Harmony Pill ...................................................................................... 127
Zhi Shi Dao Zhi Wan / Immature Bitter Orange Pill to Guide out Stagnation .................... 128
Mu Xiang Bing Lang Wan / Auklandia and Betel Nut Pill..................................................... 128
Zhi Zhu Wan / Immature Bitter Orange and Atractylodes Pill ............................................. 128
Parasites ................................................................................................................................................ 130
Wu Mei Wan / Mume Pill .......................................................................................................... 130
Dermatological Conditions ................................................................................................................... 131
Xian Fang Huo Ming Yin / Sublime Formula for Sustaining Life ......................................... 131
Wu Wei Xiao Du Yin / Five Ingredient Decoction to Eliminate Toxin.................................. 131
Si Miao Yang An Tang / Four Valiant Decoction for Well-Being.......................................... 131
Yang He Tang / Yang-Heartening Decoction ........................................................................... 132
Er Xian Tang / Two Immortal Decoction ................................................................................. 132
Formulas to Induce Vomiting ............................................................................................................... 133
Gua Di San................................................................................................................................... 133
Yan Tang Tan Tu Fang .............................................................................................................. 133
Heading 3, 9, 1
Formulas: Dr. Ma
F.A.Yip, 2005
Table of contents
8
Formulas that Release the Exterior

External Wind is the predominant evil addressed in this chapter
 Wind may be combined with:
o Cold  Wind-Cold: use pungent, warm herbs
o Heat  Wind-Heat: use pungent, cool herbs
o (Damp)
o Deficiencies




Exterior Invasion: 1st attacks skin  muscle  channels  organs
Typical symptoms: headache, aversion to wind, cold, body aches, pale tongue, sneezing, etc
Recommendations: avoid going outside; stay warm and covered – but do not induce profuse sweating
Do not cook these herbs for a long time (cook no more than 15 minutes, two times) - keep the pot covered
RELEASE EXTERIOR COLD
 All pages refer to Bensky
Ma Huang Tang / Ephedra Decoction
Functions:
Source: Shang Han Lun
p 33
Promote Sweating, Release the Exterior, Open Lung Qi, Calm wheezing / Relieve Asthma
Indication:
Composition:
Exterior Wind-Cold
Invasion (Shi type)
*no sweating
Grams
Ma huang
Chief
Aversion to wind/cold,
fever, headache, body aches,
sneezing, asthma/wheezing,
defensive qi is stagnated by the
cold  no sweating, closed
pores
Gui zhi
Deputy
Xing ren
Assistant
F(x) of single herb in formula:
9
Promotes sweating, warms yang qi, releases exterior,
relieves asthma, disperses LU Qi (esp. to LU Channel very pungent, very hot)
6
Helps ma huang promote sweating, expels Wind-Cold
(release the exterior)
9-12
Stops wheezing (ma huang disperses, xing ren descends –
these balance each other), descends LU Qi, relieves
asthma, expels Wind-Cold
Harmonizes ma huang, xing ren; balance ma huang, gui zhi
Zhi gan cao
3
T: Pale, thin white coat
Assistant, Envoy
(gui zhi, protects zheng Qi)
P: Superficial, tight
Only for strong patients!
Contraindications: weak constitution, bleeding, already sweating; exterior xu (gui zhi tang)
- Should not be exposed to cold/wind after taking; not for long time use– stop when have begun sweating (3 days is
enough: don’t use to lose weight!)
Bensky: fever & chills (chills predominant) without sweating; headaches; generalized body aches; wheezing; TC: thin,
white; P: floating, tight
Modification of Ma Huang Tang (+ shi gao, sheng jiang, and da zao)
Da Qing Long Tang / Major Blue Green Dragon Decoction
Functions:
Source: Shang Han Lun
p 34
Promote sweating, Release Exterior & Clear Internal Heat, Relieve irritability
Indication:
Exterior Wind-Cold +
Interior Heat
* no sweating
Composition:
Grams
Ma huang
(double dosage of ma
huang in Ma huang
tang)
F(x) of single herb in formula:
For W-C: promote sweating, warm yang Qi
6-9
With ma huang, stops wheezing
Xing ren
6
Helps promote sweating, expel W-C
Gui zhi
6
Harmonizes herbs
Zhi gan cao
Irritable & restless
12-30
Clears fire (Qi Level)
Shi gao
9
Sheng jiang
Protects Stomach from shi gao cold, help functions
<12 pc
Da zao
Clinically, not commonly used
Bensky: Exterior Cold with Interior Heat; severe fever & chills without sweating; body aches, irritability; P: tight, floating
[formula may also be used for acute floating/skin/wind-water edema – not accurate according to Dr. Ma. If
anything, Ma Huang Tang would be more appropriate for this type of edema]
Formulas: Dr. Ma
F.A.Yip, 2005
Release Exterior
9
Gui Zhi Tang / Cinnamon Twig Decoction
Functions:
Source: Shang Han Lun
[#1 Formula of Shang Han
Lun: can see clear structure of yin & yang]
p 35
Relax the Muscles, Release the Exterior; Harmonize Ying & Wei Qi [representative formula]
Indication:
Composition:
Gui zhi
Wind-Cold: Exterior
Deficiency;
*with sweating
Bai shao
(chi shao may be
used w/ reason)
Aversion to wind (more
Grams
F(x) of single herb in formula:
9
Releases to exterior, expel Wind-Cold, relaxes muscles,
harmonizes Ying & Wei Qi (remove pathogen)
9
Nourishes Yin , astringes Ying Qi (sour property),
harmonizes Ying & Wei Qi (astringe Ying)
predominant than to cold),
headache
Nasal congestion & dry heaves
= disharmony (xu) of LU &
ST Qi
Protect Ying Qi from loss
(astringe it) due to Wei Qi Xu
(not strong enough to hold it
in) = Xu in Ying layer + WC
invasion in Wei layer
Can also be used for internal
injury: disharmony of Ying &
Wei – post-partum, long-term
disease, etc.
Sheng jiang
9
Helps gui zhi to disperse Wind-Cold; warms stomach to
relieve dry heaves; ascends SP/ST Qi (good fluid from T/T
functions; protect from sweating); harmonize Ying & Wei Qi
(release to exterior)
Da zao
Zhi gan cao
12
pcs
6
Tonifies Qi; tonifies the middle; nourish SP; generates
fluids; harmonizes Ying & Wei (a little sticky can holdastringe)
Tonify Qi, helps gui zhi relax the muscles, helps bai shao
nourish yin; harmonizes the herbs
“Sour + sweet tastes can generate yin”
Gui zhi [a yang herb] & bai shao [a yin herb] harmonize Wei & Ying: (remove
pathogen, strengthen ying; control dispersing (too much) by astringing
P: superficial & weak
In lesser way: sheng jiang + da zao do the same
Sheng jiang, da zao, zhi gan cao  all work on MJ
After taking one dose (wait 20 minutes), eat/drink loose hot rice porridge/congee (plain water & rice, no herbs) to help
stomach, and cover oneself to promote some (not profuse) sweat & reduce exposure to W & C (for 2 hrs); stop taking herbs
after sweating. If the problem exists, take the formula again and again, until the problem resolves – can take 2-3 bags,
day and night.
Avoid raw, cold, sticky, rich (butter, cheese), greasy food; alcohol, meat, pungent/strong odor, fermented foods
Bensky: fever & chills relieve by sweating, ha; aversion to wind; stiff neck; nasal congestion; dry heaves no thirst; TC:
thin, white, moist; p: floating, moderate or frail; also for recovering from severe illness or postpartum, most important for
harmonizing ying and wei, if stiff neck add ge gen
* Zhang Zhong Jing formulas:

Always work on the MJ/SP
o As this affects the 4 directions/seasons (last 18 days of every season x 4 seasons = 72 days = 1/5 year)
o B/c Wei Qi from SP (T&T of food and water)
o Balanced Rx (Gui Zhi Tang): balance yin & yang, W-C herbs + tonifying herbs, sweet & sour
* Important:
1) Should have balance of yin & yang: gui zhi + bai shao yao
2) Always protect SP/ST: sheng jiang, da zao, gan cao  always see these 3 herbs combined/included in Zhang Zhong Jing
formulas
Compare:
Ma Huang Tang: no sweating, pores closed, wei qi is strongly fighting cold  more cold aversion; P: superficial, strong, tight
Gui Zhi Tang: sweating due to wei qi deficiency has the pores open  more wind aversion, P: superficial weak
Sheng Jiang Hong Tang
Functions:
Indication:
Formulas: Dr. Ma
F.A.Yip, 2005
Composition:
Grams
F(x) of single herb in formula:
Release Exterior Cold
10
Jiu Wei Qiang Huo Tang / Nine Herb Decoction w/
Notopterygium
Functions:
Source: Hard-won
Knowledge (Ci Shi Nan Zhi)
p 40
Promote sweating, Transform Damp, Clear Interior Heat
Indication:
Exterior W-C-D Invasions
with Interior Heat
accumulation
Damp constrains yang qi –
heavy sensation, sore
muscles, stiff neck
(taiyang); cloudy head,
doesn’t feel rested,
difficulty waking up
Interior H: thirsty, bitter taste
– internal heat is long-term:
patient has had this before
contracting W-C
Severe headache
No sweat
Allergies to mold/damp
Composition:
Grams
Qiang huo
9
Expels W-C-D (esp. for neck pain, Taiyang channel) [du
Fang feng
9
Removes Wind to help clear Damp [D will leave with wind],
promotes sweating (moist herb, balances dry herbs)
Cang zhu
9
Removes Damp, promotes sweating
<3
Xi xin
Chuan xiong
6
Bai zhi
6
Huang qin
6
Sheng di huang
6
F(x) of single herb in formula:
huo for lower back & legs]
Disperse Wind-Cold; move qi & xue; relieve pain,
headache, body aches (can eliminate xi xin if not strong aches)
Disperses Wind-Cold; move qi & xue; relieve pain,
headache, body aches (caution in pregnancy)
Disperses Wind-Cold; move qi & xue; relieve pain,
headache, body aches
Clear H (in the Qi and Xue level interior heat)
 Sheng di: balances drying properties of other herbs
(from injuring fluids)
Cold-Damp blocks channels = achy
T: white coat
6
Harmonizes toxicity
Gan cao
P: floating
Caution: Can be drying – usually herbs that tx W-C are very drying (xi xin, bai zhi), and ∴, must be balanced  here,
fang feng is moist and balances the dry herbs, as well as sheng di.
*Xi xin is used in 1-3g: SE of toxicity = numbness in the mouth and tongue
Bensky: For externally-contracted W-C-D w/ concurrent internal accumulation of heat with fever & chills (chills
predominant) without sweating; headache; stiff neck; generalized aches & pain; slight thirst; bitter taste
Jia Wei Xiang Su San / Augmented Cyperus & Perilla Leaf
Powder
Functions:
Source: Medical Revelations
(Yi Xue Xin Wu)
p 41
Promote Sweating; Release the Exterior
Indication:
Composition:
Mild Exterior Wind-Cold
Invasion
(weak constitution)
Zi su ye
4.5
Jing jie
3
Disperses Wind-Cold, Promotes sweat
Body aches, runny and/or
congested nose, no
sweating, headache,
aversion to wind
T: pale
C: thin
P: floating
Fang feng
3
Expels W-D, Relieves body aches/pain, Promotes sweat
Qin jiao
3
Expels W-D, Relieves body aches/pain, Tx Bi syndrome
Man jing zi
3
Disperses W, Relieve headache
Xiang fu
Grams
3.6
F(x) of single herb in formula:
Disperses W-C, Warms the ST
Regulate Qi (good for women even in pregnancy)
Regulate Qi and Xue; relieve pain (caution/remove during
> Very gentle formula (no
1.5
Chuan xiong
pregnancy)
strong herbs but works
well) – not likely to have
3.6
Move LU & SP Qi
Chen pi
any SE or trouble
2.1
Harmonize the Middle and other herbs
Zhi gan cao
> Focuses on tx of Qi &
Blood to help body get
3 pcs. Expel Wind-Cold
Sheng jiang
better - moves Qi
Use this Rx instead of the more popular & stronger Ma Huang Gui Zhi Tang – Jia Wei Xiang Su San can fix most (8090%) W-C invasions [do not need to overkill with a stronger Rx when another effective Rx can be used]
Caution: Do not double dose to increase strength – this is like cooking food at twice the recommended temperature
yielding burnt food.
- Zi su ye: good herb to tx W-C, phlegm, and also for ST, Soothes fetus, can reg. Qi
- Fang feng + jing jie often used together
- Low dosage or remove chuan xiong for pregnancy: good to use even during menses (can leave chuan xiong in)
Bensky: External factors with fever, chills or sensitivity to wind without sweating; ha; stiff neck; nasal congestion; runny
nose; body aches; TC: thin, white; P: floating; for patients with mild Wind-Cold: focus on releasing exterior
Formulas: Dr. Ma
F.A.Yip, 2005
Release Exterior Cold
11
Xiao Qing Long Tang / Minor Blue-Green Dragon Decoction
Functions:
Source: Shang Han Lun
p 38
Release the Exterior; Remove Fluid Retention; Stops coughing & wheezing
Indication:
Composition:
Grams
Exterior Wind-Cold with
Interior Water Fluid
Retention
Ma huang
9
Gui zhi
9
Gan jiang
3
Xi xin
3
(Already has fluid retention before
getting W-C invasion)
*W-C = short-term
*Fluid retention = long-term
F(x) of single herb in formula:
Promote sweating, release to exterior, disperse LU Qi
(severe W-C invasion) [these herbs behave as they do in Ma
Huang Gui Zhi Tang]
Warm LU Qi, Transform fluids (very warm, can dry
fluids) – caution to not open LU Qi too much
Severe W-C: Chills, fever, no
Astringe Qi (prevents from dispersing LU Qi too much), Nourish
3
Wu wei zi
sweating
Yin
plus: Interior fluid retention
Astringe, Nourish Blood & Yin to protect body (from dry
in the LU: coughing,
9
Bai shao
herbs)
wheezing, cannot lie flat d/t
fluids creating difficulty in
9
Harmonize Stomach; Remove Phlegm
Ban xia
breathing, heaviness
sensation, profuse phlegm,
edema
9
Tonify Qi, Harmonize Middle and other herbs
Zhi gan cao
T: white coat
P: floating
CC: *Phlegm, fluid, & water – all have similar natures, just depends on thickness/viscosity  ban xia can address all
*Use this Rx only when there is NO sweat
*Xi xin is toxic – caution with xu patients
*This formula is not used very commonly – only for severe cases: strong constitution only (or reduce dosage) d/t
the very strong, toxic herbs (ma huang + gan jiang + xi xin = strong; add wu wei zi to balance)
Bensky: fever & chills (chills predominant); without sweat; cough; wheeze; copious, white, stringy difficult to expectorate
sputum; stifling sensation in chest; general heaviness & aches of body; no thirst; TC: moist; P: floating, tight
severe: floating edema or considerable difficulty of breathing when lying down
Syndromes:
1. LU Qi Retroflow (rebellious), cough asthma due to yin-fluid accumulation in LU
2. Cold Phlegm Retention in LU
Allergies with too much drainage – stronger than Pi Min Kan Wan – do not use for long time (dry mouth –
add lu gen or tian hua fen – to prevent drying)
LU not infected, but has fluid/water retention (metabolism problem)
Not covered in Ma’s class
Ting Li Da Zao Xie Fei Tang / Descurainia & Jujube
Decoction to Drain the Lungs
Source: Essentials from the
Golden Cabinet
(Jin Gui Yao Lue)
p 91
Xiao Qing Long Tang – Ext. Cold, Interior Yin Fluid (ex. chronic bronchitis)
Modified: Ting Li Da Zao Xie Fei Tang – Yin Fluid directly in LU: difficulty breathing, asthma, etc.
Indication:
Yin-fluid above
diaphragm – HT/LU
Dyspnea, difficult lying down; puffy
face – chest fullness, difficult
breathing
T: white – slippery
P: wiry, tight
Composition:
Ting Li Da Zao Xie
Fei Tang =
ting li zi + da zao
F.A.Yip, 2005
Temporarily resolve, then treat root
ting li zi = anti asthma – purge LU Fluid (temporarily)
May remove gui zhi, ma huang – change gan cao to zhi gan
cao (if no external) – from Xiao Qing Long Tang
Tx: Resolve yin fluid, purge LU
sang bai pi, ting li zi
fu ling, ze xie, sang bai pi, ting li zi
Formulas: Dr. Ma
F(x) of single herb in formula:
Fluid in chest – antiasthma – diuretic – stop cough – purge LU
Drain fluid
Release Exterior Cold
12
Not covered in Ma’s class
Bu Fei Tang / Tonify the Lung Decoction
Source:
p 246
Functions:
Indication:
Composition:
Syndromes:
LU Qi Xu
Huang qi
Wei – easily sweats, catches
colds, get sick; aversion to
wind
LU – cough, asthma, chest
tightness, SOB, dislikes
talking, pale face
Category?
LU qi:
receive LU qi:
Formulas: Dr. Ma
F.A.Yip, 2005
Grams
F(x) of single herb in formula:
Qi; wei qi; immune system; sweating; ascend clear yang
qi & help LU Qi
9-12
Qi: LU Qi
Ren shen
metal & water have same source; nourish yin/blood to
6
help (remove if patient has dampness) – when tonify
Shu di huang
LU, tonify KD essence
(not for acute) for chronic, wheezing, grab qi; tonify LIV
6-9
Wu wei zi
& KD
help make breathing smooth & comfortable; if no cough,
3-6
Zi wan
SOB, can take out – stop cough, moisten LU
anti-asthma, promo urine – use only if breathing is very
3-6
Sang bai pi
bad
Huang qi; ren shen; shan yao
zi he che 1.5-4.5
hu tao ren 9-30
dong zhong xia cao 4.5-12 ge jie 9-15
15-30
Release Exterior Cold
13
RELEASE EXTERIOR HEAT
 More fever, than aversion to cold; sore throat; cough; thirst
P: Superficial, rapid
T: Pale or maybe red
TC: White or yellow coating
Sang Ju Yin / Mulberry Leaf & Chrysanthemum Decoction
Source: Wen Bing
p 44
Expel Wind-Heat; Open Lung Qi, Stop Cough
Functions:
Indication:
Composition:
Wind Warmth Invading
Lung, Cough (#1)
Sang ye
7.5
Ju hua
3
Bo he*
2.4
LU Qi is disturbed (cough);
Not severe W-H, mild (early
stage of W-H); not a lot of fever
(not strong enough for high fever);
slight thirst
Bensky: slight fever, cough,
slight thirst
Grams
F(x) of single herb in formula:
Disperses Lung Heat, Stop cough
(leaf & flower – very light – can disperse from UJ)
Clears Wind-Heat from UJ
Jie geng*
6
Ascends LU Qi, Stop cough (balance LU Qi)
Xing ren
6
Descends LU Qi, Stop cough (balance LU Qi)
Lian qiao*
4.5
Clears Heat
Wei gen*
6
Clears Heat, Nourish Yin, Generates fluids
(lu gen = reed)
T: white
2.4
Harmonize, Stop cough
Gan cao*
P: floating, rapid
Cook: only cook for 5-7 minutes [after soaking 2 hours]
After taking antibiotics: may still have left-over dry cough b/c the LU Qi is drained by the cold nature of abx.
Taking herbs with abx will help prevent this.
Wind-Phlegm Affecting LU - more wind-heat causing phlegm - cough; foamy phlegm, sl. yellow; chest tightness; itching
throat, sneezing; sl. fever – headache, runny nose
Itchy throat, eyes and nose – allergy related – early stage
Congested, sneezing, tightness of chest – long time – asthma
Descend LU Qi – anti-asthma – Wind Cold/Wind Sx’s
Fang feng, chan tui
Sang bai pi
Zi si zi
Early Stage – Dispersing of Wind, Resolving Phlegm sang ye, ju hua, bo he, gou teng
Middle Stage - Clr Heat, Detoxin and Resolve Phlegm - huang qin, chuan bei mu, gua lou
Later Stage – Nourish Yin, Clr Heat, Gen Fluid, Resolve Phlegm - mai men dong, lu gen, sha shen
Recovery (late stage) – astringent – wu wei zi, yuan zhi
Yin Qiao San / Honeysuckle & Forsythia Powder
Functions:
Release Exterior (clear W-H), Clear Heat toxin
Indication:
Early Stage WarmFebrile Disease;
Composition:
Grams
Jin yin hua
(aromatic, light)
Lian qiao*
9-15
9-15
Tx: Wind-Heat
(aromatic & breaks
through stagnation)
More Heat than Sang Ju Yin
Jing jie
6-9
Fever, aversion to
wind/cold, thirst, sore
throat, sweat or no
sweat
(Dan) dou chi
3-6
Jie geng*
3-6
Source: Wen Bing
p 44
*very commonly used Rx: know herbs!
F(x) of single herb in formula:
Disperse W-H, Clear toxins
 Jin yin hua = aromatic, light, clears heat
 Lian qiao = aromatic & break through stagnation
(as in food stagnation formulas Bao He Wan)
Expel W-H: help clear pathogen (not as strong as first two)
 Jing jie for W-C or W-H
 Dan dou chi has different preps – for W-H or W-C
Benefit the throat, Smooth LU
 Very special for LU Channel – make LU Qi more smooth;
Directs herbs to LU (W-C or W-H)
3-6
Clear Heat toxin (special for cough)
Gan cao*
3-6
Clear Heat from Upper Jiao: Clear HT H  irritability
Dan zhu ye
15-30
Clear Heat, Generate fluid, Nourish Yin, Relieve thirst
Lu
gen*
(wei
gen)
T: red tip
C: yellow
3-6
Disperse Heat (W-H)
Bo he*
P: rapid, floating
9-12
Benefits the throat
Niu bang zi
Cooking method: Originally, powder. When you smell the aromatic smell, stop cooking; add bo he in the last 5 minutes.
2 bags should be enough (1 bag / day; or first bag one day, second bag for 2 days) – drink warm! If cook too long,
doesn’t work.
Bensky: Fever; slight/no chills; headache; thirst; cough; sore throat; T: red tip; TC: thin white or yellow; P: floating, rapid
W-C/W-H: both have chills &
fever
Formulas: Dr. Ma
F.A.Yip, 2005
Release Exterior Heat
14
Ma Xing Shi Gan Tang / Ma Huang Xing Ren Shi Gao
Gan Cao Tang / Ephedra, Apricot Kernel, Gypsum, Licorice
Decocotion
Functions:
Source: Shan Han Lun
p 88
Disperse W-H, Clear Heat, Relieve Wheezing
Indication:
Exterior Wind Heat, or
Wind-Cold transforming
into Heat and invading
Lung
- Acute Asthma
*Must have all Heat signs to
use this strong formula!
Fever, loud breathing, thirst;
excessive, not chronic
wheezing (after wheezing has
Composition:
Grams
Ma huang
5
Shi gao
18
F(x) of single herb in formula:
Open LU Qi (to disperse evil heat), Remove Heat
(it is warm, dispersing)
Clear Heat; Disperse Evil Heat (use twice as much to help
control ma huang’s hot nature)
*too much will injure Stomach Qi
Xing ren
6
Descend Lung Qi (balance ma huang’s dispersing), Relieve
asthma
Zhi gan cao
6
Tonify Qi, Harmonize the Middle, Generate fluid
Relieve thirst, together with shi gao (*sweet and cool
together generate fluid)
stopped, treat the root: SP/ST – esp.
for children)
T: thin yellow or thin white
P: rapid, slippery
Treat asthma in the summertime to prevent strong asthma symptoms in the fall/winter: in the summer, do not need strong
herbs such as ma huang – Tx the root SP/ST (esp. for children) and use formulas such as Si Jun Zi Tang while adding jie
geng, bei mu, etc. Avoid sweets, ice cream!
Bensky: fever with or without sweating; thirst; wheezing; coughing; labored breathing; nasal flaring & pain; TC: yellow; P:
slippery, rapid. Compare to Ma Huang Tang - exchange Gui Zhi for Shi Gao
Syndromes:
LU Qi Retroflow (rebellious), cold wrapped heat/fire: pneumonia w/exterior cold – inside fire with exterior cold
(interior LU heat and exterior Wind-Cold)
Function: Open chest, clear heat, move qi,
resolve phlegm
Xiao Xian Xiong Tang
p 438
Syndromes
Lung Qi Yu Due To Phlegm-Heat
(Phlegm heat blocking Lu Qi)
Huang Lian
6-9
Clear Heat, Dry Damp, Detoxin
chest tight, chest pain, cough yellow sticky
phlegm, LU hurt, restlessness, suffocating, Lu
infection
Ban Xia
6
Resolving Phlegm (Very Warm)
T: yellow sticky coat, red
P; rapid, slippery, forceful
Gua Luo Pi
12
Opens Chest (Also Warm) –Resolve
Phlegm
Category?
modify – open jie geng 3-6 gm (guide to chest, open chest, resolve phlegm)
bei mu – resolve phlegm
dan nan xin (tian nan xing) – changed nature to cooling (powdered & mixed w/bovine bile: cool, bitter, clears phlegm-heat, extinguishes
wind, arrests tremors - from strokes, seizures Due To phlegm-heat)
infection – yu xing cao; huang qin – LU heat
thirsty, red tongue – to generate fluids – lu gen; tian hua fen (clear heat, in Qi stage, purge fire, cooling in nature, generate BF)
Formulas: Dr. Ma
F.A.Yip, 2005
Release Exterior Heat
15
1 Dr. He prefers this, p292 – mild
2 p 293, more for phlegm
3 p n/a, see below
Gua Luo Xie Bai Bai Jiu Tang
Gua Luo Xie Bai Ban Xia Tang
Ban Xia Tang
Syndromes
Yang Qi Yu in Chest (chest yang Qi blocked)
Gua Luo
coronary HT disease or chest tightness; HT
circulation not so smooth (organic or
functional); suffocating, palps, SOB, difficult
breathing; pain radiate on PC meridian;
usually for arrhythmia (bradycardia)
Bai Jiu
Xie Bai
Ban Xia*
T: pale; thin white greasy, maybe purple tongue
P: deep, thready, choppy
phlegm – high cholesterol
xue yu – hypertension, coronary vessel blockage
Syndromes Yang Qi Yu in Chest
see above
Formulas: Dr. Ma
F.A.Yip, 2005
2 oz.
open chest, phlegm
scallion – warming, pungent: wind-cold category:
open yang qi, unblock vessels
white wine – drink only 2oz – open chest yang
for turbid phlegm
* ban xia is added to 1st Rx to get 2nd Rx
Today Yellow wine is mostly used (Rice Wine)
If yellow wine—only a little (Huang Jiu)
Today’s Bai Jiu is too strong
dan shen - move blood, nourish blood, calm shen
gui zhi - open, warm yang 6-9 gm
Ban Xia Tang
Gui Zhi
Ban Xia
open, warm yang, unblock vessels –pungent, warm, wind cold
resolve phlegm, descend qi
Release Exterior Heat
16
RELEASE EXTERIOR AND TONIFY INTERIOR XU
A formula that is an exception to tonifying when there is an exterior invasion (originally for kids: now for elderly, post-partum, after
long-term disease)
Source: Craft of Medicinal Tx for
Childnood Dz Patterns (Xiao Er
Yao Zheng Zhi Jue)
Ren Shen Bai Du San / Ginseng Powder to Overcome
Pathogenic Influences
Functions:
p 53
Promote sweating, Release Exterior, Disperse Wind, Transform Damp (Help Zheng Qi)
Indication:
Composition:
Wind-Cold-Damp Invasion with
Qi Xu
Qiang huo [chief] (upper)
6
Du huo [chief] (lower)
6
Chuan xiong
6
Expel Wind; Move Blood, Tx headache
Chai hu
6
Expel Wind, Relieve pain
Zhi qiao/ke
6
Descend Qi; Balance LU (with jie geng)
Jie geng
6
Open the LU; Balance LU (with zhi ke)
Qian hu
6
Transform phlegm
Fu ling
6
Leach out damp
Gan cao
4
Harmonize
Sheng jiang
2
Bo he
2
Disperse Wind-Cold
Bo he: pungent, clears Wind-Cold
For 1) old age,
2) post-partum,
3) after long-term dz
* [Know this for NCCAOM!]
(this formula was designed for
toddlers – the Yuan source Qi is
still weak, ∴, adding a little ren
shen will help Yuan Qi to
remove evil)
Chills and fever (may be strong),
stiff neck, headaches, body
aches, no sweating, nasal
congestion, cough w/ phlegm,
fullness in the chest
Allergies to damp/mold: heaviness
sensation, not rested when
awakes
P: soggy, or rapid and floating
[forceless in deep (Qi Xu)]
T: Red, greasy coating
Grams
3-4
Ren shen (assistant)
(small dose
nly!)
[dang shen can be used]
F(x) of single herb in formula:
Disperse Wind-Cold-Damp
Tonify Zheng Qi to help expel W-C-D
* Only tonic herb in formula
**Originally for little kids, but now for elderly, post-partum, after long-term disease
Very common to use zhi ke + jie geng together to balance each other
Bensky: High fever & severe chills with shivering; no sweating; pain & stiffness of head & neck; soreness & pain of
extremities; focal distension & fullness of chest; nasal congestion with sonorous breathing; productive cough;
TC: greasy, white; P: floating, soggy
Didn’t cover in class
Jing Fang Bai Du San / Schizonepeta & Ledebouriella to
Overcome Pathogenic Influences
Functions:
Source: Marvelous Formulas for
the Health of the Multitudes (She
sheng zhong miao Fang)
p 54
Induces Sweating; Release Exterior; Dispel Wind; Alleviate Pain
Indication:
Bensky: External Wind-DampCold with fever & chills no
sweating; pain & stiffness of
head & neck; generalized body
aches & pain;
no underlying Qi Xu
also with red & swelling of eyes;
epidemic parotitis; early-stage
abscesses & sores
Tc: thin, white;
P: floating
Formulas: Dr. Ma
F.A.Yip, 2005
Composition:
Jing jie
Fang feng
Chuan xiong
Sheng jiang
Chai hu
Qian hu
Bo he
Qiang huo
Du huo
Fu ling
Jie geng
Zhi ke
Gan cao
Grams
F(x) of single herb in formula:
4.5
4.5
4.5
3 pcs
4.5
4.5
1.5-3
4.5
4.5
4.5
4.5
4.5
1.5
Release Wind-Cold
Release Wind-Heat
Dispel Wind-Damp-Cold
Drain Damp
open Chest, Disperse Lu Qi; Descend Qi; Balance
Harmonize
Release Exterior & Tonify Xu
17
Zai Zao San / Renewal Powder
P 56
Exterior Wind-Cold with
Yang Xu;
Cold Limbs; Lassitude
(Stay in Bed);
Dislike Speech; Pale Face
Huang Qi
Ren Shen
Fu Zi (Hot)
Gui Zhi
P: Deep & Forceless (Qi
or Yang Xu) or
Floating, Big and
Forceless
Qiang Huo
Chuan Xiong
Fang Feng
Functions: Tonify Yang Qi; Promote Sweating; Release the
Exterior
6
3
3
3
Tonify Yuan Qi, Strengthen Exterior, Help Expel Evil
Tonify Yang, Disperse Cold (Very Little on Xi Xin, or not At
All)
*no More Than 3. no More Than 1 G Per Week At First.If It is
Working with no Problems, Can Increase Slightly
Xi Xin (Hot)*
3
3
3
Release the Exterior (Wind-Cold)
Cool Blood, slightly Move Blood, Balance Hot Herbs
(Dry Fry
cannot Use Ma Huang
Gan Cao
1.5
Prevent Profuse Sweating
Tang – too much
Wei Jiang (Roasted)
3
Warm Stomach, More Warm, Less Pungent
Sweating
Da Zao
2 Pcs
Tonify Spleen
to Roast Ginger—Wrap Whole Root in a Piece of Wet Paper and Put in the Fire. Take It Out When the Paper is Burned
Chao Chi Shao
3
Source: Marvelous Formulas for
the Health of the Multitudes (She
Sheng Zhong Miao Fang)
Cong Bai Qi Wei Yin / Scallion Decoction w/ Seven
Ingredients
p 56
Functions:
Tonify Blood; Release Exterior
Indication:
Composition:
Grams
Cong bai
9-12
Dan dou chi /
dou zhi
6-9
Ge gen
9-12
Sheng jiang
6-9
Promote Sweating, Release Exterior
Cong Bai: white part of green onion: for stronger use
“old” green onion, more pungent
Ge Gen: strengthen Yin and Xue, generate fluids
Dan dou chi: food – very mild
If more cold symptoms can give zi su ye also
Sheng di huang
9-15
Tonify Yin Blood; Generate fluids
9-12
Tonify Yin Blood
Blood Xu with Wind Cold
Invasion
Hx of Xue Xu or losing Xue:
After long term disease or
bleeding syndrome (vomit or
coughing up blood, nasal
bleeding, blood in stool) 
then get W-C
*Not a strong formula – do not
want to cause sweat which
would be harmful
(assistant)
Mai (men) dong
(assistant)
Lao shui
F(x) of single herb in formula:
Nourish SP/ST
[“aerated water” – see p 56]
Uses mild herbs – not strong herbs to promote sweating, don’t want too much sweating. Wait 20-30 minutes to cover self.
Bensky: headache; fever & slight chills without sweating following a long-term illness or significant blood loss
Source: Revised Popular Guide to the
Discussio of Cold-induced disorders
(Chong Ding Tong Su Shan Han Lun)
Jia Jian Wei Rui Tang / Modified Polygonatum
Odoratum Decoction
Functions:
p 57
Tonify Yin; Clear Heat; Promote Sweating, Release Exterior
Indication:
Composition:
Yin Xu with Wind-Heat
Invasion
Yu zhu
(wei rui)
Cong bai
Yin Xu more susceptible to heat
Cough, thirst, dry throat,
irritability (heat disturbs shen),
restlessness
*Mild Rx: with Yin Xu, cannot
induce too much sweat
T: Red
P: Rapid
Grams
6-9
F(x) of single herb in formula:
Nourish Yin, Moisten Lung dryness,
6
Dou chi
9-12
Bo he
3-4.5
Jie geng
3-4.5
Bai wei
1.5-3
Gan cao
1.5
Da zao
2 pc
Opene Lung Qi,
Release Exterior,
Stop cough, Sore throat
Cool Blood; Clear Heat,
Relieve restlessness & thirst, relieve irritability
Nourish Spleen (to help generate more fluids for LU
dryness, thirst, etc.)
Bensky: fever & slight chills; little or no sweating; ha; dry throat; cough; sputum which is difficult to expectorate; thirst;
irritability; T: dark-red; P: rapid
Formulas: Dr. Ma
F.A.Yip, 2005
Release Exterior & Tonify Xu
18
Drain Down
Herbs that drain down and are purgatives are very strong herbs!
F(x): 1st – Move out stool
Also treats: stagnation; excess heat; excess cold; water retention

Use only with stronger constitutions; short-term use only
DO NOT use or use caution with: the elderly, weak constitutions / weak digestions, pregnancy, post-partum, after or hx of blood loss,
long-term diseases
AVOID: greasy, rich, and spicy foods (will cause constipation); cold foods
Basic Principle: If need to use purge herbs – use them first before any other treatment (purge stool & urine 1 st) – then can have smooth Qi;
then can treat root (constipation will not allow for smooth qi)
For formulas that purge heat accumulation, be sure to tell patient what the effect will be! - start with small dose!
Da Cheng Qi Tang / Major Order the Qi Decoction
Functions:
Source: Shang Han Lun
Drain Down Heat Stagnation (vigorously)
Indication:
[NCCAOM test Rx!]
Composition:
Yang Ming Organ Excess Syndrome
(pi man zao shi)
Da huang
[“general”]
Excessive Fire in the YM organs:
1) Focal distention - pi
2) Fullness - man
3) Dryness - zao
4) Hardness - shi
> add near end for
stronger f(x)
Grams
F(x) of single herb in formula:
6-12
Drain Heat, Unblock bowels
9-12
Drain Heat, Soften hardness (salty
nature of herb), Moisten dryness (of
bowels), Move bowel
Mang xiao
Severe constipation & gas; fullness of abdomen; pain –
aversion to touch; epigastrium feels hard upon
palpation; burning diarrhea (excess)
Heat may cause fever, delirium – looks severe
* 1-2 bag of herbs may make a big difference and
cause a large, watery bm with strong odor  PT will
feel better and calmer (heat has been drained)
* Avoid: rich, greasy, spicy, cold foods
p 115
> cook later
Zhi shi
12-15
Move Qi,
Remove stagnation,
Relieve focal distension & fullness,
Help expel heat stagnation
12-15
Hou po
TC: yellow, dry, scorched P: deep & excess, rapid
Bensky: severe constipation & flatulence, focal distension & abdominal fullness, abdominal pain which increases upon pressure,
tense & firm abdomen; in severe cases may be tidal fevers, delirious speech, profuse sweating from palms & soles; T: dry
yellow or dry black coating with prickles; P: deep, excessive
Da Cheng Qi Tang
Major Order the Qi Decoction
da huang [cook later]
mang xiao [cook later]
zhi shi
hou po
focal distension
fullness
dryness
hardness
STRONGEST
Xiao Cheng Qi Tang
Major Order the Qi Decoction
cook all together
da huang, 12g
zhi shi, 6-9g [reduce dosage from “da”]
hou po, 6g [reduce dosage from “da”]
focal distension
fullness
hardness
MEDIUM STRENGTH
Da Xian Xiong Tang
Major Sinking Into Chest Decoction P121 Shang Han Lun
Tiao Wei Cheng Qi Tang
Regulate the Stomach & Order the Qi Decoction
Cook da huang + gan cao, add mang xiao later
da huang,12g [cook together with gan cao]
mang xiao, 9-12g (moistens dryness) [cook later (<5 mins)]
gan cao, 6g [cook together with da huang]
dryness
hardness
LEAST STRONG
Function: Clear Heat, Expel Water
Expel Water, Clear Heat Harsh Expellent – Move
Down also Clears Some Water)
Fullness & hardness of epigastrium/chest or
Remember: Gan Sui is Incompatible with Gan Cao
entire abdomen
18
Move Bowel, Unblock Intestine, Clear Heat, Soften
Da huang
Seldom used; strong, toxic
the Hardness, Moisten Dryness
Mang xiao 9-12
T: Very Dry Coat; P: Deep, Tight, Forceful
Bensky: Fullness/hardness of epigastrium or entire abdomen with severe pain that is unbearable with slight pressure; tidal fever
at dusk; severe constipation; thirst; maybe s.o.b. & irritability;
Water Retention + Heat
Gan sui
Formulas: Dr. Ma
F.A.Yip, 2005
0.30.6
Drain Down
19
Da Huang Fu Zi Tang / Rhubarb & Aconite Decoction
Functions:
Source: Essentials from the Golden
Cabinet (Jin Gui Yao Lue)
p 126
Warm Yang, Disperse Cold, (Remove Stagnation)
Indication:
Composition:
Grams
Interior Cold Stagnation (accumulation)
d/t Yang Qi Xu in the MJ/Intestines
F(x) of single herb in formula:
Fu zi
6-12
(Fu zi – unblock Fu Qi, can also stop diarrhea due
to cold)
Xi xin
< 3g
Disperse Cold stagnation (pungent nature)
Warm Yang, Expel Cold
Constipation d/t cold
Abdominal pain (stagnation due to cold)
Cold limbs; fever
Unusual situation: a very hot herb + a very cold herb
Not commonly used
Unblock bowel, Remove stagnation
P: tight, wiry [book p: also deep]
6
Da huang
[Unblock Fu Qi (Intestines and Stomach)]
T: white coat Tc: white, greasy
Bensky: abdominal pain, constipation, hypochondriac pain, low-grade fever, cold hands/feet.
Strong formula. Doesn’t tonify qi
Xi xin: powder - if 42g/week, only give 1g to start
Source: Essentials from the Golden
Cabinet (Jin Gui Yao Lue)
Wen Pi Tang / Warm the Spleen Decoction
Functions:
p 127
Warm SP Yang, Drain down Cold Accumulation
Indication:
Composition:
Grams
Zhi fu zi
Spleen Yang Xu
with Cold Accumulation
Constipation, abdominal pain, cold
extremities, dysentery, pus & Xue in stools
Good for long-term disease – tonify qi
(or cu fu zi – prepared)
9
Gan jiang
6
Ren shen
Zhi gan cao
P: Submerged/deep, wiry
F(x) of single herb in formula:
Warm Yang, Expel Cold
Tonify SP Qi
Use zhi gan cao to protect stomach &
6
harmonize herbs
12?
Unblock bowels, Purge down stagnation
[fu zi, gan jiang and da huang are all very strong herbs]
6
Da huang
Wen Pi Tang = Si Ni Tang + ren shen & da huang
Si Ni Tang: sheng fu zi, gan jiang, gan cao  for Yang collapse
Bensky: Spleen xu cold with constipation, abdominal pain, cold extremities; P: deep, wiry; also chronic red-white dysentery
with this pattern
Not covered
San Wu Bei Ji Wan / Three Substances Pill for
Emergencies
Functions:
Source: Essentials from the Golden Cabinet
(Jin Gui Yao Lue)
p 127
Purge Down Cold Accumulation
Indication:
Composition:
Grams
F(x) of single herb in formula:
too strong for bulk herb – use pills
Very strong, toxic
Da haung
Gan jiang
Ba dou (toxic)
for strong constitution only – not for pregnancy - Recommended to not use!
Bensky: sudden epigastric pain so intense if feels as if "awl is piercing abdomen"; rough uneven breath, cyanotic complexion,
no bm, T: blue-purplish with white coat; P: deep, tight; maybe loc with closed mouth
Formulas: Dr. Ma
F.A.Yip, 2005
Drain Down
20
MOISTEN THE INTESTINES AND UNBLOCK THE BOWELS
* Treating constipation is priority – must treat first!
Ma Zi Ren Wan / Hemp Seed Pill
Functions:
Source: Shang Han Lun
Moisten Intestines, Drain Heat, Move Qi, Unblock Bowel
not only push, but moistens, too
Indication:
Composition:
Dry Heat in Intestine & ST;
Insufficiency of fluid in the Intestines
Huo ma ren /
Ma zi ren
Moisten the Intestines
Da huang
Drain Heat, Unblock bowels
Xing ren
Descend Qi, Moisten the Intestine
Bai shao
Nourish Yin (b/c loss of fluids can lead to Yin Xu),
Harmonize the Interior
Dry Heat in the ST hurts the SP and the SP
cannot transform fluids – fluids only go to
the BL (freq. urination) and not the
intestines
Constipation with hard, dry stool;
frequent urination (thus, not enough
to moisten intestines)
Grams
p 123
F(x) of single herb in formula:
Zhi shi
** Remember: special/good for
elderly, postpartum women (not
pregnancy!)
Descend Qi
Hou po
Moisten Dryness (intestines) [only in honey pill]
Can add to formulas at end to help taste &
moistening effect
Based on Xiao Cheng Qi Tang: Da huang, zhi shi, hou po = Xiao Cheng Qi Tang
Opening Lung Qi can help bowel - tao ren can do both LU/LI (due to internal/external relationship)
Good for elderly, postpartum women; can give for longer time if remove da huang
T: Dry, yellow
P: Submerged, rapid or floating, choppy
Feng mi
(honey)
CC: not for pure Blood Xu or for pregnant women
Bensky: constipation with hard stool, difficult to expel, frequent urination
*Ma Zi Ren Wan is not for frequent urination alone – be careful to determine what the etiology of the frequent urination is.
 Damp-heat; KD Xu (if KD Xu, calm the Shen to treat this type of frequent urination; also, treat the fire and water organs
[HT Fire will heat up the KD  push out water])
Source: Collected Treatises of [Zhang
Jing-Yue] (Jing Yue Quan Shu)
Ji Chuan Jian / Benefit the River (Flow) Decoction
Functions:
p 125
Warm the Kidney, Moisten the Intestines, Unblock the Bowels
Indication:
Composition:
Grams
Kidney Xu + Constipation Elderly people [ know this!]
Rou cong rong
6-9
KD is not strong enough for qi
transformation (to move bm)
KD controls the 2 lower orifices
(urethra and anus): thus urinary and
constipation-type problems
Dang gui
9-15
F(x) of single herb in formula:
Warm KD, Moisten Intestines
KD Xu symptoms: profuse clear
urination, dizziness, weak
knee/low back, poor memory,
tinnitus, deafness, low libido, etc
Plus constipation (chronic)
- the elderly cannot push too
hard and must be careful
- other similar Rx have fu zi
which is too warm; or may
have other herbs that are too
drying (yin yang huo)
- Da Cheng Qi Tang is too
strong!
Compare: Yin yang huo (drying) for diarrhea; rou cong
rong (moistening) for constipation
Nourish Blood, Moisten Intestine, Can also descend (move
the bowel)
Tonify KD, Descend
Niu xi (huai)
6-9
Zhi ke
3
Ze xie
4.5
- Dr Ma only uses chuan niu xi for edema; prefers huai niu xi
because it tonifies (even for women & when need to move
blood)
Descend Qi - esp. for bm
Leach out turbidity
- Doing this aids KD f(x) [can use this herb even if PT has
frequent or dribbling of urine as the KD f(x) is regulated]
Ascend clear yang qi (doing this helps to descend turbid
qi)
> small dose - use only 1-3 g
Bensky: constipation, clear copious urine, low back pain, cold sensation in back.
Sheng ma
1.5-3
*Don’t always think da huang when you see constipation
Formulas: Dr. Ma
F.A.Yip, 2005
Moisten the Intestines & Unblock the Bowels
21
DRIVE OUT EXCESS WATER
Shi Zao Tang / Ten Jujube Decoction
Source: Shang Han Lun
[da zao is not the chief herb!]
Functions:
p 128
Expel Water Retention (vigorously)
Indication:
Composition:
Interior Water Retention in the
chest or hypochondrium
Gan sui (toxic)
Expel water from Channels
Water retention, cough, sob, difficulty
breathing; focal distension/hardness
in epigastrium, severe edema
Da ji (toxic)
Clear water from Zang Fu
Yuan hua
Expel water, fluid, phlegm from chest or hypochondrium
Qi Yu due to Water Retention Pain in chest, below the heart; dry
heaves
Grams
(toxic)
F(x) of single herb in formula:
10
Protect Stomach, Balance toxic herbs (cannot use gan
Da zao
*Very severe situations only b/c this
(assistant)
pcs
cao), Tonify Qi
is a STRONG Rx
Remember: all three harsh expellent herbs are incompatible with gan cao!
Take only 1-2 times, for acute cases
∴, use da zao to balance the toxicity and protect the ST
Take congee to help harmonize stomach
CC: Pregnancy, post-partum, weak constitutions
** This Rx is not used in the US **
Zhou Che Wan / Vessel & Vehicle Pill
Functions:
Source: Shang Han Lun
Edema
Indication:
Composition:
for Severe edema
Bensky: ascites & distension in
a robust patient with thirst,
labored breath, hard
abdomen, constipation,
scanty urine; P: deep, rapid,
forceful
Hei chou
Gan sui
Yuan hua
Da ji
Da huang
Qing pi
Chen pi
Mu xiang
Bing lang
Qing feng
Grams
F(x) of single herb in formula:
Drain down (don’t use gan sui, yuan hua, da ji if you
don’t need it)
Move Qi vigorously
Very Toxic – don’t use, is mercury
Shu Zao Yin Zi
Mud in river – to be cleared to let water move more smoothly (shu zao), let boats go through (dredge)
Water damp
retention
Major symptoms:
edema over
whole body;
need to disperse
wind to remove
edema form skin
Formulas: Dr. Ma
F.A.Yip, 2005
p 129
Shang Lu
Bing Lang
Da Fu Pi
Fu Ling
Ze Xie
Mu Tong
Jiao Mu
Chi Xiao Dou
Qiang Huo
Qin Jiao
Sheng Jiang
Reduce Water,
Clear Wind
Remove water (chief herb – for edema)
Move qi – treatment principle need to move qi to remove water
Clear water and damp
Disperse wind to remove water from skin (1-edema on top/skin,
need to eliminate wind; 2- wind herbs can drain damp away
“wind overcomes damp”)
Drive Out Excess Water
22
DRAIN DOWN & TONIFY
Xin Jia Huang Long Tang / Newly Augmented Yellow
Dragon Decoction
Functions:
Source: Wen Bing
p 123
Nourish Yin & Qi, Drian Stagnation and Heat
Indication:
Composition:
Grams
Da huang
9
Interior Stagnation with Heat,
Qi & Yin Xu
Mang xiao
3
Tonifies and Drains
Xuan shen
15
Constipation, fullness, distension in
abdomen
Qi Xu Sx: Lassitude, s.o.b., dry mouth, lips
dry & chapped
Sheng di huang
15
Mai men dong
15
Hai shen
2
Ren shen
4.5
Gan cao
6
Tc: Yellow scorched, yellow dark cracked
coating, or black coating (same tongue
coat As Da Cheng Qi Tang – so use da
huang)
F(x) of single herb in formula:
Drain Heat, Unblock bowel, Soften
hardness, Moisten Dryness
Nourish Yin
Tonify Qi & Blood
4.5
Dang gui
This is a modified Huang Long Tang / Yellow Dragon Decoction – traditional Huang Long Tang has jie geng (opens LU
to allow LI Qi to descend [work on the LU and the Intestines will work/be unblocked])
Xin Jia Huang Long Tang also contains:
Tiao Wei Cheng Qi Tang = da huang + mang xiao + gan cao
Zeng Ye Tang = xuan shen + sheng di huang + mai men dong (treat dryness)
Add sheng jiang juice – for stomach, prevent nausea
Bensky: heat accumulated in interior with qi & yin xu; constipation, abdominal distension, hardness & fullness, fatigue,
s.o.b., dry mouth & throat, cracked lips; T: dry yellow or black coat with Cracks
Huang Long Tang (Pg 122) – has jie geng (opens lu qi – add at end of cooking) balances the qi; interior-exterior relation of LU-LI
Zeng Ye Cheng Qi Tang / Increase Fluids & Order the Qi
Decoction
Functions:
Source: Wen Bing
p 118
Nourish Yin, Drain Stagnation and Heat
Indication:
Interior Heat Stagnation, Yin Xu (like above,
but not for Qi Yu)
Heat Stagnation in ST and Intestines
Injury of body fluid by Heat
Yin Xu + Stagnation (heat burns up yin)
Constipation
Composition:
Grams
Xuan shen
30
Sheng di huang
24
Mai men dong
24
Da huang
9
F(x) of single herb in formula:
= Zeng Ye Tang
Tonify Yin, Moisten Dryness
(gives water to floats the boat)
Drain Down Heat Stagnation, Softens
Hardness, Moistens Dryness
(motor to float the boat)
4.5
Mang xiao
st
Cook all herbs together, drink 2 cups. If bm after 1 cup, discontinue
Bensky: Yangming Organ-Stage with Yin Xu with severe constipation; also for constipation due to Yin Xu that has not
Responded to Zeng Ye Tang
Formulas: Dr. Ma
F.A.Yip, 2005
Drain Down & Tonify
23
Harmonize
1.
2.
3.
½ Exterior, ½ Interior (Shao Yang Syndrome)
Liver and /Spleen Disharmony
(Stomach) Heat and (Intestine) Cold
Harmonize Shao Yang – not in Yangming, so cannot drain down; not in Tai Yang, so cannot disperse
Xiao Chai Hu Tang / Minor Bupleurum Decoction
Functions:
Source: Shang Han Lun
p 136
Harmonize Shao Yang, Soothe LIV, Harmonize ST
Indication:
Composition:
Grams
Shao Yang Syndrome
#1: Alternating chills & fever -#1 symptom - not
commonly seen [why alternating? Evil is fighting
w/ exterior and closes pores. Heat accumulates
interiorly (fever) and reaches a threshold to break
open pores and exposes to evil, allowing chills.
Chills close pores and created interior heat…]
6
Chai hu [c]
small
dose – too
much will
ascend
(disperse)
Huang qin [d]
(clear)
9
#2: Fullness & discomfort of chest &
hypochondrium [Shao Yang Channel disturbed by
qi not flowing smoothly]
9
Ban xia [a]
Disperse Evil Qi
Two methods to prepare: fry with vinegar
(sour for liver) is common; or fry with
turtle blood –protect yin; chai hu can
consume Yin
Clear Shao Yang Fire (more internal heat
now)
Harmonize Stomach, Descend
Rebellious Qi (heat affects stomach)
Pungent and can open ST Qi
#3: Stomach is affected by Heat in Shao yang:
no appetite; nausea/vomit; dry
mouth/throat; bitter taste; blurred
vision; dizziness [Shao Yang Channel
Ren shen [a]
9
Zhi gan cao [a]
6
Sheng jiang [a]
9
goes to eyes]
#4: Heat disturbs Shen: irritability, low spirit/dull,
not motivated
*Modernly, used for internal syndromes (i.e
Mental Shao Yang Syndrome = bi polar)
F(x) of single herb in formula:
(Push)
Tonify SP/ST (to prevent pathogen from
sinking in deeper),
Generate fluid,
Harmonize Ying & Wei (want to push out
pathogen from the inside)
4 pc
Da zao [a]
P: Wiry
TC: Thin white (not yellow)
Chai hu, huang qin – deal with evil; ban xia is in the middle; ren shen, zhi gan cao, sheng jiang, da zao strengthens the
body to prevent the pathogen from going in deeper
Cannot use for long time
*Remember all symptoms! - Remember this is from an external invasion
Bensky: alternating chills & fever, dry throat, sour or bitter taste, dizziness, irritability, sensation of fullness in chest &
hypochondria, difficulty taking deep breaths, heartburn, n&V, reduced appetite; Tc: thin, white; P: wiry
Didn’t cover in class
Source: Revised Popular Guide to
the Shang Han Lun (Chong ding
tong su shang han lun)
Hao Qin Qing Dan Tang / Artemisia Annua &
Scutellaria to Clear the Gallbladder
Functions:
Clear Heat From GB, Transform Damp and Phlegm, Harmonize Stomach
Indication:
Composition:
Excessive Heat in Shaoyang (affecting
Stomach)
Qing hao
Grams
p 141
F(x) of single herb in formula:
Clear Heat from Shao Yang, (Clear GB Heat)
Huang qin
Bensky: mild chills alternating with
pronounced fever, bitter taste, stifling
sensation in chest; spitting sour or bitter
fluids; thirst with or withoutut desire;
distension/pain in chest, hyponchondria
Zhu ru
Clear Phlegm-Heat
Ban xia
Chen pi
Zhi ke
T: red with thick greasy yellow or white coat
P: rapid, wiry or slippery right, wiry left
Open chest, Harmonize Stomach, Descend
Rebellious Qi
Chi fu ling
Clear Damp-Heat through urine
Bi yu san
Formulas: Dr. Ma
F.A.Yip, 2005
Harmonize
24
HARMONIZE LIVER & SPLEEN
Si Ni San / Frigid Extremities Powder
Functions:
Source: Shang Han Lun
p 145
Disperse Evil, Relieve Stagnation, Soothe Liver, Regulate Spleen
Indication:
Composition:
ShaoYin Disease with Cold Hands & Feet;
(SP Xu, LIV Yu)
Zhi gan cao
- Spleen Qi Xu first, then Evil in Shao Yin
Channel (constrains so cannot come to four
limbs)
- Irritability, fullness in the chest & epigastrium,
abdominal pain; maybe diarrhea
- Used these days for internal injury – not
pathogenic invasion anymore
- Tx: Liver overacting on Spleen
Chai hu
Grams
F(x) of single herb in formula:
Tonify Spleen Qi
Ascend Yang, Relieve Stagnation
(vinegar fried best)
[Rebalance Qi]
Move (↓) Qi, Remove Stagnation
Zhi shi
Tonify Yin & Blood [tonify LIV Xue to
Bai shao yao
help LIV Qi]
Note: Si Ni Tang: For Yang Collapse, addressed a severe case (here, the whole limb/extremity will feel cold)
Cold hands and feet below the wrists and ankles (although the body is warm) due to heat entering the interior where it
constrains the Yang Qi, thus inhibiting the spreading of the yang qi to the extremities
Compare: cold limbs due to Yang Xu – typically chronic – and the body feels cold (chills)  Dang Gui Si Ni Tang
Bensky: cold fingers & toes (warm body), s.t. with irritability, fullness sensation of chest, abdomen;
T: red with yellow; P: wiry; may also have abdominal pain and/or severe diarrhea
Zhi Shi Bai Shao San – Postpartum abdominal pain, disharmony of Qi & Blood (zhi shi + bai shao)
Chai Hu Shu Gan San - Used a lot in clinic: Qi Yu symptoms – pain/hypochondrium: chen pi, chai hu, chuan xiong,
xiang fu, zhi ke (move qi), (bai shao, gan cao - tonify)
Syndromes Qi Yu
Distension & fullness, pain, discomfort (pain
without fullness); no fixed area
Worse w/emotions & stress
Releases w/movement & gas
T: Pale red, thin white coat
P: Wiry
Tx: Regulate Or Soothe Qi; Relieve Depression
LV-3; RN-17; ST-36; UB-18; P-6; LV-14
Zhi Shi Bai Shao San - Problem with Qi and Xue after Delivery
South China: small dose, hotter climate
North China: larger dose, cooler climate
Strategy – move/break qi (fight); but also to soften (negotiate)
If hypochondriac pain add: chuan lian zi
If epigastric pain/abdominal pain add: mu xiang, chuan xiong, lai fu zi
Formulas: Dr. Ma
F.A.Yip, 2005
Harmonize
25
Source: Imperial Grace Formulary of the Tai
Ping Era (Tai ping hui min he ji ju fang)
Xiao Yao San / Rambling Powder
Functions:
p 147
Tonify Liver Blood, Soothe Liver Qi, Tonify Spleen Qi
This is (one of) Dr. Ma:’s favorite formulas – well formulated
In the Song Dynasty, this formula was indicated primarily for Xue Xu, not LIV Qi Yu w/ Sx of palpitations, tingling in the limbs, etc.
Indication:
 LIV Xue Xu,
 SP Qi Xu,
 LIV Qi Yu
Composition:
Grams
Tonify LIV Blood (bitter, pungent, sweet, warm) –
can move blood a little too
#1 Formula
for women
Important to remember all three aspects (best to
Dang gui & bai shao should be the chief herbs with
Blood tonifying as the most important functions
Dang gui
 Si Wu Tang minus chuan xiong and
treat physical first, then emotional!)
shu/sheng di huang
Syndromes: LIV overact on SP
*This Rx is not just to Soothe LIV Qi Yu –
do not forget that this Rx tx LIV Xue,
especially for women [to treat a women,
treat the Xue]
- Internal injury
- Hypochondriac pain; sighing [qi becomes stuck
and sighing relaxes the chest/qi]
Tonify LIV Blood (sour in taste, Soothes liver)
Chao bai shao
Chao bai zhu
Tonify Spleen
Fu ling
 Si Jun Zi Tang minus ren shen
Zhi gan cao
- Alternating sensation of hot & cold (NO
FEVER: no pathogen – this is for internal
injury) – may feel hot w/o any fever
- LIV Qi Yu  Heat
- LIV Xue Xu  Cold
- Headache; dizziness; blurry vision
- Dry mouth & throat dry skin and hair; loss
of hair [Yin & Blood consumed by Qi Yu]
- SP Qi Xu: lassitude, poor appetite –anger is
Soothe Liver Qi (pungent)
(Cu) Chai hu
{Bensky states chai hu is
the chief herb. Dr. Ma,
however, states that dang
gui and bai shao are the
chief herbs. Chai hu
doesn’t tonify xue!}
1-3g
not necessarily seen
- Emotional imbalances
- Irregular menses: early or delayed,
amenorrhea [LIV/ST related to Blood]
-PMS Sx: headache, breast tenderness, lower
back pain, constipation or diarrhea, may
have nosebleed, may have more acne
- Breast distension/ tenderness [LIV Ch
– usually prior to period], fibrocystic
breast; cramps
- Headache prior to period [LIV Qi Yu]
May have originally been yin chai hu instead of chai
hu as ancient texts did not differentiate.
*Use chai hu in small doses – to prevent ascending
Yin chai hu is only now used if there is Xue Xu Heat
signs – (lrgr amts are ok) to prevent hurting blood
and yin (chai hu can injure blood and ascend)
*Dr. Ma may use mu xiang, instead
Assists chai hu to Soothe Liver Qi
Bo he
No longer
commonly used
(Shao^) sheng
jiang
((Headache during period: Xue Yu and need to
move xue))
- Diarrhea or constipation is d/t LIVSP
F(x) of single herb in formula:
Small
dose
If using chai hu (instead of yin chai hu), you
don’t need to add bo he, or use less
Warms Stomach, Harmonizes the middle
^Roasted/burnt – Wrap in wet paper – put in
fire, when paper is burnt, the herbs are done –
this process lessens the pungent and warming
properties
May add appropriate herbs to modify this formula:
i.e. for heavy menstrual bleeding, add stop bleeding herbs
T: Pale red P: Wiry, weak; or thin, wiry
Even if Xue Xu Sx are not evident, nourish Xue when moving stagnant LIV Qi!
♀: When treating LIV Qi Yu, must also nourish xue – use Si Wu Tang as base
♂: When treating LIV Qi Yu, do not need to nourish xue as much, focus on qi – use Si Jun Zi Tang as base
LIV XUE ↔ LIV QI YU
 If liver wood doesn’t have support from LIV Xue, there will be heat and the Qi will stagnate
 LIV Xue nourishes the wood – nourishes LIV Qi
 LIV has yin and yang: yin is Xue, yang is Qi (LIV wood)
 Thus, people’s emotions are anchored in LIV Qi, which is supported by LIV Xue
 Often ppl think of anger as the 1º sx of LIV Qi Yu, but as it is rooted in LIV Xue, there is commonly Xue Xu Sx
 To Soothe LIV Qi means to also nourish LIV Xue
 LIV Xue Xu  LIV Qi Yu  too dry, not soft  generates Heat  burns up Xue (∴, comes back to hurt the xue)
(physical problem of Xue Xu [i.e. menses] first, leading to Qi Yu) or
 LIV Qi Yu first (emotions)  hurts Xue  gradually develop physical problems
SP QI XU  LIV XUE XU OR LIV  SP  SP QI XU
 If the SP is weak, the SP cannot generate Xue for the LIV  LIV Xue Xu  LIV Qi Yu or
 LIV Qi Yu (emotions)  overacts on SP  Sp Qi Xu
Formulas: Dr. Ma
F.A.Yip, 2005
Harmonize
26
 Cu chai hu is preferred – only use a small dose to prevent ascending too much qi; vinegar-fried strengthens liver softening
properties
 Bai shao is for blood, chai hu is for qi = balance
 Bo he and sheng jiang are no longer commonly used:
 Bo he was always used with yin chai hu in ancient times to Soothe LIV Qi (b/c yin chai hu doesn’t Soothe) – now, as
chai hu alone can Soothe LIV Qi, it is not necessary to add bo he
 Only use small dose of bo he (b/c it is pungent) and if the entire formula is cooked for only 12-15 min [as per Dr.
Ma], bo he can be cooked at the same time with the other herbs
 Shao Sheng jiang is roasted [as explained above] to lessen the pungent and warming properties (as these are not
needed here)
Bensky: hypochondriac pain; ha; vertigo; bitter taste; dry mouth & throat; fatigue; reduced appetite;
May also have alternating chills & fever; irregular menses; breast distension.
More commonly used for women. Originally for Xue Xu, (Duncan: “Soothe the world one liver at a time!”)
XIAO YAO SAN AND ASSOCIATED FORMULAS:
Xiao Yao San
LIV Xue Xu, SP Qi Xu, LIV Qi Yu
Jia Wei Xiao Yao San
Hei Xiao Yao San
LIV Qi Yu  Stagnant Heat
More Xue Xu than Xiao Yao San
Symptoms:
For masses, breast tumors
Uterine fibroids – moves Blood too
Uterine bleeding
Heat, moves blood
Bloating: before or during
Lassitude, severe fatigue
Shen problem, insomnia, poor concentration
Edema, fluid retention
Constipation or diarrhea
Yin Xu dry skin
Use metal to control wood
Low sex drive, imbalance of hormone, no
motivation (KD xu), moody
Shen
Dang gui, chao bai shao, fu ling, bai zhu, zhi
gan cao, cu chai hu, bo he, sheng jiang
+ mu dan pi, zhi zi
+ shu di or sheng di
Add to Xiao Yao San:
chuan lian zi, qing pi
tao ren + hong hua (not with heavy flow)
du zhong, di yu, shu di huang, e jiao, huang qin
mu dan pi, chi shao, niu xi (tonifies too)
chen pi, zhi ke, shen qu
huang qi, dang shen
sheng ma (to help ascent for dizziness)
suan zao ren, yuan zhi, bai zi ren
ze xie, fu ling
chen pi (c or d), zhi ke (c only) etc
mai men dong, xuan shen, he shou wu, gou qi zi
xing ren, bei mu
yin yang huo (low dose up to 12 g), tonify kd yin first and slowly suan zao ren, yuan zhi, ye jiao teng, bai zi ren
 Qiang huo for neck pain over ge gen – Liver Qi Yu often related to neck pain (even in classics) “Shu Point for Liver in neck”
 Liver Qi Yu  overacts on Spleen  Blood Deficiency  affects smooth flow of Liver Qi (Circle)
 Liver Qi Yu  causes Heat & consumes Blood
 Sour taste and sweet can generate fluids
No strong Qi moving herbs when have down aspect
o if depressed & no appetite – scared, fear
o if depressed & eat a lot – pressure stress = ST heat – feel angry, will not use Xiao Yao San
o huang lian (for ST heat)
o anti-depressant – he huan pi, yu jin
o zhi zi: gardenia #1 herb for irritability – clr LV heat
o huang qin – LV heat
o if lots of worry, anxiety: use Tian Wang Bu Xin Dan
Formulas: Dr. Ma
F.A.Yip, 2005
Harmonize
27
Jia Wei Xiao Yao San / Dan Zhi Xiao Yao San /
Augmented Rambling Powder
 XIAO YAO SAN + MU DAN PI, ZHI ZI
Functions:
Source: Summary of Internal
Medicine (Nei Ke Zhai Yao)
p 148
Clears LIV Heat
Indication:
Composition:
Grams
F(x) of single herb in formula:
LIV Qi Yu  Stagnated Heat
Clears LIV heat
Chai hu
Bo he
Dang gui
Bai shao
Bai zhu
Fu ling
Sheng jiang
Gan cao
6
6
9
9
9-12
9
5 pcs
6
Anti-depression
Anti-depression
Mainly for anger; bad temper, irritable,
flushed/red face
Qi Yu Sx + more & more irritable,
restless, angry, thirst, dry mouth,
yellow urine, burning urine
Before period: may see more acne, rash
Long time depression, stress, gradually
develop into heat [not yin xu heat]
12
Zhi zi
N xue, soften LV
Strengthen SP
SP Xu = damp, strengthen SP
Regulate SP fx, help digestion
Harmonize
Clear heat – all three jiao; qi stage heat; fire
12
Clear LIV heat, cool blood; move blood stasis
Mu dan pi
T: red
P: wiry, rapid
Xiao Yao San + mu dan pi and zhi zi. also Called Dan Zhi Xiao Yao San
gou qi zi, ju hua
Dryness of eyes, night blindness
(add shu di huang)
Yin Tonics
Dry Throat
Chen Pi, Shen Qu
Digestive
Difference between Xiao Yao San and Jia Wei Xiao Yao San is by degree:
LIV fire more severe: red face, constipation, yellow TC, strong reaction, short temper, dark yellow urine
Stagnant heat: irritable d/t stress, gradually more warm, palm heat, thirst
 LIV fire: can also use Long Dan Xie Gan Wan
 More xu heat: zhi mu; huang bai; sheng di huang (or shu di) – dry mouth/dry throat- nourish yin/clear heat
 LIV heat  headache, dizziness, blurry vision: jue ming zi; ju hua; xia ku cao, xing xiang zi (sp)
Hei Xiao Yao San / Black Rambling Powder
Source: Six Texts on the Essentials
of Medicine (Yi Xue Liu Shu)
 XIAO YAO SAN + SHU DI OR SHENG DI
Functions:
Nourish Xue (more Xue Xu than indicated for in Xiao Yao San)
Indication:
For more Xue Xu than Xiao Yao San:
add shu di or sheng di
Add shu di to tonify xue, tonify KD
(water can n. wood) – even if KD Xu
Sx are not evident, can add KD tonics
Add sheng di to cool xue
For Xue: chuan xiong, niu xi
For SP Qi, along with existing herbs:
add dan shen, huang qi, shan yao
Calm Shen (by n. xue): suan zao ren,
bai zi ren, yuan zhi, ye jiao teng
Composition:
Grams
Formulas: Dr. Ma
F(x) of single herb in formula:
Chai hu
Bo he
Dang gui
Bai shao
Bai zhu
Fu ling
Sheng jiang
Gan cao
Anti-depression
Anti-depression
Shu di
Tonify Xue, Tonify KD (water can nourish
wood/LIV)
N xue, soften LV
Strengthen SP
SP Xu = damp, strengthen SP
Regulate SP fx, help digestion
Harmonize
or
Sheng di
F.A.Yip, 2005
p 149
Harmonize
Cools Xue
28
Function: Soothe LV Qi, nourish LV
Chai Hu Shu Gan San
p 146
Soothe LV qi, regulate blood
Dr. Ma: Focuses too much on qi and does not address the xue or emotions as well as Xiao Yao San. Thus, it is not as
commonly used as Xiao Yao San
6-9
Soothe LV; anti-depressant; shaoyang stage
Syndromes Liver Qi Yu
Chai hu
9
Help chai hu, release qi, help emotions, Soothe LV
Xiang fu
(assistant)
emotions (stress irritable anger upset)
Qi
LV meridian (hypochondriac, chest)
9
Descending qi, move Qi
Zhi ke
menstrual (PMS, cramping, breast
9
Resolve damp, help digestion, move Qi
Chen pi
distension)
9
Regulate blood; move qi, release pain Due To
Chuan xiong
T: not much change
blood yu
P: wiry
12
Soften LV; nourish LV blood , release cramping
Bai shao
3
Harmonizing (Dr He didn't list this herb- in
Zhi gan cao
Bensky)
UB18; LV3; RN17; RN6; SP8; LV14
4 gates; P6; HT7; ashi for pain
be sure to nourish LV & SP as well (LV8, UB18, 20):
generally emotion related
Tong Xie Yao Fang / Important Formula for Painful
Diarrhea
ORIGINALLY CALLED: Bai Zhu Xiao Yao San
Functions:
Source: Collected Treatises of [Zhang]
Jing-Yue (Jing Yue Quan Shu)
p 149
Functions: Tonify Spleen, Reduce Liver (Soothe)
Indication:
Composition:
Grams
F(x) of single herb in formula:
Chao bai zhu
Dry Damp, Tonify SP
- aromatic
- From Si Jun Zi Tang
Liver Wood sinking down in to
weak Spleen Earth (need to lift
wood)
Chao bai shao
Tonify (Liver) Blood, Reduce Liver (Qi Yu)
- Nourish Wood by nourishing xue – WORKS ON YIN AND XUE
- aromatic
- From Si Wu Tang
Painful diarrhea w/ cramping
before bm  feels better after
having bm
- temporarily  pain comes back
(not food poisoning)
Chen pi
1. Spleen Qi Xu (root)
2. LIV Yu (LIVSP)
 Painful diarrhea
Regulate (SP) Qi; Tx diarrhea (by removing dampness and
moving qi)
[Wakes up Spleen]
Disperse Liver Qi – this herb ↑
Fang feng
T: Pale, thin white coat
P: Wiry; weak or moderate
(sl. slower)
Fang feng :
- helps wood to ascend out of earth
- 1st for Wind, 2nd for LIV
- is a moist herb
Most interesting herb in this formula but not most important
Can add fu ling, gan cao, shu di huang (small dose), huang qi, he huan pi (Soothe liver),
yuan zhi, suan zao ren,
Note: If intestinal wind sx and the need to ↑ arises, or for uterine bleeding: jing jie is better than fang feng (even though we are
taught that fang feng tx intestinal wind)
Bensky: recurrent problems of borborygmus, abdominal pain, diarrhea with pain (that starts with urge to defecate & alleviates
after bm); T: thin, White; P: wiry, moderate or wiry, thin
Later will study Xie Huang San (also has Fang Feng) – Spleen Heat
Dry fry with yellow earth
Formulas: Dr. Ma
F.A.Yip, 2005
Harmonize
29
Ban Xia Xie Xin Tang / Pinellia Decoction to Drain the
Epigastrium
Functions:
Source: Shang Han Lun
p 150
Harmonize Stomach, Descend Rebellious Qi, Eliminate Focal Distention/Stagnation
(Clear Heat, Clear Cold, and Tonify)
Indication:
Disharmony of Stomach Qi
Heat (ST) and Cold (Intestine)
(Cold below, Heat above)
ST Qi disharmony: ST Heat, Intestinal
Cold
Composition:
Grams
Huang lian
5
Huang qin
5
Gan jiang
3
#1 symptoms:
Fullness & distension in epigastrium /
MJ
- Qi is blocked – will see more Heat than
Cold sx
- ST Heat  rebellious Qi: dry heaves,
vomiting; nausea
- Intestinal Cold: abdominal pain,
borborygmus, diarrhea (not much odor)
T: Yellow greasy coat
P: Rapid, wiry
Ban Xia
9
Ren shen
6
Zhi gan cao
5
Da zao
4
F(x) of single herb in formula:
Clear Heat
Huang liang is esp. good for ST
Open stagnation (pungent herbs will open),
Disperse Cold (warm in nature)
[Gan Jiang – can stop diarrhea d/t Cold]
[Ban Xia - fullness, focal distension]
Tonify Qi: SP, ST
Even with focal distention and fullness, still protect
and tonify SP and ST qi {Zhang Zhong Jing
formula}
Compare this with Xiao Chai Hu Tang (if misdiagnose & give Da Chai Hu Tang instead of Xiao Chai Hu Tang – will hurt qi
and produce symptoms for Ban Xia Xie Xin Tang)
Bensky: epigastric focal distension, fullness & tightness with very slight or no pain; dry heaves or frank vomiting;
borborygmus with diarrhea; reduced appetite; Tc: thin, yellow, greasy; P: wiry, rapid
Modify with other
Functions: Yu of Water and heat
(Just take out Gan Jiang and add Sheng Jiang)
Functions: ST Qi Xu, Undigested Food
P 152 Shang Han Lun
(Just increase the Dosage of Gan Cao to 12g)
Sheng Jiang - Can Disperse Water Retention in Abdomen (Borborygmus); Food Stagnation & Suspended Fluids;
Firm Epigastric Distension; Dry Heaves; Foul Odor; Sound of Fluids in Hypochondria; Very Loud
Borborygmus & Diarrhea
Gan Cao – Tonify Stomach/Spleen, More Severe Stomach Qi Xu with Undigested Food in Stool, Irritability
Sheng Jiang Xie Xin Tang
Gan Cao Xie Xin Tang
Formulas: Dr. Ma
F.A.Yip, 2005
Harmonize
30
Formulas that Clear (Internal) Heat
Internal Heat – must differentiate from Exterior Heat!
1- Qi Stage
2- Ying Stage
3- Blood Stage
4- Heat-Toxin
5- Both Qi & Blood
6- Zang-Fu Organ
Strategy
1- Ensure that it is, indeed, Internal Heat and not External Heat!
2- Do not use these formulas for a long period of time – these herbs are very cold and will injure the stomach
3- Add herbs to protect stomach
4- Protect Yin & Blood
CLEAR HEAT FROM QI STAGE
Bai HuTang / White Tiger Decoction
Functions:
Source: Shang Han Lun
p 70
Clear Heat, Generate Fluid
Indication:
Composition:
Excessive Yang ming Qi Stage Heat
“4 Bigs:” thirst, sweat, pulse,
heat/fever
Shi gao
30
Expel Heat (at least 15 gm, up to 30 Gm)
Zhi mu
9
Assist shi gao clear heat; Nourish Yin
- Yin may be hurt from big heat  thirsty
Zhi gan cao
3
Excessive Heat in Qi Stage =
Yangming Channel Syndrome
4 Bigs: fever, thirst, sweating, pulse
P: forceful, flooding [in Qi stage, can
Grams
F(x) of single herb in formula:
feel big energy]
Red complexion, aversion to heat (no
chills)
Jing mi
Tonify Stomach, Protect fluids
[Nourish Yin, Protect stomach protect from cold
herbs]
(Not geng mi;
9-15
Yangming rich in Qi & Xue
non-sticky; not
Usually these patients go to emergency
sweet rice)
room rather than to you
Shi gao and gan cao can generate fluids: one is cold and the other is sweet
Only formula for the 4 Bigs = Yang Ming Channel Syndrome
- Da Chen Qi Tang = Yang Ming Organ Syndrome


6 Stages from Zhang Zhong Jing
4 Stages come from another master
Bai Hu Jin Ren Shen Tang – if feel cold in their back = Bai Hu Tang + ren shen: used in ancient times for lowering blood
sugar/diabetes (p71). Now people use Qi and Yin tonics
Formulas: Dr. Ma
F.A.Yip, 2005
Clear Heat – from 4 Levels
31
Zhu Ye Shi Gao Tang / Lophatheru & Gypsum
Decoction
Functions:
Source: Shang Han Lun
p 72
Clear Heat, Generate Fluid, Tonify Qi, Harmonize Stomach
Indication:
Composition:
Grams
F(x) of single herb in formula:
After a febrile disease, Residual Heat and
Injury of Qi & Yin
Zhu ye
9-15
Residual Heat After Heat Invasion Injury
of Qi & Yin
Common after summerheat
Expel Heat, Relieve irritability
(dan zhu ye good for restless & irritability due
to heat)
Shi gao
30
*remove shi gao if the heat is not too severe
All these herbs below can tonify the ST:
By this time, the Qi & yin are already hurt
- Profuse sweating
- Irritability, restlessness, insomnia (heat
disturbs Shen)
- Nausea (ST Qi becomes rebellious by the
heat)
- Dry mouth, preference for drinks
Typical Yin Xu T & P (be careful on nccaom
test!)
6
Ren shen
Mai men dong
9-18
9
Ban xia
T: Red tongue, little coat
P: Rapid [heat], weak [Qi & Yin are weak]
*More commonly used than Bai Hu Tang –
after initial disease is stabilized & now
residual heat
Zhi gan cao
Jing mi
3-6
12-15
Tonify Qi
(use dang shen if patient not too weak)
Nourish Yin
Descend the Rebellious Qi, Relieve nausea
Harmonize Stomach
Tonify Middle
Note: Sheng Mai San = ren shen + mai men
dong + wu wei zi
Ban xia can tx insomnia d/t disharmony of ST (according to Nei Jing)
Formula has 2 herbs in this Nei Jing formula  Ban Xia Zhu Mi Tang = ban xia, zhu(?) mi [red sorghum?]
Cough, red tongue, thirst
Add wu wei zi
Usually doesn’t use shi gao – too harsh –
Remove shi gao, sub in zhi zi or zhi mu
esp. if use powders
This formulas has been used to help reduce resistance of Type Ii Diabetes
Formulas: Dr. Ma
F.A.Yip, 2005
Clear Heat – from 4 Levels
32
CLEAR HEAT FROM YING/BLOOD STAGE
Qing Ying Tang / Clear the Nutritive Level Decoction
Functions:
Source: Wen Bing Tiao Bian
p 75
Clear Heat From Ying, Nourish Yin & Move Xue
Indication:
Composition:
Heat in Ying Stage
Syndromes: Heat Stasis of Blood
Ying Stage belongs to the Yin
As the Ying Stage is deeper, Shen may be
disturbed:
Delirium, irritability, restlessness
(opening/closing eyes  disharmony of Yin &
Yang + weakness of shen)
Skin rashes, purple spots (possible faint &
indistinct purpura or erythmia)
Tendency to bleed [actual bleeding belongs
to Xue Stage]
Fever worse at night (Yang returns inward at
night & combines with evil heat = more heat)
Irritable, restless, time to time delirium,
This is not commonly seen clinically
Grams
F(x) of single herb in formula:
Xi jiao = illegal
(use shui niu jiao)
9
Clear Heat, Cool Blood
Sheng di huang
15
Clear Heat from Ying Stage, Nourish Yin,
Cool Blood
Xuan shen
9
Nourish Yin, Clear Heat, (Cool Blood)
Mai men dong
9
Jin yin hua
9
Lian qiao
6
Huang lian
4.5
Dan zhu ye
3
Clear Heat toxin,
Transfer Heat to Qi Stage
> Jin yin hua, lian qiao, dan zhu ye are herbs
to release to ext to bring the heat to the qi
stage
May be used to tx acne
T: Deep red, very dry
P: Rapid, thin
Remove Stagnation (Stagnated heat)
6
Dan shen
* be careful – this not Yin Xu!
But this formula can be used to address Yin
Xu as it contains Zeng Ye Tang to nourish
Yin: sheng di, xuan shen, mai dong
Sheng Di Huang + Xuan Shen + Mai Men Dong = Zeng Ye Tang, More Fluid
Syndromes: Heat Stasis of Blood
For Acne:
remove xi jiao
May be added to clear wind:
feng fang, jing jie
Xi Jiao Di Huang Wan / Rhinocerous Horn &
Rehmannia Decoction
Functions:
Clear Stagnated Heat from Ying (to Calm Shen as
in Tian Wang Bu Xin Dan); Move Xue
Source: Thousand Ducat
Formulas (Qian jin yao fang)
p 76
Clear Heat Toxin, Cool Blood, Disperse Stagnation
Indication:
Heat in Blood Stage
Syndromes: Hemorrhage (Dt Bld Heat)
Composition:
Grams
F(x) of single herb in formula:
Xi jiao,
Shui niu jiao
3012
0
Clear Heat, Cools Blood (use shui niu jiao)
cook seperately for 15-20 min
24
Sheng di huang
Bleeding problem & shen problem (heat
invading heart shen)
Bleeding: nasal, coughing, vomiting, in
stools, bleeding rash
Shen: delirium, loc, mania
Bai shao
9
Heat is deeper than ying problem – shen
6
Mu dan pi
problems are more severe
T: Deep purple or red with thorns
(prickles)
P: Thin, rapid
Usually never see a patient like this in U.S.. They are usually in the hospital
Cool Blood, Nourish Yin
(Stop Bleeding)
Cool Blood, Disperse Stagnation (Move
Blood)
(chi shao preferred but bai shao is not
wrong) – do not use strong blood movers
such as tao ren or hong hua
* Bai Hu Tang is more important than these 2 above
Formulas: Dr. Ma
F.A.Yip, 2005
Clear Heat – from 4 Levels
33
Huang Lian Jie Du Tang / Coptis Decoction to
Relieve Toxicity
Functions:
Source: Thousand Ducat Formulas
(Qian jin yao fang)
p 78
Clear Heat Toxin
Indication:
Composition:
Grams
Excess Heat in San Jiao
All Excessive Heat Toxin
All Excess Heat Sx:
Very irritable, restless, insomnia
Yellow urine
Dry throat, jaundice, carbuncles,
bleeding, rashes, etc.
T: red
P: rapid, forceful
F(x) of single herb in formula:
Clear Heart Heat/Fire, also Clear Heat from
Middle Jiao/ST
[Can also be dry-fried (chao) – makes more
moderate, less harsh]
Huang lian
5-6
Huang qin
6
Clear LU Heat and Upper Jiao
[Can also use for Stomach Heat (& Liver Fire)]
Huang bai
6
Clear Heat From Lower Jiao
3
Clear Heat from San Jiao
(lead heat down through urine)
A general formula for Excessive Heat–
this dx is seldom made
Not often used formula – good to see
herbs that clear heat; seldom use all
these herbs together – too strong
Zhi Zi
use dry fried to avoid
nausea/vomit
 Very bitter – use only for strong constitutions and excess cases!
 Do NOT use for elderly & be careful with women - don’t give for long time.
 This formula tastes worse that Xi Jiao Di Huang Wan (worst in whole book!)
> Huang Lian E Jiao Tang – for Heat in Heart
for bitterness (esp. of of huang lian) – may add gan cao – to help taste & to help stomach
> May add huang lian to Jia Wei Xiao Yao San to clear more heat (red eyes, red complexion, bad temper)
Liang Ge San / Cool the Diaphragm
Functions:
Source: Imperial Grace Formulary of the Tai Ping
Era (Tai ping hui min he ji ju fang)
p 119
Clear Heat, Unblock Bowel
Indication:
Composition:
Grams
Heat in Upper & Middle Jiao
Lian qiao
Huang qin
12
3
Heat sensation in chest & abdomen,
Irritability, tongue or mouth
sores/ulcers, sore throat, scorched lips
Constipation, scanty dark urine
Red complexion
Zhi zi
3
Bo he
Dan zhu ye
3
3
Mang xiao
6
T: Red, yellow coat
P: Rapid, slippery
Da huang
6
Feng mi (honey)
Gan cao
F(x) of single herb in formula:
Clear Heat toxin
Clear Heat from chest
Clear Heat from San Jiao, lead heat down through
urine
Disperse Heat (very light – can disperse the heat)
Drain/Lead Heat down
Also clears heat from chest
Harmonize,
Help Stomach - feng mi moistens to help bowel
Bai mi = white honey - feng mi is brown honey
Formulas: Dr. Ma
F.A.Yip, 2005
Clear Heat
34
Pu Ji Xiao Du Yin / Universal Benefit Decoction to
Eliminate Toxin
Functions:
Source: Precious Mirror of
Helath (Wei sheng bao jian)
p 80
Disperse Wind, Clear Heat Toxin
Indication:
Wind-Heat toxin invading head
Big Head Due to Wind-Heat Invasion
Not commonly seen clinically
(Only formulas for big head = swollen
face)
Composition:
Grams
Huang qin
15
Huang lian
15
Niu bang zi
3
Lian qiao
3
Bo he
3
Swollen Face (from virus) – eye gets
really small and hard to open
Wind-Damp Heat; aversion to wind-cold,
chills, fever, eyes are swollen and hard
to open
[Big head means “stupid” in china]
Can be used to tx virus (i.e. West nile
virus) or severe allergic reactions
Can use to treat mumps
Jiang can
T: Red, yellow coat
P: Rapid, forceful
*If anaphylactic shock and the patient’s
throat is swollen, send to ER!
F(x) of single herb in formula:
Clear Heat toxin from head and face
(wine fry can move to top of head)
Disperse Wind Heat
1.5
Assist to clear heat toxin
- Ban lan gen is a good anti viral
- Ma bo together with jie geng 6, gan cao 6+
xuan shen to smooth throat
Ma bo
3
Ban lan gen
3
Xuan shen
6
Jie geng
6
Gan cao
6
Chen pi
6
Move Qi, (Disperse heat stagnation)
1.5
Disperse Wind Heat - ascend to head
*use smaller dose
Sheng ma
Chai hu
Benefit throat
6
> Shen Su Yin – perilla leaf + ren shen
Qing Wen Bai Du Yin / Clear Epidemics &
Overcome Toxin Decoction
Functions:
p 81
Clear Heat Toxin, Cool Blood
Indication:
Composition:
Heat Toxin in Qi & Xue
Shi gao
Zhi mu
Gan cao
Huang qin
Huang lian
Zhi zi
Not commonly used
Excess – not long-term chronic problem
Severe headache, delirium, mania, big
fever, convulsion, bleeding: vomiting,
nose and skin
Encephalitis, meningitis (severe stiff neck,
projectile vomiting, fever, headache, etc.)
This kind of patient will be in the hospital
T:
P: Deep, rapid
Formulas: Dr. Ma
F.A.Yip, 2005
Source: Achievements Regarding
Epidemic Rashes (Yi zhen yi de)
Xi jiao
Sheng di huang
Chi shao
Mu dan pi
Lian qiao
Xuan shen
Jie geng
Zhu ye
Clear Heat
Grams
60-120
6-12
3-6
3-9
6-12
6-12
9-12
9-15
6-12
6-12
6-12
6-12
3-6
3-6
F(x) of single herb in formula:
= Bai Hu Tang
Clear Heat, Protect fluid
= Huang Lian Jie Du Tang
Clear Heat from San Jiao
= Xi Jiao Di Huang Tang
Clear Heat, Cool Blood
Clear Fire
Lead herbs up, Disperse Heat
35
CLEAR HEAT FROM ZANG-FU ORGANS
Most important section – used everyday
HT, LU, SP, LIV/GB; also: UB, ST, Intestines
Dao Chi San / Guide Out the Red Powder
Functions:
Source: Craft of Medicinal Treatment for childhood
Disease Patterns (Xiao er yao zheng zhi jue)
p 95
Clear Heart Fire, Nourish Yin, Leach Out Water
Indication:
Composition:
Grams
F(x) of single herb in formula:
Excessive Heat in the HT Channel
“Chi” = red  HT
Sheng di
Cool Blood, Nourish Yin to control HT fire
Mu tong
Clear HT Heat (above), Promote urination
(below)
Zhu ye
Clear HT Heat, Relieve irritability
Sheng gan cao
Clear Heat
Very commonly seen problem, esp. in high stress
environments!
1º: HT Heat  Shen disturbance
- Irritability, anxiety, high stress, short temper
- Tongue ulcers [tongue is the mirror of the heart]
- Thirsty, preference for cold drinks
- Red complexion
2º: SI - HT connected to SI, ∴, burning and painful
urination [burning urination is not limited to UTI]
Can be used for UTI, but is mainly for the HT, and
the SI is 2º
P: Deep, rapid
* Mouth/tongue ulcers = HT, SP
May see tongue or mouth ulcers due to SP Fire, as well, as the SP is related to HT.
This is not seen in ST Fire: ST Fire manifests as gum bleeding, bad breath, etc.
Formulas: Dr. Ma
F.A.Yip, 2005
Clear Heat – from the Zang Fu Organs
36
Long Dan Xie Gan Tang / Gentiana to Drain
the Liver
Functions:
Source: Analytic Collection of Medical
Formulas (Yi fang ji jie)
p 96
Clear Clear Excess Fire, Clear Damp Heat
MOST IMPORTANT FORMULA IN THIS CHAPTER!
Indication:
Composition:
1- Excessive LIV/GB Fire disturbance
moving upwards
(Upward Disturbance of Liver/GB Fire)
2- Damp Heat Moving Down
Long dan cao
[NCCAOM]
Grams
5-6
F(x) of single herb in formula:
Clear Excess Fire and Damp-Heat
Esp. for Liver/GB – very very bitter
Only used for Heat in Liver/GB – not for
anything else
Above: ear, eye // Below: genitals
1- Excessive LIV/GB Fire disturbance
moving upwards
Eye and ear problems: burning, red eyes,
conjunctivitis; ear infection, burning ears
Headaches
Excess tinnitus & deafness is LIV/GB – loud &
pain; Xu is KD (long term) – not so loud and
always there, also KD
Red complexion, loud voice
Short temper, red eyes, ha, hypertension, LIV
merdian pain, high pitch ear ringing, inguinal,
herpes zoster, eczema, burning discomfort,
trigeminal neuralgia, dark yellow urination
Easily upset, yell, bitter taste [gb],
irritability, constipation, hypochondriac
pain [LIV]
Emotional cleansing, stress, bitter at work
Tx: purge LIV Fire
2- Damp Heat Moving Down (in Lower Jiao)
Itching, burning, swelling, pain of the genitals
♂: profuse sweating in scrotum, strong odor
♀: profuse smell/odor, yellow or green
discharge, leukorrhea, yeast infection
Herpes, STD
Clear Fire
Directly goes to GB Channel
- very bitter & cold
Huang qin
Zhi zi
6
3
Che qian zi
Mu tong
Ze xie
12
5-6
6-12
Clear Damp-Heat (via urination)
12
6-9
Nourish Yin & Blood
3 herbs to clear heat, 3 herbs to drain
Damp, ∴, balance Rx w/ dang gui and
sheng di to protect the LIV xue (LIV
tonics)
- Protect from harsh herbs – assistance
only – small doses
Dang gui
Sheng di huang
Chai hu
3
Guide herbs to LIV Channel
5-6
Harmonize
Gan cao
T: Greasy, yellow, thick
P: Wiry & forceful
- This formulas always for Excess Syndrome, never for Xu persons
- Not for pregnancy – best not during menses
- Use short-term only – no more than a couple of weeks – cold herbs and be cautious with the ST
- Good for hypertension--huang qin, zhi zi, che qian zi, ze xie
Don’t use too long – will drain body’s energy – try for three days, then stop & try again
Ku shen, huang bai (internal or external wash for discharge), can add huang bai but must have huang qin
Formulas: Dr. Ma
F.A.Yip, 2005
Clear Heat – from the Zang Fu Organs
37
CASE STUDY
40 yo male CC: Erectile dysfunction/impotence (for 3 months); stress (profession = day trader); fear/not thinking clearly; bad breath; red
complexion; occasional diarrhea; desire to drink water (3-4 L); also drinks brandy (6-8 drinks/wk); smokes cigars (5-8 per day!) T: pale?,
but thick yellow coat; P: wiry. He was told he had KD Xu, (but with red complexion and thick yellow coat, herbs for KD Xu wouldn’t
help).
Visit #1: Dr. Ma’s Rx =
Dx = D-H in the LJ
clr H, drain pathogen:
to balance:
drain damp/clear water, not in original rx:
zhi zi 3g
sheng di 9g
huai niu xi 9g
huang qin 6g
dang gui 12g
chai hu 3g
gan cao 6g
che qian zi 9g
ze xie 12g
-------------------------- above = Long Dan Xie Gan Tang modified ------------------for phlegm:
for shen:
chen pi 9g
shi chang pi 9g
ban xia 9g
yuan zhi 5g
:: 4 groups of herbs: base is to Clear H, drain pathogen. Then must balance. Lastly, address phlegm and shen
*Remember! For sexual dysfunction, esp. in ♂, must add herbs to calm shen (often d/t stress, ∴, often an emotional problem).
*For women’s sexual dysfunction, must tonify xue (for ♀, is it not often d/t D-H) – it is often a more physical problem, but can certainly
have an emotional root.
* Fright is said to hurt the kidneys and can lead to sexual dysfunction  ∴, calm the shen!
*♀ infertility  calm shen! As infertility can lead to anxiety and other shen disorders
[Dr. Ma uses huai niu xi more for ♀ b/c it tonifies xue more than chuan niu xi. He uses chuan niu xi more overall for ♂. Both can drain
down/damp]
Visit #2 – 1 wk later: not much improvement – not more erection/cannot maintain; only improvement is that bm is more firm;
T: yellow/greasy; P: still wiry.
 Same herbs, but added fu ling and xing ren
~ Two reasons to use xing ren: to clear LU [for smoking]; xing ren as Metal to control Wood – could also use jie geng, bei mu
to help LU/Metal to control LIV Qi Yu/Wood
Visit #3 – most recent visit: T: coat is clearing up, thinner, not as yellow = big difference; no more bad breath; feels as if herbs are cooling
down body even when swallowing the hot herbal decoction; desire for water is reduced; good erections after 2 nd visit (5 times!)
 Thus, it took 2 weeks (6 bags) to clear the problem – remember, do not stop after 1 week!
Future visits - start reducing the clearing herbs and add more herbs for LU & Spleen
 For more acute problems:
 For more chronic problems:
Formulas: Dr. Ma
F.A.Yip, 2005
1 bag of herbs/day is recommended
3 bags/week is fine
Clear Heat – from the Zang Fu Organs
38
Associated formula to Long Dan Xie Gan Tang Source: Craft of Medicinal Tx for Childhood
Dz (Xiao er yao zheng ahi jue)
Xie Qing Wan / Drain the Green Pill
p 97
Functions:
Indication:
Composition:
Stagnated Fire in Liver Channel
Dang gui
Long dan cao
Chuan xiong
Zhi zi
Da huang
Qiang huo
30
30
30
30
30
30
Fang feng
30
not as Important as the Drain the
Yellow
Grind and mix with honey to make 6g
pills with water or dissolved in
decoction from small amount of
Dan Zhu Ye
Grams
F(x) of single herb in formula:
also to Help Disperse the Fire
Depressed, Stagnated Fire – Fang Feng to Disperse
Fire – to open It
Didn’t go over in Ma’s class
Dang Gui Long Hui Wan / Dang gui and Aloe Pill
Functions:
Source:
p 98
Clear Fire from Liver and GB channel - Clears fire but not damp
Indication:
Composition:
Excess Fire in Liver and GB channel
Important for Constipation
Dang gui
Long dan cao
Huang lian jie du tang
Zhi zi
Huang lian
Huang bai
Huang qin
Da huang
Lu hui
Ma xiang
She xiang
Grams
F(x) of single herb in formula:
Protect Liver and Tonify Liver Blood
CC: Weak Patients
Didn’t go over in Ma’s class
Dai Ge San
Rep. Rx For Lv Fire Insults Lu P N/A
Function: Clear Lu & Lv Heat
Xie Bai San
P 90 Rep. Rx For Lu Heat
Syndromes: Liver Fire
Insults Lung
Relatively weak lu, hx of
lu problems– bronchitis
Emotions (lv fire) + lu sx
Qing dai
Hai ge ke (sea shell)
Xie Bai San:
Di gu pi 6-15
Sang bai pi 6-15
Jing mi
Gan cao
Lv fire + lu cough
Huang Qin 6-15
Zhi Zi 3-12
Long Dan Cao 3-9
Bei Mu 3-12
Gua Lou 9-30
Dan Nan Xing 4.5-9?
Jie Geng 3-6
Xing Ren 3-9
Lu Gen 15-30
Tian Hua Fen 9-15
Mai Men Dong 6-15
Chuan Xin Liang 9-15
Ban Lan Gen 15-30
Pu Gong Ying 9-30
Da Qing Ye 9-15
Formulas: Dr. Ma
F.A.Yip, 2005
Purge Lv Fire In Dai Ge San
Phlegm Heat (Relatively Not Strong For Cough) In Dai Ge San
Xu Heat, Lu Heat In Xie Bai San
Stop Cough, Anti-Asthma, Cold In Xie Bai San
Rep Herbs For Lv Fire
Phlegm Heat (Dt to Lu Heat)
Chest
Tight Cough; Open Chest (Sang Bai Pi, Gua Lou Too)
Should Not Stop Cough But Open Lu Qi Instead
Nourish Fluid, Loosen Sticky Phlegm
Lu Infection (Chuan Xin Lian Tabs)
Clear Heat – from the Zang Fu Organs
39
Zuo Jin Wan / Left Metal Pill
Functions:
Source: Teachings of [Zhu] Dan-Xi (Dan xi xin fa)
p 98
Clear Liver Fire, Descend Rebellious Qi, Stop Vomiting
Indication:
Composition:
Liver Fire invading Stomach
LIV Fire from LIV Qi Yu
Liver Heat: distending hypochondriac pain, acid,
hunger, vomiting, bitter taste, belching,
hiccupping, focal distention in epigastrium
ST cramping discomfort
Grams
Clears Fire – a large dose
Huang lian goes to ST Channel (if only LIV,
then huang qin)
6x
Huang lian
Excess in the LIV: reduce the son – use
huang lian to reduce HT Heat
[also reduce HT Heat to clear the son of fire = earth/ST?]
ex: deadline worry, work long hours, ST hurts, very
nervous, tension, overeat meat  epigastric pain,
ST qi disharmony; acid reflux, hunger, irritability,
short temper – tend to be excess (LV heat, ST
heat); loss of appetite, regurgitation, emesis
1x
Wu zhu yu
T: Red with yellow coat
P: wiry, rapid
F(x) of single herb in formula:
Balances huang lian’s cold nature
Descend the rebellious
Goes to LIV Channel
a small dose
UB-18; UB-21; REN-12; P-6; ST-36; LIV-3
If bai shao is added - formula becomes Wu Ji Wan
Syndromes LIV  overact on ST, also Chai Hu Shu Gan San
Chai Hu Shu Gan San – to help move qi
Modify relieve cramping: bai shao (soften LV, relieve cramping) – 15 gm
acid reflux (hai piao siao, long gu, hai ge ke p184) + anxiety = long gu – harmonize ST acid and calm shen
nausea, vomit, heat type = zhu yu (bamboo) –cooling, descend ST Qi – bamboo shavings
(Bensky has zhu you same as zhu li: p 182 1) clear heat, transform phlegm of HT; 2) transform phlegm-heat, stop cough - small dose is
powerful adjunct)
(Bensky zhu ru - p 183 1) clears & transforms phlegm-heat of LU; 2) clears heat, stops vomit Due To heat in ST; 3) clears heat, cools blood
to stop nosebleed & vomit of blood)
Source: Craft of Medicinal Tx for Childhood
Dz (Xiao er yao zheng ahi jue)
Xie Bai San / Drain the White Powder
Functions:
p 90
Clear Lung Heat, Stop Cough & Wheezing (asthma)
Indication:
Composition:
Grams
F(x) of single herb in formula:
Clear Lung Heat – tx coughing and
wheezing
Cough due to Lung Heat
Syndromes: LU Heat Excess
Originally designed for children: ∴, mild and only
4 herbs – see below for more discussion
Sang bai pi
30
(esp for yellow & green phlegm – if clear do not
use sang bai pi) – not harsh, can be used for
kids (unlike huang lian, zhi zi, ban lan gen, shi
gao) – use light herbs – nothing heavy/harsh
Coughing, wheezing  esp. seen with asthma
Clear Deficient Heat (Yin Stage)
Skin is hot to touch (LU dominates skin) –
30
Di gu pi
smoldering fire (constrained Heat)
(Clear Smoldering Fire From Lung)
Deficient heat - ∴, thin pulse (Xu) and use di gu pi
No fever
3
Zhi gan cao
Maybe have phlegm, yellow or green
Harmonizes ST to tonify LU Qi
T: red, yellow coat
15-30
Jing
mi
P: thin & rapid (Excess & Xu)
*Must recommend dietary cautions: stop cold foods/drinks; stop excess sweets (which can create heat)
- Can add bai zhu – esp. with kids to tonify spleen
- Best to work on ST/SP when working on LU problem
Originally designed for little kids – this would be used for children who constitutionally have these above symptoms (i.e Yin
Xu, which is not often seen in children). [As the constitution is weak, the KD is involved, but not to the degree in which it
needs to be addressed here. This formula focuses on the LU, and it is important in children to tonify the SP]
Didn’t go over in Ma’s class
Formulas: Dr. Ma
F.A.Yip, 2005
Clear Heat – from the Zang Fu Organs
40
Functions: Clear Water & Phlegm (& Heat) in Lu
Ting Li Da Zao Xie Fei Tang
P 91
Liquid/Fluid in Chest
Ting Li Zi
Da Zao
9-12
12 Pc
Dao Chi San / Guide Out the Red Powder
Functions:
Source:
p 95
Clear Heat from Heart, Nourish Yin, Leach Water
Indication:
Composition:
Excessive Heat in Heart Channel and SI
Channel
Irritable, Hot in Chest, Thirst, Red Complexion,
Desire for Cold Drink
Mouth/Tongue Ulcers
Yellow Urination, Burning Sensation
Grams
Sheng Di Huang
15-30
Mu Tong
3-6
Sheng Gan Cao
Gan Cao
3-6
F(x) of single herb in formula:
Clear Heart Heat cool blood, Nourish Yin to
control Fire
Clear Heat From Heart & SI (Can also Leach
Heat Through Urine)
Clear Heat toxin, Harmonize (not Zhi Gan
Cao) – Use Unprocessed
(Gan Cao Shao = the End of Gan Cao –
Leach Out Heat to Urine)
Syndromes: Ht Fire, Excessive Fire In Si
Disturb Shen; Irritable, Easily Violent (Severe),
Restlessness; Insomnia, Anxiety – Out Of
Control – Also General Heat Sx’s
Dan Zhu Ye
3-6
Clear Heat, Relieve Irritability
Plus Urine Burning & Tongue Ulcers; Red
Tongue Tip
Tips of Gan Cao—Theory is tips are end of root and guide out heat
For Ht Fire (Very Bitter)
Huang Lian 6g - Should Add Most Of The Time
to Calm Down
Fu Shen; Long Gu; Suan Zao Ren
Irritability – Ht Fire, Help
Zhi Zi
Release Emotions, Restlessness
Zhu Ye (12 G)
Dark, Scanty Urine
Dao Chi San Guide out the Red Powder—Heart Xie Bai San—Drain the White Powder—Lung
Xie Qing Wan—Drain the Green Pill—Liver
Xie Huang San—Drain the Yellow Powder—Spleen
San Huang Xie Xin Tang
3 Yellow (2nd Choice) P N/A
Syndromes: Ht Fire
Tongue Ulcer – This Rx Not For Promote
Urination - Constipation
Stronger For Mental Aspect
Huang Lian
Da Huang
Huang Qin
Mid Jiao – Ht Fire
Drain Ht Fire By Promo Bm
Upper Jiao
Liver More Easily Upset, Yell Easily; Shen Not So Disturbed – Not As Out Of Control As Ht Fire
Functions: Nourish Qi and Yin, Clear heart Fire
Qing Xin Lian Zi Yin
Heart Fire
Qi and Yin Xu
Damp-Heat coming
Down
Leucorrhea, Diabetes
Formulas: Dr. Ma
F.A.Yip, 2005
Huang Qin
Mai Men Dong
Di Gu Pi
Che Qian Zi
Gan Cao
Shi Lian Rou
Fu Ling
Huang Qi
Ren Shen
Clear Heat – from the Zang Fu Organs
41
Qing Wei San / Clear the Stomach Powder
Functions:
Source: Secrets from the Orchid Chamber
(Lang shi mi cang)
p 93
Clear ST Heat, Cool Blood
Indication:
Composition:
Accumulated Heat in Stomach
Huang lian
3-6
Drain Heat (Stomach & Heart Channel)
Commonly to see heat accumulation in the
ST
Sheng di huang
6-12
Cool Blood, Nourish Yin
- Heat burns Yin
Mainly for (originally designed for) toothache,
swollen or bleeding gums, bad breath
Slightly red complexion & nose, thirst, dry
mouth (cold drinks does not make better)
Easily hungered due to ST heat burning food
Smoking, alcohol (nose)
Gradually will have weak SP, but this
syndrome is excess
May arise from hx of eating too much greasy,
spicy food; excess alcohol consumption, etc.
Syndromes: St Fire
Fire Sx; excess hunger; acid reflux; gum
infection, bleeding; bad breath
Grams
F(x) of single herb in formula:
(blood related due to bleeding, swollen gums)
Mu dan pi
6-9
Dang gui
6-12
Cool Blood, Clear Heat
(blood related due to bleeding, swollen gums)
Tonify Blood
- warm in nature and balances huang lian
(blood related due to bleeding, swollen gums)
Disperse Fire
Sheng ma
3-6
- Stomach Heat in head/gums – ascend the
heat to release upward, and disperse
outward; sheng ma goes to stomach channel
- Heat is already at the top of the channel,
continue to guide it up and out (give heat an
opening)
T: red, yellow coat (tongue will tell if you have
cleared the heat)
P: rapid, slippery
> If for ST ulcers, must add herbs to also tonify
*For bad breath: soak huang lian (as single herb) and drink as tea
For Constipation & Excess Heat
Da Huang 6-9 (Add Last 5 Minutes) – Keep Separate: 1) to Cook Last
& 2) When Have Bm, Can Remove From Other Bags
Cheng Qi Tang = Da Cheng Qi Tang; Xiao Cheng Qi Tang; Tiao Wei Cheng Qi Tang
For Qi Blocked In Li/St; More Excessive Heat / Fire In Yang Ming Fu Organs (St/Li)If St Heat Worse and Constipation  St Fire  St Heat to Intestines ( Irritable)
Yu Nu Jian / Jade Woman Decoction
Functions: Tonify Yin, Clear Stomach
P 94
15-30
Clear Heat From Yangming
Shi Gao
Stomach Heat & (KD) Yin Xu
Tonify Shaoyin (KD) (May Give Sticky, Bloated
Often Used for Diabetes, Likely to
Feeling in Epigastrium, Esp with Chronic
be Hungry & Thirsty (like
9-30
Indigestion – May Give Chen Pi, Shen Qu, Mai
Shu Di Huang
Stomach Heat & Yin Xu),
Ya)
Urinate a Lot (Strengthen KD)
Tonify Yin
Irritable, Headache, Toothache,
Tooth Bleeding
3-6
Help Shi Gao Clear Heat
Zhi Mu
too much Heat in Yangming
6-9
Tonify Yin
Mai Men Dong
T: Red, Yellow Coating
3-6
Tonify KD Water
Niu Xi
Gan Cao or Zhi Gan Cao
Help Stomach, Esp with Diabetes, to Protect Shi Gao
Substitute Shi Gao If Use for Long Time for Diabetes, CC: in Diarrhea
Usually Clear Fu and Tonify Zang – Here is an Exception: (???Hot Flashes—Use Sheng Di Huang???)
Formulas: Dr. Ma
F.A.Yip, 2005
Clear Heat – from the Zang Fu Organs
42
Xie Huang San / Drain the Yellow
Powder
Functions: Clear Smouldering Fire from the Spleen and ST
(Ma Uses This Formulas the Most of the Clear Heat From Zang
Organs)
15
Clear Heat
3
Clear Fire (Dry Fry or Likely to Cause Vomiting
Disperse Smouldering Fire (Most important Herb in
120
formula
Waken Up Spleen, Restore Spleen Function Disperse Fire
21
(Aromatic to Help Spleen, and Will Ascend to Help Fang
Feng to disperse fire)
90?
Reduce Fire, Harmonize the Middle
P 92
Shi Gao
Smoldering Fire in Spleen /
Stomach
Zhi Zi
Stomach Heat Directly
Fang Feng
Comes Up
Ulcers, Bad Breath,
Dry Mouth & Lips (Most
Huo Xiang
Important Symptoms)
Spleen More Chronic,
Gan Cao
Constrained, not as Typical
symptoms as Stomach Heat Feng Mi
Sores in Mouth,
Jiu
Regulate the Middle
Thrusting Tongue, Esp.
(Dry-Fry in
Children, or Moving,
Honey &
Dry-Fry to Make Aromatic to Take to Spleen Channel
Swallowing a Lot
Alcohol)
T: Dry; P: Rapid
Dr. Ma: symptoms Often Based on Tongue (Little Dark due to Stagnation & Little Bit Yellow) & BM Problems,
slightly Red Complexion Even Dark due to Stagnation, Irritable due to Heat, Acid, Belching, Bloating, Indigestion.
Modifies This Formulas or May Put Fang Feng From This Into Si Jun Zi Tang
Compare to Tong Xie Yao Fang
Bensky: Mouth Ulcers, Bad Breath, Thirst, Frequent Hunger, Dry Mouth & Lips, Red Tongue & Rapid Pulse.
Thrusting Tongue in Children.
do not Use Shi Gao too Long; Can Even Remove or Reduce – Especially in Powder (Gets Ingested)
After a Couple of Visits, Remove/Reduce Shi Gao, Zhi Zi
Functions: Clear Heat and Damp, Move Qi
Xiang Lian Wan
Dysentery dure to
Damp-Heat
Huang Lian
Mu Xiang
Shao Yao Tang / Peony Decoction
P194
Dysentery due to Damp-Heat,
Tenesmus (#1 Sign)
Incomplete Feeling, Frequent
BM, Cramping, Spasm,
Burning Sensation in Anus
Both Pus & Blood (White &
Red)
Bai Shao
Dang Gui
Gan Cao
Huang Lian
Huang Qin
Da Huang
Mu Xiang *
Bing Lang
Rou Gui
Functions: Regulate and Harmonize Qi & Blood, Clear DampHeat
30
Harmonize Blood, (Bai Shao also Relieve Pain), Blood
15
in Stool So Need to Work on Blood
6
Relieve Pain with Bai Shao
15
Clear Damp Heat (Bitter, Cold, Can Dry Damp)
15
3-5
Lead Heat Down
6
Move Qi, Remove Stagnation; Assistant Herbs – Need
6
Qi Moving – Use 3 Gms Only for Mu Xiang
7.5
Balance Cold Herb, Help Move Blood
Acute Signs, not Excess
Tc: Yellow & Greasy;
P: Rapid
Dr. Ma: “Unblock the Unblocked”, More harmonizing than Bai Tou Weng Tang (All Cold Herbs)
Bensky: Abdominal Pain, Tenesmus, Difficulty with Defecation, Diarrhea with Pus & Blood (Equal Amounts), a
Burning Sensation Around the Anus, Dark Scanty Urine; Greasy, Slightly Yellow Tc; Rapid Pulse
Formulas: Dr. Ma
F.A.Yip, 2005
Clear Heat – from the Zang Fu Organs
43
Bai Tou Weng Tang / Pulsatilla Decoction
Functions: Clear Heat Toxin, Cool Blood, Relieve
Dysentery
P 99
Dysentery Due to Heat – More
Bai Tou Weng
6
Clear Heat Toxin From Blood
Red in Stool, Less White (I.E.
More Blood Than Pus: More
Huang Lian
9
Clear Heat Damp (More for Middle Jiao)
Heat Burn Blood Vessels –
Injured, Therefore More Blood)
Huang Bai
9
Clear Damp Heat From Lower Jiao
More Herbs to Clear Heat
More Acute, More Scary (due to
Stop Dysentery (Astringe a Little – Minor
Blood)
Qin Pi
9
Functions. Must Clear Damp-Heat as Primary)
T: Red; Tc: Yellow; P: Rapid
Dr. Ma: More Heat than Bai Shao Tang (More harmonizing Herbs)
Note: No Da Huang
Bensky: Abdominal Pain, Tenesmus, Burning Sensation Around Anus, Diarrhea Containing More Blood Than Pus,
Thirst; Red Tongue with Yellow Coat; Wiry, Rapid Pulse
Formulas: Dr. Ma
F.A.Yip, 2005
Clear Heat – from the Zang Fu Organs
44
FORMULAS THAT CLEAR DEFICIENT HEAT (EVIL)
Didn’t go over in 2nd semester
Not just deficiency, must have pathogen: such as late stage febrile disease (heat burns up fluids for yin xu)
Qing Hao Bie Jia Tang / Artemisia Annua & Softshelled Turtle Shell Decoction
Functions:
Source: Systematic Differentiation of
Warm Diseases (Wen bing tiao bian)
p 101
Tonify Yin, Disperse Heat
Indication:
Composition:
Late stage of febrile disease, yin fluid
injury, heat in yin stage
Bie jia
Grams
15
F(x) of single herb in formula:
Tonify yin, clear heat (turtle goes deep, can go
inside to yin stage very deep), most yin of
herbs
Clear heat, lead heat out (very aromatic, acrid;
can take heat out of yin stage)
(yin = deep, not referring to 4 levels ying
6
Qing hao
stage)
*night fever & morning coolness; only
Tonify yin (& clear blood heat too, but tonify
formula in bensky: p.m. fever, a.m.
12
Sheng di huang
yin more)
coolness – must remember (not cold, just
Tonify
yin, clear heat (clear heat more than
don’t have a fever)
6
Zhi mu
tonify)
No sweating; low fever, yang goes inside at
night & fights pathogen, causing fever
9
Clear heat from blood, disperse evil
Mu dan pi
T: red, little coat; P: rapid
Bensky: night fever and morning coolness with absence of sweating as fever recedes, emaciation with loss of appetite; red
tongue with little coat; fine, rapid pulse
Dr. Ma: menopause (not pathogen) – still use zhi mu, mu dan & sheng di huang to control hot flashes (may remove qing hao)
Emotional heat: mu dan pi, chi shao – do not just tonify, will cause heat to become worse
Source: Standards of Patterns &
Treatments (Zheng zhi zhun sheng)
Qing Gu San / Clear the Bone Powder
Functions:
p 102
Relieve Deficient Heat, Relieve Bone-Steaming
Indication:
Composition:
Yin xu, bone-steaming (mainly limbs,
especially. Legs)
Yin chai hu
Clear deficient heat (most important ingredient
for this functions)
Hu huang lian
Zhi mu
Di gu pi
Clear deficient fire (minister herbs, help, not
as important)
Heat feels very deep, irritable; tidal fever in
night, dry mouth
Also have a pathogen
Can give formula after chemo therapy
Grams
F(x) of single herb in formula:
Qing hao
Disperse heat
Qin jiao
Tonify yin, anchor yang, clear heat
Bie jia
T: red, little coat; P: rapid thin pulse
Harmonize
Gan cao
Bensky: afternoon tidal fever or unremitting, chronic low-grade fever, sensation of heat in bones but the flesh is not warm to
touch, irritability, insomnia, emaciation, lethargy, red lips, dark-red cheeks, night sweats, thirst, dry throat; red tongue with
little coat; thin, rapid pulse
Dang Gui Liu Huang Tang / Tangkuei & Six-yellow
Decoction
Functions:
Source: Secrets from the Orchid
Chamber (Lan shi mi cang)
p 354
Tonify Yin, Clear Fire, Strengthen the Exterior, Stop Sweating
Indication:
Composition:
Yin xu with fire; night sweating, fever
Dang gui
Sheng di huang
Shu di huang
Scanty urination
Indications not clear, not often used
Grams
6-9
9-15
9-15
F(x) of single herb in formula:
tonify yin, blood; clear heat
3-6
Huang lian
6-12
Clear fire, relieve irritability
Huang qin
6-12
Huang
bai
T: red; P: rapid
12-24
Tonify qi, strengthen exterior (stop sweating)
Huang qi
Dr. Ma: shouldn’t use the three yellows unless there is a pathogen – book is not clear on this & why to use this
If only xu heat don’t use: huang lian, huang qin, huang bai
Bensky: fever, night sweats, red face, dry mouth & parched lips, irritability, dry stool, dark & scanty urine; red, dry tongue;
rapid pulse
Formulas: Dr. Ma
F.A.Yip, 2005
Clear Deficient Heat
45
CLEAR SUMMER HEAT
Summer Heat = Summer time + Heat + Damp (Humid) + Cold (a/c or night cool)
- Profuse sweating injures the qi and yin [fluid injury affects yin, which then injures qi] (= pathogen + yin & qi xu = weakness)
- Thirst, irritable (HT fire), sweating profusely, tired (d/t injured qi)
- Also consumes HT qi:
heat  fire belongs to HT  sweat is fluid of HT
Tx method: Tonify qi and yin
To prevent Summer Heat:
Avoid:
1. Make mung bean soup
2. Cook bitter melon (to clear [HT] heat
* bitter melon is very good for diabetic patients b/c it has been shown to lower blood sugar
3. Avoid prolonged exposure to sun and Heat
1. Cold drinks or foods (i.e. ice water, watermelon, etc.)
2. Ice cream (can make more thirsty and doesn’t relieve thirst, can also cause more dampness because it freezes the
Spleen and Stomach yang qi)
3. Sweets (generates Damp-Heat)
4. Eating food that may spoil easily in the warm weather – food poisoning is common in the summer
Source: Systemic Differentiation of Warm
Diseases (Wen bing tiao bian)
Qing Luo Yin / Clear the Collaterals Decoction
Functions:
p 104
Clear Summer Heat
Indication:
Composition:
Summer heat injuring Lung,
Evil in qi stage
For mild problems – thus a light formula
to disperse heat, not a strong rx
Mild thirst, foggyhead (unclear and
distention), fever, not severe
T: pale red, thin white coat
Very superficial, not very deep
Grams
F(x) of single herb in formula:
Xian jin yin hua
6
Clear summer heat
Xian bian dou hua
6
Disperse heat (also clear damp)
Xi gua cui yi
6
Clear summer heat, nourish yin
Si gua luo
6
Xian he ye (bian = edge)
6
Clear heat from lung collateral
Disperse (summer) heat
Xian zhu ye xin
6
[Green skin of watermelon rind]
[zhu ye xin = center of zhu ye]
[the edge of the leaf is more dispersing]
Clear heart heat, Promote urination (SI),
Relieve irritability
Xian = fresh (green) – more aromatic to clear, and to nourish yin fluids
Bensky: fever, mild thirst, unclear head and vision with light-headedness and slight distension of the head, pink tongue with
thin white coat
Xin Jia Xiang Ru Yin / Newly Augmented
Elsholtzia Decoction
Functions:
Source: Systemic Differentiation of Warm
Diseases (Wen bing tiao bian)
p 43
Clear Summer Heat, Release Exterior, Clear Heat, Transform the Damp
Indication:
Composition:
Grams
Summer heat & cold invasion
*No sweating, early stage Summer
Heat
Summer heat 1st, then get wind-cold
invasion
Fever & chills, aversion to cold,
headache, no sweating, thirst, red
complexion, fullness of chest (b/c qi is
blocked), qi constrained by damp
Often with S-H, there will be sweating,
but since there is simultaneous cold, the
cold contracts to prevent sweating.
T: white coating
P: floating, rapid
Tc: greasy
6
Xiang ru [c]
(summer ma huang)
small
amt
only!
Xian bian dou hua
9
Jin yin hua
9
Lian qiao
6
Hou po
6
F(x) of single herb in formula:
Promote sweating, release exterior, transform
damp, clear summer heat
(strong herb, only use a small amount [no more than 6
g] – called summer ma huang & causes a lot of
sweating)
Clear summer heat (from upper jiao)
Transform damp, relieve fullness (of chest and
MJ)
Not commonly used formula as we seldomly see patients with Summer-Heat
In the Summer time, however, we should always give herbs to treat Summer-Heat: according to Nei Jing, always add herbs to
address the season.
Formulas: Dr. Ma
F.A.Yip, 2005
Clear Summer Heat
46
Dr. Ma: cook only 5 minutes; cold may increase bm – drink warm to function better (as is case with most prescriptions)
2 cups decoction - take 1st one then if they start sweating don’t drink 2nd cup, otherwise, drink full dose
** If person is sweating don’t use this formula **
Source: Direct Investigations of Formulas for Cold-induced
Disorders (Shang han zhi ge fang lun)
Liu Yi San / Six to One Powder
Functions:
p 105
Clear Summer Heat and Leach out Damp
Indication:
Composition:
Summer heat, leach damp
Difficult urination - scanty urine
due to damp obstructing the
bladder
Fever, irritability, thirst, urine
problems
Grams
Hua shi
(6)
18g
Sheng gan
cao
(1)
3g
F(x) of single herb in formula:
Clear heat, promote urination,
- Leads heat out (very heavy & cold herb will promote
urination)
- Need to wrap hua shi or will go sink to bottom. Do not
drink sediment. It is hard on throat and not good for you
Clear heat, harmonize the middle
– together with hua shi to generate fluid
(zhi gan cao is too warm – use sheng gan cao)
Ba Zheng San also has hua shi and gan cao.
If you add qing dai the formula becomes Bi Yu San: clears summer heat and heat in the GB and LIV.
Bensky: fever, sweating, thirst, irritability, urinary difficulty; thin, yellow, greasy tc; soggy, rapid pulse
Dr. Ma: cold herbs + sweet herbs = generate fluids (hua shi/cold + gan cao/sweet)
- Soak & cook mung bean in summer time – and drink the juice – to clear the heat (can also relieve toxin)
- Can add lian zi, dan zhu ye, bo he (clear head); fresh tangerine peel
- Drink tea (warm) for excess thirst – not just focus on cold drink/food
Compare: Gui Ling Gan Lu Yin is stronger to clear heat than Liu Yi San (which is very mild).
Gui Ling Gan Lu Yin / Cinnamon &
Poria Sweet Dew Decoction
Functions:
Source: Direct Investigations of Formulas for Coldinduced Disorders (Shang han zhi ge fang lun)
p 106
Clear Summer Heat; Transform qi; Leach out Damp
Gui Ling Gan Lu Yin = Wu Ling San + Liu Yin San + shi gao + han shui shi
Fever headache, thirst; difficult,
scanty urination (damp stays in
body, bladder can’t transform)
Severe: sudden turmoil w/ diarrhea
& vomiting simultaneously
Remember to always unblock and
promote urination & bm first
Liu yi san
Summer-heat, damp
Composition:
Grams
Hua shi
Gan cao
6
6:1
Shi gao
6
(20-30)
Han shui shi
6
Guan gui
(rou gui)
3
Wu Ling San
Indication:
Zhu ling
Fu ling
Ze xie
1.5
3
3
F(x) of single herb in formula:
Clear summer heat, leach out damp
Clear heat
Promote qi transformation in bladder – low dose
Leach out water
Wu ling san = rou gui/gui zhi, zhu ling, fu ling, ze xie,
bai zhu
1.5
Tonify spleen
Bai zhu
Bensky: fever headache, irritability, thirst; difficult, scanty urination (damp stays in body); severe: sudden turmoil with
diarrhea & vomiting simultaneously during summer
Not commonly used.
> Gui zhi (Wu Ling San) & rou gui or gui zhi (Jin Gui Shen Qi Wan) – transform qi
> Huo Xiang Zheng Qi Wan – more for digestive, sudden turmoil, wind-cold invasion
Formulas: Dr. Ma
F.A.Yip, 2005
Clear Summer Heat
47
Qing Shu Yi Qi Tang / Clear Summer Heat
& Augment Qi Decoction
Functions:
Source: Formulas from the Discussion Illuminating
the Yellow Emperor’s Basis Questions (Huang di
su wen xuan ming lun fang)
p 106
Clear Summer Heat, Tonify Qi, Tonify Yin, Generate fluid
Indication:
Summer heat;
Injury of qi & fluid (yin)
Composition:
Grams
F(x) of single herb in formula:
Xi yang shen [c]
4.5
Tonify qi, Generate fluid, Nourish Yin, Clear heat
Xi gua cui yi [c]
24
Clear heat (emperor herb)
He geng
12
Clear summer heat
(lotus stem)
Shi hu
12
Mai men dong
6
Tonify yin, Clear heat
Thirsty, sweating (injures qi
& yin), irritability, fatigue
and lassitude, scanty &
yellow urination
P: weak, rapid (qi & yin xu)
Zhi mu
4.5
Dan zhu ye
4.5
Clear heat, relieve irritability
Gan cao
2
Geng mi (jing mi)
12
Huang lian
2
Tonify qi, nourish stomach
Clear heat
– do not add if there isn’t severe heat (too bitter & cold)
Bensky: fever, profuse sweating, irritability, scanty, dark urine; desire to curl up; s.o.b.; apathy; xu, rapid pulse
Formulas: Dr. Ma
F.A.Yip, 2005
Clear Summer Heat
48
Warm The Interior (Interior Cold)
Due to:
1 – Exterior Cold Invasion  directly injures internal organs
2 – Yang Qi Xu (long term problem)
3 - Ingest too much Cold (herbs injury)
Tx:
- Use hot herbs – with care and not for long time.
- Make sure diagnosis is right (i.e. true heat, false cold): pulse tells the truth!
- After clear interior cold, tonify yang qi with gentle herbs; careful with yin & blood xu.
WARM THE MIDDLE AND DISPEL COLD
Li Zhong Wan / Regulate the Middle Pill
Functions:
Source: Discussion of Cold-induced Disorders
(Shang han lun)
p 219
Warm the middle, Expel cold, Tonify SP Qi
= Si Jun Zi Tang – Fu Ling + Gan Jiang (here, don’t want to leach [fu ling], and want to warm w/ gan jiang)
Indication:
Composition:
Grams
Gan jiang
5-6
Ren shen
9
Tonify qi
Bai zhu
9
Tonify spleen, Dry damp
Zhi gan cao
9
Tonify qi, harmonize the middle
Xu cold in middle jiao
Loss of xue due to yang xu
Xu symptoms: diarrhea, abdominal pain cramping cold contraction relieved by warmth
(warm touch)
Poor appetite, lassitude, pale complexion
Maybe vomiting (not common), maybe bleeding
due to xu
Profuse saliva / drooling
Remember it is deficient diarrhea, not dysentery
Can also treat chest bi (due to yin cold) – add
gui zhi
F(x) of single herb in formula:
Warm SP & ST (MJ), Expel Cold
(gan jiang goes to SP; sheng jiang more for ST)
*Be cautious about giving any cold herbs to this type of patient!
Dr. Ma: eating warm porridge/congee after taking herbs may be strong enough to help.
Bensky: diarrhea with watery stool, nausea & vomiting, no particular thirst, loss of appetite, abdominal pain, pale tongue with
white coat; submerged thin pulse
Modification: add fu zi if more cold signs = fu zi li zhong wan –
Step 2: after middle is warm, remove fu zi, gan jiang, add more spleen tonifying & qi regulating
Fu Zi Li Zhong Tang / Aconite Pill to Regulate The Middle
P 220
Syndromes: Sp Yang Xu
Sp Qi Xu + Middle Jiao Cold
Edema/Water Retention, Poor Appetite,
Loose Stool, Cold In Middle
T: Swollen Tongue Tm,
P: Slow Weak, Slippery
Rou Dou Kou; He Zi
Ying Su Ke (Opium Husk) Yin Xu Ke
Fu Ling; Yi Yi Ren; Zhu Ling; Sheng
Jiang Pi (Peel)
Da Fu Pi; (Bing Lang Shell)
Bai Zhu, Cang Zhu
Corn Silk (Yu Mi Xu 15-30)
Rou Dou Kou; Sha Ren; Shan Zha; Ji
Nei Jing; Mai Ya
Formulas: Dr. Ma
F.A.Yip, 2005
Tx: Tonify/Warm Sp Yang
Si Jun Zi Tang
Remove Fu Ling
Add Gan Jiang = Li Zhong Tang
Fu Zi
Gan Jiang
<Fu Ling>
Pungent, Warming #1 In Warming
Diarrhea, Astringent
Ying Su Ke: Use Small Dose to Relieve Pain, Od Can Cause Death
Edema – Not Too Cold, Drainage
Poor Appetite, Stimulate Appetite, Help Digestion
Warm the Interior
49
Source: Discussion of Cold-induced Disorders
(Shang han lun)
Wu Zhu Yu Tang / Evodia Decoction
Functions:
p 221
Warm the middle, Tonify deficiency, Descend the rebellious, Stop vomiting
Indication:
1. Deficient cold in stomach,
2. Jueyin headache
3. Shao yin vomiting & diarrhea
Composition:
Grams
Wu zhu yu
3
Sheng jiang
F(x) of single herb in formula:
Warm stomach, disperse cold, descend
rebellious qi
Warm stomach, disperse cold
Tonify (yuan) qi,
nourish yin, tonify stomach
Nourish spleen
Fullness in chest, abdomen, cramping in
Ren shen
epigastrium, vomiting of fluid (not food)
Shaoyin vomiting & diarrhea includes cold
Da zao
hands and feet (cold limbs)
Sheng jiang + da zao = harmonize ying & wei
> Yangming, shaoyang, jueyin
Shaoyin vomiting and diarrhea = cold limbs.
Dr. Ma: if 4 limbs are not cold, use dang shen instead of ren shen.
Bensky: 1) vomiting immediately after eating with gnawing hunger & acid regurgitation with or without epigastric pain; 2)
dry heaves or spitting of clear fluids with vertex ha; 3) vomiting & diarrhea with cold hands & feet, agitation so severe that
patient wants to die. T: red with white slippery coat; p: thin & slow or thin & wiry
Deficient cold in si (theory)-- hernia, cold in LIV meridian, frequent profuse urination borborygmus, lower abdomen pain
lateral sides, inguinal pain. Add hou po, chuan xiong, use because fu organ – cramping discomfort pain – Dr. He prefers bai
shao/gan cao for xu type pain
Xiao Jian Zhong Tang / Minor Construct the
Middle
Functions:
Source: Discussion of Cold-induced Disorders
(Shang han lun)
p 222
Warm the middle, Tonify deficiency, Harmonize the middle, Relieve pain
Gui Zhi Tang + Yi Tang
Indication:
Composition:
Grams
F(x) of single herb in formula:
Yi tang
18-30
Tonify spleen qi, Nourish yin, Soothes liver,
Moisten lung dryness – Relieves pain
Consumptive disease,
Intermittent abdominal pain (xu lao),
Liver overacting on SP (Xu)
Gui zhi
9
Warm yang qi
Cramping that likes touch & warmth,
feverish sensation in hands & feet,
thirst, dry mouth, soreness in 4 limbs
Bai shao (bai)
18
Tonify yin & blood
Bai shao + gan cao = very good for abdominal
pain, slow urgency, esp. due to xu
6
*Here, 2 bai shao : 1 gui zhi
*In Gui Zhi Tang, 1 bai shao : 1 gui zhi
Tonify and warm qi
(due to spleen’s inability to distribute qi to 4
limbs)
Palpitations (mother-son of heart-spleen: son
weakens mother; spleen weakness cannot supply
blood to heart);
Zhi gan cao
Warm ST
Sheng jiang
9
T: pale
TC: white
P: thin, wiry
Tonify qi & blood; together to ascend qi of middle
jiao; generate fluid; harmonize ying & wei
Nourish yin to Soothe liver - cramping
Da zao
3-5 pc
Tonify SP
Important – ratio of bai shao to gui zhi:
Xiao Jian Zhong Tang – 2 bai shao : 1 gui zhi
Gui Zhi Tang – 1 bai shao : 1 gui zhi
- also, more yi tang
Dr. Ma – likes this formula
Bensky: intermittent, spasmodic abdominal pain that responds well to touch & warmth, lusterless complexion, reduced
appetite, pale tongue with white coat; P: thin, wiry, moderate. Low-grade fever, palpitations, irritability, cold & sore
extremities with nonspecific discomfort; dry mouth & throat.
Contraindication: do NOT use if vomiting (has yi tang, da zao, & zhi gan cao) - use rice soup instead (warm & light)
Modifications:
Formulas: Dr. Ma
F.A.Yip, 2005
Add huang qi
Add dang gui
Huang Qi Jian Zhong Tang
Dang Gui Jian Zhong Tang
Warm the Interior
for more Qi Deficiency
for more Blood Deficiency
50
Da Jian Zhong Tang / Major Construct the
Middle Decoction
Functions:
Source: Essentials from the Golden Cabinet
(Jin gui yao lue)
p 224
Warm the middle, Tonify Deficiency, Descend the Rebellious, Relieve pain
Indication:
Composition:
Middle Yang Xu,
Excessive interior cold
Grams
Chuan jiao/ shu jiao
Warm SP/ST; Warm vital gate fire (root of all
qi), Disperse cold, [Descend qi]
[Sichuan pepper]
Severe pain in epigastrium and abdomen
(rebellious cold ascends);
Vomiting, borborygmus,
F(x) of single herb in formula:
Warm the middle; Disperse cold; Relieve pain
& vomiting
Gan jiang
Ren shen
P: tight, thin, hidden
Tonify SP and ST
(hidden = severe cold – yang qi is hidden)
Jiao yi / yi tang
Tc: white
Dr. Ma: after taking the herbal formula, eat hot and well-cooked rice porridge, stay covered, do not go out, and avoid cold
foods.  Pain due to cold can be relieved by hot herbs.
Bensky: excruciating epigastric pain & abdominal pain to the point the patient cannot tolerate being touched, strong sensation
of cold in epigastrium; vomiting to point of unable to eat; tc: white, slippery; p: thin, tight or slow & wiry, maybe hidden;
may be borborygmus.
Da Wu Tou Tang
P N/A
Syndromes: Cold Accumulation In
Channels
Not Usually In Trunk – In Four Limbs
Ma Huang
Arthritis, Joint Pain: Fixed, Painful Bi
(Relieved By Warmth) – People
Who Work In Very Cold
Huang Qi
Environments – Severe Cold Pain –
Ex. Rheumatoid Arthritis
Muscular Too
T: Pale, Moist
Bai Shao
P: Wiry, Tight
2 Conditions = Pathogenic Factor Is
Strong + Anti-Pathogenic Is Weak
Tx: Dispel Pathogenic Cold, Release
Gan Cao
Yu Of Meridians
Yan Hu Suo, San Qi, Tao Ren/Hong Hua, San
Leng, Wu Ling Zhi
Formulas: Dr. Ma
F.A.Yip, 2005
Wu Tou = Fu Zi; Very Warm/Hot; Dispel
Cold, Warm KD Yang; Releasing Pain
Fu Zi
Dispel Cold – Use Small Dose – Antiasthama
– Disperse Lu Qi, Induce Sweat
Help Anti-Pathogenic Qi – Make Sure If Not
Counter Fu Zi; Soften Lv; Relax Muscle &
Release Pain, Nourish
Harmonize
Blood Stasis & Pain
Warm the Interior
51
Rescue Yang
Source: Discussion of Cold-induced Disorders
(Shang han lun)
Si Ni Tang / Frigid Extremities Decoction
Functions:
p 226
Restore Yang [this is perhaps the strongest formula in the whole book]
Indication:
Composition:
Grams
F(x) of single herb in formula:
6-9
Tonify vital gate fire, Unblock the 12 channels
(warm yang, expel cold)
Once unblocked, then yang qi can flow
smoothly
Shao yin disease; Yang Qi collapse
(KD yang is very weak)
(Sheng) fu zi
Syndromes: yang collapse
Cook 1 hour 1st
Cold symptoms:
Aversion to cold, curls up on side, often in
hospital, cold limbs (entire limbs, not just
hands & feet)
Diarrhea, abdominal pain, no appetite,
vomiting, unclear shen, sleepy (b/c weak
shen)
Body is cold to touch
Gan jiang
Sheng not usually used today as it is too toxic – this may be
the only formula today where sheng fu zi is even
suggested to be used.
4.5
Warm the middle yang, Expel the cold –
assists sheng fu zi to warm
(warms SP, not the KD directly)
Balance the hot herbs: fu zi and gan jiang
Zhi gan cao
T: pale
Tc: white, (thin slippery coat)
P: very weak, thin, very small – difficult to
feel
6
Neutralizes the toxin, holds yang qi a little
against the strong herbs (strong hot herbs
may push away the yang qi)
Gan cao moderates the drying properties of the
hot herbs.
Strongest formula in whole book. Check pulse on dorsum of foot – prior to death, this pulse cannot be felt. Also check for
cold legs. Before death: no stomach qi, no appetite etc.
- Not this formula, but a similar one: Shen Fu Tang (fu zi + ren shen) may have been used via IV to revive yang qi collapse,
drop in blood pressure.
- Use ren shen to rescue someone—only wild ginseng.
Bensky: extremely cold extremities, aversion to cold, sleeping with knees drawn up, lethargic state with constant desire to
sleep, vomiting, diarrhea with undigested food, abdominal pain and cold, lack of thirst; submerged thin or faint pulse
Hui Yang Jiu Ji Tang / Restore &
Revive Yang Decoction
Functions: Restore Yang, Tonify Qi, Restore Pulse
Liu Jun Zi Tang + Si Ni Tang + Rou Gui, Wu Wei Zi, She
Xiang
P 228
Cold in Three Yin
Channels, True
Yang Weakness
Very Similar to Si Ni
Tang
Shu Fu Zi
Gan Jiang
Rou Gui
Liu Jun Zi Tang
Ren Shen
Wu Wei Zi
9
6
3
She Xiang
0.1
6
Warm Source Yang (Kidney Relate Yang), Expel Cold
Tonify Spleen/Stomach, Transform Damp, Phlegm
Tonify Qi, Restore Pulse (Sheng Mai San – Ren Shen, +
Wu Wei Zi + Mai Men Dong)
Unblock 12 Channels Very Aromatic, Wu Wei Zi Balances
by Astringing – Restores Loc – no Necessary If no Loc
Dr. Ma: no She Xiang When Pregnant – too Moving
Bensky: Pathogenic Cold Directly Attacking All Three Yin Stages in Patient with Weak, Exhausted True Yang;
Chills, Propensity to Curl Up, Cold Extremities, Vomiting, Diarrhea, Abdominal Pain, Lethargic State with
Constant Desire to Sleep. May Have Severe Chills, Cyanosis of Fingertips & Lips. Extremely Dangerous Type of
Abandoned Disorder. T: Pale with White Coat; P: Submerged or Faint or Imperceptible.
Formulas: Dr. Ma
F.A.Yip, 2005
Rescue Yang
52
Dang Gui Si Ni Tang / Angelica for Frigid
Extremities Decoction
Functions:
Source: Discussion of Cold-induced Disorders
(Shang han lun)
p 216
Warm Channels, Disperse cold, Tonify Blood, Unblock blood vessels
Indication:
Composition:
1. Yang Xu, Xue Xu, Cold Invasion
2. Cold Invasion of channels &
collaterals – pain: low back, hip,
knee, feet
Grams
Tonify blood
Use chao bai shao (warmer, more tonifying)
Shao yao –
Either one
Gui zhi
Warm channels, disperse cold
(If upper arm pain: use sang zhi)
Xi xin
Expel cold
- Very good for pain and allergies, just be careful
- Don’t use xi xin, unless coldness is severe: < 3 g
(toxic)
- May use wu wei zi, gan cao to off-set xi xin toxicity;
xi xin reaches to shao yin.
Syndromes: cold in blood
Susceptible to cold invasion (of channels)
due to yang xu – cold in the four limbs
– only hands & feet (more local as
compared to Si Ni Tang)
No shen problems, o curling up
Pain, cold extremities, Reynaud’s
syndrome, frostbite, yang qi blocked
F(x) of single herb in formula:
Dang gui
<3g
Zhi gan cao
T: pale
P: deep, weak due to blood xu, not due to
yang qi leaving, thin due to yang qi xu
Da zao
This is not si ni tang + dang gui
Tong cao
(mu tong)
Tonify SP qi
(tonify blood)
 Zhang Zhong Jing Rx
Unblock channels
Dr. Ma: says to use tong cao rather than mu tong
- Important Rx clinically.
- Four of five ingredients in Gui Zhi Tang (no Sheng Jiang)
Bensky: long-standing cold hands & feet, both cold to touch & feel cold to patient; T: pale with thin white coat; P:
submerged, thin or one that is so thin that it is almost imperceptible
Dr. Ma: less important than Si Ni Tang in classics, but in U.S., it is more useful (by law, near collapse people should be in
hospital); helps with Raynaud’s Disease. [Dr. Ma doesn’t think xi xin should be used for allergies as some people do]
Related Rx:
Huang Qi Gui Zhi Wu Wu Tang for Blood Bi Syndrome: cold signs, numbness and pain, etc.
Wen Jing Tang – Regulate Blood (Warm Menses/Channel)
Post Partum Wind—Pain After delivery if they don’t take care of themselves and get exposed to wind and cold. Should stay in a
room for 1 month
Huang Qi Gui Zhi Wu Wu Tang /
Astragalus & Cinnamon Twig Five Substance
Decoction
Functions:
p 217
Warms & Harmonizes Channels, Tonifies Qi, Unblocks Painful Obstruction
Indication:
for Blood Bi; Numbness
and pain
Cold signs
Formulas: Dr. Ma
F.A.Yip, 2005
Source: Discussion of Cold-induced Disorders
(Shang han lun)
Composition:
Grams
Gui Zhi Tang + Huang Qi:
Huang qi
Gui zhi
Shao yao
Sheng jiang
Da zao
Rescue Yang
F(x) of single herb in formula:
If in upper arm only change Gui Zhi to Sang Zhi
This formulas more commonly used than dang
Gui Si Ni Tang
53
Release Interior & Exterior Diseases
Da Chai Hu Tang / Major Bupleurum
Decoction
Functions:
Source: Discussion of Cold-induced Disorders
(Shang han lun)
p 139
Harmonizes Shao Yang, Drain Heat Stagnation
Xiao Chai Hu Tang + da huang, zhi shi, bai shao (- gan cao & ren shen) [Xiao Chai Hu Tang pg 136]
Indication:
Composition:
Grams
F(x) of single herb in formula:
Diseases of shaoyang and yangming
Chai hu
Shaoyang:
Alternating chills & fever, fullness of chest
& hypochondriac, nausea, vomiting, bitter
taste, irritability, blurry vision; P: wiry
If not treated in time, may turn into Yang
ming organ
Yangming:
#1 symptoms: constipation,
Burning diarrhea, vomiting, fullness in
epigastric region; P: yellow coat; P: wiry
and forceful pulse (not too many heat signs –
more internal heat in YM, therefore, forceful pulse and
yellow coat)
Syndromes: GB fire
Gb: infection – fever, pain, maybe dampheat in gb; stones =qi & xue yu/pain or gb
fire/damp-heat (no like for greasy) nausea;
thick yellow coat
Local gb organ problem
Tx: purge gb fire, release pain, promote bile
discharge
12-15
Harmonize shaoyang
Clear heat, clear evil from shaoyang
Huang qin
9
Da huang
6
Zhi shi
(Bai) shao yao
Ban xia
Sheng jiang
Da zao
6-9
9
12-15
For Yang ming (not in Xiao Chai Hu Tang)
Drain down heat stagnation from yang ming
(zhi zi can move qi to relieve pain)
Relieve pain - soften urgency
Descend rebellious qi, relieve nausea & vomiting
6-9
Reduce vomiting
Descend rebellious,
Harmonize ying & wei, harmonize herbs (when
used with da zao)
Also, balances toxicity of ban xia.
4 pcs
Harmonize ying & wei, Harmonize herbs herbs
(when used with sheng jiang)
Dr. Ma: for burning diarrhea – do not stop it, drain it down and it will stop automatically
Bensky: alternate chills/fever; fullness in chest, hypochondriac (w or without pain); bitter taste in mouth; nausea, continuous
vomiting, hard focal distension or fullness & pain in epigastrium, burning diarrhea or no bm, despondency, slightly irritable; t:
yellow coat; p: wiry, forceful
* Shaoyang syndrome (forceful pulse) leads to Da Chai Hu Tang Syndrome
Pain
Harmonizing, cramping
Prevent infection, fever
Mu xiang 1.5-9, wu yao 3-9
Yan hu suo 4.5-12, chuan lian zi 3-9
Bai shao 12-24
Huang lian
sm dose
Lian qiao 6-15; jin yin hua 9-15
Stones; drainage may damage yin
fluid; patient feels dry.
Add if use over 2 wks: sha shen, mai
men dong
Yin chen hao 9-15/30
Jin qian cao 15-60
Ji nei jing 3-9
Nausea, discomfort, pain
Chen pi 3-9, zhu ru 4.5-9
Sheng jiang 3-9
Will see Xiao Chai Hu Tang symptoms, and then now, has constipation … what will you give now?
 Da Chai Hu Tang.
- Key differentiation is bowel movement: constipation or burning diarrhea on top of all Xiao Chai Hu Tang sx.
Formulas: Dr. Ma
F.A.Yip, 2005
Interior & Exterior Diseases
54
Fang Feng Tong Sheng San / Ledebouriella
Powder that Sagely Unblocks
Functions:
p 58
Disperse Wind, Release Exterior, Drain Heat, Unblock Bowels
Indication:
Composition:
Excessive wind-heat;
Excess of both interior and
exterior
(Wind invasion with interior heat yu)
Fever, aversion to wind, red eyes,
sore throat, cough, asthma,
mucous
Constipation
More for excess than xu
Herbs for wind & to drain down
Some tried to use it to lose weight –
don’t use for this!
Grams
Remember these two:
Ma huang
Da huang
---Jiu da huang
Ma huang
Fang feng
Mang xiao
Jing jie
Bo he
Zhi zi
Hua shi
Shi gao
Lian qiao
Huang qin
Jie geng
Chuan xiong
Dang gui
Bai shao
Bai zhu
Gan cao
Ge Gen Huang Qin Huang Lian Tang /
Kudzu, Coptis, Scutellaria Decoction
Functions:
Source: Formulas from the Discussion Illuminating
the Yellow Emperor’s Basic Questions (Huang di
su wen xuan ming lun fang)
F(x) of single herb in formula:
Ma huang tx exterior;
Da huang tx interior
Source: Discussion of Cold-induced Disorders
(Shang han lun)
p 60
Release Exterior, Clear Heat
Indication:
Composition:
Grams
Exterior syndrome not released yet, heat
evil invades the interior
Ge gen
Burning diarrhea, dysentery, (w/ strong odor,
burning anus)
- burning sensation, incomplete
sensation = damp-heat
Fever, hot sensation in chest and
epigastrium, thirst, sweating, irritability
Huang qin
Huang lian
F(x) of single herb in formula:
Release exterior, clear heat – goes to ST/Yang
ming
Ascend clear yang qi for spleen/stomach for
exterior, also important for dysentery diarrhea
by ascending the spleen qi (interior)
Clear heat from stomach, intestines
Dry Damp
Huang lian can stop burning diarrhea right away –
very commonly used b/c very effective
(dr. He: stomach flu)
Gan cao
Harmonize (the middle and other herbs)
T: red, yellow coat
P: rapid
Can add something to move qi, like mu xiang, da huang, zhi shi
Bensky: fever, sweating, thirst, dysenteric diarrhea with esp. foul-smelling stools and burning sensation at anus, irritability &
heat in chest & epigastrium, possible wheezing, red tongue with yellow coat; rapid pulse
Formulas: Dr. Ma
F.A.Yip, 2005
Interior & Exterior Diseases
55
Tonification
> Formulas that tonify are primarily for deficiencies of:
-- Qi, xue, yin, yang, (essence)
-- Zang (fu) organs: HT, LIV, SP, LU, KD; and ST
[remember: zang organs are solid organs that store essence; fu organs are passageways and do not need tonification]
Qi, Blood, Yin, Yang Xu
If Xu…Tonify Mother
Tonify KD to Tonify Liver
WaterWood
Tonify SP to Tonify Lung
EarthMetal
Tonify Heart to Tonify SP
FireEarth
Commander/Mother: interdependence: can’t separate qi &
xue, or yin & yang
* Mother can generate the son
Interdependent
Qi can generate blood – tonify qi to make blood
Qi can move blood Qi can hold blood – if bleeding, may need to tonify qi
Blood carries qi - if there is blood loss, there is qi loss also
 Strong blood tonics can be sticky, cloying – add qi moving herbs to help digestion
 Often Spleen Qi Xu with Liver Blood Xu -- Blood Xu can cause Qi Stasis
 When using tonics, use something for Spleen and Stomach because tonics are very sticky especially: shu di huang, sheng di
huang, e jiao. Use things such as, mu xiang, chen pi, shen qu, shan zha, mai ya, [lai fu zi (except if using ren shen)]
 If Yin Xu + Damp: tonify qi primarily, when Qi is stronger, can transform dampness into good fluid for yin.
 Also, can tonify qi faster than xue, yang faster than yin.
 Yin/Yang interdependence:
Use yin tonics as base always even for yang tonic,
Only tonify yang w/ yang xu and use only a few yang herbs at low dosages (do not use yang tonifying herbs haphazardly
for sex drive, etc.)
 Apply Yin and Yang to herbal formulas. Yin and Yang are everywhere.
 Best to focus on 12 or less ingredients for 100-120 gms
 Don’t use strong tonics for children
Formulas: Dr. Ma
F.A.Yip, 2005
Tonification
56
TONIFY QI
Si Jun Zi Tang / Four Gentlemen Decoction
Functions:
Source: Imperial Grace Formulary of the Tai Ping
Era (Tai ping hui min he ji ju fang)
p 236
Tonify SP Qi
Indication:
Composition:
Grams
Ren shen
5-6
or Dang shen
12
Chao bai zhu
10-12
Spleen & Stomach Qi Xu
Syndromes: Spleen Qi Xu
Fatigue/lassitude, poor appetite, diarrhea, lung
weakness, pale complex, low voice (b/c lung
is often affected), etc.
- Many reasons for it (bad food, not enough
physical, worry) can be very thin or very big
Often qi & blood xu due to weak spleen
F(x) of single herb in formula:
Tonify yuan source qi, Tonify spleen (usually uses dan shen in larger dose)
More cold signs, use hong ren shen; no cold
use bai ren shen; if both qi & yin xu use xi
yang shen
Tonify spleen, dry the damp
- chao (dry fried) more aromatic, stronger
10-15
Fu ling
Leach out damp, Tonify spleen
SP dominates food; essence; nutrition supply;
T/T.
Dampness accumulation  loose stool; puffy
limbs, edema
T: pale; swollen, teeth marks
P: weak
Swollen tongue, teeth-marks – sp qi xu usually
combo with damp
Regulate the middle
Zhi gan cao
5-6
- zhi more warming & more tonifying, sweet
taste comes to spleen channel
Good for cc: “tune-up” or “boost immune”
“herbal st-36)
Dr. Ma: perhaps most important formula in book
- Many formulas use Si Jun Zi Tang as a base
see below
Yi gong san—fullness and focal distention in the chest—add chen pi
Bensky: pallid complexion, low, soft voice, reduced appetite, loose stool, weakness in limbs. T: pale; p: thin/frail
T: thick white coat; nausea
(summer-heat sx – decrease appetite,
heavy body)
Huo xiang 4.5-9; pei lan 4.5-9; bai dou kou 3-9; sha ren 1.56 (resolve damp improve appetite; aromatic, sl. Sweating)
Huang qi; wu jia shen (siberian ginseng: ci wu jia in my
book)
He zi 3-9; rou dou kou 1.5-9 (slightly warming & astringent)
Really tired:
Watery, loose bowels:
Dampness, puffy limbs, water
retention:
Yi yi ren 9-30; zhu ling 6-15; ze xie 5-10
Related formulas:
Si Jun Zi
Tang
+ chen pi
Yi Gong San
+ chen pi, ban xia
+ chen pi, ban xia, xiang fu
(mu xiang), sha ren
May also add shen qi, mai ya
Liu Jun Zi Tang
Xiang Sha Liu Jun Zi
Tang
For digestion
Liu Jun Zi Tang
Qi Xu + fullness & focal
distention in the chest
Qi Xu + dampness
Qi Xu + Qi Yu –
dampness (bloating, etc.)
Functions: Strengthen SP, Transform Phlegm, Stop Vomit (bensky)
Nausea, Heavy Body,
Si Jun Zi Tang
Etc.
3
Phlegm or Damp symptoms Older Chen Pi the Better
Chen Pi
T: Greasy **
4.5
Phlegm
Ban Xia
Bensky: Spleen Qi Xu + Phlegm; Loss Appetite, Nausea, Vomit, Focal Distension, Stifling Sensation in Chest/Epigastrium;
Cough Copious Thin, White Sputum
Formulas: Dr. Ma
F.A.Yip, 2005
Tonify Qi
57
Xiang Sha Liu Jun Zi Tang
SP Qi Xu + Dampness + Qi Yu
More Qi Stagnation, Bloating Stagnation in
Abdomen
Functions: Bensky: Strengthen SP, Harmonize ST, Regulate Qi,
Alleviate Pain
Liu Jun Zi Tang
Syndromes: Disharmony Of Sp & St
Sp Qi Xu + Disharmony of Sp/St (Qi Yu: food
Very important for digestion/
Xiang Fu or
stagnation)
6-9g
Qi Stagnation
Disharmony means Sp Qi not ascend, St Qi not
Less dosage for mu xiang (3); 6
Mu Xiang
descend
for xiang fu
Cramping; gas; bloating; discomfort, nausea (all
3g
Sha ren, aromatic, no need for
Sha Ren
sx’s of disharmony of Sp/St)
a lot
Used for: severe illness recovery w/weakness of
digestion or parasite medicine damage digestion
Can be from Sp/St Qi Xu or Lv Qi Yu
Disharmony is only part of sx’s
Bensky: Spleen/Stomach Qi Xu with Damp-Cold stagnating middle burner; reduced appetite; feel full after very
little food; belching, abdominal pain or distension; vomiting & diarrhea.
Zhi ke can give too much gas – mu xiang/xiang fu not so bad; move lots of qi in middle - can give gas
like Huo Xiang Zheng Qi [Wan]
Shen Ling Bai Zhu San / Ginseng, Poria,
Atractylodes Powder
Functions:
Source: Imperial Grace Formulary of the Tai Ping
Era (Tai ping hui min he ji ju fang)
p 239
Tonify SP Qi, Leach Damp, Relieve Diarrhea
Indication:
Composition:
Spleen/stomach xu w/ damp
(diarrhea)
Si Jun Zi Tang
30
Bian dou
7.5
Yi yi ren
5
Shan yao
10
Lian zi
5
Sha ren
5
Restore SP
(Wake up spleen, help spleen’s t&t function)
Jie geng
5
Guide herbs up to lung, smooth LU Qi
Diarrhea due to damp & Spleen Qi Xu
(no damp-heat diarrhea))
Poor appetite; lassitude; may have
vomiting, emaciation; fullness in
chest/ epigastrium (from qi yu in
middle affecting upper jiao); sallow
complexion
For SP, but also addresses some LU Xu
– jie geng
P: thin, may be moderate
May add da zao
Grams
F(x) of single herb in formula:
Tonify SP/ST
Tonify SP, Leach out damp, Relieve diarrhea
Can calm down shen
* No damp-heat diarrhea. If damp-heat, add huo xiang, pei lan, etc. for the pathogens.
Ping Wei San: works on pathogen and bm: huo po, chen pi, cang zhu, gan cao. Si Jun Zi Tang tonifies deficiency.
Bensky: loose stools or diarrhea, reduced appetite, weakness of extremities, weight loss, distension & stifling sensation in
chest & epigastrium, pallid & wan complexion; maybe vomiting; t: pale with white coat; p: thin, moderate or deficient,
moderate
Qi Wei Bai Zhu San
also for Diarrhea,
Useful
Formulas
Formulas: Dr. Ma
F.A.Yip, 2005
Ren Shen
Fu Ling
Bai Zhu
Gan Cao
Huo Xiang
Mu Xiang
Ge Gen
Aromatic – Help spleen functions, clear damp & move qi
Aromatic – move qi to clear damp
Come to Yangming Stomach Channel – can ascend to stop diarrhea
Tonify Qi
58
Bu Zhong Yi Qi Tang / Tonify the Middle &
Augment the Qi Decoction
Functions:
Source: Discussion of the Spleen and
Stomach (Pi Wei Lun)
p 241
Tonify the middle, Tonify Qi, Ascend Yang, Raise the sinking
Indication:
Composition:
Grams
1. SP/ST Qi Xu
2. Qi sinking (as a result of SP Qi Xu)#
Huang qi
1224
#
Ren shen
9-12
Bai zhu
9-12
Zhi gan cao
3-6
b/c Qi sinking is a result of SP Qi Xu, do not
ascend 1st! Must tonify 1st!
Syndromes: middle jiao qi xu / sinking of
middle jiao qi
SP Qi Xu: sallow complexion, fatigue, low
appetite, emaciation, diarrhea for long time.
Prolapse of internal organs: ST, uterus, bladder,
vagina, etc.
Can use to tx hypotension
- [only a slight caution with hypertension
patient]
Dizziness, vertigo;
Qi Xu fever [Internal injury fever] (low grade or
hot sensation due to spleen not ascend qi &
stagnated heat: yang qi sinking into yin - Warm
herbs to treat a fever) – not commonly used for
Tonify qi, Ascend yang qi
Tonify spleen qi
- Si Jun Zi Tang minus fu ling (b/c slightly
draining)
Regulate qi (move qi)
Chen pi
6-9
Dang gui
6-12
Sheng ma
3
- so many tonic herbs – need to help SP/ST – very
important functions – when SP/ST weak, can help
appetite (bai dou kou, sha ren), pain (mu xiang,
xiang), for bm problems ( zhi shi, zhi ke)
Tonify blood
- given, although not for xue xu; here, a chronic
dz and need to help xue
Ascend yang qi (very important herbs in this
formulas)
this
P: weak
F(x) of single herb in formula:
3
Chai hu
T: pale, thin white coat
Bensky: intermittent fever (worsens on exertion), spontaneous sweat, aversion to cold, thirst for warm beverages, s.o.b.,
laconic speech, tendency to curl up, weak limbs, shiny pale complexion, loose and watery stool; t: pale with thin white coat; p:
flooding, xu
Sheng Mai San / Generate the Pulse
Powder
Functions:
Source: Clarifying Doubts about Injury from Internal
and External Causes (Nei wai shang bian huo lun)
p 245
Tonify Qi, Generate fluid, Astringe Yin, Stop sweating
Indication:
Composition:
Grams
F(x) of single herb in formula:
Ren shen
9-15g
Tonify LU, Tonify Qi
(if going to take formula for long
period, use dang shen)
Mai men dong
12-18g
Nourish yin, Clear Xu Heat, release
irritability
1. Summer Heat injuring Qi & Yin
2. Prolonged coughing, LU Xu, Injury of Qi & Yin
- LU, HT (& SP) Qi Qi Xu and Yin Xu: sob, thirst, fatigue,
dry mouth, etc
Helps those who have low lung capacity
Good for going to high altitudes
Also tonify HT: sweat is the fluid of the HT,
so too much sweating will injure the HT
A good base Rx for HT problems, including
palpitations, insomnia, etc.
Common in clinic for severe illness – esp. before death
(AIDS, infection, long-term, chronic) – doing poorly,
then do better for a couple of days just before death –
face becomes red, dry mouth, pulse thready, ht beats
fast, sticky sweat, breath becomes slow and shallow
[yang collapse is sudden like ht attack]
Astringe lung qi, stop sweating (can
protect liver)
Wu wei zi
3g
Astringent; bensky: 3-6 gm, dr.
Ma: no more than 3 gm – too sour
Often use with elderly as support/qi tonic
Chronic cough with sparse sputum that is difficult to expectorate, s.o.b., spontaneous sweating, dry mouth & tongue
This formula good for mountain climbers. Helps person utilize oxygen better, take before and during
Formulas: Dr. Ma
F.A.Yip, 2005
Tonify Qi
59
Sheng Mai San Generate The Pulse Powder P 245 &
Gan Cao Gan Jiang Tang Licorice & Ginger Decoct P 225
Syndromes: Lu Yang Xu (Modern Term)
Traditionally Not Lu Yang Xu
Clear Phlegm; Water Retention; Cold; Lu Qi Xu; No Thirst
Yin Fluid Accum. In Lu and Have Sx's Of Cold Phlegm/ Cold Sx's
Cough Clear Fluid, Phlegmy, Low Energy, Cold Upper Back
Dx: Yang Xu + Wawter Retention + Lu Qi Xu
Tx: Tonify Lu + Warm Yang Qi+ Resolve Yin Fluid (So Can Cough
Out)
Huang Qi; Bu Fei Tang (Has Huang Qi)
Ge Jie
Ban Xia
Formulas: Dr. Ma
F.A.Yip, 2005
Tonify Qi
Sheng Mai San
Ren Shen
Mai Men Dong
Wu Wei Zi
Gan Cao Gan Jiang Tang
Gan Cao
Gan Jiang
If Have Lu Qi Xu:
Receive Lu Qi
Warming -
60
TONIFY BLOOD
Du zhong, shu di huang, e jiao, huang qin —prevent Excess bleeding for next period
Source: Imperial Grace Formulary of the Tai Ping Era
(Tai ping hui min he ji ju fang)
Si Wu Tang / Four Substance Decoction
Functions:
p 248
Tonify Xue, Regulate Xue
Indication:
Composition:
Grams
F(x) of single herb in formula:
Dang gui
9-12
Tonify & move blood
(blood xu likely to have blood yu)
Shu di huang
9-21
Tonify blood
Chong-Ren xu (Blood Xu)
This Rx is more for women, but not
limited to [#1 formula for women]
Often used as a base Rx
Menses problems (modify): cramping,
irregular menses, threatened
miscarriage, occasional nausea,
Typical blood xu symptoms: pale face,
lips, nails; dizzy, blurry vision, stiff
tendons; pre-anemia, anemia
Nourishes blood, astringe yin
9-15
Bai shao
- tonifying xue will take time -
- Chi shao for more xue yu, bai shao
typically used
3-6 Regulate blood & qi
Chuan xiong
T: pale;
P: thin wiry
Bensky: dizziness, blurred vision, lusterless complexion and nails, generalized muscle tension, irregular menses
with little flow or amenorrhea, peri-umbilical & lower abdominal pain;
(Chem./radiation)
Long yan rou, he shou wu, e jiao
Shen qu, mai ya, bai dou kou, xiang fu, mu ciang, chen pi
Help sp, digestion, appetite
Huang qi; ren shen/dang shen; bai zhu
Open orifice
Bing pian
+ ren shen, huang qi  Sheng Yu Tang
+ tao ren, hong hua  Tao Hong si wu tang
Source: Golden Mirror of the Medicinal Tradition
(Yi zong jin jian)
Tao Hong Si Wu Tang
Functions:
Tonify Xue, Regulate Xue, Remove Stasis
Indication:
Composition:
Xue Stasis / Stagnation
Bai shao
Shu di huang
Dang gui
Chuan xiong
6
6
6
3
Tao ren
6
Hong hua
3
Syndromes: Blood Stasis
- do not use long term!
(basic esp for gynecological problems)
Pain, tumor, hemorrhage, dark complexion, scaly
skin, low grade fever in afternoon and pm –
purple spots on tongue
Sheng Yu Tang / Sage-like Healing
Decoction
Functions:
p 250
Grams
F(x) of single herb in formula:
Nourish Bld
Nourish Bld
Source: Secrets from the Orchid Chamber
(Lan shi mi cang)
p 249
Tonify Qi & Xue
Indication:
Composition:
Qi & Xue Xu
W/ constant ache in lower abdomen, which occurs either
during or just after menstruation
Menstrual flow: scanty, pale
Pale complexion, lethargic, withdrawn
In ancient times, used for tx of sores that bleed profusely &
cause irritability and insomnia
T: pale, thin coat
P: thin, frail
Formulas: Dr. Ma
F.A.Yip, 2005
Tonify Blood
Grams
F(x) of single herb in formula:
Si Wu Tang
Ren Shen
Huang Qi
12-15
ea.
Tonify Qi
61
Si Wu Tang + Modify For Ht Xue: (Nourish Ht Blood and Calm Shen Herbs)
Syndromes:
Heart Blood Xu
Palpitation; restless; poor
memory; dream-disturbed
Dang gui +
Bai shao +
Shu di huang +
Chuan xiong
Suan zao ren
Bai zi ren
Long yan rou
Huang qi
Reduce Chuan Xiong to Real Small Dose 3-6 – Help
Move Bld
9-18
6-18
6-15
15-30
N Ht, Calm Shen
“
“
to Tonify Qi – Help Nourish Bld
Si Wu Tang + Modify For Sx:
Syndromes:
Liver Blood Xu
Tendons, nails, menses
flow, vision aspects
Si Wu Tang
Gou qi zi
Ju hua
Nu zhen zi
Ji xue teng
Mu gua
Yan hu suo
6-18
4.5-15
4.5-15
9-15
4.5-12
4.5-12
Vision (Also Nourish Yin and Essence)
Nourish Tendons, Spasms – Tendon and Ligament Spasm
For Menses – Increase Bai Shao
Si Wu Tang
Syndromes:
Blood Xu  Wind
Calcium really low after delivery
(trembling); ex. women after
delivery or after trauma and sig bld
loss
Dang gui
Bai shao
Shu di huang
Chuan xiong
Gou teng
Tian ma
Bai jiang can
6-15
3-9
3-9
Extinguish Wind
Use Larger Doses Bai Shao
+ Modify For Sx: (Add Lv Wind Herbs)
Xue Fu Zhu Yu Tang / Drive Out
Stasis In The Mansion Decoction
- Blood Stasis
Stronger = Tao Hong Si Wu Tang + Chi Shao Instead Of Bai Shao & Sheng
Di Huang Instead Of Shu Di Huang + Si Ni San (Chai Hu, Gan Cao, Bai
Shao, Zhi Shi) + Chuan Niu Xi 6g + Jie Geng 6g
P 314
Tao Hong Si Wu Tang:
More Bld Rx
Bai Shao, Shu Di
Huang, Dang Gui,
Chuan Xiong, Tao
Pain, Tumor,
Ren, Hong Hua
Hemorrhage, Dark
Sheng Di Huang
Substitute Shu Di Huang With Sheng Di Huang – Cool Bld
Complexion, Scaly
Chi Shao
Substitute Bai Shao With Chi Shao – Remove Stasis
Skin, Low Grade
Si Ni San: Chai Hu,
Fever
Gan Cao, Bai Shao,
Qi Yu Rx
Zhi Shi
Chuan Niu Xi
6
Guide Bld Downward
Jie Geng
6
Guide to Chest
Dr. Ma: – for Fibroid Tumors May Use This for Two Weeks then Something Else for Two – Alternating
Careful with Patients with Heavy Bleeding – Can Use Huai Niu Xi & Chio Shao Instead, If Heat Use Zhi Zi, Huang Qin
Must Tonify also, not just move
Dr. Ma: – for Fibroid Tumors May Use This for Two Weeks then Something Else for Two – Alternating
Careful with Patients with Heavy Bleeding – Can Use Huai Niu Xi & Chio Shao Instead, If Heat Use Zhi Zi, Huang Qin
Must Tonify also, not just move
For Injury:
Nodules, Tumor:
Pain:
Menses, Cramping:
Formulas: Dr. Ma
F.A.Yip, 2005
Ru Xiang, Mo Yao, San Qi
Sang Leng, E Zhu
Yan Hu Suo, Wu Ling Zhi; Chuan Xiong
Yi Mu Cao
Tonify Blood
62
Yang Ming Fever – 3-5 Pm
Yin Xu Fever – Afternoon, Evening: Afternoon/night because that is yin time. Injury, body absorbing stasis  causes low grade fever
Dang Gui Bu Xue Tang / Dang Gui
Tonify Xue Decoction
Functions:
Source: ? Imperial Grace Formulary of the Tai Ping
Era (Tai ping hui min he ji ju fang)
p 250
Tonify Qi, Generate Xue
Indication:
Composition:
Grams
Qi & Xue Xu;
Yang floating
Blood & Qi Xu; Overworking Consumes Yin
& Blood
Tonify Qi to generate blood
- can generate muscle
Huang qi [c]
30
Tonify Lung and Spleen Qi to Generate
Blood
Syndromes: Blood Xu
Yang is floating up due to Yin/ Xue Xu –
feverish (do not give cold herbs for this fever)
Thirsty
Post-partum or after menses  xue xu
Good for paralysis or bed-bound patient in
hospital who cannot move
May even help: Qi Xu  bleeding:
menorrhagia, uterine bleeding, including postpartum bleeding
F(x) of single herb in formula:
5 h. qi : 1 dang gui
6
Dang gui
Tonify Blood, Harmonize Ying
T: Pale
P: Flooding, but Xu
Bensky: hot sensation in muscles, red face, irritable, thirst prefer warm drink; T: pale; P: flooding large forceless xu
Gui Pi Tang / Restore the Spleen
Decoction
Functions:
Source: Formulas to Aid the Living (Ji sheng fang)
p 255
Tonify Qi & Xue; Tonify SP & HT
Indication:
Composition:
1. HT & SP Xu
2. SP fails to control xue
SP & HT Xu: poor appetite, lassitude, pale
complexion, etc.
Overworked mentally: over thinking, worry too
much, etc.
Shen problems – “Shen Xu:” insomnia, poor
memory and concentration, palpitations, etc.
Bleeding due to Spleen unable to hold blood:
uterine bleeding and spotting, blood in the
stools
Syndromes: SP Unable to Control Blood
Chronic bleeding (not acute), heavy menses;
nasal or colon bleeding; bruising
Qi Xu sx too (must have this); may have Xue
Xu d/t blood loss
- Dx when have Qi Xu and bleeding
T: Pale
P: Thin, weak
Grams
qi
Ren shen
Huang qi
Bai zhu
Gan cao
Sheng jiang
Da zao
F(x) of single herb in formula:
Tonify Spleen Qi
Contains Si Jun Zi Tang (with fu shen
instead of fu ling)
xue
Dang gui
Tonify LIV and HT Xue
shen
Fu shen
Suan zao ren
Long yan rou
Yuan zhi
Tonify HT, Calm Shen
Mu xiang
3
Regulate Qi
- helps bloating, assists SP in transformation
Dr. Ma: uses bulk herbs only. Mainly for HT & SP, not just for SP – if for SP QI XU, use Si Jun Zi Tang
Bensky: forgetfulness, palpitations, insomnia, anxiety & phobia, dream-disturbed sleep, feverishness, withdrawal, reduced
appetite, pallid/wan complexion; T: pale with thin white coat; P: thin frail
Stop bleeding:
Formulas: Dr. Ma
F.A.Yip, 2005
Add patent Yun Nan Bai Yao or singles: xian he cao 9-15; san qi 3-9
Tonify Blood
63
Zhi Gan Cao Tang / Fu Mai Tang / HoneyFried Licorice Decoction
- originally called Fu Mai Tang
Functions:
Source: Discussion of Cold-induced Disorders
(Shang han lun)
p 257
Tonify Qi & Yin, tonify Xue, Restore Pulse
Indication:
1. Qi & Xue Xu – intermittent, knotted
pulse
2. LU atrophy
Very important for heart disease (one of 4
formulas), or heart syndrome, palpitations,
fatigue even without diagnosis; maybe stress
or emotions
Palpitations, intermittent or knotted pulse
due to qi, xue xu
T: pale
Composition:
Grams
Zhi gan cao
Ren shen
Da zao
6-12
6
5-10
Gan di huang
F(x) of single herb in formula:
Tonify qi, nourish heart & spleen
- Ren shen motivates heart (more powerful) or
use xi yang shen to tonify qi & yin
- Da zao also nourish blood
Nourish yin, Tonify HT Xue; Moisten LU
24
- shu di huang may be used, but sheng di huang
is better to help balance the warming herbs
- Ma zi ren – may be used to prevent bm
constipation (must keep bowels & urine
moving smoothly)
Unblock Yang, Restore pulse
(dried sheng di huang)
Mai men dong
E jiao
Ma zi ren
9
6
9
LU atrophy/consumptive disease, lung xu:
- Nourish yang, restore pulse (do not use if LU
Sheng jiang
Tonify qi, xue, yin and yang
yin xu – these herbs are too drying)
6-9
Gui zhi
Chronic dry, cough, mouth, thirst; sweating
Gui
zhi – motivates heart beat (b/c warming),
10 ml
Jiu (alcohol) **
(spontaneous); s.o.b. (can add jie geng, zhi
very important to restore pulse and for HT
ke, wu wei zi)
- Alcohol – moves and unblock yang qi
Dr ma uses 6-9 g sheng di huang, add 10ml of alcohol at end and divide into 3 doses/ day
4 formulas for heart: 1. Dan Shen Yin, 2. Shen Fu Tang, 3. Gua Lou Bie Xie Ban Xia Tang, 4. Zhi Gan Cao Tang
Bensky: palpitations with anxiety, irritability, insomnia, emaciation, s.o.b., constipation, dry mouth & throat; t: pale, shiny; p:
consistently irregular, slow-irregular or faint, thin, and forceless
Not 10 questions - energy, shen, bm, sleep
Jie geng (ascend) + zhi ke (descend, move bm) = pair
Dan shen
Move blood
++
Yang warming herbs
Function: Warm Ht Yang
Shen Fu Tang
Ren Shen + Fu Zi P 228
Syndromes: Ht Yang Xu
Palps; Sob; Discomfort; Bruising; Cold Limbs
Lips-Cyanosis, Sob
T: Pale Purplish
Gui Zhi 3-6
Zhi Gan Cao 15
Dan Shen
Formulas: Dr. Ma
F.A.Yip, 2005
Ren Shen
Fu Zi (Prepared)
12
9
Tonify Yuan Source Qi
Warm Yang
Both Strengthen Ht Fx
Unblock Yang Qi Of Chest - Palps; Irreg. Ht Beat
Irregular Pulse - Tonify Ht Qi, Help Recover Pulse
Nourish Heart + Move Blood - Chest Tightness/ Pain
Tonify Blood
64
FORMULAS THAT TONIFY QI & BLOOD
Source: Catalogued Essentials for correcting the
Body (Zheng ti lei yao)
Ba Zhen Tang / Eight Treasures Decoction
Functions:
p 257
Tonify Qi & Xue
Indication:
Composition:
Qi & Xue Xu
Ren shen
Fu ling
Bai zhu
Gan cao
1º for women
Lassitude, dislike of speech, pale
face, pale tongue, poor memory,
thin, weak pulse, pale nails, dry hair,
palpitations, etc.
Grams
F(x) of single herb in formula:
Si Jun Zi Tang:
Tonify spleen qi
Si Wu Tang:
Tonify & regulate blood
Tonify HT & LIV
Dang gui
Shu di huang
Bai shao
Chuan xiong
- chuan xiong: move qi and xue
Sheng jiang
Tonify SP/ST
Da zao
Dr dr. Ma: doesn’t really use this formulas as is – uses its base formulas’s and modifies; will take time esp. If use powders to
see results; would prefer you add qi moving i.e. Xiang fu, chen pi, sha ren – to help spleen
Bensky: pallid or sallow complexion, palpitations with anxiety that may be continuous, reduced appetite, s.o.b., laconic speech,
easily fatigued extremities, lightheadedness and/or vertigo; p: pale with white coat; p: thin & frail or large, deficient without
strength
Shi Quan Da Bu Tang / All-Inclusive Great
tonifying Decoction
Warms & tonifies the Qi & Xue
Qi & Xue Xu in consumptive disorders w/ a predominance of Qi Xu
tending toward cold
w/ coughing, low appetite, spermatorrhea, weakness of lower extremities.
Also, sores that refuse to heal, continuous spotting from uterine bleeding
Tai Shan Pan Shi San / Powder that gives
Stability of Mount Tai
Functions:
Ba Zhen Tang
p 260
Dang shen is often used
instead of ren shen
Rou gui
Huang qi
Source: Collected Treatises of [Zhang] Jing-Yue
(Jing yue quan shu)
p 261
Tonify Qi & Xue, Tonify SP, Calms fetus
Indication:
Composition:
Qi & Blood Xu
Threatened miscarriage
Ba Zhen Tang + xu duan, sha ren, huang qin, nuo mi [4 herbs to help miscarriage]
Use for first 3 months (7-10 weeks of
pregnancy)
Good to take prior to trying to conceive,
esp. if the patient has a Hx of
miscarriage (tonify Qi, KD & Xue)
Weak pulse, fatigue
Hx of miscarriage, or spotting during
pregnancy
“Good doctors treat no disease
(prevention); Bad doctors treat
disease”
Grams
Ren shen
Huang qi
Bai zhu
Zhi gan cao
3g
15g
9g
6g
Dang gui
Shu di huang
Bai shao
Chuan xiong
15g
6g
12g
-
F(x) of single herb in formula:
Tonify Spleen Qi
- may use 15 g of dang shen
Tonify Xue
- Tonify Liver, KD, Nourish Blood
- Regulate Qi & Blood (
* Dr Ma prefer you not use this herb) ok if they are not
pregnant. Use caution during pregnancy
Calm fetus
Calm Fetus
Strengthen Spleen, Clear Heat, Calm Fetus
6g
5g
6g
Ba Zhen Tang + xu duan, sha ren,
5g
Tonify Spleen, “Sticks baby to Uterus”
huang qin, nuo mi
(sticky/glutinous rice)
pinch
Dr. Ma: Do not use drain down herbs (da huang, mang xiao, etc), move blood herbs (tao ren, hong hua) – will not cause
miscarriage directly, but not good for pregnancy (very hard to cause abortion)
** Special herbs to prevent miscarriage:
zi su ye, tu si zi, sang ji sheng, du zhong, bai zhu, xu duan, sha ren, huang qin, nuo mi
Bensky: for pregnant women with qi & blood xu and restless fetus or signs of threatened miscarriage; pale face, pale tongue,
fatigue, loss of appetite, T: pale with thin, white coat; P: slippery and forceless or submerged and frail; also for women with hx
of miscarriage with qi & blood xu wanting to become pregnant
Formulas: Dr. Ma
F.A.Yip, 2005
Xu duan
Sha ren
Huang qin
Nuo mi
Tonify Qi & Blood
65
FORMULAS THAT TONIFY YIN
Liu Wei Di Huang Wan / Six
Ingredient Pill with Rehmannia
Functions:
Source: Craft of Medicineal Treatment for Childhood
Disease Patterns (Xiao er yao zheng zhi jue)
p 263
Tonify LIV and KD
Indication:
Composition:
Grams
F(x) of single herb in formula:
LIV & KD Yin Xu
Shu di huang
24
Tonify KD Yin, Nourish essence
Shan zhu yu
12
Tonify KD & LIV
- sour taste for calming the liver
Shan yao
12
Tonify KD & SP
Ze xie
9
Reduce turbidity from KD
- Help separate clear from turbid in KD
- balances cloying nature of shu di
Mu dan pi
9
Drain LIV Fire (cool nature)
Syndromes: KD Yin Xu
- Typical KD Yin Tonic Lassitude, poor memory, gray hair,
loose teeth, tinnitus, dizziness,
weakness of low back and knees,
deafness, etc.
Yin Xu: 5 palm fever, night sweats
Sexual dysfunction: nocturnal
emission, impotence, low libido
Diabetes rooted in Yin Xu, with thirst
Fontanel not closed in children
Menopause, scanty dark urine;
emotional (LIV Heat or Qi)
Leach out SP Damp
Yin Xu + Xu Heat + scanty urine,
Turbid, Not Pure Yin Xu
Thirst especially at night #1
9
Fu ling
P: Thin, rapid
T: Deep red, thin coat
1- Draining down herbs as part of
physiology of KD, help KD function to
separate clear and turbid (also help
Spleen/Liver)
2- also tonifying to balance cloying/sticky
nature of other herbs
3
Tonify
3
Drain
down
Will have to take this formula for a long time to see better results. After a short time, the patient may feel better, but one must
continue to take this Rx to build Yin. This is a balance formula (yin & yang balance) and can be taken long-term.
- Take in afternoon and at night.
- More tonifying than draining
Bensky: Soreness & weakness in lower back, lightheadedness, vertigo, tinnitus, dizziness, diminished hearing, night sweats,
spontaneous and nocturnal sweating; hot palms & soles, chronic dry mouth & throat, toothache or wasting & thirsting disorder;
T: Red with little coating; P: rapid, thin
gui ban, long gu
Can add If KD Essence Xu in kids w/ stunted or slow growth
Variations:
Zhi Bai Di Huang Wan / Anemarrhea,
Phellodendron, & Rehmannia Pill
Functions:
Source: Pattern, Cause, Pulse, and Treatment
(Zheng yin mai zhi)
p 265
Tonify LIV and KD
Indication:
Composition:
Grams
F(x) of single herb in formula:
Tonify LIV and KD Yin Xu
[Zeng: Empty-Heat from Yin Xu, Essence Xu]
Night sweating, bone steaming, more feverish
sensation of the 5 palms; nocturnal emissions
Cannot ejaculate – due to Xu Fire (not an excess fire as KD
does not have an excess condition)
Liu Wei Di Huang Wan
Zhi mu
Huang bai
Excessive sex drive (Xu Heat in Kidney can cause excess sex
Clear more Deficient Heat – help
nourish yin
Can strengthen Yin by
eliminating heat
drive)
Formulas: Dr. Ma
F.A.Yip, 2005
Tonify Yin
66
Du Qi Wan / Qi Wei Du Qi Wan / Capital
One Pill
Functions:
Source: Analytic Collection of Medical Formulas
(Yi fang ji jie)
Tonify LIV and KD, Stop asthma and wheezing
Indication:
Composition:
LIV & KD Yin Xu
Asthma and wheezing
Liu Wei Di Huang Wan
Wu wei zi
Mai Wei Di Huang Wan / Ba Xian Chang Shou
Wan / Eight-Immortal Pill for Longevity
Functions:
Grams
F(x) of single herb in formula:
Source: Golden Mirror of the Medical
Tradition (Yi zong jin jian)
p 265
Tonify LIV and KD, Stop asthma and wheezing, Tonify LU
Indication:
Composition:
LU & KD Yin Xu
Dry cough and asthma & wheezing, sob
Often in seniors, or chronic illness
Like Du Qi Wan, and add mai men dong
to tonify lung
Liu Wei Di Huang Wan
Grams
F(x) of single herb in formula:
Wu wei zi
Low dose on wu wei zi (too sour), Grasp Qi
Mai men dong
Tonify Lung
Qi Ju Di Huang Wan / Lycium Fruit,
Chrysanthemum, and Rehmannia Pill
Functions:
p 264
Source: Precious Mirror for
Advancement of Medicine (Yi ji bao jian)
p 264
Tonify LIV and KD
Indication:
Composition:
Grams
F(x) of single herb in formula:
LIV & KD Yin Xu
Liu Wei Di Huang Wan
Primarily for eye problems: blurry vision, dry eyes, etc.
Very commonly used, esp. for computer users, or seniors with very dry eyes.
Yin Xu sx + dry eyes, blurry vision;
Gou qi zi
Also: spasms of tendons/ligaments, Charlie horse at night, fingernail dryness
Scanty, deep red menses,
Ju hua
Seldom see LIV Yin alone – almost always simultaneously see KD Yin Xu
LIV Wind, vision eye, problems – unclear, cloudy eyes
xia ku cao; jue ming zi; qing xiang zi
Dry eyes - nourish
nu zhen zi, sang shen zi
Tendons – spasm, twitching, cramping
mu gua, ji xue teng, sang ji sheng
Relax Muscles, Soften Liver - N. Blood
bai shao
Menopause
han lian cao, nu zhen zi
Night Sweat
gui ban , bie jian
Nourish K Essence/Yin
tian men dong
? No: Cang Zhu Is High In Vit A
Can Add to These Chen Pi, Shen Qu, Sha Ren - to Help with Digestion (Esp. due to Shu Di Huang Cloying)
Can Take for Long Time – no Problem
Always Tonify KD Yin as Base Even When Tonifying KD Yang: Takes Time to Tonify KD Yin
Make Sur e symptoms Are not Due to Damp-Heat (Thick, Yellow Coat, Strong Pulse)
Formulas: Dr. Ma
F.A.Yip, 2005
Tonify Yin
67
Zuo Gui Wan / Restore the Left Pill
Functions:
Tonify KD Yin
Source: Collected Treatises of [Zhang] Jing-Yue
(Jing yue quan shu)
p 267
not as commonly used as Liu Wei Di Huang Wan
Indication:
Composition:
Grams
F(x) of single herb in formula:
KD Yin Xu
*More tonify, no draining
True Yin Xu (i.e. Severe)
Shu di huang
24
Tonify KD, N. Essence
- and Yin (very rich)
Gou qi zi
12
Tonifies Essence, (Nourish Yin), Brighten the eye
Dizziness, night sweat, noct.
emission, teeth/hair problems;
tinnitus; weak of low back
More deep, more severe
Shan zhu yu
12
Astringe Essence, Stop sweating
Gui ban jiao
Lu jiao jiao
12
12
Tonify Yin & Yang (very rich), Connects Du & Ren
Channels
T: red, less coat
- pale (if Blood & Qi Xu)
P: thin rapid
Tu si zi
Niu xi (huai)
12
9
Strengthen lower back, knee, tendon and Bone
Shan yao
12
Tonify Spleen, KD
From Liu Wei Di Huang Wan – more rich and contains animal products. Liu Wei Di Huang Wan is more balanced.
Dr. Ma: “to Tonify yin seek yin from yang; to tonify yang seek yang from yin”
Chen pi, mu xiang, sha ren, shen qu, shan zha, xiang fu – to help digestion of rich, cloying herbs
(Bloating - chen pi, shen qu; pain - xiang fu, mu xiang)
May need to take for long time (6 months or longer – so pill ok – also not so sticky)
Bensky: KD Xu (esp. marrow & essence); light-headedness; vertigo, tinnitus, soreness & weakness of low back & legs;
spontaneous & nocturnal emissions; spontaneous & night sweats; dry mouth & throat; thirst; T: red, shiny; P: thin, rapid - Note:
This is stronger version than Zuo Gui Yin on pg 266
Da Bu Yin Wan / Great Tonify Yin Pill
Functions:
Source: Teachings of [Zhu] Dan-Xi (Dan xi xin fa)
p 267
Tonify KD Yin, Descend Fire
Indication:
Composition:
Grams
F(x) of single herb in formula:
LIV, KD Yin Xu; Deficiency Fire flaring up
Syndromes: KD Yin Xu W/ Xu Fire
[Zeng: Empty-Heat from Yin Xu]
Yin/essence xu, bone-steam fever (night sweats, etc, profuse
sweat – hot inside the bones) – hyperactivity of fire,
irritability, sensation of heat and pain in the knees and legs,
may have coughing blood
Ok for women’s menopause syndrome, but must modify: hot
flash, night sweats, etc.
Shu di
9
Gui ban
20
Tonify KD Yin, N. Essence,
Anchors Yang, Controls fire
Zhu ji sui
(pig’s spine
marrow)
Tonify yin essence
(generates fluid)
Feng mi
Huang bai
9
Tonify yin, clear deficient heat
T: red, little coat
9
Zhi mu
P: rapid, forceful at the rear position
Bensky: steaming bone disorder with afternoon tidal fever, night sweats, spontaneous emissions, irritability, sensation of heat &
pain in knees and legs, sometimes with weakness; T: red with little coat; P: rapid & forceful in last position
Keep and eye on digestion, if problems add shen qu, shan zha etc
Compare Da Bu Yin Wan & Zhi Bai Di Huang Wan:
Both Nourish Yin
Da Bu Yin Wan: 3 herbs the same as Zhi Bai Di Huang Wan (shu di, huang bai, zhi mu). Only extra herb to clear heat is gui ban.
Zhi Bai Di Huang Wan: More balanced for clearing heat, draining, and tonifying.
- Yin Xu, hyperactive of LIV fire, lower jiao yinxu heat w/ dark yellow urine (drainage, cool blood, clear
heat), urinary problems
Formulas: Dr. Ma
F.A.Yip, 2005
Tonify Yin
68
Er Zhi Wan / Two-Ultimate Pill
Functions:
Source: Analytic Collection of Medical Formulas (Yi fang ji jie)
p 274
Tonify KD and LIV
Indication:
Composition:
Grams
Nu zhen zi
9
LIV and KD Yin Xu
Thirst, bitter taste, blurry vision, dizziness, insomnia,
dd sleep, weakness of low back and knees, nocturnal
emissions, early graying of hair
*Note: The 2 herbs in this formula should be picked at the solstices,
the ultimate yin and yang times of the year. The formula is used to
treat the LIV and KD Yin, which is the ultimate source of nourishment
for the entire body.
F(x) of single herb in formula:
Tonify LIV and KD, Tonify xue and
yin essence
Tonify yin, xue, essence
Han lian cao
9
(Sang shen zi)
Tonify Yin, LU
didn’t cover in Ma’s
Jin Gui Shen Qi Wan + Shen Ge San / KD Qi Pill from the
Golden Cabinet + Ren shen Gecko Powder
Functions:
p 275
Tonify LIV and KD
Indication:
Composition:
Syndromes: KD Yang Xu – Unable to
Grasp/Receive Lu Qi
Shu Di Huang;
Shan Yao;
Shan Zhu Yu;
Fu Zi; Rou Gui;
Fu Ling; Ze Xie;
Mu Dan Pi
++
Ren Shen & Ge Jie
Qi Xu + Asthma
Deficiency (Not Excess)
Difficult Breathing In, Chronic
If Lu Xu – Acute, Weak Breathe
Wheezing, Dislike Talk
Grams
F(x) of single herb in formula:
Help KD Receive Lu Qi
Two Kinds Of Asthma: 1) Excess= Hidden Phlegm In
Lu Rt Phlegm Heat – Cause Lu Qi Obstruction &
Cough
2) Xu = Long Time/Chronic – Difficult Breathing In
; KD Qi Xu or Lu Qi Xu (Which Tends to Be Acute,
Dislike to Talk, Weak Breathing, Wheezing)
Hu tao ren; zi he che
Dong chong xia cao 4.5-12
Zi wan, Sang bai pi
Other Herbs For KD to Grasp Lu Qi
Chest Tightness – Open Lu Qi
Source: Continuation of Famous Physicians’ Cases
Organized by Categories (Xu ming yi lei an)
Yi Guan Jian / Linking Decoction
Functions:
Source: Essentials from
the Colden Cabinet (Jin
gui yao lue)
p 271
Tonify Yin, Soothe LIV
Indication:
Composition:
Grams
F(x) of single herb in formula:
LIV and KD Yin Xu;
Blood Dryness, Qi Yu (mainly LIV)
Sheng di huang [c]
18-45
Tonify Yin & Blood (and Clear Some Heat)
Sha shen
Mai men dong
Dang gui
Gou qi zi [c]
9
9
9
9-18
Tonify Yin and Blood
Generate fluid
Qi Yu cannot nourish wood, no yin to
nourish xue.
Yin Xu and Qi Yu can both generate heat.
Hypochondriac pain, dry mouth and throat,
thirst, agitation, may have acid
regurgitation (LIV H attacks ST), etc.
Important because it works on liver;
hypochondriac region pain, acid regurg.
(heat), bitter taste (maybe heat), dry mouth
(yin & blood dryness)
- Tonify Blood to help with Liver Qi Yu
Reduce LIV Qi, Soothe LIV Qi
- good for hypochondriac pain
4.5
(Bitter, cold, dry; may hurt Yin, but still use this
Chuan lian zi
herb in only small doses: 3-5g – as it is added
T: Red with little coat, dry
to many yin tonics, it is balanced)
P: Thin, wiry
Similar to Xiao Yao San: for LIV Xue, LIV Qi Yu, and SP Qi Xu. Dang gui and bai shao to tonify xue, fu ling and bai zhu to
tonify SP. Bo he helps Soothe liv qi, sheng jiang to help ST. Only a small amt of chai hu is used.
Here, in Yi Guan Jian, sheng di is main herb to tonify yin, so the focus is more on LIV Yin. Only a small amount of chuan lian zi
is used.
Bensky: Hypochondriac Pain & Chest Pain, Epigastric & Abdominal Distension, Dry & Parched Mouth & Throat; Acid
Regurgitation; T: Red & Dry; P: Thin, Frail or Xu & Wiry
Formulas: Dr. Ma
F.A.Yip, 2005
Tonify Yin
69
Did not cover in class …
Source: Collected Treatises of [Zhang]
Jing-Yue (Jing yue quan shu)
Da Bu Yuan Jian / Great Tonify the Basal Decoction
Functions:
Tonify LIV and KD
Indication:
Composition:
Syndromes:
Kd Qi Xu
KD Qi
Fatigue, low
back/knee
weakness,
deafness
Grams
F(x) of single herb in formula:
Liu Wei Di Huang Wan – reducing herbs (ze xie, fu ling, mu dan pi) + ren shen, du zhong, gou qi zi
9-12
Primary Qi
Ren shen
6-9
Yin, Essence
Shu di huang
9-12
Warming, Slg Astringent, Tonify Lv and K
Shan zhu yu
9-15
Sp, KD; Help W/ Frequent Urination – Yin Tonic, Tonify Sp and K Qi
Shan yao
9-12
Tonify KD Yang; Low Back/Knee
Du zhong
Balance Yang & Yin/Essence; to Transform Qi; Lv/KD Yin (Also Immune,
9
Gou qi zi
Cancer, Hepatitis) – Use More For Eye Problems – Good For Immune Fx
6-9
Slightly Tonify Blood to Help Qi - Tonify K Yin, Bld, Essence
Dang gui
3-6
Tonification & Harmonize
Zhi gan cao
Shi Hu Ye Guang Wan / Dendrobium Pill for
Night Vision
Functions:
p 267
Source: Explanation of Subtleties of the
Original Mechanism (Yuan ji qi wei)
p 273
Anchor LIV, Extinguish Wind, Tonify Yin, Brighten eyes
Indication:
Composition:
Grams
F(x) of single herb in formula:
Tian men dong
Wu wei zi
LIV & KD Yin Xu,
24 ingredients – don’t need to know –
Ren shen
Bai ji li
Yin xu Fire;
understand strategy
Fu ling
Rou cong rong
(Eye Diseases)
Mai men dong
Chuan xiong
Shu di
Eyes:
Zhi gan cao
Wind-Heat
Tu si zi
- fang feng
Zhi ke
Liver Blood Xu
Bai ju hua
- bai ji li
Qiang xiang zi
KD Xu (Pupil)
Jue ming zi
- qiang xiang zi
Fang
feng
Don’t give if the patient is
Xing ren
- ju hua
Huang lian
dying!
Shan yao
- cao jue ming
Xi jiao
Gou qi zi
- gou qi zi
Ling yang jiao
Enlarged pupils, blurry
Niu xi
vision, watery eyes,
ju hua
bo he
qing xiang zi
photophobia, lightClear Wind
Eyes
fang feng
man jing zi
mi meng hua
headedness, vertigo
Allergy
chan tui
cao jue ming
shi hu
Also used for cataracts –
Tonify
dang
gui
gou
qi
zi
must take for several
Night blindness usually due to Xu
nu zhen zi
bai shao
months
Many other herbs to choose from
shu di huang
niu xi
Bensky: Visual Disorders due to Xu of Liver & KD Yin Leading to Fire & Internal Wind; Enlarged Pupils; Blurred Vision;
Photophobia; Excess Tearing; Lightheadedness; Vertigo; Cataracts
Gui Lu Er Xian Jiao / Tortoise Shell & Deer Antler Syrup
Functions:
Source: Investigations of Medical
Formulas (Yi fan kao)
p 280
Tonify Yin, Essence; Tonify Qi, Yang
Indication:
Composition:
KD Yin & Yang Xu
Ren & Du channel Essence Xu
Lu Jiao (jiao)*
50
500
* Cook lu jiao & gui ban for a long time (hours) so
that it turns into a gelatin, then add others
Gui Ban (jiao)*
25
250
Tonify Yin; Unblock Ren Channel
Important as both yin & yang are
affected
Strong formula for severe conditions
Grams
F(x) of single herb in formula:
Tonify Yang; Unblock Du Channel
Emaciation, blurry visions, dizziness, Ren shen
4.5
45
Tonify Yuan Source Qi
weakness of low back/knee; sexual
function problem
15
150
Tonify KD Yin
Gou qi zi
P: Thin, Frail
Bensky: Emaciation, weakness, spermatorrhea, impotence, diminished visual acuity, aching & weak of low back & knees, a.m.
diarrhea
Best to take as patent – difficult to cook a formula for such a long time
Formulas: Dr. Ma
F.A.Yip, 2005
Tonify Yin
70
Take this formula slowly – only take a small dose each time! Recommended to chase Rx with alcohol (bai jiu) to create
movement. Also can soak all these herbs in alcohol for at least 1 month and take tincture.
Qi Bao Mei Ran Dan / Seven Treasure Special Pill
for Beautiful Whiskers
Functions:
Source: Analytic Collection of Medical
Formulas (Yi fang ji jie)
p 273
Tonify Kidney Water, Tonify Liver Xue
Indication:
Composition:
Grams
30
He shou wu
LIV and KD Xu (gray hair)
F(x) of single herb in formula:
Prepare by steaming with hei dou (black bean) – if not
prepared, may be toxic
Do not use a lot for hair – only 6g
Hei dou
Hei zhi ma
Premature graying of hair or hair loss,
15
Niu xi
loose teeth, spontaneous and
15
Dang gui
nocturnal emissions
15
Gou qi zi
From aging – not from heat
15
Tu
si
zi
This prescription is hot
12
Bu gu zhi – very warm, hot
Bu gu zhi
(fu ling) bensky
Bensky: Premature graying of hair or hair loss, loose teeth, spontaneous & nocturnal emissions, soreness & weakness of lower
back & knees
Dr. Ma: Hair loss – one possibility is heat, due to stress emotional injury/trauma
Chemo – hair loss – used clear heat herbs + a little bit of he shou wu (chao zhi zi, mu dan pi, chi shao)
> Chinese Hair growth shampoo “101,” but extremely expensive!
--- did not cover beyond this point ---
Ji Sheng Mi Jing Wan
P N/A
Tu Si Zi
Jiu Zi
Wu Wei Zi
Sang Piao Xiao
Long Gu (Duan)
Mu Li (Duan)
Chi Shi Zhi
Fu Ling
Syndromes:
Unconsolidation Of
KD Qi
Male Seminal Emission
KD Tonic + Astringent
Herbs
Leaking, Spontaneous
Emission
If More Qi Xu
9-12
9-12
12
12
9-12
9-12
9
6
KD Qi/ KD Yang – Prevent Premature Ejaculation, Seminal Emission
KD Qi – Prevent Premature Ejaculation, Seminal Emission
KD, Astringent
KD, Astringent, Urination, Seminal
Astringent
Astringent
Astringent; Suppress Yang – Stop Seminal Emission
Resolve Damp, Strengthen Sp – Remove If No Damp
Ren Shen or Huang Qi
Bu Shen Di Huang Wan
Liu Wei Di Huang Wan + Lu Rong + Niu Xi (Huai)
Syndromes: Essence Deficiency
Retarded Development In Children, Fontanel
Not Close; Intelligence, Walk/Speak Slow –
Bone Lack Of Calcium
In Adults - Premature Aging, Infertility;
In Sr’s - Dementia, Poor Memory, Dizziness,
Alzheimer
X-Ray/Mri Can Show Atrophy Of Brain
Gou Qi Zi, Lu Jiao Jiao, He Shou Wu,
Niu Zhen Zi
Shi Chang Pu
Yin Gou Ye, Hu Tao Ren (He Tou
Rou)
Dan Shen, Dang Gui
Formulas: Dr. Ma
F.A.Yip, 2005
Tx: Tonify KD Essence, Nourish & Move
Blood
Liu Wei Di Huang Wan =
Shan Yao,
Shu Di Huang,
Shan Zhu Yu,
Mu Dan Pi,
Ze Xie,
Fu Ling
++
Lu Rong
Niu Xi (Huai)
Tonify Yang
Strengthen K – Strengthen
Tendon/Bones – Guide Bld
Downward
More Tonifying Of Essence – Nourish/Tonify K
Clear The Mind
Ginko – Help Memory
Nourish Blood, Move Blood (Not Too Strong) – For Seniors
Do Not Use Strong Like Tao Ren, Hong Hua
Tonify Yin
71
P 362
Sang Piao Xiao San
Syndromes:
Unconsolidation Of KD
Qi
Enuresis In Children;
Incontinence; Frequent
Urination
K and Bl Qi Xu
Tu Si Zi Wan
Urination W/Protein
(Cloudy, Not Turbid),
Lin Syndrome
KD Yang/Tonic +
Astringent
Also Good W/Low Sex
Drive
If Tiredness
F.A.Yip, 2005
KD; Essence; Strop Enuresis; Incontinence - Astringent
Tonify Qi
Calm Shen; Astringent
Nourish Blood, Tonify Qi
Tonify Yin; Nourish Ht & KD; Sl. Sweat At Night – Yin Essence
Xu
Gui Ban
9-30
Can Remove to
Modify:
Yuan Zhi +
Shi Chang Pu
Fu Ling
Assistant
3-9
3-9
Sleep to Deeply – Disharmony Between Ht & KD, Calm Shen,
Clear The Mind (W/Shi Chang Pu)
9-15
Strengthen Sp; Resolve Damp
P 280
Syndromes:
Unconsolidation Of KD
Qi
Formulas: Dr. Ma
Sang Piao Xiao
Ren Shen [d]
Long Gu
Dang Gui
Sang Piao Xiao
15
Tu Si Zi
6-9
Wu Wei Zi
Fu Zi
Lu Rong
Rou Cong Rong
Mu Li
6-9
Ji Nei Jing
Lin Syndrome; Tonify KD – Astringent
Tonify K Essence and K Yang – Astringe- Increase Sex Drive and
Fertility
Astringe – K Yin Tonic
Remove If No KD Yang Xu, Too Warm
KD Yang; Not In Children - Warm
KD Yang; Remove If Loose Stool; Not Children – Promote Bm
Astringent - Consolidate
Help Digestion, For These Heavy Herbs
Add Huang Qi (30) – Can Consolidate
Tonify Yin
72
TONIFY YANG
Jin Gui Shen Qi Wan / Kidney Qi Pill from Golden
Chamber
Functions:
Source: Essentials from the Golden
Cabinet (Jin gui yao lue)
p 275
Tonify Kidney Yang
Indication:
Composition:
KD Yang Xu
Base formula is Liu Wei Di Huang Wan
Although this formula was developed before Liu Wei Di Huang Wan, a yang tonic
can never be a base formula!
KD Qi Xu + Cold Signs
Cold in lower body, feet, hands, dizziness,
pale complexion, gray hair, loose teeth,
impotence, noct. emission, weak low
back, clear profuse urination worse in
winter, more night urination, maybe
edema
T: Pale, swollen
P: Deep, slow
Grams
Gan di huang
24
Shan zhu yu
12
F(x) of single herb in formula:
Tonify KD Yin
3 tonics
Tonify LIV, SP and KD
Shan yao
12
Gui zhi / rou gui
3
Tonify KD Yang
Fu zi
3
Warm KD Yang
Ze xie
9
Fu ling
9
Mu dan pi
9
Leach out damp
3 draining
Drain fire
Dr. Ma: This formula came before liu wei di huang wan; take for long time – use pills
“Small fire generates qi. Big fire consumes qi”
Bensky: lower back pain, weakness of lower extremities, cold sensation of lower half of body, tenseness in lower abdomen, T:
pale, swollen, thin white moist coat; P: empty or frail; submerged, faint in kd position; may be irritable to point of difficulty
lying down, breathe better lying against something; either urinary difficulty with edema or excessive urination; incontinence
Ge Jie; Zi He Che; Dong Chong Xia Cao; Hu Tao Ren
Asthma
Du Zhong; Xu Duan; Sang Ji Sheng; Niu Xi; Gou Ji
Low Back Knee, Bone, Joints
Lu Rong; Yin Yang Huo; Tu Si Zi
Low Sex Drive
Huang Qi, Ren Shen
Tonify Immune Fx
Ginko Biloba
Memory
Dan Shen
Help Ht Fx
Why only use a small amt of fu zi and gui zhi?
Only need a small amount to warm. Hot herbs. “Small fire gen qi, Big fire consumes qi”
Ji Sheng Shen Qi Wan / Kidney Pill From Formulas
to Aid the Living
Functions:
Source: Essentials from the Golden
Cabinet (Jin gui yao lue)
p 278
Tonify Kidney Yang
Indication:
Composition:
Grams
F(x) of single herb in formula:
KD Yang Xu with Edema
Urination not smooth
Tongue more swollen
Jin Gui Shen Qi Wan
+
Che qian zi
Chuan niu xi
Che qian zi: Leach more damp for
edema
Chuan niu xi: Can drain down for
frequent urination in order to help KD
function
Syndromes: KD Yang Xu W/Water
Overflow
Low limb edema + KD Yang Xu Sx
Either frequent profuse urination or scanty
urination
Saying: “Xu Xu” or “Shi Shi”
If excess is tonified – will make excess worse or “Shi Shi” // If Xu is reduced then will make worse – “Xu Xu”
Remove che qian zi – if want more tonifying w/draining or less
Fu ling, zhu ling, yi yi ren, etc
heat clearing
Formulas: Dr. Ma
F.A.Yip, 2005
Tonify Yang
73
Source: Collected Treatises of [Zhang]
Jing-Yue (Jing yue quan shu)
You Gui Wan / Restore the Right KD Pill
Functions:
p 278
Warm and Tonify Kidney Yang; Tonify Essence and Xue
Indication:
KD Yang Xu;
Weakness of Vital Gate Fire
Composition:
Grams
Gui zhi [c]
6-9
3
Fu zi [c]
Lu jiao jiao [c]
Syndromes: Yang Xu
More severe Yang Xu, after prolonged
disease, shen weakness, impotence,
noctural emission, diarrhea,
incontinence, weakness of low
back/knee, edema, mainly male
infertility
Spleen symptoms because vital fire cannot
generate earth
Because so rich – not used as often
F(x) of single herb in formula:
Tonify KD Yang, Essence
6-9
12-20
Shu di
Shan zhu yu
6-9
Shan yao
6-9
Tu si zi
6-9
Gou qi zi
6-9
Du zhong
6-9
Dang gui
6-9
Tonify KD, LIV, and SP
Tonify xue
Dr. Ma: Very rich formulas – all tonifying (given in pills, otherwise need something to help digestion: shen qu, chen pi, mu
xiang, etc), no drain down herbs. Zhang Jing-Yue: “Seek Yang From Yin” (zhang shu di huang because he used to use shu di
huang so much)
Bensky: Exhaustion from long-term illness, aversion to cold, coolness of extremities, impotence, spermatorrhea, and aching and
weakness of lower back & knees. may be infertility, loose stools (s.t. with undigested food particles), incontinence, edema of
lower extremities.
If Yin Xu – add nu zhen zi & zhi mu (Tonify KD Essence) & remove fu zi & rou gui
Er Xian Tang / Two Immortal
Decoction
Functions:
Source: Shuguang Hospital of the Shanghai College of TCM,
in Traditional Chinese Medical Formulas (Fang ji xue)
p 282
Warms KD yang, Tonify KD Essence, Drains Fire from the KD, Regulates Ren and Chong
Indication:
Composition:
Classic
If more yin xu
KD Yin Xu for a long time  KD Yang Xu
KD Yang Xu for a long time  KD Yin and Yang
Xian mao
9
3
12
In the summer, fears heat // In the winter, fears cold
This can be seen as both KD Yin and Yang Xu
Yin yang huo
9
3
12
Ba ji tian
9
3
12
Huang bai
9
12
3
Zhi mu
9
12
3
Dang gui
9
9
9
Often seen in peri – or post-menopausal ♀
KD Yin Xu: hot flashes, night sweating, also feels cold
KD Yang Xu: hypertension (during menopause), edema of the
lower body
Gynecology:
- harmonizes Chong & REN Ch
- peri-/ post-menopausal sx
Dermatology: tx skin problems related to menstrual cycle:
- hives, eczema during period
T & P will vary depending on what root predominates
If more yang xu
*More balanced for Yin & Yang Xu than Jin Gui Shen Qi Wan
Formulas: Dr. Ma
F.A.Yip, 2005
Tonify Yang
74
Shen
SEDATE SHEN
Shen disturbances:
Acute: shock, more severe, etc.
Chronic, long term
Give: heavy herbs, shells, minerals to sedate
 give herbs to protect ST: shen qu, mai ya, chen pi, etc.
 reduce dosage over time
Give: light herbs to tonify Yin and Xue (HT and LIV)
Zhu Sha An Shen Wan / Cinnabar Pill to
Calm Spirit
Functions:
Source: Clarifying Doubts about Injury from Internal
and External Causes (Nei wai shang bian huo lun)
p 384
Sedate HT Shen, Tonify Yin Xue Xu
Indication:
Composition:
Hyperactivity of Heart Fire;
Yin, Blood Xu
Zhu sha
Syndromes: Heart Yang Rising = Heart Fire
Flaring Up
Huang lian
6-12
Acute, excess; Shen is not stable
Extremely irritable, very restless, dreams,
palpitations, discomfort in chest, insomnia,
palpitations, dd sleep; can be startled easily
Dang gui
3-6
Tonify xue
Usually Yin and Xue Xu for long period before
this problem manifests
Sheng di huang
3-6
Tonify yin
Zhi gan cao
6-9
Harmonize
Not mental disease yet, but close, cannot calm
down, cannot concentrate – too restless
commonly seen because of stress
Grams
3g huang lian
9g long gu
F(x) of single herb in formula:
Sedate HT shen, control fire
Illegal in the US: therefore, substitute zhu
sha w/ 3g huang lian + 9g long gu
Clear HT fire, Relieve irritability
- may add zhi zi, mu dan pi, ku gua (bitter
melon) to clear HT heat
T: Red
P: Rapid, thin
Bensky: Insomnia, continuous palpitations, sensation of irritability and heat in chest, desire to vomit without result, dreamdisturbed sleep, T: Red; P: Thin rapid. Patient may develop rancorous disposition
Qi Li San—Topical for broken bones (with zhu sha) Most common patent for trauma in China
Source: Formulas of Universal Benefit
from My Practice (Pu ji ben shi fang)
Zhen Zhu Mu Wan / Mother of Pearl Pill
Functions:
p 380
Tonify Yin & Xue; Sedate HT Shen
Indication:
Yin & Blood Xu;
Hyperactivity of Liver Yang
Shen not stable, not calm; poor sleep,
palpitations, dizziness, more deficiency
“Weakness of Shen” – Tonify Xue and Yin
Insomnia from HT Xue Xu and LIV Yang
Rising
T:
P: Thin, Wiry
Composition:
Ren shen
Dang gui
Shu di
Zhen zhu mu
Long chi
Suan zao ren
Bai zi ren
Fu shen
Xi jiao
Chen xiang
Zhu sha
Jin (gold)
Yin (silver)
Grams
30
45
45
30
15
30
30
15
15
15
F(x) of single herb in formula:
Tonify Yin, Xue, Qi
Sedate LIV Yang
Calm Shen
Astringe floating yang
- use shui niu jiao (use 5-10x more)
No longer used – Sedate shen
- Pills used to be coated in zhu sha
- May use a piece of jewelry to cook
Associated rx to Suan Zao Ren Tang
Bensky: Irritability, restless sleep, occasional palpitations with anxiety, dizziness, P: thin, wiry
Formulas: Dr. Ma
F.A.Yip, 2005
Sedate Shen
75
Source: Thousand Ducat Formulas
(Qian jin yao fang)
Ci Zhu Wan / Magnetite & Cinnabar Pill
Functions:
Sedate Shen, Anchor Yang, Brighten Eyes
Indication:
Composition:
Disharmony of Water & Fire;
(disharmony between HT and KD)
Grams
Palpitations, insomnia, eye & ear
problems (blurry vision, tinnitus) –
Very important for eye & ear; epilepsy/
seizures
F(x) of single herb in formula:
Ci shi (sheng)
30g
Nourish Yin, Anchor Yang, Calm Shen
- Goes to KD ch; magnetite holds Yang down
- this herbs “grounds” those who feel scattered
Zhu sha*
3g
Calm Shen
- goes to HT ch – clears HT Fire
Shen qu
15g
Strengthen Spleen T&T function
- help absorption of 2 heavy minerals above
Hyperactivity of HT Fire, Xu of KD Water
Heart Fire + KD Xu (KD
Water cannot nourish Ht Fire)
p 385
Harmonizes the middle
Feng mi
* Although some say to substitute zhu sha with long chi + huang lian, Dr. Ma prefers to just leave zhu sha out of the Rx.
Dr. Ma: Always help stomach when use minerals (also for cloying, sticky like shu di huang; and if patient has weak stomach)
Bensky: Palpitations, insomnia, tinnitus, diminished acuity of hearing & vision; also for seizures
Not covered in Ma Source: Formulas to Aid the Living
(Ji Sheng Fang)
Dao Tan Tang / Guide Out Phlegm Decoction
Functions:
p 448
Resolve Phlegm, Open Orifice, Clear Mind
Syndromes:
Phlegm Disturbing Ht / Mind
Mental Problem, Doesn’t
Know What Doing,
Confusion, Unclear Thinking,
Mental Retardation, Loc –
Violent Behavior
T: Thick White
P: Slippery
Syndromes:
Damp Phlegm Disturbing Ht
Phlegm Cover Mind
Cloudy Mind, Foggy, Spacey, Mental
Retardation – Talk to Self
Phlegm Damp Can Block Qi and Cause Lv
Qi Yu
Syndromes:
Syncope Dt Phlegm
Ex. Epilepsy
Induce Consciousness First, Then Resolve
Phlegm (Such As With Zhi Bao Dan, Zi Xue
Dan, An Gong Niu Huang Wan)
Er Chen Tang +
Tian Nan Xing
Zhi Shi
Resolve Phlegm – Increase Effect
Reg. Qi, Break Qi, Resolve Phlegm (Organge Protect)
Yuan Zhi, Shi Chang Pu
Clear Mind - Increase Effect Resolve Phlegm, Clear Mind
Yu Jin, He Huan Pi
(Blocked Qi) Move Qi, Resolve Phlegm
Meng Shi Gun Tan Wan
P N/A
Phlegm Fire Disturbing Heart
Violent Behavior, Talking to Self –
Mental D.O.
Constipation, Yellow Urine, Red Face
Huang Lian
Formulas: Dr. Ma
F.A.Yip, 2005
Meng Shi
Da Huang
Chen Xiang
Huang Qin
Suppress Frightenness; Clear Mind – Calm Shen
Drain Fire Via Bm, Detoxin
Descending, Move Qi
Clear Heat
Ht Fire
Sedate Shen
76
NOURISH & CALM SHEN
Source: Essentials from the Golden
Cabinet (Jin gui yao lue)
Suan Zao Ren Tang / Sour Jujube Decoction
Functions:
p 379
Tonify Blood, Calm Shen, Clear Heat, Relieve Irritability
Indication:
Composition:
Insomnia d/t LIV & HT Xue Xu
Chao suan zao ren
Liver Xue not nourishing Heart
(Crush & cook first)
Syndromes: Heart & Liver Blood Xu
#1 – insomnia
Poor sleep d/t Xue Xu
Palpitations, night sweats, dizziness, dry
mouth & throat
Easily irritable (LIV Xue Xu)
[Some Yin Xu Heat that Disturbs Shen]
- Possibly for A.D.D.
Grams
F(x) of single herb in formula:
15-18
Tonify LIV Xue, Calm Shen
- enters both Liver & Heart channels; important
herb; seed is center, heart is center
Chuan xiong
6
Regulate Liver Xue, also Helps Liver Qi
Fu ling
6
Calm Shen
Zhi mu
6
Tonify Yin, Clear Fire
Use mu dan pi, zhi zi if Heart Fire
3
Harmonize, Clear Heat
Gan cao
T: Dry, Red
P: Thin, wiry
Bensky: Irritability, unable to sleep, palpitations, night sweats, d&v, dry mouth & throat; T: dry, red; P: wiry ; thin, rapid
Severe insomnia may be Yin Xue Xu.
Must exercise – esp. with slow movemnts: qigong, tai chi, yoga combined with proper breathing!
Ding Zhi Wan / Settle Emotions Pill
P 381
Functions: Tonify Heart Qi, Calm Spirit
Ren Shen
Tonify Qi, Calm Spirit
Fu Ling
Shi Chang Pu
Clear orifices to Calm Spirit
Yuan Zhi
Bensky: Apprehensiveness; easily frightened; incessant laughter & glee; with palpitations, anxiety, forgetfulness
an Shen Ding Zhi Wan: Add long chi (for severe palpitations), fu shen
Read This Formulas
on Own
An Shen Ding Zhi Wan
(Calm Shen, Settle Down, Make Strong) P N/A
Ren Shen
Syndromes: GB Qi Xu
Fu Ling
Think of it as Ht Qi Xu + timidity
Fu Shen
Anxious; insomnia; timid;
Long Gu (Long Chi)
restlessness; dream-disturbed
Shi Chang Pu
sleep; poor self-esteem; lack of
confidence,
Decisions & courage – often hx of
Yuan Zhi
trauma, accident
Formulas: Dr. Ma
F.A.Yip, 2005
Nourish & Calm Shen
Qi Xu
Both to Strengthen Sp; Calm Shen – Drain Damp
“
Heavy, Settle Shen
Clear Mind, Thinking Clearly, Transform Phlegm
– Harmonize Ht and K to Clear Mind
Calm Shen; Transform Phlegm, Clear Mind –
Harmonize Ht and K to Clear Mind
77
Tian Wang Bu Xin Dan / Emperor of Heaven’s
Special Pill to Tonify the HT
Functions:
Source: Secret Investigations into
Obtaining Health (She sheng mi pou)
p 378
Tonify Yin & Xue, Tonify HT, Calm Shen
Indication:
Composition:
Yin, Blood Xu
Mainly HT & KD
Sheng di huang
15-30g
Insomnia d/t Yin Xue Xu – HT & KD
Restlessness, palpitations, poor memory, n.
emissions, irritability,
Constipation (not enough KD Yin),
Tongue ulcer (Yin Xu Heat, HT Fire
flaring)
Lassitude (shen problem)
Xuan shen
3-6
Tian men dong
6-9g
Mai men dong
6-9g
Dan shen
6-12g
Dang gui
6-9g
Ren shen
6-12g
Fu ling
6-9g
HT Yin Xu
Very common in clinic
Menopause: restless, insomnia – Heat
disturbs Shen
Anxiety, restlessness, insomnia (Dt Yin not
nourish Ht), Palps + Yin Xu (hot flash)
Hot at night
Suan zao ren
6-12g
* Take at night (or day time if anxious) 15
tabs or 3 tsp @ P.M. or 1/2 dose in A.M.
Heart Shen Disturbs house of essence (KD)
– dreams, emissions (dreams are HT,
emissions is KD): calming down the shen
can stop nocturnal emissions
P: Thin, rapid
Grams
F(x) of single herb in formula:
Tonify KD Yin to control Fire, Nourish Blood
Clear Xu Fire
Nourish Yin
Tonify Blood
(dan shen is cool in nature, important even in warm
in china for heart problem 20-30gm)
Nourish Qi, Calm Heart Shen
Astringe Heart Qi, Calm Shen
Wu wei zi
6-9g
Bai zi ren
6-9g
Yuan zhi
6-9g
Zhu sha
1-3g
Nourish Heart, Calm Shen
T: Red with scanty coat
3-6g
Guide herbs up, Open Chest
Jie geng
Zeng Ye Tang—xuan shen, sheng di huang, mai men dong
Sheng Mai San—ren shen, mai men dong, wu wei zi
Si Jun Zi Tang half of formula—ren shen, fu ling (no bai zhu or gan cao)
Bensky: Irritability, palpitations with anxiety, fatigue, insomnia with very restless sleep, inability to think or concentrate for even
short periods of time, n. emissions, forgetfulness, dry stools; T: Red with Little Coat; P: Thin, Rapid; may be mouth & tongue
sores, low-grade fever, night sweats
Long Gu
Calm Shen -Anxiety
Gan Mai Da Zao Tang / Licorice, Wheat & Jujube
Decoction
Functions:
Source: Essentials from the Golden
Cabinet (Jin gui yao lue)
p 383
Tonify HT, Calm Shen, Harmonize the Middle, Tonify SP
Indication:
Composition:
Grams
F(x) of single herb in formula:
Zang Zao/Hysteria due to HT Xue Xu, LIV Qi Yu
Often happens after strong emotional
stimulation/trauma/confrontation
Cries easily and often, disturbed sleep, abnormal speech –
this crying is an emotional release and must occur, thus, do
not restrain the person from crying!
Some ppl have more propensity towards this disorder: more
women than men.
Acute phase and long term problem; off & on
More Xu than excess – person may already have LIV Qi Yu
T: Red with little coating
Gan cao
9-12g
Harmonize the Middle; Nourish Heart
- sweet taste slows down the urgency
Fu xiao
mai
9-15g
Nourish Heart, Calm Shen
Da zao
10pc
Tonify Spleen, Soothes LIV, Tonify
Heart (Blood)
P: Thin, Rapid
Dr. Ma: Sweet can slow down urgency.
 Mild formula, and thus, needs modification.
Bensky: Disorientation, frequent attacks of melancholy and crying spells, inability to control oneself, restless sleep
(s.t. with night sweats), frequent bouts of yawning; T: red with sparse coat; P: thin, rapid (in severe cases,
behavior & speech become abnormal)
Formulas: Dr. Ma
F.A.Yip, 2005
Nourish & Calm Shen
78
Open The Orifices
Patient must be unconscious to use these formulas
Closing Syndromes ONLY (not for Open Flaccid Syndromes)
- Closed eyes, clenched fists, etc.
[[Open: incontinence, eyes closed]]
* These formulas are not commonly used by acupuncturists in the U.S. as these patients will often be in the ER/hospital.
An Gong Niu Huang Wan / Calm Palace Pill w/
Cattle Gallstone
Functions:
Source: Systemic Differentiation of
Warm Diseases (Wen bing tiao bian)
p 416
Clears Heat, Relieves Toxicity, Dislodges Phlegm, Opens Orifices, Calms Spirit
Indication:
Composition:
Grams
F(x) of single herb in formula:
Niu Huang
One of the 3 Treasures
Xi Jiao
- along with Zhi Bao Dan & Zi Xue Dan
She Xiang
Huang Lian
Serious stage in the progression of a warm-febrile dz
Huang Qin
Zhi Zi
Always used as pill – honey pill that is dissolved in
Xiong Huang
water and fed through a tube – for emergency
Bing Pian
situations only
Yu Jin
Zhu Sha
Zhen Zhu
Bensky: High fever, irritability & restlessness, delirious speech, impaired consciousness; also for coma due to windstroke or
childhood convulsions; for stiffness of tongue with frigid extremities. T: Red or Deep-Red; P: Rapid
“Three Treasures”
1. An Gong Niu Huang Wan
2. Zhi Bao Dan 3. Zi Xue Dan
Guan Xin Su He Xiang Wan
Angina Pectoris
Use when person feels heart attack coming on
Like Nitroglycerine
Si Wei Hui Yang Yin
Function: Strengthen KD Yang, Promote Water
Metabolism
P N/A
Syndromes: Qi Collapse
Ren Shen
Fu Zi
Shock; Not Coma; Abrupt Onset; Profuse Cold
Sweating; Fainting; Hands Loose; Pale Face;
Pallor; Loss Of Pulse – Can Be Dt Accident –
Loc, Decrease Bp
Pao Jiang
Water Affecting Ht Dt KD Yang Xu
Ht Failure; Edema, Cold Sx; KD Yang Xu + Ht
Problems
Ht Disease, Palps. Difficult Breathing, Hard to Lie
Down; Cyanosis Lips
(More Common If Patient Has Heart Disease On
Digitalis, Diuretics) Ht Congestion, Later Stages
Gan Cao
(Zhi)
Qi Collapse – Tonify Qi
Hot, Rescue Yang - Pungent
Warm: Solid, No Moving Nature, Keep Warming (Gan
Jiang Moves – Don’t Use)
Harmonizing (Fuzi Toxic, String, Renshen Strong)
Fu Zi Can Strengthen Ht Muscle – Short Term Only:
Change to Gui Zhi If Fu Zi Is An Issue (3gm)
Use Only 1-3 Dosage Of This Rx
Then Use
Ji Sheng Shen Qi Wan
Not Really Help H2o Metabolism, But Strengthen Ht Fx
– When Ht Is Stronger It Can Reduce Edema
Du Shen Tang / Unaccompanied Ginseng Decoction
P 229
After Regain Consciousness, Must Tonify
Blood
Syndromes: Collapse Dt Blood Xu  Qi Collapse
Pale Face, Lips; Limb Tremors; Mouth Agape;
Profuse Cold Sweat; Feeble Breath; Syncope, Cold
Limbs, Pale Tongue, Thready and Rapid Pulse
Formulas: Dr. Ma
F.A.Yip, 2005
Ren Shen
Da Zao
Open Orifices
30
5 Pc
Bld Nourishing Herbs: Ren Shen, Huang
Qi, Dang Gui, Bai Shao Yao, E Jia, Shu
Di Huang
79
Herbs that Stabilize-Astringe



Save fluid, Stop: sweat, stools, urine, essence, (blood), qi, leukorrhea
Don’t astringe in cases of heat or excess!
Not for long-term use.
ASTRINGE THE EXTERIOR
Source: Teachings of [Zhu] Dan-Xi
(Dan xi xin fa)
Yu Ping Feng San / Jade Windscreen Powder
Functions:
p 352
Tonify Qi, Strengthen Exterior, Stop Sweating
Indication:
Composition:
Spontaneous sweating d/t Exterior
Deficiency; Likely to get Wind
Invasion
Huang qi
30
6-20
Tonify Qi, Strengthen Exterior
Bai zhu
60
9-15
Tonify Spleen Qi
Fang feng
60
6-9
Expel Wind
- preventative to stop Wind invasion
Wei Qi Xu:
Likely to catch cold
Spontaneous sweat b/c wei qi cannot hold
sweat w/in
Grams
F(x) of single herb in formula:
Work on SP to T/T food & water to
strengthen Wei Qi
None of these herbs stop sweating directly. They Tonify wei Qi to stop sweating
If allergies predominate, see below.
Bensky: Aversion to Drafts, Spontaneous Sweating, Recurrent Colds, Shiny, Pale Complexion, T: Pale with White Coat; P:
Floating, Xu, Soft
Dr. Ma: Can be used during allergy remission; must add other things during attacks or during exposure of triggers (based on
previous symptoms); Jie Geng/Zhi Ke; Jing Jie, Etc.
Automatic sweating is day time, worse with exertion – more of Yang Xu
“Don’t lock the robber in your house”
Take this formula a season before
Compare:
Yu Ping Feng San is mainly for prevention and to astringe spontaneous sweating.
- Although commonly used for allergies, it isn’t enough. Must add more herbs for the specific allergic
symptoms
- Mold: add herbs for dampness; Cough; Nasal congestion, sneezing: xin yi hua; ear congestion: chai hu; red
watery eyes: bo he, ju hua
Gui Zhi Tang is primarily for releasing the exterior.
Mu Li San / Oyster Shell Powder
Functions:
Source: Essentials from the Golden Cabinet (Jin gui yao lue)
p 353
Strengthen Exterior, Astringe Sweating
Indication:
Composition:
Spontaneous sweating, night
sweating due to various Xu
Mu li
- Sheng mu li: more for shen
- duan mu li: more to astringe
Grams
F(x) of single herb in formula:
30
Tonify Yin, Anchor Yang, Relieve Irritability,
Astringe sweat
Both day (Yang Xu) automatic
& night (Yin Xu) sweating
Huang qi
30
Tonify Qi, Strengthen Exterior, Stop Sweating
Very weak people, easily
frightened/ shocked,
palpitations, sob, fatigue, etc.
Ma huang gen
30
Stop Sweating
Tonify (HT) Xue, Relieve irritability
- Stop Sweating
Bensky: Spontaneous sweating that worsens at night, palpitations, easily startled, s.o.b., irritability, general debility, lethargy, T:
pale red; P: thin, frail (Xu of Qi & Yin)
- sweat = fluid of the HT
Formulas: Dr. Ma
F.A.Yip, 2005
(Fu) xiao mai
Astringe the Exterior
30
80
Jiu Xian San / Nine Immortal
Powder
Functions:
Source: Essentials from the Golden Cabinet (Jin gui yao lue)
p 355
Astringe Lung Qi, Stop Cough, Tonify Qi & Yin
Indication:
Composition:
Grams
Prolonged cough due to
Lung Qi & Yin Xu
Zhi ying su qiao/ ke
6
As this formula astringes, do
not use if pathogen still
remains!
Ren shen
E jiao
Wu wei zi
Wu mei
Kuan dong hua
Bei mu
Sang bai pi
1.5
1.5
1.5
6
1.5
1.5
1.5
P: weak
Jie geng
1.5
Wheezing, sob, spontaneous
sweat
F(x) of single herb in formula:
Astringe Lung Qi, Stop Cough
- Opium – not acquired in U.S.A. – remove from Rx
Tonify Qi
Nourish (LU) Yin
Astringe LU qi, Stop Coughing
Stop cough, Transform Phlegm
Relieves Cough (Relieve Heat)
Relieves cough
- Transform Phlegm, Stop Cough, Leads Herbs to LU
Bensky: Chronic intermittent cough with wheezing, shiny-white complexion, s.o.b., spontaneous sweating; P: xu, rapid
DIARRHEA
Zhen Ren Yang Zang Tang / Chun Yang Zhen
Ren Yang Zang Tang / True Man’s Decoct to
Nourish Organs
Functions:
Source: Imperial Grace Formulary of the
Tai Pin Era (Tai ping hui min he ji ju fang)
p 357
Astringe Intestines, Warm SP & KD
Indication:
Composition:
Prolonged diarrhea, dysentery with
Deficient Cold of Spleen & KD
SP cannot transform food and water,
thereby causing cold and diarrhea.
Diarrhea is severe w/ deficient abdominal
pain that prefers warmth on abdomen,
can not take cold things
Prolonged dysentery with pus, blood.
Tenesmus, lassitude, no appetite; prolapse
of rectum.
*If acute diarrhea or dysentery – DO NOT
ASTRINGE!
Syndromes: Li Xu
Fu Xu must show also zang xu and usually
cold sx as well;
Deficient cold: chronic diarrhea;
incontinence, frequent watery bm;
prolapse of rectum; weak pulse; pale
tongue + Qi Xu Sx
Rx: Tonify SP, KD Qi + Astringent of LI
to stop diarrhea
Grams
F(x) of single herb in formula:
Ying su qiao/ke
6-20
Astringe Intestine, Relieve diarrhea
- can no longer use in USA - ashes of smoked
opium are good for Xu asthma but
dangerous for Shi Asthma
Rou gui
3-4.5
Warm Spleen & KD
Rou dou kou
9-15
Warm Spleen & KD, Astringe Intestine
He zi
6-15
Astringe Intestine, Stop Diarrhea
Ren shen
Bai zhu
3-6
9-12
Tonify Spleen Qi
Dang gui
Bai shao
6-12
9-15
Tonify Blood
- prolapse is a chronic problem and thus, must
address the xue.
Mu xiang
6-9
Regulate Qi, Alleviate pain
3-9
Harmonize the middle, Harmonize herbs
Gan cao
+ Sheng ma or
Add for prolapse of rectum
+ Chai hu
Chun Yang (in alternate name for this Rx) was one of the 8 Immortals. Adding his name just reinforces the importance of this
Rx.
Bensky: Chronic diarrhea or dysentery with unremitting diarrhea to point of incontinence, or severe cases with prolapse rectum.
Maybe blood or pus, maybe tenesmus. Sx: mild, persistent abdominal pain that likes warmth, pressure; lethargy, reduced
appetite, pale complexion, sore low back, weakness of legs; T: pale with white coat; P: slow, thin
Tonify K & consolidate herbs
He zi, rou dou kou, chi shi zi
Qi Tonics:
Fu ling, bai zhu
Formulas: Dr. Ma
F.A.Yip, 2005
Exterior/Diarrhea
81
Source: Standards of Patterns and Treatments
(Zheng zhi zhun sheng)
Si Shen Wan / Four Miracles Pill
Functions:
Warm and Tonify Spleen & KD, Astringe Intestine, Stop Diarrhea
Indication:
Composition:
Grams
F(x) of single herb in formula:
Deficient Cold of SP & KD
Bu gu zhi
12-18
Warm and Tonify Vital Gate Fire (hot herb)
Daybreak diarrhea due to SP/KD Xu
– a long-term problem.
KD Yang should come at daylight, but
too weak (yin qi is still dominant and
SP Qi is sinking down)
Prolonged diarrhea, poor appetite,
lassitude, back pain, abdominal pain,
cold limbs
Rou dou kou
6-9
Warm Spleen & KD, Astringe Intestines
Wu zhu yu
3-6
Tonify SP & KD, Disperse Cold-damp
[Warm Spleen & Stomach]
Wu wei zi
6-9
Warm, Astringe
Sheng jiang
3-6
Disperse water and cold
p 359
3-5
Tonify Sp & KD
Da zao
Bensky: Diarrhea daily at sunrise, lack of interest in food & inability to digest what’s eaten, sore low back with cold limbs,
fatigue & lethargy; abdominal pain. T: pale with thin white coat; P: submerged, slow, forceless
Antibiotics to stop diarrhea, others astringent types – may not help the diarrhea, this rx does (developing countries)
Did not go over in class
Tao Hua Tang / Peach Blossom
Decoction
Functions:
Source: Discussion of Cold-Induced Disorders
(Shang han lun)
p 358
Warms Middle & Binds Bowels
Indication:
Composition:
Grams
F(x) of single herb in formula:
30
Astringe Intestines
Chi Shi Zhi
Xu of MJ (SP/ST)Yang + LJ
9
Expels Cold
Gan Jiang
(KD)Xu
30
Geng Mi
Bensky: Chronic dysenteric disorders with dark blood & pus in stool, abdominal pain that likes pressure &
warmth; T: pale; P: slow & frail or faint & thin.
ESSENCE
Jin Suo Gu Jing Wan / Golden Lock to
Stablize Essence
Functions:
Source: Analytic Collection of Medical Formulas
(Yi fang ji jie)
p 360
Tonify KD, Astringe Essence
Indication:
Kidney Essence Xu
Nocturnal emission, impotence,
chronic spermatorrhea; dizziness,
weak low back and knees, weakness
of the 4 limbs, tinnitus.
When weak, cannot store essence.
----Nocturnal emission is also HT/Shen
related, thus, herbs to address the HT
are included – lian zi, long gu, mu li.
When addressing the KD, must also
calm the HT. (When the Shen is
disturbed, the KD will be disturbed).
Composition:
Grams
F(x) of single herb in formula:
Sha yuan ji li
(sha yuan zi)
6
Tonify KD Essence
(Rarely used – specific for KD Essence, astringing)
Lian zi
Qian shi
12
6
Astringe Essence
(Lian zi can also tonify HT; Qian shi tonifies KD)
Lian xu (lotus stamen)
Duan long gu
Duan mu li
6
3
3
Astringe Essence
(Long gu and mu li can also calm HT/Shen)
Bensky: Chronic spermatorrhea, impotence, fatigue & weakness, sore & weak limbs, lower back pain, tinnitus, T: pale with
white coat; P: thin, frail
- Give Liu Wei Di Huang Wan to tonify for a while after stopping above symptoms.
Fu pen zi; sang piao xiao; Tu si zi; jin ying zi; yi zhi ren (urine)
Other astringents For KD
Du zhong; xu duan
Low Back/Knees
Formulas: Dr. Ma
F.A.Yip, 2005
Diarrhea/Essence
82
FREQUENT URINATION
Sang Piao Xiao San / Mantis Eggcase Powder
Functions:
Source: Essentials from the Materia Medica (Ben cao yan yi)
p 362
Tonify HT & KD, Astringe Essence
Indication:
Heart & KD Xu
Frequent urination, incontinence – in
elderly, children, etc.
Cloudy urination: KD cannot
transform/separate Essence from
turbidity and leaks into urine
Disorientation, forgetfulness, poor
appetite.
Must also address HT! Frequent
urination is controlled by the Shen.
 ½ of the herbs address the HT
along with the KD
Composition:
Grams
F(x) of single herb in formula:
Sang piao xiao [c]
9-12
Tonify KD, Astringe urine
Long gu
12-30
Astringe (calm) HT/Shen, Astringe Essence.
Gui ban
9-15
Tonify Yin, [HT & KD]
Ren shen
9-12
Tonify Qi
- This is a long-term problem, so tonify qi. Also,
tonify earth to control the water.
Dang gui
6-9
Nourish Heart Blood
Fu shen
9-12
Calm Shen
Yuan zhi
Shi chang pu
3-6
6-9
*Contraindicated for incontinence d/t
either vigorous fire in the LJ or D-H.
Syndromes: UB Xu Cold
Incontinence; frequent urination (can
be dt Heat Xs or Xu or Ub Qi not in
control) - see above
Calm Shen, Connect Heart & KD, [Clear Mind]
Need Warming, Tonic, Astringe
- Children who can’t wake up, esp. elderly w/
coughing
Dr. Ma: – Incredibly important formulas; works on KD & Heart (to Calm Shen); water problem: should tonify the earth.
Heart Fire goes down to warm the Kidney and Kidney water raises to cool the Heart.
Bensky: Freq. urination, to point of incontinence, urine color of rice water (gray & cloudy), s.t. with spermatorrhea. Other
symptoms: disorientation, forgetfulness; T: pale white coat; P: thin, slow, frail
tu si zi; yi zhi ren; fu pen zi; bu gu zhi
Yang Xu; Tonify KD; seniors; astringent
huang qi, ren shen
Children – help with general Qi
yin yang huo; fu zi; rou gui; gui zhi
Warming
Lamb + ginger + tonic herbs to help warming, astringent to stop frequent urination
Suo Quan Wan / Shut the Sluice Pill
Source: Fine Formulas for Women (Fu ren liang fang)
p 363
Functions:
Warm KD, Expel Cold, Astringe Urine
Indication:
Composition:
Grams
F(x) of single herb in formula:
Deficient Cold of LJ, Frequent
urination
Yi zhi ren
9-12
Warm KD, Astringe Qi (May Help Shen too),
Warm SP, Astringe fluid
- Tonify Intelligence
Wu yao
6-12
Expel Cold in LJ
- Help Qi Transformation in Bladder, Astringe
Urine, Expel Xu Cold (Hot Nature; Warms KD)
Shan yao
9-15
Tonify Spleen & KD (Tonify Earth to Help Water),
Astringe Essence
Kidney Qi Xu, Xu Cold in Bladder
Children’s enuresis; KD deficient cold
cannot hold urine; worse in the winter;
Also good for the elderly
* Not for Heat based urinary symptoms!
Dr. Ma: Place dried fried xiao hui xiang (fennel seeds) in a bag & have a child sit on it for a period of time everyday. This is
warming and will help the Xu Cold causing enuresis.
Can also combine with Sang Piao Xiao San to help more with shen. May use moxa. Avoid exposure to cold.
Bensky: Frequent, clear, prolonged urination or enuresis; T: Pale with white coat; P: Submerged, frail
Formulas: Dr. Ma
F.A.Yip, 2005
Frequent Urination
83
LEUKORRHEA & MENSES
Gu Jing Wan / Stabilize Menses Pill
Functions:
Source: Introduction to Medicine (Yi xue ru men)
p 367
Tonify Yin, Clear Heat, Stop Bleeding
Indication:
Composition:
Grams
Gui ban [c]
30
Tonify Yin, Descend Fire, Tonify KD;
- Nourish Blood, Heart
Bai shao [c]
30
Astringe Yin, Tonify Xue, Soothe LIV
Huang qin
Huang bai
30
9
Clear Heat, Stop Bleeding
- huang qin is more important for bleeding, esp. for
uterine bleeding (& calm fetus)
Chun gen pi
21
Xiang fu
7.5
Uterine Bleeding due to Yin Xu Heat
1st step: stop bleeding
2nd: tonify
Disharmony of Blood (Xu and Yu):
Bleeding is severe and worse w/
movement; blood is red and may
contain dark-purple clots.
Abdominal pain; irritability in the chest;
dark urine
T: red; P: wiry
F(x) of single herb in formula:
Astringe, clear heat; or use du zhong tan to astringe
menses (chun gen pi/chun pi: stabilize and bind LU
& LI)
Regulate Qi,
- Soothe Qi Stagnation, Harmonize Blood
- Special herb for women
- Relieves clotting & cramping
Dr. Ma: Works very good for all patients;
After stop bleeding, Tonify Spleen, KD - remove huang bai, huang qin, chun pi; add dang gui, shu di huang, fu ling,
huang qi, etc. to prevent future reoccurrence.
During menses, and esp. during excessive bleeding: do not stretch (yoga, etc.), do not hit lower abdomen, do not ride bicycle.
Bensky: Continuous menstruation or uterine bleeding, that alternates between trickling & gushing; blood is very red, maybe
dark-purple clots; sensation of heat, irritability in chest, abdominal pain, dark urine; T: red; P: rapid, wiry
After stopping bleeding then tonify spleen blood etc.
Source: Women’s Diseases according to Fu Qing-zhu
(Fu qing zhu nu ke)
Wan Dai Tang / End Discharge
Decoction
Functions:
p 369
Tonify the Middle, Tonify SP, Transform Dampness
Indication:
Composition:
Grams
SP Xu, LIV Yu, Damp pouring down
Ren shen
6
Tonify Spleen Qi
Leukorrhea (d/t xu) – white, no odor,
thin, continuous.
Bai zhu
30
Shan yao
30
(May exchange dang shen for ren shen for a more
neutral temperature for Rx)
Cang zhu
9
[d/t Heat: yellow with strong odor  cannot
astringe! Only clear D-H]
Pale complexion, lassitude, loose stool,
weak pulse
Liver overact on SP, SP is weak and
cannot control damp
Syndromes:
Unconsolidation Of KD Qi
Leukorrhea
SP Tonic + KD Tonics
F(x) of single herb in formula:
Dry Damp, Help SP transformation
Chen pi
1.5
Che qian zi
9
Leach out water
Bai shao
15
Soothe LIV – in combination with chai hu.
Chai hu
1.8
Ascend Yang Qi
Jing jie sui tan
1.5
Expel Wind-Damp, Relieve leucorrhea
Also has ascending f(x) like chai hu
Gan cao
3
Harmonize
Dr. Ma: Several herbs from Xiao Yao San – but this formula is more for SP than for LIV (if blood in leukorrhea add huang qin,
huang bai to clear heat; of cold signs add something more warming)
Bensky: Profuse vaginal discharge white or pale yellow, thin consistency, not often foul-smelling, usually continuous. fatigue,
lethargy, shiny, pale complexion, loose stool; T: Pale with white coat; P: Soggy & frail or moderate, weak
Tonify K and Astringe/Leukorrhea
Shan zhu yu; tu si zi; sang piao xiao
Formulas: Dr. Ma
F.A.Yip, 2005
Leucorrhea, Menses
84
Regulate Qi
Qi:
1.
2.
Quality of qi:
Movement of qi:
deficiency  tonify
stagnation  move (ST/MJ, LIV)
rebellious  descend (ST, LU)
* Caution:
- moving too much may hurt the qi, thus balance by tonifying
- tonifying instead of moving will increase the stagnation
- promoting the movement of qi when it is deficient will only aggravate the deficiency
- thus, when the qi is both stagnant and deficient, both aspects must be addressed – balance carefully
Yue Ju Wan / Escape Restraint Pill
Functions:
Source: Teachings of [Zhu] Dan-xi (Danxi xin fa)
p 290
Move Qi; Relieve Stagnation
Indication:
Composition:
Stagnation of Qi, Blood, Phlegm, Fire, Damp,
Food
Xiang fu [c]
Treats the 6 Stagnations
- thus, too general and not commonly used
Chuan xiong
Grams
Move Qi
- can also help emotions (anti-depression)
and LIV Qi
Equal
amts
of
each
herb
(according to Dr. Ma – no structure, too general)
Qi Yu is typically seen 1st, which can lead to other
stagnations
Fullness of chest or abdomen, nausea, vomit,
indigestion, acid reflux, etc.
F(x) of single herb in formula:
Zhi zi
Move Blood
Clear Fire
Cang zhu
Dry Damp
Shen qu
Reduce Food Yu
Dr. Ma: No phlegm herb? After moving qi and treating other stagnations, the phlegm will be resolved.
Add herbs to tonify slightly.
“When the qi & xue course harmoniously, the myriad diseases will not arise. [But] once there is constraint, all diseases may
come into being. Disease in humans therefore usually arises from constraint.” Bensky 291
Bensky: Focal distension & stifling sensation of chest & abdomen, fixed pain in hypochondria, belch, vomit, acid
regurgitation., mild cough with copious sputum, reduce appetite, indigestion.
Jin Ling Zi San / Melia
Toosendan Powder
Functions:
Source: Collection of Writings on the Mechanisms of Illness,
Suitability of Qi, and the Safeguarding of Life as Discussed in
the Basic Questions (Su wen bing ji qi yi bao ming ji)
p 295
Move Qi, Soothe LIV, Move Xue, Relieve Pain
Indication:
Composition:
Grams
F(x) of single herb in formula:
Jin ling zi
(chuan lian zi)
5-6
Soothe Liver Qi, Drain fire
Yan hu suo
9
Move Qi and Xue
Liver Qi Yu with Heat
Emotional root  Qi yu  causes heat.
Irritability, bitter taste, hypochondriac pain,
hernial pain, or menstrual pain that is
aggravated by eating hot food/drinks.
T: red, yellow coat
P: wiry, rapid
Use only for a short time
Formulas: Dr. Ma
F.A.Yip, 2005
Regulate Qi
85
Ban Xia Hou Po Tang / Pinellia & Magnolia
Bark Decoction
Functions:
Source: Essentials from the golden Cabinet
(Jin gui yuo lue)
p 291
Move Qi, Disperse Stagnation, Disperse the Rebellious, Transform Phlegm
Indication:
Composition:
Grams
F(x) of single herb in formula:
Plum-Pit Qi due to Liver Qi Yu with
Phlegm
Ban xia
9-12
Transform Phlegm, Disperse Stagnation, Descend
Rebellious Qi, Harmonize Stomach
(very dry to dry damp, pungent to disperse stagnation)
Hou po
9
Descend Qi, Relieve Fullness
Fu ling
12
Leach out Damp, Help Transform Phlegm (work on
middle jiao – root of phlegm)
Sheng jiang
15
Disperse Stagnation, Harmonize Stomach, Relieve
nausea
Liver Qi Yu for a while 1st before plum pit
qi (mei he qi) develops; must have hx of
emotional issues.
Sensation of something caught in throat
that can neither be swallowed nor
ejected. Invisible/insubstantial.
Men/women - pressure, stress, fullness of
chest/hypochondria, stifling sensation.
Cough, nausea, vomiting; stagnation
affects water metabolism (LU & ST)
Soothe qi, Promote movement of SP/ST qi
T: Moist or greasy, white
6
Zi su ye
- Move Qi, Regulate LU & LIV Qi, (can warm stomach)
P: Wiry, slow or wiry, slippery
Bensky: Sensation of something caught in throat that can neither be swallowed nor ejected; stifling sensation in chest/
hypochondria
Si Qi Tang = Ban Xia Huo Po Tang
Chai hu
Bo he, niu bang zi
Phlegm Qi – Soothe Lv Qi
Benefit throat
Zhi Shi Xie Bai Gui Zhi Tang / Immature Bitter
Source: Essentials from the golden
Cabinet (Jin gui yuo lue) ?
Orange, Chinese Chive, and Cinnamon Twig Decoction
or Zhi Shi Gua Lou Gui Zhi Tang
Zhi Shi Xie Bai Gui Zhi Tang
Functions:
p 293 ?
P 293
Unblock Yang, Transform Phlegm, Descend Qi
Indication:
Composition:
Chest Bi due to chest Yang Xu with
Phlegm and Qi Yu in chest
Zhi shi
12
Descend Qi, Reduce Fullness (strong) and focal
Distention [Remove Yu]
Difficulty breathing, sob  coughing and
wheezing,
Xie bai
9
Unblock Yang Qi, Open chest, Disperse stagnation
- very pungent
Chest yang qi cannot transform  phlegm
and stagnation
Chest pain can refer to back; back pain only
Pain: compressive, suffocating, and/or very
sharp and stabbing
Equates to angina, may have s.o.b.; pale,
purple, puffy face, heart problems
T: Swollen, white, greasy
P: Wiry, deep, tight
Grams
F(x) of single herb in formula:
Unblock Yang Qi, Disperse Cold, Descend Rebellious
Qi
Gui zhi
3
(very important for formulas, for heart, can motivate heart
functions, make it more efficient – not make palpitations
worse) no more than 6 gm.
Gua lou
12
Remove Phlegm, Disperse stagnation
Hou po
12
Descend Qi, Relieve Fullness [transform phlegm]
Zhi shi and hou po are also in Da Cheng Qi Tang, which also treats fullness (in lower part of body) – here, fullness in chest,
but zhi shi and hou po are a good combination for fullness anywhere.
Dr. Ma: This formula, Zhi Gan Cao Tang and Xue Fu Zhu Yu Tang are very important for heart
[Xue Yu: Xue Fu Zhu Yu Tang, Dan Shen Yin; Qi & Xue Xu: Zhi Gan Cao Tang]
Note: gua lou + xie bai (+ bai jiu) = Gua Lou Xie Bai Bai Jiu Tang – so this formula contains that formula
Bensky: Painful obstruction of chest with fullness & pain; or stabbing pain that radiates from chest to back, wheezing,
coughing, s.o.b., focal distension in chest that feels like a flow of energy proceeding the hypochondria region around heart; Tc:
white, greasy; P: submerged, wiry or tight
Formulas: Dr. Ma
F.A.Yip, 2005
Regulate Qi
86
Associated formulas:
Gua Lou Xie Bai Bai Jiu Tang
> Chest bi, mild, phlegm: gua lou, xie bai, bai jiu
Gua Lou Xie Bai Ban Xia Tang
> Chest bi w/ more phlegm: gua lou, xie bai, bai jiu, ban xia
Gua Lou Xie Bai Ban Xia Tang P293 +
Xue Fu Zhu Yu Tang P 314
Phlegm Intermingled With Stasis
Pt in later stage of Phlegm Sx’s or Bld Stasis heart disease (Xue Stasis) + high cholesterol
(phlegm) blocking meridians  Ht Attack; Phlegm and Bld Stasis Block Meridian Cause
Ht Attack = Phlegm Stasis
In channels/collaterals; numbness, tingling pain,
puffy joints w/pain
Chronic; Later stage arthritis - Heaviness
w/tingling pain
T: Purplish w/ thick white coat - swollen
P: Choppy & soggy; maybe just slippery
Gua Lou Xie Bai Ban Xia Tang
=
Gua Lou
Xie Bai
Ban Xia
Bai Jiu
Xue Fu Zhu Yu Tang =
Chi Shao; sheng di huang; dang
gui; chuan xiong; tao ren; hong
hua; chai hu; gan cao; zhi shi;
chuan niu xi; jie geng
or Use Er Chen Tang to modify
p8
(Chen pi, ban xia, fu ling, gan
cao)
Pt with later stage arthritis or
joint pain in later stage – if
numbness and local swelling –
not as effective if only move
stasis – can try resolve phlegm
to increase effectiveness
p 296
Ben Tun Tang
Dang Gui
n. blood – moving
Bai Shao
n. LV, Soothe LV – soften LV
Chuan Xiong
move qi & blood
Liver : plum pit qi, running pig,
Huang Qin
clear LV heat – enter LV meridian
chest tightness; difficult
Ban Xia
ban xia + huang qin – resolve nodules, masses – descend ST Qi
breathing, throat tightness
Ge Gen
Release stiffness from muscles; wind-heat
Gan Cao
`
harmonizing
open chest, move qi
li geng pi
local herb, not commonly used – move LV qi
Bensky Rx: chuan lian zi 30g; fu ling 45g; ju he 45g; li zhi he 24g; xiao hui xiang 21 g; mu xiang 21g
Descend St Qi and Open Chest: Chen xiang (3 gm); zhi ke; zhi shi
Sp4 + P6 + Rn22, Rn23, Rn17
Syndromes:
Liver Qi retroflow
Ju He Wan / Tangerine Seed Pill
Functions:
Source: Formulas to Aid the Living (Ji sheng fang)
p 298
Move Qi, Relieve Pain, Soften Hardness, Disperse Stagnation
Indication:
Composition:
Grams
Hernia due to Cold-Damp,
(Qi, Xue Yu)
Ju He [c]
30
LIV Channel
Pain – Qi & Xue Yu
Chuan Lian Zi
Mu Xiang
Tao Ren
Yan Hu Suo
30
15
30
15
Rou Gui
15
Warm KD & LIV, Disperse Cold
Mu Tong
15
Unblock Blood Vessels, Clear Damp
Hou Po
15
Descend Qi, Dry the Damp
Zhi Shi
15
Move Qi, Break up stagnation
Hai Zao
Kun Bu
Hai Dai
30
30
30
Soften the Hardness, Disperse Stagnation (usually used for
goiter hardness)
Swollen testicles/orchitis,
bearing down sensation, pain
and coldness of the lower
abdomen – chronic problems.
Hernial disorder d/t D-C invading
LIV Ch. The expression of the
disorder is in the KD (testicles
regarded as the ‘external Kidneys’),
but pathogenesis occurs in the LIV
Ch.
F(x) of single herb in formula:
Move Qi, Disperse Stagnation
- Relieve Pain (seed can unblock hardness)
Assist to move Qi [LIV Ch], Relieve Pain
Move Blood, Relieve pain
- yan hu suo also moves qi
Dr. Ma: to treat hernia/shan disorder, must treat the qi
Bensky: Unilateral testicular swelling with colicky pain reaching umbilicus, or rock-like hardness & swelling of scrotum, or
oozing of yellow fluid from scrotum; abscess & ulceration may occur.
Formulas: Dr. Ma
F.A.Yip, 2005
Regulate Qi
87
Source: Medical Innovations
(Yi xue fa ming)
Tian Tai Wu Yao San / Top Quality Lindera Powder
Functions:
p 296
Move Qi, Relieve Pain, Soothe Liver, Disperse Cold
Indication:
Composition:
Grams
F(x) of single herb in formula:
Hernia Due to Cold
Accumulation and Qi
Yu
Wu yao
Mu xiang
Xiao hui xiang
Qing pi
Gao liang jiang
Bing lang
15
15
15
15
15
12-15
Move Qi, Soothe Liver, Expel Cold, Relieve Pain
Chuan lian zi
12-15
Small Intestine
Lower abdominal pain,
testicular pain, bearing
down sensation
All hernias belong to
LIV Channel and must
tx Qi Yu.
*do not decoct with this!
Ba dou
Move Qi, Disperse Stagnation, Expel Cold & Damp
- qing pi = green tangerine peel – goes to LIV Ch.
Move qi, Transform stagnation (↓)
Move Qi
- Dry fry with ba dou, then remove the ba dou before
decocting - this makes it less cold
Hot herb - reduces the coldness of chuan lian zi, help move qi
(don’t use it in the formulas – see above!)
15
Bensky: Lower abdominal pain radiating to testicles; T: Pale with white coat; P: Submerged & slow or wiry
For women, can also use similar herbs to tx LIV Channel problems (breast cysts, etc.): qing pi, chuan lian zi, mu xiang,
xiang fu; dan gui, gou qi zi [to tonify], and add phlegm herbs. Qi Yu will primarily be seen; not much cold-damp.
Nuan Gan Jiang / Warm the Liver
Decoction
Functions:
Source: Collected Treatises of [Zhang]Jing Yue
(Jing yue quan shu)
p 297
Warm Liver & KD, Move Qi, Relieve Pain
Indication:
Composition:
Grams
Cold in Liver & Kidney, Qi Yu
Dang gui
6-9
Tonify w/ warm herbs – all warm except fu ling,
chen xiang
Gou qi zi
9
Rou gui
3-6
Hernia & abdominal (lower) pain; cold pain in
Liver/KD Channels; cold stagnation
[cold from Xu of KD, LIV cuses Qi Yu]
Do not use if scrotum is red or swollen
Pure excess (ex. outside - swim in cold) sudden
inguinal contraction, muscle contraction/
cramping; hernial pain, testicular pain
Similar to Cold In SI - Cold Obstructs Qi & Blood
Can also use for lower abdominal pain
P: Deep, wiry, tight
F(x) of single herb in formula:
Warm and Tonify Liver & KD
Warm KD & Disperse Cold
Xiao hui xiang
6
Wu yao
6
Chen xiang
3
Fu ling
6
Move Qi, Relieve Pain
Sheng jiang
3-5
Slices
Leach Damp, Tonify Qi
Disperse Cold, Harmonize Stomach
T: Pale, moist
Dr. Ma: Can add gan jiang, fu zi, wu zhu yu for more cold pain
Bensky: Lower abdominal pain that is sharp, localized & aggravated by local application of cold; also for swelling, distension
& pain of scrotum; T: pale (esp. sides & root); P: submerged, tight
Gan jiang, wu zhu yu
Warm meridians – increase effect to dispel cold – cramping from testicles
Bai shao, yan hu suo
Cramping/Pain
Formulas: Dr. Ma
F.A.Yip, 2005
Regulate Qi
88
Hou Po Wen Zhong Tang / Magnolia
Bark for Warming the Middle
Functions:
Source: Clarifying Doubts about Injury from Internal
and External Causes (Nei wai shang bian huo lun)
p 293
Warm the Middle, Move Qi, Dry Damp, Relieve Fullness (After clearing Damp, Tonify SP/ST)
Indication:
Composition:
Grams
F(x) of single herb in formula:
- Stickiness of Damp and Stagnation of Cold
Hou po
9-15
Move Qi, Dry Damp, Relieve Fullness
- Bloating due to Qi Yu or Damp - use
hou po!
Good formula for common problems
*Avoid cold, greasy, esp. cold & greasy foods!
Avoid cold drinks; sitting on cold places; and all
of the above, esp. when on menstrual cycle.
Cao dou kou
6-9
Warm Middle, Disperse Cold,
- Dry Damp, Remove Phlegm
Chen pi*
9-15
Mu xiang
3
Gan jiang
1.5-6
Sheng jiang*
3 pcs
Fu ling*
9-12
Cold & Damp injuring SP & ST
Fullness, bloating, distension, or pain in abdomen,
heaviness of four limbs [yang qi cannot circulate to
limbs d/t cold-damp blockage], no appetite, low
energy, fatigue, pain is worse with cold or after
food/alcohol.
Over time, will lead to SP Xu: easy to have
diarrhea
- Tx: Clear Cold & Damp, Move Qi (*contains 4
herbs from Xiang Sha Liu Jun Zi Tang)
Move Qi, Open the middle
Warm SP/ST
Leach Damp, Tonify qi
- Strengthen Spleen, Harmonize the
Middle
3-9
Gan cao*
T: Greasy
1-2 bags should suffice
After remove C-D, add herbs to tonify SP/ST; may also add herbs to help fullness: shan zha, shen qu, etc.
During recovery, avoid rich foods.
Bensky: Epigastric & abdominal distension & fullness, loss of appetite, fatigue in extremities, loose diarrhea, tc: white,
slippery; maybe abdominal pain & vomiting of clear fluid
Function: Qi Moving, Resolve Damp, Aid SP/Digestion
Mu Xiang Shun Qi Wan (LI)
p n/a
QI Stagnation in Intestines
(LI)
LI- gas, bloating, cramping,
constipation, borborygmous,
more umbilicus, cramping
around umbilicus, released by
BM, colitis
P: wiry
Tx: move qi, release pain
Ex: dairy product cramping:
more for pure aid of digestion
don’t need to remember
ingredients: remember
Function
RN12; RN6; ST36; SJ6; LV1
Not sure it should be in this
category
Xiang fu
Zhi ke
Qing pi
Wu yao
Hou po
Lai fu zi
Ban xia
Chen pi
Fu ling
Bai zhu
Cang zhu
Shen qu
Move Qi In LI, Release Pain: Gueng Mu Xiang (No
Use Qin Mu Xiang = Toxic)
Move Qi In LI, Release Pain
Move Qi , Break Qi, Help Digestion
Move Qi, Break Qi, Help Digestion
Move Qi – Release Pain
Move Qi – Break Pain
Gas Bloat Food Stagnation
Descend Qi, Move Qi
Qi Harmonize, Move Qi, Descend Qi
Sp
Sp
Damp
Digestion
Sha ren
Aromatic, Damp, SP Fx, Help Digestion
Mu xiang
qi stagnation related to inguinal hernia, testicle – LV meridian – Dao Qi Tang
SI, umbilicus, looks like LI qi (Qi yu in intestines) – use Mu Xiang Shun Qi Wan
Formulas: Dr. Ma
F.A.Yip, 2005
Regulate Qi
89
Dao Qi Tang (SI)
p 297
Qi Stagnation in Intestines (SI)
SI- cramping, more lateral, hernia,
inguinal, testicle pain, lower
abdomen, scrotum
move qi, release pain
RN12; RN6; ST36; SJ6; LV1
Mu Xiang
9
move qi, release pain
12 gr. if no cold
Chuan Lian Zi
Jin Ling Zi
12
hypochondriac pain & LV qi yu
Xiao Hui Xiang
6
Wu Zhu Yu
3
Modify For
More Pain:
Mu Yao
Yan Hu Suo
Bai Shao Yao
LV meridians – hernia pain 3 gm if no cold, if
cold use 6 gr.
LV meridians – sl. warming 3 gm if no colod, if
cold use 6 gr.
pain
pain, move blood
to soften LV
Not sure it should be in this category
Formulas: Dr. Ma
F.A.Yip, 2005
Regulate Qi
90
Descend Qi
Stomach, LU (Liver functions through LU & Stomach)
Asthma: LU, SP, KD
Note: Fang feng is moist – does not injure fluids like a lot of wind herbs
Source: Imperial Grace Formulary of
the Tai Ping Era (Tai ping hui min he
ji ju fang)
Su Zi Jiang Qi Tang / Perilla Fruit for Directing Qi
Downward Decoction
Functions:
p 299
Descend Qi, Relieve Wheezing, Expel Phlegm, Stop Coughing
Indication:
Composition:
Grams
F(x) of single herb in formula:
Excess Above: Phlegm in LU;
Deficiency Below: KD Xu
(Zi) su zi
Ban xia
Hou po
Qian hu
9-12
6-9
3-9
6-
Descend Qi, Expel Phlegm, Stop cough
Rou gui
1.5-3
Dang gui
6-9
Sob, coughing and wheezing; asthma
Weakness of lower back/knee; fatigue;
edema
T: white or white greasy/slippery
Expel phlegm, Stop cough
Warm KD, Astringe qi
- Use small dose! Only 2 herbs that tonify
Tonify Xue
- Tonify Liver due to chronic condition; also
Moistening, Tonify Liver Xue
Disperse Cold, Open LU Qi
- Leaf light – goes up to disperse
Exhalation is stronger than inhalation
Prolonged condition, even though an
excess exists.
5 lvs
Zi su ye
2 pc
Sheng jiang
3-4.5
Gan cao
Harmonize Middle, Harmonize Herbs and Tonify
3 Pc
Da zao
Bensky: Coughing & wheezing with watery copious sputum, stifling sensation in chest & diaphragm, s.o.b. with relatively
labored inhalation and smooth exhalation; may be pain & weakness of low back & legs, edema of extremities, &/or fatigue. Tc:
slippery or greasy. Excess Above—Phlegm in Lung, Xu Below—KD Xu
Dr. Ma: Su zi, qian hu specific for cough; ban xia & hou po indirect for cough; can also add chen pi to this formula.
Clear Excess then tonify Spleen (bai zhu, fu ling) – not for KD-based asthma (Theirs is more acute, more Spleen related)
Syndromes: LU Qi Retroflow (rebellious)
Ding Chuan Tang / Arrest Wheezing
Decoction
Functions:
Source: Exquisite Formulas for Fostering Longevity
(Fu shou jing fang)
p 300
Open LU Qi; Descend Qi; Expel Phlegm; Stop Wheezing
Indication:
External Wind-Cold;
Internal Phlegm-Heat
External W-C is short-term; Internal
Ph-H is long-term.
Profuse, yellow, thick, sticky phlegm
Coughing; asthma; labored breathing;
wheezing
- Very excess symptoms; strong herbs
- LU Qi Constrained  Heat
Tc: Yellow greasy P: Slippery rapid
Composition:
Ma huang
Bai guo
(yin xing)
Su zi
Xing ren
Ban xia
Kuan dong hua
Sang bai pi
Huang qin
Gan cao
Grams
5-6
9
6
4.5
9
9
9
4.5
3
F(x) of single herb in formula:
Open Lung Qi, Relieve wheezing
- Disperse W-C
- Ma huang & bai guo very strong – good coupling
- Use ma huang only for a few days
Astringe LU Qi, Relieve wheezing
Descend Qi, Relieve wheezing
Seeds good for sticky phlegm – moistens to help get out
Drain LU Heat
- sang bai pi good for yellow phlegm
Harmonize (many strong herbs)
Dr. Ma: Ask quantity of phlegm; color; easy/difficult to expectorate, etc.
* Do NOT eat ice cream and other cold foods/drinks!
* To tx LU, must tx mother/SP – tonify SP after taking this formula.
Bensky: Coughing & wheezing with copious thick & yellow sputum; labored breathing; Tc: greasy, yellow; P: slippery, rapid;
May be simultaneous chills & fever
Syndromes: LU Qi Retroflow (rebellious)
Formulas: Dr. Ma
F.A.Yip, 2005
Descend Qi
91
Si Mo Tang / Four Milled-Herb
Decoction
Functions:
Source: Formulas to Aid the Living (Ji sheng fang)
p 301
Move Qi; Descend the Rebellious; Open Chest; Disperse Stagnation
Indication:
Composition:
Injury of emotions, LIV Qi Yu
Grams
Wu yao
9
Chen xiang
3
Bing lang
9
Ren shen
3
LIV Qi Yu  LU Qi Yu; ST Qi Yu
Injury & extremes of 7 emotions
Fullness in chest, focal distention in the
epigastrium, no appetite, sob,
Nausea, asthma, irritable, restless (liver
qi is root, manifests in lu/stomach)
F(x) of single herb in formula:
Move Qi, Soothe Liver, Relieve Stagnation
(does not descend)
Soothe qi, Descend Rebellion. Relieve wheezing
- moves strongly  contraindication in pregnancy!
Move Qi, Transform stagnation, Relieve Fullness
- strong: may even calm down parasites.
Tonify Qi
- Balance other herbs that are moving
- 3 herbs to move qi: wu yao, chen xiang, bing lang.
- Use ren shen (as assistant in only 1-3 g) to help protect qi from moving too much. If use too much ren shen, will cause further
bloating.
- Chen xiang should also be give in a small dosage and is contraindication in pregnancy
Bensky: an irritable, stifling sensation in chest & diaphragm together with labored breathing, wheezing, epigastric focal
distension & fullness, loss of appetite. Grind to make more aromatic
Compare:
Xiao Yao San: LIV Xue Xu, SP Xu. LIVSP – tonify LIV and SP
Si Mo San: LIV Qi Yu – moves, descends qi (w/ chen xiang), has ren shen for balance
Chai Hu Shu Gan San: LIV Qi Yu – moves, doesn’t tonify or descend
Yi Guan Jian: LIV & KD Yin Xu, LIV Xue Xu – tonify LIV and KD, Xue
Xuan Fu Dai Zhe Tang / Inula &
Hematite Decoction
Functions:
Source: Discussion of Cold-induced Disorders
(Shang han lun)
p 302
Descend the Rebellious; Transform Phlegm; Tonify Qi; Harmonize Stomach
Indication:
Composition:
ST Qi Xu; Interior Phlegm
(Stomach Xu Cold)
Xuan fu hua
ST Qi Xu  ST Xu Cold  warm &
tonifying herbs
Dai zhe shi
Rebellious qi d/t ST Qi Xu: hiccup,
belching, nausea, vomiting
May use for nausea due to
chemotherapy.
Nausea may occur for a long time due
to SP/ST Xu, therefore, must tonify
SP/ST – can also give Xiang Sha
Liu Jun Zi Tang, Si Jun Zi Tang
Ban xia
Grams
9
9-15
9
F(x) of single herb in formula:
Warm: Descend Qi, Resolve Phlegm
Cold and heavy: Descend Qi
 Use small dose, cook first
*remove if using Rx for morning sickness*
Expel phlegm, Disperse stagnation, Harmonizes ST
Sheng jiang*
6-15
Warm ST, Transform Phlegm, Disperse Cold, Relieve
Vomiting
- very food for nausea (addresses SP)
Ren shen*
Zhi gan cao*
Da zao*
6
3-9
4 Pcs
Tonify Qi
Tonify middle Qi
Tonify SP/ST
T: White slippery P: Wiry, xu
Bensky: Unremitting belching, hiccups, regurgitation, nausea or vomiting, hard epigastric focal distension;
Dr. Ma: Cook dai zhe shi 20-30 minutes, then add other herbs to soak for 1 hour, then cook again.
- Use more xuan fu hua than dai zhe shi: xuan fu hua is light and warm; dai zhe shi is cold and heavy.
Morning sickness: remove dai zhe shi for pregnant women.
[morning sickness is due to the overflowing energy of the Chong Mai (during pregnancy) into the ST Channel, leading to an upsurging of ST qi  nausea, vomiting]
*Sheng jiang, ren shen, zhi gan cao, da zao = Zhang Zhong Jing’s signature to protect ST
LI-4 is a good point to tx hiccups.
Syndromes: ST Qi Retroflow cold type
Ren shen & sheng jiang in all three of these stomach rebellion (xuan fu dai zhe tang; ju pi zhu ru tang; ding xiang
shi di tang)
Formulas: Dr. Ma
F.A.Yip, 2005
Descend Qi
92
Ju Pi Zhu Ru Tang / Tangerine Peel & Bamboo
Shavings Decoction
Functions:
Source: Essentials from the Golden
Cabinet (Jin gui yao lue)
p 304
Descend Rebellious; Tonify Qi, Clear Heat
Indication:
Stomach Xu with Heat; Rebellious
Stomach Qi
(Stomach Heat)
Heat could arise from a number of
causes
Composition:
Grams
F(x) of single herb in formula:
Ju pi / Chen pi
9-12
Move Qi, Harmonize Stomach, Stop hiccup
- Ju pi is related to chen pi (aka ju hong) – chen pi is older
Zhu ru
9-12
Clear Heat, Calm the Stomach, Stop hiccup
Ren shen
3
Gan cao
3-6
Da zao
5 pc
Sheng jiang
6-9
Tonify Qi
Harmonize Stomach
T: Tender, red
P: Xu, rapid
Harmonize Stomach, Relieve nausea & vomiting
*Even though there is ST Heat, the root is ST Qi Xu, thus, still give ren shen, gan cao, da zao, and sheng jiang to help and
protect the ST. Regardless of hot or cold, Zhang Zhong Jing still used the same herbs to protect the ST. Here, this Rx is not
too cold, for if there is ST Heat w/ Xu, the ST cannot handle herbs that are very cold.
Bensky: Hiccup, nausea, dry heaves, or retching; also for vomiting from debility after long term illness or heat from deficiency
of stomach;
Syndromes: ST Qi retroflow – heat type
Ding Xiang Shi Di Tang / Clove &
Persimmon Calyx
Functions:
Source: Pattern, Cause, Pulse, and Treatment
(Zheng yin mai zhi)
p 305
Warm the Middle, Tonify Qi, Descend the Rebellious
Indication:
Composition:
Grams
Ding xiang
6
F(x) of single herb in formula:
Deficient Cold of Stomach,
Warm ST, Disperse Cold, Descend Qi
Rebellious Qi: belching and hiccup
Using ding xiang alone as a tea will already help
rebellious qi.
Belching, hiccup, focal distention
Shi di
6-9
Warm, Bitter: Stop hiccup
Compare to:
Xuan Fu Dai Zhe Tang – this doesn’t transform
phlegm
Ren shen
3-6
Tonify Qi
6-9
Warm ST, Descend the Rebellious
Sheng jiang
P: Submerged slow
Bensky: Hiccup, belching or vomiting with stifling sensation in epigastrium, focal distension of chest; T: pale with white coat
Xuan Fu Dai Zhe Tang: ST Qi Xu, Phlegm – Xu Cold of ST
More important, stronger; clear structure & a more complete formula; addresses phlegm.
Ding Xiang Shi Di Tang: Xu Cold of ST
Very good and specific for rebellious ST qi; gentle and light formula
Ju Pi Zhu Ru Tang: ST Xu with Heat
Jin Ling Zi San / Melia Toosendan Powder
P 295
Intermittent Epigastric & Hypochondriac
Pain, Hernial Pain, Menstrual Pain that is
Aggravated by Hot Food or Beverages; with
Irritability; T: Red; Tc: Yellow; P: Wiry or
Rapid
Formulas: Dr. Ma
F.A.Yip, 2005
Functions: Spreads Liver Qi; Drains Heat; Regulates
Qi; Alleviates Pain
Chuan Lian Zi
30
Spreads Liver, Alleviates Pain
30
Yan Hu Suo
Descend Qi
Moves Qi & Blood, Alleviates Pain
93
Regulate Blood
1.
2.
Quality: Xu  must tonify (previous chapter)
Movement:
a. Stagnation  tx: move xues
i. Moving too much can injure the xue.
ii. Use cautiously during menstruation; do not move during pregnancy
iii. Caution with strong xue moving herbs: tao ren, hong hua, e zhu, san leng, etc.
iv. Add herbs to tonify to protect xue injury
b. Bleeding  tx: stop bleeding
i. When bleeding internally, may be considered stagnation, thus, sometimes it is necessary to have to
resolve stagnation first before stopping bleeding.
ii. Types: nasal, coughing, vomiting, hemorrhoids, etc. – from orifices.
iii. After stopping bleeding, must tonify.
Move Blood = Huo Xue or Xing Xue
Tao He Cheng Qi Tang / Peach Pit Decoction
to Order the Qi
Functions:
Source: Discussions of Cold-induced
Disorders (Shang han lun)
p 312
Break Up, Descend Xue Yu
Composition:
Xue Yu in Lower Jiao
Strong xue movers!
Pain in lower abdomen, heat signs, even
delirium, mania, irritability, thirst, fever
at night (xue belongs to yin, and thus is worse at
night), constipation, headache, nasal
bleeding, amenorrhea or dysmenorrhea,
postpartum with retained lochiochesis.
Rough skin, dark, dark purple tongue –
must see stasis signs for amenorrhea to
use this formula, not for xu.
Can also be used for injury/trauma of the
lower abdomen
Tiao Wei Cheng Qi Tang
Indication:
Grams
F(x) of single herb in formula:
Tao ren
12-15
Break up Xue Yu, Move Blood
Gui zhi
6
Unblock the Blood Vessels
- can also balance cold nature of other herbs
Da huang
12
Drain heat
Mang xiao
6
Drain heat, soften hardness
Zhi gan cao
6
Tonify qi, Harmonize the middle
Taiyang Syndrome – Xue buildup
Bensky: Acute lower, incontinence of urine, night fevers, delirious speech, irritability, restlessness & thirst; severe case may be
manic; women: amenorrhea or dysmenorrhea; P: submerged, full or choppy
D: Blood build-up in lower jiao, caused by accumulation of blood stasis & heat; external pathogen to lower jiao - usually only
use for 1-2 weeks. Usually use xue tonifying herbs also.
Formulas: Dr. Ma
F.A.Yip, 2005
Regulate Blood
94
Source: Corrections of Errors among
Physicians (Yi lin gai cuo)
– written by Wang Qing-ren
Xue Fu Zhu Yu Tang / Drive Out Stasis in the
Mansion of Blood Decoction
Functions:
p 314
Move Xue, Remove Stagnation, Move Qi, Relieve Pain
Indication:
Composition:
Grams
F(x) of single herb in formula:
Tao Hong Si Wu Tang + Si Ni San + jie geng, huai niu xi
Tao Hong Si Wu Tang – Move Xue
Blood Stasis in Chest
Tao ren
12
Hong hua
9
* Top formula to tx heart diseases.
Sheng di
9
When there is xue stasis, there is also
qi yu. LIV Qi Yu  Xue Yu.
Dang gui
9
Chi shao
6
Syndromes: HT Blood Stasis
#1 sx: pain in chest, headache;
chronic; stabbing, fixed pain
Hiccup, irritability, anger, dry heaves,
palpitations, insomnia (internal
heat), poor sleep, restlessness, (yu
 heat)
Darkness around eyes.
T: dark purple, may have purple
spots; dark lips
P: wiry, tight; or choppy
Chuan xiong
- 4 herbs to help bm: dan gui; sheng di huang; zhi
ke; niu xi
- Alternate use of tao ren, hong hua with more
tonifying (raw or powder) – long-term use injures
blood, and patient becomes resistant to their
action (in raw use for 1 month, pills can go much
longer, alternating not so important)
4.5
Si Ni San – Move Qi & Xue, Soothe LIV
Chai hu
3
Move LIV qi
Zhi ke/qiao
6
Open Chest, descend qi
Zhi gan cao
3
+
Jie geng
Huai niu xi
4.5
9
Open LU Qi, Guide herbs up
Unblock blood vessels
- Move Qi, Soothe Liver Qi – for emotional aspect; if severe constipation, may use zhi shi instead, but otherwise zhi ke is
lighter and better to open chest, and not as strongly descending.
- Zhi ke, jie geng - open chest good combo for tightness, suffocating sensation of chest – open lu qi – good for other formulas
too
Dr. Ma: 5 formulas based on this formula; still use these blood movers even when someone is on coumadin, unless bruising
easily – minimize tao ren, hong hua esp. for long-term use (can injure blood) most important formulas in this chapter
Bensky: Pain in chest & hypochondriac; chronic stubborn ha with fixed, piercing quality; chronic, incessant hiccup; choking
sensation when drinking; dry heaves; depression or low spirits with sensation of warmth in chest; palpitations; insomnia,
restless sleep; irritability, mood swings; evening tidal fever; t: dark red, dark spots on sides; dark or purplish lips, complexion or
sclera; P: choppy, wiry, tight
Heart Problems: 1) Blood Stasis & 2) Phlegm
4 Rx:
1. Zhi Shi Xie Bai Gui Zhi Tang;
2. Zhi Gan Cao Tang;
3. Xue Fu Zhu Yu Tang;
4. Dan Shen Yin
Formulas: Dr. Ma
F.A.Yip, 2005
Regulate Blood
95
Affiliated formulas to Xue Fu Zhu Yu Tang:
Formula
Ingredients
Xue Fu Zhu Yu Tang
Tao ren, hong hua, chi shao, …
Tong Qiao Huo Xue
Tang
“Unblock the Orifices & Invigorate
the Blood Decoction”
p 315
Ge Xia Zhu Yu Tang
“Remove Blood Stasis Below the
Diaphragm Decoction”
p 316
Shao Fu Zhu Yu Tang
“Remove Blood Stasis in the Lower
Abdomen Decoction”
p 316
Shen Tong Zhu Yu Tang
“Remove Blood Stasis from a Painful
Body Decoction”
p 316
Function
Location
Sx
As listed above …
Chest
OFTEN GIVEN IN PATENT FORM
tao ren,
hong hua,
chi shao,
chuan xiong,
tao ren,
hong hua,
chi shao,
chuan xiong,
dang gui,
dang gui,
chuan xiong,
chi shao,
yan hu suo,
pu huang,
wu ling zhi,
tao ren,
hong hua,
chuan xiong,
dang gui,
qin jiao,
xiang fu,
she xiang,
lao chong (old scallion),
hong zao,
huang jiu (yellow wine)
sheng jiang
wu ling zhi,
mu dan pi,
wu yao,
yan hu suo,
zhi ke,
gan cao
these 3 warm the
interior:
Head
Move
Xue,
Remove
Xue
Stasis,
Stop
pain
xiao hui xiang,
gan jiang,
rou gui
Sharp-pain, fixed,
headache; hx of head
trauma; ear or nasal
blockage
Below diaphragm
(including:
hypochondriac area,
abdominal masses)
Lower abdomen –
Woman’s Rx
Stop pain for Xue
Stasis w/ Cold
accumulation
– warms the Channels
Excess / Xue Stasis type
of ovarian cysts,
fibrosis, etc. – not
limited to just below
diaphragm
COLD & STASIS:
Menstrual:
dysmenorrhea, clots,
prefers warmth
Abdominal: fibroids,
cysts, etc.
these 2 dredge channels:
qiang huo,
di long;
niu xi,
mo yao,
wu ling zhi
Body / Channels
Body aches, joint pain,
etc.
Didn’t go into detail about each of these formulas. Xue Fu Zhu Yu Tang is the most important one.
Source: Corrections of Errors among
Physicians (Yi lin gai cuo)
– written by Wang Qing-ren
Tong Qiao Huo Xue Tang / Unblock Orifices &
Invigorate Blood Decoction
Functions:
Invigorates Blood; Dispels Blood Stasis; Opens Orifices
Indication:
Composition:
Blood Stagnation in Head
Headache or Injury
Bensky: Ha, vertigo, chronic
tinnitus, hair loss, dark purple
complexion, darkness around
eyes, brandy nose
Grams
Chi shao
Chuan xiong
Tao ren
Hong hua
3
3
9
9
Cong bai
3
Da zao
Sheng jiang
She xiang
F(x) of single herb in formula:
Use old green onion – white part; pungent, ascends – use
only a little
7 Pcs
9
0.15
Shao Fu Zhu Yu Tang / Drive Out Blood Stasis
in the Lower Abdomen
Functions:
p 314
Source: Corrections of Errors among
Physicians (Yi lin gai cuo)
– written by Wang Qing-ren
p 316
Invigorates Blood, Dispels Stasis, Warms Menses, Alleviates Pain
Indication:
Composition:
Blood Yu in Lower Abdomen; Women’s Gynecological Problems
also warming in nature
Bensky: Palpable masses w/ or w/o pain; lower abdominal distension;
low back pain & abdominal distension during menses; frequent
menses with dark or purple blood often with clots; abnormal uterine
bleeding with lower abdominal soreness & pain; cirrhosis of liver
with edema (add sheng di huang, xiang fu, wu yao)
Formulas: Dr. Ma
F.A.Yip, 2005
Regulate Blood
Xiao hui xiang
Gan jiang
Yan hu suo
Dang gui
Chuan xiong
Mo yao
Guan gui
Chi shao
Pu huang
Wu ling zhi
Grams
F(x) of single herb in formula:
1.5
.6
3
9
3
3
3
6
9
6
96
Source: Corrections of Errors among
Physicians (Yi lin gai cuo)
– written by Wang Qing-ren
Shen Tong Zhu Yu Tang / Unblock Orifices &
Invigorate Blood Decoction
p 316
Invigorates Blood, Promotes Qi Movement, Dispels Blood Stasis, Unblocks Collaterals, Unblocks
Painful Obstruction, Alleviates Pain
Functions:
Indication:
Composition:
Grams
F(x) of single herb in formula:
3
Collaterals Bi syn (wind-damp)
Qi Jiao
3
collaterals bi syn in upper body (du huo if lower pain)
Qiang Huo
Blood Yu Whole Body – Muscles,
6
dredge collaterals – Resolve Phlegm – LIV Wind
Di Long
Four Limbs
6
Remove Stasis Herbs, Release Pain
Chuan Xiong
9
Tao Ren
Syndromes: Blood Stasis In
9
Hong Hua
Channels, Collaterals
6
Mo Yao
9
Pain of shoulder, neck, back, etc
Dang Gui
6
Wu Ling Zhi
9
Guide Down Bld
Body aching, 4 limbs, body aching
Chuan Niu Xi
not in internal organs
6
Gan Cao
3
Xiang Fu
Bensky: Shoulder pain, arm pain, lower back pain, leg pain, other chronic aches & pains of body
D: Painful Obstruction due to obstruction of qi & xue in channels & collaterals.
Usually powders or pills not raw due to smell. Use for 1-2 weeks then tonify
(Shen Tong = Body Aches) Zhu Yu = Remove Stasis
Ge Xia Zhu Yu Tang / Drive Out Stasis
Below Diaphragm
Source: Corrections of Errors among Physicians (Yi lin
gai cuo) – written by Wang Qing-ren
Functions:
Invigorates Blood; Dispels Blood Stasis; Promotes Movement of Qi; Alleviates Pain
Indication:
Composition:
Grams
Wu ling zhi
Dang gui
Chuan xiong
Tao ren
Hong hua
Yan hu suo
Mu dan pi
Chi shao
Wu yao
Xiang fu
Zhi ke
Gan cao
9
9
6
9
9
3
6
6
6-12
4.5
4.5
9
Blood Stagnation below diaphragm
Syndromes: Blood Stasis In Abdomen
Abdominal mass, tumor, cramping, pain, LV or
SP enlargement, uterus masses
If Cancer – be more conservative (don’t move
blood so much)
Need to move qi more
p 316
F(x) of single herb in formula:
------------------------------------------------------------
Fu Yuan Huo Xue Tang / Revive Health
by Invigorating Blood
Functions:
Source: Medical Innovations (Yi xue fa ming)
p 326
Move Blood, Expel Stagnation, Soothe Liver Qi, Unblock Collaterals and Channels
Indication:
Composition:
Grams
Da huang [jiu da huang]
Blood Yu in
Hypochondrium due to
Trauma
9
F(x) of single herb in formula:
Remove bad blood,
- processed in alcohol to enhance moving function
Soothe Liver Qi
15
Chai hu
9
Dang gui
Move Blood, Reduce Swelling, Relieve Pain
9
Tao ren [jiu tao ren]
Tao ren - processed in alcohol to enhance moving f(x)
6
Hong hua
Pain in LIV/GB channels,
6
Unblock stagnation in channels/collaterals
Chuan sha jia
hypochondrium, chest
9
Disperse stagnation, Clear Heat, Moisten Dryness
Gua lou gen (tian hua fen)
6
Relieve Pain, Harmonize Herbs
Gan cao
Bensky: Excruciating pain associated with traumatic injury, especially in chest, hypochondria or flanks
D: Traumatic physical injury causes blood to leave vessels
Formulas: Dr. Ma
F.A.Yip, 2005
Regulate Blood
97
Qi Li San / Seven Thousandths of a Tael Powder
-- a patent/powder formula -Functions:
Source: Medical Innovations (Yi xue fa ming)
p 327
Move Blood, Expel Stagnation, Relieve Pain, Stop Bleeding
Indication:
Composition:
Grams
Trauma, Xue Yu, Bleeding
Xue jie
Hong hua
30
4.5
She xiang
Bing pian
0.36
0.36
Mix with wine/alcohol to form a paste and
use topically over area of trauma/injury
- skin may peel – regeneration of new skin,
and bone/tissue below.
F(x) of single herb in formula:
Qi = 7 Li = .3g San = Powder
Therefore, take 7 x 0.3g per dose = 0.21g
*Good to have in an emergency kit
4.5
Ru xiang
4.5
Mo yao
For external or internal use – very small
dose esp. internally, usually used
3.6
Zhu sha
externally
7.5
Er cha
Bensky: Bruising, swelling, pain with traumatic injury such as broken bones, torn sinews; bleeding due to lacerations
D: Traumatic injury causes Xue Stasis & Qi Yu
Liang = 30g
Qian = 3g
Fen = 0.3g
Li = 0.03 g
Abortion: san leng, e zhu, tao ren, hong hua
very important rx!
Bu Yang Huan Wu Tang / Tonify the Yang to
Restore the Five [Tenths] Decoction
Functions:
Source: Corrections of Errors among Physicians
(Yi lin gai cuo)
p 320
Tonify qi, Move Xue, Unblock Chollaterals
Indication:
Composition:
Grams
Sequelae of Stroke; Qi xu
causing Xue yu
Sheng huang qi [c]
Only formula for post stroke;
hemiplegia; deviated mouth,
eye; speech problem;
frequent urine or
incontinence (Qi is too weak
to move blood or hold urine).
Give rx anytime betw/ 1 wk to
1 month post-stroke.
20-30
(120)
Dang gui wei [d]
6
Chuan xiong [d]
3
Chi shao [d]
4.5
Tao ren [a]
3
F(x) of single herb in formula:
Tonify SP/ST Qi, Qi Moves Blood [qi is the commander of xue]
Sheng huang qi moves more than zhi huang qi, which tonifies
better.
- Helps heal bedsores. - Best form of huang qi is from Chuan Xi
province
Move Blood (Wei = Tail - Moves More)
Move Blood, Remove stagnation
3
Hong hua [a]
P: Slowed down;
T: White coat (dark purple if
3
Unblock channels & collaterals
Di long [a]
blood stasis)
Bensky: Sequelae of wind-stroke with hemiplegia, paralysis, atrophy of lower limbs, facial paralysis, slurred speech, drooling, dry
mouth, dry stools, frequent urination, urinary incontinence; T: White; P: Moderate
D: Xu of the normal & yang qi with blood stasis obstructing the channels
Dr. Ma: Same as Tao Hong Si Wu Tang except di long instead of di huang plus huang qi; may need to add for phlegm; more
veggies, no greasy foods, lean meat, etc.
* Traditionally, this rx was used for strokes d/t infection or hemorrhage. But to move xue when there is hemorrhage?
Hemorrhage/bleeding often leads to stagnation, therefore, used xue movers to prevent stagnation. Balance!
- Do one round moving formula then 2 rounds nourishing formula. 1 st: Move Xue. 2nd: invigorate xue, unblock channels, and give
Kidney tonics.
Facial features and tongue will deviate towards healthy side.
Must do acupuncture on stroke patients (esp. w/in 1 st year, and after the 1st 1-2 wks)! Scalp points are crucial – according to the
traditional points, or according to the lines. (Must rotate scalp needles to enhance stimulation – should be 200x/min; rotate for
several minutes, every 10 minutes during a treatment).
If patient has had hemorrhage, here in the US, better to avoid doing acupuncture. Often these patients will have a 2nd hemorrhage,
and may ‘blame’ acupuncture.
Tx: everyday for 10d, initially; then continue to tx, but not necessarily everyday.
Traditional points for sequela of stroke: yangming and GB points: ST-36, 40; GB-30, 34; LI-4, 11, 15; DU-20; GB-20; etc.
Formulas: Dr. Ma
F.A.Yip, 2005
Regulate Blood
98
Source: Imperial Grace Formular of the Tai Ping
Era (Tai ping hui min he ji ju fang)
Shi Xiao San / Sudden Smile Powder
Functions:
p 316
Moves Xue, Removes Stagnation
Indication:
Composition:
Blood Yu: pain
Wu ling zhi
Heart, abdominal pain; irregular menses,
retention of lochia; Dysmenorrhea, angina
Pu huang
Grams
F(x) of single herb in formula:
Move blood, Relieve pain
Equal amts of each
- normal dose is 6g mixed
w/ warm, white wine or
vinegar.
Cu (vinegar) or
Move xue, relieve pain
Huang jiu
(wine)
Bensky: Irregular menses, dysmenorrhea, retention of lochia, post partum abdominal pain; acute colicky pain in lower abdomen,
severe pain in middle abdomen or epigastric pain.
D: Retention of Blood Stasis which obstruct vessels of lower jiao
Use with vinegar or wine (help move blood,
relieve taste)
Source: Collected Songs about Contemporary
Formulas (Shi fang ge kuo)
Dan Shen Yin / Salvia Decoction
Functions:
p 318
Moves Xue, Remove Stagnation, moves Qi, Relieves pain
Indication:
Composition:
Grams
Xue Yu, ,Qi Yu; HT & ST
pain
Dan shen
30
F(x) of single herb in formula:
Move Blood (Clears Blood heat, Tonify Xue)
- long-term use of dan shen, a xue mover, will not damage xue.
4.5
Tan xiang
Very good for the HT.
Move Qi, Relieve Pain, (open the Middle)
4.5
Sha ren
Good to take prophylactively.
Bensky: Abdominal or epigastric pain which may radiate upwards with signs & symptoms of qi & blood yu.
D: Blood & Qi Yu accumulated in middle jiao, may radiate upwards
Sheng Hua Tang / Generation & Transformation
Decoction
Functions:
Source: Women’s Diseases According to Fu
Qing-Zhu (Fu qing zhu nu ke)
p 323
Move Xue, Remove Stagnation, Warm the channels, Relieve pain
Indication:
Composition:
Cold Invasion, Blood Yu after delivery
(retention of lochia)
Cold sensation & pain in lower abdomen; cold
causes blockage.
Retention of lochia.
Grams
F(x) of single herb in formula:
Dang gui [c]
24
Tonify (& Move) Blood
Chuan xiong [d]
9
Move Blood & Qi
Tao ren [d]
6-9
Move Blood
Pao jiang [a]
1.5
Disperse Cold, Warm Channels, Relieve
Pain
Must remove old xue before generating new xue
– “If one desires to unblock, it is first necessary Huang jiu [a]
Warm, Unblock Blood Vessels
to make full.” Thus, large dosage of dang gui to
tonify and invigorate xue; when the qi & xue
Tonify Yang, Remove Stagnation, Leads
Tong bian (boy’s urine
are abundant, the blood vessels will be full and
under 4 year old, mid-stream)
bad blood down – can leave out! Use water
the circulation of xue will be smooth &
unimpeded. This will lead to the dispersion of
1.5
Harmonize
Zhi gan cao [e]
xue stasis. Bensky
Bensky: Retention of lochia with cold & pain in lower abdomen; t: pale-purple or pale with purple spots; p: thin, submerged,
choppy
D: Cold takes advantage of qi & blood xu during postpartum to enter abdomen; cold  blood stasis
Tong bian = boys urine—young children have benzoic acid and adults don’t (?), they also have melatonin that comes out in urine in
the morning
Formulas: Dr. Ma
F.A.Yip, 2005
Regulate Blood
99
Wen Jing Tang / Warm the Menses Decoction
[“Warm the Chong and Ren Channels”]
Functions:
Source: Essentials from the Golden Cabinet
(Jin gui yao lue)
p 324
Warm the Channels, Disperse Cold, Remove Stagnation, Tonify Xue
Indication:
Composition:
Grams
F(x) of single herb in formula:
Warm the channels, Disperse cold, Unblock vessels
Wu zhu yu [c]
Gui zhi [c]
9
6
Dang gui [d]
Chuan xiong [d]
Bai shao [d]
9
6
6
Move Blood, Tonify Blood
(Si Wu Tang without di huang – would be ok to add)
If Blood yu, use chi shao.
*If bleeding, remove chuan xiong.
Mu dan pi [a]
6
Unblock channels, Clear Xu heat (softens irritability)
E jiao
Mai men dong
6
9
Ren shen
Gan cao
6
6
Ban xia
6
Works on Liver Xue, Spleen Qi.
Sheng jiang
6
Help ST Transformation, Descend Stomach Qi, Helps Balance,
Reduce Toxin of Ban Xia
3 Aspects: Xu Cold, Blood (Yu & Xu);
Yin Xu
Reduces Yu, Clears Xu Heat & Tonifies
Yin & Blood
Gan cao
6
Harmonize the Herbs
Xu Cold in Chong & Ren with Blood
Yu
Abdominal pain worse with cold
Also some yin & blood xu - blood yu
may generate heat, dryness  injure
yin & xue
Cold & pain in lower abdomen
Uterine bleeding, spotting, irreg. menses,
more frequent, delayed, or amenorrhea.
Infertility: can use for amenorrhea/irreg.
etc, but not always, need to move blood
from time to time, may need to add KD
herbs – must modify
Evening fever, irritability, dry mouth, etc.
Use only if cold symptoms – cramping, cold feeling in lower
abdomen, use small dose of wu zhu yu – both are very warm
Tonify Yin Blood, Nourish Dryness, Clear Deficient
Heat, Stop bleeding
*If more bleeding: add huang qin, du zhong, di yu.
Tonify Qi (to Generate Blood)
Part of Si Jun Zi – to help SP (can add bai zhu, fu ling if more
spleen xu)
Descend ST qi, Disperse Stagnation
Chong channel related to yangming channel – often rebellion in
both; nasal bleed before menses
Warm Stomach
If heat take out wu zhu and gui zhi. If spotting, take out chuan xiong.
If severe xu:
Add KD nourishing herbs: Liu Wei Di Huang Wan, etc.
Warm the KD, esp. for low libido: du zhong, rou cong rong, yin yang huo.
If dryness is present: rou cong rong, shu di, gou qi zi, mu dan pi.
Dr. Ma: Can use as-is for bleeding if not modified, but “this rx can’t be for everything and modifications for specific conditions
are important.” For amenorrhea, must modify; may be used with caution in pregnancy (remove wu zhu yu, gui zhi, chuan xiong) –
xiang fu, zi su, ai ye for warmth
Know ingredients. For all kinds of menstural probs, but remember individual herb modifications
Bensky: Mild persistent uterine bleeding, irregular menstruation (early or late); extended or continuous flow; bleeding between
periods; pain, distension, cold in lower abdomen; infertility, dry lips & mouth, low grade fever at dusk; warm palms & soles
D: Xu & Cold of Ren & Chong + Blood Yu Obstruction
CC: Abdominal masses due to Blood Yu due to excess.
If excess painful sex: Long Dan Xie Gan Tang. If xu: nourish, tonify.
Didn’t go over
Huo Luo Xiao Ling Dan / Fantastically
Effective to Invigorate Collaterals Pill
Functions:
Source: Records of Heart-felt Experiences in Medicine with
Reference to the West (Yi xue zhong zhong can xi lu)
p 329
Move Blood, Remove Stagnation, Unblock Channels, Relieve Pain
Indication:
Composition:
Grams
F(x) of single herb in formula:
15
Move Blood, Tonify Blood
Dang gui
15
Help Dang Gui Move Blood, Tonify Blood
Dan shen
Stomach, heart, 4 limbs, all kinds of injury
15
Ru xiang
Remove Stagnation, Move Qi & Blood. Relieve Pain
pain
15
Mo yao
Modifications:
Leg Pain – add niu xi, du huo
Arm – lian qiao, sang zhi, qiang huo
Woman’s abdominal pain – tao ren, wu ling Zi
Stiffness in a.m.; ok after movement (constrained Yang Qi) – Strengthen KD, leach damp
Bensky: Pain in various locations in body such as heart, stomach, abdomen, back, leg, arm; bruising & swelling due to trauma,
rheumatic pain, fixed abdominal masses; internal or external ulcerations; T: dark or with static points; P: wiry
D: Qi & Xue Stasis obstructing channels & collaterals CC: Pregnancy
Qi & Blood Yu; Pain
Formulas: Dr. Ma
F.A.Yip, 2005
Regulate Blood
100
Source: Essentials from the Golden
Cabinet (Jin gui yao lue)
Gui Zhi Fu Ling Wan / Cinnamon Twig & Poria Pill
Functions:
p 322
Move Blood, Transform Stagnation, Reduce Mass
Indication:
Composition:
Grams
F(x) of single herb in formula:
Gui zhi
9-12
Warm & Unblock Vessels
Fu ling
9-12
Leach out yu, Tonify HT & SP qi
Mu dan pi
Chi shao
Tao ren
9-12
9-15
9-12
Transform Blood Yu; Clear Heat
Blood Yu in Uterus
Originally designed for pregnancy with spotting; dark
spotting with abdominal pain, mild uterine bleeding –
must reduce slowly – seldom used for pregnancy these
days; ok for retention of lochia.
Could be for uterine fibroids but not always. You must
differentiate.
* Do not use for heavy bleeding!
Want to protect fetus, but want to move, too. Thus, only use
in pill form (tao ren, gui zhi are strong): decoction – will
induce labor.
* Dosage: 1 (to 3) pills before meals, TID
(In ancient times, this was 1 honey pill, which was approx. 6-9 g.
Now our pills are smaller and even less strong)
Balance – allows sustained release when
using feng mi to create honey pills.
Feng mi
Bensky: Mild persistent uterine bleeding of purple or dark xue during pregnancy with abdominal pain that increases with pressure;
immobile masses in low abdomen with pain & tenderness; abdominal spasms & tension; amenorrhea with abdominal distension &
pain; dysmenorrhea; retention of lochia; P: Choppy
D: Blood stasis in womb
CC: Extreme caution in pregnancy or post partum – only when confirmed diagnosis of blood stasis as cause
If using bulk, use a while, then tonify, then use again, then tonify
Da Huang Zhe Chong Wan / Rhubarb & Eupolyphaga Pill
Functions:
Source: Essentials from the Golden
Cabinet (Jin gui yao lue)
p 318
Remove stagnation to generate new blood
Indication:
Consumption disease causing xue yu
Composition:
Grams
Da Huang
300
F(x) of single herb in formula:
Remove Stagnation, Clear Heat, cool
blood
Remove Blood Stagnation
30
Zhe Chong
Consumption depletes xue, yin and qi  dry xue  xue
60
Tao Ren
yu
30
Gan Qi
Causes: over eating; over indulgence in alcohol, snacks;
Move Blood
60
Qi Cao
overworking; long-term depression – a long-term
Bugs Are Very Moving
60
Shui Zhi
condition
60
Meng
Chong
Sx: emaciated, rough, scaly skin, dry; darkness around eye
60
Clear Heat Helps Da Huang
(blood yu); cannot eat, fullness in abdomen; very
Huang Qin
severe; women will tend to have menses problems at
Together with Tao Ren Moistens
60
Xing Ren
this stage
Dryness
-Not commonly used.
300
Sheng Di Huang
Tonify Yin Blood
* Must 1st remove yu of “old blood” in order to have
120
Bai Shao
“new blood”
90
Tonify & Harmonize
Gan Cao
* NOT for long-term use (will hurt xue over time)
Help Move Herbs to the Whole Body
Jiu
Strong herbs in mild form of pills to reduce gradually
Alcohol Can Help Remove Blood Yu
Bensky: Emaciation, abdominal fullness, loss of appetite, rough, dry scaly skin; dull & dark appearance of eyes; amenorrhea; tidal
fever, clear bad blood before new blood can be reduced
D: Accumulation of Dry Blood; Consumption; Xu of Source Qi CC: Pregnancy
Formulas: Dr. Ma
F.A.Yip, 2005
Regulate Blood
101
Bleeding
-
Due to: Heat; Qi Xu; Trauma/ Blood Yu  Can Result in Blood Xu
Bleeding is Blood that does not flow in the correct place – will become stagnated
If acute – work on branch first; if chronic can work on branch & root at same time
If in upper part, do not give herbs to ascend; if in lower part, do not give herbs that descend
Source: Essentials from the Golden
Cabinet (Jin gui yao lue)
Shi Hui San / Ten Partially Charred Substances Powder
Functions:
Cool Xue, Stop Bleeding
Indication:
Composition:
Heat causing bleeding
Acute bleeding – heat causes xue to move
recklessly.
Charring/ash (tan) has better function to stop
bleeding.
-Not commonly used.
The normal dosage is 9-15g of the powder
mixed w/ prepared Ch. Ink (jing mo) that is
ground w/ lotus root juice or daikon juice
instead of water.
May be prepared as a decoction in water using
the dosages listed to the right.
Grams
Da ji
Xiao ji
He ye
Qian cao gen
Ce bai ye
Bao mao gen
Zong lu pi (tan)
Zhi zi
Da huang
9
15
9
12
9
30
6
12
9
Mu dan pi
9
Ou zhi (lotus root juice)
Luo bo zhi (daikon juice)
Jing mo (prepared ink)
Bensky: vomiting; spitting; coughing up blood; acute with sudden onset
D: Fire blazing in Upper & Middle Jiao Damage vessels; often liver  Stomach
CC: not for bleeding due to xu or cold-type hemorrhage
Si Sheng Wan / Four Fresh Pill
Functions:
p 336
F(x) of single herb in formula:
Cool Blood, Stop Bleeding
Astringe, Stop bleeding
Clear Heat
Lead Heat Down
Cool Blood, prevent stagnation (mildly
moves)
Cool blood, stop bleeding
- use either ou zhi or luo bo zhi
Source: Fine Formulas for Women (Fu ren liang fang)
p 337
Cool Xue, Stop Bleeding
Indication:
Composition:
Heat causing bleeding (fresh blood)
Grams
12
Sheng ce bai ye [c]
F(x) of single herb in formula:
Cool Blood, Stop Bleeding
Vomiting blood, nasal bleeding due to heat; dry
mouth, throat; thirst; etc.  heat symptoms
Sheng di huang [d] 15-24 Clear Heat, Cool Blood, Nourish Fluids
Fresh herbs will have the f(x) of nourishing yin and
cooling xue
-Not commonly used.
9-12
Stop Bleeding, Disperse Stagnation
He ye
T: Red or deep-red; dry
6-9
- very light, can disperse stagnation
Ai ye
P: Rapid, wiry or forceful, rapid, wiry
Bensky: coughing, spitting or vomiting blood or nose bleeds; esp. bright red blood; with dry mouth, throat
D: upper jiao heat in blood
CC: none noted
Ke Xue Fang / Coughing of Blood Formula
Functions:
Source: Teachings of [Zhu] Dan-Xi (Dan xi xin fa)
p 338
Clear Fire, Transform Phlegm, Astringe LU Qi, Stop Bleeding
Indication:
Composition:
Liver Fire Invading LU (coughing blood)
Liver wood burns LU metal (insults)
Coughing blood, phlegm with blood; irritable from
liver heat; pain in chest or hypochondrium; red
complexion; constipation; short temper, etc.
Emotional stimulation will make worse
Qing dai [c]
Zhi zi [c]
Gua lou ren
Hai shi (fu hai shi)
Grams
6-9
9
9
9
F(x) of single herb in formula:
Clear LIV fire, Cool Blood
Clear Heat
Moisten Dryness, Transform Phlegm
Descend LU Qi; Stop Cough,
6-9
He zi
T: Red, Yellow Coat
P: Rapid, Wiry
Transform Phlegm
Bensky: Coughing of blood streaked sputum; thick sputum that is difficult to expectorate; bitter taste; irritable & easily provoked
anger; constipation; red cheeks; T: Red with yellow coat; P: Wiry, rapid
D: Liver Fire scorching Lu CC: none noted
Formulas: Dr. Ma
F.A.Yip, 2005
Bleeding
102
Huai Hua San / Sophora Japonica Flower Powder
Functions:
Source: Formulas of Universal Benefit from My
Practice (Pu ji ben shi fang)
p 339
Clear LI, Stops Bleeding, Disperse Wind, Descend Qi
Indication:
Composition:
Grams
F(x) of single herb in formula:
Huai hua [c]
9-30
Clear Damp Heat from LI, Cool Blood,
Stop Bleeding
#1 herb for rectal bleeding (& huai jiao)
Ce bai ye [d]
9-15
Helps huai hua Cool Blood, Stop
Bleeding
Jing jie (chao) [d]
6-9
Disperse Wind, Stop Bleeding; Ascends
Zhi qiao [a]
6-9
Descend Qi, open the Intestines
Damp-Heat in Intestines (or Wind-Heat in the LI)
- may not necessarily see a lot of D-H signs; local to
intestines and may not have systemic D-H signs Blood in stool; bleeding may occur before, right after,
or during; or hemorrhoids
Fresh, bright red bleeding before defecation or if
present in the stools indicates Intestinal Wind, while
dark-purple blood w/ clots indicates toxin in the yin
organs.
Intestinal wind: heat burns blood  bleeding
Usually don’t want to descend qi – but here you want
to make bm smooth
T: Red
P: Wiry, or Soggy, Rapid
Bensky: bright-red bleeding in rectum during defecation which typically precedes but may also follow the passage of stool; blood
in stool; hemorrhoids with either bright red or dark red bleeding; D: Lodging of Wind-Heat or accumulation of Damp-Heat in
intestines & stomach thus forming toxins; CC: not for long-term due to cold herbs
Dr. Ma: Blood should be checked to make sure not another problem (i.e. cancer)
Source: Formulas of Universal Benefit from My
Practice (Pu ji ben shi fang)
Xiao Ji Yin Zi / Cephalanoplos Decoction
Functions:
p 341
Cool Xue, Stop Bleeding, Leach out water
Indication:
Composition:
Stagnant Heat in Lower Jiao (Bladder)
(blood in urine)
[re and xue lin]
May or may not visually see blood in urine.
Simple blood in urine, or bloody, painful urinary
dysfx: frequent, burning, urgent, painful urination
Leach damp to remove stagnation; unblocking will
stop bleeding; blood heat in ub hurting blood vessels
Very acute problem; don’t tonify with these heat
symptoms
Similar functions to Dao Chi San, Ba Zheng San, Long
Dan Xie Gan Tang – see below
Grams
F(x) of single herb in formula:
Xiao ji
15
Cool Blood, Stop Bleeding
Ou jie
Pu huang
15
15
Help Cool Blood, Stop Bleeding,
Remove Stagnation
Hua shi
Mu tong
Dan zhu ye
Zhi zi
15
5-6
15
15
Clear Heat, Leach out water
Sheng di huang
120
Nourish Yin, Clear Heat
Dang gui
15
Nourish Blood, Balance Cold Herbs
Clear heat from HT, LU, SJ
15
Harmonize
Gan cao
T: Red with thin, yellow coat
P: Rapid, Forceful
Bensky: Bloody, painful urinary dysfunction; simple blood in urine; with thirst, irritability, D: Static heat accumulating in lower
jiao  injures collaterals CC: Bloody Pud due to Xu of Normal Qi
Dr. Ma: has 5 Herbs in Long Dan Xie Gan Tang; 3 From Ba Zheng San; 3 From Dao Chi San; sheng di huang, dang gui & gan cao
to help the patient – to not hurt them
New mu tong is ok for kidneys. (Guan mu tong is bad)
> Like Long Dan Xie Gan Tang, has sheng di, dang gui, gan cao to nourish xue and balance herbs; balance whole body.
- Both also have mu tong and zhi zi, too, to drain and clear heat.
> Similar to Dao Chi San: dan zhu ye, sheng di, mu tong, gan cao
Formulas: Dr. Ma
F.A.Yip, 2005
Bleeding
103
Source: Essentials from the Golden Cabinet
(Jin gui yao lue)
Huang Tu Tang / Yellow Earth Decoction
Functions:
p 343
Warm Yang, Tonify SP, Tonify Xue, Stop Bleeding
Indication:
Composition:
Spleen Yang Xu;
Xu Cold in Middle Jiao
Zao xin huang tu (fu long gan)
18
Warm Middle, Stop Bleeding,
- Cook 15-20 minutes then remove
Chao bai zhu
Fu zi
9
9
Warm Spleen Yang, Tonify the Middle
- Remove fu zi if uterine bleeding
Sheng di huang
E jiao
9
9
Tonify Yin & Blood, Stop Bleeding
- Protect from fu zi/bai zhu’s warm and
dry properties
Huang qin
9
Balance warm dry herbs, Stop Bleeding
Mainly for blood in stool, uterine
bleeding
Also, vomiting blood and other type of
bleeding.
Sx: cold limbs, pale yellow complexion
- Yellow earth is from inside of clay
oven where fire is burnt
Grams
F(x) of single herb in formula:
T: Pale with white coat
9
Harmonize
Gan cao
P: Submerged, thin, forceless
Bensky: Blood in stool; vomiting or spitting up blood; nosebleeds; abnormal uterine bleeding of pale-red color with cold
extremities; wan complexion;
D: Spleen Yang Xu; Unable to Control Blood CC: none noted
Cook zao xin tu first (too messy, turbid) then remove it, filter several times, and use the liquid to cook other ingredients
zao xin = center of stove; huang tu = yellow earth; can give ren shen & fu ling instead – if can’t Get
Jiao Ai Tang / Jiao Ai Si Wu Tang / Ass-hide
Gelatin & Mugwort Decoction
Functions:
Source: Essentials from the Golden Cabinet
(Jin gui yao lue)
p 345
Tonify Blood, Stop Bleeding, Regulate Menses, Calm the Fetus
Indication:
Composition:
Grams
F(x) of single herb in formula:
Chong & Ren Xu
(uterine bleeding)
E jiao [c]
6
Uterine bleeding,
threatened miscarriage;
spotting, etc.
Will see cold and xu
symptoms.
Ai ye [c]
9
Sheng di huang
Dang gui
Chuan xiong
Bai shao
18
9
6
12
Tonify Blood, Regulate Menses
- May remove chuan xiong if pregnant
T: Pale with thin white
coat;
P: Thin, frail
Gan cao
6
Harmonize
Tonify Blood, Stop Bleeding
- Very rich herb, must be xu, not for long-term use (use something more
neutral for long-term use)
Warm Channels, Stop Bleeding (helps menses)
- If no cold signs, don’t use
Help move herbs (balance sticky herbs)
- Remove yu
- Seldom use this any more; may add a few drops to decoction
Gan cao + bai shao (Shao Yao Tang) can also help to relive abdominal pain.
Bensky: Abdominal pain with uterine bleeding; excessive menstruation; menstruation with constant spotting; post partum
bleeding; bleeding during pregnancy; pale & thin blood without clots; with weakness & soreness of low back; dull complexion; D:
Injury & Xu of Chong & Ren
Formulas: Dr. Ma
F.A.Yip, 2005
Qing jiu:
rice wine, sake
Bleeding
104
Release Wind
Skin, Muscle, Limbs, Channels
Wind: - External
- Internal: extreme heat, yin xu, yang rising
Xue: Tx the xue - when blood flows the wind will be extinguished
Principle: if you want to treat wind, treat blood first; can then expel wind directly
* Only in windstroke of zang fu is there a “open” and “closed” differentiation. No differentiation when there is invasion of wind in the
channels/collaterals.
Da Qin Jiao Tang / Major Gentiana
Qin Jiao Decoction
Functions:
Source: Collection of Writings on the mechanism of Illness,
Suitability of Qi, and the Safeguarding of Life as Discussed in
the Basic Questions (Su wen bing ji qi yi bao ming ji)
p 208
Expel Wind, Clear Heat, Nourish Xue, Move Xue
Indication:
Composition:
Early Stage of Wind Invasion of
Channels and collaterals
Deviated mouth & eye; stiff
tongue; cannot speak; impaired
movement of limbs.
May use for Bi Syndrome.
Grams
Qin jiao
90
Qiang huo
Du huo
Fang feng
Bai zhi
Xi xin
30
60
30
60
15
F(x) of single herb in formula:
Expel Wind, Unblock Channels, Relieve Pain
Expel Wind
Very drying herbs – need to tonify blood to prevent too
much drying
Fang feng is not drying (moistening) and can be used
long-term
Remove xi xin for long-term use
60
Dang gui
Tonify Blood, Nourish Tendons, Expel Wind
60
Bai shao
- Si Wu Tang
30
Shu di huang
60
Move Blood, Unblock Channels
Chuan xiong
Usually have blood xu when have
30
Tonify Spleen to Generate Blood
Bai
zhu
wind invasion (should move &
30
- from Si Jun Zi Tang
Fu
ling
tonify blood)
30
Huang qin
60
Cool Blood, Clear Heat
Shi gao
30
Sheng di huang
Bensky: eyes & mouth awry; difficulty in using tongue; inability to walk; numbness or lack of sensation in hands & feet; often
with chills & fever; muscle spasms; aching joints; Tc: White or yellow; P: either floating & tight or wiry & thin D: Wind
invasion of xu person: early or middle stage wind-stroke. CC: not noted
Source: Imperial Grace Formular of the Tai
Ping Era (Tai ping hui min he ji ju fang)
Xiao Feng San / Eliminate Wind Powder
Functions:
p 394
Expel Wind, Tonify Xue, Clear Heat and Damp
Indication:
Skin Diseases due to WindDamp or Wind-Heat
#1 formula for skin
Good for many kinds of skin
problems.
Rash, itching; may have slight
oozing of rash, or dry rash
Composition:
Jing jie
Fang feng
Niu bang zi
Chan tui
Cang zhu
Ku shen
Mu tong
Grams
3
3
3
3
3
3
1.5
F(x) of single herb in formula:
Expel Wind
- Jing jie and fang feng are the most important in the
primary step to expel wind.
Expel Damp
Clear Damp-Heat
Small dose mu tong always! harmful, leach out
damp-heat
3
Shi gao
Clear Heat
3
Zhi mu
3
Dang gui
T: peeled, or white or yellow coat
3
Tonify Blood, Moisten Dryness
Sheng
di
huang
P: Thin, maybe rapid
3
Hu ma ren (hei zhi ma)
1.5
Clear Heat, Harmonize
Sheng gan cao
Dr. Ma: also gives herbs to calm shen, for severe itching can disturb the shen!
Bensky: Weepy, itchy, red skin lesions over a large part of the body; T: yellow or white; P: forceful, floating, rapid D: Windheat or wind-dampness invades body & contends with pre-existing damp-heat CC: not for Marked Qi or Blood Xu
Formulas: Dr. Ma
F.A.Yip, 2005
Release Wind
105
Chuan Xiong Cha Tiao San / Ligusticum Powder
to be Taken with Green Tea
Functions:
Source: Imperial Grace Formular of the Tai
Ping Era (Tai ping hui min he ji ju fang)
p 49
Disperse Wind, Relieve Pain
Indication:
Composition:
Grams
F(x) of single herb in formula:
9
Disperse W, Clear head and eyes
Bo he [c]
Headache due to (external) wind
3-6
Shaoyang, Jueyin
Chuan xiong
6
Yangming
Expel Wind, Relieve Pain
Bai zhi
Headache in any part of the head, more
6
Taiyang
Qiang huo
chills than fever, nasal congestion,
1-3
Shaoyin
Disperse Cold, Relieve Pain
Xi xin
dizziness; allergies (don’t use xi xin)
9
Jing
jie
Could be W-C
Disperse Wind
9
Fang feng
4.5
Harmonize
Gan cao
T: Pale; P: Floating
Clear head, eyes, balance warm, dry herbs
Cha ye (tea leaves)
 Watch bai zhi and xiang huo: may cause excess dryness
More caution w/ xue or yin xu headaches d/t the warm, dry herbs; but cha ye is in the rx to balance these herbs.
This rx is used more for ext. wind headaches, and often used for a short time. For xu headaches, must nourish to prevent
headaches.
Shaoyin ha: related to teeth, some say headaches deep and behind eyes.
Taiyin headache: related to diarrhea
Source: Collected Formulas of the Yang Family
(Yang shi jia zang fang)
Qian Zheng San / Lead to Symmetry Powder
Functions:
p 399
Expel Wind, Transform Phlegm, Relieve spasms
Indication:
Composition:
Wind phlegm obstructing the collaterals
in the head and aface
> Bells palsy, facial paralysis, sequela of
stroke
Deviation of face, mouth, tongue
Grams
Bái fù zǐ [c]
F(x) of single herb in formula:
Expel wind, transform phlegm (not fu zi)
TOXIC
Jiang can [d]
Expel wind, resolve spasm
Quan xie [a]
Unblock channels; Expel wind, resolve spasm
Scorpion - TOXIC
Unblock blood vessels, Lead herbs to collaterals
Jiu
- Some prefer to use wu gong (centipede, also toxic) instead of quan xie; however, wu gong is very expensive!
- Use formula only for 2 wks.
Ling Jiao Gou Teng Tang / Ling Yang Gou Teng
Tang / Antelope Horn & Uncaria Decoction
Functions:
Source: Revised Popular Guide to the
Discussion of Cold-induced Disorders
(Chong ding tong su shang han lun)
p 403
Clear LIV Heat, Extinguish Wind, Tonify fluid
Indication:
Composition:
Excess Heat in Liver Channel
causing wind
Ling yang jiao [c]
1
Gou teng [c]
9
Syndromes: Extreme Heat Turn to
Wind
Sang ye [d]
Ju hua [d]
Sheng di huang [a]
Bai shao [a]
Bei mu [a]
Zhu ru [a]
Fu shen mu [a]
6
9
15
9
12
15
9
Sheng gan cao [e]
2.4
Liver Wind Due to Excessive Heat
Convulsions, spasms; must see high
fever; disturbed shen
T: deep red, dry coat (scorched)
P: wiry, rapid
Lv Wind
Lv Wind Dt Blood Xu
Formulas: Dr. Ma
F.A.Yip, 2005
Grams
F(x) of single herb in formula:
Cool LIV heat, Extinguish Wind
Clear Heat, Relieve Spasm
Cool LIV Heat, Extinguish W
Stop Convulsions, Lightly Clear Heat
Extinguish Wind
- Pungent, Cooling
N. Yin (Clear Blood, Heat, Nourish Yin)
N. Yin (Smooth Spasms)
Clear Heat and Phlegm
Calm shen
Harmonizes herbs
- sweet and sour gan cao w/ bai shao can help generate
yin fluids
Zhen Gan Xi Feng Tang
Si Wu Tang + Lv Wind Herbs
Release Wind
106
Source: Records of Heart-felt Experiences in
Medicine with Reference to the West
(Yi xue zhong zhong can xi lu)
Zhen Gan Xi Feng Tang / Sedate the LIV &
Extinguish Wind Decoction
Functions:
p 402
Sedate LIV, Extinguish Wind, Nourish Yin, Anchor Yang
Indication:
Composition:
LIV & KD Yin Xu, LIV Yang Rising,
Disturbance of Qi & Xue
Huai niu xi [c]
Lead blood downward, Nourish LIV & KD
– Help suppress yang
Long gu [d]
Mu li [d]
Dai zhe shi [d]
Descend the rebellion, Anchor yang
Gui ban [a]
Tian men dong [a]
Xuan shen [a]
Bai shao [a]
Tonify
Yin
Prior to stroke attack
LIV Qi Yu  LIV heat, LV yang rising  LIV
Wind
As yang qi rises, brings qi & xue upwards; with
root in yin xu [too much yang, too little yin]
Also related to age, emotions
Stressful life (busy, hurry) + hypertension (some
types), easily upset, tinnitus, yang type
constitution, red face and head sensation in
head, trembling, shaking; tingling lips, numb
fingertips
T: red, trembling; thin yellow coat
P: wiry, long, forceful, (floating)
Grams
Nourish Yin, Suppress Yang
Nourish Yin
Clear Heat, Nourish Yin
Soften Liver, Nourish Liver Blood
Reg. Liver Qi (can change to something
Chuan lian zi [a]
Reduce
LIV
yang,
soothe
qi
Yin chen hao [a]
*Long-term problem and may have to use for a
long time – in this case, reduce dosage of
minerals/shells (or grind and reduce dosage of
these herbs)
F(x) of single herb in formula:
else if no hypochondriac pain)
Move Liver Qi, Clear Heat
Help Digestion, Harmonizing
Sheng mai ya [a]
Harmonize, Helps stomach with mai ya
Gan cao [e]
Syndromes: Liver Wind Due to Liver Yang Rising; Wind Phlegm Disturbing Heart
Zhen Gan Xi Feng Tang and Tian Ma Gou Teng Yin are similar
- Zheng Gan has 4 minerals, whereas Tian Ma Gou Teng Yin only has 1 (shi jue ming)
Both require patients to change lifestyle!
Tian Ma Gou Teng Yin / Gastrodia and
Uncaria Decoction
Functions:
Source: New Significance of Patterns and Treatment in
Miscellaneous Diseases (Za bing zheng zhi xin yi)
p 405
Anchor LIV, Extinguish Wind, Clear Heat, Move Xue, Tonify LIV & KD
Indication:
Composition:
Hyperactivity of LIV Yang, Upward disturbance of
LIV Wind
Syndromes: Hyperactivity of Liver Yang
Dizziness, headache, insomnia
May have hypertension
Find Xu sx; pulse, tongue, etc
Tx: Suppress Yang
Tian ma [c]
Gou teng [c]
Shi jue ming [c]
Huang qin [d]
Zhi zi [d]
Du zhong [a]
Sang ji sheng
Yi mu cao
Huai niu xi
Ye jiao teng
Fu shen
Grams
F(x) of single herb in formula:
Anchor Liver, Extinguish Wind
Clear Heat
- Remove if no liver heat symptoms
Tonify LIV/KD
Move Xue, Leach out water
Guide xue down
Calm Shen
Dr. Ma: Doesn’t use shi jue ming - still works though
- Can take with blood pressure medication, won’t make bp too low
- Don’t stop blood pressure meds right away
- This formula balances the body. It doesn’t work directly on Xue.
di long, xia ku cao; huang qin; luo bu ma
High blood pressure
tian ma, gou teng
Migraine-pain
Wu Gong, Quan Xie; Jiang Can, Man Jing Zi
Do not use chuan xiong w/ yang rising or yin xu
+ Blood stasis herbs
Formulas: Dr. Ma
F.A.Yip, 2005
Release Wind
107
Di Huang Yin Zi / Rehmannia Decoction
Functions:
Source: Formulas from the Discussion Illuminating the
Yellow Emperor’s Basic Questions
(Huang di su wen xuan ming lun fang)
p 408
Tonify KD Yin and Yang, Open Orifices, Transform Phlegm
Indication:
Composition:
Mute Paraplegia due to deficiency of KD
Yang floating up with phlegm obstructing
orifices
Mai men dong
Shi hu
Wu wei zi
Shi chang pu
Yuan zhi
Fu ling
Sheng jiang
Da zao
Bo he
Cannot speak b/c of phlegm obstruction.
KD xu, therefore, leg/back weakness.
Thirst.
Can use for MS patients.
P: deep, thin, weak
Wu Mo Yin Zi
E Jiao
Ji Zi Huang
Sheng Di Huang
Shao Yao
Gan Cao
Gou Teng
Shi Jue Ming
Mu Li
Fu Shen Mu
Luo Shi Teng
(Egg Yolk)
patient very emotional (angry, upset) then
faints – body tightness, chest tightness,
SOB  faint - throat tightness; cold
limbs, red face
qi yu  disturb clear yang
recover 30-60 mins (basically leave alone,
4 gates OK, DU26)
Formulas: Dr. Ma
F.A.Yip, 2005
Tonify (Kidney) Yang
Astringe Yin
Connect Heart and Kidney, open orifices
Harmonize Ying and Wei
Tonify Yin and Xue to Control Yang
Soothe Liver, Expel Wind
Supress Yang
Calm Shen
Soothe Tendons, Unblock Collaterals
p 302
Syndromes Qi Syncope (fainting Due To
qi retroflow or yu; LV wind)
P. wiry
T: not change much
Category?
Tonify (Kidney) Yin
Functions: Nourish Yin and Xue, Soothe Liver, Expel Wind
E Jiao Zi Huang Tang
Spasm in Hand and Foot
F(x) of single herb in formula:
Astringe Yang
- use hot herbs to bring floating yang back to
kidney
Fu zi
Rou gui
*Good Rx to tonify both KD Yin and Yang
*Good for senile patients.
Prolonged Heat Injuring
Yin and Xue
Grams
Shu di huang
Shan zhu yu
Rou cong rong
Ba ji tian
Chen Xiang
Mu Xiang
Wu Yao
Zhi Shi
Bing Lang
Descending Qi, (Even Helps Asthma)
Help Soothe Lv Qi
Strong Qi Move, Release Pain
Break Qi, Resolve Phlegm, Open Chest
Help Digest, Kill Parasites, Move Qi, Bring Qi
Down, Release Qi Yu In Mid Jiao – If Combine
With Zhi Ke Or Zhe Shi, Bring Qi Down
Qi Blocking
Disturbs Clear
Yang And Cause
LOC So Try To
Move Qi
Release Wind
108
Dryness
External –
Seasonal dryness: Autumn
 use Qiu Li Gao / “Autumn Pear Syrup” or steamed pears w/ ground chuan bei mu
External Pathogen Source
Cool dryness & warm dryness
Tx: Disperse dryness
Internal –
Consumption of yin, fluid, essence of zang fu: LU, ST, KD, Intestines
Etiology: taking too much hot herbs, overworking, loss of fluids (chronic diarrhea), etc.
Tx: Nourish and tonify yin fluid
May see both ext. and int. dryness at the same time
FORMULAS THAT GENTLY DISPERSE & MOISTEN DRYNESS
Xing Su San / Apricot Kernel & Perilla Leaf
Powder
Functions:
Source: Systematic Differentiation of Warm
Diseases (Wen bing tiao bian)
p 158
Disperse cool dryness, Open LU Qi, Transform phlegm
Indication:
Composition:
Grams
External Invasion of Cool Dryness
Headache, aversion to cold, no
sweating; coughing with thin loose
phlegm; nasal congestion; dry
throat
T: white tongue coat
P: wiry
Zi su ye [c]
Qian hu [d]
6
6
F(x) of single herb in formula:
Release Exterior, Promote Sweating Gently, Disperse the Evil
(Cool Dryness)
- only want to release gently to avoid further drying
- Qian hu can also help stop cough, phlegm
Open LU qi; Relieve Cough
- Ascend & descend to balance to stop cough
6
Xing ren [c]
6
Jie geng [d]
6
Ban xia [a]
Transform phlegm
6
Fu ling [a]
6
Zhi qiao [d]
Regulate (LU & SP) Qi, Open Chest
Not specific for W-C invasion; but
6
Ju pi [a]
can be used Wind-Cold invasion.
6
Harmonize ying wei
Sheng jiang [e]
Especially if there is cough, even
3
- Focus on stomach to generate fluid; strengthen wei qi to
Gan cao [e]
if there is no dryness
2 pc
prevent further invasion
Da zao [e]
Bensky: Slight ha; chills without sweating; cough with watery sputum; stuffy nose; dry throat; T: Dry, White; P: Wiry
D: Externally contracted dry-coolness interfering with LU qi action to disseminate & descend CC: none noted
Sang Xing Tang / Mulberry Leaf & Apricot Kernel
Functions:
Source: Systematic Differentiation of Warm
Diseases (Wen bing tiao bian)
p 159
Disperse warm dryness
Indication:
Composition:
External Warm Dryness
(mild)
Sang ye [c]
(Dan) dou chi [d]
Zhi zi pi [d]
Heat is not so warm; slight/moderate fever;
dry cough, no phlegm/scanty; dry mouth;
thirst
P: Rapid
Xing ren [c]
Zhe bei mu [d]
Grams
3
3
3
4.5
3
Sha shen [a]
Li pi (pear skin) [a]
6
3
F(x) of single herb in formula:
Open Lung Qi, Disperse dryness
- sang ye clears dryness from uj; it’s [d] help
release constrained heat.
Descend LU Qi
- xing ren assisted by [d] to cool and xofrom
yu to prevent ph formation.
Nourish yin, clear heat, moisten
- although it asks for the skin of pears (doesn’t matter what
type of pear), the whole pear is also good to use
Bensky: Moderate fever; ha; thirst; dry, hacking cough or with scanty, thick, sticky sputum; t: red with thin, dry white coat; p:
floating rapid (esp. on right) D: Warm-dryness injuring Lu at superficial level; CC: Injury to yin
Dr. Ma: This rx contains only light, gentle herbs b/c the warm dryness is not strong
*Do not over cook (5-6 minutes only); also can use bai mu er (white wood ear mushroom/fungus – this, cook for a longer time)
Formulas: Dr. Ma
F.A.Yip, 2005
Dryness: Disperse & Moisten
109
Qing Zao Jiu Fei Tang / Eliminate Dryness & Rescue the Lungs
Decoction
Functions:
Source: Precepts for
Physicians (Yi men fa lu)
p 160
Clear Dryness, Moisten LU
Indication:
Severe Warm Dryness Injuring Lung
More severe fever; ha; wheezing,
asthma; dry cough; no phlegm; dry
throat, nose; fullness of the chest (LU
Qi is disturbed); hypochondriac pain;
irritability; thirst
T: dry (w/o coat)
P: xu, big, rapid
Composition:
Grams
Sang ye [c]
9
Shi gao [c]
Mai men dong [d]
7.5
3.6
F(x) of single herb in formula:
Clear , disperse dryness
Clear Lung Heat, Moisten LU Dryness
- Small dose shi gao, still need to disperse evil
- Combination of cold and sweet natures balance each
other, better generates yin
2.1
Xing ren [a]
Facilitate LU qi
3
Pi pa ye [a]
E jiao [d]
2.4
Nourish LU Yin
Hei zhi ma /
3
hu ma ren [d]
2.1
Ren shen [a]
Tonify the middle
3
Gan cao [a]
Bensky: Ha; fever; hacking cough; wheezing; dry, parched throat; dry nasal passages; sensation of fullness in chest;
hypochondriac pain; irritability; thirst D: Warm-dryness attacking lu causing rebellion;
CC: Caution with Spleen/Stomach xu (cloying herbs); not for xu without exterior signs
“Gan han sheng jin” = sweet & cool nature can generate yin
FORMULAS THAT ENRICH YIN & MOISTEN DRYNESS
Yang Yin Qing Fei Tang / Nourish Yin Clear Lung
Decoction
Functions:
Source: Systematic Differentiation of
Warm Diseases (Wen bing tiao bian)
p 164
Tonify Yin, Clear LU
Indication:
Composition:
Yin Xu heat w/ epidemic toxin
(diphtheria)
Sheng di huang [c]
6
Nourish KD Yin
Mai men dong [d]
3.6
Nourish LU Yin
Xuan shen [c]
4.5
Clear Heat Toxin
- clear xu heat, nourish yin
Mu dan pi [d]
2.4
Cool Blood; Remove swelling
Development of white, curd-like membrane in
throat; yin xu with accumulated heat (an
external invasion)
Can use it just for dryness without this film; pain &
spasm in throat; dry nose, dry mouth; wheezing
- Good for chemotherapy and radiation patients
- Later stage, bronchitis
- Originally – diphtheria, heat toxin
Grams
F(x) of single herb in formula:
Zeng Ye
Tang
2.4
Moisten LU; Transform Phlegm
Bei mu [a]
Syndromes: Lu Yin Xu
Yin Xu Sx + Dry Cough
2.4
Astringe Yin; Reduce Heat
Bai shao [d]
Blood tinged cough, chronic cough sx, recovery
later stage, dry mouth, thirsty, palm/soles warm/
1.5
Benefit throat; Clear heat
Bo he [a]
hot – dry sticky phlegm inside LU
T: scanty coat, deep red
1.5
Harmonize, Reduce toxin
Gan cao
P: Rapid, usually thin; may also be coughing
Bensky: Development of white curd-like membrane in throat that is difficult to scrape off; swollen sore throat; fever; dry nasal
passages; parched lips; rasping breathing resembling wheezing; d: “white throat” or diphtheria disorder in persons with yin xu &
internal heat – epidemic toxin CC: Diphtheria is a life-threatening disease; treat with western med. as well
If no diptheria but yin xu/dry cough (after febrile disease) – have dry cough, no yellow phlegm, thirsty, red tongue, scanty
coat, occ chest hurt can add:
Tian Hua Fen, Lu Gen, Sha Shen
Nourish – Dry Cough --- Lu Gen – Gen Bf, Help Moisten Lu
Change Zhe Bei Mu to Chuan Bei Mu, Xing Ren
Cough - Not So Much Heat, Moisten
Wu Wei Zi
Astringe, Nourish
Bai Mao Gen
Cool Blood, Stop Blood Tinged Cough
Bai Bu
Stop Cough, Moisten
Kuan Dong Hua
Stop Cough
Formulas: Dr. Ma
F.A.Yip, 2005
Dryness: Enrich Yin & Moisten
110
Bai He Gu Jin Tang / Lily Bulb Decoction to Preserve the
Metal
Functions:
Source: Analytic Collection of
Medical Formulas (Yi fang ji jie)
p 161
Tonify Yin, Moisten LU, Transform Phlegm, Relieve coughing
Indication:
Composition:
Grams
F(x) of single herb in formula:
6
Tonify KIDYin
Sheng di huang [c]
9
- Cool Blood; Stop Bleeding
Shu di huang [c]
4.5
Mai men dong [d]
Coughing with blood; dry throat and pain;
3
Moisten LU yin, Transform phlegm, Relieve cough
Bai he [c]
feverish heat; steaming bone disorder;
3
Bei mu [a]
irritability; night sweating
2.4
Nourish Yin; Clear heat
Xuan shen [d]
Deep Yin xu heat
- Like lung TB, not limited to this
3
Nourish Blood; Moisten Dryness
Dang gui [a]
- Can use after chemotherapy
3
Nourish Yin & Blood
Bai shao [a]
2.4
Open Lung Qi; Stop Cough
Jie geng [a]
T: Red with little coat; P: Thin, rapid
3
Harmonize Herbs
Gan cao [e]
Bensky: Coughing with blood streaked sputum; wheezing; dry & sore throat; hot palms & soles; night sweats
D: Internal Dryness of Lu due to Lu & KD Yin Xu; CC: Cloying therefore modify for Spleen Xu or food stagnation; not for
exterior conditions.
3 herbs from Si Wu Tang
- Strengthen and tonify the body to fight the TB, not to kill the pathogen directly.
Yin Xu of Lung & Kidney
Source: Essentials from the Golden
Cabinet (Jin gui yao lue)
Mai Men Dong Tang / Ophiopogonis Decoction
Functions:
p 165
Tonify Yin of LU, ST; Descend the revellious, Harmonizes the Middle
Indication:
Composition:
LU Yin Xu; ST Yin Xu
Grams
LU Yin Xu: cough, sticky phlegm that is
difficult to expectorate; feverish in palms &
soles; dry mouth, throat
ST Yin Xu: nausea, vomiting, dry mouth,
thirst
- ban xia is drying!
Thus, only a small
dosage of ban xia.
Descend the
- pungent taste can help
Rebellious;
prevent stickiness of
Transform Phlegm
mai dong to hurt ST.
Tonify Qi, generate yin with mai dong
- protect root w/ the 3 herbs below
Nourish Yin
Mai men dong [c]
Related to Zhu Ye Shi Gao Tang (from Shang Han
Lun): Zhu Ye Shi Gao Tang – shi gao, zhu ye
+ da zao = Mai Men Dong Tang
F(x) of single herb in formula:
7:1
Ban xia [a]
Ren shen [d]
Tonify SP/ST
- Nourish Earth to Generate Metal
- Nourish Spleen & Stomach to ascend fluid to
Lung
Geng mi [a]
Da zao [a]
Gan cao [a]
T: Red with little or dry coat
P: Rapid, weak, thin
Dr. Ma: Compare to Zhu Ye Shi Gao Tang (residual heat with Qi and Yin injury): Zhu ye, shi gao, ren shen, mai dong, ban xia,
gan cao, jing mi
Dr. Ma: gave this to a boy who had pneumonia and had taken antibiotics, then had nausea. Nausea may have come from both
pneumonia and antibiotics.
Bensky: Coughing & spitting of saliva; wheezing; s.o.b.; dry & uncomfortable sensation in throat; dry mouth; T: dry, red with
little coat; P: xu, rapid; D: Form of Lu atrophy caused by heat from deficiency in Stomach which rises and scorches Lu Yin; CC:
Caution with high fever & irritability where pathogen still on exterior & Qi & Yin not yet affected; contra for damp or lu atrophy
due to cold from xu
Qiong Yu Gao / Awesome Jade Syrup
Functions:
p n/a
Nourish LU Yin, Tonify SP Qi
Indication:
Lung Yin Xu
Dry cough; fatigue; dryness
Composition:
Sheng di huang
Feng mi
Ren shen
Fu ling
Grams
F(x) of single herb in formula:
Tonify Yin - KD Yin as Root of Lu Yin
Moisten LU Dryness – bai mi /white honey
Tonify Spleen
- tonify Earth to generate metal
- Fu Ling also transforms phlegm
May add for bloating: xiang fu, sha ren
Preparation:
Cook 3 herbs for a long time to concentrate, strain, add feng mi and keep in a bottle.
Dosage: 1 spoonful each time.
Can soak in 50% alcohol. Soak at least for 1 month. Keep adding alcohol as you dirnk bit by bit. Honey may not dissolve in
alcohol, can add to each dose when you drink it
Formulas: Dr. Ma
F.A.Yip, 2005
Dryness: Enrich Yin & Moisten
111
Yu Ye Tang / Jade Fluid Decoction
Functions:
Source: Records of Heart-felt Experiences in Medicine with
Reference to the West (Yi xue zhong zhong can xi lu)
p 167
Tonify Qi; Moisten Dryness; Relieve Thirst
Indication:
Composition:
Grams
Xiao Ke (KD Xu, ST dryness, Qi
cannot distribute fluids)
Sheng shan yao [c]
30
- Consumption & Thirst
- Xiao ke/ wasting and thirsting
disorder - Diabetes (Especially Type
II)
Huang qi [c]
15
Zhi mu [d]
Tian hua fen [d]
18
9
Not limited to treating xiao ke.
Xiao ke: cloudy/turbid urine, sweet
smell.
Thirst, frequent urination, fatigue, sob;
may not see emaciation.
In the past, would treat it as stomach heat
(Bai Hu Tang; Dan Zhu Ye Shi Gao Tang)
P: Thin, weak, forceless
F(x) of single herb in formula:
Tonify SP & KD; Relieve frequent urination; Generate
fluids, Relieve thirst
- shan yao: tonify SP qi
- sheng shan yao: more moist for yin
- can astringe urination, like in Suo Quan Wan
Tonify qi
- Ascend Spleen Yang Qi to ascend essence & water to
LU for distribution
Nourish Yin
- Moisten Dryness & Clear Heat (not harsh for long term as
shi gao)
Help SP transportation (of food & water, essence & sugar
Ji nei jin [a]
Ge gen [a]
Wu wei zi [a]
6
4.5
9
lost in urine)
- Help SP to not lose essence (cloudy urine, bacteria)
Ascend SP Yang to distribute fluids
Astringe Yin essence
* Xiao ke used to be differentiated by the 3 jiao’s. In the past 20 years, however, the focus is more on KD Yin Xu and SP Qi Xu
rather than using the Jiao differentiation.
Tonify Qi to transform the damp and generate good fluids to nourish the yin.
Many Diabetic and other patients have a combination of Damp retention and Yin Xu.
Recommendation: make insulin receptors more sensitive by controlling food intake plus some mild-moderate exercise.
Most important treatment for Diabetes is prevention of complications
Bensky: Excessive thirst not quenched by substantial intake of fluids; frequent, copious or turbid urine; lassitude; s.o.b.
D: Wasting & Thirsting due to Yin Xu; CC: not Noted
Zeng Ye Tang / Increase Fluids Decoction
Functions:
Source: Systematic Differentiation of Warm Febrile
Diseases (Wen bing tiao bian)
p 166
Tonify Yin; Clear Heat; Moisten Dryness; Unblock Bowels
Indication:
Composition:
Grams
F(x) of single herb in formula:
Yangming Febrile Disease (heat injuring fluid)
- constipation
Syndromes: Body Fluid Insufficiency
Heat injuring body fluids: thirst, dry rough & chapped skin, dry
cough w/ little sputum, deep yellow scanty urine, constipation
Dehydrated / dryness (acute) – distinguish from yin xu (which is
chronic with xu heat)
Yin xu constipation: yin is injured by heat; not enough fluids constipation (not enough water in river for boat to float); thus this
Rx “floats the boat” by generating fluids.
Xuan shen [c]
Clear heat,
Moisten Yin
Sheng di huang [d]
Mai men dong [d]
Nourish Yin
* Can take this rx long-term and everyday
P: deep, weak/forceless
Dr. Ma: Very important herbs, often included - even as assistants - for any yin xu (hot flash esp.)
Dryness easily damage heat, generate bf – clr heat
Zhi mu, tian hua fen, lu gen
Not sticky, generate bf – if dryness damage yin fluid
Sha shen, shi hu, mai men dong
Qi Xu in summer, generate fluids, patient is tired – dryness and heat damage
Xi yang shen; tai zi shen
qi – nourish yin, gen bf, tonify qi
Tonify qi, generate bf, tired – nourish yin, gen bf, tonify qi
Bai ren shen
Formulas: Dr. Ma
F.A.Yip, 2005
Dryness: Enrich Yin & Moisten
112
Dampness
External – Related to weather; humid environment; caught in the rain, in water, or after sweating (& not change clothes)
Internal – Related to spleen weakness; diet/food (greasy, spicy, cold, alcohol), many other reasons
Organs: SP; KD; LU; (SJ; BL)
 Dampness can combine with other evils to yield: W-D, C-D, D-H, D w/ S-H
 Dampness: heavy, sticky and sinks – thus, add herbs to move/regulate qi to move dampness
 Caution: some herbs may hurt yin (too dry and draining); careful with Yin Xu
 Mold allergy: tx by clearing damp
 Dampness constrains yang qi, thus, explaining fatigue and difficulty waking up in the mornings. Movement will allow qi to move
and person to feel better.
Source: Imperial Grace Formulary of the Tai Ping Era
(Tai ping hui min he ji ju fang)
Ping Wei San / Calm the Stomach Powder
Functions:
p 181
Dry the Damp; Help Spleen Transformation; Move Qi; Harmonize Stomach
Indication:
Damp Stagnation in SP & ST
Mild condition, thus, may not see this too much in clinic for
people don’t often come for such mild sx. If there is significant
abdominal distention, then one might see this type of patient.
Take 1-2 wks to clear tongue coat, then tonify SP (Xiang Sha Liu
Jun Zi Tang)
Rec: avoid greasy, spicy, damp foods!
(Abdominal fullness & tongue coat are most important symptoms)
Bloating, poor appetite; tastelessness in mouth; n &v; belching;
acid reflux; heaviness of 4 limbs; tired, likes to lie down; may
have diarrhea
T: Swollen with thick, white, greasy coat
P: Moderate or slippery, slowed down (weakness)
Composition:
Grams
F(x) of single herb in formula:
Cang zhu
12-15
Dry the Damp; Help Spleen
transformation
Hou po
6-9
Move Qi; Transform Damp;
Relieve Fullness
Chen pi
9-12
Regulate Qi, Remove Stagnation
Gan cao
3-6
Harmonize the Middle; Harmonize
Herbs
Sheng jiang
Da zao
Harmonize SP/ST
- make a decoction of sheng jiang
& da zao – grind other
ingredients into powder – add to
draft
Dr. Ma: Change cang zhu to bai zhu when greasy coat and damp symptoms are reduced.
Ok to add fu ling, ban xia; mu xiang, xiang fu; etc
Bensky: Distension, fullness in epigastrium & abdomen; loss of taste & appetite; heavy sensation of limbs; loose stool or diarrhea; easily fatigued;
increased desire to sleep; n & v; belching; acid regurgitation; D: Damp-Cold Stagnating Spleen & Stomach; CC: Warm dry herbs easily injure yin
& xue; pregnancy caution
Huo Xiang Zheng Qi Tang / Agastache
Powder to Rectify the Qi
Functions:
Source: Imperial Grace Formulary of the Tai Ping Era
(Tai ping hui min he ji ju fang)
p 183
Release the Exterior, Transform Damp, Regulate Qi; Harmonize the Middle
Indication:
External Wind-Cold Invasion;
(Internal) Damp Stagnation
Composition:
Huo xiang
Great for the ST flu!
Vomiting & diarrhea at same time
(sudden turmoil) – diarrhea is not from
SP Xu, but from pathogenic Damp.
Fullness; no appetite; abdominal pain;
Aversion to cold; fever; headache;
fullness in chest; chills/fever;
Grams
3-5
F(x) of single herb in formula:
Expel W-C, Transform Turbid Damp
- Ascend the Clear, Descend the Turbid
- Works on both problems; very aromatic, taste is very
specific; also in Xie Huang San
6
Zi su ye
Help huo xiang disperse Wind-Cold
6
Bai zhi
9
Dry the Damp; Harmonize Stomach
Ban xia
9
- Descend the Rebellious Qi; Relieve Vomiting
Chen pi
12
Bai zhu
Tonify Spleen; Transform Damp
9
Fu ling
9
* Very important formula; very effective; Hou po
Move Qi; Transform Damp
9
Da fu pi
very strong
9
Open Lu Qi; Helps Release Exterior
Jie geng
* Can also give for Wind-Cold even if
3-6
Sheng jiang
there are no damp signs
1 pc
Regulate, harmonizes SP/ST
Da zao
Tc: White, greasy; P: Moderate, soggy
3
Gan cao
Dr. Ma: Don’t need to necessarily see an external invasion; one can take this rx with situations such as: bad food intake – and the
person will feel better immediately
Formulas: Dr. Ma
F.A.Yip, 2005
Dampness
113
Source: Discussion of Cold-induced
Disorders (Shang han lun)
Yin Chen Hao Tang / Artemisia Yinchenhao Decoction
Functions:
p 189
Clears Heat; Leaches out Dampness; Relieves Jaundice
Indication:
Composition:
Jaundice due to Damp-Heat
Yang jaundice: bright yellow
Thirst; fullness in abdomen; difficult urination
(stagnant heat in the body)
May use for GB cancer – to help alleviate symptoms.
Grams
F(x) of single herb in formula:
Yin chen hao [c]
18
Clear Damp Heat; Reduce Jaundice
Zhi zi [d]
9
Lead Heat Down (via urination)
Drain Heat, Unblock bowels
- Reduce Heat via bm
- very important to use in this formula
Tc: Yellow, greasy; P: Deep, rapid
Bensky: Whole-body jaundice with color of “fresh tangerine”; slight abdominal distension; urinary difficulty; thirst (with ability to
only take sips); T: yellow, greasy; P: slippery, rapid D: Yang-Type or Damp-Heat jaundice due to dampness & static heat
accumulating in interior CC: Yin-Type jaundice or when dampness predominates
San Ren Tang / Three Nut Decoction
Functions:
6
Da huang [a]
Source: Systematic Differentiation of Warm Febrile
Diseases (Wen bing tiao bian)
p 186
Disseminate/Facilitate Qi; Clear Damp Heat
Indication:
Composition:
Damp Warmth disease or Summer Heat
with Damp evil in Qi stage
Xing ren [c]
*More Damp than Heat
Ha; chills [caused by constriction of the yang from
dampness; much milder than chills from W-C];
heavy sensation in body; pain, aching; no
appetite; fever in afternoon (tidal fever) –
from D-H [not Yin xu]; fullness in chest;
pale yellow complexion
P: Soggy, thin (weak)
Grams
15
F(x) of single herb in formula:
Open LU Qi
Works on body
Transform Damp
- Revives SP, Move Qi
Leach out Damp Heat;
Strengthen Spleen
Xing ren: [c] for UJ
Bai dou kou: [c] for MJ
Yi yi ren: [c] for LJ
18
6
6
Clear Damp Heat
Works on evil
9
6
Move Qi; Transform Damp
Bai dou kou [c]
(bai kou ren)
6
Yi yi ren [c]
18
Hua shi [a]
Tong cao [a]
Dan zhu ye [a]
Ban xia [d[
Hou po [d]
Dr. Ma: Onset related to Spleen Xu (do not use sweating or drain down method – pulse tells you); use aromatic to work on damp
to transform damp; not a Wind-Cold Invasion
Bensky: Ha chills, afternoon fever, heavy sensation in body; generalized pain; pale-yellow complexion; stifling sensation in chest;
loss of appetite; absence of thirst; T: White; P: Wiry, thin, soggy
Formulas: Dr. Ma
F.A.Yip, 2005
Dampness
114
Ba Zheng San / Eight Herb Powder for
Rectification
Functions:
Source: Imperial Grace Formulary of the Tai Ping Era
(Tai ping hui min he ji ju fang)
p 192
Clear Heat; Drain Fire; Leach Out Water
Indication:
Composition:
Damp Heat pouring down
Acute: UTI, but not limited to this. May use even
when sx present, but no dx of infection.
If repeated: must strengthen qi (qi xu allows problem
to recur) – see note below
Burning urination; may see blood in the urine; frequent
and scanty urine; may be turbid urine; may have
retention of urine; incomplete sensation after
voiding.
Lower abdominal pain and fullness; dry mouth
P: Rapid, slippery; Tc: Yellow, greasy
Syndromes: Heat In Bladder
Sensation (not necessary to be an infection); burning
sensation, dark scanty urine, fever, constipation; plus
excessive heat sx
T: Red, yellow coat
Possible BL infection or prob with BL – usually
excess sx.
Grams
F(x) of single herb in formula:
Mu tong [c]
Hua shi [d]
Che qian zi [d]
Qu mai [d]
Bian xu [d]
6
15
12
9
9
Leach out water; Clear Damp Heat
Zhi zi [a]
3
Leach D-H
- Clear Heat From San Jiao
Da huang [a]
3
Drain Down Heat
Deng xin (cao) [e]
3-6
Lead Heat Down
Gan cao [e]
3-9
Harmonize herbs; Relieve Pain
- Small dosage of mu tong to avoid
damaging KD – not for long-term
use!
+ herbs to resolve stone: Jin qian cao, hai jin sha, ji nei jin
+ stop bleeding herbs if see blood in urine: bai mao gen …
1st: soften, resolve stone; 2nd: flush out – thus, drink plenty of water; 3rd: strengthen body (SP, KD)
Note: Repeated use of antibiotics affects zheng qi – making more susceptible to future recurrences; this formula is bitter & cold,
and not for long-term use. Could be UTI (but not necessarily); repeated invasion.
* Don't confuse with Ba Zhen Tang which is to tonify qi & blood ("8 Treasures" = Si Jun Zi Tang + Si Wu Tang)
Bensky: Dark, turbid, scanty, difficult & painful urination; dry mouth & throat; Tc: Yellow, greasy; P: Slippery, rapid; severe case may have
urinary retention & lower abdominal distension & pain; D: Hot or bloody painful dysfunction caused by clumping of damp-heat in lower burner;
CC: Cold from xu; pregnancy; low-term use may cause weakness, lightheadedness; palpitations; loss of appetite
Er Miao San / Two Marvel Power
Functions:
Source: Teachings of [Zhu] Dan-xi (Dan xi xin fa)
p 195
Drain Heat, Dry Damp
Indication:
Composition:
Grams
F(x) of single herb in formula:
Huang bai
9-12
Clears Heat;
Dry Damp
Damp Heat pouring down
Damp Heat in lower part of body – primarily lower limbs.
Swelling feet, ankles, or knees w/ red/heat; sores on lower limbs
or even on genitals; yellow scanty urination; eczema in lower
limbs; T: yellow greasy coat
*decoct herbs as a wash and soak feet/body part in liquid for
eczema or sores
May be used to tx: STDs; Rheumatoid arthritis; fungal/viral/yeast/
bacterial infections
- Can be used for back pain if due to Damp or Damp-Heat
Cang zhu
6-9
Modification:
San Miao Wan
+ chuan niu xi
Modification:
Si Miao Wan
+ chuan niu xi, yi yi ren
Both herbs are:
- Bitter, cold
- Go to lower
body
Dry Damp
Bensky: Wide variety of complaints with scanty yellow urine; Tc: Yellow, greasy – can have pain in lower back & extremities; weakness or
atrophy of lower extremities; red hot swollen painful feet or knees; thick yellow foul smelling vaginal discharge; sores on lower extremities due
to damp
Formulas: Dr. Ma
F.A.Yip, 2005
Dampness
115
Source: Discussion of Cold-induced
Disorders (Shang han lun)
Wu Ling San / Five Ingredient Powder w/ Poria
Functions:
p 174
Leach Out Water; Warm Yang; Transform Qi
Indication:
1. Exterior Invasion with interior Stagnation of
Water & Damp (TaiYang organ & channel)
2. Water retention (from SP Xu)
3. Phlegm fluids (tanyin syndrome)
*Must give transporting power in order to move
the stagnation – thus, the addition of qi
transforming herbs.
Tai Yang channel problem; interior Tai Yang organ
problem
Ha; fever; thirst; difficult and retention of urine; flow
of urine is not smooth; edema
Composition:
Grams
Ze xie [c]
20
Drain damp, water
(from BL)
Fu ling [d]
Zhu ling [d]
10
10
Leach water
These 3 herbs
focus on the
pathogen
Bai zhu [a]
10
Strengthen Spleen to
Transform Damp
This focuses on
the root – SP
5-6
1. Release the exterior
2. Assist qi transformation of UB
- for TY channel and organ
- very important to warm yang to help transform
Gui zhi [a, e]
P: Floating or internal damp pulse
“Open the tea pot” – with edema, can tx by opening LU qi
F(x) of single herb in formula:
In many Shang Han Lun formulas, fu ling & gui zhi are combined (to help with damp)
Bensky: 1) Ha; fever; irritability; strong thirst, but vomit after drinking; urinary difficulty; P: Floating; 2) Edema; generalized
sensation of heaviness; diarrhea; urinary difficulty; possible vomit & diarrhea due to sudden turmoil disorder; 3) Throbbing
sensation below umbilicus; vomiting frothy saliva; vertigo; sob; coughing; D: 1) Water Build-Up, Tai Yang disorder of pathogens
not released but penetrated to bladder; 2) Spleen Xu; earth failing to transport water; 3) Retention of congested fluids in lower jiao
– Tan Yin syndrome
CC: Spleen or KD Qi Xu dosage & usage must be limited; od may have dizziness, vertigo, bland taste, reduced appetite; if used
with yin xu, modify to protect yin; if with qi xu, nourish spleen/stomach to protect normal qi
Wu Ling San and Zhu Ling Tang are similar and both contain zhu ling, fu ling, ze xie. The chief ingredients are different,
however. Both rx address urinary difficulty d/t disturbances of the water pathways by promoting urination.
Difference:
1) Wu Ling San: tx a condition where dz is still active in the exterior by focusing on unblocking the flow of yang to encourage
the transformation of yang qi. “Drains virorous dampness, hence the use of gui zhi & bai zhu)”
2) Zhu Ling Tang: txs pathogenix influences which have transformed into heat in the interior by clearing the heat and
nourishing the yin. “Drains vigorous heat, hence the use of hua shi” bensky 177
Source: Discussion of Cold-induced
Disorders (Shang han lun)
Zhu Ling Tang / Polyporus Decoction
Functions:
p 176
Leach Out Water; Clear Heat; Nourishes Yin
Indication:
Composition:
Water & Heat Stagnation
(Injury of yin)
Fever; thirst; irritability; insomnia; bloody lin
syndrome; fullness in abdomen, difficult
urination; may have cough, nausea
This rx promotes urination w/o injuring the yin &
stabilizes the yin w/o causing retention of the
pathogen.
Grams
F(x) of single herb in formula:
Zhu ling [c]
Fu ling [c]
Ze Xie [d]
9
9
9
Leach Out Water, Promote Urination
- Zhu ling and fu ling work together for these
f(x); fu ling also supports SP
Hua shi [a]
9
Leach out Water, Clear Heat
E jiao
9
Nourish yin, Moisten dryness
- also stops bleeding
Ma. 1st 3 ingredients similar to Wu Ling San, but Wu Ling San cannot address HEAT like Zhu Ling Tang can.
Bensky: Urinary difficulty with fever; thirst with desire to drink; may also be diarrhea; cough; nausea; irritability; insomnia; D:
Injury of cold entering Yang Ming or Shao Yin where transforms to heat;
CC: None Noted
Insomnia
Huang Lian E Jiao Tang
* Hua shi: leach out water, clear heat  also in Ba Zheng San (D-H in LJ), Liu Yi San (S-H)
Formulas: Dr. Ma
F.A.Yip, 2005
Dampness
116
Source: Essentials from the
Golden Cabinet (Jin gui yao lue)
Fang Ji Huang Qi Tang / Stephania & Astragalus Decoction
Functions:
p 179
Tonify qi, Expel Wind, Tonify SP, Leach Out Water
Indication:
External Deficiency (defensive qi);
Wind-Water or Wind-Damp
Wind edema (aversion to wind, sweating)
Difficult urination
P: Floating
T: pale, thin white coat
Composition:
Grams
Fang ji [c]
3
Huang qi [c]
3.8
Bai zhu [d]
2.3
F(x) of single herb in formula:
Expel Wind; Remove Water
Tonify Qi, Strengthen Exterior; Assist to remove
water
Tonify Spleen Qi
1.5
Tonify SP, Harmonize herbs
Zhang Zhong Jing’s
signature to protect
4 Pcs
Sheng jiang [e]
Harmonize Ying & Wei
the ST.
1 Pc
Da zao [e]
Wei Qi derives from the SP, thus, “Wei Qi Xu” as a differentiation is not as accurate as “SP Qi Xu.”
Thus, here in Fang Ji Huang Qi Tang, there are 5 herbs to work on the SP/ST: huang qi, bai zhu, gan cao, da zao, sheng
jiang.
Compare to Yu Ping Feng San: huang qi, bai zhu, gan cao
Like Yu Ping Feng San indications minus fang feng, plus edema, difficult urination, etc
Bensky: Sweating; heavy sensation in body; superficial edema; urinary difficulty; T: Pale with white coat; P: Floating
Gan cao [a]
Wu Pi San / Five Peel Powder
Functions:
Source: Treasury Classis (Zhong zang jing)
p 178
Leach Out Damp; Reduce Edema; Regulate Qi; Tonify Spleen
Indication:
Composition:
Grams
F(x) of single herb in formula:
Fu ling pi
15
Leach Out Water; Damp; Strengthen Spleen.
- Use fu ling if fu ling pi isn’t available in bulk
herbs.
Sheng jiang pi
6
Disperse Water
Sang bai pi
15
Descend LU Qi - indirect effect on edema
Da fu pi
15
Move Qi to remove water, Relieve Fullness
Spleen Xu with Damp, Skin water
- Use peel/skin/“pi” to treat the skin
Skin edema (pi shui); heaviness sensation of the 4
limbs; fullness in epigastrium (d/t water
blockage); sob; wheezing; difficult urination
Treat edema in pregnancy – but it isn’t
recommended to give herbs/this rx to women
during pregnancy. Focus on foods: carp soup
(helps leach out water)
P: Deep, slowed down/moderate (huan mai) – a SP
Xu pulse
9
Harmonize SP Qi; Transform Damp
Chen pi
T: White, greasy coat
Bensky: Generalized edema with sensation of heaviness, distension, fullness in epigastrium & abdomen; labored & heavy
breathing; urinary difficulty; T: White, greasy; P: submerged, moderate; D: skin edema
Ling Gui Zhu Gan Tang / Poria, Cinnamon,
Atractylodes, Licorice Decoction
Functions:
Source: Discussion of Cold-induced
Disorders (Shang han lun)
p 443
Warm & Transform Phlegm fluid; Tonify SP; Leach out Damp
Indication:
Phlegm Fluid (Retention) due to Middle Yang Xu
Composition:
Grams
Fu ling [c]
12
Tonify Spleen; Leach out water
Gui zhi [d]
9
Warm Yang; Help Qi Transformation to
remove/ transform water
Bai zhu [a]
6
Tonify Spleen; Dry the Damp
- Help Spleen transformation of water
Syndromes: Cold Dampness
Fluid retention below the heart; chest & hypochondriac
distension, fullness; palpitations; dizziness, vertigo
(clear yang cannot ascend); sob (fluid invades upper)
F(x) of single herb in formula:
T: Pale & swollen white, moist coat
6
Tonify Qi; Harmonize the Middle
Zhi gan cao [e]
P: Slippery & wiry or soggy
3 herbs shared with Si Jun Zi Tang: fu ling, bai zhu, zhi gan cao. No ren/dang shen – can add to tonify SP. Gui zhi is necessary to
warm the yang to transform water.
Dr. He: also for Tan Yin Syndrome (like Wu Ling San)
Formulas: Dr. Ma
F.A.Yip, 2005
Dampness
117
Bensky: Fullness in chest & hypochondrium; palpitations; s.o.b.; coughing clear, watery sputum; dizziness or vertigo; vomiting;
D: Congested fluids in epigastrium; weak spleen yang unable to transform fluids CC: None noted
Ze xie; zhu ling
Resolve Damp, Drain
Cang zhu, hou po
Resolve Damp in middle
* gui zhi: warms yang to transform water  as seen in: Jin Gui Shen Qi Wan, Wu Ling San, Ling Gui Zhu Gan Tang.
Zhen Wu Tang / True Warrior Decoction
Functions:
Source: Discussion of Cold-induced Disorders
(Shang han lun)
p 197
Warm Yang, Leach out Water
Indication:
Composition:
1. SP/KD Yang Xu; Water Retention
2. Tai Yang Disease
Fu zi [c]
Grams
9
F(x) of single herb in formula:
Warm KD & SP
Syndromes: Edema d/t Kidney Yang Xu
Fu ling [d]
9
Tonify SP, Leach out water
*Mainly for KD Yang Xu
1. Difficulty of urination; dizziness; abdominal
pain; diarrhea; edema of the limbs; no thirst
2. Palpitations, dizziness, muscle twitching,
profuse sweating (of yang qi  injures yin 
fails to nourish channels)
Sheng jiang [a]
9
Assist fu zi to warm yang and expel cold;
Assist fu ling to leach out water
Bai zhu [d]
6
Tonify SP, Dry Damp
Bai shao [a]
9
Assist to promote urination, Release abdominal
pain
T: White coat
P: Deep
Yin & yang combinations of herbs by Zhang Zhong Jing:
Fu zi + fu ling = for water
Gui zhi + fu ling = for yang qi
Bensky: 1) Abdominal pain aggravated by cold; urinary difficulty; deep aching & heaviness of extremities; generalized edema;
loose stools; dizziness & heavy sensation of head; palpitations; cough; vomit; T: Pale or dark, swollen with teeth marks; Tc: White,
slippery; P: Submerged, thin, forceless; 2) Externally contracted disorders with sweating but no fever; palpitations in epigastrium;
dizziness, shivering & trembling with unsteady appearance; Tc & P: See above. D: 1) KD Yang Xu or Spleen & KD Yang Xu with
retention of pathogenic water; 2)Wind-Cold Taiyang Stage; CC: None Noted
Red ginseng – warm; for yang xu cold & low energy
Hong Shen
Huang qi -energy + water metabolism – not as strong draining for yang xu cold &
Huang Qi
low energy
Drain more edema
Zhu Ling, Ze Xie, Yi Yi Ren
Shi Pi San / Bolster the SP Decoction
Functions:
Source: Effective Formulas from Generations of
Physicians (Shi yi de xiao fang)
p 199
Warm Yang, Tonify SP, Move Qi, Leach Out Water
Indication:
Edema due to Yang Xu (SP & KD)
(Edema below the waist)
*Mainly for SP Yang Xu
Edema, esp. below the waist; cold limbs
(due to spleen’s inability to distribute
yang); no thirst; loose stool or diarrhea
(water pouring down); fullness of chest
& abdomen
Composition:
Fu zi*
Gan jiang
Grams
30
30
F(x) of single herb in formula:
Warm Up Spleen, KD; Help Qi transformation to
remove water
Disperse cold & water
- gan jiang is especially for SP yang qi
- sheng jiang is more for stomach
Bai zhu*
30
Tonify Spleen, Dry Damp, Leach out water
30
Fu ling*
30
Restore SP f(x); Transform water
Mu gua
30
Hou
po
T: Thick, greasy coat; P: Deep, slow
Descend Qi, Remove stagnation,Transform water
30
Mu xiang
- Bing lang/da fu zi is the seed (betel nut) and da
30
Da fu zi / bing lang
* Ingredients in Zhen Wu Tang, with gan
fu pi is the peel of the fruit (betel peel).
30
Cao guo
jiang instead of sheng jiang, and no bai
Gan cao
shao.
15
* Has herbs in Ling Gui Zhu Gan Tang,
5 Slc Harmonize Herbs; Tonify Spleen
Sheng jiang*
but fu zi instead of gui zhi
1 Pc
Da zao
Bensky: Generalized edema more severe below the waist, cold extremities; chest & abdominal fullness & distension; heavy
sensation of body; loss of appetite; absence of thirst; scanty urine; semi-liquid unformed stools; T: Thick, greasy; P: Submerged,
slow or thin. D: Yin-Type Edema due to Spleen & KD Yang Xu; CC: None Noted
Formulas: Dr. Ma
F.A.Yip, 2005
Dampness
118
Bi/Bei Xie Fen Qing Yin / Dioscorea Hypoglauca to
Separate the Clear
Functions:
Source: Teachings of [Zhu] Dan-xi
(Dan xi xin fa)
p 201
Warm the LJ; Leach Out Water; Transform the Turbid
Indication:
Composition:
Deficient Cold in Lower Jiao
Turbid, cloudy urine (gao lin); frequent
urination; cold limbs.
Grams
Chuan bei xie [c]
12
Yi zhi ren [d]
9
F(x) of single herb in formula:
Transform Turbid Damp
- #1 herb to separate clear from turbid
Warm Kidney Yang; Astringe Urine,
Reduce frequent urination
Warm Kidney & BL to relieve frequent urination
Transform the Turbid Damp; Expel Cold (from BL)
9
Wu yao [a]
Why turbid urine? Xu Cold = yang xu, and Shi chang pu [a]
9
yang qi can’t transform, leading to
Lead back to KD
Yan
/
salt
cloudy urine pouring down.
+ du zhong, sang ji sheng
Compare:
Suo Quan Wan: yi zhi ren, wu yao, shan yao – similar herbs
**Sang Piao Xiao San: for rice water type urine; astringes and addresses shen problems. Bi Xie Fen Qing Yin is more for
Damp (b/c bi xie is the [c]).
Bensky: Frequent urination with cloudy, dense, milky (rice water) or greasy urine; D: Cold from xu in lower burner causes turbid
dampness to pour downward; CC: not for cloudy pud due to damp-heat in bladder
**Sang Piao Xiao San:
Long gu
Ren shen
Fu shen
Yuan zhi
Shi chang pu
Wei Ling Tang P 176
(Wu Ling San P 174 + Ping Wei San P 181)
Syndromes:
Deficient Cold In Li (Theory)
Tx: Warm Yang Qi; Resolve Damp-Cold
Ping Wei San =
Syndromes:
Cold Dampness Invading Sp
Around umbilicus pain; low energy/ tired; feel cold;
diarrhea; cramping around umbilicus; borborygmus
(can be dt damp in li or qi yu)
Face – puffy, esp eyelids, dizziness, ha, tiredness, ear
block; drainage – allergic reaction
Mid- Chest Tight; Suffocations; Bloated, Diarrhea;
Nausea, Vomiting, Sweet Taste In Mouth
Lower- leukorrhea, discharge, frequent urine,
turbid, eczema, herpes
Limbs- puffy, heavy, achy body
Cang Zhu
Hou Po
Chen Pi
Gan Cao
Wu Ling San =
Fu Ling
Zhu Ling
Ze Xie
Bai Zhu
Gui Zhi
Fu organ – always discomfort & cramping pain
mu xiang; zhi ke; xiang fu; bai shao; yan hu suo
rou dou kou, he zi, lian zi, bai zi
Formulas: Dr. Ma
F.A.Yip, 2005
Gui ban
Dang gui
Dampness
Ping Wei San = Rep Rx For Dampness In
Middle Jiao (Four ingredients – strong dry
damp & warming; poor appetite,
diarrhea/loose stool, thick tongue coat)
Wu Ling San= Used For Taiyang Syndrome
affect bladder; now used for yang qi xu 
water retention
Drain Water, Promote Urination, Sl. Warm
Yang
Can change gui zhi to rou gui or fu zi; or use
larger dose of gui zhi for more yang
warming
Wu Ling San = more drain Damp
Moving and release pain
Astringent for diarrhea dt yang xu
119
CLEAR WIND-DAMP
If prolonged, will need to work on blood (when working on wind, must also work on blood - tonify)
If prolonged, may need to tonify zheng qi
Qiang Huo Sheng Shi Tang / Notopterygium to
Overcome Dampness
Functions:
Source: Clarifying Doubts about Injury from Internal
and External Causes (Nei wai shang bian huo lun)
p 203
Expel Wind and Damp
Indication:
Composition:
Exterior Wind-Damp Invasion
Shoulder, back pain and stiffness
(even lower back); heaviness
sensation, headache that may be
heavy, difficulty turning at the
waist;
Due to Wind-Damp in Tai Yang
Channel
Usually for acute problem but can
have invasion for a long time and
become a chronic condition.
P: Floating, superficial; Tc: White
Grams
F(x) of single herb in formula:
Qiang huo [c]
Du huo [c]
3
3
Expel Wind-Damp from upper part of body
Expel Wind-Damp from lower part of body
Fang feng [d]
Gao ben [d]
1.5
1.5
Expel Wind Damp from Tai
Yang Channel; Relieve Ha
Chuan xiong [a]
1.5
Move Blood; Expel Wind;
Relieve Pain
- Blood is stagnated by damp
Man jing zi [a]
0.9
Expel Wind, Relieve Pain
Gan cao [e]
1.5
Harmonize Herbs
Fang feng is not
drying
Gao ben, chuan
xiong, man jing zi:
Herbs for headache
Most expel wind herbs are drying. Fang feng is an exception and is moist.
Bensky: Heavy & painful head; generalized sensation of heaviness; back or generalized pain; difficulty in rotating or bending
trunk; mild fever, chills; t: white; p: floating; D: wind-dampness in superficial aspects; exterior & muscle layers; CC: Caution for
constitutional Yin Xu; Contra for Heat
15 y.o. boy case study (athlete) – external damp: 3 bags
Sx: tired, foggy headed, could barely move, nausea, poor/no appetite, headache, couldn’t play baseball anymore nor go to school.
1st – qiang huo 10; du huo 9; gao ben 9; fang feng 12; chuan xiong 6; man jing zi 9 - External Wind-Damp
2nd – ze xie 12; che qian zi 9; fu ling 12; chao bai zhu 12; dang shen 15; huang qi 15; chen pi 6; zhi yuan zhi 5 - Leach D; Tonify SP; Shen
Also added xing ren later.
Du Huo Ji Sheng Tang / Angelica Pubescens &
Sangjisheng Decoction
Functions:
Source: Thousand Ducat Formulas
(Qian jin yao fang)
p 207
Expel Wind Cold Damp; Relieve Pain; Tonify Liver, KD; Nourish Blood and Qi
Indication:
Composition:
Grams
Prolonged Bi Syndrome (W-C-D
Invasion); LIV and KD Xu; Qi and Xue
Xu
Du huo [c]
9
Xi xin [c]
<3
Wind is #1 evil for Bi Syndrome – if the
blood is strong, the wind cannot attack
Common rx for bi syndrome.
Pain and stiffness in the joints, numbness;
aversion to cold and preference for
warmth; sob; palpitations
P: Thin & weak
Tc: Thin, white, pale tongue
Fang feng [d]
Qin jiao [d]
Sang ji sheng
Du zhong
Niu xi
Dang gui
Chuan xiong
Sheng di huang
Bai shao
Ren shen
Fu ling
Gan cao [e]
6
6
6 (15-30)
6
6
6
6
6
6
6
6
6
F(x) of single herb in formula:
Expel W-C-D (for LJ)
Disperse W-C-D, Relieve pain
- Not for long term use
Expel W and Damp
Expel W-D, Soothe tendon
Expel W-D, Tonify LIV & KD
- du zhong, sang ji sheng both calm the fetus. Esp. in autoimmune patients (i.e. RA), these herbs can protect fetus –
body’s tendency with a-i dz is to reject fetus.
Nourish & Move Blood
= Si Wu Tang
Tonify SP Qi - to generate qi
*just b/c du huo is [c] herb, this formula is
3 herbs in
& xue
not limited to the lower body – it can be
Si Jun Zi Tang
Harmonize Herbs
used for the whole body, and modify
appropriately: i.e. qiang huo instead of du
6
Warm & Unblock Blood Vessels; Expel C
Rou gui
huo, etc.
Name of rx:
“Du Huo” = expels W-C-D; “Ji Sheng” = group of herbs, including sang ji sheng to expel and tonify
Bensky: Heavy & painful sensation sat fixed locations in lower back & lower extremities; with weakness & stiffness; aversion to cold & attraction
to warmth; palpitations; s.o.b.; T: Pale with white coat; P: Thin, weak, slow; maybe paresthesias (skin sensation) or numbness D: Painful
Obstruction with Liver & KD Xu CC: None Noted
Formulas: Dr. Ma
F.A.Yip, 2005
Clear Wind-Damp
120
CLEAR PHLEGM
Organs: LU, SP, KD
Types: substantial and insubstantial phlegm.
Generated in SP; stored in LU (KD relation is not as commonly seen) – more focus on SP, LU
Treat qi –moving qi will help clear phlegm (chen pi good herb to move and resolve)
Source: Imperial Grace Formulary of the Tai Ping
Era (Tai ping hui min he ji ju fang)
Er Chen Tang / Two Cured Decoction
Functions:
p 432
Dry Damp; Transform Phlegm; Regulate Qi; Harmonize the Middle
Indication:
(Cough d/t) Damp-Phlegm
Composition:
Grams
Ban xia [c]
15
Dry Damp; Transform Phlegm; Release
vomiting (the older the better)
Chen pi / ju hong
[c]
15
Regulate Qi, Dry Damp (the older the better)
Fu ling [d]
9
Strengthen SP, Leach out Damp (stop
production of phlegm)
Gan cao [a]
4.5
Harmonize Herbs, Moisten LU, Harmonize
the middle
Sheng jiang [e]
9-15
Descend Rebellious Qi, Disperse water fluid
(d/t pungent nature), Balance ban xia
*RF formula for Damp-phlegm*
This is often a base rx for others. When referred
to as “Er Chen” (instead of Er Chen Tang), it refers to
ban xia & chen pi (“chen” = old; therefore, the
older these 2 herbs are, the better it is to work on
the phlegm)
LU & ST/SP affected
Phlegm: profuse; white, clear; easy to expectorate
Fullness in chest; n&v; heavy limbs; fatigue or lack
of motivation (due to damp not Qi Xu), may appear
depressed (d/t damp and lack of yang qi)
Dizziness, vertigo; palpitations (due to fluids
F(x) of single herb in formula:
obstructing clear yang qi)
- May or may not have cough – w/o cough, may
Astringe LU Qi; Balance ban xia (astringent
1 pc
Wu mei
remove wu mei
wu mei “holds” pungent ban xia)
TC: white, moist, smooth; P: slippery
Shares 4 herbs with Liu Jun Zi Tang: ban xia, chen pi, fu ing, gan cao.
Er Chen Tang focuses on D, Liu Jun Zi Tang focuses on tonifying the SP and resolving D.
Avoid: heavy, greasy
- Can add dang shen, bai zhu (tonify SP, neutral = Liu Jun Zi Tang)
foods; cold foods!
- Can add zi wan, xuan fu hua (stop cough)
- Do not add sheng di, gou qi zi (too sticky)
Bensky: coughing w/copious white sputum that is easily expectorated; focal distension & stifling sensation in chest & diaphragm; palps; N&V;
dizziness; T: swollen w/thick white greasy coat; P: slippery; D: damp-phlegm from SP’s failure to T/T CC: unless modified, contra for LU yin xu;
can lead to thirst & dry throat
Syndromes: Retention of Phlegm In Lung; Accumulation Of Phlegm/Dampness In Lu
Cough, asthma, chest tightness, with white color phlegm – cough in am, bronchitis, lots of phlegm; no heat symptoms; heavy body
– poor appetite; T: Thick white swollen; P: Slippery
Resolve phlegm stronger
xing ren, tian nan xing
Damp more – not thick sputum, runny nose - drainage
cang zhu
Don’t use if thick !
hou po
Open Chest – Chest Tightness
gua lou, lai fu zi, jie geng
+ Ping Wei San
Dry Dampness
cang zhu, hou po, chen pi, gan cao
Er Chen Tang (Modified with Si Jun Zi Tang)
Syndromes: Sp Damp Attacking Lu
= Liu Jun Zi Tang
Cough with copious sputum, edema
Fatigue, tired, loose stools - decrease appetite
Liu Jun Zi Tang = ren shen + bai zhu + fu ling + gan cao +
Chronic bronchitis in elderly (spleen weakness cannot t/t 
chen pi + ban xia – Strengthen Sp – Resolve Damp
LU – when eat wrong things, sugar, dairy)
Damp alone cannot affect LU – must have SP weakness +
Er Chen Tang = chen pi + gan cao + fu ling + ban xia
damp will affect LU
Formulas: Dr. Ma
F.A.Yip, 2005
Clear Phlegm
121
Source: Golden Mirror of the Medical Tradition
(Yi zong jin jian)
Wen Dan Tang / Warm GB Decoction
Functions:
p 435
Regulate Qi; Transform Phlegm; Clear Phlegm Heat from GB; Harmonize ST
Indication:
Composition:
Grams
Disharmony of GB & ST; Interior
Phlegm-Heat
Zhu ru [c]
6
Even though this rx is names “Warm the GB
Decoction,” it is used to clear GB heat.
Zhi shi [d]
6
Ban xia [a]
6
Chen pi [a]
9
Fu ling [a]
4.5
Ph-H in the GB, which affects the ST
Main sx - mental problems: insomnia;
frightened/shock, scared; irritability;
palpitations; epilepsy
F(x) of single herb in formula:
Clear Phlegm Heat; Relieve nausea, vomiting,
irritability
Move Qi; Clear Phlegm
- move qi first to be able to clear the phlegm
Descend Rebellious; Harmonize ST; Dry Damp;
Transform Phlegm
Regulate Qi; Dry The Damp
Strengthen Spleen; Leach out Damp
3-6
Sheng jiang
ST: n & v, hiccup (GB disturb ST qi)
Tonify SP/ST; Harmonize Herbs
Da zao
GB: disturbs ST, which generates phlegm &
3
Gan cao
heat.
Chai Qin Wen Dan Tang = Wen Dan Tang + chai hu 3-5g, huang qin 6g (both herbs go to the LIV/GB)
- created/used by a famous dr. who used this for stronger mental issues, including Bi-Polar disorder, etc.
Wen Dan Tang or Chai Qin Wen Dan Tang is good for ADD/ADHD – more clear results if the patient is not taking other
medications along with herbs, but taking the herbs will not interfere with the medications.
Shi Wei Wen Dan Tang = Wen Dan Tang + yuan zhi, suan zao ren
GB is related to courage, thus, GB problems affects courageousness  fright, shock = an over-reaction of emotions.
HT Xue or LIV Xue Xu also manifests as shen disturbances (insomnia, sadness, crying all the time), but is a hypo-reaction.
Phlegm misting the mind formulas: Wen Dan Tang; Chai Qin Wen Dan Tang; (Meng Shi) Gun Tang Wang
(Zhi Mi) Fu Ling Wan
Functions:
* Not for long term use *
Dry The Damp; Move Qi; Soften Hardness; Transform Phlegm
Indication:
Composition:
Phlegm in zhong wan
Zhong wan = REN-12
Arm pain due to phlegm; edema of 4 limbs
Often in clinic, we treat arm/limb pain d/t qi
and xue stasis. But check the T and P! The
pain may be d/t phlegm for which this rx is
indicated.
T: white greasy; P: slippery, wiry
Grams
F(x) of single herb in formula:
Ban xia
Dry Damp, Phlegm
Fu ling
Tonify SP, Leach out damp
Zhi qiao
Regulate qi, open middle
Mang xiao
Resolve phlegm, Soften hardness
Jiang zhi
Balance ban xia; Disperse water and fluid
(juice of sheng jiang)
Qing Qi Hua Tan Tang / Clear Qi & Transform Phlegm
Decoction
Functions:
p n/a
Source: Investigations of Medical
Formulas (Yi fang kao)
p 437
Clear Phlegm Heat; Regulate Qi; Relive Cough
Indication:
Composition:
Interior Phlegm Heat
Dan nan xing
Huang qin
Gua lou ren
45
30
30
Fu ling
30
Xing ren
Ban xia
30
45
Strengthen SP; Leach out Damp
- stop production of phlegm
Open LU qi
Dry The Damp; Transform Phlegm
Zhi shi
Chen pi
30
30
Descend Qi; Open the Stagnation; Clear Phlegm
- to treat ph, must tx qi
Syndromes: Phlegm Heat Retention In
Lung
Yellow, sticky phlegm that is difficult to
expectorate; chest fullness and
discomfort; yellow, scanty urine
May use for smokers phlegm
T: Red, yellow greasy; P: Rapid, slippery
Grams
F(x) of single herb in formula:
Clear Phlegm Heat
Descend LU Fire, Transform Phlegm Heat
- Gua lou & xing ren can help moisten to get phlegm to come out
Contains: Xiao Xian Xiong Tang: huang qin, gua lou ren, ban xia
Clear excess before treating underlying deficiencies (e.g. concurrent yin xu).
If there is thirst, use bitter herbs to clear heat and stop thirst.
Formulas: Dr. Ma
F.A.Yip, 2005
Clear Phlegm
122
Qing Qi Hua Tan Wan Clear Qi Transform Phlegm Pill, p437 (Er Chen Tang is base)
or Qing Jin Hua Tan Wan p n/a – see Dr. He’s class
Bensky: coughing of yellow, viscous sputum that is difficult to expectorate; focal distension; feeling of fullness in chest &
diaphragm; nausea; T: red w/greasy, yellow coat; P: slippery, rapid; maybe difficult breathing
D: internal clumping of phlegm-heat; CC: none noted
Qing Jin Hua Tan Tang
Huang qin
Zhi zi
Sang bai pi
Bei mu
Gua lou
Qing Fei Yi Huo Pian
Chen pi
Fu ling
Mai men dong
Jie geng
Heat Toxin – Purging Fire, Detoxin Stronger
Sinus Infection, Use Instead Of Antibiotics – Has Strong Fever, Bad Infection
Lian Qiao, Huang Qin, Ku Shen
Didn’t cover
Xiao Xian Xiong Tang / Minor Sinking into the Chest
Decoction
Functions:
Source: Discussion of Coldinduced Disorders (Shang han lun)
Clear Heat, Transform Phlegm, Open the Chest
Indication:
Composition:
Grams
F(x) of single herb in formula:
Phlegm Heat in the LU
Huang lian
6-9
Syndromes Lung Qi Yu Due To Phlegm-Heat
Ban xia
6
Clear Heat, Dry Damp, Detox
Resolving Phlegm (Very Warm),
Descend Rebellious, Disperse
Stagnation
Chest tightness, chest pain, cough yellow sticky phlegm,
LU hurt, restlessness, suffocating, Lu infection
Gua luo shi
T: yellow sticky coat, red; P; rapid, slippery, forceful
Pathogen is in the Epigastrium but Symptoms are in chest and Epigastrium
(Meng Shi) Gun Tan Wan / Vaporize Phlegm Pill
Functions:
p 438
12
Opens Chest (Also Warm) –Resolve
Phlegm, Clear Heat
Source: Additions to the Teachings of
[Zhu] Dan-Xi (Dan xi xin fa fu yu)
p 424
Drain Fire, Expel Phlegm
Indication:
Composition:
Excessive Heat, Old Phlegm
- “real” mental disorders; - Phlegm-Heat misting the mind.
(Duan) meng shi [c]
- aka qing meng shi /
chlorite
All excess sx; typically strong constitution.
Yellow, thick, sticky phlegm; discomfort in the chest;
suffocating sensation; dizziness; tinnitus; insomnia (excess
type); severe constipation – no bm for a long time (1 week)
[open up, then drain!]; red complexion; halitosis
Severe mania: violent, “crazy”
1st: expel pathogen; 2nd: drain. Once drained, the TC will change.
T: Thick yellow greasy coat; P: Rapid, slippery, forceful
* Not for long term use! – da huang becomes less effective over
time
Grams
F(x) of single herb in formula:
Expel old phlegm
Drain Fire, Descend
Da huang [d]
15- 30g!
- Base dosage on severity of
symptoms; maybe start
with 10g then increase
Huang qin [d]
Clear Heat in Middle Jiao
Chen xiang [a]
Descend Qi
Bensky: mania-withdrawal; palps w/anxiety; or severe, continuous palps which can lead to coma; coughing or wheezing w/thick
viscous sputum; focal distention & stifling sensation in chest & epigastrium; or D&V; tinnitus; constipation; TC: thick, yellow,
greasy; P: slippery, rapid, forceful; maybe facial tics, insomnia or very strange dreams; sudden deep pain in joints that is difficult to
describe, nodules in neck in a choking sensation; D: excessive heat & chronic phlegm; CC: pregnancy & postpartum; weak
persons; absence of heat & phlegm
Formulas: Dr. Ma
F.A.Yip, 2005
Clear Phlegm
123
Bei Mu Gua Lou San / Fritillaria & Trichosantes Fruit Powder
Functions:
Source: Medical Revelations
(Yi xue xin wu)
p 439
Moisten LU, Clear Heat, Regulate Qi, Transform Phlegm
Indication:
Composition:
Grams
4.5
Zhe bei mu [c]
Lung Dryness with Phlegm
3
(Quan) gua lou [d]
F(x) of single herb in formula:
Clears LU heat; transform phlegm; stop cough
Clear heat; Moisten dryness; Open chest
- regulate qi; expel phlegm
Phlegm is very sticky, difficult to
expectorate; dry throat; sob; LU yin xu
(do not astringe – need to moisten to
expel phlegm)
Tian hua fen [a]
aka gua lou gen
2.4
Clear heat; Transform phlegm; nourish fluid
Fu ling [a]
2.4
Tonify SP; Leach out damp
- stop production of phlegm
*Do not use cold herbs, they will close
lung qi
Ju hong / chen pi [a]
2.4
Regulate qi; transform phlegm
Jie geng [a]
2.4
Benefit LU qi
Ling Gan Wu Wei Jiang Xin Tang / Poria, Licorice,
Schisandra, Ginger, Asarum Decoction
Functions:
Source: Essentials from the Golcen
Cabinet (Jin gui yao lue)
p 444
Warm the Lung; Transform Fluid
Indication:
Composition:
Grams
F(x) of single herb in formula:
Warm LU; Disperse cold; Transform fluid
- gan jaing for SP; sheng jiang for ST
9
Warm LU, Disperse cold, disperse fluid
Xi xin [d]
Profuse sputum, easily expectorated;
discomfort in the chest
Tonify SP; Leach out damp
12
Fu ling [d]
(SP) yang xu unable to transform fluids
- works on body/root
Astringe LU qi; relieve cough
6-12
Wu wei zi [a]
T: white moist coat
Balance xi xin – prevent dispersing too much of LU qi
P: wiry, slippery
9
Harmonize the middle; harmonize herbs
Gan cao [e]
Bensky: coughing w/profuse sputum that is thin, watery & white w/ feeling of discomfort in chest & diaphragm; TC; white,
slippery; P: wiry, slippery; D: cold congested fluids Due To yang xu & ascendant yin
Interior cold fluid retention (yin)
9
Gan jiang [c]
 Similar to Xiao Qing Long Tang [Ex W-C w/ Interior W-fluid retention] in function and 3 herbs: gan jiang, xi xin, wu
wei zi (ma huang, gui zhi, gan jiang, xi xin, wu wei zi, bai shao, ban xia, zhi gan cao)
 Zhang Zhong Jing often prescribed 3 herbs for treating congested fluids d/t cold: gan jiang (to warm), xi xin (disperse),
wu wei zi (restrain).
San Zi Yang Qin Tang / Three Seed Decoction to
Nourish One’s Parents
Functions:
Source: Comprehensive Medicine According
to Master Han (Han shi yi tong)
p 445
Descend Qi, Transform Phlegm, Transform Food Stagnation
Indication:
Composition:
Grams
F(x) of single herb in formula:
Phlegm & Qi Stagnation
Bai jie zi
6-9
Warm Lung, Facilitate Lung qi; Transform phlegm
Warm rx: use seeds to resolve phlegm
stagnation and move qi
Descend qi; Transform phlegm;
6-9
Zi su zi
Cough, asthma; food yu; may have
Relieve cough, asthma – good for sticky phlegm.
bloating, poor appetite (b/c of phlegm or
food yu); discomfort in the chest
Reduce food stagnation, Move qi, Transform phlegm
Originally for old age people (middle jiao
- may have gas with this qi mover
xu, damp & phlegm accumulate to
6-9
Lai fu zi
- *incompatible with ren shen – neutralizes tonifying
disturb LU)
action of ren shen
TC: greasy; P: slippery
- This Rx for branch, not root.
1st: resolve stagnation, move qi, 2nd: tonify and strengthen body
- These seeds are moistening.
Bensky: coughing & wheezing, copious sputum; focal distension in chest, loss of appetite, digestive difficulties; TC: white, greasy;
P: slippery; D: cold in LU w/food stagnation
Formulas: Dr. Ma
F.A.Yip, 2005
Clear Phlegm
124
Function: Resolve Phlegm, Soften Mass, Dredge Collateral (If No
Sensation)
Hai Dai Wan Modified
Syndromes: Phlegm Scrofula
Hai Zao For Goiter (Lack Of
Iodine)
Hai Zao
Kun Bu
Fatty, Lipoma Tissue Under Neck, Armpit, Inguinal –Swelling Of Lymph–
Not Infection – No Pain, No Heat – Goiter, Cyst
Zhi Bei Mu
Numbness Of Limbs (Not Dt Blood Stasis) – Like Lack Of Sensation, Not
Tingling –Phlegm Usually Cause Numbness Not Pain
Chen Pi
T: Pale Swollen Tm; Tc: Thick, White
Qing Pi
P: Slippery
Xia Ku Cao, Ban Xia, Xuan Shen
Scrofula, Nodules – Resolve Phlegm
Bie Jia
Resolve Mass/Remove Stasis
Wang Bu Liu Xin
Resolve Mass/Remove Stasis
E Zhu, San Leng
Only If Not Cancer, or Not Too Weak
Hai Zao, Kun Bu, Zhe Bei Mu, Xia Ku
Sng For Resolve Phlegm/Nodules
Cao, Chen Pi, Ban Xia
Ban Xia Bai Zhu Tian Ma Tang / Pinellia, Atractylodis,
and Gastrodia Decoction
Functions:
Scrofula, Nodules
Scrofula, Nodules
Source: Medical Revelations
(Yi xue xin wu)
p 447
Dry the damp, Transform phlegm, Extinguish wind, Suppress the Liver
Indication:
Composition:
Upward Disturbance of Wind-Phlegm
Often no Western Dx is given for this
presentation
Dizziness & headaches d/t Wind-Phlegm.
Chest discomfort, nausea – d/t phlegm.
Migraine – may arise from phlegm, not always
just xue yu – damp, heavy, tight feeling of head
(like wrapped in a bandage)
Can be used for hypertension patients who have
dizziness and headaches.
This Rx is also safe to use for hypotensive
patients.
P: wiry, slippery; TC: white greasy
T & P are important b/c there are few signs and
sx, thus must confirm with T&P.
Grams
F(x) of single herb in formula:
Ban xia
4.5
Tian ma
1-3
Bai zhu
9
Dry the damp, transform phlegm, descend
the rebellious, relieve nausea
Transform phlegm, extinguish wind; relieve
dizziness, and headache
- great for internal injury headaches
Strengthen SP, dry the damp
Fu ling
3
Strengthen SP, Leach out damp
Chen pi (ju hong)
3
Regulate qi, transform phlegm
Sheng jiang
1 sl
Da zao
2 pc
Gan cao
1.5
Harmonize SP/ST
Harmonize herbs
Can combine this formula with Tian Ma Gou Teng Yin or Zhen Gan Xi Feng Tang.
- all 3 rx tx similar problems: BXBXTMT  phlegm; ZGXFT  descend, helps xue; TMGTY  descend, helps yin
*Shares 5 herbs with Liu Jun Zi Tang. Liu Jun Zi Tang – ren shen
Dr. Ma: usually bases a formulation on this, but does not use Rx exactly; usually adds to descend blood like huai niu xi; zhi shi
Bensky: D & V; N & V; insomnia; palps; anxiety; indeterminate gnawing hunger; seizures w/copious sputum; focal distension of
chest; bitter taste; slight thirst; TC: greasy, yellow; P: rapid & slippery or wiry D: disharmony between ST & GB w/ phlegm-heat
CC: contra for vertigo Due To LV yang rising or blood Xu
Syndromes: Phlegm In Middle Jiao (Blocking)
Meniere’s Syndrome – motion sickness - w/ imbalance of inner ear; vomit of clear fluid; nausea; dizzy; discomfort; heaviness
sensation of head; tinnitus; T: Thick white w/ swollen, teethmarks
Formulas: Dr. Ma
F.A.Yip, 2005
Clear Phlegm
125
Source: Medical Revelations
(Yi xue xin wu)
Ding Xian Wan / Arrest Seizures Pill
Functions:
p 448
Transform phlegm, Extinguish wind
Indication:
Composition:
Internal Phlegm-Heat
*Epilepsy, seizures
Rattling in throat; foamy saliva during
seizure; dizziness; vertigo; incontinence of
urine & stool; convulsions
P: Slippery, wiry T: White with thick
coating
Grams
F(x) of single herb in formula:
Zhu li
Jiang zhi
Dan nan xing
Ban xia
Chen pi
Chuan bei mu
Fu ling
Mai men dong
Dan shen
Shi chang pu
Quan xie
Jiang can
Expel phlegm-heat
Assist to expel ph, open orifice
Clear Fire, Phlegm-Heat
Tian ma
Transform Phlegm, Extinguish Wind
Expel Phlegm
Mai dong protect Yin, too
Remove Yu, Open Orifices
Relieve Exterior Wind
Zhu sha
Liver  Internal Wind  Phlegm
Calm Shen
Spleen  Phlegm  Wind Phlegm  Heart Hu po
Yuan zhi
- do not cook zhu sha or hu po: zhu sha powder is
Deng xin cao
usually used to coat other herbs or patents.
Fu shen
Harmonize
Gan cao
Bensky: Symptoms of dizziness and vertigo; oppression in chest; loss of strength prior to seizure; seizures may arise without
warning; sudden falling to ground; l.o.c.; convulsions; foaming at mouth; screaming; possible incontinence of urine & stool;
maybe only cloudiness of consciousness or trance-like mental state without convulsions.
Zhi Sou San / Stop Coughing Powder
Functions:
Source: Medical Revelations (Yi xue xin wu)
p 446
Relieve coughing, Transform phlegm, Release Exterior, Open LU Qi
Indication:
Wind Invasion of Lung
Cough due to Wind invasion – not necessarily
W-C or W-H
Itchy throat, may have mild external sx of
chills/fever.
T: thin white coat
“Don’t close the evil in your house – let it go”
Composition:
Zi wan (yuan)
Bai qian
Bai bu
Jie geng
Ju hong (chen pi)
Jing jie
Gan cao
May add:
Fang feng
Bei mu
Sang bai pi
Grams
9.6
9.6
9.6
9.6
4.8
9.6
3.6
F(x) of single herb in formula:
Release cough, transform phlegm
Facilitate LU qi; relieve cough; transform phlegm
- Jie geng ↑ and chen pi ↓
Expel wind, Release Exterior
Harmonize; Smooth throat together w/jie geng
Instead of jing jie
If Phlegm – yellow, sticky
Avoid cold or sweet foods!
Tonify SP to support Wei Qi/Immune system.
Dr. Ma: if constipation, add zhi ke (instead of chen pi) – also helps balance jie geng
Bensky: cough w/ or w/o slight chills & fever, an itchy throat; T: thin, white coat; P: moderate, floating; D: wind attacking LU;
CC: not for yin xu cough or for heat in lungs
Formulas: Dr. Ma
F.A.Yip, 2005
Clear Phlegm
126
Reduce Stagnation
Qi, Blood, Phlegm, Damp – manifesting as food, masses, lumps.
Reduce food yu gradually, then strengthen spleen and stomach f(x).
- If long-term recurring food yu, strengthen sp and stomach f(x): Liu Jun Zi Tang, Xiang Sha Liu Jun Zi Tang, etc.
- These formulas are generally given in pill form – the herbs are strong. If given as raw decoction, use appropriate dosages for strong herbs.
-
FOOD & FOCAL DISTENSION
Food Yu comes from:
Lifestyle
1. Overeating
2. Irregular eating times
3. Spleen Qi Xu
4. Allergies
5. Liver Qi
Food
1.
2.
3.
4.
5.
6.
Greasy
Heavy
Rich
Cold
Sticky
Eating spoiled foods
Bao He Wan / Preserve Harmony Pill
Functions:
Source: Teachins of [Zhu] Dan-xi (Dan xi xi fa)
p 455
Resolve Food Yu, Harmonize ST
Indication:
Food Stagnation
Indigestion due to eating too much
meat, greasy, heavy foods;
grains/flour; alcohol; irregular
eating; eating bad food
Bloating, acid reflux, poor appetite,
nausea, maybe diarrhea/loose
stools
- Bloating after a meal is usually
associated with long-term food
stagnation.
P: Slippery; Tc: thick, greasy
Composition:
Grams
F(x) of single herb in formula:
Shan zha
9-15
Resolve Food Stagnation (especially meat)
- good for reducing high triglycerides/cholesterol
- doesn’t tonify the spleen, so for long-term, switch to herbs
that will also help tonify the SP (zhi shi, bai zhu, etc.)
Shen qu
9-12
Resolve Food Stagnation (especially alcohol); Tonify SP
Lai fu zi
6-9
Descend Qi; Resolve Food Stagnation (especially grain, flour)
(mai ya also)
Ban xia
Chen pi
9-12
6-9
Move Qi; Harmonize Stomach
Fu ling
9-12
Strengthen Spleen; Leach Damp
Lian qiao
3-6
Clear Heat, Disperse Stagnation
Shan zha, shen qu & mai ya are called three immortals = Jiao san xian
Bensky: Focal distension & fullness in chest & epigastrium, abdominal distension with occasional pain, rotten-smelling belching,
acid regurgitation, n&v, aversion to food, Tc: yellow, greasy; P: Slippery, maybe diarrhea
For mild cases, chen pi and ban xia together dry damp
Curin Wan (patent):
- Often also used for the same indications as Bao He Wan, but Curin Wan contains more draining and moving herbs. Curin
Wan is even more effective when the bowels are stuck.
-
Tian ma, bai zhi, ju hua, ge gen, bo he, tian hua fen, cang zhu, yi yi ren, fu ling, mu xiang, huo po, ju hong/chen pi, huo xiang,
shen qu, gu ya
Formulas: Dr. Ma
F.A.Yip, 2005
Food & Focal Distension
127
Zhi Shi Dao Zhi Wan / Immature Bitter
Orange Pill to Guide out Stagnation
Functions:
Source: Clarifying Doubts about Injury from Internal
and External Causes (Nei wai shang bian huo lun)
p 460
Resolve Food Yu, Harmonize ST
Indication:
Composition:
Grams
F(x) of single herb in formula:
Syndromes Food Stagnation with Heat
Zhi shi
9-12
Move Qi, Release, Descending
Same: fullness, pain, belching, gas,
bloating, foul smell, poor appetite, relief
with bm; alternating constipation
/diarrhea
plus: burning sensation with diarrhea,
foul smells, moves damp more
Huang lian
6
Damp-Heat; Anti-Virus
Huang qin
6-9
Damp-Heat; Anti-Virus
Da huang
6-9
Damp-Heat; Anti-Virus: Dosage varies on
constitution, want stool to become loose, but not
cause diarrhea
T: Thick Yellow Color
P: Slippery, Wiry
LI-11 + ST36 For Yang Ming Heat
ST25; RN12; ST36; ST44; Sifeng
Fu ling
9
Drain Damp
Ze xie
6-9
Drain Damp: Use Higher Dose If Dark Yellow Urine
Bai zhu
9-12
To Protect SP (From Bitter Cold Herbs)
Shen qu
9-12
For Digestion, Strengthen SP, Resolve Damp
Source: Confucians’ Duties to
Their Parents (Ru men shi qin)
Mu Xiang Bing Lang Wan / Auklandia and Betel Nut Pill
Functions:
p 457
Move Qi, Remove Yu, Clear Heat
Indication:
Composition:
Interior Yu with Heat
Food Yu with Heat
Bloating dysentery, blood and pus in
stool
Can give for parasites
Move qi more—for severe abdominal
pain
Grams
F(x) of single herb in formula:
Mu xiang
Bing lang
Move Qi, Relieve Fullness
Qian niu
Da huang
Remove Yu, Clear Heat
Qing pi
Chen pi
Move Qi
Xiang fu
E zhu
Zhi qiao
Huang lian
Huang bai
Zhi Zhu Wan / Immature Bitter Orange and
Atractylodes Pill
Functions:
Tonifies Spleen; Relieves Focal Distension
Indication:
Composition:
Spleen Qi Xu, Food Yu
(Qi Yu)
Bai zhu
Very good formula, especially for children
Children w/o appetite, food stagnation, etc. –
take for 3 months (in pill form)
* Must take long term
Abdominal distention (dull), no appetite
Zhi shi
Soothe Liver, Break up Stagnated Qi
Descend Qi
Clear Damp-Heat
Source: Clarifying Doubts about Injury from Internal
and External Causes (Nei wai shang bian huo lun)
Grams
12-18
2:1
ratio
6-9
He ye (lotus leaf)
Used in processing
p 459
F(x) of single herb in formula:
Tonify Spleen, Help Spleen
Transformation, Dry Damp
Descend Qi, Relieve fullness & focal
distention
Tonify Spleen, Ascend Clear Qi
- aromatic
- More tonifying than reducing
Bensky: Loss of appetite; focal distension in epigastrium & abdomen; Tc: White; P: Xu
Formulas: Dr. Ma
F.A.Yip, 2005
Food & Focal Distension
128
Bie Jia Jian Wan P N/a From Golden Chamber
Functions:
Good for mass, liver cirrhosis (bie jia good for that)
Jian Pi Wan
Strengthen the Spleen Pill P 458
Function: Tonify Spleen, Harmonize Stomach, Reduce Food Yu
Si jun zi tang: Ren shen
Bai zhu
Fu ling
Gan cao
+ Shan yao
Spleen and Stomach Xu with
Rou dou kou
Food Yu
Shan zha
Shen qu
Mai ya
Mu xiang
Sha ren
Chen pi
Huang lian
Has Xiang Sha Liu Jun Zi Tang Minus Ban Xia
Zhi Shi Xiao Pi Wan
Immature Bitter Orange Pill to Reduce Focal Distention P
461
Zhi shi
Hou po
Huang lian*
Spleen Qi Xu, Cold and Heat
Ban xia qu*
Combination
Gan jiang*
Ren shen*
Bai zhu
Fu ling
Gan cao*
Mai ya
Compare with Ban Xia Xie Xin Tang—Also has hot and Cold *
Bei Jia Jian Wan
F.A.Yip, 2005
Resolve Food Yu
Regulate Qi, Harmonize Stomach
Clear Damp-Heat
Function: Relieve Fullness, Focal Distention,
Tonify Spleen, Harmonize Stomach
Move Qi, relieve Focal Distention
Move Qi Relieve Fullness
Clear Damp-Heat
Disperse Yu, Harmonize Stomach
Warm the middle, Clear Cold
Tonify Spleen
Tonify Spleen
Tonify Spleen
Harmonize
Function: Move Qi, Clear Damp, Clear Phlegm, Soften Hardness
Bei jia jian
Zao xia hui
Qing jiu
Chi shao
Da huang
Ze chong
Qing lang
Shu fu
Mass in Hypochondriac
Chai hu
Region due to Qi, Blood,
Huang qin
Cold, Heat, Phlegm, or
Bai shao
Damp.
Hou po
She gan
Liver Cirrhosis
Ting li zi
Ban xia
Gan jiang
Gui zhi
Tao ren
Mu dan pi
Zi wei
Feng xiao
Qu mai
Shi wei
Dr. Ma To see real results for a “real” problem…take in raw form
Formulas: Dr. Ma
Tonify Spleen, Relieve Diarrhea
Soften Hardness
Reduce Yu
Move Blood
Break Up Blood Yu
Soothe Liver
Move Qi Resolve Phlegm
Warm the Middle
Move Blood
Clear Damp
Food & Focal Distension
129
Parasites
Source: Confucians’ Duties to Their Parents
(Ru men shi qin)
Wu Mei Wan / Mume Pill
Functions:
p 466
Warm the Zang; Calm down parasites
Indication:
Parasites (roundworms; also treats all
kinds of parasites)
N & v; abdominal pain; cold hands & feet.
Can be effective for children.
Jue syndrome due to roundworm (jue = cold)
Presents as ST Heat & LI Cold – thus, use a
combination of hot & cold herbs
Composition:
Grams
F(x) of single herb in formula:
Wu mei
24-30
1.5-3
Sour Taste; Calm down roundworm
Shu jiao (chuan jiao)
Xi xin
Huang lian
Huang bai
Gan jiang
Gui zhi
Fu zi
Ren shen
Dang gui
Expel parasites, Expel Cold, Warm Zang
1.5-3
9-12
6-9
6-9
3-6
3-6
6-9
3-9
Descend parasites, Clear heat
Expel Cold, Warm Zang
Nourish Qi & Blood
Dr. Ma prefers to use only huang lian.
This rx can be used for several weeks.
Bensky: Intermittent attacks of abdominal pain, stifling sensation, irritability, warmth in chest & epigastrium, with vomiting after
eating, cold hands & feet; may also have vomiting of roundworms.
Food Poisoning: immediate symptoms  take Huo Xiang Zhen Qi San
For both food poisoning and parasites – herbs to kill parasites, move qi:
Mu xiang, bing lang, shi jun zi, hou po, zhi shi, da fu pi
Fei Er Wan / Fat Baby Pill
Parasites
Intermittent abdominal pain;
childhood nutritional
impairment
Formulas: Dr. Ma
F.A.Yip, 2005
Functions: Calm Down Parasites, Tonify Spleen, Clear Heat
Shen qu
Huang lian
Rou dou kou
Shi jun zi
Mai ya
Bing lang
Mu xiang
Parasites
130
Dermatological Conditions
Xian Fang Huo Ming Yin / Sublime Formula for
Sustaining Life
Functions:
p 83
Clear Heat Toxin, Soften hardness, Move Xue
Indication:
Composition:
Carbuncles, Swelling, d/t to heat
toxin; Qi & Xue yu
Can be used for cystic acne, but also
must cool xue more.
For women who get acne prior to
their period, focus on treating her
period, not the acne.
Grams
F(x) of single herb in formula:
Clear heat toxin
Jin yin hua
Fang feng
Bai zhi
Dang gui wei
Chi shao
Ru xiang
Mo yao
Bei mu
Tian hua fen
Chuan shan jia
Zao jiao ci
Jiu
Chen pi
Gan cao
Wu Wei Xiao Du Yin / Five Ingredient
Decoction to Eliminate Toxin
Functions:
Source: Revised Fine Formulas for Women
(Jiao zhu fu ren liang fang)
Dispel cold
Moves xue, disperse Yu, Relieve swelling, Relieve
pain
Clear heat, Relieve Yu
Unblock channels
Move xue
Move qi
Transform toxin
Source: Golden Mirror of the Medical Tradition
(Yi zong jin jian)
p 84
Clear Heat toxin, Relieve Stagnation
Indication:
Composition:
Grams
F(x) of single herb in formula:
Clear Heat toxin
Jin yin hua
Carbuncles, sores d/t fire toxin
Zi hua di ding
Zi bei tian kui (begonia)
Heat signs:
Clear Heat toxin, Cool Blood, Disperse stagnation
Pu gong yin
T: red, yellow coat
Ye ju hua
Move herbs
Jiu
Bensky: All types of boils & carbuncles with localized erythema, swelling, heat & pain with fever, chills; esp. for deep-rooted &
hard lesions, said to resemble mails or chestnuts; T: Red with yellow coat; P: Rapid; D: Fire toxin due to externally contracted
heat from warm-febrile or seasonal pathogen accumulating in channels
Si Miao Yang An Tang / Four Valiant Decoction
for Well-Being
Functions:
Source: New Compilation of Time-tested
Formulas (Yan fang xin bian)
p 85
Clear Heat toxin, Invigorates Xue, Alleviates Pain, Nourishes Yin
Indication:
Composition:
Heat toxin; red burning  yang type
Jin yin hua
Xuan shen
Dang gui
Gan cao
Gangrene rot d/t heat toxin: Diabetic gangrene;
gangrene
Skin color will become red, dark.
Formulas: Dr. Ma
F.A.Yip, 2005
Miscellaneous
Grams
F(x) of single herb in formula:
Clear heat toxin
Move xue
Assist jin yin hua to clear heat toxin
131
Yang He Tang / Yang-Heartening Decoction
Functions:
Source: Complete Collection of Patterns and
Treatments in External Medicine
(Wai ke zheng zhi quan sheng ji)
p 217
Warms yang, Tonifies the xue, Disperses Cold, Unblocks stagnation
Indication:
Composition:
Yang Xu with cold
Skin color does not change  yin
type
Shu di huang
Lu jiao jiao
Rou gui
Pao jiang
Bai jie zi
Ma huang
Grams
30
9
3
1.5
6
1.5
F(x) of single herb in formula:
Folk remedy for gangrene/loss of feeling in
extremities:
- Collect chicken poop, fry with vinegar and pour into
a cloth bag. Tie the bag to the leg or affected area
and keep on the area for 24 hrs.
Yin type  xue cannot nourish
Gangrene rot d/t Cold w/ yang xu
T: pale; P: submerged, thin,
3
Gan cao
forceless
Bensky: Localized painful swellings without heads that blend into the surrounding tissue & do not affect the texture of the skin,
and are not hot to touch; no thirst;; D: Yin-type localized swelling; CC: Yang-Type Swellings; yin xu; or swellings that are
ulcerated for a long time
Didn’t cover in class, but Dr. Ma told us to read about this rx on our own –
- This formula has been placed at the end of Tonify Yang section [also learned in Zeng’s Herbal Syndrome Differentiation
class] (F. Yip)
Er Xian Tang / Two Immortal Decoction
Functions:
Source: Shuguang Hospital of the Shanghai College of TCM,
in Traditional Chinese Medical Formulas (Fang ji xue)
p 282
Warms KD yang, Tonify KD Essence, Drains Fire from the KD, Regulates Ren and Chong
Indication:
Composition:
Classic
If more yin
xu
If more yang
xu
KD Yin Xu for a long time  KD Yang Xu
KD Yang Xu for a long time  KD Yin and Yang
Xian mao
9
3
12
In the summer, fears heat // In the winter, fears cold
This can be seen as both KD Yin and Yang Xu
Yin yang huo
9
3
12
Ba ji tian
9
3
12
Huang bai
9
12
3
Zhi mu
9
12
3
Dang gui
9
9
9
Often seen in peri – or post-menopausal ♀
KD Yin Xu: hot flashes, night sweating, also feels cold
KD Yang Xu: hypertension (during menopause), edema of the
lower body
Gynecology:
- harmonizes Chong & REN Ch
- peri-/ post-menopausal sx
Dermatology: tx skin problems related to menstrual cycle:
- hives, eczema during period
T & P will vary depending on what root predominates
*More balanced for Yin & Yang Xu than Jin Gui Shen Qi Wan
Formulas: Dr. Ma
F.A.Yip, 2005
Miscellaneous
132
Didn’t cover in Ma’s class:
Formulas to Induce Vomiting
- No longer used One method: can drink lots of salt water – then stick finger down throat!
Gua di can cause vomiting – use very small amount <1gm
- Mental problems with phlegm – vomiting helped a patient
Gua Di San
Functions: Induce Vomiting of Phlegm, Food Yu
Melon Pedicle Powder P 449
Phlegm, Food Yu in Chest
and Epigastrium
Gua di
Chi xiao dou
Dan dou chi
1g
1g
9g
Induce Vomiting of Phlegm Yu
Clear Damp, Relieve Fullness
Disperse pathogen, harmonize Stomach
CC: Only Drink a little at a time. Stop when Vomiting occurs
Yan Tang Tan Tu Fang
Functions:
Salt
Food Yu
Water
2000 ml
Yan Tang = Salt Water. Tan Tu Fang = Use finger in throat
Formulas: Dr. Ma
F.A.Yip, 2005
Induce vomiting
133