Formulas MTC

Course:
Class #:
Syndromes
10
Date:
3/15/10
Bi (Bei) Xie Fen Qing Yin <yi xue xin wu> & <dan xi xin fa>
This is for cloudy/milky urinethese can have some proteins in the urine. Chief herb is Bie xie for
damp/heat. Both share bie xie, si cang pu, and fu ling. Note the differences below.
In the yi xue xin wu version, huang bai is for damp
and heat in the lower jiao, and bai zhu is for spleen to
help with damp processing. Lian zi xin, dan shen, and
che qian zi are to clear heart heat. This treats heavy
urination.
In the 2nd version, dan xi xin fa, the approach is
different. Wu yao (regulates qi) plus yi zi ren (for
urine). This is more of a kidney treatment.
Can also use bie xie, si cang pu and fu ling to treat
sinus type problems clear fire in the sinuses. Si cang
pu treats the head area when combined with yuan zhi.
Fu ling will drain damp anywhere.
Damp in the superficial channels

This refers to Bi syndrome from wind/damp/cold pathogens. They are often combined as wind/damp,
damp/cold, wind/cold, but in the case of arthritis its often all of the above. Be able to define which is
the dominant pathogen if it wanders its wind, if its damp its heavy, if its cold its more pain.
There are many formulas for this, but a few very key ones.
Qiang Huo Sheng Shi Tang
Remember this is more upper body. Targets the head,
neck and shoulder. Can also treat lower areas, but not
really the best choice. Youd use something like niu xi
or another herb to guide downward.
This formula treats wind (fang feng) and damp (qiang
huo and du huo). Doesnt especially treat the cold
even though the herbs are slightly warm. If the patient
has cold, add xi xin, gui zhi, etc for cold in upper
areas.
The key is damp pathogen for this formula.
Syndromes Winter 2010
www.CatsTCMNotes.com
Page 1 of 13
Disclaimer: This is not an official AOMA document, is intended for reference only and is not a replacement for your own class notes. This document is
available for your use As Is and may contain errors and omissions. Cat Calhoun retains full copyright ownership, rights and protection in all material
contained herein. You may use this document for your own purposes and distribute it to other people provided you 1) do not charge for it and 2) attribute it
as having been generated by Cat Calhoun and disclose that it available free of charge on CatsTCMNotes.com. 2010 Catherine (Cat) Calhoun
Another formula that is related is du huo ji sheng wan. Du huo ji sheng wan formulas key syndrome is
kidney xu + blood xu: cold, damp and wind affecting the the lower back. For cold uses xi xin, rou gui.
For damp uses du huo, fu ling, and qin jiao. Wind is addressed with fang feng. Kidney xu uses du zhong,
sang ji sheng and niu xi to guide it to the kidney. Blood deficiency herbs include si wu tang formula
within the du huo ji sheng wan formula. One key for du huo ji sheng wan is that it is for chronic
problems, not acute ones. This is a warm formula so if your patient has chronic intermittent problems
with flareups, this may not be the right formula. Assess for hot or cold in the patient.
Check out San Bi Tang also.
When you treat bi syndrome, never forget about the blood! This is a meridian problem. The meridians
function is to move Qi and blood.
Learn the Yin fluid retention stuff and past that on this handout on your own.

Page 2 of 13
Combinations
Some of this is repeat material, but people arent cut and dry, so often come in with combinations of
syndromes.
Qi and Blood disorders for instance can come in qi yu and blood stasis, qi xu and blood stasis, and qi
and blood xu.
Qi and blood stagnation can be in:
o Lv/Ht
o Ht only
o LV only
Xue Fu Zhu Yu Tang, already covered, is a combination of Tao Hong Si Wu Tang and Si Ni San. This
formula is for blood stasis and Liver qi stagnation. It promotes the circulation of qi and blood, removes
blood stasis and relieves pain. This is a very basic formula for chest area problems. Qi and blood stasis
in the Liver and Heart.
Dan Shen Yi is really simple: dan shen, sha ren,
and tan xiang. Dan shen is the chief herb it moves
the blood in the system, clears the blood heat, and
tonifies blood. Dan shens nature is cooling. Sha ren
warms the middle jiao to stop pain. Tan xiang is
mostly for the heart. Tan xiang is also used as
incense. It opens the heart orifice even in this
application. This is a form of aromatherapy.
This is a mild formula, so generally creates no
problem in taking it. You can modify it based on the
clients patterns i.e., more stasis, more qi
problems, more pain, etc.
Tends to be a cooling formula because of the high dosage of dan shen. Tan xiang and sha ren are warm
and balance the cool. Qi and Blood stasis in the heart.
From the Yip book:
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.
Tan xiang
4.5
Very good for the HT.
Move Qi, Relieve Pain, (open the Middle)
Sha ren
4.5
Good to take prophylactively.
Bensky: Abdominal or epigastric pain which may radiate upwards with signs & symptoms of qi & blood yu.

Page 3 of 13
D: Blood & Qi Yu accumulated in middle jiao, may radiate upwards
Jin Ling Zi San is for Qi stagnation and blood stasis in

the Liver. This is a hypochondriac area problem.
Determine where the pain is when you use this formula.
You can of course modify it to best treat the patient.
Abdominal pain in this case refers more to inguinal area
because this is the area of the Liver channel (like hernia
area pain in the inguinal area). Also helps menses since
this too is Liver organ related.
This formula is cooling, so good for Lv qi yu with some
heat. Jia wei xiao yao san is for qi yu too, but not for pain where this one is (yan hu suo). If the pain is
muscular, you can still use yan hu suo, but you must add bai zhi. This is a yangming herb.
Chuan lian zi (or jing ling zi) is slightly toxic. Remember that if you have a liver compromised patient
start the dose low.
From the Yip book:
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:
Gram
s
Jin ling zi
(chuan lian zi)
5-6
Soothe Liver Qi, Drain fire
Yan hu suo
Move Qi and Xue
Composition:
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
If you need to guide to the inguinal area (like for inguinal hernia) you use li zhi he and ju he. Dudes that
have problems in this area after sex could benefit from the formula Ju He Wan because it will address
the problems causing this pain.
Bu Yang Huan Wu Tang is for Qi xu with
Blood stasis. It is especially for post-stroke
patients, but even people with Qi xu and blood
stasis that havent had a stroke will benefit from
it.

Page 4 of 13
Stasis blocks the nutrition to the area it blocks, so there is weakness in the area. Hemiplegia, paralysis,
atrophy, etc. Because strokes are often a bleed out, this causes Qi xu. The brain controls the energy of
the body quite a lot. This is about consumption of oxygen. Be aware that some emotions, which also are
very brain activity related, can make you feel depleted of energy. Extreme sadness, depression, etc will
make one feel energy depleted. Stroke also causes weakness because the brain is deprived of oxygen and
therefore the body feels energy depletion.
When you create this formula, you start with 30 grams. Remember Huang Qi and Dang Gui as Dang Gui
xxxxx Tang? Its a 5:1 ratio. The formula in question here means Tonify Yang Qi or Restore the Five. Its
a Qi/blood relationship of 5(qi):1(blood). Huang Qi tonifies Qi and Yang. Its also good for the muscle
and is better than ginseng for this. If 30 grams of Huang Qi doesnt do the job, increase to 60 and if that
doesnt work, go to 120.
Di long unblocks the channels and collaterals bringing back feeling to the affected area. Patient must
take it 1 2 months before they feel results. Will be able to feel sensations in the paralyzed area might
just feel warmth. Practitioners should be able to feel a temperature difference between the affected and
unaffected limb as well.
Best effect if you treat early after the stroke, at most 1 year. After a couple of years youre not getting
this person back to normal. Catch it within 6 months and will get better results.
From the Yip book:
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:
Sequelae of Stroke; Qi xu
causing Xue yu
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.
Composition:
Grams
Sheng huang qi [c]
20-30
(120)
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
Dang gui wei [d]
Chuan xiong [d]
Chi shao [d]
4.5
Tao ren [a]
Hong hua [a]
Move Blood (Wei = Tail - Moves More)
Move Blood, Remove stagnation
P: Slowed down;
Di long [a]
3
Unblock channels & collaterals
T: White coat (dark purple if
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. 1st: Move Xue. 2nd: invigorate xue, unblock channels, and give

Page 5 of 13
Kidney tonics.
Facial features and tongue will deviate towards healthy side.
Must do acupuncture on stroke patients (esp. w/in 1st 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 2 nd 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.
Be careful with hypertension patients!

Ba Zhen Tang is for Qi and Blood xu. You definitely need both conditions to use it. Review that one on
your own.
Source: Catalogued Essentials for correcting the

Body (Zheng ti lei yao)
Ba Zhen Tang / Eight Treasures Decoction

Functions:
p 257
Tonify Qi & Xue
Indication:
Qi & Xue Xu
1 for women
Lassitude, dislike of speech, pale
face, pale tongue, poor memory,
thin, weak pulse, pale nails, dry hair,
palpitations, etc.
Composition:
Ren shen
Fu ling
Bai zhu
Gan cao
Dang gui
Shu di huang
Bai shao
Chuan xiong
Gram
s
Si Jun Zi Tang:
Tonify spleen qi
Si Wu Tang:
Tonify & regulate blood
Tonify HT & LIV
- chuan xiong: move qi and xue

Sheng jiang
Tonify SP/ST
Da zao
Dr dr. Ma: doesnt really use this formulas as is uses its base formulass 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

Page 6 of 13
Gui Pi Tang is another formula to treat Qi and

Blood xu. (Sp qi xu, blood xu, and Ht shen
problems.) Poor memory that is not from blood
xu wont respond to this as well! Neijing or
Shang Han Lun (Dr. Liu forgets which) talks
about poor memory due to blood stasis in the
hollow organs makes people forgetful. Not all
students need Gui Pi Tang!
Long yang rou, suan zao ren, and yuan zhi
benefit the sleep which help improve memory
too. This is why people without blood xu will
sometimes have memory benefits from it.
Gui Pi Tang / Restore the Spleen
Decoction
Functions:
p 255
Tonify Qi & Xue; Tonify SP & HT
Indication:
Composition:
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
P: Thin, weak
Grams
qi
Ren shen
Huang qi
1. HT & SP Xu
2. SP fails to control xue
T: Pale
Source: Formulas to Aid the Living (Ji sheng fang)
Tonify Spleen Qi
Bai zhu
Gan cao
Sheng jiang
Da zao
Contains Si Jun Zi Tang (with fu shen

instead of fu ling)
xue
Tonify LIV and HT Xue
Dang gui
shen
Fu shen
Suan zao ren
Long yan rou
Tonify HT, Calm Shen
Yuan zhi
Mu xiang
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:
Add patent Yun Nan Bai Yao or singles: xian he cao 9-15; san qi 3-9

Page 7 of 13
Sheng Mai San is for Qi and Yin xu, especially of the heart and lung. Sweating, COPD patients, cough,
asthma, etc will respond if the syndrome is Qi and Yin xu. The doses given in the writeup below are for
treatment. . .
You can make this into a tea to drink the summer
time to help prevent summer heat/damp and keep
the body moist if you war working out/exercising,
working hard in the yard, heavy physical labor, etc.
This requires smaller doses of both ren
shen/ginseng and wu wei zi.
Use the tail of the ginseng, which is available in the
chinese markets. If you cant find this, just use very
small pieces of ginseng. Youre not tonifying here,
but nourishing. You can add all of the maidong you want, but use small doses of wu wei zi also because
1) the taste is awful, and 2) you dont want to keep people from sweating all that much in the summer.
Its normal to sweat in the summer, especially if you are exercising, working out, working in the yard,
etc.
If there is a possibility of muscle injury or heavy physical labor in the summer, add huang qi.
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:
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
Composition:
Grams
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
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

Page 8 of 13
Disorders of internal organs include:

Heart and Gallbladder Qi xu
Gallbladder and Stomach phlegm heat
Disharmony of Heart and Kidney
Disharmony of Liver and Spleen
This is a huge area. Heres the 101 version.
An Shen Ding Zhi Wan treats Heart and Gallbladder Qi
xu. This refers to shen problems, timidity, easily frightened.
Usually expresses with memory problems, forgetfullness,
etc. The herbs are mostly calm shen herbs in here. If you
cant find long chi, use dragon bone.
Formula works well, used often in clinic for these patients.
Many patients taking this are female PTSD patients
respond well too. Might take a week or so to see the response.
From Yip:
An Shen Ding Zhi Wan
(Calm Shen, Settle Down, Make Strong) P N/A
Syndromes: GB Qi Xu
Ren Shen
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
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
(Huang Lian) Wen Dan Tang treats Gallbladder and

Stomach phlegm heat. This formula contains Er Chen
Tang.
If you add tian nan xing (not heat) or dan nan xing (heat)
to guide the phlegm out of the body, you get dao tan tang
formula. This gets out difficult phlegm. Huang lian added
in works even better, especially for mental problems such
as seizure, insomnia becauses it addresses the heat. You
just add a little of it because it costs so much and tastes
like holy hell. But it does harmonize the heart issues. You
dan also add suan zao ren for mental issues/insomnia.
If only for digestive issues (copious sputum, focal distenton in chest, bitter taste), not necessary.
Page 9 of 13
From the Yip book (note the missing huang lian):

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]
Even though this rx is names Warm the GB

Decoction, it is used to clear GB heat.
Zhi shi [d]
Ph-H in the GB, which affects the ST
Ban xia [a]
Main sx - mental problems: insomnia;

frightened/shock, scared; irritability;
palpitations; epilepsy
Chen pi [a]
Fu ling [a]
4.5
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
Sheng jiang
3-6
ST: n & v, hiccup (GB disturb ST qi)
Da
zao
Tonify SP/ST; Harmonize Herbs
GB: disturbs ST, which generates phlegm &
Gan cao
3
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
Disharmony of heart and kidney is treated with Jiao Tai Wan. Remember that heart is fire, kidney is
water (actually water plus small fire). If
the heart fire it too hot will flare upward.
If too cold, will freeze in the lower area.
If the heart and kidney are in balance the
circulation of temperature and qi is
good.
This guides the fire back to the source
but keeps it in balance.
With this in mind, note the small dosage
of rou gui. Kidney fire must be small to
guide the fire up to the heart, not so hot
that it burns. Know this ratio! These are usually combined in with other herbs, but the ratio of the two is
important regardless.
(No mention of this formula in the Yip book.)
Bai zi yang xin wan, tian wang bu xin dan, review on your own.

Page 10 of 13
Tong xie yao fang treats disharmony of Liver and Spleen. These patients experience pain in the
abdomen and then have to go to the bathroom and
have diarrhea. The pain is relieved for a while, but
relief is temporary and will recur within a few hours
because the problem is not resolved. This releases the
qi stagnation but only for a while. If a patient has
these problems, but the pain is completely gone
without recurrence this is probably food poisoning,
not LV/SP disharmony.
Bai shao and fang feng releases the wind causing pain
in the intestines. Bai shao also helps with the liver.
Bai zhi tonifies the spleen. Chen pi breaks up
stagnation.
This is a basic formula, but you almost always add in more herbs than this to address the root problem
or tweak for patient condition.
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:
1. Spleen Qi Xu (root)
2. LIV Yu (LIV SP)
Painful diarrhea
Liver Wood sinking down in to
weak Spleen Earth (need to lift
wood)
Painful diarrhea w/ cramping
before bm feels better after
having bm
- temporarily pain comes back
(not food poisoning)
T: Pale, thin white coat
P: Wiry; weak or moderate
(sl. slower)
Composition:
Gram
s
Chao bai zhu
Dry Damp, Tonify SP

- aromatic
- From Si Jun Zi Tang
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
Regulate (SP) Qi; Tx diarrhea (by removing dampness and
Chen pi
moving qi)
[Wakes up Spleen]
Disperse Liver Qi this herb
Fang feng
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

Page 11 of 13
Later will study Xie Huang San (also has Fang Feng) Spleen Heat
Dry fry with yellow earth
Damp heat is a huge section. It encompasses d/h in the upper jiao, lower jiao, etc. This is difficult to
resolve many times because damp is so sticky and thus causes retention of pathogens. The combination
of damp plus anything is a formidable foe. (Stupid dampruins everything.) You generally dont knock
these kinds of problems out in one or two treatments. Eczema is an example: damp + heat.
Memorize this:
Typically si miao san is for rheumatoid arthritis red, painful, swollen hot joints. Often worse in damp
and heat seasons. Cant cure it, but works quite well to relieve symptoms and help. These patients may
need steroids. Steroids will help with some damp heat conditions when other things just wont. Bummer,
but true.
San Ren Tang treats damp heat in the upper
jiao, but not only here. Will also address
middle and lower:
xing ren descends downward
yi yi ren is for middle/lower jiaos
bai dou kou is for middle
hua shi for lower/urination
ban xia/hou po for middle
tong cao is lower and for urination

Page 12 of 13
dan zhu ye clears heart heat.

Dan zhu ye to tong cao drains heat out of heart and down through urine.

Page 13 of 13

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Course:

Damp in the superficial channels

Syndromes Winter 2010

Dan Shen Yin / Salvia Decoction

Moves Xue, Remove Stagnation, moves Qi, Relieves pain

Xue Yu, ,Qi Yu; HT & ST

F(x) of single herb in formula:

Move Blood (Clears Blood heat, Tonify Xue)

Syndromes Winter 2010

D: Blood & Qi Yu accumulated in middle jiao, may radiate upwards

Jin Ling Zi San is for Qi stagnation and blood stasis in

Source: Collection of Writings on the Mechanisms of Illness,

Move Qi, Soothe LIV, Move Xue, Relieve Pain

F(x) of single herb in formula:

Soothe Liver Qi, Drain fire

Move Qi and Xue

Liver Qi Yu with Heat

Syndromes Winter 2010

Source: Corrections of Errors among Physicians

Tonify qi, Move Xue, Unblock Chollaterals

F(x) of single herb in formula:

Sheng huang qi [c]

Tonify SP/ST Qi, Qi Moves Blood [qi is the commander of xue]

Dang gui wei [d]

Chuan xiong [d]

Chi shao [d]

Tao ren [a]

Hong hua [a]

Move Blood (Wei = Tail - Moves More)

Move Blood, Remove stagnation

Syndromes Winter 2010

Be careful with hypertension patients!

Source: Catalogued Essentials for correcting the

Ba Zhen Tang / Eight Treasures Decoction

Tonify Qi & Xue

F(x) of single herb in formula:

- chuan xiong: move qi and xue

Syndromes Winter 2010

Gui Pi Tang is another formula to treat Qi and

Tonify Qi & Xue; Tonify SP & HT

SP & HT Xu: poor appetite, lassitude, pale

Source: Formulas to Aid the Living (Ji sheng fang)

F(x) of single herb in formula:

Contains Si Jun Zi Tang (with fu shen

Tonify HT, Calm Shen

Syndromes Winter 2010

Source: Clarifying Doubts about Injury from Internal

Tonify Qi, Generate fluid, Astringe Yin, Stop sweating

1. Summer Heat injuring Qi & Yin

F(x) of single herb in formula:

Tonify LU, Tonify Qi

Mai men dong

Nourish yin, Clear Xu Heat, release

Also tonify HT: sweat is the fluid of the HT,

A good base Rx for HT problems, including

Astringe lung qi, stop sweating (can

Often use with elderly as support/qi tonic

Syndromes Winter 2010

Disorders of internal organs include:

Heavy, Settle Shen

(Huang Lian) Wen Dan Tang treats Gallbladder and

From the Yip book (note the missing huang lian):

Wen Dan Tang / Warm GB Decoction

Disharmony of GB & ST; Interior