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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

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 Influences17
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

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

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 Decoction53
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
Da Bu Yuan Jian / Great Tonify the Basal Decoction.................................................................70
Formulas: Dr. Ma
F.A.Yip, 2005

Table of contents

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 Heavens 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 Mans 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
Jin Ling Zi San / Melia Toosendan Powder...............................................................................85
Formulas: Dr. Ma
F.A.Yip, 2005

Table of contents

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
Da Qin Jiao Tang / Major Gentiana Qin Jiao Decoction.........................................................105
Formulas: Dr. Ma
F.A.Yip, 2005

Table of contents

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
San Zi Yang Qin Tang / Three Seed Decoction to Nourish Ones Parents.............................124
Formulas: Dr. Ma
F.A.Yip, 2005

Table of contents

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

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:

Gram
s

Composition:

Exterior Wind-Cold Invasion


(Shi type)
*no sweating
Aversion to wind/cold,
fever, headache, body aches,
sneezing, asthma/wheezing,
defensive qi is stagnated by the
cold no sweating, closed
pores

Ma huang
Chief

Gui zhi
Deputy

Xing ren
Assistant

F(x) of single herb in formula:

Promotes sweating, warms yang qi, releases exterior,


relieves asthma, disperses LU Qi (esp. to LU Channel very pungent, very hot)

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

Zhi gan cao


Harmonizes ma huang, xing ren; balance ma huang, gui zhi
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: dont 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)

Xing ren
Gui zhi
Zhi gan cao
Irritable & restless
Shi gao
Sheng jiang
Da zao
Clinically, not commonly used

Formulas: Dr. Ma
F.A.Yip, 2005

6-9
6
6
12-30
9
<12 pc

Release Exterior

F(x) of single herb in formula:

For W-C: promote sweating, warm yang Qi


With ma huang, stops wheezing
Helps promote sweating, expel W-C
Harmonizes herbs
Clears fire (Qi Level)
Protects Stomach from shi gao cold, help functions

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
10

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


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

Gram
s

F(x) of single herb in formula:

Releases to exterior, expel Wind-Cold, relaxes muscles,


harmonizes Ying & Wei Qi (remove pathogen)

Nourishes Yin , astringes Ying Qi (sour property),


harmonizes Ying & Wei Qi (astringe Ying)

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

11

Source: Hard-won
Knowledge (Ci
Shi Nan Zhi)

Jiu Wei Qiang Huo Tang / Nine Herb Decoction w/


Notopterygium
Functions:

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,
doesnt 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

Expels W-C-D (esp. for neck pain, Taiyang channel) [du

Fang feng

Removes Wind to help clear Damp [D will leave with wind],


promotes sweating (moist herb, balances dry herbs)

Cang zhu

Removes Damp, promotes sweating

Xi xin

<3

Chuan xiong

Bai zhi

Huang qin

Sheng di huang

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
Gan cao
6
Harmonizes toxicity
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

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

Expels W-D, Relieves body aches/pain, Promotes sweat

Qin jiao

Expels W-D, Relieves body aches/pain, Tx Bi syndrome

Man jing zi

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


Chuan xiong
1.5
> Very gentle formula (no
pregnancy)
strong herbs but works
Chen
pi
3.6
Move
LU & SP Qi
well) not likely to have
any SE or trouble
Zhi gan cao
2.1
Harmonize the Middle and other herbs
> Focuses on tx of Qi &
Blood to help body get
Sheng jiang
3 pcs. Expel Wind-Cold
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)

Formulas: Dr. Ma
F.A.Yip, 2005

Release Exterior Cold

12

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

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

Gui zhi

(Already has fluid retention before


getting W-C invasion)

Gan jiang

*W-C = short-term
*Fluid retention = long-term

Xi xin

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
Wu wei zi
3
sweating
Yin
plus: Interior fluid retention
Astringe, Nourish Blood & Yin to protect body (from dry
Bai shao
9
in the LU: coughing,
herbs)
wheezing, cannot lie flat d/t
fluids creating difficulty in
Ban xia
9
Harmonize Stomach; Remove Phlegm
breathing, heaviness
sensation, profuse phlegm,
edema
Zhi gan cao
9
Tonify Qi, Harmonize Middle and other herbs
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 Mas 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

13

Not covered in Mas 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
Ren shen
9-12
Qi: LU Qi
metal & water have same source; nourish yin/blood to
Shu di huang
6
help (remove if patient has dampness) when tonify
LU, tonify KD essence
(not for acute) for chronic, wheezing, grab qi; tonify LIV
Wu wei zi
6-9
& KD
help make breathing smooth & comfortable; if no cough,
Zi wan
3-6
SOB, can take out stop cough, moisten LU
anti-asthma, promo urine use only if breathing is very
Sang bai pi
3-6
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

14

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


Functions:

Source: Wen Bing

p 44

Expel Wind-Heat; Open Lung Qi, Stop Cough

Indication:

Composition:

Wind Warmth Invading


Lung, Cough (#1)

Sang ye

7.5

Ju hua

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*

Ascends LU Qi, Stop cough (balance LU Qi)

Xing ren

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
Gan cao*
2.4
Harmonize, Stop cough
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
Fang feng, chan tui
Itchy throat, eyes and nose allergy related early stage
Sang bai pi
Congested, sneezing, tightness of chest long time asthma
Zi si zi
Descend LU Qi anti-asthma Wind Cold/Wind Sxs
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:

Source: Wen Bing

p 44

*very commonly used Rx: know herbs!

Composition:

Grams

F(x) of single herb in formula:

Jin yin hua

9-15

Disperse W-H, Clear toxins

(aromatic, light)

Formulas: Dr. Ma
F.A.Yip, 2005

Release Exterior Heat

15

Early Stage WarmFebrile Disease;


Tx: Wind-Heat
More Heat than Sang Ju Yin

Fever, aversion to
wind/cold, thirst, sore
throat, sweat or no
sweat

Lian qiao*
(aromatic & breaks
through stagnation)

9-15

Jing jie

6-9

(Dan) dou chi

3-6

Jie geng*

3-6

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)

Gan cao*
3-6
Clear Heat toxin (special for cough)
Clear Heat from Upper Jiao: Clear HT H irritability
Dan zhu ye
3-6
Lu gen* (wei gen)
15-30
Clear Heat, Generate fluid, Nourish Yin, Relieve thirst
T: red tip
C: yellow
Bo he*
3-6
Disperse Heat (W-H)
P: rapid, floating
Niu bang zi
9-12
Benefits the throat
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, doesnt
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

16

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:

Composition:

Grams

Ma huang

- Acute Asthma

Shi gao

18

*Must have all Heat signs to


use this strong formula!
Fever, loud breathing, thirst;
excessive, not chronic
wheezing (after wheezing has

Xing ren

Descend Lung Qi (balance ma huangs dispersing), Relieve


asthma

Zhi gan cao

Tonify Qi, Harmonize the Middle, Generate fluid


Relieve thirst, together with shi gao (*sweet and cool
together generate fluid)

Exterior Wind Heat, or


Wind-Cold transforming
into Heat and invading
Lung

stopped, treat the root: SP/ST esp.


for children)

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 huangs hot nature)

*too much will injure Stomach Qi

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

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

17

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 wineonly a little (Huang Jiu)
Todays 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

18

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)

Ren Shen Bai Du San / Ginseng Powder to Overcome


Pathogenic Influences
Functions:

Source: Craft of Medicinal Tx for


Childnood Dz
Patterns (Xiao Er
Yao Zheng Zhi Jue)

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)

Du huo [chief] (lower)

Chuan xiong

Expel Wind; Move Blood, Tx headache

Chai hu

Expel Wind, Relieve pain

Zhi qiao/ke

Descend Qi; Balance LU (with jie geng)

Jie geng

Open the LU; Balance LU (with zhi ke)

Qian hu

Transform phlegm

Fu ling

Leach out damp

Gan cao

Harmonize

Sheng jiang

Bo he

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
Didnt 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

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

Grams

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

F(x) of single herb in formula:

Release Wind-Cold

Release Wind-Heat

Dispel Wind-Damp-Cold
Drain Damp
open Chest, Disperse Lu Qi; Descend Qi; Balance

1.5

Gan cao

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

Harmonize

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 GingerWrap Whole Root in a Piece of Wet Paper and Put in the Fire. Take It Out When the Paper is Burned
Chao Chi Shao

Source: Marvelous Formulas for


the Health of the
Multitudes (She
Sheng Zhong Miao
Fang)

Cong Bai Qi Wei Yin / Scallion Decoction w/ Seven


Ingredients
Functions:

p 56

Tonify Blood; Release Exterior

Indication:

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

Composition:

Gram
s

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

9-15

Tonify Yin Blood; Generate fluids

Sheng di huang
(assistant)

F(x) of single herb in formula:

Mai (men) dong


9-12 Tonify Yin Blood
*Not a strong formula do not
(assistant)
want to cause sweat which
Lao shui
Nourish SP/ST
would be harmful
[aerated water see p 56]
Uses mild herbs not strong herbs to promote sweating, dont 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

Jia Jian Wei Rui Tang / Modified Polygonatum


Odoratum Decoction
Functions:

Source: Revised Popular Guide to the


Discussio of Cold-induced
disorders (Chong Ding
Tong Su Shan Han Lun)

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

Grams

6-9

F(x) of single herb in formula:

Nourish Yin, Moisten Lung dryness,

Dou chi

9-12

Bo he

3-4.5

Jie geng

3-4.5

*Mild Rx: with Yin Xu, cannot


induce too much sweat

Bai wei

1.5-3

T: Red

Gan cao

1.5

Opene Lung Qi,


Release Exterior,
Stop cough, Sore throat
Cool Blood; Clear Heat,
Relieve restlessness & thirst, relieve irritability

p 57

P: Rapid

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
Da zao

2 pc

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)

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

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

> cook later

Zhi shi

12-15

Move Qi,
Remove stagnation,
Relieve focal distension & fullness,
Help expel heat stagnation

Hou po
12-15
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
Water Retention + Heat
Gan sui

0.30.6

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)
Remember: Gan Sui is Incompatible with Gan Cao
Move Bowel, Unblock Intestine, Clear Heat, Soften
the Hardness, Moisten Dryness

Fullness & hardness of epigastrium/chest or


entire abdomen
Da huang
18
Seldom used; strong, toxic
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

Formulas: Dr. Ma
F.A.Yip, 2005

Drain Down

22

at dusk; severe constipation; thirst; maybe s.o.b. & irritability;

Da Huang Fu Zi Tang / Rhubarb & Aconite Decoction

Source: Essentials from the Golden


Cabinet (Jin Gui Yao
Lue)

Functions:

Warm Yang, Disperse Cold, (Remove Stagnation)

Indication:

Composition:

Grams

Interior Cold Stagnation (accumulation)


d/t Yang Qi Xu in the MJ/Intestines

Fu zi

6-12

Xi xin

< 3g

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

p 126

F(x) of single herb in formula:

Warm Yang, Expel Cold


(Fu zi unblock Fu Qi, can also stop diarrhea due
to cold)

Disperse Cold stagnation (pungent nature)

Unblock bowel, Remove stagnation


P: tight, wiry [book p: also deep]
Da huang
6
[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. Doesnt 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:

Gram
s

Composition:

Zhi fu zi

Spleen Yang Xu
with Cold Accumulation

(or cu fu zi prepared)

Gan jiang

Constipation, abdominal pain, cold


extremities, dysentery, pus & Xue in stools
Good for long-term disease tonify qi

Ren shen
Zhi gan cao

P: Submerged/deep, wiry

F(x) of single herb in formula:

Warm Yang, Expel Cold

6
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

23

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)
** Remember: special/good for elderly,
postpartum women (not pregnancy!)
T: Dry, yellow
P: Submerged, rapid or floating, choppy

Grams

Zhi shi

p 123

F(x) of single herb in formula:

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
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:

Gram
s

Kidney Xu + Constipation Elderly people [ know this!]

Rou cong rong

6-9

KD is not strong enough for qi


transformation (to move bm)

Dang gui

9-15

F(x) of single herb in formula:

Warm KD, Moisten Intestines


Compare: Yin yang huo (drying) for diarrhea; rou cong
rong (moistening) for constipation
Nourish Blood, Moisten Intestine, Can also descend (move
the bowel)

Formulas: Dr. Ma
F.A.Yip, 2005

Moisten the Intestines & Unblock the Bowels

24

KD controls the 2 lower orifices


(urethra and anus): thus urinary and
constipation-type problems

Tonify KD, Descend


Niu xi (huai)

6-9

- Dr Ma only uses chuan niu xi for edema; prefers huai niu xi


because it tonifies (even for women & when need to move
blood)

KD Xu symptoms: profuse clear


urination, dizziness, weak
knee/low back, poor memory,
Zhi ke
3
Descend Qi - esp. for bm
tinnitus, deafness, low libido, etc
Plus constipation (chronic)
Leach out turbidity
- the elderly cannot push too
Ze
xie
4.5
- Doing this aids KD f(x) [can use this herb even if PT has
hard and must be careful
frequent or dribbling of urine as the KD f(x) is regulated]
- other similar Rx have fu zi
which is too warm; or may
have other herbs that are too
Ascend clear yang qi (doing this helps to descend turbid
1.5drying (yin yang huo)
Sheng ma
qi)
3
- Da Cheng Qi Tang is too
> small dose - use only 1-3 g
strong!
Bensky: constipation, clear copious urine, low back pain, cold sensation in back.
*Dont always think da huang when you see constipation

Formulas: Dr. Ma
F.A.Yip, 2005

Moisten the Intestines & Unblock the Bowels

25

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:

Gram
s

Composition:

F(x) of single herb in formula:

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

Qi Yu due to Water Retention Pain in chest, below the heart; dry


heaves

Expel water, fluid, phlegm from chest or hypochondrium

(toxic)

10
Protect Stomach, Balance toxic herbs (cannot use gan
Da zao
pcs
cao), Tonify Qi
*Very severe situations only b/c this is (assistant)
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 (dont use gan sui, yuan hua, da ji if you


dont need it)

Move Qi vigorously
Very Toxic dont 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

26

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

Mang xiao

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

Ren shen

4.5

Gan cao

Interior Stagnation with Heat,


Qi & Yin Xu

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


Dang gui
4.5
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:

Composition:

Grams

Interior Heat Stagnation, Yin Xu (like above,

Xuan shen

30

Sheng di huang

24

Mai men dong

24

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

Da huang

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
Cook all herbs together, drink 2 cups. If bm after 1st 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

27

Harmonize
1.
2.
3.

Exterior, 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

Chai hu [c]

#1: Alternating chills & fever -#1 symptom not commonly seen [why alternating? Evil is

small
dose too
much will
ascend

(disperse)

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]

Huang qin [d]

(clear)

#2: Fullness & discomfort of chest &


hypochondrium [Shao Yang Channel disturbed by
qi not flowing smoothly]

Ban xia [a]

F(x) of single herb in formula:

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 goes
to eyes]

Ren shen [a]

Zhi gan cao [a]

#4: Heat disturbs Shen: irritability, low spirit/dull,


not motivated

Sheng jiang [a]

*Modernly, used for internal syndromes (i.e


Mental Shao Yang Syndrome = bi polar)

Da zao [a]

4 pc

(Push)

Tonify SP/ST (to prevent pathogen from


sinking in deeper),
Generate fluid,
Harmonize Ying & Wei (want to push out
pathogen from the inside)

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

Didnt cover in class

Hao Qin Qing Dan Tang / Artemisia Annua & Scutellaria


to Clear the Gallbladder
Functions:

p 141

Clear Heat From GB, Transform Damp and Phlegm, Harmonize Stomach

Indication:

Composition:

Excessive Heat in Shaoyang (affecting


Stomach)

Qing hao

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
T: red with thick greasy yellow or white coat
P: rapid, wiry or slippery right, wiry left

Huang qin
Zhu ru
Ban xia
Chen pi
Zhi ke
Chi fu ling
Bi yu san

Formulas: Dr. Ma
F.A.Yip, 2005

Source: Revised Popular Guide to


the Shang Han Lun
(Chong ding tong su
shang han lun)

Harmonize

Grams

F(x) of single herb in formula:

Clear Heat from Shao Yang, (Clear GB Heat)

Clear Phlegm-Heat
Open chest, Harmonize Stomach, Descend
Rebellious Qi
Clear Damp-Heat through urine

28

Formulas: Dr. Ma
F.A.Yip, 2005

Harmonize

29

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]

Zhi shi

Move () Qi, Remove Stagnation


Tonify Yin & Blood [tonify LIV Xue to help

Bai shao yao

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

30

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

Dang gui & bai shao should be the chief herbs with
Blood tonifying as the most important functions

Dang gui

Important to remember all three aspects (best to

Si Wu Tang minus chuan xiong and


shu/sheng di huang

treat physical first, then emotional!)

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]

Chao bai shao

Tonify LIV Blood (sour in taste, Soothes liver)

Chao bai zhu

Tonify Spleen

Fu ling

Si Jun Zi Tang minus ren shen

Zhi gan cao

Soothe Liver Qi (pungent)

- 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
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]
((Headache during period: Xue Yu and need to
move xue))

- Diarrhea or constipation is d/t LIVSP

F(x) of single herb in formula:

(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
doesnt tonify xue!}

Bo he

No longer
commonly used

(Shao^) sheng
jiang

1-3g

Small
dose

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


If using chai hu (instead of yin chai hu), you
dont 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

Formulas: Dr. Ma
F.A.Yip, 2005

Harmonize

31

LIV XUE LIV QI YU


If liver wood doesnt 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, peoples emotions are anchored in LIV Qi, which is supported by LIV Xue
Often ppl think of anger as the 1 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
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 doesnt 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)

Formulas: Dr. Ma
F.A.Yip, 2005

Harmonize

32

o
o
o
o

anti-depressant he huan pi, yu jin


zhi zi: gardenia #1 herb for irritability clr LV heat
huang qin LV heat
if lots of worry, anxiety: use Tian Wang Bu Xin Dan

Formulas: Dr. Ma
F.A.Yip, 2005

Harmonize

33

Jia Wei Xiao Yao San / Dan Zhi Xiao Yao San /
Augmented Rambling Powder

Source: Summary of Internal


Medicine (Nei Ke
Zhai Yao)

XIAO YAO SAN + MU DAN PI, ZHI ZI


Functions:

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]

Zhi zi

12

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

Mu dan pi
12
Clear LIV heat, cool blood; move blood stasis
T: red
P: wiry, rapid
Xiao Yao San + mu dan pi and zhi zi. also Called Dan Zhi Xiao Yao San
Dryness of eyes, night blindness
gou qi zi, ju hua
(add shu di huang)
Dry Throat
Yin Tonics
Digestive

Chen Pi, Shen Qu

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)
Source: Six Texts on the Essentials
of Medicine (Yi Xue
Liu Shu)

Hei Xiao Yao San / Black Rambling Powder


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

34

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
Syndromes Liver Qi Yu
Chai hu
6-9
Soothe LV; anti-depressant; shaoyang stage
Xiang fu
9
Help chai hu, release qi, help emotions, Soothe LV
(assistant)
emotions (stress irritable anger upset)
Qi
LV meridian (hypochondriac, chest)
Zhi ke
9
Descending qi, move Qi
menstrual (PMS, cramping, breast
Chen pi
9
Resolve damp, help digestion, move Qi
distension)
Chuan xiong
9
Regulate blood; move qi, release pain Due To
T: not much change
blood yu
P: wiry
Bai shao
12
Soften LV; nourish LV blood , release cramping
Zhi gan cao
3
Harmonizing (Dr He didn't list this herb- in
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:

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

F(x) of single herb in formula:

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

Chen pi

Fang feng

Regulate (SP) Qi; Tx diarrhea (by removing dampness and


moving qi)

[Wakes up Spleen]
Disperse Liver Qi this herb
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

35

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

Huang qin

Gan jiang

#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

Ren shen

Zhi gan cao

Da zao

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

36

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

Assist shi gao clear heat; Nourish Yin


- Yin may be hurt from big heat thirsty

Zhi gan cao

Excessive Heat in Qi Stage =


Yangming Channel Syndrome
4 Bigs: fever, thirst, sweating, pulse
P: forceful, flooding [in Qi stage, can

Grams

feel big energy]

Red complexion, aversion to heat (no


chills)

Jing mi

F(x) of single herb in formula:

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

37

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!)

Ren shen

Mai men dong

9-18

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 doesnt 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

38

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:

Gram
s

F(x) of single herb in formula:

Xi jiao = illegal
(use shui niu jiao)

Clear Heat, Cool Blood

Sheng di huang

15

Clear Heat from Ying Stage, Nourish Yin,


Cool Blood

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

Xuan shen

Mai men dong

Jin yin hua

Lian qiao

Huang lian

4.5

Dan zhu ye

Nourish Yin, Clear Heat, (Cool Blood)

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)

Dan shen
6
* 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

Source: Thousand Ducat


Formulas (Qian jin
yao fang)

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

p 76

Clear Heat Toxin, Cool Blood, Disperse Stagnation

Indication:

Heat in Blood Stage


Syndromes: Hemorrhage (Dt Bld Heat)

Composition:

Gram
s

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

Sheng di huang
24
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

39

Formulas: Dr. Ma
F.A.Yip, 2005

Clear Heat from 4 Levels

40

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:

Gram
s

F(x) of single herb in formula:

Huang lian

5-6

Clear Heart Heat/Fire, also Clear Heat from


Middle Jiao/ST
[Can also be dry-fried (chao) makes more
moderate, less harsh]

Huang qin

Clear LU Heat and Upper Jiao


[Can also use for Stomach Heat (& Liver Fire)]

Huang bai

Clear Heat From Lower Jiao

Composition:

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
A general formula for Excessive Heat
this dx is seldom made

Zhi Zi
Clear Heat from San Jiao
Not often used formula good to see
3
use dry fried to avoid
(lead heat down through urine)
herbs that clear heat; seldom use all
nausea/vomit
these herbs together too strong
Very bitter use only for strong constitutions and excess cases!
Do NOT use for elderly & be careful with women - dont 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

Bo he
Dan zhu ye

3
3

Mang xiao

T: Red, yellow coat


P: Rapid, slippery

Da huang

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

41

Source: Precious Mirror of


Helath (Wei sheng
bao jian)

Pu Ji Xiao Du Yin / Universal Benefit Decoction to


Eliminate Toxin
Functions:

p 80

Disperse Wind, Clear Heat Toxin

Indication:

Composition:

Gram
s

Wind-Heat toxin invading head

Huang qin

15

Big Head Due to Wind-Heat Invasion

Huang lian

15

Niu bang zi

Lian qiao

Bo he

Not commonly seen clinically


(Only formulas for big head = swollen
face)
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
T: Red, yellow coat
P: Rapid, forceful
*If anaphylactic shock and the patients
throat is swollen, send to ER!

Jiang can

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

Ban lan gen

Xuan shen

Jie geng

Gan cao

Chen pi

Move Qi, (Disperse heat stagnation)

1.5

Disperse Wind Heat - ascend to head


*use smaller dose

Sheng ma
Chai hu

Benefit throat

> Shen Su Yin perilla leaf + ren shen

Source: Achievements Regarding


Epidemic Rashes (Yi zhen yi
de)

Qing Wen Bai Du Yin / Clear Epidemics &


Overcome Toxin Decoction
Functions:

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

p 81

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

42

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:

Gram
s

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!
1: 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
2: 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 2
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

43

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

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

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
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

Guide herbs to LIV Channel

T: Greasy, yellow, thick


Gan cao
5-6
Harmonize
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
Dont use too long will drain bodys 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

44

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 wouldnt
help).
Visit #1: Dr. Mas 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 womens 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

45

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

Didnt go over in Mas 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


Didnt go over in Mas 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

46

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:

Gram
s

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

Clears Fire a large dose


Huang lian goes to ST Channel (if only LIV,
Huang lian

6x

then huang qin)

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
Wu zhu yu

T: Red with yellow coat


P: wiry, rapid

F(x) of single herb in formula:

1x

Balances huang lians 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

Cough due to Lung Heat


Syndromes: LU Heat Excess

F(x) of single herb in formula:

Clear Lung Heat tx coughing and


wheezing

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)
Di gu pi
30
smoldering fire (constrained Heat)
(Clear Smoldering Fire From Lung)
Deficient heat - , thin pulse (Xu) and use di gu pi
No fever
Zhi gan cao
3
Maybe have phlegm, yellow or green
Harmonizes ST to tonify LU Qi
T: red, yellow coat
Jing mi
15-30
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]

Formulas: Dr. Ma
F.A.Yip, 2005

Clear Heat from the Zang Fu Organs

47

Didnt go over in Mas class

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 Sxs
Dan Zhu Ye
3-6
Clear Heat, Relieve Irritability
Plus Urine Burning & Tongue Ulcers; Red
Tongue Tip
Tips of Gan CaoTheory 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
Release Emotions, Restlessness
Dark, Scanty Urine

Zhi Zi
Zhu Ye (12 G)

Dao Chi San Guide out the Red PowderHeart Xie Bai SanDrain the White PowderLung
Xie Qing WanDrain the Green PillLiver
Xie Huang SanDrain the Yellow PowderSpleen

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

48

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
Shi Gao
15-30
Clear Heat From Yangming
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
Shu Di Huang
9-30
Indigestion May Give Chen Pi, Shen Qu, Mai
Stomach Heat & Yin Xu),
Ya)
Urinate a Lot (Strengthen KD)
Tonify Yin
Irritable, Headache, Toothache,
Tooth Bleeding
Zhi Mu
3-6
Help Shi Gao Clear Heat
too much Heat in Yangming
Mai Men Dong
6-9
Tonify Yin
T: Red, Yellow Coating
Niu Xi
3-6
Tonify KD Water
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 FlashesUse Sheng Di Huang???)

Formulas: Dr. Ma
F.A.Yip, 2005

Clear Heat from the Zang Fu Organs

49

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
Smoldering Fire in Spleen /
Shi Gao
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

50

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

51

FORMULAS THAT CLEAR DEFICIENT HEAT (EVIL)


Didnt go over in 2nd semester

Not just deficiency, must have pathogen: such as late stage febrile disease (heat burns up fluids for yin xu)
Source: Systematic Differentiation of
Warm Diseases (Wen bing
tiao bian)

Qing Hao Bie Jia Tang / Artemisia Annua & Softshelled Turtle Shell Decoction
Functions:

p 101

Tonify Yin, Disperse Heat

Indication:

Gram
s

Composition:

Late stage of febrile disease, yin fluid


injury, heat in yin stage

Bie jia

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)
Tonify yin (& clear blood heat too, but tonify
yin more)
Tonify yin, clear heat (clear heat more than
tonify)

(yin = deep, not referring to 4 levels ying


Qing hao
6
stage)
*night fever & morning coolness; only
formula in bensky: p.m. fever, a.m. coolness Sheng di huang
12
must remember (not cold, just dont have a
fever)
Zhi mu
6
No sweating; low fever, yang goes inside at
night & fights pathogen, causing fever
Mu dan pi
9
Clear heat from blood, disperse evil
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:

Gram
s

Composition:

Yin xu, bone-steaming (mainly limbs,


especially. Legs)

F(x) of single herb in formula:

Clear deficient heat (most important ingredient


for this functions)

Yin chai hu

Hu huang lian
Clear deficient fire (minister herbs, help, not
Zhi mu
as important)
Di gu pi
Qing hao
Disperse heat
Qin jiao
Bie jia
Tonify yin, anchor yang, clear heat
T: red, little coat; P: rapid thin pulse
Gan cao
Harmonize
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
Heat feels very deep, irritable; tidal fever in
night, dry mouth
Also have a pathogen
Can give formula after chemo therapy

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

Huang lian
3-6
Huang qin
6-12
Clear fire, relieve irritability
Huang
bai
6-12
T: red; P: rapid
Huang qi
12-24
Tonify qi, strengthen exterior (stop sweating)
Dr. Ma: shouldnt use the three yellows unless there is a pathogen book is not clear on this & why to use this

Formulas: Dr. Ma
F.A.Yip, 2005

Clear Deficient Heat

52

If only xu heat dont 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

53

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 doesnt 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:

Gram
s

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

F(x) of single herb in formula:

Xian jin yin hua

Clear summer heat

Xian bian dou hua

Disperse heat (also clear damp)

Xi gua cui yi

Clear summer heat, nourish yin

Si gua luo

Xian he ye (bian = edge)

Clear heat from lung collateral


Disperse (summer) heat

Xian zhu ye xin

[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:

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

Grams

Xiang ru [c]
(summer ma huang)

small
amt
only!

Xian bian dou hua

Jin yin hua

Lian qiao

Hou po

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

Formulas: Dr. Ma
F.A.Yip, 2005

Clear Summer Heat

54

address the season.


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 dont drink 2nd cup, otherwise, drink full dose
** If person is sweating dont 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 cant transform)
Severe: sudden turmoil w/ diarrhea
& vomiting simultaneously
Remember to always unblock and
promote urination & bm first

Liu yi san

Summer-heat, damp

Composition:

Wu Ling San

Indication:

Grams

Hua shi
Gan cao

6
6:1

Shi gao

6
(20-30)

Han shui shi

Guan gui
(rou gui)

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
Bai zhu
1.5
Tonify spleen
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

55

Qing Shu Yi Qi Tang / Clear Summer Heat


& Augment Qi Decoction
Functions:

Source: Formulas from the Discussion Illuminating


the Yellow Emperors 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)

Thirsty, sweating (injures qi


& yin), irritability, fatigue
and lassitude, scanty &
yellow urination
P: weak, rapid (qi & yin xu)

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

Zhi mu

4.5

Dan zhu ye

4.5

Gan cao

Geng mi (jing mi)

12

Huang lian

Tonify yin, Clear heat

Clear heat, relieve irritability

Tonify qi, nourish stomach


Clear heat
do not add if there isnt 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

56

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, dont want to leach [fu ling], and want to warm w/ gan jiang)
Indication:

Composition:

Grams

Gan jiang

5-6

Ren shen

Tonify qi

Bai zhu

Tonify spleen, Dry damp

Zhi gan cao

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

57

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

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:

Consumptive disease,
Intermittent abdominal pain (xu lao),
Liver overacting on SP (Xu)

(due to spleens inability to distribute qi to 4 limbs)


weakens mother; spleen weakness cannot supply
blood to heart);

Grams

F(x) of single herb in formula:

Yi tang

18-30

Tonify spleen qi, Nourish yin, Soothes liver,


Moisten lung dryness Relieves pain

Gui zhi

Warm yang qi

18

Tonify yin & blood


Bai shao + gan cao = very good for abdominal pain,
slow urgency, esp. due to xu

*Here, 2 bai shao : 1 gui zhi


*In Gui Zhi Tang, 1 bai shao : 1 gui zhi
Tonify and warm qi

Bai shao (bai)

Cramping that likes touch & warmth,


feverish sensation in hands & feet,
thirst, dry mouth, soreness in 4 limbs
Palpitations (mother-son of heart-spleen: son

Composition:

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

58

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:

Gram
s

Composition:

Middle Yang Xu,


Excessive interior cold

Chuan jiao/ shu jiao

Severe pain in epigastrium and abdomen


(rebellious cold ascends);
Vomiting, borborygmus,

Gan jiang

F(x) of single herb in formula:

Warm SP/ST; Warm vital gate fire (root of all


qi), Disperse cold, [Descend qi]

[Sichuan pepper]

Warm the middle; Disperse cold; Relieve pain


& vomiting

Ren shen
P: tight, thin, hidden
(hidden = severe cold yang qi is hidden)

Tonify SP and ST

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 Environments
Huang Qi
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

59

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:

Shao yin disease; Yang Qi collapse


(KD yang is very weak)

(Sheng) fu zi

Syndromes: yang collapse

Gram
s

6-9

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

F(x) of single herb in formula:

Tonify vital gate fire, Unblock the 12 channels


(warm yang, expel cold)
Once unblocked, then yang qi can flow
smoothly
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

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 someoneonly 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
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

Functions: Restore Yang, Tonify Qi, Restore Pulse


Liu Jun Zi Tang + Si Ni Tang + Rou Gui, Wu Wei Zi, She
Xiang
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

60

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

Dang gui

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
- Dont 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, Reynauds
syndrome, frostbite, yang qi blocked
T: pale
P: deep, weak due to blood xu, not due to
yang qi leaving, thin due to yang qi xu
This is not si ni tang + dang gui

F(x) of single herb in formula:

<3g

Zhi gan cao


Da zao
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 Raynauds Disease. [Dr. Ma doesnt 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 WindPain After delivery if they dont 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

61

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:

Diseases of shaoyang and yangming


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

Grams

Chai hu

12-15

Huang qin

Da huang

Zhi shi
(Bai) shao yao
Ban xia

Sheng jiang

Da zao

6-9
9
12-15

F(x) of single herb in formula:

Harmonize shaoyang
Clear heat, clear evil from shaoyang

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

62

Fang Feng Tong Sheng San / Ledebouriella


Powder that Sagely Unblocks

Source: Formulas from the Discussion Illuminating


the Yellow Emperors Basic Questions
(Huang di su wen xuan ming lun fang)

Functions:

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
dont use for this!

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:

Grams

p 58

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)


T: red, yellow coat
P: rapid

Gan cao

Harmonize (the middle and other herbs)

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

63

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 XuTonify Mother
Tonify KD to Tonify Liver
WaterWood
Tonify SP to Tonify Lung
EarthMetal
Tonify Heart to Tonify SP
FireEarth

Commander/Mother: interdependence: cant 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
Dont use strong tonics for children

Formulas: Dr. Ma
F.A.Yip, 2005

Tonification

64

TONIFY QI
Source: Imperial Grace Formulary of the Tai Ping
Era (Tai ping hui min he ji ju fang)

Si Jun Zi Tang / Four Gentlemen Decoction


Functions:

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.

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

- 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

- chao (dry fried) more aromatic, stronger


Fu ling

10-15

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 sanfullness and focal distention in the chestadd 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)

Si Jun Zi Tang
Nausea, Heavy Body,
Etc.
Chen Pi
3
Phlegm or Damp symptoms Older Chen Pi the Better
T: Greasy **
Ban Xia
4.5
Phlegm
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

65

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
6stagnation)
Qi Stagnation
9g
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
Sha ren, aromatic, no need for
Sha Ren
3g
sxs 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 sxs
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

Shan yao

10

Lian zi

Sha ren

Restore SP
(Wake up spleen, help spleens t&t function)

Jie geng

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

66

Bu Zhong Yi Qi Tang / Tonify the Middle &


Augment the Qi Decoction
Functions:

p 241

Tonify the middle, Tonify Qi, Ascend Yang, Raise the sinking

Indication:

1. SP/ST Qi Xu
2. Qi sinking (as a result of SP Qi Xu)#
#

Source: Discussion of the Spleen and


Stomach (Pi Wei Lun)

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

Composition:

Gram
s

F(x) of single herb in formula:

Huang qi

1224

Tonify qi, Ascend yang qi

Ren shen

9-12

Bai zhu

9-12

Zhi gan cao

3-6

Regulate qi (move qi)


Chen pi

6-9

Dang gui

6-12

Sheng ma

this
P: weak

Chai hu

T: pale, thin white coat

Tonify spleen qi
- Si Jun Zi Tang minus fu ling (b/c slightly
draining)

- 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)

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

Source: Clarifying Doubts about Injury from Internal


and External Causes (Nei wai shang bian
huo lun)

Sheng Mai San / Generate the Pulse


Powder
Functions:

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

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

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

Formulas: Dr. Ma
F.A.Yip, 2005

Tonify Qi

67

This formula good for mountain climbers. Helps person utilize oxygen better, take before and during

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 -

68

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:

Gram
s

Dang gui

912

Tonify & move blood


(blood xu likely to have blood yu)

Shu di huang

921

Tonify blood

Bai shao

915

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

F(x) of single herb in formula:

Nourishes blood, astringe yin

- tonifying xue will take time -

- Chi shao for more xue yu, bai shao


typically used

Chuan xiong
3-6 Regulate blood & qi
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
Tao ren

6
6
6
3
6

Hong hua

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

Si Wu Tang

Formulas: Dr. Ma
F.A.Yip, 2005

Tonify Blood

Grams

F(x) of single herb in formula:

69

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

Ren Shen
Huang Qi

12-15
ea.

Tonify Qi

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:
Formulas: Dr. Ma
F.A.Yip, 2005

Ru Xiang, Mo Yao, San Qi


Sang Leng, E Zhu

Tonify Blood

70

Pain:
Menses, Cramping:

Formulas: Dr. Ma
F.A.Yip, 2005

Yan Hu Suo, Wu Ling Zhi; Chuan Xiong


Yi Mu Cao

Tonify Blood

71

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:

Gram
s

Composition:

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

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

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

72

Zhi Gan Cao Tang / Fu Mai Tang / HoneyFried Licorice Decoction


- originally called Fu Mai Tang

Source: Discussion of Cold-induced Disorders


(Shang han lun)

Functions:

Tonify Qi & Yin, tonify Xue, Restore Pulse

Indication:

Composition:

Grams

Zhi gan cao


Ren shen
Da zao

6-12
6
5-10

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

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

p 257

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)
Gui zhi
6-9
Chronic dry, cough, mouth, thirst; sweating
Gui
zhi motivates heart beat (b/c warming),
Jiu (alcohol) **
10 ml
(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

73

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
1 for women
Lassitude, dislike of speech, pale
face, pale tongue, poor memory,
thin, weak pulse, pale nails, dry hair,
palpitations, etc.

Gram
s

F(x) of single herb in formula:

Ren shen
Fu ling
Bai zhu
Gan cao

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: 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

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
-

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

F(x) of single herb in formula:

Tonify Qi & Blood

74

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:

LIV & KD Yin Xu

Grams

F(x) of single herb in formula:

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

Reduce turbidity from KD


- Help separate clear from turbid in KD
- balances cloying nature of shu di

Mu dan pi

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

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:

Gram
s

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

75

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 Sure symptoms Are not Due to Damp-Heat (Thick, Yellow Coat, Strong Pulse)

Formulas: Dr. Ma
F.A.Yip, 2005

Tonify Yin

76

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 womens menopause syndrome, but must modify: hot
flash, night sweats, etc.

Shu di

Gui ban

20

Tonify KD Yin, N. Essence,


Anchors Yang, Controls fire

Zhu ji sui
(pigs spine
marrow)

Tonify yin essence


(generates fluid)

Feng mi
Huang bai

Tonify yin, clear deficient heat


T: red, little coat
Zhi mu
9
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

77

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

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.

Han lian cao

F(x) of single herb in formula:

Tonify LIV and KD, Tonify xue and


yin essence
Tonify yin, xue, essence

(Sang shen zi)

Tonify Yin, LU

didnt cover in Mas

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:

Gram
s

Composition:

Syndromes: KD Yang Xu Unable to


Grasp/Receive Lu Qi
Qi Xu + Asthma
Deficiency (Not Excess)
Difficult Breathing In, Chronic
If Lu Xu Acute, Weak Breathe
Wheezing, Dislike Talk

Shu Di Huang;
Shan Yao;
Shan Zhu Yu;
Fu Zi; Rou Gui;
Fu Ling; Ze Xie;
Mu Dan Pi
++
Ren Shen & Ge Jie

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
Chuan lian zi
4.5
(Bitter, cold, dry; may hurt Yin, but still use this
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.

Formulas: Dr. Ma
F.A.Yip, 2005

Tonify Yin

78

Bensky: Hypochondriac Pain & Chest Pain, Epigastric & Abdominal Distension, Dry & Parched Mouth & Throat; Acid
Regurgitation; T: Red & Dry; P: Thin, Frail or Xu & Wiry

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:

p 267

Tonify LIV and KD

Indication:

Composition:

Syndromes:
Kd Qi Xu

Liu Wei Di Huang Wan reducing herbs (ze xie, fu ling, mu dan pi) + ren shen, du zhong, gou qi zi
Ren shen
9-12
Primary Qi
Shu di huang
6-9
Yin, Essence
Shan zhu yu
9-12
Warming, Slg Astringent, Tonify Lv and K
Shan yao
9-15
Sp, KD; Help W/ Frequent Urination Yin Tonic, Tonify Sp and K Qi
Du zhong
9-12
Tonify KD Yang; Low Back/Knee
Balance Yang & Yin/Essence; to Transform Qi; Lv/KD Yin (Also Immune,
Gou qi zi
9
Cancer, Hepatitis) Use More For Eye Problems Good For Immune Fx
Dang gui
6-9
Slightly Tonify Blood to Help Qi - Tonify K Yin, Bld, Essence
Zhi gan cao
3-6
Tonification & Harmonize

KD Qi
Fatigue, low
back/knee
weakness,
deafness

Grams

F(x) of single herb in formula:

Source: Explanation of Subtleties of the


Original Mechanism (Yuan ji qi
wei)

Shi Hu Ye Guang Wan / Dendrobium Pill for


Night Vision
Functions:

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,
Ren shen
24 ingredients dont need to know
Bai ji li
Yin xu Fire;
Fu ling
understand strategy
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
Dont 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
dang gui
gou qi zi
Tonify
must take for several
nu zhen zi
bai shao
Night blindness usually due to Xu
months
shu di huang niu xi
Many other herbs to choose from
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

Source: Investigations of Medical


Formulas (Yi fan kao)

p 280

Functions:

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

Ren shen

4.5

45

Tonify Yuan Source Qi

Important as both yin & yang are


affected
Strong formula for severe conditions

Formulas: Dr. Ma
F.A.Yip, 2005

Grams

F(x) of single herb in formula:

Tonify Yang; Unblock Du Channel

Tonify Yin

79

Gou qi zi
15
150
Tonify KD Yin
Emaciation, blurry visions, dizziness,
weakness of low back/knee; sexual
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
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

He shou wu

30

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, Niu xi
15
loose teeth, spontaneous and
Dang gui
15
nocturnal emissions
Gou qi zi
15
From aging not from heat
Tu
si
zi
15
This prescription is hot
Bu gu zhi
12
Bu gu zhi very warm, hot
(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
Syndromes:
Unconsolidation Of
KD Qi
Male Seminal Emission
KD Tonic + Astringent
Herbs
Leaking, Spontaneous
Emission

Tu Si Zi
Jiu Zi
Wu Wei Zi
Sang Piao Xiao
Long Gu (Duan)
Mu Li (Duan)
Chi Shi Zhi
Fu Ling
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 Srs - Dementia, Poor Memory, Dizziness,
Alzheimer
X-Ray/Mri Can Show Atrophy Of Brain

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 Yin

Tonify Yang
Strengthen K Strengthen
Tendon/Bones Guide Bld
Downward

80

Gou Qi Zi, Lu Jiao Jiao, He Shou Wu,


Niu Zhen Zi
Shi Chang Pu
Yin Gou Ye, Hu Tao Ren (He Tou
Rou)

Sang Piao Xiao San

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

Ginko Help Memory

P 362
Sang Piao Xiao
Ren Shen [d]
Long Gu
Dang Gui

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

Clear The Mind

Nourish Blood, Move Blood (Not Too Strong) For Seniors


Do Not Use Strong Like Tao Ren, Hong Hua

Dan Shen, Dang Gui

Syndromes:
Unconsolidation Of KD
Qi

More Tonifying Of Essence Nourish/Tonify K

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

81

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

Gan di huang

24

Shan zhu yu

12

Shan yao

12

Gui zhi / rou gui

Tonify KD Yang

Fu zi

Warm KD Yang

Ze xie

Fu ling

Mu dan pi

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

F(x) of single herb in formula:

Tonify KD Yin
Tonify LIV, SP and KD

Leach out damp

3 tonics

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
Asthma
Ge Jie; Zi He Che; Dong Chong Xia Cao; Hu Tao Ren
Low Back Knee, Bone, Joints
Du Zhong; Xu Duan; Sang Ji Sheng; Niu Xi; Gou Ji
Low Sex Drive

Lu Rong; Yin Yang Huo; Tu Si Zi

Tonify Immune Fx

Huang Qi, Ren Shen

Memory

Ginko Biloba

Help Ht Fx

Dan Shen

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

82

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

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

Shu di

F(x) of single herb in formula:

Tonify KD Yang, Essence

6-9
12-20

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

Source: Shuguang Hospital of the Shanghai College of TCM,


in Traditional Chinese Medical Formulas (Fang
ji xue)

Er Xian Tang / Two Immortal


Decoction
Functions:

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

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

12

Ba ji tian

12

Huang bai

12

Zhi mu

12

Dang gui

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

83

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

Dang gui

3-6

Tonify xue

Sheng di huang

3-6

Tonify yin

Zhi gan cao

6-9

Harmonize

Acute, excess; Shen is not stable


Extremely irritable, very restless, dreams,
palpitations, discomfort in chest, insomnia,
palpitations, dd sleep; can be startled easily
Usually Yin and Xue Xu for long period before
this problem manifests
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 SanTopical 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

84

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

Feng mi

Harmonizes the middle

* 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, Doesnt
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

85

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

Regulate Liver Xue, also Helps Liver Qi

Fu ling

Calm Shen

Zhi mu

Tonify Yin, Clear Fire


Use mu dan pi, zhi zi if Heart Fire

Gan cao
3
Harmonize, Clear Heat
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
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

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

86

Source: Secret Investigations into


Obtaining Health (She sheng
mi pou)

Tian Wang Bu Xin Dan / Emperor of Heavens


Special Pill to Tonify the HT
Functions:

p 378

Tonify Yin & Xue, Tonify HT, Calm Shen

Indication:

Composition:

Yin, Blood Xu
Mainly HT & KD

Sheng di huang

15-30g

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.

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)
Heart Shen Disturbs house of essence (KD)
dreams, emissions (dreams are HT,
emissions is KD): calming down the shen
can stop nocturnal emissions

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

Nourish Heart, Calm Shen

Zhu sha
1-3g
P: Thin, rapid
T: Red with scanty coat
Jie geng
3-6g
Guide herbs up, Open Chest
Zeng Ye Tangxuan shen, sheng di huang, mai men dong
Sheng Mai Sanren shen, mai men dong, wu wei zi
Si Jun Zi Tang half of formularen 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

87

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.
Source: Systemic Differentiation of
Warm Diseases (Wen bing
tiao bian)

An Gong Niu Huang Wan / Calm Palace Pill w/


Cattle Gallstone
Functions:

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 Dont 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

Nourish & Calm Shen

30
5 Pc

Bld Nourishing Herbs: Ren Shen, Huang


Qi, Dang Gui, Bai Shao Yao, E Jia, Shu
Di Huang

88

Herbs that Stabilize-Astringe

Save fluid, Stop: sweat, stools, urine, essence, (blood), qi, leukorrhea
Dont 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
Dont 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 isnt 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


Gram
s

Indication:

Composition:

F(x) of single herb in formula:

Spontaneous sweating, night


sweating due to various Xu

Mu li
- Sheng mu li: more for shen
- duan mu li: more to astringe

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

89

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


Gram
s

Indication:

Composition:

Prolonged cough due to


Lung Qi & Yin Xu

Zhi ying su qiao/ ke

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 Mans 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

Gan cao
3-9
Harmonize the middle, Harmonize herbs
+ 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

Formulas: Dr. Ma
F.A.Yip, 2005

Astringe the Exterior

90

Qi Tonics:

Formulas: Dr. Ma
F.A.Yip, 2005

Fu ling, bai zhu

Astringe the Exterior

91

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

Da zao
3-5
Tonify Sp & KD
Bensky: Diarrhea daily at sunrise, lack of interest in food & inability to digest whats 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:

Chi Shi Zhi


30
Astringe Intestines
Xu of MJ (SP/ST)Yang + LJ
Gan Jiang
9
Expels Cold
(KD)Xu
Geng Mi
30
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:

Gram
s

F(x) of single herb in formula:

Sha yuan ji li
(sha yuan zi)

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

92

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.
of the herbs address the HT
along with the KD
*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

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

Calm Shen, Connect Heart & KD, [Clear Mind]

Need Warming, Tonic, Astringe

- Children who cant 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


Childrens 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

93

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:

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

Grams

F(x) of single herb in formula:

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

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.

Wan Dai Tang / End Discharge


Decoction
Functions:

Source: Womens Diseases according to Fu Qing-zhu


(Fu qing zhu nu ke)

p 369

Tonify the Middle, Tonify SP, Transform Dampness

Indication:

Composition:

Grams

SP Xu, LIV Yu, Damp pouring down

Ren shen

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

[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

Chen pi

1.5

F(x) of single herb in formula:

Dry Damp, Help SP transformation

Che qian zi

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

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

94

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

Zhi zi
Cang zhu

Fullness of chest or abdomen, nausea, vomit,


indigestion, acid reflux, etc.

F(x) of single herb in formula:

Shen qu

Move Blood
Clear Fire
Dry Damp
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:

Gram
s

F(x) of single herb in formula:

Jin ling zi
(chuan lian zi)

5-6

Soothe Liver Qi, Drain fire

Yan hu suo

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

95

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:

Gram
s

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

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
Zi su ye
6
- 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)
p 293 ?
Orange, Chinese Chive, and Cinnamon Twig
?
Decoction
or Zhi Shi Gua Lou Gui Zhi Tang
P 293
Zhi Shi Xie Bai Gui Zhi Tang
Functions:

Unblock Yang, Transform Phlegm, Descend Qi


Gram
s

Indication:

Composition:

Chest Bi due to chest Yang Xu with


Phlegm and Qi Yu in chest

Zhi shi

12

Difficulty breathing, sob coughing and


wheezing,

Xie bai

Gui zhi

Gua lou

12

Remove Phlegm, Disperse stagnation

Hou po

12

Descend Qi, Relieve Fullness [transform phlegm]

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

F(x) of single herb in formula:

Descend Qi, Reduce Fullness (strong) and focal


Distention [Remove Yu]
Unblock Yang Qi, Open chest, Disperse stagnation
- very pungent
Unblock Yang Qi, Disperse Cold, Descend Rebellious
Qi
(very important for formulas, for heart, can motivate heart
functions, make it more efficient not make palpitations
worse) no more than 6 gm.

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,

Formulas: Dr. Ma
F.A.Yip, 2005

Regulate Qi

96

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

97

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 Sxs 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


Syndromes:
Liver Qi retroflow

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

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:

Gram
s

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

98

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
(dont 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

Rou gui

3-6

Hernia & abdominal (lower) pain; cold pain in


Liver/KD Channels; cold stagnation

Xiao hui xiang

Wu yao

Chen xiang

Fu ling

F(x) of single herb in formula:

Warm and Tonify Liver & KD

Warm KD & Disperse Cold

[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

Sheng jiang

3-5
Slices

Move Qi, Relieve Pain


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

99

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

Cold & Damp injuring SP & ST

F(x) of single herb in formula:

- Stickiness of Damp and Stagnation of Cold

Hou po

9-15

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.

Move Qi, Dry Damp, Relieve Fullness


- Bloating due to Qi Yu or Damp - use
hou po!

Cao dou kou

6-9

Warm Middle, Disperse Cold,


- Dry Damp, Remove Phlegm

Chen pi*

9-15

Mu xiang

Gan jiang

1.5-6

Sheng jiang*

3 pcs

Fu ling*

9-12

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

Gan cao*
3-9
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
dont 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

100

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

move qi, release pain


12 gr. if no cold

Chuan Lian Zi
Jin Ling Zi

12

hypochondriac pain & LV qi yu

Xiao Hui Xiang

Wu Zhu Yu

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

101

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:

Excess Above: Phlegm in LU;


Deficiency Below: KD Xu
Sob, coughing and wheezing; asthma
Weakness of lower back/knee; fatigue;
edema
T: white or white greasy/slippery

Composition:

Grams

F(x) of single herb in formula:

(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

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.

Zi su ye
5 lvs
Sheng jiang
2 pc
Gan cao
3-4.5
Harmonize Middle, Harmonize Herbs and Tonify
Da zao
3 Pc
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 AbovePhlegm in Lung, Xu BelowKD 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 PhH 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

Gram
s

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

102

Si Mo Tang / Four Milled-Herb


Decoction

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

Functions:

Move Qi; Descend the Rebellious; Open Chest; Disperse Stagnation

Indication:

Composition:

Injury of emotions, LIV Qi Yu

Gram
s

Wu yao

Chen xiang

Bing lang

Ren shen

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)

p 301

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. LIVSP 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, doesnt 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

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 Jings signature to protect ST
LI-4 is a good point to tx hiccups.
Syndromes: ST Qi Retroflow cold type

Formulas: Dr. Ma
F.A.Yip, 2005

Descend Qi

103

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)

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:

Composition:

Gram
s

F(x) of single herb in formula:

Stomach Xu with Heat; Rebellious


Stomach Qi

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

(Stomach Heat)
Heat could arise from a number of
causes

Ren shen

Gan cao

3-6

T: Tender, red
P: Xu, rapid

Da zao

5 pc

Sheng jiang

6-9

Tonify Qi
Harmonize Stomach
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:

Deficient Cold of Stomach,

Composition:

Grams

Ding xiang

F(x) of single herb in formula:

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
Compare to:
Xuan Fu Dai Zhe Tang this doesnt transform
phlegm

Shi di

6-9

Warm, Bitter: Stop hiccup

Ren shen

3-6

Tonify Qi

Sheng jiang
6-9
Warm ST, Descend the Rebellious
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

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

Descend Qi

104

Aggravated by Hot Food or Beverages; with


Irritability; T: Red; Tc: Yellow; P: Wiry or
Rapid

Formulas: Dr. Ma
F.A.Yip, 2005

30
Yan Hu Suo

Descend Qi

Moves Qi & Blood, Alleviates Pain

105

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

Unblock the Blood Vessels


- can also balance cold nature of other herbs

Da huang

12

Drain heat

Mang xiao

Drain heat, soften hardness

Zhi gan cao

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

106

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


Blood Stasis in Chest
Syndromes: HT Blood Stasis
* Top formula to tx heart diseases.
When there is xue stasis, there is also
qi yu. LIV Qi Yu Xue Yu.
#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

Tao Hong Si Wu Tang Move Xue


Tao ren

12

Hong hua

Sheng di

Dang gui

Chi shao

Chuan xiong

4.5

- 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)

Si Ni San Move Qi & Xue, Soothe LIV


Chai hu

Move LIV qi

Zhi ke/qiao

Open Chest, descend qi

Zhi gan cao

+
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

107

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

Functio
n

Location

Sx

Chest

As listed above

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
Womans 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.

Didnt 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:

p 314

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

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

Source: Corrections of Errors among


Physicians (Yi lin gai cuo)
written by Wang Qing-ren

Functions:

Invigorates Blood, Dispels Stasis, Warms Menses, Alleviates Pain

Indication:

Composition:

Blood Yu in Lower Abdomen; Womens Gynecological Problems

Xiao hui xiang


Gan jiang
Yan hu suo
Dang gui
Chuan xiong
Mo yao
Guan gui

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

Formulas: Dr. Ma
F.A.Yip, 2005

Regulate Blood

Grams

p 316

F(x) of single herb in formula:

1.5
.6
3
9
3
3
3

108

Chi shao
Pu huang
Wu ling zhi

bleeding with lower abdominal soreness & pain; cirrhosis of liver


with edema (add sheng di huang, xiang fu, wu yao)

6
9
6

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:

Gram
s

Composition:

F(x) of single herb in formula:

Qi Jiao
3
Collaterals Bi syn (wind-damp)
Qiang Huo
3
collaterals bi syn in upper body (du huo if lower pain)
Blood Yu Whole Body Muscles,
Di Long
6
dredge collaterals Resolve Phlegm LIV Wind
Four Limbs
Chuan Xiong
6
Remove Stasis Herbs, Release Pain
Tao Ren
9
Syndromes: Blood Stasis In
Hong Hua
9
Channels, Collaterals
Mo Yao
6
Dang Gui
9
Pain of shoulder, neck, back, etc
Wu Ling Zhi
6
Chuan Niu Xi
9
Guide Down Bld
Body aching, 4 limbs, body aching
not in internal organs
Gan Cao
6
Xiang Fu
3
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 (dont 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:

Blood Yu in
Hypochondrium due to
Trauma
Pain in LIV/GB channels,
hypochondrium, chest

Formulas: Dr. Ma
F.A.Yip, 2005

Gram
s

Composition:

Da huang [jiu da huang]

Chai hu
Dang gui
Tao ren [jiu tao ren]
Hong hua
Chuan sha jia
Gua lou gen (tian hua fen)

15
9
9
6
6
9

Regulate Blood

F(x) of single herb in formula:

Remove bad blood,


- processed in alcohol to enhance moving function
Soothe Liver Qi
Move Blood, Reduce Swelling, Relieve Pain
Tao ren - processed in alcohol to enhance moving f(x)
Unblock stagnation in channels/collaterals
Disperse stagnation, Clear Heat, Moisten Dryness

109

Gan cao
6
Relieve Pain, Harmonize Herbs
Bensky: Excruciating pain associated with traumatic injury, especially in chest, hypochondria or flanks
D: Traumatic physical injury causes blood to leave vessels

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:

Gram
s

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

Ru xiang
4.5
*Good to have in an emergency kit
Mo yao
4.5
For external or internal use very small
dose esp. internally, usually used
Zhu sha
3.6
externally
Er cha
7.5
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:

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

F(x) of single herb in formula:

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
Kidney tonics.

Formulas: Dr. Ma
F.A.Yip, 2005

Regulate Blood

110

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.

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
Huang jiu
Move xue, relieve pain
(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.

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

Sheng Hua Tang / Generation & Transformation


Decoction
Functions:

Source: Womens Diseases According to Fu


Qing-Zhu (Fu qing zhu nu ke)

p 323

Move Xue, Remove Stagnation, Warm the channels, Relieve pain


Gram
s

F(x) of single herb in formula:

Dang gui [c]

24

Tonify (& Move) Blood

Chuan xiong [d]

Move Blood & Qi

Indication:

Composition:

Cold Invasion, Blood Yu after delivery


(retention of lochia)
Cold sensation & pain in lower abdomen; cold
causes blockage.
Retention of lochia.
Must remove old xue before generating new xue
If one desires to unblock, it is first necessary
to make full. Thus, large dosage of dang gui to
tonify and invigorate xue; when the qi & xue
are abundant, the blood vessels will be full and
the circulation of xue will be smooth &
unimpeded. This will lead to the dispersion of
xue stasis. Bensky

Formulas: Dr. Ma
F.A.Yip, 2005

Tao ren [d]

6-9

Move Blood

Pao jiang [a]

1.5

Disperse Cold, Warm Channels, Relieve


Pain

Huang jiu [a]

Warm, Unblock Blood Vessels

Tong bian (boys urine

Tonify Yang, Remove Stagnation, Leads


bad blood down can leave out! Use water

under 4 year old, mid-stream)

Zhi gan cao [e]

Regulate Blood

1.5

Harmonize

111

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 urineyoung children have benzoic acid and adults dont (?), they also have melatonin that comes out in urine in
the morning

Formulas: Dr. Ma
F.A.Yip, 2005

Regulate Blood

112

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:

Gram
s

Composition:

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]

Unblock channels, Clear Xu heat (softens irritability)

E jiao
Mai men dong

6
9

Ren shen
Gan cao

6
6

Ban xia

Works on Liver Xue, Spleen Qi.

Sheng jiang

3 Aspects: Xu Cold, Blood (Yu & Xu);


Yin Xu
Reduces Yu, Clears Xu Heat & Tonifies
Yin & Blood

Gan cao

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
Help ST Transformation, Descend Stomach Qi, Helps Balance,
Reduce Toxin of Ban Xia

Harmonize the Herbs

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 cant 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.

Didnt 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:

Qi & Blood Yu; Pain

Dang gui
15
Move Blood, Tonify Blood
Dan shen
15
Help Dang Gui Move Blood, Tonify Blood
Stomach, heart, 4 limbs, all kinds of injury
Ru xiang
15
Remove Stagnation, Move Qi & Blood. Relieve Pain
pain
Mo yao
15
Modifications:
Leg Pain add niu xi, du huo
Arm lian qiao, sang zhi, qiang huo
Womans 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

Formulas: Dr. Ma
F.A.Yip, 2005

Regulate Blood

113

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:

Gram
s

Da Huang

300

F(x) of single herb in formula:

Remove Stagnation, Clear Heat, cool


blood
Remove Blood Stagnation

Zhe Chong
30
Consumption depletes xue, yin and qi dry xue xue
Tao Ren
60
yu
Gan Qi
30
Causes: over eating; over indulgence in alcohol, snacks;
Move Blood
Qi Cao
60
overworking; long-term depression a long-term
Bugs Are Very Moving
Shui Zhi
60
condition
60
Sx: emaciated, rough, scaly skin, dry; darkness around eye Meng Chong
Huang Qin
60
Clear Heat Helps Da Huang
(blood yu); cannot eat, fullness in abdomen; very
Together with Tao Ren Moistens
severe; women will tend to have menses problems at
Xing Ren
60
Dryness
this stage
-Not commonly used.
Sheng Di Huang
300
Tonify Yin Blood
* Must 1st remove yu of old blood in order to have
Bai Shao
120
new blood
Gan Cao
90
Tonify & Harmonize
* 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

114

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:

Gram
s

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.

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

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

Sheng ce bai ye [c]

12

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.
He ye
9-12
Stop Bleeding, Disperse Stagnation
T: Red or deep-red; dry
Ai ye
6-9
- very light, can disperse stagnation
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
T: Red, Yellow Coat

Formulas: Dr. Ma
F.A.Yip, 2005

P: Rapid, Wiry

Qing dai [c]


Zhi zi [c]
Gua lou ren
Hai shi (fu hai shi)
He zi

Bleeding

Grams

6-9
9
9
9
6-9

F(x) of single herb in formula:

Clear LIV fire, Cool Blood


Clear Heat
Moisten Dryness, Transform Phlegm
Descend LU Qi; Stop Cough,
Transform Phlegm

115

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

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:

Gram
s

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 dont 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; dont tonify with these heat
symptoms
Similar functions to Dao Chi San, Ba Zheng San, Long
Dan Xie Gan Tang see below

Gram
s

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

Gan cao
15
Harmonize
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

116

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


Gram
s

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 zhus warm and
dry properties

Huang qin

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

F(x) of single herb in formula:

T: Pale with white coat


Gan cao
9
Harmonize
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 cant 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:

Gram
s

Chong & Ren Xu


(uterine bleeding)

E jiao [c]

Uterine bleeding,
threatened miscarriage;
spotting, etc.
Will see cold and xu
symptoms.

Ai ye [c]

Sheng di huang
Dang gui
Chuan xiong
Bai shao

18
9
6
12

Tonify Blood, Regulate Menses


- May remove chuan xiong if pregnant

Gan cao

Harmonize

T: Pale with thin white


coat;
P: Thin, frail

F(x) of single herb in formula:

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, dont 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

117

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

Dang gui
60
Tonify Blood, Nourish Tendons, Expel Wind
Bai shao
60
- Si Wu Tang
Shu di huang
30
Chuan xiong
60
Move Blood, Unblock Channels
Usually have blood xu when have
Bai
zhu
30
Tonify Spleen to Generate Blood
wind invasion (should move &
Fu
ling
30
- from Si Jun Zi Tang
tonify blood)
Huang qin
30
Shi gao
60
Cool Blood, Clear Heat
Sheng di huang
30
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

Gram
s

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

Shi gao
3
Clear Heat
Zhi mu
3
Dang gui
3
T: peeled, or white or yellow coat
Sheng di huang
3
Tonify Blood, Moisten Dryness
P: Thin, maybe rapid
Hu ma ren (hei zhi ma)
3
Sheng gan cao
1.5
Clear Heat, Harmonize
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: Wind-heat
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

118

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:

Bo he [c]
9
Disperse W, Clear head and eyes
Headache due to (external) wind
Chuan xiong
3-6
Shaoyang, Jueyin
Bai zhi
6
Yangming
Expel Wind, Relieve Pain
Headache in any part of the head, more
Qiang huo
6
Taiyang
chills than fever, nasal congestion,
Xi xin
1-3
Shaoyin
Disperse Cold, Relieve Pain
dizziness; allergies (dont use xi xin)
Jing
jie
9
Could be W-C
Disperse Wind
Fang feng
9
Gan cao
4.5
Harmonize
T: Pale; P: Floating
Cha ye (tea leaves)
Clear head, eyes, balance warm, dry herbs
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

Bi f z [c]

Grams

F(x) of single herb in formula:

Expel wind, transform phlegm (not fu zi)

TOXIC

Jiang can [d]


Expel wind, resolve spasm
> Bells palsy, facial paralysis, sequela of
Quan xie [a]
Unblock channels; Expel wind, resolve spasm
Scorpion - TOXIC
stroke
Jiu
Unblock blood vessels, Lead herbs to collaterals
Deviation of face, mouth, tongue
- 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.

Source: Revised Popular Guide to the


Discussion of Cold-induced
Disorders
(Chong ding tong su shang han lun)

Ling Jiao Gou Teng Tang / Ling Yang Gou Teng


Tang / Antelope Horn & Uncaria Decoction
Functions:

p 403

Clear LIV Heat, Extinguish Wind, Tonify fluid

Indication:

Composition:

Excess Heat in Liver Channel


causing wind

Ling yang jiao [c]

Gou teng [c]

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

119

Formulas: Dr. Ma
F.A.Yip, 2005

Release Wind

120

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


Gram
s

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)

F(x) of single herb in formula:

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]

else if no hypochondriac pain)

Move Liver Qi, Clear Heat

*Long-term problem and may have to use for a


Sheng mai ya [a]
Help Digestion, Harmonizing
long time in this case, reduce dosage of
minerals/shells (or grind and reduce dosage of
Gan cao [e]
Harmonize, Helps stomach with mai ya
these herbs)
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!
Source: New Significance of Patterns and Treatment in
Miscellaneous Diseases (Za bing zheng zhi
xin yi)

Tian Ma Gou Teng Yin / Gastrodia and


Uncaria Decoction
Functions:

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

Gram
s

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: Doesnt use shi jue ming - still works though
- Can take with blood pressure medication, wont make bp too low
- Dont stop blood pressure meds right away
- This formula balances the body. It doesnt work directly on Xue.
di long, xia ku cao; huang qin; luo bu ma
High blood pressure
tian ma, gou teng
Wu Gong, Quan Xie; Jiang Can, Man Jing Zi
Migraine-pain
Do not use chuan xiong w/ yang rising or yin xu

Formulas: Dr. Ma
F.A.Yip, 2005

Release Wind

121

+ Blood stasis herbs

Di Huang Yin Zi / Rehmannia Decoction


Functions:

Source: Formulas from the Discussion Illuminating the


Yellow Emperors Basic Questions
(Huang di su wen xuan ming lun fang)

p 408

Tonify KD Yin and Yang, Open Orifices, Transform Phlegm

Indication:

Shu di huang
Shan zhu yu
Rou cong rong
Ba ji tian

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

E Jiao Zi Huang Tang

Prolonged Heat Injuring


Yin and Xue
Spasm in Hand and Foot

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

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

Tonify (Kidney) Yin

Functions: Nourish Yin and Xue, Soothe Liver, Expel Wind


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)

Syndromes Qi Syncope (fainting Due To


qi retroflow or yu; LV wind)

P. wiry
T: not change much
Category?

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.

Wu Mo Yin Zi

Gram
s

Composition:

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

122

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:

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

Gram
s

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

Xing ren [c]


6
Jie geng [d]
6
Ban xia [a]
6
Transform phlegm
Fu ling [a]
6
Zhi qiao [d]
6
Regulate (LU & SP) Qi, Open Chest
Not specific for W-C invasion; but
Ju pi [a]
6
can be used Wind-Cold invasion.
Sheng jiang [e]
6
Harmonize ying wei
Especially if there is cough, even
Gan cao [e]
3
- Focus on stomach to generate fluid; strengthen wei qi to
if there is no dryness
Da zao [e]
2 pc
prevent further invasion
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; its [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 (doesnt 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

123

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:

Gram
s

Sang ye [c]

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

Xing ren [a]


2.1
Facilitate LU qi
Pi pa ye [a]
3
E jiao [d]
2.4
Hei zhi ma /
Nourish LU Yin
3
hu ma ren [d]
Ren shen [a]
2.1
Tonify the middle
Gan cao [a]
3
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


Source: Systematic Differentiation of
Warm Diseases (Wen bing
tiao bian)

Yang Yin Qing Fei Tang / Nourish Yin Clear Lung


Decoction
Functions:

p 164

Tonify Yin, Clear LU

Indication:

Composition:

Yin Xu heat w/ epidemic toxin


(diphtheria)

Sheng di huang [c]

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

Bei mu [a]
2.4
Moisten LU; Transform Phlegm
Syndromes: Lu Yin Xu
Yin Xu Sx + Dry Cough
Bai shao [d]
2.4
Astringe Yin; Reduce Heat
Blood tinged cough, chronic cough sx, recovery
later stage, dry mouth, thirsty, palm/soles warm/
Bo he [a]
1.5
Benefit throat; Clear heat
hot dry sticky phlegm inside LU
T: scanty coat, deep red
Gan cao
1.5
Harmonize, Reduce toxin
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

Formulas: Dr. Ma
F.A.Yip, 2005

Dryness: Enrich Yin & Moisten

124

Bai Bu
Kuan Dong Hua

Stop Cough, Moisten


Stop Cough

Source: Analytic Collection of


Medical Formulas (Yi
fang ji jie)

Bai He Gu Jin Tang / Lily Bulb Decoction to Preserve the


Metal
Functions:

p 161

Tonify Yin, Moisten LU, Transform Phlegm, Relieve coughing

Indication:

Gram
s

Composition:

F(x) of single herb in formula:

Sheng di huang [c]


6
Tonify KIDYin
Shu di huang [c]
9
- Cool Blood; Stop Bleeding
Mai men dong [d]
4.5
Coughing with blood; dry throat and pain;
Bai he [c]
3
Moisten LU yin, Transform phlegm, Relieve cough
feverish heat; steaming bone disorder;
Bei mu [a]
3
irritability; night sweating
Xuan shen [d]
2.4
Nourish Yin; Clear heat
Deep Yin xu heat
- Like lung TB, not limited to this
Dang gui [a]
3
Nourish Blood; Moisten Dryness
- Can use after chemotherapy
Bai shao [a]
3
Nourish Yin & Blood
Jie geng [a]
2.4
Open Lung Qi; Stop Cough
T: Red with little coat; P: Thin, rapid
Gan cao [e]
3
Harmonize Herbs
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:

Gram
s

Composition:

LU Yin Xu; ST Yin Xu

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
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

F(x) of single herb in formula:

- 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

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:

Nourish LU Yin, Tonify SP Qi

Indication:

Composition:

Lung Yin Xu
Dry cough; fatigue; dryness

Formulas: Dr. Ma
F.A.Yip, 2005

Sheng di huang
Feng mi
Ren shen
Fu ling

p n/a

Gram
s

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

Dryness: Enrich Yin & Moisten

125

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

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:

Gram
s

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

Ji nei jin [a]


Ge gen [a]

6
4.5

Wu wei zi [a]

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


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 jiaos. 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:

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.

Gram
s

F(x) of single herb in formula:

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.)

Formulas: Dr. Ma
F.A.Yip, 2005

Dryness: Enrich Yin & Moisten

126

Zhi mu, tian hua fen, lu gen


Sha shen, shi hu, mai men dong
Xi yang shen; tai zi shen
Bai ren shen

Formulas: Dr. Ma
F.A.Yip, 2005

Dryness easily damage heat, generate bf clr heat


Not sticky, generate bf if dryness damage yin fluid
Qi Xu in summer, generate fluids, patient is tired dryness and heat damage
qi nourish yin, gen bf, tonify qi
Tonify qi, generate bf, tired nourish yin, gen bf, tonify qi

Dryness: Enrich Yin & Moisten

127

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 dont 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

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

Sheng jiang
Da zao
T: Swollen with thick, white, greasy coat
P: Moderate or slippery, slowed down (weakness)
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

Harmonize the Middle; Harmonize


Herbs
Harmonize SP/ST
- make a decoction of sheng jiang
& da zao grind other
ingredients into powder add to
draft

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

Zi su ye
6
Help huo xiang disperse Wind-Cold
Bai zhi
6
Ban xia
9
Dry the Damp; Harmonize Stomach
Chen pi
9
- Descend the Rebellious Qi; Relieve Vomiting
Bai zhu
12
Tonify Spleen; Transform Damp
Fu ling
9
Hou po
9
* Very important formula; very effective;
Move Qi; Transform Damp
Da fu pi
9
very strong
Jie geng
9
Open Lu Qi; Helps Release Exterior
* Can also give for Wind-Cold even if
Sheng jiang
3-6
there are no damp signs
Da zao
1 pc
Regulate, harmonizes SP/ST
Tc: White, greasy; P: Moderate, soggy
Gan cao
3
Dr. Ma: Dont 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

128

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:

Gram
s

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.

F(x) of single herb in formula:

Yin chen hao [c]

18

Clear Damp Heat; Reduce Jaundice

Zhi zi [d]

Lead Heat Down (via urination)

Da huang [a]

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:

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)

Gram
s

15

Bai dou kou [c]


(bai kou ren)

Yi yi ren [c]

18

Hua shi [a]


Tong cao [a]
Dan zhu ye [a]
Ban xia [d[
Hou po [d]

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

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

129

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]

Leach D-H
- Clear Heat From San Jiao

Da huang [a]

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:

Gram
s

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

130

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:

Gram
s

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:

Water & Heat Stagnation


(Injury of yin)
Fever; thirst; irritability; insomnia; bloody lin
syndrome; fullness in abdomen, difficult
urination; may have cough, nausea

Composition:

Gram
s

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]

Leach out Water, Clear Heat

This rx promotes urination w/o injuring the yin &


Nourish yin, Moisten dryness
E jiao
9
stabilizes the yin w/o causing retention of the
- also stops bleeding
pathogen.
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

Formulas: Dr. Ma
F.A.Yip, 2005

Dampness

131

* 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

132

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]

F(x) of single herb in formula:

Huang qi [c]

3.8

Bai zhu [d]

2.3

Expel Wind; Remove Water


Tonify Qi, Strengthen Exterior; Assist to remove
water
Tonify Spleen Qi

Gan cao [a]

1.5

Tonify SP, Harmonize herbs

Zhang Zhong Jings


signature to protect
the ST.

Sheng jiang [e]


4 Pcs
Harmonize Ying & Wei
Da zao [e]
1 Pc
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

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:

Gram
s

Fu ling pi

15

Leach Out Water; Damp; Strengthen Spleen.


- Use fu ling if fu ling pi isnt available in bulk
herbs.

Sheng jiang pi

Disperse Water

Sang bai pi

15

Descend LU Qi - indirect effect on edema

Da fu pi

15

Move Qi to remove water, Relieve Fullness

F(x) of single herb in formula:

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 isnt
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

Chen pi
9
Harmonize SP Qi; Transform Damp
Xu pulse
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:

Gram
s

Fu ling [c]

12

Tonify Spleen; Leach out water

Gui zhi [d]

Warm Yang; Help Qi Transformation to


remove/ transform water

Bai zhu [a]

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


Zhi gan cao [e]
6
Tonify Qi; Harmonize the Middle
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

Formulas: Dr. Ma
F.A.Yip, 2005

Dampness

133

warm the yang to transform water.


Dr. He: also for Tan Yin Syndrome (like Wu Ling San)
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


Gram
s

Indication:

Composition:

1. SP/KD Yang Xu; Water Retention


2. Tai Yang Disease

F(x) of single herb in formula:

Fu zi [c]

Warm KD & SP

Syndromes: Edema d/t Kidney Yang Xu

Fu ling [d]

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]

Assist fu zi to warm yang and expel cold;


Assist fu ling to leach out water

Bai zhu [d]

Tonify SP, Dry Damp

Bai shao [a]

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
Zhu Ling, Ze Xie, Yi Yi Ren
Drain more edema

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:

Composition:

Fu zi*

Gram
s

30

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 spleens inability to distribute
yang); no thirst; loose stool or diarrhea
(water pouring down); fullness of chest
& abdomen
T: Thick, greasy coat; P: Deep, slow

Formulas: Dr. Ma
F.A.Yip, 2005

Gan jiang

30

Bai zhu*
Fu ling*
Mu gua
Hou po
Mu xiang
Da fu zi / bing lang
Cao guo
Gan cao

30
30
30
30
30
30
30
15

Dampness

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
Tonify Spleen, Dry Damp, Leach out water
Restore SP f(x); Transform water
Descend Qi, Remove stagnation,Transform water
- Bing lang/da fu zi is the seed (betel nut) and da
fu pi is the peel of the fruit (betel peel).
Harmonize Herbs; Tonify Spleen

134

Sheng jiang*
5 Slc
1 Pc
* Ingredients in Zhen Wu Tang, with gan
Da zao
jiang instead of sheng jiang, and no bai
shao.
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

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]

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)

Wu yao [a]
9
Why turbid urine? Xu Cold = yang xu, and Shi chang pu [a]
9
yang qi cant transform, leading to
Yan / salt
Lead back to KD
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

135

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
Source: Clarifying Doubts about Injury from Internal
and External Causes (Nei wai shang bian
huo lun)

Qiang Huo Sheng Shi Tang / Notopterygium to


Overcome Dampness
Functions:

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, couldnt 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]

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]
Rou gui

6
6
6 (15-30)
6
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
bodys tendency with a-i dz is to reject fetus.

Nourish & Move Blood

= Si Wu Tang

*just b/c du huo is [c] herb, this formula is


Tonify SP Qi - to generate qi
not limited to the lower body it can be
3 herbs in
& xue
used for the whole body, and modify
Si Jun Zi Tang
Harmonize Herbs
appropriately: i.e. qiang huo instead of du
Warm & Unblock Blood Vessels; Expel C
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

136

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


*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

Composition:

Gram
s

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]

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

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
Wu mei
1 pc
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 SPs 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
Dont 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)
Er Chen Tang = chen pi + gan cao + fu ling + ban xia
Damp alone cannot affect LU must have SP weakness +
damp will affect LU

Formulas: Dr. Ma
F.A.Yip, 2005

Clear Wind-Damp

137

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]

Zhi shi [d]

Ban xia [a]

Chen pi [a]

Fu ling [a]

4.5

Even though this rx is names Warm the GB


Decoction, it is used to clear GB heat.
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

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

(Zhi Mi) Fu Ling Wan


Functions:

* Not for long term use *

Dry The Damp; Move Qi; Soften Hardness; Transform Phlegm

Indication:

Gram
s

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

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


Gram
s

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

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).

Formulas: Dr. Ma
F.A.Yip, 2005

Clear Phlegm

138

If there is thirst, use bitter herbs to clear heat and stop thirst.
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. Hes 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

Didnt cover
Source: Discussion of Coldinduced Disorders
(Shang han lun)

Xiao Xian Xiong Tang / Minor Sinking into the Chest


Decoction
Functions:

Clear Heat, Transform Phlegm, Open the Chest

Indication:

Composition:

Gram
s

Phlegm Heat in the LU

Huang lian

6-9

Ban xia

Syndromes Lung Qi Yu Due To Phlegm-Heat

Chest tightness, chest pain, cough yellow sticky phlegm,


Gua luo shi
LU hurt, restlessness, suffocating, Lu infection
T: yellow sticky coat, red; P; rapid, slippery, forceful
Pathogen is in the Epigastrium but Symptoms are in chest and Epigastrium

12

F(x) of single herb in formula:

Clear Heat, Dry Damp, Detox


Resolving Phlegm (Very Warm), Descend
Rebellious, Disperse Stagnation
Opens Chest (Also Warm) Resolve
Phlegm, Clear Heat

Source: Additions to the Teachings of


[Zhu] Dan-Xi (Dan xi xin fa fu
yu)

(Meng Shi) Gun Tan Wan / Vaporize Phlegm Pill


Functions:

p 438

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

139

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

Zhe bei mu [c]

4.5

Lung Dryness with Phlegm


(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:

Gram
s

F(x) of single herb in formula:

Warm LU; Disperse cold; Transform fluid


- gan jaing for SP; sheng jiang for ST
Xi xin [d]
9
Warm LU, Disperse cold, disperse fluid
Profuse sputum, easily expectorated;
discomfort in the chest
Tonify SP; Leach out damp
Fu ling [d]
12
(SP) yang xu unable to transform fluids
- works on body/root
Astringe LU qi; relieve cough
Wu wei zi [a]
6-12
T: white moist coat
Balance xi xin prevent dispersing too much of LU qi
P: wiry, slippery
Gan cao [e]
9
Harmonize the middle; harmonize herbs
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)

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 Ones Parents
Functions:

Source: Comprehensive Medicine According


to Master Han (Han shi yi tong)

p 445

Descend Qi, Transform Phlegm, Transform Food Stagnation

Indication:

Composition:

Gram
s

F(x) of single herb in formula:

Bai jie zi

6-9

Warm Lung, Facilitate Lung qi; Transform phlegm

Zi su zi

6-9

Descend qi; Transform phlegm;


Relieve cough, asthma good for sticky phlegm.

6-9

Reduce food stagnation, Move qi, Transform phlegm


- may have gas with this qi mover
- *incompatible with ren shen neutralizes tonifying
action of ren shen

Phlegm & Qi Stagnation


Warm rx: use seeds to resolve phlegm
stagnation and move qi
Cough, asthma; food yu; may have
bloating, poor appetite (b/c of phlegm or
food yu); discomfort in the chest
Originally for old age people (middle jiao
xu, damp & phlegm accumulate to
disturb LU)
TC: greasy; P: slippery

Formulas: Dr. Ma
F.A.Yip, 2005

Lai fu zi

Clear Phlegm

140

- 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

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


Hai Zao, Kun Bu, Zhe Bei Mu, Xia Ku
Cao, Chen Pi, Ban Xia

Only If Not Cancer, or Not Too Weak

Scrofula, Nodules

Sng For Resolve Phlegm/Nodules

Ban Xia Bai Zhu Tian Ma Tang / Pinellia, Atractylodis,


and Gastrodia Decoction
Functions:

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

Grams

Ban xia

4.5

Tian ma

1-3

Bai zhu

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

Strengthen SP, Leach out damp

Chen pi (ju hong)

Regulate qi, transform 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.

F(x) of single herb in formula:

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)
Menieres 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

141

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

Gram
s

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
Calm Shen
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
Gan cao
Harmonize
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.
Liver Internal Wind Phlegm
Spleen Phlegm Wind Phlegm Heart

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
Dont 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

Gram
s

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

142

Formulas: Dr. Ma
F.A.Yip, 2005

Clear Phlegm

143

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
- doesnt 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

144

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)

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

Damp-Heat; Anti-Virus

Huang qin

6-9

Damp-Heat; Anti-Virus

Da huang

6-9

T: Thick Yellow Color


P: Slippery, Wiry
LI-11 + ST36 For Yang Ming Heat
ST25; RN12; ST36; ST44; Sifeng

Damp-Heat; Anti-Virus: Dosage varies on


constitution, want stool to become loose, but not
cause diarrhea
Drain Damp

Fu ling

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 460

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

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
Xiang fu
E zhu
Zhi qiao
Huang lian
Huang bai

Can give for parasites


Move qi morefor severe abdominal
pain

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

Move Qi
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
6-9

2:1
ratio

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

145

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 TangAlso 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 problemtake 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

146

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

147

Dermatological Conditions
Xian Fang Huo Ming Yin / Sublime Formula for
Sustaining Life
Functions:

p 83

Clear Heat Toxin, Soften hardness, Move Xue

Indication:

Gram
s

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.

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)

F(x) of single herb in formula:

Clear heat toxin


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:

Gram
s

Composition:

F(x) of single herb in formula:

Jin yin hua


Clear Heat toxin
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
Jiu
Move herbs
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

Gram
s

F(x) of single herb in formula:

Clear heat toxin


Move xue
Assist jin yin hua to clear heat toxin

148

Source: Complete Collection of Patterns and


Treatments in External Medicine
(Wai ke zheng zhi quan sheng ji)

Yang He Tang / Yang-Heartening Decoction


Functions:

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

Gram
s

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,
Gan cao
3
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

Didnt 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 Zengs 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

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

12

Ba ji tian

12

Huang bai

12

Zhi mu

12

Dang gui

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

149

Didnt cover in Mas 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
Melon Pedicle Powder P 449

Functions: Induce Vomiting of Phlegm, Food Yu

Gua di
1g
Chi xiao dou
1g
Dan dou chi
9g
CC: Only Drink a little at a time. Stop when Vomiting occurs
Phlegm, Food Yu in Chest
and Epigastrium

Yan Tang Tan Tu Fang

Induce Vomiting of Phlegm Yu


Clear Damp, Relieve Fullness
Disperse pathogen, harmonize Stomach

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

150