160 NCCAOM Formulas Flashcards
Ma Huang Tang
Ephedra Decoction
RELEASE EXTERIOR
Disperse Wind-Cold
Exterior Wind-COLD(EXCESS)
NO SWEATING, Wheezing, Dyspnea
P: Tight, Floating
T: thin white coat
Caution: Hypertension
Contraindicated: Debilitated, prone to bleeding
Gui Zhi Tang
Cinnamon Decoction
RELEASE EXTERIOR
Disperse Wind-Cold
Exterior WIND-cold (DEFICIENCY)
SWEATING
P: moderate
T: thin, white, moist coat
Note: Similar presentation in recovering from serious illness or postpartum
Ge Gen Tang
Kudzu Decoction
RELEASE EXTERIOR
Disperse Wind-Cold
1) Exterior Wind-Cold w/ Stiff Neck (EXCESS)
Neck/Back Muscle Aches, Diarrhea
T: Normal w/ thin white coat
P: Floating, Tight
2) Taiyang + Yangming Syndromes causing Diarrhea
Xiao Qing Long Tang
Minor Bluegreen Dragon Decoction
RELEASE EXTERIOR
Disperse Wind-Cold
Exterior Wind-Cold w/ Phlegm Fluid in Lung
SPUTUM Copious, White, Stringy, Difficult to expectorate
T: moist coating
P: Floating, Tight
Note: Severe cases may have superficial edema or considerable difficulty breathing when lying down
Da vs. Xiao
Da= Ext. W-C w/ Internal Heat
Xiao= Ext. W-C w/ LU Phlegm-Fluid
Xiang Su San
Cyperus & Perilla Leaf Powder
RELEASE EXTERIOR
Disperse Wind-Cold
Exterior Wind-Cold w/ Interior Qi Stagnation
W-C + focal distention & stifling sensation in chest & epigastrium, poor appetite
T: Normal
P: Floating
Note: Wind-Cold disorders during pregnancy
Sang Ju Yin
Mulberry Leaf and Chrysanthemum Decoction
RELEASE EXTERIOR
Disperse Wind-Heat
1) Exterior Wind-Heat causing cough
Cough, Eye Infection
T: Normal or red w/ thin, white coat
P: Floating, Rapid
2) Wind-Heat causing eye disorders
Acute Conjunctivitis
Yin Qiao San
Honeysuckle and Forsythia Powder
RELEASE EXTERIOR
Disperse Wind-Heat
1) Exterior Wind-Heat w/ Heat-Toxin
Sore Throat
T: Red-Tipped w/ thin white or yellow coat
P: Floating, Rapid
2) Boils and Sores
Measles
Stronger than San Ju Yin for releasing exterior and clearing heat
Chai Ge Jie Ji Tang
Bupleurum and Kudzu Decoction to Release the Muscle Layer
RELEASE EXTERIOR
Disperse Wind-Heat
1) Exterior Wind-Cold (Taiyang) Transforming to Interior Heat (Yangming)
Increasing fever & Decreasing chills
2) Toothache d/t Wind-Heat
Vs. Gui Zhi Tang:
- Both* Expel Pathogens from Muscle Layer
- GZT*=Pungent-_Warm_ to Harmonize Ying/Wei
- CGJJT*= Pungent-_Cool_ to Clear Internal Heat
Sheng Ma Ge Gen Tang
Cimicifuga and Kudzu Decoction
RELEASE EXTERIOR
Disperse Wind-Heat
1) Early stage of rashes d/t Exterior Heat
Measles or Rashes do not surface evenly
T: Red, Dry
P: Floating, Rapid
2) Early stage warm-febrile diseases
Ren Shen Bai Du San
Ginseng Powder to Overcome Pathogenic Influences
RELEASE EXTERIOR
Exterior Excess & Interior Deficiency
Exterior Wind-Cold-Damp w/ Interior Qi Xu
T: Normal w/ greasy white coat
P: Floating, soggy, possibly weak
Note: Originally for dysentery d/t Wind-Cold-Damp in children
Vs. Huo Xiang Zheng Qi San
Exterior Wind-Cold w/ Interior Damp
S/S: Vomiting, Diarrhea
Jia Jian Wei Rui Tang
Modified Polygonatum Odoratum Decoction
RELEASE EXTERIOR
Exterior Excess & Interior Deficiency
Exterior Wind-Heat w/ Yin Deficiency
H/A, Fever, Sl. chills w/ little to no sweat, thirst, irritability
T: Dark red
P: Rapid
Note: Usually after long-term illness or significant blood loss
Da Cheng Qi Tang
Major Order the Qi Decoction
DRAIN DOWNWARD
Purge Heat Accumulation
1) Yangming Fu syndrome causing severe constipation
Severe constipation and flatulence, focal distention, abdominal fullness, abdominal pain worse pressure
T: Dry yellow or black coat w/ prickles
P: Deep, Excessive
2) Yangming Fu syndrome causing diarrhea
Green, watery diarrhea w/ abdominal distention
3) Excess Internal Heat causing Heat Collapse
fever, cold hands & feet, thirst, constipation, disorientation, mania
Shi (Hardness), Zao (Dryness), Man (Fullness), Pi (Distention)
Xiao Cheng Qi Tang
Minor Order the Qi Decoction
DRAIN DOWNWARD
Purge Heat Accumulation
Moderate Yangming Fu Syndrome causing constipation
abdominal pain that does not increase upon pressure
T: old-looking (dirty and dry) yellow or brown coat
P: Slippery, Rapid
Note: W/o Mang Xiao, more Tx abdominal fullness and less Tx dryness
Shi (Hardness), Man (Fullness), Pi (Distention)
Tiao Wei Cheng Qi Tang
Regulate the Stomach and Order the Qi Decoction
DRAIN DOWNWARD
Purge Heat Accumulation
Mild Yangming Fu syndrome causing mild constipation
constipation w/o focal distention and abdominal fullness
T: Yellow coat
P: Slippery, Rapid
Also: Tx Nosebleed, Swollen gums & throat, Petechiae
Shi (Hardness), Zao (Dryness)
Run Chang Wan
Moisten the Intestines Pill
DRAIN DOWNWARD
Moisten Intestine
Constipation d/t Blood Xu causing Desiccated Intestines
Constipation, lusterless skin & nails, parched mouth w/ an unquenchable thirst
T: Dry
P: Thin
Note: very significant Blood and Yin Xu
Ma Zi Ren Wan
Hemp Seed Pill
DRAIN DOWNWARD
Moisten Intestine
Constipation d/t Intestinal Dryness & Heat causing Spleen Bind
Hard stool that is difficult to expel, frequent urination
T: Dry, Yellow coat
P: Deep, Rapid or Floating, Choppy
Note: Focuses on moistening dryness in intestines, draining Heat, and moving Qi
Ji Chuan Jian
Benefit the River Decoction
DRAIN DOWNWARD
Moisten Intestine
Constipation d/t KD Yang Xu
Constipation, clear & copious urine, lower back pain, cold
Note: also for constipation d/t LR Blood Xu or Jing Xu
VS. Ma Zi Ren Wan
- Both:* Constipation
- JCJ:* Yang Xu
- MZRW:* LI Dryness + Heat
Xiao Chai Hu Tang
Minor Bupleurum Decoction
HARMONIZE
Harmonize Shaoyang
1) Shaoyang syndrome
Alternating chills & fever, bitter or sour taste
T: Thin, White coat
P: Wiry
2) Heat attacking the Blood Chamber (Uterus) causing Shaoyang syndrome
Invasion external pathogenic heat in Uterus during menstruation or postpartum
Modifications:
-
Chai Hu Gui Zhi Tang (XCHT + Gui Zhi Tang)
- Tx Taiyang & Shaoyang syndromes
-
Chai Hu Si Wu Tang (XCHT + Si Wu Tang)
- Tx Shaoyang + Xue Xu & Stasis
-
Chai Ping Tang (XCHT + Ping Wei San)
- Tx Shaoyang + SP Damp
Si Ni San
Frigid Extremities Powder
HARMONIZE
Harmonize LR & SP
LR Qi Stagnation overacting on SP causing Cold Extremities (Yang Jue)
Warm body w/ cold fingers & toes, S/S LR Qi Stag + SP Xu
T: Red w/ yellow coat
P: Wiry
Note: Modern Tx Raynaud’s Phenomenon
Xiao Yao San
Rambling Powder
HARMONIZE
Harmonize LR & SP
LR Qi Stagnation w/ LR Blood & SP Qi Xu
T: Pale-Red
P: Wiry, Empty
Modifications:
-
Jia Wei Xiao Yao San: +Mu Dan Pi, Zhi Zi
- +Clear Heat
-
Hei Xiao Yao San: +Shu Di Huang
- ++Nourish Blood
VS. Xiao Chai Hu Tang
Harmonize Shaoyang
Chai Hu + Huang Qin
T: Thin, White Coat
P: Wiry
Tong Xie Yao Fang
Important Formula for Painful Diarrhea
HARMONIZE
Harmonize LR & SP
LR Qi Stagnation Overacting on SP Causing Diarrhea w/ Abdominal Pain
Recurrent problems of borborygmus, abdominal pain, diarrhea w/ pain
T: Thin, White Coat
P: Moderate or Thin
Ban Xia Xie Xin Tang
Pinellia Decoction to Drain the Epigastrium
HARMONIZE
Harmonize Stomach & Intestines
Cold-Heat complex in Middle Jiao d/t ST & Intestine Disharmony (Pi Syndrome)
Epigastric focal distention, fullness and tightness w/ very slight or no pain, dry heaves or vomiting, borborygmus w/ diarrhea, reduced appetite
T: Thin, Yellow, Greasy Coat
P: Wiry, Rapid
Note: Used for Gastritis or Gastric/Duodenal Ulcers caused by modern lifestyles involving poor diet, high stress, & pharmaceutical drugs which inhibit poor functioning of Middle Jiao
Modifications:
-
Gan Cao Xie Xin Tang: (^^Zhi Gan Cao)
- Severe ST Qi Xu
-
Sheng Jiang Xie Xin Tang (+Sheng Jiang, less Gan Jiang)
- Water-Heat Complex
Bai Hu Tang
White Tiger Decoction
CLEAR HEAT
Clear Qi-Level Heat
“Four Bigs” d/t Shi Heat @ Qi Level or Yangming Channel
Big Sweat, Fever, Thirst, & Pulse
T: Red w/ Dry Yellow Coat
P: Surging, Full or Slippery, Rapid
Modifications:
-
Bai Hu Jia Ren Shen Tang (+Ren Shen)
- +Generalize weakness, P: Large, Weak
-
Bai Hu Jia Cang Zhu Tang (+Cang Zhu)
- +Damp painful obstruction
Zhu Ye Shi Gao Tang
Lophatherus & Gypsum Decoction
CLEAR HEAT
Clear Qi-Level Heat
1) Qi-Level Heat injuring the Qi & Fluid
Fever, profuse sweat, fatigue, vomiting, parched mouth & throat, thirst w/o desire to drink, irritability, nausea & SOB, stifling sensation in chest
T: Red w/ Dry Thin Coat
P: Empty, Rapid, Thin
2) Summer-Heat injuring the Qi & Fluid
Vs. Qing Shu Yi QI tang
Summer-Heat injuring Qi & Fluid
-Ban Xia, -Ren Shen
+Xi Yang Shen, +Xi Gua Pi, +Zhi Mu, +Huang Lian
Qing Ying Tang
Clear the Nutritive Level Decoction
CLEAR HEAT
Clear Blood Heat
Heat entering the Nutritive (Ying) Level
High fever that worsens at night, severe irritability, restlessness
T: Dry, Scarlet
P: Thin, Rapid
Note: Depending on the level the Heat has reached, the patient may be thirsty, delirious or have some faint and indistinct erythema (red skin)
Xi Jiao Di Huang Tang
Rhinoceros Horn & Rehmannia Decoction
CLEAR HEAT
Clear Blood-Heat
Heat entering the Blood Level
Ying Level S/S + Bleeding (hematemesis, epistaxis, hematochezia, melena, hematuria, erythema +/- rahses)
T: Dry, Scarlet Tongue w/ Prickles
P: Thin, Rapid
Note: Patients may become delirious
Substitute Shui Niu Jiao for Xi Jiao 10:1
Substitute Shui Niu Jiao (8-10x more)
Huang Lian Jie Du Tang
Coptis Decotion to Relieve Toxicity
CLEAR HEAT
Clear Toxic Heat
Fire-Toxin from Excess heat in Triple Jiao
High fever, irritability, dry mouth & throat, incoherent speech, dark urine, constipation, insomnia, hematemesis, epistaxis, erythema or skin purpura (Blood Heat), dysenteric disorders or juandice d/t Damp-Heat, carbuncles, boils & sores d/t Toxic Heat
T: Red w/ Yellow Coat
P: Full, Rapid
Note: For Toxic-heat (carbuncles, boils), Blood-Heat (epistaxis, erythema), or Damp-Heat (dysentery, jaundice)
Xie Xin Tang
Drain the Epigastrium Decoction
CLEAR HEAT
Clear Toxic-Heat
1) Excess heat in the Triple Jiao
Fever, flushed face, red eyes, irritability, dark urine, constipation
T: Red w/ Greasy Yellow Coat
P: Full, Rapid
2) Heart Fire or Damp-Heat
HT Fire causing epistaxis or hematemesis; Damp-Heat causing jaundice
Vs. Huang Lian Jie Du Tang
Both address heat in 3 Jiao
HLJDT= Fire Toxin (3 Huangs + Zhi Zi)
XXT= Shi Heat (Huang Lian, Huang Qin, Da Huang)
Pu Ji Xiao Du Yin
Universal Benefit Decoction to Eliminate Toxin
CLEAR HEAT
Cleare Toxic-Heat
Epidemic Toxin w/ Wind-Heat & Damp-Phlegm
Strong fever & chills, redness, swelling & burning pain of the head & face, thirst
T: Red w/ Powdery-White or Yellow Coat
P: Floating, Full, Rapid
Note: this is called Massive Febrile Disorder of the Head (Da Tou Wen)
MUMPS, Swollen Glands, etc. d/t Toxic-Heat
Liang Ge San
Cool the Diaphragm Powder
CLEAR HEAT
Clear Toxic-Heat
Heat & Clumping in the Diaphragm (UJ + MJ)
irritability, sensation of heat in chest, constipation, fever, red face, sore throat, nosebleeds, oral ulcerations
T: Yellow or White Coat
P: Rapid, Slippery
Note: Relatively weak purgative. Also Tx Skin Disorders
Qing Wen Bai Du Yin
Clear Epidemics and Overcome Toxin Decoction
CLEAR HEAT
Clear Qi & Blood Heat
Severe Fire in the Qi/Blood Levels
Intense fever, strong thirst, dry heaves, severe & stabbing HA, extreme irritability, rash, epistaxis
T: Dark-Red Tongue, Dark & Scorched Lips
P: Submerged & Thin OR Floating, Rapid, Large
Note: Severe cases may present w/ delirious speech, rashes, & epistaxis
Ma Xing Shi Gan Tang
Ephedra, Apricot Kernel, Gypsum, and Licorice Decoction
CLEAR HEAT
Clear Organ-Heat
Heat Lodged in the Lung
fever w/ or w/o sweating, thirst, coughing & wheezing, labored breathing, difficult to expectorate sputum, nasal flaring & pain
T: Yellow Coat
P: Slippery, Rapid
Note: W/ or W/O Wind-Heat or Wind-Cold
VS. Bai Hu Tang
Both= Qi Level heat (fever, thirst)
MXSGT= Heat lodged in lung (wheeze, cough, etc)
BHT= Yangming Channel (4 bigs)
Xie Bai San
Drain the White Powder
CLEAR HEAT
Clear Organ-Heat
Constrained Lung Heat causing Wheezing
Skin feels hot to touch, coughing & wheezing, sore throat (sl), dry mouth, little or difficult to expectorate sputum, symptoms worse in late afternoon
T: Red w/ Yellow Coat
P: Thin, Rapid
Note: derived from pediatric text, formula clears heat w/o damaging Yin, which reflects belief that child’s Yin Qi is not fully developed
Xie Huang San
Drain the Yellow Powder
CLEAR HEAT
Clear Organ-Heat
Smoldering Fire in the SP/ST
mouth ulcers, bad breath, dry mouth, thirst, irritability, frequent hunger, tongue thrusting in infants and children
T: Red & Dry
P: Rapid
Note: also for Tongue Thrusting & Yellow of the Sclera
Qing Wei San
Clear the Stomach Powder
CLEAR HEAT
Clear Organ-Heat
Stomach Heat Accumulation
Toothache that extends to head, facial swelling, bleeding & sores of gums, swollen & painful mouth, fever, bad breath
T: Red
P: Slippery, Rapid, Large
Vs. Xie Huang San
QWS: ST Fire, Blood heat (toothache, bleeding gums)
XHS: SP/ST Smoldering Fire (mouth ulcers, halitosis)
Yu Nu Jian
Jade Woman Decoction
CLEAR HEAT
Clear Organ-Heat
Stomach Heat w/ Yin Xu
toothache, loose teeth, bleeding gums, frontal headache, irritability, fever, thirst
T: Red w/ Yellow Coat
P: Floating, Slippery, Empty, Large
Note: Also for Wasting & Thirsting Syndrome
Dao Chi San
Guide Out the Red Powder
CLEAR HEAT
Clear Organ-Heat
1) Heat in the HT Channel
Irritability w/ sensation of heat in chest, thirst w/ a desire for cold beverages, red face, possibly sores around the mouth
T: Red
P: Rapid
2) HT Fire Transferring to the SI
Dark, scanty, rough & painful urination, possibly hematuria
Long Dan Xie Gan Tang
Gentiana Decoction to Drain the Liver
CLEAR HEAT
Clear Organ-Heat
1) Liver Fire Blazing
HA, dizziness, red & sore eyes, short temper, dark urine, hypochondriac pain, bitter taste in mouth
T: Red w/ Yellow Coat
P: Wiry, Rapid
2) LR/GB Damp-Heat Invading Downward
Difficult & painful urination w/ a sensation of heat in urethra, swollen & pruritic external genitalia, foul smelling leukorrhea
T: Red w/ Greasy Yellow Coat
P: Slippery, Wiry, Rapid, Full
Zuo Jin Wan
Left Metal Pill
CLEAR HEAT
Clear Organ-Heat
LR Fire Burning ST Causing LR & ST Disharmony
Acid regurgitation, belching, vomiting, indeterminate gnawing hunger, epigastric focal distention, dry mouth
T: Red w/ Yellow Coat
P: Wiry, Rapid
Note: Also for Hernial Disorders
Dui Yao Fx: Huang Lian, Wu Zhu Yu
Shao Yao Tang
Peony Decoction
CLEAR HEAT
Clear Organ-Heat
LI Damp-Heat w/ Qi & Blood Stagnation causing Dysentery
Abdominal pain, difficult defecation, diarrhea w/ equal parts pus & blood, tenesmus, burning anus, scanty & dark urine, heavy sensation in the body, fever, no thirst
T: Greasy, Slightly Yellow Coat
P: Slippery, Rapid
Note: This is Early Stage Dysenteric Disorder
Vs. Bai Tou Weng Tang
- Both= Dysentery, T: Yellow Coat, P: Rapid
- SYT= LI Damp-Heat + Qi/Xue Stag, T: Greasy, P: Slippery
- BTWT: Toxic-Heat in ST & Intestine, T: Red, P: Wiry
Bai Tou Weng Tang
Pulsatilla Decoction
CLEAR HEAT
Clear Organ-Heat
Dysentery d/t Toxic-Heat in the ST & Intestine
Abdominal pain, tenesmus, burning sensation around the anus, diarrhea containing more blood than pus, thirst
T: Red w/ Yellow Coat
P: Wiry, Rapid
Note: Also for Acute Damp-Heat Eye Disorders
Vs. Shao Yao Tang
- Both= Dysentery, T: Yellow Coat, P: Rapid
- SYT= LI Damp-Heat + Qi/Xue Stag, T: Greasy, P: Slippery
- BTWT: Toxic-Heat in ST & Intestine, T: Red, P: Wiry
Qing Hao Bie Jia Tang
Artemisia Annua & Soft-Shelled Turtle Shell Decoction
CLEAR HEAT
Clear Deficiency-Heat
Yin Xu w/ Heat @ Ying Level
(late stage febrile disease)
Night fever and morning coolness w/ an absence of sweating as fever recedes, emaciation w/ no loss of appetite
T: Red w/ Little Coat
P: Thin, Rapid
Note: Also for advanced stages of various infectious diseases
Vs. Liu Wei Di Huang Wan
- Both= Yin Xu, T: Red w/ Little Coat, P: Thin, Rapid
- QHBJT= Hidden heat; vent heat; night fever + morning coolness
- LWDHW= KD Yin Xu; Nourish KD; lumbargo, 5 palm heat
Qing Gu San
Cool the Bones Powder
CLEAR HEAT
Clear Deficiency-Heat
KD/LR Yin Xu causing Steaming Bone Disorder
Afternoon tidal fever or unremitting chronic low-grade fever, sensation of heat in bones but flesh not warm to touch, irritability, insomnia, lethargy, red lips, dark-red cheeks, night sweats, thirst, dry throat, emaciation
T: Red w/ little coat
P: Thin, Rapid
Vs. Qing Hao Bie Jia Tang + Qin Jiao Bie Jia Tang
- All= Tx Xu-Heat by nourish yin, clear heat
- QHBJT= Nourish Yin = Clear Heat
- QJBJT= Nourish Blood + Expel Wind
- QGS= Clear Heat > Nourish Yin
Dang Gui Liu Huang Tang
Tangkeui & Six-Yellow Decoction
CLEAR HEAT
Clear Deficiency-Heat
Yin Xu w/ Empty-Heat causing night sweats
Fever, night sweats, red face, dry mouth & parched lips, irritability, dry stools, dark & scanty urine
T: Red, Dry
P: Rapid
Note: Also for LU Consumption, Steaming Bone, or Chronic Nosebleeds (epistaxis)
Dang Gui + 6 Huang (Sheng Di Huang, Shu Di Huang, Huang Lian/Qin/Bai/Qi)
Xiang Ru San
Elsholtzia Powder
CLEAR HEAT
Clear Summer-Heat
Exterior Cold w/ Interior Damp contacted in Summer
Chills & fever w/ chills predominant, aversion to cold w/ skin warm to touch, absence of sweating, sensation of heaviness in head, HA, abdominal pain, vomiting, diarrhea, stifling sensation in chest
T: White, Greasy Coat
P: Floating
Note: Also for any presentation of Exterior Cold + Interior Damp, regardless of season, especially when accompanied by vomiting + diarrhea
Liu Yi San
Six-to-One Powder
CLEAR HEAT
Clear Summer-Heat
Summer-Heat w/ Interior Damp
fever, sweating, thirst, irritability, urinary difficulty
T: Thin, Yellow, Greasy Coat
P: Soggy, Rapid
Note: Also for Painful Urinary Dysfunction
Dui-Yao FX: Hua Shi + Gan Cao (6:1)
Li Zhong Wan
Regulate the Middle Pill
CLEAR HEAT
Warm Middle Jiao
1) Deficiency-Cold of the SP/ST
Diarrhea w/ watery stool, nausea & vomiting, no particular thirst, loss of appetite, abdominal pain relieved by warmth & pressure, fatigue, abdominal distention
T: Pale w/ White Coat
P: Deep, Thin
2) Middle Jiao Deficiency-Cold
Note: Also for chronic bleeding, chronic infantile convulsions, profuse salivation after chronic illness, & painful obstruction of the chest; Equally tonifies & dispels cold
Wu Zhu Yu Tang
Evodia Decoction
WARM INTERIOR
Warm Middle Burner
1) ST (Yangming) Deficiency-Cold causing Rebellious Qi
vomiting immediately after eating, indeterminate gnawing hunger, acid regurgitation w/ or w/o epigastric pain
T: White Slippery Coat (not red body)
P: Thin & Slow or Wiry
2) LR (Jueyin) Deficiency-Cold
Dry heaves or spitting of clear fluids w/ HA @ vertex
3) KD (Shaoyin) Deficiency-Cold
vomiting & diarrhea w/ cold hands & feet, agitation so severe patient wants to die
Vs. Si Ni Tang
- Both= Cold limbs, vomiting, diarrhea*
- SNT=* constant desire to sleep
- WZYT=* irritability, severe mental agitation
Xiao Jian Zhong Tang
Minor Construct the Middle Decoction
WARM INTERIOR
Warm Middle Burner
SP Yang Xu w/ Cold causing Abdominal Pain
Spasmodic abdominal pain that diminishes w/ warmth & pressure, lusterless complexion
T: Pale w/ White coat
P: Thin, Wiry & Moderate
Da Jian Zhong Tang
Major Construct the Middle Decoction
WARM INTERIOR
Warm Middle Burner
Middle Jiao Yang Xu (Ben) + Vigorous Yin-Cold (Biao)
Excrutiating epigastric & abdominal pain to point that patient cannot tolerate being touched, strong sensation of cold in epigastrium, severe vomiting to the point of being unable to eat, borborygmus
T: Slippery, White Coat
P: Thin & Tight OR Slow & Wiry OR Hidden (severe)
Note: Focused on dispelling Cold
Vs. Li Zhong Wan
- Both=* abdominal pain d/t MJ Xu-Cold
- DJZT=* severe pain aggravated by touch
- LZW=* pain alleviated by warmth & touch
Si Ni Tang
Frigid Extremities Decoction
WARM INTERIOR
Rescue Yang
1) KD Yang Xu w/ Cold-Evil in Shaoyin Stage
extremely cold extremities, aversion to cold, constant desire to sleep, sleeping w/ knees drawn up, vomiting, diarrhea w/ undigested food, abdominal pain & cold, lack of thirst
T: Pale w/ White Slippery Coat
P: Deep & Thin OR Minute
2)Yang Collapse
Profuse cold sweating, cold limbs, sudden fainting
P: Minute
3) False Heat + True Cold
flushed face, irritability, desire for warm drinks, loose stools
Da Chai Hu Tang
Major Bupleurum Decoction
RELEASE EXTERIOR-INTERIOR EXCESS
Exterior Excess + Interior Excess
Concurrent Shaoyang w/ Yangming syndromes
intermittent chills & fever, continuous vomiting, fullness & pain in epigastrium, burning diarrhea or no bowel movements, bitter taste in mouth, nausea & vomiting, slight irritability
T: Yellow Coat
P: Wiry, Full
Note: Also known as Heat Excess in ST & GB
Ge Gen Huang Lian Huang Qin Tang
Kudzu, Coptis & Scutellaria Decoction
RELEASE EXTERIOR-INTERIOR EXCESS
Exterior Excess + Interior Excess
Incompletely Resolved Exterior w/ Interior Excess Heat
Fever, sweating, thirst, dysenteric diarrhea w/ especially foul-smelling stools, burning sensation around anus
T: Red w/ Yellow Coat
P: Wiry, Full
Note: Focuses on the interior aspect of the disorder
Si Jun Zi Tang
Four-Gentleman Decoction
TONIFY
Tonify Qi
SP/ST Qi Deficiency
Pallid complexion, low & soft voice, reduced appetite, loose stools, weakness in the limbs
T: Pale
P: Thin, Weak
Note: This is the primary formula for SP/ST Qi Xu. It also helps the SP process Dampness
Shen Ling Bai Zhu San
Ginseng, Poria, & White Atractylodes Powder
TONIFY
Tonify Qi
SP Qi Xu & Damp causing Diarrhea
Loose stool or diarrhea, weakness, SOB, reduced appetite, weight loss, distention & stifling sensation in chest & epigastrium, pallid & wan complexion
T: Pale w/ White Coat
P: Thin, Moderate, or Empty
Note: Also for chronic cough w/ copious sputum d/t LU/SP Xu
Bu Zhong Yi QI Tang
Tonify the Middle & Augment the Qi Decoction
TONIFY
Tonify Qi
1) SP/ST Qi Xu causing Intermittent (Qi xu) Fever
Intermittent fever that worsens on exertion, spontaneous sweating, aversion to cold, thirst for warm beverages, SOB, laconic speech, tendency to curl up, weak limbs, shiny & pale complexion, loose & watery stools
T: Pale w/ Thin White Coat
P: Empty (generally) + Rootless @ Right Middle
2) SP Qi Sinking
prolapse of the recum or uterus, chronic diarrhea, chronic dysenteric disorders, incontinence or bleeding disorders (SP fail control blood)
Associated Formulas
- Ju Yuan Jian: QI Xu leading to severe blood loss (shi menstruation, uterine bleeding)
- Tiao Zhong Yi Qi Tang: SP Qi Xu + Damp (heaviness, distention, diarrhea, hypersomnia)
Sheng Mai San
Generate the Pulse Powder
TONIFY
Tonify Qi
Concurrent Qi & Yin Xu, primarily of LU
SOB, weakness, spontaneous sweating, dry mouth & tongue, chronic cough w/ sparse sputum that is difficult to expectorate
T: Pale-Red w/ Dry Thin Coat
P: Empty, Rapid, &/Or Thin
Note: Suitable for treating Summer-Heat thirst & fluid depletion. Also applied to Coronary Heart Disease or Qi-Deficiency Anemia.
Vs. Yu Ping Feng San
- Both= LU Xu: spontaneous sweating
- SMS:= LU QI/Yin Xu: SOB, dry mouth
- YPFS= Wei Qi xu: aversion to wind
Vs. Bei Mu Gua Lou San
- Both= Dry Cough
- SMS= LU Qi/Yin Xu: P: Thin, Rapid + Weak
- BMGLS= Dryness attack LU: P: Thin, Rapid + Strong
Si Wu Tang
Four-Substance Decoction
TONIFY
Tonify Blood
Blood Deficiency + Blood Stasis
Dizziness, blurred vision, lusterless complexion & nails, general muscle tightness, irregular menstruation w/ little flow or amenorrhea, periumbilical or lower abdominal pain; also menorrhagia (abn. uterine), hard abdominal masses w/ recurrent pain, restless fetus disorder, or lochioschesis (retention) w/ firm & painful abdomen & sporadic chills & fever
T: Pale
P: Thin, Wiry OR Thin, Choppy
Note: This FX focuses on LR Xue Xu rather than HT Xue Xu (Gui Pi Tang)
Associated Fx:
Tao Hong Si Wu Tang (+Tao Ren, Hong Hua)
Menstrual symptoms
Dang Gui Bu Xue Tang
Tangkeui Decoction to Tonify the Blood
TONIFY
Tonify Blood
Blood & Qi Deficiency w/ Floating Yang
Sensation of heat in muscles, red face, irritability, thirst w/ desire to drink warm beverages, loss of appetite, emaciation
T: Pale
P: Surging, Big, Empty
Note: Also for fever/HA d/t Acute Blood Loss or Yin-Type Ulcers
Shao Yao Gan Cao Tang
Peony & Licorice Decoction
TONIFY
Tonify Blood
Blood Deficiency w/ Injury to the Fluids
Spasms of the calf muscles, irritability, slight chills
T: Pale, No Coat
P: Thin
Note: Also for Spasmodic Pain in other parts of the body, particularly the abdomen