16.2 Formulas that Clear Heat and Expel Dampness (4 left) Flashcards
San Ren Tang (Three Seed Decoction): Ingrediants
C: Xing Ren- UB. Dredges the LU qi, opens what is clogged and facilitates the downward directing of qi and fluids
C: Bai Dou Kou- MB. Transforms tubrid dampness and revives the spleen. Also spreads qi in chest
C: Yi Yi Ren- LB. Leeches out dampness through urine. Benefits the SP.
D: Tong Cao- assists opening and directing LU qi downward
D: Dan Zhu Yu- vents pathogenic heat through exterior
D: Hua Shi- resolves summerheat
(All together: resolve dampness by promoting urination, clear heat)
Hou Po + Zhi Ban Xia- effortlessly tx epigastric and abdominal distention dt dampness or phlegm
San Ren Tang (Three Seed Decoction): Actions
Main emphasis on MB, though treats 3B
Disseminates the qi
Facilitates the qi mechanism
Clears damp heat
OR UB: Unblock LU qi MB: transform and dry damp LB: drain dampness Clear heat
San Ren Tang (Three Seed Decoction): Indications
Early stage damp warmth disease or summer-heat warmth disease
WITH dampness predominant
WITH pathologic influence lodged in wei and qi levels
Headache Chills Afternoon fever A heavy sensation in the body Generalized pain Pale yellow complexion A stifling sensation in teh chest Loss of appetite Absence of thirst White tongue coating Wiry, thin, soggy pulse
San Ren Tang (Three Seed Decoction): CI
Use only for damp warmth or damp heat d/o where dampness is predominant
Distinguish from:
Cold damage
Yin deficiency
Internal clumping of intestines
Gan Lu Xiao Du Dan (Sweet Dew Special Pill to Eliminate Toxin): Ingrediants
C: Hua Shi- UB
C: Yin Chen- MB
(tx jaundice together)
C: Huang Qin- LB- clears heat and resolves toxicity
(All drain heat and transform dampness)
D: Shi Chang Pu
D: Bai Dou Kou
D: Huo Xiang
(All- aromatic herbs that transform dampness and open qi dynamic to revive the SP)
A: She Gan- improves throat
A: Chuan Bei Mu- clears up flaring fire from LU and throat
A: Mu Tong- guides damp heat out through the urine
A: Lian Qiao- clears heat, resolves toxicity
E: Bo He- focus action on throat while opens qi dynamic
Gan Lu Xiao Du Dan (Sweet Dew Special Pill to Eliminate Toxin): Actions
Resolves Dampness
Transforms turbidity
Clears heat
Resolves toxicity
Gan Lu Xiao Du Dan (Sweet Dew Special Pill to Eliminate Toxin): Indications
Early Stage damp warmth epidemic d/o
WITH damp and heat equal strength
WITH some heat manifesting as toxic dt constraint or outside contraction
Fever Achy Limbs Lethargy Swollen Throat A stifling sensation in the chest Abdominal distention Dark, scanty urine A white, greasy or yellow dry tongue coating Soggy Rapid Pulse
Also:
Vomiting
Jaundice
Unremitting Fever
Gan Lu Xiao Du Dan (Sweet Dew Special Pill to Eliminate Toxin): CI
CI in cases with significant underlying yin deficiency
Lian Po Yin (coptis and magnolia bark drink): Ingrediants
C: Huang Lian: drains heat and dries dampness in MB
C: Huo Po: most effective herb to transform damp and promote movement of qi
D: Zhi zi + Dan Dou Chi (clear constrained heat from chest and epigastrium)
D: Shi Chang Pu- transform dampness and resolve the sp
D: Zhi Ban Xia- dry dampness, directly rebellious ST qi downward
A: Lu gen- clearing and transforming dampheat, generate fluids, harmonizes ST, stops vomitting
Lian Po Yin (Coptis and Magnolia bark drink): Actions
Remove obstruction of qi dynamic by:
- clearing heat
- dispel damp
Lian Po Yin (Coptis and Magnolia bark drink): Indication
Sudden turmoil d/o dt damp heat smoldering in the body Simultaneous vomiting and diarrhea Focal distention and a stifling sensation in the chest and epigastrium Irritability Restlessness Dark, scanty urine Yellow, greasy tc Slippery, rapid pulse
Lian Po Yin (Coptis and Magnolia bark drink): CI
Only damp heat type sudden turmoil d/o
Must not be used where the sx are dt dampness and cold
Dang Gui Nian Tong Tang (Tangkuei Decoction to Pry out Pain): Ingrediants
C: Qiang Huo- strongly releases the exterior and is very effective at dispersing externally contracted wind. Also- benefits joints and stops pain especially in upper body.
C: Yin Chen- clears damp heat through urine
(Together eliminate dampness and unblock the channels and collaterals)
D: Ku Shen- clear damp heat from LB through urine
+ D: Huang Qin - strongly clear heat and drain damp
D: Ze Xie + Zhu Ling- promote urination and leach out dampness. Sl. heat clearing
D: Fang Feng + Sheng Ma + Ge Gen- help clear wind
A: Bai Zhu + Cang Zhu- strengthen SP and dry dampness
A: Ren Shen + Dang Gui - tonify blood and qi so clearing and drying do not harm them
A: Zhi Mu- clear heat, keep other herbs from damaging the yin
E: Gan Cao- harmonize other herbs. Benefit SP
Dang Gui Nian Tong Tang (TangKuei Decoction to Pry out Pain): Actions
Resolve Dampness
Clear heat
Disperses Wind
Stops pain
Dang Gui Nian Tong Tang (TangKuei Decoction to Pry out Pain): Indications
Damp-heat + externally contracted pathogenic wind
OR
wind-dampness transforming into heat as chronic bi
Generalized body aches and pains accompained by irritability (painful areas- hot to touch)
Heavy sensation in the shoulders and back
Discomfort or a constricted sensation in the areas of the chest and diaphragm
Aching and painful extremities and joints
Especially with unbearable swelling and pain of the lower extremities
greasy, tinged yellow tc (look for dark spots dt blood stasis)
Pulse is usually wiry and rapid (though also, soggy and moderate, or slippery and rapid)
ALSO: sores, carbuncles, furuncles or abscesses
Dang Gui Nian Tong Tang (TangKuei Decoction to Pry out Pain): CI
Do not use for Bi dt wind cold damp
Yin Chen Hao Tang (Virgate Wormwood Decoction): Ingrediants
C: Yin Chen- tx all types of jaundice, esp damp heat
D: Zhi Zi- drains heat from all three burners, drains damp heat from all three burners
A: Da Huang- purges heat, eliminates stasis heat, directs downward, facilitates the expression of pathogenic toxin
Yin Chen Hao Tang (Virgate Wormwood Decoction): Actions
Clears heat
Resolves Dampness
Reduces Jaundice
Yin Chen Hao Tang (Virgate Wormwood Decoction): Indications
Yang type/ Dampheat jaundice
Whole-body jaundice with a color that resembles a fresh tangerine
Sl abdominal distention
Urinary difficulty
Thirst- with ability to only take small sips
Little or no sweating
OR
sweating from only head that stops at the neck
Yellow, greasy tc
Slippery, rapid pulse
Yin Chen Hao Tang (Virgate Wormwood Decoction): CI
Contraindicated for:
Yin type jaundice
Jaundice where dampness predominates
Da Huang- used with extreme caution during pregnancy
Ba Zheng San (Eight Herb Powder for Rectification): Ingrediants
C: Qu Mai -directs heart fire downward, unblocks the SI, expels damp heat from the BL. Enters blood level
C: Bian Xu- promote urination, unblock lin, clear damp-heat- enters qi level.
D: Hua Shi + Che Qian zi- smooth passage of urine
D: Mu Tong- very effective at clearing obstruction caused by damp stagnation, clears heat, promotes urination
(All together unblock lin)
A: Zhi si- drains heat freom three burners through urine
A: Da Huang- drains heat through stool
E: Deng Xin Cao- guides heat down
E: Zhi Gan Cao- harmonizes herbs and relieves abdominal pain
Gan Cao + Hua Shi- relieve irritability
Ba Zheng San (Eight Herb Powder for Rectification): Actions
Clears heat
Drains Fire
Promotes Urination
Unblocks Lin
Ba Zheng San (Eight Herb Powder for Rectification): Indications
Damp heat in LB (BL) causing Lin
Dark, turbid, scanty, difficult, painful urination
Dry mouth and throat
Yellow, greasy tc
Slippery, rapid pulse
Severe cases: urinary retention and lower abdominal distention and heat
Ba Zheng San (Eight Herb Powder for Rectification): CI
Long term use leads to: Weakness Light headedness Palpitations Loss of appetite
Modify significantly in tx conditions cold from deficiency or during pregnancy
Da Huang is CI during pregnancy