17.1 Formulas that Dry Dampness and Transform Phlegm

Question 1

Er Chen Tang (Two Aged Herb Decoction): Ingrediants

Answer 1

C: Zhi Ban Xia- dries dampness, expels phlegm, causes the rebellious qi to descend. Esp open qi dynamic
C: Ju Hong/Chen Pi- revives the SP, facilitates the flow of qi in the mb, dispell cold dampness
D: Fu Ling- leech damp from mb, strengthen sp, moves water
A: Zhi Gan Cao- Tonify SP

ALSO

+Sheng Jiang- as envoy and move qi in mb
+ Wu Mei- counterbalance dispersive tendancies of chief ingrediants, prevents injury to fluids, gathers phlegm together to expel

Question 2

Er Chen Tang (Two Aged Herb Decoction): Actions

Answer 2

Strengthen the transportive functions of SP , ST, and LU
by regulating the qi
Dry the dampness
Dries Dampness
Transforms phlegm
Regulates the qi
Harmonizes the middle burner

Question 3

Er Chen Tang (Two Aged Herb Decoction): Indications

Answer 3

Phlegm dampness pattern when SP and LU fail to transform/transport the fluids which accumulate

Coughing with copious white sputum that is easily expectorated
Focal distention
Stifling sensation in the chest and diaphragm
Palpitations
Nausea or vomiting
Dizziness
A white, moist or greasy tc
Slippery pulse

Question 4

Er Chen Tang (Two Aged Herb Decoction): CI

Answer 4

Improper use leads to excessive thirst and a dry throat

W/o modification- CI for cases of cough dt LU yin deficiency

Question 5

Dao Tan Tang (Guide Out Phlegm Decoction): Ingrediants

Answer 5

C: Zhi Ban Xia- serves all objectives
D: Zhi Tian Nan Xing- enters collaterals and channels and very good at eliminating wind phleg
A: Ju Hong/ Chen Pi- unblock qi dynamic
A: Fu Ling- facilitates water metabolism to eliminate dampness
A: Zhi Shi- Breaks up stagnant qi and reduces accumulation, transforms phlegm and expels focal distention

+ Sheng Jiang- envoy- reduces toxicity, nausea, cough

Question 6

Dao Tan Tang (Guide Out Phlegm Decoction): Actions

Answer 6

Dries dampness
Clears away Phlegm
Promotes the movement of qi
Opens up areas of constraint

Question 7

Dao Tan Tang (Guide Out Phlegm Decoction): Indications

Answer 7

Collapse d/t phlegm, wind phlegm or congested fluids that will not dissipate
Phlegm obstructing interior and preventing proper expansion of qi dynamic

Fainting or Vertigo with h/a
Stifling sensation and focal distention in chest and diaghphram
Reduced appetite
Distention and fullness in the hypochondria and flanks
Restlessness when sitting or lying down
Coughing and wheezing with copious sputum and difficulty breathing
Thick and gummy nasal discharge and saliva
White, greasy tc
Slippery Pulse

Question 8

Dao Tan Tang (Guide out Phlegm Decoction): CI

Answer 8

Intensely drying and moving

CI for patterns with yin deficiency and heat

Question 9

Di Tan Tang (Scour out Phlegm Decoction): Ingrediants

Answer 9

C: Zhi Tian Nan Xing- Important for expelling phlegm dampness, disperse wind
D: Zhi Ban Xia- excels at drying dampness and transforming phlegm, direct qi downward, harmonizes st

A: Ju Hong/ Chen Pi- regulate qi and dries dampness
A: Zhi Shi- breaks up stagnation and transforms phlegm

A: Fu Ling- strengthens the SP by leeching dampness
A: Ren Shen- supports the normal qi to strengthen the SP

A: Zhu Ru- transform phlegm and sl cooling to balance warming natures
A: Shi Chang Pu- transforms phlegm damp, opens orifices, unblocks collaterals of tongue

A: Gan Cao- harmonizes actions of other ingrediants and the functions of the middle burner
A: Sheng Jiang- counteracts the toxicity of chief and deputy as well as promotes dispersion of qi through out the TW

Question 10

Di Tan Tang (Scour out Phlegm Decoction): Actions

Answer 10

Scours out phlegm from collaterals and orifices of the HT

Scours out Phlegm
Opens the sensory orifices
Tonifies the qi

Question 11

Di Tan Tang (Scour Out Phlegm Decoction): Indications

Answer 11

Internal obstruction dt severe phlegm accumulation veiling the orifices of the HT

Sx of wind stroke when phlegm moves upward under influence of internal wind

Or from excessive accumulation of phlegm that spreads through body

Stiffness of the tongue
Speech Impairment

Question 12

Di Tan Tang (Scour Out Phlegm Deciction): CI

Answer 12

CI during pregnancy

Use with caution in weak patients

Question 13

Poria Pill (Fu Ling Wan): Ingrediants

Answer 13

C: Zhi Ban Xia- transform phlegm and facilitate the downward directing of qi dynamic
D: Fu Ling- to strengthen the SP, leach out dampness, transform phlegm
A: Zhi Ke- moves qi and ease the middle, smoothing the qi dynamic to facilitate the elimination of phlegm
A: Mang Xiao- softens hardness, moistens dryness, guides out lurking phlegm through the bowels
E: Sheng Jiang- counteract toxicity of Zhi Ban Xia, transform phlegm and disperse thin mucus

Question 14

Fu Ling Wan (Poria Pill): Actions

Answer 14

Dries Dampness
Moves the qi
Softens hardness
Transforms phlegm

Question 15

Fu Ling Wan (Poria Pill): Indications

Answer 15

Phelgm tarrying in the middle burner and overflowing into channels and collaterals

Pain in both arms or shoulders with inability to lift the hands (often more pronounced on one side)
Numbness in both hands
Superficial edema in all four extremities
white, greasy tc
Submerged and thin, or wiry and slippery

Question 16

Fu Ling Wan (Poria Pill): CI

Answer 16

Strong drying and downward draining action
CI: patients with weak constitution
Discontinue as soon as the sx have eased

Question 17

Wen Dan Tang (Warm the Gallbladder Decoction): Ingrediants

Answer 17

C: Zhi Ban Xia- transform phlegm, regulate st qi
d: Zhu Ru- expels heat from ST and stops nausea, into GB to calm spirit, release constraint, alleviate irritability

A: Zhi Shi- reverses flow of rebellious qi and is very effective in tx focal distention
A: Chen Pi- dries dampness and exples phlegm while regulating qi and harmonizes its circulation in the ST

All= effective combination to tx patterns where phlegm and heat have combined to obstruct flow of ST and GB

A: Fu Ling + Zhi Gan Cao- strengthen SP, leach out dampness, harmonizes the MB, calm the spirit
E: Sheng Jiang- regulate relationship between GB and ST and help stop vomiting

Question 18

Wen Dan Tang (Warm the Gallbladder Decoction): Actions

Answer 18

Regulates the qi
Transforms phlegm
Clears the GB
Harmonizes the ST

Question 19

Wen Dan Tang (Warm the Gallbladder Decoction): Indications

Answer 19

Disharmony between GB and ST with phlegm heat obstructing qi dynamic

Dizziness
Veritgo
Nausea or vomiting
Insomina
Dream-disterbed sleep with strange or unusual dreams
Palpitations
Anxiety
Indeterminate gnawing hunger
Seizures accompanied by copious sputum
Focal distention of the chest
Bitter taste in the mouth
Sl thirst
Greasy, yellow tc
Rapid pulse- either slippery or wiry

Question 20

Wen Dan Tang (Warm Gallbladder Decoction): CI

Answer 20

None noted

Question 21

Xiang Fu Xuan Fu Hua Tang (Cyperus and Inula Decoction): Ingrediants

Answer 21

jskhf

Question 22

Xiang Fu Xuan Fu Hua Tang (Cyperus and Inula Decoction): Actions

Answer 22

Strengthens the SP
Dispels dampness
Spreads the LV qi
Unblocks the channels and collaterals

Question 23

Xiang Fu Xuan Fu Hua Tang (Cyperus and Inula Deoction): Indications

Answer 23

Dampness leading to congested fluids that stagnate in the collaterals of the LV
Hypochondriac pain with or without coughing
Either afternoon fevers w/o chills or alternating chills and fever
Thickly coated tongue with swollen edges
Wiry pulse- especially in middle person