17.1 Formulas that Dry Dampness and Transform Phlegm Flashcards
Er Chen Tang (Two Aged Herb Decoction): Ingrediants
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
Er Chen Tang (Two Aged Herb Decoction): Actions
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
Er Chen Tang (Two Aged Herb Decoction): Indications
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
Er Chen Tang (Two Aged Herb Decoction): CI
Improper use leads to excessive thirst and a dry throat
W/o modification- CI for cases of cough dt LU yin deficiency
Dao Tan Tang (Guide Out Phlegm Decoction): Ingrediants
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
Dao Tan Tang (Guide Out Phlegm Decoction): Actions
Dries dampness
Clears away Phlegm
Promotes the movement of qi
Opens up areas of constraint
Dao Tan Tang (Guide Out Phlegm Decoction): Indications
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
Dao Tan Tang (Guide out Phlegm Decoction): CI
Intensely drying and moving
CI for patterns with yin deficiency and heat
Di Tan Tang (Scour out Phlegm Decoction): Ingrediants
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
Di Tan Tang (Scour out Phlegm Decoction): Actions
Scours out phlegm from collaterals and orifices of the HT
Scours out Phlegm
Opens the sensory orifices
Tonifies the qi
Di Tan Tang (Scour Out Phlegm Decoction): Indications
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
Di Tan Tang (Scour Out Phlegm Deciction): CI
CI during pregnancy
Use with caution in weak patients
Poria Pill (Fu Ling Wan): Ingrediants
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
Fu Ling Wan (Poria Pill): Actions
Dries Dampness
Moves the qi
Softens hardness
Transforms phlegm
Fu Ling Wan (Poria Pill): Indications
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
Fu Ling Wan (Poria Pill): CI
Strong drying and downward draining action
CI: patients with weak constitution
Discontinue as soon as the sx have eased
Wen Dan Tang (Warm the Gallbladder Decoction): Ingrediants
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
Wen Dan Tang (Warm the Gallbladder Decoction): Actions
Regulates the qi
Transforms phlegm
Clears the GB
Harmonizes the ST
Wen Dan Tang (Warm the Gallbladder Decoction): Indications
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
Wen Dan Tang (Warm Gallbladder Decoction): CI
None noted
Xiang Fu Xuan Fu Hua Tang (Cyperus and Inula Decoction): Ingrediants
jskhf
Xiang Fu Xuan Fu Hua Tang (Cyperus and Inula Decoction): Actions
Strengthens the SP
Dispels dampness
Spreads the LV qi
Unblocks the channels and collaterals
Xiang Fu Xuan Fu Hua Tang (Cyperus and Inula Deoction): Indications
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
