Ch 5: (3-2) Formulas that Clear Heat Flashcards
Key symptoms of Zuo Jin Wan?
- Acid regurgitation or vomiting
- Hypochondriac pain
- Yellow coating
- Wiry, rapid pulse
Ingredients of Zuo Jin Wan?
- Huang Lian - Coptis (9g) Clear Heat, Dry Dampness
- Wu Zhu Yu - Evodia fruit (1.5g) Warm Exterior, Expel Cold
Special ratio of 6:1
Functions of Zuo Jin Wan?
- Clear fire in the liver
- Descend the rebellious qi and stop vomiting
Indications of Zuo Jin Wan?
Disharmony of liver and stomach
or
heat stagnation of liver and stomach
What is the step by step pathogenesis of this liver and stomach disharmony?
Difficult emotion –> Liver Qi stagnation –> Turn into fire –> Attack Stomach –> Stomach qi rebellious
What are the symptoms at each stage the liver/stomach disharmony (with heat involved)?
- Disturbing emotions
- Liver Qi Stagnation: hypochondriac distention and pain
- Turning into fire: dry mouth, red tongue with yellow coating, wiry & rapid pulse
- Fire attacks stomach
- Stomach Qi goes up: acid regurgiation, belching, nausea, vomiting
Huang Lian actions?
King herb
- Bitter and cold herb to clear stomach heat and heart fire
Wu Zhu Yu actions?
Deputy, Assistant and Messenger
Deputy: Sooth the liver, descend perversion of qi and stop vomiting
Assistant: Huang Lian is too cold, Wu Zhu Yu is pungent and hot
Messenger: Guide Huang Lian to liver meridian
Why would we not choose Long Dan Cao for this condition?
Long Dan Cao is not good for any stomach issues. If there is any spleen/stomach deficiency it can cause that problem after taking it. Also there is no dampness in this condition.
Characteristics of combination: Pungent to ____ combined with bitter to _____, treat liver and stomach, clearing liver fire and descending stomach rebellion at the same time
dispel; descend
Western applications for Zuo Jin Wan?
Acute or chronic gastritis
Key symptoms for Qing Wei San?
- Toothache
- Headache
- Foul breath
- Red tongue with yellow coating
- Rapid slippery pulse
Qing Wei San ingredients?
- Sheng Di Huang - Raw Rehmannia (Clear Heat, Cool Blood)
- Dang Gui - Angelica (Tonify Blood)
- Mu Dan Pi - Moutan Root bark (Clear Heat, Cool Blood)
- Huang Lian - Coptis rhizome (Clear Heat, Dry Damp)
- Sheng Ma - Black Cohosh (Cool, Acrid Surface Releasing)
Functions of Qing Wei San?
- Clear heat from stomach
- Cool the blood
Indications of Qing Wei San?
Toothache due to fire in the stomach
There are two main causes for Qing Wei San syndrome. What are they?
- Strong people overeat cold food
- People overeat fried food / Healthy people take tonifying herbs
What is the pathogenesis when strong people overeat cold food?
Stomach yang is restrained and turns to fire –>
Excessive fire then attacks upward along the channels
What is the pathogenesis when people overeat fried food or healthy people take tonifying herbs?
Heat accumulates in the stomach and turns to fire –>
Excessive fire attacks upward along the channels
What are all the symptoms for stomach fire?
- Toothache
- Prefers cold rather than heat
- Swelling, bleeding or ulceration of gums
- Swelling and pain of lips, tongue or cheek
- Feverish sensation of cheeks
- Halitosis
- Headache (maybe)
- Red tongue with yellow coating
- Rolling and rapid pulse
Huang Lian actions?
King herb
- Clear heat
- Sedate fire from stomach
- Relieve toxins
Sheng Di Huang, Mu Dan Pi actions?
Deputy herbs
- Clear heat
- Cool and move blood
Dang Gui actions?
Assistant herb
- Nourish blood
- Invigorate blood circulation
- Prevent yin injury
Sheng Ma actions?
Messenger
- Guide herbs upward
- Dispel heat and clear toxin from upper body
What are the characteristics of the Qing Wei San combination?
Clear heat and nourish yin at the same time, use guiding herbs to go upward
What are the usual western medicine applications for Qing Wei San?
- Stomatitis (inflammation of mouth and lips)
- Periodontitis
- Trigeminal neuralgia
What herb would you add to Qing Wei San if there was constipation?
Da Huang
What herb would you add to Qing Wei San if there is really severe fire?
Shi Gao
What herbs would you add if there was severe toothache? What category of herbs?
Bai Zhi - Angelica root
Xi Xin - Asarum, Chinese wild ginger
Warm, acrid surface releasing herbs
What are the similarities between Qing Wei San and Yu Nu Jian?
Both of these formulas clear heat in the stomach and treat toothache.
What is the difference in function between Qing Wei San and Yu Nu Jian?
Qing Wei San cools blood.
Yu Nu Jian replenishes yin.
Both formulas are good for toothache so what is the difference in etiology of toothache between Qing Wei San and Yu Nu Jian? Other symptoms?
Qing Wei San: toothache due to fire in stomach (Bad breath, red tongue w/ yellow coating)
Yu Nu Jian: Toothache due to excessive fire in stomach and kidney yin deficiency (Loose teeth or KI Yin Xu signs, irritabilty or five center heat, thirst)
