Ch 5: (3-2) Formulas that Clear Heat

Question 1

Key symptoms of Zuo Jin Wan?

Answer 1

• Acid regurgitation or vomiting
• Hypochondriac pain
• Yellow coating
• Wiry, rapid pulse

Question 2

Ingredients of Zuo Jin Wan?

Answer 2

• Huang Lian - Coptis (9g) Clear Heat, Dry Dampness
• Wu Zhu Yu - Evodia fruit (1.5g) Warm Exterior, Expel Cold

Special ratio of 6:1

Question 3

Functions of Zuo Jin Wan?

Answer 3

• Clear fire in the liver
• Descend the rebellious qi and stop vomiting

Question 4

Indications of Zuo Jin Wan?

Answer 4

Disharmony of liver and stomach

or

heat stagnation of liver and stomach

Question 5

What is the step by step pathogenesis of this liver and stomach disharmony?

Answer 5

Difficult emotion –> Liver Qi stagnation –> Turn into fire –> Attack Stomach –> Stomach qi rebellious

Question 6

What are the symptoms at each stage the liver/stomach disharmony (with heat involved)?

Answer 6

1. Disturbing emotions
2. Liver Qi Stagnation: hypochondriac distention and pain
3. Turning into fire: dry mouth, red tongue with yellow coating, wiry & rapid pulse
4. Fire attacks stomach
5. Stomach Qi goes up: acid regurgiation, belching, nausea, vomiting

Question 7

Huang Lian actions?

Answer 7

King herb

• Bitter and cold herb to clear stomach heat and heart fire

Question 8

Wu Zhu Yu actions?

Answer 8

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

Question 9

Why would we not choose Long Dan Cao for this condition?

Answer 9

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.

Question 10

Characteristics of combination: Pungent to ____ combined with bitter to _____, treat liver and stomach, clearing liver fire and descending stomach rebellion at the same time

Answer 10

dispel; descend

Question 11

Western applications for Zuo Jin Wan?

Answer 11

Acute or chronic gastritis

Question 12

Key symptoms for Qing Wei San?

Answer 12

• Toothache
• Headache
• Foul breath
• Red tongue with yellow coating
• Rapid slippery pulse

Question 13

Qing Wei San ingredients?

Answer 13

• 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)

Question 14

Functions of Qing Wei San?

Answer 14

• Clear heat from stomach
• Cool the blood

Question 15

Indications of Qing Wei San?

Answer 15

Toothache due to fire in the stomach

Question 16

There are two main causes for Qing Wei San syndrome. What are they?

Answer 16

1. Strong people overeat cold food
2. People overeat fried food / Healthy people take tonifying herbs

Question 17

What is the pathogenesis when strong people overeat cold food?

Answer 17

Stomach yang is restrained and turns to fire –>

Excessive fire then attacks upward along the channels

Question 18

What is the pathogenesis when people overeat fried food or healthy people take tonifying herbs?

Answer 18

Heat accumulates in the stomach and turns to fire –>

Excessive fire attacks upward along the channels

Question 19

What are all the symptoms for stomach fire?

Answer 19

• 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

Question 20

Huang Lian actions?

Answer 20

King herb

• Clear heat
• Sedate fire from stomach
• Relieve toxins

Question 21

Sheng Di Huang, Mu Dan Pi actions?

Answer 21

Deputy herbs

• Clear heat
• Cool and move blood

Question 22

Dang Gui actions?

Answer 22

Assistant herb

• Nourish blood
• Invigorate blood circulation
• Prevent yin injury

Question 23

Sheng Ma actions?

Answer 23

Messenger

• Guide herbs upward
• Dispel heat and clear toxin from upper body

Question 24

What are the characteristics of the Qing Wei San combination?

Answer 24

Clear heat and nourish yin at the same time, use guiding herbs to go upward

Question 25

What are the usual western medicine applications for Qing Wei San?

Answer 25

• Stomatitis (inflammation of mouth and lips)
• Periodontitis
• Trigeminal neuralgia

Question 26

What herb would you add to Qing Wei San if there was constipation?

Answer 26

Da Huang

Question 27

What herb would you add to Qing Wei San if there is really severe fire?

Answer 27

Shi Gao

Question 28

What herbs would you add if there was severe toothache? What category of herbs?

Answer 28

Bai Zhi - Angelica root

Xi Xin - Asarum, Chinese wild ginger

Warm, acrid surface releasing herbs

Question 29

What are the similarities between Qing Wei San and Yu Nu Jian?

Answer 29

Both of these formulas clear heat in the stomach and treat toothache.

Question 30

What is the difference in function between Qing Wei San and Yu Nu Jian?

Answer 30

Qing Wei San cools blood.

Yu Nu Jian replenishes yin.

Question 31

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?

Answer 31

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)