Ch 5: Formulas that Clear Heat and Toxin Flashcards
Ingredients of Huang Lian Jie Du Tang?
- Huang Lian - Coptis rhizome (9g)
- Huang Qin - Scutellaria (6g)
- Huang Bai - Phellodendron (6g)
- Zhi Zi - Gardenia seeds (9g)
What is the function of Huang Lian Jie Du Tang?
Reduce fire and clear toxins.
What is the indication for Huang Lian Jie Du Tang?
Excessive toxic heat syndrome (three jiaos)
(Not commonly used on its own, often with other formula)
Mind being disturbed by excessive heat causes which symptoms?
- Fever
- Foggy mind
- Insomnia
- Irritability
What is the pathogenesis for epistaxis, hematemesis, macula?
Fire or heat drives blood out of the vessels
What is the pathogenesis for jaundice? Dysentery?
Jaundice - Accumulation of damp heat
Dysentery - Damp heat in large intestine
Pathogenesis for boils and carbuncles?
Accumulation of toxic fire in the skin.
What symptoms will be caused by excessive heat in the interior?
- Brown urine
- Red tongue with yellow coating
- Rapid and forceful pulse
Action of Huang Lian?
King herb
- Clear heat from MJ
- Sedate fire
Action of Huang Qin?
Deputy herb
- Clear heat from upper jiao
Actions of Huang Bai?
Assistant
- Clear heat from lower jiao
Actions of Zhi Zi?
Messenger
- Clear heat in three jiao’s
- Conduct heat downward
What is the characteristic of the combination of herbs in Huang Lian Jie Du Tang?
“Directly and strongly remove heat toxin with cold and bitter herbs.”
What are the key symptoms for Huang Lian Jie Du Tang?
- Fever
- Irritability
- Thirst
- Dry mouth and throat
- Red tongue with yellow coating
- Rapid pulse
What conditions is Huang Lian Jie Du Tang applicable to?
- Acute cholecystitis
- Acute dysentery
- Acute enteritis
- Acute icteric hepatitis
- Boils and carbuncles
- Erysipelas
- Pneumonia
- Septicemia
Precautions for Huang Lian Jie Du Tang?
Only use for excessive heat and toxin as it will easily damage the spleen. Only use for a short time.
What are the ingredients of Pu Ji Xiao Du Yin?
- Huang Qin - Scutellaria root (15g)
- Huang Lian - Coptis rhizome (15g)
- Niu Bang Zi - Great burdock fruit (3g)
- Lian Qiao - Forsythia (3g)
- Bo He - Mint (3g)
- Jiang Can - Silkworm (2g)
- Xuan Shen - Scrophularia, Ningpo Figwort Root (6g)
- Ban Lan Gen - Woad root, Isatis (3g)
- Ma Bo - Puffball fruiting body (3g)
- Jie Geng - Balloon flower root (6g)
- Chen Pi - Aged tangerine peel (6g)
- Gan Cao (6g)
- Chai Hu - Bupleurum root (6g)
- Sheng Ma - Black Cohosh (2g)
Pu Ji Xiao Du Yin is a common formula for what condition?
Mumps! Epidemic parotitis
(Flushed swollen face and head, sore throat)
What are the functions of Pu Ji Xiao Du Yin?
- Dispel wind
- Clear heat
- Relieve toxins
What are the indications for Pu Ji Xiao Du Yin?
Epidemic febrile disease with flushed swollen face and head due to invasion by exogenous pathogens, heat and toxin
What is the progression of epidemic wind and heat invading the body in Da Tou Wen?
Epidemic wind and heat –> Invade the exterior –> Accumulated in upper jiao –> Flaring up to face and head
What is the pathogenesis for fever and chills?
Dysfunction of defensive qi and depression of yang qi derived from exogenous pathogen, wind heat and toxin invade the exterior
Pathogenesis for flushed swollen face and head, sore throat?
Epidemic wind and heat accumulated in the upper jiao and then attacking the face and head.
Pathogenesis for thirst and dry throat?
Injury of body fluids by heat
Pathogenesis for
Red tongue with white or yellow coating
Superficial and rapid pulse?
Excessive heat
Exterior attacked by exogenous pathogen, wind and heat
Actions of Huang Lian and Huang Qin?
King herbs
- Clear excessive heat and toxin in upper jiao, heart and lung
Actions of Niu Bang Zi, Lian Qiao, Bo He, Jiang Can?
Deputies
- Clear and dispel wind heat and toxin in face and head
Actions of Xuan Shen, Ban Lan Gen, Ma Bo, Jie Geng, Chen Pi, Gan Cao?
Assistants
- Clear heat and toxin in throat
- Resolve phlegm
- Regulate qi
- Reduce swelling and nodules
Actions of Sheng Ma and Chai Hu?
Messengers
- Dispel depressive heat in Shaoyang and Yangming channels
- Conduct other herbs up to head and face
What are the characteristics of the combination of herbs for Pu Ji Xiao Du Yin?
Use clearing heat and dispelling herbs together. “When fire is stagnated, dispelling method should be used.”
What are the key symptoms for Pu Ji Xiao Du Yin formula to be used?
- Red, swollen, painful face
- Chills and fever
- Red tongue with white or slight yellow coating
- Floating and rapid pulse
What are the ingredients fo Xian Fang Huo Ming Yin? (Name 5)
- Jin Yin Hua - Honeysuckle flower (9g)
- Dang Gui Wei - Chinese Angelica root (6)
What are the key symptoms for Xian Fang Huo Ming Yin? What is it applicable to?
- Local redness and swelling
- Chills and fever
- Rapid forceful pulse
Applicable to boils, carbuncles, furuncles and mastitis
What are the functions of Xian Fang Huo Min Yin?
- Clear heat and release toxins
- Invigorate blood and stop pain
- Reduce swelling and nodules
What are the indications for Xian Fang Huo Ming Yin?
Initial stage of boils, carbuncles and swelling due to excess of toxic heat and stagnation of qi and blood
What are the symptoms cause by accumulation of toxic heat, stagnation of qi and blood?
Red swelling, hot sensation and pain in affected area
Pathogenesis for chills and fever?
Accumulation of toxic heat caused by disharmony between nutrient and defensive system
Pathogenesis of thin white coating or slight yellow coating of tongue in this case?
Symptom of the initial stage of boils and carbuncles
Pathogenesis for rapid and forceful pulse?
Excess of toxic heat, vigorous anti pathogenic factors
Actions of Jin Yin Hua?
King herb
- Clear heat and relieve toxins
Actions of Dang Gui Wei, Chi Shao, Ru Xiang and Mo Yao?
Deputies
- Invigorate circulation of blood
- Resolve stagnation to reduce swelling and stop pain
Actions of Fang Feng, Bai Zhi?
Assistants
- Pungent herbs to remove stagnation
- Harmonize nutrient and defensive systems
Actions of Chuan Shan Jia, Zao Jiao Ci?
Assistants
- Promote festering and drain pus
Actions of Zhi Bei Mu and Tian Hua Fen?
Assistants
- Clear heat
- Relieve toxins and nodules
