Ch2: Formulas that Release Exterior Wind Heat Flashcards
What are the ingredients of Yin Qiao San (name the two king herbs at least)?
- Jin Yin Hua (Honeysuckle flower) 15g
- Lian Qiao (Forsythia fruit) 15g
- Bo He (Field mint) 6g
- Dan Dou Chi (Prepared soybean) 5g
- Jing Jie Sui (Catnip) 6g
- Niu Bang Zi (Great burdock fruit) 6g
- Jie Geng (Balloon flower root) 6g
- Dan Zhu Ye (Lopatherum) 6g
- Lu Gen (Reed rhizome) 6g
- Gan Cao (Licorice) 6g
What are the functions of Yin Qiao San?
- Promote sweat and release the exterior
- Clear heat and release toxins
What are the indications for Yin Qiao San?
- Wind heat in the defensive system as in the initial stage of febrile disease
- Wind heat in Wei level
What are the manifestations (and pathogenesis) of Yin Qiao San?
- Fever, sweat or little sweat, slight aversion to wind and cold, headache - wind heat
- Cough - wind heat or wind warm pathogen attacks exterior and invades the lungs, defensive qi is depressed, lung qi fails to disperse/descend
- Thirst, sore throat - upward steaming of warmth and heat, injury of body fluid
- Red tongue tip, thin, white or yellow coating, superficial and rapid pulse - exterior heat symptoms in lung and Wei level
Action of Jin Yin Hua (Honeysuckle) and Lian Qiao (Forsythia)?
King herbs
- Clear heat and release toxins
- Dispel filth with aroma
- Release exterior
Action of Jing Jie Sui and Dan Dou Chi?
Deputy herbs
- Promote sweat
- Release exterior
- Dispel heat
Actions of Bo He, Niu Bang Zi?
Deputies
- Aid king to dispel, clear heat
- Soothe the throat
Action of Jie Geng (Balloon flower root, platycodon)?
Assistant herb
- Vent the lung
- Resolve phlegm
Action of Zhu Ye (Lopatherum stem and leaves)?
Assistant
- Clear heart heat
Action of Lu Gen (reed rhizome)?
Assistant
- Clear heat through the urine and promote body fluid
Action of Gan Cao (Licorice)>
Messenger
- Harmonize other herbs
- Combine with Jie Geng to soothe throat
What are the characteristics of the combinations of herbs in Yin Qiao San?
- Combining small amount of pungent and warm herbs with pungent and cool herbs, good to release pathogen
- Combine dispel wind with clear heat and toxin herbs
What are the key symptoms that make Yin Qiao San the correct choice?
- Fever
- Mild chills
- Sore throat
- Thirst
- Superficial rapid pulse
What diseases is Yin Qiao San applicable to?
- Common cold with fever
- Acute tonsillitis
- Influenza
- Initial stage of febrile disease caused by heat
- Initial stage of measles
What are the precautions for Yin Qiao San?
Contraindicated to exterior wind cold or damp heat initial stage
What are the ingredients of Sang Ju Yin? (Name two king herbs at minimum)
- Sang Ye (Mulberry leaf) 9g
- Ju Hua (Chrysanthemum flower) 3g
- Bo He (Field mint) 3g
- Jie Geng (Balloon flower root) 6g
- Xing Ren (Apricot seed) 6g
- Lian Qiao (Forsythia) 5g
- Lu Gen (Reed rhizome) 6g
- Gan CAo (Licorice) 3g
What are the functions of Sang Ju Yin?
- Clear heat, release exterior
- Vent lung, stop cough
What are the indications for Sang Ju Yin?
Initial stage of wind warm diseases, mild cough due to wind heat attacking the lungs
Which is stronger, Sang Ju Yin or Yin Qiao San?
Yin Qiao San
What are the manifestations (and pathogenesis) of Sang Ju Yin formula?
- Cough - wind heat invades the lung, lung fails to disperse/descend
- Mild fever - Wei system slightly injured by heat
- Slight thirst - mild heat starting to injure fluid, not severe
- Thin white coating, superficial rapid pulse - exterior wind heat syndrome
What is the key symptom for Sang Ju Yin?
Cough. Fever will be mild and same with thirst. This is a mild syndrome with heat directly attacking the lungs.
Actions of Sang Ye and Ju Hua?
King herbs
- Clear and dispel wind and heat in upper jiao
- Stop cough
Xing Ren, Jie Geng actions?
Deputies
- Disperse and descend lung qi to stop cough and resolve phlegm
Bo He action?
Assistant
- Strengthen the effect of dispelling wind heat
Lian Qiao action?
Assistant
- Clear heat from upper jiao
- Release toxins
- Dispel wind heat
Lu Gen action?
Assistant
- Clear heat from lung
- Promote production of body fluid to relieve thirst
Characteristics of herbal combinations in Sang Ju Yin?
- Light weight herbs to dispel (Sang Ye, Ju Hua, Bo He), uplifting herbs to clear heat from head, face and eyes
- Bitter herbs (xing ren) to descend, regulate qi and stop cough
Precautions for Sang Ju Yin?
Cook herbs for a short time.
What five herbs are the same across Sang Ju Yin and Yin Qiao San?
- Jie Geng
- Lian Qiao
- Lu Gen
- Bo He
- Gan Cao
What two herbs strongly release the exterior in Yin Qiao San?
Jing Jie Sui (Catnip) and Dan Dou Chi (prepared Soybean)
What herb strongly stops cough in Sang Ju Yin?
Xing Ren - apricot seed
What are the ingredients of Ma Xing Shi Gan Tang?
- Ma Huang (ephedra) 9g
- Shi Gao (gypsum) 18g
- Xing Ren (apricot seed) 9g
- Gan Cao (licorice) 6g
What are the functions of Ma Xing Shi Gan Tang?
- Clear heat in lungs and soothe asthma
- Promote lung function of disperseing and descending
- Release exterior
What are the indications for MXSGT?
- Cough or asthma due to heat in lungs
- (Exterior syndrome not totally released) - Note: You can still use this formula even if there are no exterior symptoms
What are the manifestations (and pathogenesis) for MXSGT?
- Cough, asthma, fever - exterior wind cold or heat enters into the lungs turning to heat, qi rebellion caused by heat in the lung
- Thirst, sweat, yellow tongue coating, slippery and rapid pulse - excessive heat
Action of Ma Huang and Shi Gao?
King herbs
- Ma Huang: Pungent and warm to vent the lung, soothe asthma
- Shi Gao: Pungent and cold to clear heat from lung and stomach, generate body fluid
Xing Ren actions?
Deputy herb
- Promote lung function to disperse and descend
- Relieve asthma
- Stop cough
Gan Cao actions?
Messenger
- Coordinate action of other herbs
- Combine with Shi Gao, sweet and cold to generate fluids and stop thirst
Characteristics of combination of Shi Gao and Ma Huang?
Shi Gao and Ma Huang to vent the lung but not increase heat, clear heat but not keep pathogen
Which actions is greater for MXSGT… clear heat or release exterior? (Hint: what is the ratio of Ma Huang to Shi Gao?)
clear heat > release exterior
Ma Huang 1: Shi Gao 2
Twice as much Shi Gao which is more important for clearing heat.
Key symptoms for Ma Xing Shi Gao Tang?
- Fever
- Wheezing
- Thin yellow coating
- Rapid pulse
