Ch2: Formulas that Release the Exterior W-C cont'd

Question 1

What does Xiao Qing Long Tang mean?

Answer 1

Xiao - minor

Qing - blue/green

Long - dragon

Tang - formula

Question 2

What are the ingredients of Xiao Qing Long Tang?

Answer 2

1. Ma Huang (9g)
2. Gui Zhi (9g)
3. Gan Jian (6g)
4. Xi Xin (3g)
5. Wu Wei Zi (6g)
6. Bai Shao (9g)
7. Ban Xia (9g)
8. Gan Cao (6g)

Question 3

What are the functions of Xiao Qing Long Tang?

Answer 3

• Release the exterior and resolve phlegm fluid
• Stop cough and soothe asthma

Question 4

What are the indications for Xiao Qing Long Tang?

Answer 4

Exterior wind cold invasion syndrome with internal phlegm fluid retention in the lungs

Question 5

What are the manifestations (and pathogenesis) for Xiao Qing Long Tang syndrome?

Answer 5

• Fever, chills, no sweat - invasion on the exterior by wind cold, pores closed and stagnate Wei Yang
• Cough, asthma, stuffiness in the chest - invasion of the exterior wind cold, causes the up flow of interior phlegm fluid, lung qi failing its function of dispersing and descending
• Dilute white and profuse sputum, edema on face and limbs, no thirst - lung blocked by retention of phlegm fluid, phlegm fluid retained in skin
• White and watery tongue coating - internal retention of phlegm fluid
• Superficial and tight pulse - exterior wind cold

Question 6

What are the actions of Ma Huang and Gui Zhi?

Answer 6

King herbs

• Promote sweat
• Dispel wind cold from body surface
• Promote lung in dispersing and descending
• Soothe asthma

Question 7

What are the actions of Gan Jiang (dried ginger rhizome) and Xi Xin (asarum, chinese wild ginger)?

Answer 7

Deputy herbs

• Gan Jiang to warm the lungs and MJ, resolve phlegm fluid
• Xi Xin to aid MH and GZ to dispel exterior wind cold, warm lung

Question 8

What are the actions of Wu Wei Zi (schisandra fruit) and Bai Shao (white peony root)?

Answer 8

Assistants

• Astringe ying qi to prevent other herbs (MH and GZ) from consuming qi and yin

Question 9

What is the action of Ban Xia (pinellia)?

Answer 9

Assistant

• Resolve phlegm
• Harmonize stomach

Question 10

What is the action of Gan Cao?

Answer 10

Messanger

• Harmonize the other herbs

Question 11

What are the characteristics of the combination of MH and GZ?

Answer 11

Dispel external wind cold.

Combine with Bai Shao to astringe which prevents over dispelling

Question 12

We know that Gan Jiang, Xi Xin and Ban Xia warm the fluid and resolve phlegm. Why do we add Wu Wei Zi?

Answer 12

Wu Wei Zi asringes the lung, prevents dispelling too much which can impair lung qi. It also astringes without keeping the pathogen trapped. This is an effective combination for cough and wheezing due to phlegm fluid.

Question 13

What are the key symptoms that would make one choose Xiao Qing Long Tang?

Answer 13

• Chills
• Fever
• No sweat
• Cough
• Wheezing
• Dilute, white and profuse sputum
• White and watery tongue coating

Question 14

What is Xiao Qing Long Tang commonly used for?

Answer 14

• Bronchiits
• Bronchial asthma
• Pulmonary emphysema
• AECOPD

Question 15

What are the precautions for Xiao Qing Long Tang?

Answer 15

• Yin deficiency
• Dry cough
• Heat and phlegm with yellow mucus, thirst and rapid pulse

Question 16

What is the modification for XQLT if there is internal heat?

Answer 16

Add Shi Gao (gypsum)

Question 17

Modification for XQLT with more wheezing?

Answer 17

Add Xing Ren (apricot seed)

Question 18

What is teh modification for XQLT with thirst?

Answer 18

Remove Ban Xia and add Tian Hua Fen (trichosanthes root)

Question 19

What is the modification for XQLT with sweat?

Answer 19

Remove Gui Zhi, replace Ma Huang with Zhi Ma Huang (honey roasted ephedra)