Ch4: Formulas that Harmonize Shaoyang Flashcards
What are the ingredients in Xiao Chai Hu Tang?
- Chai Hu (Bupleurum, Hare’s ear root) 24g
- Huang Qin (Scutellaria) 9g
- Ban Xia (Pinellia) 9g
- Sheng Jiang (fresh ginger) 9g
- Ren Shen (ginseng) 6-9g
- Da Zao 12pc
- Gan Cao 9g
What is the function of Xiao Chai Hu Tang?
Harmonize the Shaoyang channels
What are the indications for Xiao Chai Hu Tang?
- Shaoyang syndrome
- Heat entering the blood chamber (uterus)
- Malaria and jaundice when patient shows signs of Shaoyang pattern
What are the keys symptoms for Xiao Chai Hu Tang?
- Alternating chills and fever
- Hypochondriac/chest fullness and distention
- Bitter taste
- Wiry pulse
- White tongue coating
What is the pathogenesis for alternating chills and fever?
Pathogen attacks shaoyang
Pathogen and vital energy struggle half interior and half exterior
Pathogenesis for stifling sensation in chest and hypochondriac?
Qi stagnation in Shaoyang channels
Bitter taste, dry throat, dizziness, irritability pathogenesis?
Pathogens constrained in Shaoyang turn to heat
Flaring up of fire in Shaoyang channel
Poor appetite and vomiting pathogenesis?
Gallbladder heat affects the stomach leading to upward perversion of Stomach qi
Wiry pulse pathogenesis?
Sign of Shaoyang syndrome
What are the key symptoms of heat entering the uterus?
Menstruation stops suddenly and there are alternating chills and fever
Action of Chai Hu?
King herb
- Dispel pathogen that is located in half exterior aspect of Shaoyang channel
- Soothe qi stagnation in Shaoyang channel
Haung Qin actions?
Deputy
Clear heat located in half interior aspect of Shaoyang channel
Ban Xia and Sheng Jiang actions?
Assistants
- Drop Qi down to stop vomiting
- Dry dampness
Ren Shen and Da Zao actions?
Assistants
- Tonify qi and dispel pathogenic factor
- Prevent inward transmission of pathogens
Gan Cao actions?
Messenger
- Harmonize
What are the characteristics of the combination of herbs in Xiao Chai Hu Tang?
Dispel pathogen but also assist vital energy
Majorly harmonize Shaoyang
Regulate stomach qi
What are three possible outcomes after taking Xiao Chai Hu Tang?
- No sweating (most common)
- Recover with sweating - recovery of vital qi and release of pathogen
- Vital qi is damaged or there is qi deficiency - Shiver sweating (sweating after shivering and fever) positive sign of vital qi conquering the pathogens. Monitor the patient carefully to avoid dehydration.
What are the ingredients of Da Chai Hu Tang?
- Chai Hu (Bupleurum) 5g
- Huang Qin (Scutellaria) 9g
- Zhi Shi (unripe bitter orange) 9g
- Da Huang (Rhubarb rhizome) 6g
- Ban Xia (Pinellia) 9g
- Shao Yao (white peony) 9g
- Sheng Jiang (ginger) 15g
- Da Zao 12pc
What are the functions of Da Chai Hu Tang?
- Mediate the Shaoyang channels
- Reduce the accumulated heat in the interior
What are the indications for Da Chai Hu Tang?
Syndrome of both Shaoyang and Yangming Fu or illness of both shaoyang and yangming
What are the key symptoms for Da Chai Hu Tang?
- Alternating chills and fever (can still use without this however)
- Constipation
- Hypochondriac pain and bloating
- Yellow tongue coating
Pathogenesis for
alternating chills and fever
fullness in chest/hypochondriac area, nausea, vomiting
irritability?
- Accumulation of heat in Shaoyang channels
- Heat in GB attacking ST
- Interior heat stagnation disturbing heart
Pathogenesis of:
Fullness, hardness, pain in epigastric region
Constipation or diarrhea
- Transmission of heat from Shaoyang to Yangming
- Qi stagnation and impairment of transportation in the stomach and intestines
Pathogenesis for yellow tongue coating, wiry forceful pulse?
Excessive heat in the interior
Actions of Chai Hu and Huang Qin?
King herbs
- Harmonize Shaoyang
- Clear accumulated heat in Shaoyang channels
Actions of Da Huang, Zhi Shi?
Deputy herbs
- Promote bowel movement and reduce heat
- Promote qi circulation
- Remove stagnation and relieve fullness
Actions of Bai Shao and Ban Xia?
Assistants
Bai Shao
- Relax tension and stop pain
- Combine with DH to relieve excess abdominal pain
Ban Xia
- Conduct perversion of qi downward and stop vomiting
Actions of Sheng Jian, Da Zao?
Assistan, Messenger
- Regulate Ying and Wei
- Harmonize decoction
What are the characteristics of the combination of Da Chai Hu Tang?
Harmonizing Shaoyang and purging Yangming together to treat two meridians at the same time.
What are the ingredients for Hao Qin Qing Dan Tang?
- Qing Hao (Artimesia, wormwood) 4-6g
- Huang Qin (Scutellaria) 4-6g
- Zhu Ru
- Ban Xia
- Chi Fu Ling
- Ju Pi
- Zhi Ke
- Bi Yu San
What are the functions of Hao Qin Qing Dan Tang?
- Clear heat and dampness in the gallbladder
- Harmonize stomach and resolve phlegm
What are the indications for Hao Qin Qing Dan Tang?
Syndrome of excessive heat in the gallbladder channel and damp heat in the spleen/stomach
Action of Qiang Huo, Huang Qin?
King herbs
- Clear heat and remove dampness in the gallbladder channels
Action of Zhu Ru, Ban Xia, Chen Pi, Zhi Qiao, Fu Ling?
Deputies
- Clear heat
- Resolve phlegm
- Harmonize stomach
- Descend rebellious qi
Bi Yu San - Hua Shi (Talcum), Qing Dai (Indigo) and Gan Cao actions?
Assistants
- Promote urination to clear heat and toxin
Ther are many herbs that can clear heat, whi is Qing Hao chosen in this formula?
Dampness comes with turbid (dirty toxins) and Qing Hao is aromatic which is very good to dispel the turbid at the same time as clearing heat.
Which is better for dispelling, Qing Hao or Chai Hu?
Chai Hu
Which is better for clearing heat, Qing Hao or Chai Hu?
Qing Hao (sweet wormwood, artimesia)
Clear heat from deficiency category
What will we see with pathogenic heat invading gallbladder channels and slowing circulation of qi?
- Alternating chills and fever or more often mild chills and severe fever
- Bitter taste in mouth
- Stifling sensation chest/hypochondriac area
Nausea and vomiting
with bitter yellow and sticky saliva/tongue coating
pathogenesis?
- Stomach affected by pathologic change of gallbladder
- Spleen/stomach obstructed by damp heat leading to upward perversion of stomach
What is the pathogenesis of
red tongue with sticky coating
wiry, rolling and rapid pulse?
Excessive damp heat in the interior
What are the key symptoms for Hao Qin Qing Dan Tang?
Damp heat symptoms
- Alternating chills and fever
- Minor chills and severe fever
- Slippery pulse
- Sticky, yellow greasy coating
- Vomiting
- Nausea
- Rapid pulse
What are the characteristics of the combination of Hao Qin Qing Dan Tang?
- Combination of clearing heat and eliminating damp
- Combination of clearing gallbladder and harmonizing stomach
