CH5: Formulas that Clear Heat from Ying and Blood Level

Question 1

What are the indications of Qing Ying Tang?

Answer 1

Syndrome of pathogenic heat entering the ying or nutrient system

Question 2

Ingredients for Qing Ying Tang?

Answer 2

1. Xi Jiao - rhinocerus horn or Shui Niu Jiao - water buffalo horn (30g)
2. Sheng Di Huang - raw Rhemannia root (15g)
3. Xuan Shen - Scrophularia, Ningpo Figwort root (9g)
4. Mai Men Dong - Ophiopogon tuber (9g)
5. Jin Yin Hua - Honeysuckle flower (9g)
6. Huang Lian - Coptis rhizome (4.5g)
7. Lian Qiao - Forsythia fruit (6g)
8. Zhu Ye - Lopatherum (3g)
9. Dan Shen - Salvia root (6g)

Question 3

What are the functions of Qing Ying Tang?

Answer 3

• Dispel pathogenic heat from ying system
• Nourish yin and invigorate blood

Question 4

Pathogenesis for the following symptoms:

• fever worse at night
• irritability
• insomnia
• delirium

Answer 4

Excessive pathogenic heat entering the ying system and disturbing the mind.

Question 5

Pathogenesis for thirst?

Answer 5

Remaining heat still in the qi system.

Question 6

Pathogenesis if there is no thirst?

Answer 6

Heat distills ying-yin upward to the mouth

Question 7

Pathogenesis for:

• dull macula (faint rash) on skin
• deep red tongue with dry coating

Answer 7

Pathogenic heat entering the ying system, but has not yet reached the blood system

Question 8

Xi Jiao actions?

Answer 8

King herb

• Clear heat in ying system
• Cool blood
• Relieve toxins

Question 9

Actions of Xuan Shen, Mai Men Dong, Sheng Di Huang?

Answer 9

Deputy herbs

• Replenish yin
• Clear heat

Question 10

Jin Yin Hua, Lian Qiao, Zhu Ye, Huang Lian actions?

Answer 10

Assistant herbs

• Clear heat and relieve toxins
• Transform heat from ying system into qi system, then relieve remaining heat in qi system

Question 11

Actions of Dan Shen?

Answer 11

Messenger

• Cool blood
• Activate blood to avoid stagnation

Question 12

Combination of herbs that clear heat and cool blood with…

Answer 12

herbs that guide heat to qi level.

Question 13

Qing Yin Tang characteristics:

Combination of herbs that clear heat from ying level and clear toxin with…

Answer 13

herbs that generate yin fluid.

Question 14

Qing Ying Tang characteristics:

Combination of herbs that cool blood with…

Answer 14

herbs that activate blood to prevent blood stagnation due to over use of cool herbs.

Question 15

What are the key symptoms for Qing Ying Tang?

Answer 15

• Irritability, restlessness
• Faint rash
• Fever worse at night
• Pulse: rapid
• Tongue: deep red

Question 16

What are precautions for Qing Ying Tang?

Answer 16

Do not use for patients with white slippery tongue coating.

Question 17

Modification of Qing Ying Tang if there is severe delirium?

Answer 17

Combine with An Gong Niu Huang Wan (Calm the Palace Pill with Cattle Gallstone)

or

Zi Xue Dan (Purple Snow Special Pill)

Both are Formulas that Open the Sensory Orifices