CH8: Formulas that Astringe Flashcards
What are the indications for formulas that Astringe?
Deficiency of body which fails to consolidate body essence including qi, blood, essence and body fluid.
What are the main symptoms treated by Formulas that Astringe?
- Chronic cough
- Diarrhea (chronic)
- Incontinence
- Leukorrhea (profuse)
- Night sweating
- Spontaneous sweating
- Spermatorrhea
- Spotting
What are precautions for Formulas that Astringe?
Always think about the fact that these formulas are used for situations of vital energy deficiency. They cannot be used for excessive pathogens. Contraindicated examples are given below:
- Damp heat diarrhea or dysentery
- External pathogenic invasion
- Heavy period from excessive heat
- Spermatorrhea from damp heat
- Sweating from excessive heat
What are the five subcategories of Formulas that Astringe?
- 1 Formulast that astringe to stop sweating
- 2 Formulas that astringe lung and stop cough
- 3 Formulas that consolidate intestines to stop diarrhea
- 4 Formulas that consolidate essence and stop spermatorrhea
- 5 Formulas that consolidate menses and leukorrhea
Formulas that astringe to stop sweating?
- Yu Ping Feng San (Jade Windscreen Powder)
- Mu Li San (Oyster Shell powder)
Ingredients of Yu Ping Feng San?
- Huang Qi (Astragalus) 60g
- Bai Zhu (Atractylodes) 60g
- Fang Feng (Sapashnikovea aka Wind Protector Root) 30g
Functions of Yu Ping Feng San?
- Tonify Qi and consolidate the exterior
- Stop sweating
Indications for Yu Ping Feng San?
- Spontaneous sweating due to exterior deficiency
- Easily catch colds (Wei Qi deficiency)
YPFS
Manifestations and Pathogenesis of spontaneous sweating and aversion to wind?
Deficiency of defensive qi which cannot protect the exterior. Pores are open because qi xu cannot control the pores.
YPFS
Manifestations and Pathogenesis of easily catching colds?
Deficiency of lung qi and wei qi. The body surface is easily attacked by external pathogens.
YPFS
Manifestations and Pathogenesis of pale complexion, pale tongue, white thin coating and weak pulse?
Qi deficiency signs
YPFS
Actions of Huang Qi?
King
Tonify Qi of Lungs and Spleen
YPFS
Bai Zhu actions?
Deputy
Tonify Spleen Qi
YPFS
Fang Feng (Saposhnikovae, Wind Protector Root) actions?
Assistant
Ward body surface, dispel wind
YPFS
Characteristics of combination?
- Tonify qi to strengthen Wei level
- Consolidate surface and stop sweat
- Combined with small dose of dispelling herb
YPFS
Huang Qi assisted by Fang Feng does what?
- Tonify qi without keeping pathogen
- Dispel wind without damaging vital energy
YPFS
Key SX?
- aversion to cold
- pale tongue
- spontaneous sweating
- weak pulse
YPFS Western medicine application?
Weak immune system
Frequently catching colds
Precautions and Contraindications for YPFS?
Contraindicated to
External pathogenic invasion
Yin deficiency causing night sweats
Mu Li San ingredients?
- Huang Qi (Astragalus, Milk Vetch) 30g Herbs that Tonify Qi
- Ma Huang Gen (Ephedra root) 9g Herbs that Stabilize and Bind
- Mu Li (Oyster Shell) 30g Substances that Calm the Spirit, Calm the Liver, Extinguish Wind
Mu Li San Functions?
Benefit Qi and consolidate the exterior
Astringe yin and stop sweating
Mu Li San Indications?
- Fatigue
- Night sweating
- Palpitations
- Shortness of breath
- Spontaneous sweating
- Pale tongue body
- Thin and weak pulse
8.2 Formulas that Astringe to Stop Diarrhea?
- Si Shen Wan - Four Miracle Pill (***)
- Zhen Ren Yang Zang Tang - True Man’s Decoction for Nourishing Organs (**)
Si Shen Wan ingredients?
- Bu Gu Zhi (Psoralea) 120g Tonify Yang
- Rou Dou Kou (Nutmeg seeds) 60g Stabilize and Bind (Astringe)
- Wu Zhu Yu (Evodia Fruit) 30g Warm Interior, Expel Cold
- Wu Wei Zi (Schisandra) 60g Stabilize and Bind
- Sheng Jiang (Fresh Ginger) 240g Release Exterior
- Da Zao (Chinese Date) 100pc Tonify Qi
Si Shen Wan functions (tx principles)?
- Warm and tonify Kidney and Spleen
- Astringe intestines and stop diarrhea
Si Shen Wan indications (syndrome plus main sn/sx)?
- Yang and cold in the interior
- Weakness and coldness in Spleen and Kidney
- Chronic diarrhea
- Morning diarrhea
Si Shen Wan key symptoms?
- Morning diarrhea
- Poor appetite
- Pale tongue
- Weak slow pulse
SSW
Manifestation and pathogenesis of
early morning diarrhea?
Deficiency of Kidney Yang and decline of Ming Men fire.
SSW
Manifestation and pathogenesis of chronic diarrhea?
Yang deficiency of Spleen and Kidney
SSW
Manifestation and pathogenesis of abdominal pain?
Coldness in the interior leading to Qi Stagnation
SSW
Manifestation and pathogenesis of loss of appetite, indigestion?
Yang deficiency of SP/ST which cannot digest food and absorb nutrients.
SSW
Manifestation and Pathogenesis of soreness of lower back and knees plus cold limbs?
Deficiency of Spleen and Kidney which tend to nourish muscle and bones.
SSW
Manifestation and pathogenesis of pale tongue with white thin coating, deep slow weak pulse?
Signs of deficiency and cold
SSW
Bu Gu Zhi actions?
Psoralea seeds, Tonify Yang
King: Warm and reinforce Kidney Yang to warm Spleen
SSW
Rou Dou Kou actions?
Nutmeg, Astringe
Deputy: Warm spleen and stomach, stop diarrhea
Wu Zhu Yu, Wu Wei Zi actions?
Wu Zhu Yu (Evodia fruit), Warm interior, Expel Cold
Wu Wei Zi (Schisandra), Astringe
Assistants: Warm middle jiao and consolidate Kidney to astringe intestines and stop diarrhea
Sheng Jiang, Da Zao actions?
Sheng Jiang (Fresh Ginger), Release Exterior
Da Zao (Black date), Tonify Qi
Assistants and Messenger: Strengthen Spleen and Stomach, Harmonize decoction
Si Shen Wan
Characteristics of combination…
Warm herbs combined with _______ herbs, but…
Tonify both ______ and ______, but mainly…
astringent; but mainly warm to treat the root.
Spleen, Kidney: but mainly tonify Kidney fire to warm Spleen
Si Shen Wan
Western diseases?
Chronic enteritis
Intestinal tuberculosis
SSW Precautions and C/I
Contraindicated to diarrhea due to damp heat.
Avoid in pregnancy as Wu Wei Zi is toxic.
SSW How to enchance effect of warming spleen to stop diarrhea?
Add Li Zhong Tang (Decoction to Regulate Middle Jiao)
Category: Formulas to Warm Middle Jiao and Dispel Cold
SSW
Cold limbs, sore lower back and knees most prevalent?
Add
Fu Zi (Aconite) Warm Interior, Expel Cold
Rou Gui (cinnamon bark) Warm Interior, Expel Cold
Zhen Ren Yang Zang Tang ingredients? (Just know first five)
- Ren Shen (Ginseng root) 9g Tonify Qi
- Dang Gui (Angelica sinensis) 6g Tonify Blood
- Bai Zhu (Atractylodes) 9g Tonify Qi
- Rou Dou Kou (Nutmeg seed) 6g Stabilize & Bind, Astringent
- Rou Gui (Cinnamon bark) 3g Warm Interior, Expel Cold
- Gan Cao (Licorice) 6g Tonify Qi
- Bai Shao (White Peony Root) 15g Tonify Blood
- Mu Xiang (Aucklandia) 4.5g Regulate Qi
- He Zi (Myrobalan, Boat seed) 12g Stabilize and Bind, Astringent
- Ying Su Ke (Opium Poppy Husk) 15g Stabilize and Bind, Astringent
Zhen Ren Yang Zang Tang functions (tx principles)?
- Astringe intestine to stop diarrhea
- Warm interior and tonify deficiency
Zhen Ren Yang Zang Tang Indications (sn/sx)?
- Chronic diarrhea
- Poor appetite
- Severe diarrhea even rectal prolapse
- Umbilical pain
- Tongue: pale body with white coating
- Pulse: Thin and slow
Similarities of Si Shen Wan and Zhen Ren Yang Zang Tang?
- Consolidate essence and arrest diarrhea
- Diarrhe d/t Spleen and Kidney Yang Deficiency
Difference of SSW and ZRYZT?
SSW: Focus primarily on warming Kidney; secondarily on warming Spleen and astringing intestines.
ZRYZT: Focus primarily on astringing; secondarily on warming and tonifying Spleen and Kidney
Difference in SSW and ZRYZT indications?
SSW: 5 Geng Diarrhea
ZRYZT: Long term diarrhea or dysentery
Difference in SSW and ZRYZT pathogenesis?
SSW: primarily Kidney Yang Xu, decline of Ming Men Fire
ZRYZT: primarily Spleen Deficiency
8.3 Formulas that Astringe to Stop Spermatorrhea
- Jin Suo Gu Jing Wan (Golden Lock Pill to Stabilize Essence) **
- Sang Piao Xiao San (Mantis Egg-case Powder) **
Jin Suo Gu Jing Wan Ingredients (don’t have to memorize)
- Sha Yuan Ji Li (Flattened Milk Vetch) Tonify Yang
- Qian Shi (Euryale Seed) Stabilize and Bind
- Lian Zi (Lotus Seed) Stabilize and Bind
- Lian Xu (Lotus Stamen) Stabilize and Bind
- Long Gu (Dragon Bone, Fossilized vertebrae and long bones of mammals) Calm Spirit
- Duan Mu Li (Oyster Shell) Calm Spirit
All 30g
Jin Suo Gu Jing Wan function?
(have to know!)
Reinforce the kidney and astringe essence
Jin Suo Gu Jing Wan ** indications?
Neutralize spontaneous emissions caused by kidney deficiency which cannot control the sperm (essence)
Jin Suo Gu Jing Wan characteristics of combination?
Strong in astringing essence. Treats both root of kidney deficiency as well as branch, but stronger in astringing to treat branch.
Herbs and characteristics for Jin Suo Gu Jing Wan? (do not have to memorize)
- King: Sha Yuan Zi (Astragalus, Flattened Milk Vetch) - tonify kidney, consolidate essence
- Deputy: Qian Shi (Semen Euryales, Foxnut) - strengthen spleen to astringe essence, stop spermatorrhea
- Assistants to calm heart and soothe mind
Sang Piao Xiao San** (Mantis Egg Case Powder) functions?
Regulate and tonify heart and kidney
Astringe essence
Stop spermatorrhea
Sang Piao Xiao San indications?
Deficiency of heart and kidney
- Frequent urination
- Incontinence
- Poor memory
- Spermatorrhea
- Tongue: Pale body with white coating
- Pulse: Thin and weak
8.4 Formulas that Astringe to Stop Leucorrhea
Wan Dai Tang (End Discharge Decoction)
Wan - finish, end, complete
Dai - leukorrhea, discharge
Wan Dai Tang ingredients?
- Ren Shen (Ginseng) - Herbs that Tonify Qi
- Chao Bai Zhu (White Atractylodis Rhizome) - Herbs that Tonify Qi
- Chao Shan Yao (Chinese Yam) - Herbs that Tonify Qi
- Cang Zhu (Atractylodis Rhizome) - Herbs that Transform Damp
- Chen Pi (Ripe Tangerine Peel) - Herbs that Regulate Qi
- Che Qian Zi (Plantago seeds) - Herbs that Drain Dampness (Diuretic)
- Bai Shao (White Peony Root) - Herbs that Tonify Blood
- Chai Hu (Bupleurum, Hare’s Ear Root) - Cool, Acrid Herbs to Release Exterior
- Jie Sui Tan (Spike of Jing Jie, Japanese Catnip) - Warm, Acrid Herbs to Release Exterior
- Gan Cao (Licorice) - Herbs that Tonify Qi
Wan Dai Tang *** functions?
- Reinforce MJ and strengthen Spleen
- Resolve dampness, relieve leucorrhea
- Soothe the Liver
Wan Dai Tang indications?
- Leucorrhea due to Spleen Deficiency
- Liver Qi Stagnation
Manifestations and Pathogenesis (Mx, Px) of white clear and dilute leucorrhea without odour?
Unconsolidated Chong channel and flowing downward of turbid dampness caused by Spleen Deficiency and Liver Qi Stagnation
Mx, Px of loose stool?
Excessive dampness from spleen deficiency
Mx, Px of fatigue, pale complexion?
Qi Deficiency and weakness of spleen
Mx, Px of pale tongue coating, soft weak or soggy pulse?
Qi Deficiency, Spleen Qi Deficiency, Dampness
How is Wan Dai Tang different in its indication from Long Dan Xie Gan Tang?
LDXGT also treats leucorrhea, however it is indicated for yellow, stinky discharge, hypocondriac pain, Liver Qi Stagnation with Damp Heat that drains down Liver Channel and goes to genitals
WDT is for white, clear leucorrhea. There may be some Liver Qi Stagnation but it is not necessary. Spleen Qi Deficiency is the more primary concern.
Wan Dai Tang key symptoms?
- White, thin, odorless yet profuse leucorrhea
- Pale tongue
- Soft or slippery pulse
Western indications?
- Leucorrhea
- Vaginitis
- Uterine or cervical inflammation
Wan Dai Tang chief herbs?
Chief Herbs:
- Ren Shen (Ginseng)
- Bai Zhu (White Atractylodes)
- Shan Yao (Chinese Yam)
All serve to tonify Qi and strengthen the Spleen
Wan Dai Tang
Deputy Herbs?
Deputy Herbs
- Cang Zhu (Atractylodes)
- Chen Pi (Aged Tangerine Peel)
Regulate Qi, Strengthen Spleen, Dry Dampness
Compare Wan Dai Tang to Si Jun Zi Tang
Si Jun Zi Tang - Four Gentlemen Decoction
Ren Shen, Bai Zhu, Fu Ling, Gan Cao (sometimes Dang Shen)
Fx: Strengthen Spleen and Stomach, Tonify Qi
Wan Dai Tang also has Ren Shen, Bai Zhu and Gan Cao. It has Che Qian Zi with a similar function to Fu Ling. It also tonifes Qi and strengthens MJ. However it is more specific for leucorrhea. It also soothes Liver.
Wan Dai Tang
Characteristics of combination?
Tonify ____, inhibit _____, treat both ____ and _____ at same time.
Tonify Earth, inhibit Wood, treat both Liver and Spleen at same time.
When Liver Qi flow is smooth it will not overact on the Spleen so the spleen can do T & T. This way dampness will not accumulate and flow downward.
8.5 Formulas that Astringe to Stop Menstruation
- Gu Chong Tang - Stabilize the Chong Meridian Decoction
- Gu Jing Wan - Stabilize the Menses Pill
- Yi Huang Tang - Change Yellow Discharge Decoction
Gu Chong Tang - Stabilize the Chong Meridian Decoction
Functions?
- Benefit Qi and Strengthen Spleen
- Consolidate Chong meridian
- Stop bleeding
Gu Chong Tang
ingredients? (don’t have to memorize)
- Bai Zhu (White Atractylodes) - Herbs that Tonify Qi
- Huang Qi (Astragalus) - Herbs that Tonify Qi
- Long Gu (Dragon Bone) - Substances that Calm the Spirit
- Mu Li (Oyster shell) - Substances that Calm the Spirit
- Wu Zhu Yu (Evodia Fruit) - Warm Exterior, Expel Cold
- Bai Shao (White Peony Root) - Herbs that Tonify Blood
- Hai Paio Xiao (Cuttlefish Bone) - Herbs that Stabilize and Bind (Astringe, Stop Bleeding, Secure Jing)
- A few others…
Gu Chong Tang Indications?
Spleen Qi Deficiency
Unconsolidated Chong and Ren meridians
- Profuse menstruation that is pale
- Palpitation
- Shortness of breath
- Weak lumbar region
- Tongue: pale body
- Pulse: weak
Gu Jing Wan - Stabilize the Menses Pill
Functions?
Clear Heat
Enrich Yin
Stabilize Menses
Stop Bleeding
Gu Jing Wan - Stabilize the Menses Pill
Ingredients? (don’t have to memorize)
- Gui Ban (Fresh Water Turtle Plastron) - Herbs that Tonify Yin
- Bai Shao (White Peony Root) - Herbs that Tonify Blood
- Huang Qin (Scutelleria, Skullcap root) - Clear Heat, Purge Fire
- Chun Gen Pi (Allanthus, Tree of Heaven Bark) - Stabilize and Bind
- Xiang Fu (Cyperus, Nutgrass rhizome) - Regulate Qi
Gu Jing Wan
Indications?
Continuous menses or uterine bleeding that alternates between trickling and gushing. The blood is very red and may contain purple spots.
Yi Huang Tang - Change Yellow Discharge Decoction
Functions?
Tonify Kidney
Clear Heat
Dispel dampness
Stop profuse leucorrhea
Yi Huang Tang - Change Yellow Discharge Decoction
Ingredients? (don’t have to know)
- Shan Yao (Chinese Yam) - Tonify Qi
- Qian Shi (Euryale Seeds, Foxnut) - Stabilize and Bind
- Huang Bai (Phellodendron Bark) - Clear Heat, Purge Fire
- Che Qian Zi (Plantago seeds) - Drain dampness (diuretic)
- Bai Guo (Ginkgo Nut) - Stabilize and Bind (astringent)
Yi Huang Tang
Indications?
- Damp heat leucorrhea disease
- Yellow and profuse leucorrhea
- Fishy smell
- Tongue: Red body, yellow and greasy coat
What are the similarities between Gui Pi Tang and Gu Chong Tang?
They both contain Huang Qi (Astragalus) and Bai Zhu (White Atractylode)
They both tonify Spleen Qi and stop bleeding.
Treat uterine bleeding due to Spleen Qi Deficiency or Spleen Fails to Govern Blood.
What are the differences between Gui Pi Tang and Gu Chong Tang?
Gui Pi Tang treats the root in a chronic condition. It includes Heart Blood Deficiency signs on top of Spleen Qi Deficiency.
Gu Chong Tang treats the branch in an urgent condition. It treats a Chong Meridian that is failing to consolidate in addition to Spleen Qi Deficiency.
How would you choose between Long Dan Xie Gan Tang and Yi Huang Tang?
Both involve damp heat leucorrhea. For LDXGT you need to see Liver symptoms. For YHT you need to see Kidney symptoms.
