Dui Yao Pairs Flashcards
Dui Yao and Dui Xue pairs can be described as:
1 - In the music world, single herbs/points are solos, formulas/point Rx are orchestras, and dui yao/xue pairs are duets
2 - The fxn of each herb (dui yao) or point (dui xue) changes depending on which herb or point it is paired with
Ma Huang + Gui Zhi
Name the category and the fxn of the pair
RELEASE EXTERIOR WIND COLD
* Ma Huang is a strong herb that works on the superficial/epidermis level
* Gui Zhi is a sl. less strong herb, but goes sl. deeper than MH (dermis level)
* Indications: Severe chills and fever, aversion to cold, lack of sweats h/a, b/a d/t W-C excess (Shi) type, Bi syndrome d/t WCD, cough/ asthma d/t W-C obstructing LU Qi
Found in Ma Huang Tang & Ge Gen Tang
Ma Huang + Xing Ren
RELEASE EXTERIOR WIND COLD
* D&D Combo - Disperse + Descend - MH opens the pores/disperses; XR descends
* Indications: Cough and Asthma d/t WC or LU Heat
Found in Ma Huang Tang & Ma Xing Shi Gan Tang
Jing Jie + Fang Feng
RELEASE EXTERIOR
* Even though these herbs are sl. warm, they are not dry and therefore can be used for both Wind Cold AND Wind Heat
* Indications: early stage of measles and skin eruption with itching, early stage of carbuncle or boils, accompanied by chills & fever
Found in Xiao Feng San & Jing Fang Bai Du San
Xin Yi Hua + Cang Er Zi
RELEASE EXTERIOR
* Open the nasal orifice
* Indications: CC w/ H/A, nasal congestion, and runny nose d/t W-C; Deep source nasal congestion, loss of smell, turbid nasal phlegm, chronic, acute rhinitis, allergic rhinitis, hypertrophic rhinitis, sinusitis, parasinusitis, frontal sinusitis
Found in Cang Er Zi San
Associated points: LI4, LU7, LI20, Bitong, Du23 (upward for runny nose; downward for nasal congestion), BL7
Sang Ye + Ju Hua
RELEASE EXTERIOR WIND HEAT
* W-H COUGH - Sang Ye = chief
* W-H EYE INFECTION - Ju Hua = chief
* Indications: Fever, aversion to wind, light sweating, cough, h/a, sl. thirst d/t W-H; H/A, vertigo, photophobia, red, swollen, painful eyes d/t LYR
Found in Sang Ju Yin
Ju Hua is a lot like GB20; there are also different kinds of Ju Hua for different fxns
Sang Ye is one portion of the mulberry that is medicinal
Sheng Ma + Ge Gen
RELEASE EXTERIOR WIND HEAT
* Vent rashes
* Indications: Early stage of measles, H/A, fever; Incomplete eruption of measles, fever
Found in Sheng Ma Ge Gen Tang
Ge Gen = Kudzu Root –> along with Shan Zha + Jue Ming Zi = good for Hyperlipidemia; Ge Hua = Kudzu Flower –> good for hangover along with Juniper + Rosemary EO
Shi Gao + Zhi Mu
CLEAR HEAT - QI LEVEL
* In Shang Han Lun - this is for Yang Ming Heat (Not to be confused
* In Wen Bing - this is for Qi Level Heat
* Excess (Shi) Heat + Damaged Fluids
* Indications: 4 Bigs - high fever, profuse sweating, big thirst, big pulse - SURGING PULSE (big wave, fades away) (d/t heat in Qi Level); Xiao Ke - Upper burner - polydipsia, dry mouth and tongue, great thirst d/t excess (Shi) LU Heat
Found in Bai Hu Tang (White Tiger Decoction)
Shi Gao is strictly Excess Heat whereas Zhi Mu, if paired with Huang Bai, is for KD Def Heat or if paired with Chuan Bei Mu is for LU Def Heat
Xi Xin + Shi Gao
CLEAR HEAT - QI LEVEL
* Good for Shao Yin H/A - KD - so that’s why toothache
* Indications: ST Heat, toothache, bleeding/swollen/ painful gums, oral ulcers, glossitis; H/A d/t WH entering clear orifices
Xi Xin is a warm herb, but it’s okay bc it’s used in combo with Shi Gao and in general, when there are warm and cold herbs together, cold herbs will generally win
Zhi Zi + Dan Dou Chi
CLEAR HEAT - QI LEVEL HEAT
* When a patient started with W-H, but the heat didn’t resolve fully and it is lingering in the Qi Level
* Indications: Irritability, agitation, insomnia, vexation during or after Warm-Febrile Disease; External contraction of W-H of febrile disease
Found in Zhi Zi Chi Tang
Lu Gen + Bai Mao Gen
CLEAR HEAT - QI LEVEL HEAT
* Both of these herbs are “straw” or “tube” shaped - similar to Ma Huang and they have descending energy and promote urination they clear heat via urination
* Indications: Fever, thirst, irritability d/t warm-febrile disease or WH; cough/wheezing d/t LU Heat; Early stage of measles d/t toxic heat; acute nephritis, UTI accompanied by fever, dysuria, edema; N/V d/t ST Heat; Epidemic hemorrhagic fever
Lu Gen + Bai Mao Gen clear heat via URINE
Da Huang + Mang Xiao clear heat via STOOL
Mu Dan Pi + Dan Shen
CLEAR HEAT - BLOOD HEAT
* Blood Heat - Hematemesis, epistaxis, metrorrhagia, purpura, rubella, pruritis
* Menstruation irregularities or postpartum abd. pn d/t blood heat causing blood stasis
* continuous low grade fever d/t Yin Xu
* Hot, red, swollen, painful joints d/t Heat Bi
Mu Dan Pi - cools blood; Dan Shen - moves blood –> similar to SP10 –> which cools and moves blood
Chi Shao + Bai Shao
CLEAR HEAT - BLOOD HEAT
* BOTH support LV
* Bai Shao - Tonify Blood; Calm LV
* Chi Shao - Moves/ Cools Blood; Clears LV
* Blood-Heat; chronic low-grade fever
* Yin and BF Def., dry mouth, red, and painful eyes
* chest and hypochondriac pn, abdominal pn
* irregular menstruation, amenorrhea d/t Blood xu and stasis w/ heat
Bai Shao is part of several other Dui Yao pairs
Bai Shao + Gui Zhi - Spasms & Pn (d/t LV Blood Def)
Bai Shao + Chai Hu - Soothe LV Qi
Bai Shao + Gan Cao - Ying & Wei Level Support
Huang Bai + Cang Zhu
CLEAR HEAT - DAMP HEAT
* Wilting of the lower limbs w/ pn d/t D-H pouring downward to the lower part
* Cang Zhu is one of the most drying herbs of the pharmacopia
* D-H in the genital area - vaginal discharge; external vaginal itching; cloudy, scanty urination
Red, swollen, hot, painful joints d/t W-D-H Bi Syndrome
Found in Er Miao San and can be modified to become San Miao San & Si Miao San
Remember the 3 Huangs for clearing D-H
-Huang Qin - upper burner (can work in all three jiaos, but particularly upper)
-Huang Lian - middle burner (can work in all three jiaos, but particularly middle)
-Huang Bai - lower burner (works specifically for lower jiao)
Cang Zhu + Bai Zhu both tonify SP + Dry Damp
-Cang Zhu is better at drying damp
-Bai Zhu is better for tonifying SP
Huang Lian + Mu Xiang
CLEAR HEAT - DAMP-HEAT
* Dysentery with abdominal pn and tenesmus d/t D-H and Qi Stag in the Lower Burner
Found in Xiang Lian Wan
Huang Lian Dui Yaos
Huang Lian + Mu Xiang = Dysentery w/ Tenesmus
Huang Lian + Wu Zhu Yu = Zuo Gui Wan; Acid Regurgitation
Huang Lian + E Jiao = Shao Yin - Heat Patterns
Mu Xiang = good for intestines; Mu Xiang + Bing Lang = equivalent to 4 Doors
Mu Xiang, Sha Ren, Chen Pi = Prevents Stagnation fr too much tonics
Jin Yin Hua + Lian Qiao
CLEAR HEAT - TOXIC HEAT
* Cold and influenza d/t W-H
* Warm-Febrile disease with internal heat
* H/A, eye pn, toothache, sinusitis, painful, swollen throat d/t W-H
* Skin eruption w/ pruritis d/t W-H (like boils, measles)
* Skin inflammation d/t toxic heat
Found in Yin Qiao San + Qing Ying Tang
Niu Bang Zi + Lian Qiao
CLEAR HEAT - TOXIC HEAT
* Mouth and tongue ulcer, swollen gum, sore throat d/t Heat
* Red swelling, carbuncle, erythemas, mumps, acute febrile maculopapular rash
Found in Yin Qiao San
ASIDE: When differentiating seeds “Ren” vs. “Zi” (both mean seed) “Rens” are bigger and have more oils so are good for constipation; Zi - benefits eyes, but can also moisten intestines
Ban Lan Gen + Xuan Shen
CLEAR HEAT - TOXIC HEAT
* Painful/red/swollen throat d/t Yin Xu Heat or Excess (Shi) Fire damaging Yin
* Good for a sore throat that has not yet been accompanied by a W-H febrile disease; so early stage W-H
Found in Ban Lan Da Qing Tang
Xuan Shen + Mu Li
CLEAR HEAT - TOXIC HEAT
* Neck lumps or nodules such as in scrofula, lipoma, swollen glands, goiter in patterns of Phlegm-Fire
* Used for similar nodules in** inguinal canal** and other parts of body
Found in Xiao Luo Wan
DY #43 - Zhe Bei Mu + Xia Ku Cao = dissipates nodules –> you can mix (XS + ML) + (ZBM + XKC) to strengthen the dissipate nodule action
Seems to be for toxic heat nodules found near lymphs?
Hua Shi + Gan Cao
CLEAR HEAT - SUMMER HEAT
* Summer-Heat + Damp: marked by fever, restlessness, thirst, diarrhea, difficulty in urine
* Damp-Heat or BL marked by dark urine, difficulty, painful urination or urinary stone
Found in Liu Yi San (6:1 ratio powder)
180g Hua Shi + 30g Gan Cao –> to clear SH
Knowing the numbers helps:
1 - Yi - Liu Yi San
2 - Er - Er Chen Tang; Er Miao San
3 - San - San Zi Yang Qin Tang
4 - Si - Si Jun Zi Tang, Si Wu Tang - But if you add Si + Si = 8 (Ba) –> So Ba Zhen Tang bc it’s SJZT + SWT together
5 - Wu - Wu Ling San
6 - Liu - LWDHW
7 - Qi - San Qi (San = 3; Qi = 7 –> harvest between 3-7 years)
8 - Ba - Ba Zhen Tang
9 - Jiu - Jiu Wei Qiang Huo Tang
10 - Shi - Shi Quan Da Bu Tang - Ba Zhen Tang + Huang Qi + Rou Gui
Qing Hao + Bie Jia
CLEAR HEAT - DEFICIENT HEAT
* Steaming bone fever, night sweats, cough d/t Yin Xu
* Malaria
* Later Stage of Warm-Febrile Disease
Found in Qing Hao Bie Jia Tang
“Bie Jia” the Turtle dives deeper and takes Qing Hao with them to attack the deficient heat
Gui Ban vs. Bie Jia
GB –> Ventral aspect, Yin, stops bleeding
BJ –> Dorsal aspect, Yang, Move blood
Zhi Mu + Huang Bai
CLEAR HEAT - DEFICIENT HEAT
* Yin Xu Heat: afternoon fever, steaming bones, night sweats, seminal emission
* Excessive sexual desire and easy erection d/t deficient-Fire and hyperactive Mingmen Fire
* Dysuria d/t Yin Xu and Yang losing its ability to transform
Found in Zhi Bai Di Huang Wan
Da Huang + Mang Xiao
PURGATIVE
* Constipation w/ hard, dry stools, abd. pn d/t Heat Accumulation
* Constipation w/ high fever, tidal fever, mental confusion d/t excess (Shi) heat in Yang Ming Organ
* Chronic or Severe constipation d/t Heat
Found in Da Cheng Qi Tang and Tiao Wei Cheng Qi Tang
Know four types of abdominal disharmony
1. Shi - Hardness - Da Huang
2. Zao - Dryness - Mang Xiao
3. Man - Fullness - objective - visible bloating - Hou Po
4. Pi - Distension - subjective - the sensation of obstruction, distention, heaviness - Zhi Shi
^^Da Cheng Qi Tang has all four of those herbs
Da Huang + Fu Zi
PURGATIVE
* Constipation, Abd. pn, aversion to cold, cold limbs d/t Cold Accumulation
Found in Da Huang Fu Zi Tang
Dang Gui + Rou Cong Rong
LAXATIVE
* Constipation d/t BF Deficiency after Warm-Febrile Disease; giving birth
* Constipation d/t Blood Xu; esp. for elderly/deficient constition
Found in Ji Chuan Jian
DG - Tonify Blood + Moisten Intestine (a lot like SP4, which treats accumulation of blood, cold, food; DG does not tx food accum, but def blood and cold)
RCR - Tonify Yang + Moisten Intestine
Tao Ren + Xing Ren
LAXATIVE
* Chest, epigastric, lower abd. pn d/t Qi Stag and Blood Stasis
* Constipation of the Xu Type d/t dryness in the LI
* Constipation of Shi Type d/t Qi Stagnation
Found in Wu Ren Wan
TR - Support Blood - like Western Med - Colace, which softens the stool mixed with Senna
XR - Support Qi - like Western Herb Senna, which stimulates muscles to move the stool
Mu Tong + Dan Zhu Ye
DRAIN DAMP
* Irritability, sores of the mouth and tongue, dark, scanty urine d/t HT Heat transform into SI
Found in Dao Chi San - which also has Deng Xin Cao; MT + DXC + DZY all go to the HT/SI (King Fire) Channels; then bc SI is also a Taiyang, that heat will eventually go to the BL.
Ji Nei Jin + Hai Jin Sha
DRAIN DAMP
* Stone strangury and urinary lithiasis d/t D-H in BL
* Gallstones d/t D-H in GB
Found in San Jin Tang
Herbs with “Jin” in the name are often used for stones - which there are diff kinds - GB/KD/BL
Ji Nei Jin + Jin Qian Cao –> used for both GB/KD stone
Yu Jin –> GB stones
Hai Jin Sha –> KD/BL stones
Related acu points
Lin Syndrome - BL28 (back shu of BL); CV3 (front mu of BL); SP9 (dampness)
Stone Lin Syndrome: add BL39 (lower he-sea of SJ)
GB Stones: D-H in LV/GB so GB34 + GB24 (or Dan Nang Xue)
Clinically, you can do a 5 element tx by using the metal point of the BL/KD/orGB to tx a stone
Qu Mai + Bian Xu
DRAIN DAMP
* Turbid Lin d/t D-H
* Dysuria d/t Heat Lin
* Acute Nephritis, UTI d/t D-H
Found in Ba Zheng San (QM + BX are king herbs)
Yi Zhi Ren + Bi Xie
DRAIN DAMP
* Turbid Urine, Frequent Urination, Lin Syndrome d/t KD Xu
* Leukorrhea, Urethritis, Milky Urine (Gao-Lin) d/t KD milky urine fr KD Xu
Found in Bi Xie Fen Qing Yin
Huang Qi + Fang Ji
DRAIN DAMP
* Wind-Edema d/t Wei Qi Xu
* Bi Syndrome d/t W-D w/ Wei Qi Xu made by arthralgia, numbness of extremities
Fang Ji Huang Qi Tang
ASIDE: Huang Qi has many DY Pairings d/t its many fxns
Huang Qi + Fang Ji = Wind-Water (Wind-Edema)/ Yang Edema
Huang Qi + Ren Shen = Tonify SP Qi
Huang Qi + [Chai Hu + Sheng Ma] = Raise Yang Qi
Huang Qi + Shan Yao = Xiao Ke (Diabetes)
Huang Qi + Dang Gui = DGBXT
Huang Qi + Fang Feng = Yu Ping Feng San
Qiang Huo + Du Huo
DISPEL W-D & STOP PN
* Qiang Huo - Tai Yang H/A - more for upper body (like trapezius)
* Du Huo - Shao Yin H/A - more for lower body (like latissimus)
* Moving rheumatic pns all over the body
* Common Cold w/ fever, shivers, H/A, neck pn, joint pn d/t WCD
* Joint running wind d/t WCD penetrating the channels and network vessels
Found in Ren Shen Bai Du San - QH + DH are King Herbs
Bai Shao + Gan Cao
DISPEL W-D & STOP PN
* Sour (Bai Shao) and Sweet (Gan Cao) = generate fluids/ yin + stop pn
* Spasms, pn in the limbs d/t disharmony betw. Qi and Blood
* This DY pair w/ calm Shen herbs can be used for things like Bruxism
* Abdominal pn d/t LV & SP Disharmony
* H/A d/t Blood Xu
Found in Shao Yao Gan Cao Tang
Zi Wan + Kuan Dong Hua
STOP COUGH
* Cough and Phlegm d/t various etiologies primarily used for cold induced cough (warm, but not dry)
* Zi Wan is better for dissolving phlegm
* KDH is better for stopping cough
Found in She Gan Ma Huang Tang
Bai Qian + Bai Bu
STOP COUGH
* Chronic cough
* Common cold, influenza, bronchitis, pulmonary tuberculosis
Found in Zhi Sou San - Bai Bu = King Herb; Bai Qian = Deputy Herb
Wu Wei Zi + Xi Xin
STOP COUGH
* Cough and asthma d/t Wind or accumulation of Cold-Phlegm in LU
* Chronic cough and asthma d/t LU/KD Xu
Found in Xiao Qing Long Tang
Wu Wei Zi + Gan Jiang
STOP COUGH
* Cough and asthma accompanied by profuse, clear, white phlegm d/t Cold in LU
Found in Xiao Qing Long Tang
Chuan Bei Mu + Zhi Mu
STOP COUGH
* Dry cough with little phlegm and difficult expectoration d/t LU Yin Xu
* Cough d/t LU Heat which causes LU Dryness
Di Gu Pi + Sang Bai Pi
STOP COUGH
* Cough and asthma with yellow, sticky, thick phlegm, fever and thirst d/t LU Heat
* Cough accompanied by** evening fever with skin which is warm to the touch d/t LU Xu Heat**
Found in Xie Bai San
Related Acu Points:
-LU10 (Ying Spring Point of LU; all Ying Spring points clear heat from the organs)
Zi Wan + E Jiao
STOP COUGH
* LU Xu d/t chronic cough, blood sputum
Found in Zi Wan Tang
E Jiao - good for low RBCs; Hgb + Hct; the sticky nature of E Jiao encourages blood to coagulate which stops bleeding
Hemoptysis - BL17 + LU6
Jie Geng is CONTRA for hemoptysis
Ban Xia + Chen Pi
DISSOLVE PHLEGM
* Cough d/t Damp Phlegm accumulation
* Chest oppression, nausea, vomiting d/t ST disharmony and Damp-Phlegm accumulation
Found in Er Chen Tang and Ban Xia Bai Zhu Tian Ma Tang
Ban Xia is sl. toxic and should always be prepped w/ sheng jiang to harmonize it/ lower its toxicity; but also Ban Xia + Sheng Jiang = good for N/V
The Tx strategy for treating phlegm/ damp:
1) Transform Phlegm (Ban Xia) - Er Chen Tang - BX is King Herb/ Damp (Cang Zhu) - Ping Wei San - CZ is King Herb
2) Regulate Qi - Chen Pi - helps the transformation process
3) Strengthen SP - Fu Ling
Lai Fu Zi + Bai Jie ZI
DISSOLVE PHLEGM
* Cough with copious, clear bubbly sputum and pain, fullness in the chest d/t Cold Phlegm
* Chronic cough/phlegm in elderly and deficient patients
Found in San Zi Yang Qin Tang
Aside: Lai Fu Zi = Daikon seed. It antagonizes Ren Shen. Ren Shen TONIFIES Qi whereas LFZ BREAKS UP the Qi. So if you Rx Ren Shen - make sure pt. is not also on LFZ and advise against eating Daikon or Radish in their diet
Jie Geng + Gan Cao
DISSOLVE PHLEGM
* Pulmonary abscess with cough, profuse phlegm, chest oppression d/t Heat Stagnation
* Pain, redness, swelling of the throat d/t Heat (Xu/Shi; External/Internal)
* Loss of voice, hoarse/husky voice
Found in Gan Jie Tang
Jie Geng is a guiding herb –> to the throat
JG + GC + He Zi + Chen Pi are neutral and very good as modifications for throat issue
Just remember JG contras hemoptysis
Zhe Bei Mu + Xia Ku Cao
DISSOLVE PHLEGM
* Neck lumps/nodules such as in scrofula, lipoma, swollen glands, or goiter d/t Phlegm Fire
* Similar nodules in the inguinal canal and other parts of the body
Remember this DY Pair’s relationship with Xuan Shen + Mu Li - they can strengthen each other when it comes to dissolving nodules
Know the diff:
Chuan Bei Mu + Zhe Bei Mu both transform phlegm-heat and stop cough BUT
CBM: is for LU Dryness, LU Xu, chronic; like BL13 (tonifies)
ZBM: phlegm-heat; LU Shi, Acute; like LU1 (sedates)
Ban Xia + Sheng Jiang
DESCEND ST REBELLIOUS Qi
* N/V with no thirst, greasy tongue coat d/t Damp-Phlegm in Middle
* Enduring cough w/ white, watery, profuse phlegm
* Any type of nausea can be compared to PC6.
Found in Ban Xia Hou Po Tang + Er Chen Tang
*Know how to detox toxic herbs. Ban Xia MUST be used with Sheng Jiang. Sheng Jiang helps detox other herbs such as Tian Nan Xing
Fu Zi - boil for 30 min; taste the decoction; if your tongue goes numb = you need to boil it longer
Zhu Ru + Ban Xia
DESCEND ST REBELLIOUS QI
* Hiccup, nausea, vomiting d/t disharmony and counterflow of ST Qi
* Vertigo, agitation, insomnia d/t Phlegm Turbidity
* N/V during pregnancy d/t disharmony of ST, Phlegm-Heat or ST Heat
Found in Wen Dan Tang - more for INVISIBLE PHLEGM not to be confused with Qing QI Hua Tan Wan - more for VISIBLE PHLEGM HEAT
Zhu Ru + Chen Pi
DESCEND ST REBELLIOUS QI
* N/V, epigastric/ abd. distention d/t SP/ST Xu mixed with Cold and Heat
* N/V during pregnancy
Found in Ju Pi Zhu Ru Tang vs. Li Zhong Wan/ Ding Xiang Shi Di Wan
JPZRT = for HEAT pattern whereas LZW and DXSDW are cold patterns or to warm interior
Huo Xiang + Zi Su Ye
DESCEND ST REBELLIOUS QI
* Disharmony SP/ST, nausea, vomiting and diarrhea d/t WC Exterior and Damp Interior
* Nausea, diarrhea d/t Summer-Heat Disorder
Found in Huo Xiang Zheng Qi San - External WC + Internal Dampness; good for STOMACH FLU
don’t confuse with Ren SHen Bai Du San –> External WCD + Internal Qi Xu
Wu Zhu Yu + Huang Lian
DESCEND ST REBELLIOUS QI
* Acid Regurgitation, nausea, belching, clamoring stomach, and bitter taste d/t LV Fire attacking ST
* Diarrhea and dysentery d/t D-H
* This (Zuo Jin Wan) is a** Five Element Formula** - So if you want to sedate an element, you have to sedate the SON. So if you want to sedate LV Fire, you use the Huang Lian to sedate the son of LV, which is the HT. By doing this, you allow the METAL element to get stronger…which then can overcome the WOOD, which is on the ALWAYS ENERGETICALLY ON THE LEFT.
Found in Zuo Jin Wan “LEFT METAL PILL”
Xuan Fu Hua + Dai Zhe Shi
DESCEND ST REBELLIOUS QI
* The** “Parachute Formula” **- Xuan Fu Hua (one of the only flowers that goes DOWN), but it’s TOO LIGHT to do it on its own, so paired with Dai Zhe Shi, which is too heavy, when you attach them, they go down at a moderate speed TOGETHER
* N/V and Hiccup d/t turbid phlegm stag in diaphragm area
* Cough and wheezing with phlegm, nose bleed, hematemesis
* Hypertension
Xuan Fu Dai Zhe Tang
Gui Zhi + Bai Shao
HARMONIZING YING (BLOOD) & WEI (QI)
* Chills and fever, sl. sweating, H/A d/t W-C Xu type (Ying and Wei disharmony) - GZ & BS are opposites - Wind opens the Wei and Ying is leaking; so GZ removes Wind fr Wei/Ying Level and BS astringes at Ying Level…GZ + BS are “major league” and Sheng Jiang (helps GZ) + Da Zao (helps BS) are helpers “minor league”
* Spontaneous or night sweats w/ aversion to Wind (Blood & Qi Disharmony)
* Chest and cardiac pn d/t HT Yang Xu (Blood & Qi Disharmony)
* Abd. pn w/ spasms and cramps d/t Xu Cold (Blood & Qi Disharmony)
* Pn or** numbness of the limbs** (Blood and Qi Disharmony)
* N/V during pregnancy w/ aversion to cold, no appetite, weak pulse (SP/ST disharmony)
* Weakness in elderly, postpartum, post-surgery, aversion to wind, sweating (Ying and Wei Disharmony)
* MAIN THING IS THAT THIS IS REALLY GOOD FOR DISHARMONY
Found in GUI ZHI TANG
Sheng Jiang + Da Zao
HARMONIZING YING(BLOOD) & WEI (QI)
* Helps GZ + BS DY Pair
* Use 3 pcs of SJ + 2 pcs DZ
* SJ has an outgoing direction
* DZ has an ingoing/ heavy direction
* Sometimes SJ + DZ don’t even count in ingredient counts bc they are Envoy/ harmonizers – so in SQDBT, “Shi” means “Ten” but with SJ + DZ = 12
* Sweating, aversion to wind, fever d/t Ying & Wei disharmony
* Fatigue, lack of strength, abd. pn, no appetite d/t Ying and Wei disharmony
Found in Gui Zhi Tang + Shi Quan Da Bu Tang
Chai Hu + Bai Shao
HARMONIZING SHAOYANG
* LQS causing disharmony betw. Qi and Blood
* Vertigo, unclear vision, menstrual irregularities, dysmenorrhea, breast distention, PMS
* SP/ LV Disharmony
* When you Tx the LV you are Tx’ing 1) FUNCTION (soothe LV Qi/ support free flow of Qi) and 2) FORM (LV stores blood); Chai Hu supports the FXN; Bai Shao supports the FORM - Bai Shao SOFTENS the LV; If BS doesn’t have enough blood, it HARDENS
Found in Xiao Yao San & Si Ni San
Chai Hu in small dose = raises yang Qi; So CH + Sheng Ma = BZYQT
CH in medium dose = soothe LV Qi; So CH + Bai Shao = XYS
CH in large dose = clears heat; CH + Huang Qin = XCHT
Chai Hu + Huang Qin
HARMONIZING SHAO YANG
* Alternating fever and chills, bitter taste, dry throat, dizziness, nausea d/t Shao Yang Syndrome
* Malaria d/t Shao Yang Syndrome
* LQS transforming into Fire
* CH - works on the exterior; HQ works on the interior
* In XCHT; CH = King; HQ = Deputy
* CH = SJ5; HQ = GB41 –> which opens the Dai Mai
Found in Xiao Chai Hu Tang
Ban Xia + Huang Qin
HARMONIZING SHAOYANG
* N/V d/t Shaoyang Syndrome (XCHT) –> uses Chai Hu + Sheng Jiang
* Phlegm Heat
* Pi Syndrome (BXXXT): Nausea, no appetite, sensation of fullness in ST d/t mixed Heat/Cold –> uses Huang Lian + Gan Jiang
Found in Xiao Chai Hu Tang + Ban Xia Xie Xin Tang
Pi Syndrome - distention w/ NO PAIN - SUBJECTIVE feeling of heaviness; distention
Man SYndrome - distention WITH pain - OBJECTIVE distention (you can see it)
Cao Guo + Chang Shan
HARMONIZING SHAOYANG
* Exterior/ Interior Disharmony - Alternating chills and fever
* Malarial disorder, Cold-Damp, no appetite, fatigue, parasites
* Compare to PC5 - empirical point for malaria; also a Jing River and Group Luo
Found in Jiu Nue Qi Bao Yin
Cao Guo is a good digestif along with:
-Shan Zha for Meat or greasy food
-Mai Ya or Gu Ya for Carbs/ noodles/ rice
-Shen Qu for Alcohol or minerals
-Lai Fu Zi for phlegm congestion
-Cao Guo for salads, cold fruits and veggies
Zhi Ke + Jie Geng
MOVE QI + STOP PAIN
* Chest oppression and distention or chest Bi d/t accumulation of Phlegm and Qi Stag
* Epigastric distention and difficult defecation d/t disturbance of ascending and descending
* JG goes up; ZK goes down
Found in Ren Shen Bai Du San and Xue Fu Zhu Yu Tang
Gua Lou + Xie Bai
MOVE QI + STOP PAIN
* Chest Bi, cardiac disease d/t turbid Phlegm blocking the Qi and Yang of the Chest
* Constipation d/t fluid dryness of the LI or Qi Stag
Found in Gua Lou Xie Bai Bai Jiu Tang
Xiang Fu + Wu Yao
MOVE QI + STOP PAIN
* Abdominal distention and pain d/t Cold restraint and Qi Stagnation
* Acute/ chronic hepatitis
* Acute/ chronic dysentery, tenesmus
Found in Wu Yao San/ Ge Xia Zhu Yu Tang
Mu Xiang + Bing Lang
MOVE QI + STOP PAIN
* No appetite, abd. distention/ pain, difficult defecation d/t food retention in ST & Intestine
* Dysentery or diarrhea with tenesmus and abd. pn d/t Qi Stag
* Constipation/ difficult defecation d/t Qi Stag
* BL is mostly used for parasites, but it’s also a very good digestif and good for Qi Stag
* MX is one of three herbs that prevent stag from tonics (along with Chen Pi & Sha Ren)
Found in Mu Xiang Bing Lang Wan
Chuan Lian Zi + Yan Hu Suo
MOVE QI + STOP PAIN
* Pain in HT, epigastrium, abdomen, and lateral costal regions d/t LQS or Blood stasis
* Dysmenorrhea and menstrual irregularities d/t Qi stag and/or Blood stasis
* Inguinal hernia or diseases of the scrotum/ testicles d/t Qi stagnating in the LV Channel
* Hepatitis, cholecystitis, angiocholitis d/t D-H in LV/GB
Found in Jin Ling Zi San
If you add JLZS + Shi Xiao San = really good for dysmenorrhea
Other Herbs for Pn
-Yan Hu Suo
-Ru Xiang + Mo Yao –> DY for traumatic pn; Qi & Blood Stag
-Cao Wu + Chuan Wu –> Cold accumulation pn
Tao Ren + Hong Hua
REGULATE BLOOD: ACTIVATE BLOOD
* Cardiac and chest pn d/t HT Blood Stasis
* Amenorrhea, dysmenorrhea, menstrual irregularities, dark blood clots d/t Blood stasis
* Fixed, stabbing, severe pn aggravated by pressure d/t blood stasis
Found in Tao Hong Si Wu Tang; Xue Fu Zhu Yu Tang, Ge Xia Zhu Yu Tang, and Shen Tong Zhu Yu Tang
Dose for Hong Hua - VERY small - .9-1.5g - you ONLY need a little bit to activate blood in a Rx; you can add it to Shi Quan Da Bu Tang to really tonify Blood, Qi, and Yang.
Ru Xiang + Mo Yao
REGULATE BLOOD: ACTIVATE BLOOD
* Pain d/t Qi and Blood stagnation in the viscera and bowels or channels and network vessels
* Amenorrhea, dysmenorrhea, postpartum abd. pain d/t Blood stasis
* Bi syndrome d/t Wind-damp causing Qi and blood stag in the network vessels
* Wounds, scars, skin inflammations w/ blood stasis and necrotic tissue
* Traumatic injuries w/ pain, swelling, redness d/t QI stag and Blood stasis
Found in Xiao Huo Luo Dan
Ru Xiang - moves Qi (+Blood)
Mo Yao - moves Blood
Both are resins - Like treats Like - resins of the tree help with flesh regeneration
San Leng + E Zhu
REGULATE BLOOD: ACTIVATE BLOOD
* Abdominal mass, lump glomus, hepatomegaly, splenomegaly d/t Qi/Blood Stag
* Amenorrhea, dysmenorrhea, clots in the menstrual flow, and infertility, d/t blood stasis
* Abd. pn d/t food accumulation
Found in E Leng Tong Jing Tang
Abd. diagnosis - if you feel abd. masses, this DY pair is good for that. You can add San Leng + E Zhu to Gui Zhi Fu Ling Wan for UT. Fibroids, that could help with the masses.
Chuan Xiong + Dang Gui
REGULATE BLOOD: ACTIVATE BLOOD
* Menstrual irregularities, dysmenorrhea, postpartum abd. pain d/t Blood stasis
* Rheumatic pain d/t Wind-Damp and Blood deficiency
* Various types of Headaches d/t Blood deficiency or Blood stasis
* Wounds, ulcers, cutaneous inflammations d/t Qi/Blood xu with Qi/ Blood stag - good for post-surgery (@ surgical site)
* This combo activates blood without damaging blood (CX activates blood only, but DG is tonifying)
Found in Si Wu Tang
Pu Huang + Wu Ling Zhi
REGULATE BLOOD: ACTIVATE BLOOD
* Epigastric, cardiac, abd. and lateral costal pn d/t Qi and blood stag
* Menstrual irregularities, dysmeorrhea, postpartum pn d/t retention of lochia or Blood stasis
Found in Shi Xiao San
You can combine Chuan Lian Zi + Yan Hu Suo + Shi Xiao San to address pn in the LV channel
Di Yu + Huai Hua
REGULATE BLOOD: STOP BLEEDING
* Bleeding d/t heat; Hot bleeding
* Hemorrhoids
Found in Huai Yu Jian
Hint: Huai Hua (double H - used for HEMORRHOIDS & HYPERTENSION)
Ren Shen + Huang Qi
QI TONIC
* Chronic illness leading to Qi Xu
* Rectal and uterine prolapse and gastric ptosis d/t SP Qi Sinking
* Lack of appetite, loose stool, fatigue, and spontaneous sweating d/t Qi Xu
* Low-grade fever d/t Qi Xu sly pale tongue, weak pulse, after overwork, intermittent, worse in the morning
Found in Bu Zhong Yi Qi Tang
Ren Shen - is SHAPED like a human; it is the ONLY herb that tonifies Yuan Qi (never add Wu Ling Zhi to Ren Shen; you would never put poop on yourself)
If you use Dang Shen instead of Ren Shen, you have to use 2-3x more, but Dang Shen can NOT tonify Yuan Qi
XI Yang Shen - tonifies Yin more than Qi and it is cooler; so better for someone who has a HEAT nature
Ren Shen + Fu Zi
QI TONIC
* Chronic disease, loss of blood, HT disease w/ cold limbs, cold spontaneous sweating
* Collapse of Qi, minute pulse
Found in San Bu Tang/ Si Ni Jia Ren Shen Tang - for hypothyroidism d/t Devastated Yang; also good for syncope d/t devastated Yang
Acute Blood Loss
Bai Zhu + Fu Ling
QI TONIC
* Edema, accumulation of Damp caused by SP Xu
* Fatigue, weakness in limbs, loose stools caused by SP Xu with damp accumulation
* Vertigo, blurred vision, heart palps d/t Damp-Phlegm
* Chronic cough d/t Damp-Phlegm and SP Xu
Found in Si Jun Zi Tang/ Ling Gui Zhu Gan Tang
Chai Hu + Sheng Ma
QI TONIC
* Uterine prolapse, rectal prolapse, gastric ptosis d/t SP Qi Sinking
* Metrorrhagia and abnormal vaginal discharge d/t SP Qi Sinking
* Chronic diarrhea or chronic dysentery d/t SP Qi Sinking
* SOB and dyspnea with feeling of oppression and falling of the LU d/t Qi Sinking
Found in Bu Zhong Yi Qi Tang
CH 3g + SM 3g + Huang Qi 15g - work together to RAISE YANG QI
Huang Qi + Shan Yao
QI TONIC
* Xiao Ke - Diabetes
* Chronic gastritis; ST/SP Qi Xu
Diabetes - Deficiency pattern
Found in Yu Ye Tang - which tonifies QI/Yin, Astringes KD, stops thirst/ enriches yin and moistens dryness
Diabetes Sx and related Rx
Polydipsia - upper jiao - use Bai Hu Jia Ren Shen Tang
Polyphagia - Middle Jiao - use Yu Nu Jian
Polyuria - Lower Jiao - Yu Ye Tang
Shu Di Huang + Dang Gui
BLOOD TONIC
* Chronic cough/asthma d/t KD Yin Xu w/ Blood Xu
* Blood Xu
* Constipation d/t Blood Xu
* Tonifies [LIVER] blood without leading to stagnation of blood
Found in Si Wu Tang
DG - tonifies AND activates blood
CX - activates blood ONLY
Shu Di Huang - tonifies blood
Bai Shao - tonifies blood
DG changes w/ each herb
DG + CX –> move blood w/o damaging blood
DG + SDH –> tonifies blood w/o stagnating blood
DG + BS –> tonifies blood and regulates menses
Shu Di Huang + Sha Ren
BLOOD TONIC
* Blood/Yin/Jing Xu assoc w/ SP/ST Weakness
Shu di should be steamed over rice wine/dried 9x and be completely black; you can add Sha Ren to the rice wine to lessen the greasiness of the SDH; Sha Ren also helps to prevent stagnation from Ren Shen
Sha Ren, Chen Pi, Mu XIang –> helps to prevent stagnation from Tonics
Dang Gui + Huang Qi
BLOOD TONIC
* Delayed menstruation, postpartum weakness, agalactia d/t Qi and Blood Xu
* Low grade fever d/t Blood Xu
* Sores and welling abscesses which do not heal d/t Qi and Blood Xu
* Numbness of the limbs d/t Blood Xu not nourishing the sinews
* Various hemorrhages d/t Qi not containing the Blood within the vessels
Found in Dang Gui Bu Xue Tang
1:5 ratio; so 6g of DG to 30g of HQ
Gou Qi Zi + Ju Hua
BLOOD TONIC
* Eye disorders: blurred vision, diminished visual acuity, photophobia, dry eyes w/ possible H/A
* Pain in the low back and knees d/t LV/KD Xu
Found in Qi Ju Di Huang Wan
Gou Qi Zi = GB37 (Huang Ming; if “ming” is in the name, it affects eyes)
Ju Hua = GB20 - clears heat fr eyes
Fu Zi + Gan Jiang
TONIFY YANG
* Loss of consciousness, cold perspiration, cold limbs, and minute pulse d/t Yang Collapse
* Pain and feeling of cold in the ST and abdomen, vomiting/ diarrhea d/t SP Xu Cold
Found in Si Ni Tang
Xian Mao + Yin Yang Huo
TONIFY YANG
* Menopausal syndrome d/t KD Yin/Yang Xu
* HTN accompanied by cold limbs, aversion to cold, weakness of back and knee
Found in Er Xian Tang
Du Zhong + Xu Duan
TONIFY YANG
* Aches/pains, stiffness, lumbar pain, weakness of lower limbs d/t LV/KD (sinew/bone) Xu
* Knee and lumbar pn d/t Wind-Damp or trauma
* Metrorrhagia during pregnancy, threatened miscarriage and lumbago d/t KD Xu
Tian Men Dong + Mai Men Dong
TONIFY YIN
* Dry mouth, thirst, dry cough with little phlegm, fever, vexation d/t Yin Xu
* Cough with hemoptysis d/t heat damaging the network vessels of the LU
* Upper Xiao Ke with excessive drinking, thirst, dry throat d/t LU Heat damaging the Fluids
* Whooping cough damaging LU Yin
Found in Tian Wang Bu Xin Dan
Gui Ban + Bie Jia
TONIFY YIN
* Tidal Fever, steaming bones, night sweats d/t Xu Heat caused by Yin Xu
* Weakness of limbs, trembling d/t warm disease damaging fluids and** stirring LV Wind**
* HTN, H/A, vertigo, head distention, tinnitus d/t LYR
* Abd. congestion, such as hepatomegaly and splenomegaly/ organomegaly
Found in Da Ding Feng Zhu
Mai Men Dong + Xuan Shen
TONIFY YIN
* Xiao Ke (diabetes) accompanied by dry mouth and throat, red tongue, scanty tongue coat
Found in Tian Wang Bu Xin Dan
Huang Qi + Fang Feng
ASTRINGENT - STOP SWEATING
* Spontaneous sweating d/t** Wei Qi Xu**
* Tendency to catch cold frequently d/t** Wei Qi Xu**
Found in Yu Ping Feng San
Huang Qi + Mu Li
ASTRINGENT - STOP SWEATING
* Spontaneous sweating d/t Qi/ Yang Xu
* Night sweating d/t Yin Xu
* Spontaneous and night sweating d/t Qi and Yin Xu
Found in Mu Li San
Huang Qi + Fu Zi
ASTRINGENT - STOP SWEATING
* Cold spontaneous sweating accompanied by aversion to cold, cold limbs d/t Yang Xu
Found in San Fu Tang
Fu Xiao Mai + Huang Qi
ASTRINGENT - STOP SWEATING
* Spontaneous sweating d/t exterior Xu
Found in Mu Li San
Wu Mei + Wu Wei Zi
ASTRINGENT - STOP SWEATING
* Sweating: spontaneous sweating, night sweats
* Xiao Ke
Found in Jiu Xian San
Lian Zi + Qian Shi
ASTRINGENT - STOP DIARRHEA/ SPERMATORRHEA
* Chronic diarrhea d/t SP Xu
* Leukorrhea d/t SP Xu Damp
* Spermatorrhea, nocturnal emission d/t KD Xu
* Frequent urination, urinary incontinence d/t KD Xu
Found in Jin Suo Gu Jing Wan
Rou Dou Kou + Bu Gu Zhi
ASTRINGENT - STOP DIARRHEA/ SPERMATORRHEA
* Chronic diarrhea d/t SP/ Kd Yang Xu
* Daybreak diarrhea w/ abd. pn and rumbling noises d/t SP/ KD Yang Xu
Found in Si Shen Wan
He Zi + Chen Pi
ASTRINGENT - STOP DIARRHEA/ SPERMATORRHEA
* Hoarse voice, loss of voice, chronic cough with loss of voice and Phlegm in the throat
Long Gu + Mu Li
ANCHOR SHEN
* Vexation, agitation, palps, insomnia, dizziness, tinnitus d/t LYR disturbing Shen
* HTN d/t Yin Xu causing LYR
* Continuous diarrhea or dysentery
* Urinary incontinence, spermatorrhea, vaginal discharge, sweating d/t deficiency
* Pain and distention in the lateral costal region
Found in Chai Hu Jia Long Gu Mu Li Tang
Bai Zi Ren + Suan Zao Ren
ANCHOR SHEN
* Palpitations, profuse dreams, insomnia d/t HT Qi/Blood Xu
* Constipation w/ dry stool d/t Blood Xu or intestinal Fluid insufficiency
Found in Tian Wang Bu Xin Dan/ Yang Xin Tang
Suan Zao Ren + Zhi Zi
ANCHOR SHEN
* Insomnia, excessive dreams d/t HT Fire
* Nervous prostration, enervation
Bai He + Zhi Mu
ANCHOR SHEN
* Vexation, agitation, insomnia, vertigo, thirst d/t Yin Xu w/ Heat
* Dry mouth, irritability, agitation after warm-febrile disease
* “Lily syndrome”
Found in Bai He Zhi Mu Tang
Lily disease was first recorded in Synopsis of the Golden Chamber by Zhang Zhongjing. It is a disease of heart and lung internal heat by Yin deficiency, which belongs to the category of emotion disease in Chinese medicine
Huang Lian + E Jiao
ANCHOR SHEN
* Vexation, agitation, insomnia d/t febrile disease, deficient fire, HT/ KD Miscommunication
* Dysentery which damages Yin w/ pus and blood in the stools d/t LI D-H
Found in Huang Lian E Jiao Tang
Shi Chang Pu + Yuan Zhi
OPEN THE HT ORIFICE
* Mental Confusion, decrease of intellectual acuity, insomnia d/t Phlegm misting HT Orifice
Found in An Shen Ding Zhi Wan
Shi Jue Ming + Ci Shi
EXTINGUISH LV WIND
* Tinnitus, deafness, dizziness, headache and HTN d/t LYR
Di Long + Bai Jiang Chan
EXTINGUISH LV WIND
* Chronic H/A d/t Wind-Phlegm obstructing the channels
* Convulsions and seizures w/ strong fever
* Bell’s palsy, trigeminal neuralgia, hemiplagia d/t lack of flow in channels
Xiang Fu + Yi Mu Cao
GYNECOLOGY
* Irregular menstruation, PMS, postpartum abd. pn d/t LQS and Blood Stasis
Ai Ye + Xiang Fu
GYNECOLOGY
* Irregular menstruation, leukorrhea d/t Deficient Cold in Lower Burner and LQS
* Infertility d/t Deficient Cold in Uterus
Ai Fu Nuan Gong Wan
Huang Qin + Bai Zhu
GYNECOLOGY
* Uterine Bleeding, threatened miscarriage, nausea during pregnancy caused by Heat or Damp Heat
Dang Gui Tang
