external application

Question 1

Bai Fan/Ming Fan (Alumen)

Answer 1

alum

sour, astringent, cold, toxic
li, lv, LU, SP

*dries damp resolves phlegm, alleviates itch, stops bleeding. dermatology

1. resolves toxicity, dries dampness, kills parasites alleviates itch : for damp and DH scabies, tinea, rashes, external wash
2. restrains and inhibits sores, generates flesh, transforms putrefaction:for toxins and external pathogenic factors collecting in skin, channels, collaterals, muscles
3. stops bleeding, alleviates diarrhea for chronic diarrhea, bleeding, discharge. also by itself for topical bleeding for variety of reasons
4. clears heat, expels phlegm: for wind phlegm delirium, convulsions, and throat phlegm

1-3g, really never in decoction (.6-.15)
c/c: sp xu, lack of DH. always caution if taking internally
side effects: can lead to hypokalemia (low Potassium) in high doses, vomiting, HA, dizzy, nausea, diarrhea, GI bleeding

Question 2

Liu Huang (sulfur)

Answer 2

sour, hot, toxic
KD, li, pc

external: parasites, itch
internal: kd yang xu

1. resolves toxicity, kills parasites, stops itching scabies, tinea, damp sores, ulcers, yin flat abscesses

*2. tonifies fire at gate of vitality strengthens yang fire reduces cold for KD yang xu and Cold constipation/diarrhea

c/i: pregnancy, yin xu w heat
do not use long term. do not use for heat diisorders
toxic orally in doses of 10-20g. side effects: dizzy, HA, n/v, abd pain, diarrhea, LBP, bloody stools, shock coma

Question 3

She Chaung Zi (Cnidii Fructus)

Answer 3

snake’s bed seeds, cnidium seeds

acrid, bitter, warm, sl toxic
kd

topically: damp itch, esp genital (esp scabies, tinea)
internal warms Kd yang for fertility/cold womb

1. dries damp, kills parasites, stops itch: topical for weeping itcchy skin, esp genitals. scabies, tinea

*2. disperses COLD, dispels WIND, drains DAMP: for vag discharge due to Kd cold damp and cold Ren/Du Mai

3. warms kd and fortifies yang: for infertility, cold womb, kd yang xu

3-9g , 15-30g externally
c/c: do not take with insecure kd fire/jing
antag mu dan pi, ba dou, bei mu

Question 4

Lu Feng Fang (vespae nidus)

Answer 4

wasp nest

sweet, neutral, toxic
lu, st

external only: swollen toxic sores, scabies, tinea; gargle for tooth pain

1. resolves toxicity, expels wind, alleviates pain: topical for skin rash, itch, sores, carbuncles, gargle for tooth pain (“feeling as if worm if burrowing into tooth”)
2. expels wind, dries damp, stops pain and itch: for WD bi/wind rash
3. recently used for tumors

3-9g decoct. gargle=never swallow.
c/c: qi and xue xu without external xie
sores that have already burst, patients with impaired renal fx
antag: gan jiang, dan shen, shao yao, mu li
volatile oils can lead to kd failure. oils denatured during decoction