Formulas 1 Flashcards
Ma Huang Tang main actions
Induces diaphoresis and releases the exterior
Ventilated the lung and relieves dyspnea
Ma Huang Tang main indications
Exterior excess WC
T thin white coat
P superficial tight
Simultaneous chills and fever
Headache, neck stiffness
NO SWEAT
DYSPNEA
Ma Huang Tang category
Acrid warm exterior-releasing formulas
Ma Huang Tang patterns
Taiyang cold syndrome
Exterior WC cold predominant
Cang Er Zi San category
Acrid warm exterior-releasing formulas
Formulas that Release the Exterior with Head and Neck Symptoms
Cang Er Zi San main actions
Dispels wind
Opens nasal orifices
Alleviates pain
Gui Zhi Tang ingredients
Gui Zhi
Bai Shao
Zhi Gan Cao
Sheng Jiang
Da Zao (opened)
Gui Zhi Tang actions
Releases the exterior and MUSCLE LAYER
Regulates and harmonizes Ying + Wei qi
Gui Zhi Tang preparation
Crush ingredients
Cook w 7 cups water (low 🔥) until 3 cups remain
Take 1 strained cup of decoction warm
Consume 1 cup hot porridge
Gui Zhi Tang administration
Have patient sweat lightly all over the body
DON’T induce profuse sweat
STOP formula after slight sweat
If no sweat: Repeat dose 1 or 2x, progressively reducing interval between doses within half a day
Gui Zhi Tang administration if patient’s condition is severe
Morning and night dose
Progressively add another 2-3 if no sweat occurs after taking for 2 hours
Gui Zhi Tang ingredients amounts
Gui Zhi 9g CHIEF
Bai Shao 9g DEPUTY
Zhi Gan Cao 6g
Sheng Jiang 9g
Da Zao 12 pieces
Gui Zhi Tang pattern
Exterior WC deficiency
Wind attack
Ying and Wei disharmony
Gui Zhi Tang decoction amounts
Cook coarsely crushed ingredients with 1400 mL water over low 🔥
Until 600 mL remain
Take 200 mL warm strained decoction
Take 200 mL hot porridge
Gui Zhi Tang indications
Exterior WC deficiency symptoms:
Thin white tongue coat
Superficial/moderate or superficial/weak pulse
Headache
Fever
Perspiration
Aversion to wind
Nasal congestion
Dry heaves
Absence of thirst
Ying/Wei disharmony symptoms:
Fever
Spontaneous sweat
Aversion to wind
Constitutionally weak, chronic, debilitated, postpartum patients
Gui Zhi Tang signs and symptoms
Fever and aversion to wind: exterior WC + Wei qi xu
Perspiration: ying/Wei disharmony
Thin white TC: exterior WC
Superficial weak pulse: exterior condition with underlying deficiency
Gui Zhi Tang herb actions
Gui Zhi: release exterior WC from exterior and muscle layer
Bai Shao: consolidates interior (yin and jinye)
Zhi Gan Cao: relieves aches/pains, benefits yin, harmonizes herbs
Sheng Jiang: benefit MJ, tonify qi, release exterior
Da Zao: benefit MJ, tonify qi, helps Bai Shao nourish/harmonize ying + blood
Gui Zhi Tang Contraindications
Contra:
Taiyang syndrome (excess cold)
WH syndrome
Exterior Cold Interior Heat
No sweat + irritability
Exterior excess w/o sweat
Beginning febrile w fever, sore throat, thirst
Patients who frequently drink alcohol
Gui Zhi Tang + diet
Avoid these foods:
Raw
Cold
Greasy
Sticky
Fatty
Spicy
Spoiled
Rotten
Alcohol
Meat
Cheese
Garlic
Leeks
Scallions
Onions
Fermented/preserved
Gui Zhi Tang present-day preparation
Decoct < 20 min
Take while hot
Gui Zhi Tang most important symptoms
- Sweat
- Aversion to wind
Fever when exposed to cold - Body aches
Pain
Up flushing qi (yang excess)
Gui Zhi Tang patients and thirst/constipation
Thirst for warm drinks
Constipation with NO internal dryness /GI obstruction
Gui Zhi Tang yin/yang theory
Yang can’t interpenetrate yin –> exits / ascends / accumulates pathologically
Yang excess in the exterior (Taiyang) + cold stag at nutritive qi level/HT yang level
Gui Zhi Tang cautions
Summer or hot weather
In case if overdose prescribe Bai Hu Jia Ren Shen Tang
Three sweets
Zhi/Gan Cao
Sheng Jiang
Da Zao
Ebomi Cici walked on the beach when the wind was coming in and was sweating. Her neck hurt. She was hot to the touch but felt cold. Her pulse was floating and tongue had thin white coat. What’s the formula?
Gui Zhi Tang
Gui Zhi
Bai Shao
3 sweets
Cammie was in Aquidneck Island in January for school. Their pulse was tight and floating, they felt freezing, had a headache, dyspnea and no sweat. Formula?
Ma Huang Tang
Ícaro was in Aquidneck Island and went rowing while it was windy. His nose was stuffy, his head and neck hurt, he felt cold but was hot to the touch. Formula?
Cang Er Zi San
Formulas that release early stage wind
Cong Chi Tang (Scallion and Prepared Soybean Decoction)
Formulas that release WC
Ma Huang Tang
Da Qing Long Tang
Gui Zhi Tang
Xiao Qing Long Tang
Jiu Wei Qiang Huo Tang
Xiang Su San
Formulas that release exterior WH
Sang Ju Yin
Yin Qiao San
Chai Ge Jie Ji Tang
Sheng Ma Ge Gen Tang
Formulas that release the exterior with head/neck symptoms
Chuan Xiong Cha Tiao San
Cang Er Zi San
Ge Gen Tang
Formulas that release the exterior w concurrent deficiency patterns
Ren Shen Bai Du San
Ma Huang Xi Xin Fu Zi Tang
Jia Jian Wei Rui Tang
Jing Fang Bai Du San
Cong Bai Qi Wei Yin
Cang Er Zi San indications
Nasal obstruction caused by wind:
Stuffy nose
Thick yellow nasal discharge (foul-smelling sometimes)
Frontal and temporal headaches
Acute/chronic sinusitis
Acute/chronic allergic rhinitis
Dizziness
Normal or thin/white greasy/white tongue coat
Cang Er Zi San patterns
Nasal obstruction due to wind / deep-source nasal congestion
Wind-cold attacking the exterior
Cong Chi Tang category
Formulas that release early-stage exterior disorders
Acrid cold exterior-releasing formulas
Cong Chi Tang main actions
Treats early onset of a mild exterior syndrome through diaphoresis
Unblocks the yang wei qi in the exterior and induces sweating
Da Qing Long Tang category
Formulas that release exterior wind-cold
Da Qing Long Tang main actions
Promotes sweating
Releases the exterior
Clears interior heat
Ge Gen Tang main actions
Releases the exterior and muscle layer
Generates fluids
Ge Gen Tang main indications
Fever + chills, chills predominant
No sweat
Cough
Wheezing
Copious white stringy sputum - difficult to expectorate
Stifling chest sensation
Generalized heavy sensation + body aches
Severe muscle stiffness: neck, back, shoulder pain
Aversion to wind
Diarrhea
No particular thirst
Moist tongue coat
Floating thin pulse
Ge Gen Tang patterns
Taiyang syndrome with wind-cold invasion
Chuan Xiong Cha Tiao San main actions
Disperses wind
Alleviates pain
Chuan Xiong Cha Tiao San patterns
Externally contracted wind-cold
Chuan Xiong Cha Tiao San indications
Headache (anywhere in the head)
May be accompanied with fever/chills
Dizziness
Nasal discharge
Thin white tongue coat
Floating pulse
Chuan Xiong Cha Tiao San category
Formulas that release exterior wind-cold
Formulas that Release the Exterior with Head and Neck Symptoms
Xiao Qing Long Tang main actions
Releases the exterior
Transforms thin mucus
Warms the Lungs
Directs rebellious qi downward to relieve cough/wheeze
Xiao Qing Long Tang indications
Fever and chills (chills predominant) without sweat
Cough, wheezing
Copious, white, stringy, difficult to expectorate sputum OR profuse clear watery sputum
Chest stifling
Generalized heaviness and body aches
No particular thirst
Edema face/limbs
Moist tongue coat OR white slippery tongue coat
Floating, tight pulse
In severe cases, there may be floating edema and difficulty breathing while
laying down
Xiao Qing Long Tang category
Formulas that release exterior wind-cold
Xiao Qing Long Tang patterns
Wind-cold at the exterior with water accumulation in the interior
Jiu Wei Qiang Huo Tang category
Formulas that release exterior wind-cold
Jiu Wei Qiang Huo Tang main actions
Dispels damp
Induces sweating
Drains interior heat
Xiang Su San main actions
Releases the exterior
Regulates qi
Xiang Su San indications
Chills and fever
Headache
No sweat
Full, distended chest + epigastrium
No appetite
Thin white tongue coat
Superficial pulse
Xiang Su San category
Formulas that release exterior wind-cold AKA
Acrid, warm, exterior-releasing formulas
Xiang Su San pattern
Wind-cold (exterior) with qi stag (interior)
Sheng Ma Ge Gen Tang main actions
Releases the muscle layer
Vents rashes
Sheng Ma Ge Gen Tang indications
Early-stage measles or rashes that do not surface evenly
Fever and chills
Headache
Generalized body aches
Sneezing, coughing
Red eyes, tearing
Thirst
Red and dry tongue
Floating, rapid pulse
Sheng Ma Ge Gen Tang category
Acrid, cold, exterior-releasing formulas AKA
Formulas that release exterior wind-heat
Sheng Ma Ge Gen Tang patterns
Exterior wind-heat
Underlying yin deficiency
Ma Huang Xi Xin Fu Zi Tang category
Formulas that release exterior disorders with interior deficiency AKA
Supporting the upright and releasing the exterior formulas
Ma Huang Xi Xin Fu Zi Tang main actions
Assists the Yang
Releases the exterior
Jia Jian Wei Rui Tang main actions
Nourishes yin
Clears heat
Releases the exterior
Jia Jian Wei Rui Tang indications
Headache
Fever
Slight aversion to wind + cold
Slight sweat or none
Cough
Thick, difficult-to-expectorate sputum
Irritability
Thirst
Dry throat
Red / dark-red tongue body
Rapid pulse
Jia Jian Wei Rui Tang category
Supporting [the upright] and releasing [the exterior] formulas AKA
Formulas that release exterior disorders with interior deficiency
Jia Jian Wei Rui Tang patterns
chronic underlying yin deficiency
exterior wind-heat
Ge Gen Tang category
Formulas that Release the Exterior with Head and Neck Symptoms
Formulas that release wind-cold
Gui Zhi Tang category
Formulas that release wind-cold
Formulas that release exterior-interior excess
Da Chai Hu Tang
Fang Feng Tong Sheng San
Ge Gen Huang Lian Huang Qin Tang
Sang Ju Yin / Mulberry Leaf and Chrysanthemum Decoction category
Acrid cold exterior-releasing formulas
Sang Ju Yin actions
Dispels wind and clears heat
Ventilates the Lung and arrests coughing
Facilitates flow of Lung qi
Sang Ju Yin dosage / prep / administration
Cook ingredients w/ 2 cups water until liquid reduces to 1 cup
Take decoction 2x/day
*No more than 20 min, some cook only 10min
Sang Ju Yin indications
Early stage wind-heat:
Cough
Mild fever
Slight thirst
Thin white tongue coat
Floating rapid pulse
Sang Ju Yin clinical applications
Common cold
Influenza
Acute bronchitis
Acute tonsilitis
Coughing and other upper respiratory infections
Sang Ju Yin ingredients
Sang Ye (7.5g)
Ju Hua (3g)
Bo He (2.4g)
Lian Qiao (4.5g)
Jie Geng (6g)
Ku Xing Ren (6g)
Lu Gen (6g)
Gan Cao (2.4g)
Sang Ju Yin herb roles and actions
CHIEFS gently disperse early-stage wind-heat
Sang Ye: dispel exterior WH and clear interior LU heat, stops cough
Ju Hua: disperses UJ WH
DEPUTIES
Bo He: assists chief herbs in releasing wind-heat from the UJ
Lian Qiao: clears heat, eliminates toxins in UJ
Jie Geng: facilitate flow of LU qi to stop cough (ascending)
Xing Ren: regulate LU qi to stop cough (descending
ASSISTANT
Lu Gen: clears heat, generates fluids (reducing thirst)
ENVOY
Gan Cao: clears heat, harmonizes herbs
Sang Ju Yin C/c
Wind-cold conditions
Severe cough caused by LU heat
Yin Qiao San / Honeysuckle Forsythia Powder category
Formulas that release exterior WH
Yin Qiao San actions
Disperses WH
Clears heat
Resolves toxicity
Yin Qiao San dosage / prep / administration
Grind into powder
Take 18g powder with decoction of fresh Lu Gen
–> Cook Lu Gen in water until aroma fills the air do not overcook
* Or decoct entire formula using dosages in brackets
Serious condition: take decoction 3x/day 2hrs apart, 1x/night
Mild condition: take decotion 2x/day 3hrs apart, 1x/night
Continue until condition resolves
Skim top of Ma Huang
Yin Qiao San indications
(Slight) fever
Aversion to cold
Slight aversion to wind
Slight or no sweat
Headache
(Slight) thirst
Sore throat
Cough
Red tongue tip with thin/white or thin/yellow coat
Superficial rapid pulse
Yin Qiao San clinical applications
Common cold
Flu
High fever
Pneumonia
Acute upper respiratory infection
Pharyngo-conjunctival fever
Tonsillitis
Parotitis
Canker sores
Viral myocarditis
Epidemic encephalitis B
Drug-induced dermatitis
Yin Qiao San pattern
Onset of wen-bing (warm disease)
Yin Qiao San herbs + dosages
Jin Yin Hua 30g [15g]
Lian Qiao 30g [15g]
Jing Jie Sui 12g [4g]
Dan Dou Chi 15g [5g]
Jie Geng 18g [6g]
Niu Bang Zi 18g [6g]
Bo He 18g [6g]
Zhu Ye 12g [4g]
Gan Cao 15g [5g]
Chai Ge Jie Ji Tang category
Acrid cold exterior-releasing formulas AKA
Formulas that release exterior wind-heat
Chai Ge Jie Ji Tang actions
Releases pathogenic influences from the muscle layer
Clears interior heat
Chai Ge Jie Ji Tang preparation
Decoct <20 min
Chai Ge Jie Ji Tang indications
Exterior wind-cold presentation
Increasing fever + decreasing chills
Headache
Stiff extremities
Orbital + eye pain
Dry nasal passages
Irritability
Insomnia
Thin yellow tongue coat
Floating, slightly flooded pulse
Chai Ge Jie Ji Tang pattern
Unresolved exterior wind-cold that has become constrained, transforming into heat AKA
Simultaneous Taiyang + Yangming disorder
Yin Qiao San C/c
Damp-heat
Chai Ge Jie Ji Tang C/c
Simple exterior wind-heat disorders
Chai Ge Jie Ji Tang herbs
Chai Hu (3-9g)
Ge Gen (6-12g)
Qiang Huo (3-6g)
Bai Zhi (3-6g)
Huang Qin (6-9g)
Shi Gao (4.5-15g)
Jie Geng (3-6g)
Bai Shao (6-9g)
3 sweets:
Gan Cao (3-6g)
Sheng Jiang (3-6g)
Da Zao (2-3 pieces)
Chai Ge Jie Ji Tang herb roles
CHIEFS: dispel heat in muscle layer, clear heat
Chai Hu
Ge Gen
DEPUTIES Dispel WC, release muscles, relieve headache
Qiang Huo: enters Taiyang
Bai Zhi: enters Yangming
DEPUTIES Clear interior heat
Huang Qin: from LU and UJ
Shi Gao: from Yangming
ASSISTANT
Jie Geng: ventilates LU to dispel exterior pathogens
Harmonize ying level, prevent drying herbs from damaging yin
ASSISTANT Bai Shao
ENVOY Gan Cao harmonizes other herbs
ENVOYS Harmonize ying/wei, interior/exterior
Sheng Jiang
Da Zao
Chai Ge Jie Ji Tang C/c
Exterior cold that has not moved into the interior
Lack of interior heat
Heat attacking yangming producing abdominal pain/constipation
Acrid, spicy, oily, greasy foods
Ren Shen Bai Du San category
Formulas that release exterior disorders with interior deficiency
Ren Shen Bai Du San actions
Releases the exterior
Dispels wind and damp
Augments qi
Ren Shen Bai Du San indications
High fever
Severe chills and shivering
No sweat
Pain and stiffness of head and neck
Soreness and pain of extremities
Chest focal distension and fullness
Nasal congestion with loud nasal breathing
Productive cough
Greasy white tongue coat
Floating soggy pulse
Ren Shen Bai Du San patterns
Externally contracted WCD battling deficient normal qi
Ren Shen Bai Du San herbs
Qiang Huo 30g
Du Huo 30g
Chuan Xiong 30g
Chai Hu 30g
Jie Geng 30g
Fu Chao Zhi Ke 30g
Qian Hu 30g
Ren Shen 30g
Fu Ling 30g
Gan Cao 15g
Ren Shen Bai Du San herb roles
CHIEFS dispel exterior WC, dispel damp, alleviate pain
Qiang Huo
Du Huo
DEPUTIES
Chuan Xiong releases the exterior, moves blood, dispels wind (pain relief in head and neck)
Chai Hu releases the exterior, reduces fever, expels pathogens
Bo He releases pathogenic influences from the muscle layer with Chai Hu
ASSISTANTS
Regulate chest qi flow:
Jie Geng ascends, dispels phlegm, stops cough
Zhi Ke descends, regulates LU qi to relieve chest distension
Qian Hu: improves LU qi circulation, expels phlegm, stops cough
Fu Ling transforms phlegm, strengthens SP, leaches dampness, promotes urination, tonifies without causing stagnation/retention of pathogens, tonifies MJ
Sheng Jiang treats root + branch, releases exterior
Tonifying:
Ren Shen strengthens normal qi to expel pathogens, generates fluids to potentiate sweating, strengthens resistance to external attack, tonifies Yuan qi
ENVOY Gan Cao tonifies qi, harmonizes other herbs
Ren Shen Bai Du San C/c
Adjust Ren Shen dose based on patient constitution: no more than 10% of total formula
Contra: exterior WH invasion, interior heat, yin xu with exterior invasion
Jia Jian Wei Rui Tang indications
Headache
Fever
Slight aversion to wind + cold
Slight or no sweat
Cough with thick, difficult-to-expectorate sputum
Irritability
Thirst
Dry throat
Red tongue body
Rapid pulse
Jia Jian Wei Rui Tang patterns
Exterior WH with chronic yin xu
Jing Fang Bai Du San category
Formulas that release exterior disorders with interior deficiency
Jing Fang Bai Du San main actions
Induces sweat
Releases the exterior
Dispels wind
Alleviates pain
Cong Bai Qi Wei Yin category
Formulas that release exterior disorders with interior deficiency
Cong Bai Qi Wei Yin main actions
Nourish the blood
Release the exterior
Fang Feng Tong Sheng San main actions
Disperses wind
Releases the exterior
Drains heat
Unblocks bowels
Fang Feng Tong Sheng San indications
Strong fever + chills
Light-headedness
Dizziness
Red, sore eyes
Difficulty swallowing
Nasal congestion with thick/sticky nasal discharge + saliva
Bitter taste in mouth
Dry mouth
Focal distension with stifling chest/diaphragm sensation
Constipation
Dark rough urination
Yellow greasy tongue coat
Flooding rapid or wiry slippery pulse
Fang Feng Tong Sheng San category
Formulas that release the exterior and purge the interior
Fang Feng Tong Sheng San patterns
Heat excess in both interior and exterior
- WH invasion + preexisting internal heat
- WH invasion that causes heat to simultaneously lodge in both interior + exterior
Da Chai Hu Tang main actions
Harmonizes + releases shaoyang
Drains internal clumping due to heat (purges interior heat in yangming syndrome)
Da Chai Hu Tang indications
Alternating chills + fever
Chest + hypochondriac fullness with or without pain
Bitter taste in mouth
Nausea
Continuous vomiting
Hard focal distension or fullness/pain in epigastrium
Burning diarrhea or no BM
Melancholy
Slight irritability
Yellow tongue coat
Wiry, forceful pulse
Da Chai Hu Tang category
Formulas that release the exterior + purge the interior AKA
Exterior-releasing + interior-attacking formulas
Da Chai Hu Tang patterns
Concurrent shaoyang and yangming disorder
Ge Gen Huang Lian Huang Qin Tang main actions
Releases the exterior
Drains interior heat
Ge Gen Huang Qin Huang Lian Tang indications
Fever
Sweating
Thirst
Dysenteric diarrhea w/ especially foul-smelling stool + anal burning
Irritability
Heat in the chest/epigastrium
Possible wheezing
Red tongue yellow coat
Rapid pulse
Ge Gen Huang Lian Huang Qin Tang category
Formulas that release the exterior + clear the interior AKA
Exterior-releasing + Interior-clearing formulas
Ge Gen Huang Qin Huang Lian Tang patterns
Wind-cold at the exterior with heat invading the interior
What formula would you use for Katara and Sokka when they were sweating and tired after riding Appa without having breakfast? Superficial weak pulse, thin white TC, simultaneous C/F
Gui Zhi Tang
What formula would Uncle Iroh give Zuko after he swam in the North Pole, strong chills, difficult breathing, no sweat, floating tight pulse, thin white tongue coat?
Ma Huang Tang
What formula would you give Katara in the Fire Nation with a cough, superficial rapid pulse, thin white tongue coat, and thirst?
Sang Ju Yin
What formula would you give Zuko after he came back from the Sun Warriors with painful sore throat, superficial rapid pulse, occipital headache, red tongue tip, thin yellow TC, thirst, aversion to heat?
Yin Qiao San
What formula would you give Katara on Kiyoshi island when she refused to take a break to recover from a cold, leading to decrease in chills and increase in fever? Thin yellow TC, dry nasal passages, insomnia, irritability, headache, stiff extremities, superficial flooding pulse?
Chai Ge Jie Ji Tang
What formula would you give Aang the first day after the iceberg when he felt chills and warmth with floating pulse and mild occipital headache?
Cong Chi Tang
What formula would you give Uncle Iroh after he was submerged in North Pole oceanic waters and breathed fire at Zhao? No sweat, stiff neck, headache, simultaneous chills and fever
Jiu Wei Qiang Huo Tang
What formula would you give Sokka at the campsite before the invasion when he wasn’t hungry, his stomach was bloated, headache, no sweat, thin white TC, simultaneous C/F, superficial pulse?
Xiang Su San
What formula would you give Zhao when he arrived at the Northern Water Tribe feeling irritable, floating tight pulse, headache, difficulty breathing, no sweat?
Da Qing Long Tang
What formula would you give the Jang Hui village boatman who is coughing, profuse clear watery sputum, no sweat, tightness in chest with wheezing, slippery white tongue, simultaneous C/F, superficial pulse, edema?
Xiao Qing Long Tang
Da vs Xiao Qing Long Tang
Big 🐲 dragon = 🔥🥵 interior heat + WC ❄️
small🐉 dragon = 💦💧 interior water accumulation + WC ❄️
What formula would you give Toph when she started to develop a rash on her skin the first night camping? She also has tearing red eyes, general body aches, thirst, sneezing, cough, headache, simultaneous C/F, floating rapid pulse and red dry tongue.
Sheng Ma Ge Gen Tang for ext. WH + early measles/rash
What formula would you give to Aang when his whole bald head hurt, simultaneous C/F, thin white TC, dizziness, nasal congestion, superficial pulse?
Chuan Xiong Cha Tiao San for headache due to external wind
What formula would you give Loyla on Saponi land for dizziness, painful nasal congestion, copious nasal discharge, thin white TC?
Cang Er Zi San
What formula would you give Ife in December when she had diarrhea, chills and fever, no sweat, neck owie 😥, thin white TC and tight pulse?
Ge Gen Tang for Taiyang syndrome + WC invasion
What formula would you give Katara after facing Yon Rha in the rain? She has a productive cough, loud nasal breathing, nasal congestion, high fever, severe chills, shivering, no sweat, head/neck pain, chest fullness, sore/painful extremities, no sweat, greasy white TC, superficial soggy pulse?
Ren Shen Bai Du San for external WCD and deficient “normal” qi
What formula would you give Yue when she gave her life to the moon spirit? External WC + yang deficiency in the North Pole
Severe aversion to cold
No sweat
Mild/no fever
Deep pulse
Ma Huang Xi Xin Fu Zi Tang
What formula would you give Zuko after getting soaked confronting Yon Rha? Severe external WCD without qi deficiency. He had red sores, chills and fever, no sweat, no thirst.
Jing Fang Bai Du San
Unlike Katara he didn’t have underlying qi xu but also got beaten down by cold rain
What formula would you give Suki in the Boiling Rock when she had a headache, fever, aversion to wind, slight aversion to cold, dry throat, cough, thirst, irritability, red tongue body, rapid pulse?
External WH + yin deficiency
Jia Jian Wei Rui Tang
What formula would you give Katara after flying in the rain while on her period in the Fire Nation? external WC with yin and blood deficiency
Cong Bai Qi Wei Yin
Mild chills and fever
No sweat
Headache
What formula would you give to Obi-wan when he returned from Mustafar with thick yellow TC, wiry forceful pulse, alternating chills and fever, chest and hypochondriac dullness, epigastric fullness and pain, continuous vomit, depressed feelings, slight fidgeting, and constipation?
Da Chai Hu Tang for Shaoyang + Yangming syndromes
What formula would you give Hakoda after he escaped the Boiling Rock, then rode on Appa in the cold wind? He had a fever, sweat, red tongue with yellow coat, rapid pulse, wheezing, thirst, heat in chest and epigastrium, irritability, stinky diarrhea and anal burning.
Ge Gen Huang Lian Huang Qin Tang for exterior WC + interior heat invasion
What formula would you give Sokka in the Si Wong desert with high fever, severe chills, dizziness, vertigo, red painful eyes, bitter dry mouth, uncomfortable sore throat, bloated stifling chest, cough, shortness of breath, thick sticky nasal discharge and saliva, constipation, dark yellow urine, and acne.
Fang Feng Tong Shen San for exterior WH with interior excess heat
🐕🦺 Good Boy! 🐕
Here’s three sweets 🍬🍭🍬
Gui Zhi Tang ingredients
Gui Zhi 👑
Bai Shao 👑
Zhi Gan Cao 🍭
Sheng Jiang 🍭
Da Zao 🍭
Common ingredients in Yin Qiao San and Sang Ju Yin: Just Let Bad Germs Leave
Jie Geng
Lu Gen
Bo He
Gan Cao
Lian Qiao
What are the remaining herbs in Yin Qiao San (besides Just Let Bad Germs Leave)?
Jiggling 🍑
Nasty 🤢
D*ck 🍆
X-rated ❌
Juicy 🧃
Dance 🩰
Jin Yin Hua
Niu Bang Zi
Dan Dou Chi
Xian Lu Gen
Jing Jie Sui
Dan Zhu Ye
What are the other herbs in Sang Ju Yin besides Just Let Bad Germs Leave?
Sang Ye (in the name)
Ju Hua (in the name)
Xing Ren (cough differentiates it from Yin Qiao San)
Sang Ye category and actions
Cooling diaphoretic
LU heat/dryness
LV yang + eyes
Cools blood
Gui Zhi category, actions
Warming diaphoretic
Harmonizes Ying + Wei
Bai Shao category, actions
Blood tonic
Preserves Yin
Harmonizes Ying + Wei
Gan Cao category, actions
Qi tonic
Tonifies SP, HT
Pain + spasms
Phlegm + cough
Heat, toxic, poison
Sheng Jiang category, actions
Warm diaphoretic
Warms MJ
Stops vomit
Reduces toxicity
Cold, cough, warms LU
Harmonizes Ying + Wei with DA ZAO
Ju Hua
Cooling diaphoretic
LV, yang + eyes
Toxicity
Lian Qiao category, actions
Toxic heat
Nodules
WH
Bo He category, actions
Cooling diaphoretic
Clears head, eyes, throat
Rashes
Turbid damp
Free-flowing LIV qi
Jie Geng category, actions
Warm phlegm-cold
Guide to throat
Neutral
Xing Ren category, actions
Cough/wheeze
Moisten intestines
(slightly toxic)
Lu Gen category, actions
Qi-level heat
LU/ST heat
vomiting
generate fluids
urination
rashes
Jin Yin Hua category, actions
Toxic heat
Cools blood
WH
Bloody shit
Niu Bang Zi category, actions
Cooling diaphoretic
Throat
Toxicity
Rashes
Dan Dou Chi
WH or WC
Irritability
MJ
Jing Jie category, actions
WH or WC
Rash
Itch
Bleeding
Vaginal discharge
Dan Zhu Ye category, actions
Qi level heat
irritability
urination
Chai Hu category, actions
Cooling diaphoretic
Raise SP yang
Spreads LIV qi
Constraint
Fever
Shaoyang syndrome
Ge Gen category, actions
Cooling diaphoretic
Release muscle layer
Diarrhea
Measles
^ SP yang
Fever
Nourishes fluid
Thirst
Qiang Huo category, actions
Warming diaphoretics
Upper body
WCD
Pain
Bi
Taiyang headache
Bai Zhi category, actions
Warming diaphoretics
WD
Pain
Swelling
Pus
Opens nasal passages
Leukorrhea
Huang Qin category, actions
Damp-Heat in UJ
Toxicity
Cools blood
Stops bleeding
LU heat
Drain fire
LV GB heat
Calm fetus
Shi Gao category, actions
Qi-level heat, fire
ST, LU heat
Sores
4 bigs/Yangming
Fever, chills, aversion to wind, perspiration, body aches, a stiff neck, and clear nasal secretions indicate which TCM pattern?
Exterior-Deficient, Wind-Cold syndrome
Which tongue and pulse are associated with Exterior deficient WC?
The tongue has a thin, white & moist coating. The pulse is superficial and moderate.
Which formula is the best choice for exterior deficient WC?
Gui Zhi Tang
Niu Bang Zi is found in which exterior-releasing formula that we have studied?
Yin Qiao San
Feverish sensations with spontaneous sweat + aversion to wind in constitutionally weak, debilitated patients can be addressed by which formula?
Gui Zhi Tang
Which herbal pairs harmonize Ying + Wei?
Gui Zhi + Bai Shao
Sheng Jiang + Da Zao
Which clinical symptoms indicate the use of Da Qing Long Tang?
Severe fever + chills
Body aches
Thirst
Irritability
High fever, decreasing chills, headache, stiff extremities, eye pain, dry nasal passages, + irritability are clinical manifestations indicating the use of which formula?
Chai Ge Jie Ji Tang
All of the following are therapeutic actions of Xiao Qing Long Tang except 1…
Clears interior heat
Induces diaphoresis
Directs rebellious qi downward
Transforms thin mucus
Warms the lungs
Clears interior heat
For which pattern is Chai Ge Jie Ji Tang indicated?
Simultaneous Greater Yang and Yang Brightness warp disorder
Tidal fever, constipation, focal distension, abdominal fullness, abdominal pain that does not increase with pressure, a dirty dry “old-looking” tongue, and rolling rapid pulse = what formula?
Xiao Cheng Qi Tang
Which two formulas contain Da Huang, Zhi Shi, and Hou Pou?
Da Cheng Qi Tang
Xiao Cheng Qi Tang
Which formula treats heat in the stomach and intestines causing maculae, petechiae, hematemesis, epistaxis, toothache, and swelling + soreness of the mouth, gums, and throat?
Tiao Wei Cheng Qi Tang
Synonyms for choppy pulse
Hesitant
Rough
“cold extremities due to yang-type inversion”
“false cold, true heat”
refer to which formula?
Si Ni San
CZ BZ - Si Ni San ingredients
Chai Hu
Zhi Shi
Bai Shao
Zhi Gan Cao
What is the basic formula for LIV qi stag?
Si Ni San
cold hands/feet
Wu Zhu Yu Tang
What’s the only state board formula with a pale red tongue?
Xiao Yao San
Pale-red, dry tongue indicates…
Sheng Mai San (LU qi + yin xu)
SP Qi Xu, LIV qi constraint, Blood deficiency –> which formula?
Xiao Yao San
Flagship formula for Blood deficiency
Si Wu Tang
Flagship formula for Qi deficiency
Si Jun Zi Tang
(Bai Zhu + Fu Ling = “mini Si Jun Zi Tang”)
Xiao Yao San ingredients for LIV qi stag
Chai Hu (king)
Bo He
Xiao Yao San ingredients for SP qi xu
Bai Zhu
Fu Ling
Xiao Yao San ingredients for Blood xu
Dang Gui
Bai Shao
Xiao Yao San ingredients for harmonizing
Zhi Gan Cao
Wei Jiang
Interior excess syndromes for downward draining formulas
qi stagnation, blood stagnation, phlegm retention, food stagnation, constipation, water retention,
parasitic infestation, and others.
Downward draining formulas - subcategories of action
Cold purgatives
Warm purgatives
Mild laxatives
Harsh expellants
Purgative + tonic formulas
These formulas eliminate interior excess conditions involving heat
stagnation or accumulation. Common clinical manifestations include constipation, abdominal
fullness, distention, or pain. In severe cases, there may be tidal fever, a yellow tongue coating,
and an excess pulse.
Cold purgatives
These formulas address interior excess cold syndromes. Common clinical
manifestations include constipation, epigastric/abdominal fullness/distention, abdominal pain alleviated by warmth, cold to icy extremities, a white, slippery tongue coating, and a deep, tight pulse.
Warm purgatives
This group of downward draining formulas eliminates internal swelling and excess water accumulation through defecation and urination. Clinical applications of harsh expellants include treatment of hydrothorax, ascites, edema, and
difficulties in urination and defecation. These formulas are potentially toxic and drastic in
effect, and should be used with extreme caution, especially in individuals who have
generalized deficiencies.
Harsh expellants
These formulas treat constipation characterized by concurrent internal excess and deficiency. This syndrome requires the use of both downward draining and tonifying methods to ensure that the stools are moved and the Qi is not damaged.
Purgative + tonifying formulas
If patients have both
exterior and interior excess symptoms, what to do?
one should dispel the exterior factor first, before
eliminating the interior excess. In some cases, both exterior and interior factors may be dispelled at the same time.
When should downward draining formulas be cautioned/contra?
pregnancy
postpartum and nursing
elderly
infants and children
bleeding disorders
underlying qi, blood, and/or body fluid deficiencies.
*discontinue once functional, do not lose long-term
*avoid greasy/difficult to digest foods
Heat accumulation
a condition of interior excess characterized by fever, abdominal pain that increases upon pressure, constipation, a yellow tongue coating, and a pulse that is strong, excessive, and usually submerged.
Da Cheng Qi Tang ingredients
Da Huang
Mang Xiao
Zhi Shi
Hou Po
Da Cheng Qi Tang actions
Vigorously purges heat accumulation
Da Cheng Qi Tang prep
Add Da Huang after the decoction has halved in quantity,
Dissolve Mang Xiao in strained decoction
blood stag + heat in LJ
Tao He Cheng Qi Tang + Tao Ren + Gui Zhi
Taiyang “Fu” with water accumulation (edema, urinary difficulty)
Wu Ling San
Hypochondriac pain, headache, vertigo, bitter taste, dry throat, fatigue, reduced appetite, alternating fever/chills, irregular menstruation. Pale-red tongue, pulse is string-taught and deficient. Formula?
Xiao Yao San
Ren shen, Fu ling, and Gan Cao are components of which formula?
Chai Ge Jie Ji Tang
Yin Qiao San
Run Chung Wan
Bai Du San
Bai Du San
Which dui-yao treats Shaoyang syndrome?
Chai Hu, Huang Qin
Tong Xie Yao Fang actions
Tonify SP
Soften LIV
Dispel damp
Stops diarrhea
A patient comes to clinic complaining of constipation with dry, hard stools with increased urination. The tongue has a dry and yellow fur, and the pulse is superficial and hesitant. Which formula is the most appropriate?
Ma Zi Ren Wan
Tong Xie Yao Fang pattern
Abdominal pain and diarrhea caused by Spleen deficiency and Liver excess
Tong Xie Yao Fang category
Formulas that harmonize
Which formula treats heat entering the blood chamber caused by the contraction of cold after childbirth or during menstruation?
Xiao Chai Hu Tang
Which formula treats dessicated intestines caused by Blood and Yin xu?
Run Chung Wan
Which formula treats heat clumping with circumfluence manifesting as blue-green, watery fluids with a foul smell, abdominal pain + rigidity, dry mouth and tongue, and a rapid rolling pulse?
Da Cheng Qi Tang
Which of the following is NOT a therapeutic action of Xiao Yao San?
Strengthens SP
Spreads LIV qi
Nourishes Yin
Nourishes Blood
Does NOT nourish yin
Formulas that harmonize ST + intestines treat what?
PF have invaded ST + intestines and formed complexes of heat/cold with simultaneous excess/deficiency.
Ascending/descending functions disrupted
What is the chief substance of Run Chung Wan?
Tao Ren and Huo Ma Ren
Ren Shen, Huang Qin and Ban Xia are ingredients of which formula?
Xiao Chai Hu Tang
Si Ni San
Xiao Yao San
Run Chung Wan
Xiao Chai Hu Tang
Bo He and Wei Jiang are ingredients found in which formula?
Xiao Chai Hu Tang
Si Ni San
Xiao Yao San
Gui Zhi Tang
Xiao Yao San
Chief of Ban Xia Xie Xin Tang
Huang Lian
Ban Xia Xie Xin Tang pattern
Stomach and Intestines Disharmony
Ban Xia Xie Xin Tang category
Formulas that harmonize
epigastric focal distention, fullness + tightness with very slight or no pain, dry heaves/frank vomiting, borborygmus with diarrhea, reduced appetite
Tongue body - possible red tip
TC: thin, yellow, greasy
Pulse: Wiry, rapid
Ban Xia Xie Xin Tang
Ban Xia Xie Xin Tang actions
Harmonizes ST
Directs rebellious qi downward
Disperses clumping
Eliminates focal distention
Constipation, lusterless skin, dry mouth and an unquenchable thirst with a dry tongue and a thin pulse are treated by which formula?
Run Chung Wan
Alternating fever/chills, dry throat, bitter taste in the mouth, dizziness, irritability, heartburn, nausea and vomiting with no desire to eat. The tongue has a thin white coat and the pulse is string-taut. Formula?
Xiao Chai Hu Tang
Tidal fever, constipation, focal distention, abdominal fullness, abdominal pain that does NOT increase upon pressure, a dirty dry “old-looking” yellow TC, and a rapid rolling pulse
Xiao Cheng Qi Tang
Which formula is contraindicated for concurrent use with the medication interferon
Xiao Chai Hu Tang
Which clinical symptoms indicate the use of Da Qing Long Tang?
Fever, chills, body aches, thirst, irritability
Which formula treats Raynaud’s phenomenon
Si Ni San
A patient presents with fever, chills, headache, thirst, cough, sore throat, tongue with a thin white coat, and a floating rapid pulse. Formula?
Yin Qiao San
What are the chief herbs in Ren Shen Bai Du San?
Qiang Huo and Du Huo
Which formula contains Da Huang, Mang Xiao, and Gan Cao?
Tiao Wei Cheng Qi Tang
Which formula treats externally contracted WCD with concurrent internal accumulation of heat?
Jiu Wei Qiang Huo Tang
Post-antibiotic use: which formula?
Ban Xia Xie Xin Tang
Which herbs do Ban Xia Xie Xin Tang and Xiao Chai Hu Tang have in common?
Huang Qin
Ban Xia
Ginger: BXXXT (Gan Jiang), XCHT (Sheng Jiang)
Ren Shen
Da Zao
Zhi Gan Cao
Qi Level Heat is aka
Yangming Fu
Tongues for 4 bigs
Red tongue body, yellow TC
Dry white
Sweat for 4 bigs
severe
high
profuse
Thirst in 4 bigs
polydipsia
Pulse in 4 bigs
surging
flooding
overflowing
tongue for qi, YING, XUE level heat
red tongue
(interior)
Formula for severe sunstroke
Sheng Mai San
LU qi + LU yin xu, cardiovascular issues
Formula for mild sunstroke
Bai Hu Tang
Bai Hu Jia Ren Shen Tang
Clears Qi-Stage Heat
Drains Stomach Fire
Generates Fluids
Alleviates thirst
Nourishes Qi
Nutritive level heat
Heat entering Blood level, deepest of Wen Bing –> what formula?
Xi Jiao Di Huang Tang
Huang Bo is…
Huang Bai
Herbs that injure the yin should not be taken long term T/F?
TRUE
Huang Lian Jie Du Tang
“mirror tongue”
Yin deficiency, no coat
Ingredients in common between San Huang and Huang Lian Jie Du Tang
San Huang Xie Xin Tang: contra in pregnancy?
yes
Rolling pulse is also
Slippery
Qing Wei San chief herb
Huang Lian
Anti-inflammation dui yao
Mu Dan Pi
Chi Shao
What is Dang Gui doing in the formula Qing Wei San?
Damp heat in UB - formula
Ba Zheng San
Liv Fire
DH in LV/GB
DH in LJ
Long Dan Xie Gan Tang
UTI formulas
Ba Zheng San
Long Dan Xie Gan Tang
Dao Chi San
Tian Ma Gou Teng Yin vs. Long Dan Xie Gan Tang