Formulas AFEA for clinical test Flashcards
Ma Huang Tang Ephedra Decoction
Release Exterior: wind cold excess
Arrests wheezing from wind cold, no sweating with fever and chills, headache, general body aches, wheezing
Ma Huang ephedra, Xing Ren Armenia, Gui zhi cinnamomi, zhi gan cao licorice
P: floating and tight = cold
T: thin white coat
Modify by taking away Gui zhi and zhi gan cao for release exterior wind cold and disseminate lung qi, for nasal congestion and runny nose, not as strong, loss of voice.
Gui Zhi Tang Cinnamon Twig Decoction
Release Exterior Wind Cold from XU
Releases pathogens from muscle layer and Wei Qi layer
Fever and chills unrelieved by sweating, headache, aversion to wind, stiff neck, nasal congestion, no thirst.
P: floating, frail
T: thin white moist coat
Releases muscles, less forceful, sweating, wei qi xu
Yin Qiao San Honeysuckle and Forsythia Powder
Release Exterior: Wind Heat from Wei Qi level
Disperse wind heat, clear heat relieve toxicity
For fever, chills, Headache, sore throat, wei qi level sick, cough,
P: rapid, floating= heat
T: red tipped, thin white or yellow coat
Modify for JUST SORE THROAT:
Take away many and add She Gan Belamcandae to clear heat obstructions and Ma Bo Lasiophaera to reduce swelling for throat pain
Bai Hu Tang White Tiger Decoction
Clear Heat from Qi Level/ Yang Ming Channel (Blazing Heat)
Drains STomach fire,
Generate Fluids
Alleviate Thirst
High fever with profuse sweating, aversion to heat, red face, severe thirst, irritability, May also include headache toothache, bleeding gums or nose
P: flooding, forceful or slippery, rapid
Can modify by adding cinnamon twig for swelling aching of joints. T: white coat, P: wiry rapid
Can modify by adding ginseng for injury to qi and fluids SUMMERHEAT
Huang Lian Jie Du Tang Coptis Decoction to Resolve Toxicity
Clear Heat Drain Fire and Resolve Toxicity
High fever, irritability, dry mouth and throat, incoherent speech, insomnia, dark urine, toxic swellings due to damp heat
For fire obstructing all three burners. Has all the Huang (Lian, Qin, Bai) plus zhi zi gardenia (all 3 burners)
P: rapid forceful
T: red body yellow coat
Qing Ying Tang Clear the Nutritive Level Decoction
Clear heat from nutritive level
Relieves fire toxic, drains heat, nourishes yin
High fever worsens at night, severe irritability, restlessness.
T: scarlet, dry
P: thin and rapid
Don’t give if white slippery tongue indicating dampness.
Long Dan Xie Gan TAng Gentiana Decoction to Drain the Liver
Clear Heat from organ level, drain damp heat from lower burner
Pain in hypochondria, headache, dizziness, red eyes, hearing loss, swelling in ears, irritability, and for heat in urethra, swollen genitalia,
LR and GB have damp heat
T: red body, yellow coat
P: wiry, rapid, forceful
Xiao Chai Hu Tang Minor Bupleurum Decoction
Harmonizes and releases Wei Qi invasion, Shao Yang stage
Alternating fever and chills, dry throat, bitter taste, dizziness, irritability, fullness in chest, hypochondria, heartburn, N/V, no desire to eat,
T: thin white coat
P: wiry
INGREDIENTS
Chai Hu bupleuris: vents pathogens in shao yang disorders, spreads liver qi
Huang Qin Scuttelaria: drains heat from liver and GB
Both of these drain heat together with causing it to sink deeper into body
Zhi Ban Xia pinellia: warms and transforms phlegm and turbidity in middle burner
Sheng Jiang Ginger
Both of these harmonize middle burner and direct rebellious qi down, stop N/V
Ren Shen, Zhi Gan Cao, Da Zao: support normal qi,
Xiao Yao San Rambling Powder
Harmonize Liver and Spleen
Spread liver qi, strengthen spleen, nourish blood
Hypochondriac pain, headache, vertigo, bitter taste, dry mouth and throat, fatigue, reduced appetite, alternating fever and chills.
T: pale red
P: wiry xu
INGREDIENTS:
Chai Hu Bupleurum relieves LR constraint and spreads liver qi
Dan Gui Angelica affects qi and blood
Bai Shao Peony nourishes yin, alleviates pain, curbs liver yang
Dan Gui and Bai Shao: together nourish blood, strengthen liver
Bai Zhu Atractylodes
Fu Ling Poria
Both together strengthen spleen
Zhi Gan Cao licorice: tonifies spleen and together with bai shao helps with abdominal pain
Si Ni San Frigid Extremities Powder
Harmonize and REgulate Liver and Spleen disharmony
Cold fingers and toes, body head warm, irritability, fullness in chest and epigastrium, cough, urinary difficulty, abdominal pain, severe diarrhea
T; red body, yellow coat
P: wiry
CI: for yin xu which manifests here as pain in hypochondria, epigastrium and abdomen
INGREDIENTS:
Chai Hu Bupleurum: vents heat, releases constraint, helps yang ascend, turbid yin descend
Chai Zhi Shi dry fried aurantis fruit: drains stagnation, breaks up stagnant qi, reduces accumulation in middle burner to help T and T of SP and ST, has DESCENDING action
Bai Shao peony: nourishes liver, preserves yin. Holds things in and chief herb disperses to disseminate liver qi without injuring liver yin
Zhi Gan Cao licorice: to harmonize
Ban Xia Xie Xin Tang Pinellia decoction to drain the epigastrium
Harmonize ST and INTESTINES
Directs rebellious qi down, disperses clumping, eliminates focal distention
Epigastrium focal distention, fullness and tightness with little or no pain, dry heaves or vomiting, borborygmus with diarrhea, reduced appetite, blockage in epigastrium
T: thin yellow greasy coat, may have red tip
P: wiry rapi
Not distention due to qi or food stagnation
Si Ni Tang Frigid Extremities Decoction
Warm Interior Cold and rescue devastated Yang
For shao yin disorder
Rescues devastated yang, warms middle burner, stops diarrhea
Extremely cold extremities, aversion to cold, curling up when lying down, lethargic with desire to sleep, vomiting, diarrhea with undigested food, abdominal pain and cold, lack of thirst
T: pale body, white slippery coat
P: submerged and thin
INGREDIENTS;
Fu Zi Aconite: breaks through yin to resolve the yang, warms at gate of vitality to reach extremities
Gan Jiang Zingiberis: warms middle burner and eliminates cold, to strengthen SP T and T
Both work together
Zhi Gan Cao licorice: augments qi, strengthen spleen, reduces toxicity of fu zi, moderates drying power of both C and D
Dang Gui Si Ni Tang Dang Gui Decoction for Frigid Extremities
Warms Interior Cold for blood xu with cold in channels
T: pale
P: deep thin
Cold invasion, hands and feet long standing cold to touch
Can injure fluids, so not used when fire is from yin xu
LI Zhong Wan Regulate the Middle Pill
Warm Interior Cold and dispel Cold
For middle burner cold from XU, bleeding due to middle burner yang xu
Warms middle burner, strengthens SP and ST
Diarrhea with watery stool, N/V, no thirst, loss appetite, abdominal pain
T: pale, P: submerged and thin
Nosebleeds, vomiting blood, excessive menstrual bleeding, bleeding from rectum, internal bleeding. Blood is pale and cold extremities, pale complexion
Don’t use with yin xu.
Si Jun Zi Tang 4 Gentleman Decoction and Liu Jun Zi Tang 6 gentleman Decoction
Ren Shen Ginseng
Bai Zhu Atractylodes
Fu Ling Poria
Zhi Gan Cao
For SP qi XU (pale complexion, low and soft voice, reduced appetite, loose stools, weak limbs)
Tonifies and strengthens spleen
Liu Jun Zi Tang: 6 Gentleman for SP QI XU with PHLEGM
characterized by rebellious ST qi and LU qi (all of above plus N/V, focal distention and stifling sensation in chest and epigastrium, coughing of thin white sputum)
adds
Chen Pi - drying herbs that direct qi down
Zhi Ban Xia - drying herbs that direct qi down
Increases dosage of Bai Zhu
Or Xiang Sha Liu Jun Zi Tang: 6 Gentleman Decoction with Aucklandia and Amomum for SP and ST qi XU with DAMP COLD STAGNATION IN MIDDLE BURNER
Adds Sha Ren Amomum and Mu Xiang and Sheng Jiang: more drying and moving than 6 Gents
Bu Zhong Zi Qi Tang Tonify the Middle to Augment the Qi Decoction
SP and ST XU with inability to raise the clear
Qi XU fever
Sinking of the middle burner Qi
Dizziness, unsteadiness, impaired vision, tinnitus, SOB, weak voice, shiney pale complexion, reduced intake of food, loose stools
T: pale
P: frail
Intermittent fever worse with exertion, spontaneous sweating, aversion to cold, thirst for warm beverages t: pale swollen, P: large but no force
Hemorrhoids, rectal prolapse, prolapse internally, chronic diarrhea, irregular uterine bleeding, reduced intake of food
T: pale, P: XU
Sheng Mai San Generate the Pulse Powder
Simultaneous Lung QI and Yin XU
Augments qi, generates fluids, preserves yin, stops excess sweating
Chronic cough with sparse sputum, hard to expectorate, SOB, spontaneous sweating, dry mouth and tongue
T: pale, red body, dry thin coat
P: XU, rapid or XU, thin
Ren Shen Ginseng - tonifies source qi
Mai Men Dong Ophiopogon - nourish yin, moisten lunges, benefit ST
Wu Wei Zi Schizandra - restrains leakage of LU qi and sweat, generates fluids in Kidneys, generates fluids
The Chief tonifies, deputy clears, assistant restrains leakage
Yu Ping Feng San Jade Windscreen Powder
Deficient Protective Qi
Augments Qi, STabilizes exterior, stops sweating
Aversion to drafts, spontaneous sweating, recurrent colds, shiney pale complexion
T: pale body white coat
P: floating XU and soft
Mi Zhi Huang Qi honey prepared astragulus : for qi and exterior
Bai Zhu Atractylodes - for SP, together with Chief it generates qi by tonifying SP, qi and blood
Fang Feng Saposhnikova: expels wind, stabilizes exterior and expels pathogens
Si Wu Tang Four Substance Decoction
For generalized Blood XU and stagnation
Tonifies blood and regulates LIVER
Dizzy, blurred vision, lusterless complexion, muscle tension, insomnia, palpitations, thin body, lacks strength, irregular menses with little flow, lower abdominal pain, menorrhagia, hard abdominal masses, RESTLESS FETUS,
T: pale
P: thin wiry choppy
Shu Di Huang REhmannia: tonifies LR and KI and nourishes yin
Bai Shao Peony: tonifies blood
Together are tonic for liver blood, rich cloying and astringent and could cause stasis of blood so use herbs below
Dang Gui Angelica sinensis: enters LR and HT to tonify and invigorate blood
Chuan Xiong : invigorate blood, directs blood to head so helps dizziness and below it moves the sea of blood and releases areas of constraint, alleviates pain
Si Wu Tang Associated Formulas
Can do Tao Hong Si Wu TAng Four Substance Decoction with Safflower and Peach Pit for blood xu and blood stasis to invigorate the menses when the menses is accompanied with pain and distention. It adds Tao Ren Persia and Hong Hua Carthaginian to address blood stagnation
Can do Bu Gan Tang tonify the liver decoction: to nourish liver yin with all the above.
Adds Suan Zao Ren Ziziphi and Mu Gui Cheonomelis and Zhi Gan Cao
Ba Zhen Tang Eight Treasures Decoction
Qi and Blood Deficiency
Pale complexion, palpitations with anxiety, reduced appetite, SOB, laconic speech, easily fatigued, light headed and vertigo
T: pale white coat
P: thin frail or large and xu, no strength
Gui Pi Tang Restore the Spleen Decoction
SP Qi and HT blood XU
Augments qi, tonifies blood, strengthens spleen, nourishes heart
Forgetfulness, palpitations, insomnia, dream disturbed sleep, anxiety, feverish ness, withdrawal, reduced appetite, pale, sometimes chronic bleeding in menses, long periods with little flow
T: pale body thin white coat
P: thin frail
Liu Wei Di Huang Wan Six Ingredient Pill with Rehmannia
Enrich yin and nourish kidneys
Soreness and weakness in low back, light headed ness, vertigo, tinnitus, diminished hearing, night sweats, spontaneous and nocturnal emissions, maybe hot palms and soles, chronic dry or sore throat, toothache,
T: red body with little coat
P: rapid thin
Shu Di Huang Rehmannia: kidney yin
Shan Zhu Yu Comi fructose: nourish liver
Shan Yao Dioscorea: stabilizes essence by tonifying SP
Fu Ling Poria: leaches damp from SP
Mu Dan Pi Moutan: clears and drains liver fire, counterbalances warm properties of Shan Zhu Yu Comi
Ze Xie Alismatis: clears and drains kidney fire,
Not for indigestion, diarrhea due to spleen xu, or with white greasy tongue coat
Shen Qi Wan Kidney Qi Pill
Warms and tonifies yang
Kidney Yang XU
Warms and tonifies Kidney yang
T: pale swollen, thin white coat
P: empty or frail, submerged
Not for yin xu with dry mouth and throat or red tongue with little coat
Er Xian Tang Two Immortal Decoction
Tonifies yin and yang
Kidney yin and yang xu, accompanied with flaring of fire at the gate of vitality
Warms kidney yang, tonifies kidney essence, drains fire from kidneys, regulates penetrating and conception vessels
Menopause symptoms, menstrual irregularity, hot flushes,
Xian Mao Curculingus: tonify KD yin and yang
Yin Yang Hun Epimedium: tonify yin and yang
Ba Ji Tian Morinda: warms kidney yang
Huang Bai Phellodendron:
Zhi Mu Anemarrhena: drains fire at gate of vitality
Dang Gui Angelica sinensis: moistens and nourishes blood, regulates penetrating and conception vessel
Yue Ju Wan Escape Restraint Pill
Regulate Qi - moves qi
Promote movement of qi and release constraint
Focal distention, stifling sensation in chest, fixed pain in hypochondria, belching, vomiting, acid reflux, mild coughing, copious sputum, reduced appetite, indigestion
Cang Zu Atractylodes: promotes ascending function of Middle burner, dries damp, transforms phlegm
Chuan Xiong : releases constrained blood, makes qi go up
Xiang Fu Cyprus: releases constraint, disperses qi stagnation, directs qi up and down
Zhi zi gardenia: clears heat from all 3 burners, resolves fire, resolves acid reflux
Shen Qi Massa fermentation: relieves constraint from food stagnation, harmonizes ST, helps with N/V, reduced appetite
Ban Xia Hou Po Tang Pinellia and Magnolia Bark Decoction
Regulate Qi
For constrained qi with concurrent phlegm (plum pit qi)
Promotes movement of qi, dissipates clumps, directs rebellious qi down, transforms phlegm
Plum pit qi, stifling sensation in chest and hypochondria, cough and vomiting
T: moist, greasy, white coat
P: wiry, slow, slippery
Not for patients with flushed face, bitter taste and red tongue with scanty coat
Xie Fu Zhu Yu Tang Drive out stasis from the Mansion of Blood Decoction
Regulate blood
Invigorate blood and dispel blood stasis, spread liver qi, unblock channels
Pain in chest and hypochondria, stubborn HA, incessant hiccup, choking sensation when drinking, dry heaves, depression, palpitations, insomnia, restless sleep, irritability, mood swings, tidal fever,
T: dark red body, dark spots on sides
P: choppy or wiry, tight
Not for pregnancy, or excess menstrual bleeding or any bleeding disorders
Mu Li San Oyster Shell Powder
Stabilize and Bind
Stabilize exterior and stop sweating
Spontaneous sweating due to unstable protective qi (LU) and night sweats due to constrained heat at the level of nutritive qi (HT)
Inhibits sweating and stabilizes exterior
Spontaneous sweating, worse at night, palpitations, easily startled, SOB, irritability, general debility, lethargy
T: pale red
P: thin frail
Wei qi isn’t protecting at leve l of nutritive qi
Si Shen Wan Four Miracle Pill
Stabilize and Bind: bind up intestines and secure abandoned conditions
Cold from XU of SP and KI with insufficient fire at gate of vitality
Warms and tonifies SP and KI, binds up intestines, stops diarrhea
Cock crow diarrhea, lack of interest in food, inability to digest what is eaten, sore low back with cold limbs, fatigue and lethargy, abdominal pain
T: pale body, thin white coat
P: submerged, slow force less
Sang Piao Xian San Mantis Egg Case Powder
Stabilize and Bind
Secure essence
S/s: bladder has lost its constraint
Enuresis, incontinence, forgetfulness,
Tian Wang Bu Xin Dan Emperor of Heaven’s Special Pill to Tonify the Heart
Calm the spirit
Nourish heart (blood and yin), calm spirit
Enrich yin, nourish blood, clear heat, calm spirit
Yin and blood xu with the heart and kidneys failing to communicate
Irritability, palpitations with anxiety, fatigue, insomnia, restless sleep, inability to think or concentrate, nocturnal emissions, forgetfulness, dry stools, sores of mouth, low grade fever, night sweats
T: red body little coat
P: thin rapid
Shu Gan Li Pi Tang Dredge Liver and Regulate Spleen Decoction
Harmonize - regulate and harmonize liver and spleen. Associated formula of Xian Yao San Rambling Powder
Dredges liver qi, regulates sp, nourishes and invigorates blood
Severe liver qi constraint with clumping and sp xu leading to blood xu and stasis
Intense hypochondriac pain, irritability, insomnia, fatigue, stifling sensation in epigastrium, reduced appetite, loose stools, chronic hepatitis/early stages cirrhosis
Chai Hu Bupleurum Bai Zhu atractylodes Xiang Fu Cyperus Dang Shen Codonopsis Ze Xie Alismatis He Shou Wu polygonum Dan Shen Salvia San qi notoginseng
Took out several ingredients from Xian Yao San Rambling powder (minus dang gui, bai shao, fu ling, zhi gan cao and addedxiang fu, dang shen, ze Xie, he shou wu, dan shen, san qi
For more severe liver constraint than Xian Yao (which is for constraint in day only) and adds some blood moving properties to Xian Yao.
Chai Hu Jia Long Gu Mu Li Tang Bupleurum plus Dragon Bone and Oyster Shell Decoction
Harmonize lesser yang for Shao yang disorders and to calm spirit
Problems in all 3 yang channels
Unblock three yangs and sedate and calm spirit
Fullness in chest, irritability with occasional palpitations, urinary difficulty, constipation, delirious speech, inability to rotate trunk, extreme heavy body
T: red slippery coat
P: wiry rapid
Usually due to improper use of purgatives which are used before a disease enters the yang Ming stage. This weakens body and pathogen invades the interior. HEat lodges in chest, injures ht yin and spirit is uncomfortable.
Don’t use in deficiency conditions
Xian Feng San Eliminate Wind Powder from Orthodox Lineage
Expel Wind - dredge and disperse external wind
Disperses wind, eliminates damp, clears heat, cools blood
Wind heat or wind damp invading body, contending with predicting damp heat
Weepy itchy lesions in skin or large part of body
T: yellow or white coat
P: forceful, floating, rapid
Tian Ma Gou Teng Yin Gastrodia and Uncaria Drink
Expel Wind: pacify and extinguish internal wind
Hyperactive liver yang leading to internal stirring of liver wind
Calms liver, extinguish wind, clears heat, invigorates blood, tonify liver and kidneys
HA, dizzy, vertigo, tinnitus, blurred vision, heat rushing to head, insomnia with dream disturbed sleep, some numbness
T: red body
P: wiry, rapid
Liver wind can lead to strokes and TIA
Ping Wei San Calm Stomach Powder
Expel Dampness - transform damp and harmonize ST
Dry damps, improve SP’s T and T function, promote movement of qi, harmonize ST
Distention and fullness in epigastrium, loss of taste and appetite, heavy sensation in limbs, loose stools, easily fatigued, increased desire to sleep, N/V, belching, acid reflux
T: swollen thick white and greasy coat
P: moderate or slippery
Ba Zheng San Eight Herb Powder for Rectification
Expel Damp: clear heat and expel dampness
Damp heat collecting in teh lower burner (BLADDER)
Clears heat, drains fire, promotes urination, unblocks painful urinary dribbling
Dark turbid scanty difficult painful urination. Dry mouth and throat, some urinary retention
T: yellow greasy coat
P: slippery, rapid
For UTI. Is different from Ba Zhen Tang 8 Treasure Decoction because that one tonifies qi and blood.
Qiang Huo Sheng Shi Tang Notopterygium Decoction to Overcome Dampness
Expel Dampness: dispel wind damp
For bi syndrome made worse with damp environment, joint pain
Painful obstruction with wind damp predominant
Working or living in damp environment
Heavy painful head, sensation of heaviness, back or generalized pain, stiff neck, can’t rotate or bend turn,, mild fever, chills
T: white coat
P: floating
Use with caution for yin xu or heat
Er Chen Tang Two Aged Herb Decoction
Dispel phlegm: dry damp and expel phlegm
Dries damp, transforms phlegm, regulates qi, harmonize middle burner
Coughing with copious white sputum easy to expectorate, focal distention, stifling sensation in chest and diaphragm, palpitations, N/V, dizzy
T: white , moist greasy coat
P: slippery
Zhi Ban Xia pinellia: dries damp, rebellious ST qi to descend
Ju Hong Citri Reticulata exocarpium: revives SP, disperses clumps
Fu Ling Poria: supports chiefs, leaches out damp from middle burner
Zhi Gan Cao licorice: tonifies spleen
Not for cough with LU yin xu
