Formulas - Release Exterior Flashcards
What formula is best for the following symptoms of externally-contracted wind-cold with phlegm and thin mucus in the interior in patients with a qi deficient constitution?
Shen Su Yin Ginseng and Perilla Leaf Drink (Release Exterior: Warming) Pulse: Frail (deficiency/depletion) Tongue: White coating
Fever and chills Headache Nasal congestion Productive cough Stifling sensation in the chest
ingredients ren shen (22.5g) zi su ye (22.5g) ge gen (22.5g) jiang ban xia (22.5g) qian hu (22.5g) fu ling (22.5g) mu xiang (15g) fu chao zhi ke (15g) - bran fried Aurantii Fructus ji geng (15g) zhi gan cao (15g) — chief, deputy, assistant & envoy not noted in Bensky
Shen Su Yin
Ginseng and Perilla Leaf Drink
What formula is best for the following symptoms of externally-contracted wind-cold with phlegm and thin mucus in the interior in patients with a qi deficient constitution?
(Release Exterior: Warming)
Pulse: Frail (deficiency/depletion)
Tongue: White coating
Fever and chills Headache Nasal congestion Productive cough Stifling sensation in the chest
ingredients ren shen (22.5g) zi su ye (22.5g) ge gen (22.5g) jiang ban xia (22.5g) qian hu (22.5g) fu ling (22.5g) mu xiang (15g) fu chao zhi ke (15g) - bran fried Aurantii Fructus ji geng (15g) zhi gan cao (15g) — chief, deputy, assistant & envoy not noted in Bensky
What formula is best for the following symptoms of exterior cold in a patient with pre-existing yang deficiency?
Ma Huang Xi Xin Fu Zi Tang
Ephedra, Asarum, and Aconite Accessory Root Decoction
(Release Exterior: Warming)
Pulse: Submerged, faint
Tongue: Not in Bensky
Slight fever with severe chills that is not relieved by wearing more clothing or adding covers
Exhaustion with an almost constant desire to sleep
ingredients
ma huang (6g) - chief – induces sweating, releases exterior and disperses cold.
zhi fu zi (9g) - deputy – warms kidneys and assists the yang. (hot-spicy-toxic)
xi xin (6g) - assistant – helps the chief herb release the exterior and the deputy to scatter interior cold. Also enters the laser yin KI channel to help focus the actions of the formula on the lesser yin warp symptoms
CC: This formula may safely be used to release the exterior only in those cases where the underlying yang deficiency is mild. Where the deficiency is more severe (characterized by undigested food in the stool and a faint, almost imperceptible pulse), this formula is contraindicated, as its use could devastate the yang.
Ma Huang Xi Xin Fu Zi Tang
Ephedra, Asarum, and Aconite Accessory Root Decoction
What formula is best for the following symptoms of exterior cold in a patient with pre-existing yang deficiency?
(Release Exterior: Warming)
Pulse: Submerged, faint
Tongue: Not in Bensky
Slight fever with severe chills that is not relieved by wearing more clothing or adding covers
Exhaustion with an almost constant desire to sleep
ingredients
ma huang (6g) - chief – induces sweating, releases exterior and disperses cold.
zhi fu zi (9g) - deputy – warms kidneys and assists the yang. (hot-spicy-toxic)
xi xin (6g) - assistant – helps the chief herb release the exterior and the deputy to scatter interior cold. Also enters the laser yin KI channel to help focus the actions of the formula on the lesser yin warp symptoms
CC: This formula may safely be used to release the exterior only in those cases where the underlying yang deficiency is mild. Where the deficiency is more severe (characterized by undigested food in the stool and a faint, almost imperceptible pulse), this formula is contraindicated, as its use could devastate the yang.
Gui Zhi Shao Yao Zhi Mu Tang
Cinnamon Twig, White Peony and Anemarrhena Decoction
What formula is best for the following symptoms of recurrent wind-cold-damp painful obstruction in which localized constraint generates heat?
(Release Exterior: Warming)
Pulse: Wiry, slippery
Tongue: White, greasy coating
Swollen and painful joints (especially of the lower extremities) that are warm to the touch and worsen at night Reduced range of motion in the affected joints Chills Absence of sweating Weight loss Headache Dizziness Shortness of breath A feeling as if one wants to vomit
ingredients gui zhi (12g) - chief, warms & unblocks the channels ma huang (6g) - deputy — strengthens this effect and relieve superficial swelling bao fu zi (15g) - deputy — warms the channels and relives pain zhi mu (12g) - deputy — w/bai shao this herb works to clear heat & prevent injury to yin by recurrent painful obstruction bai shao (9g) - deputy bai zhu (15g) - assistant works with the chief to unblock the flow of yang qi and leach out dampness - (if wondering why this herb is included, it is stronger than fu ling to leach out damp) fang feng (12g) - assistant — strengthens the formula's function of expelling wind and damp sheng jiang (15g) - envoy — strengthens the spreading and mobilizing actions of the other herbs gan cao (6g) - envoy — harmonizes other herbs ---- ***all the warm herbs in this mix are about mobilization
What formula is best for the following symptoms of recurrent wind-cold-damp painful obstruction in which localized constraint generates heat?
Gui Zhi Shao Yao Zhi Mu Tang
Cinnamon Twig, White Peony and Anemarrhena Decoction
(Release Exterior: Warming)
Pulse: Wiry, slippery
Tongue: White, greasy coating
Swollen and painful joints (especially of the lower extremities) that are warm to the touch and worsen at night Reduced range of motion in the affected joints Chills Absence of sweating Weight loss Headache Dizziness Shortness of breath A feeling as if one wants to vomit
ingredients gui zhi (12g) - chief, warms & unblocks the channels ma huang (6g) - deputy — strengthens this effect and relieve superficial swelling bao fu zi (15g) - deputy — warms the channels and relives pain zhi mu (12g) - deputy — w/bai shao this herb works to clear heat & prevent injury to yin by recurrent painful obstruction bai shao (9g) - deputy bai zhu (15g) - assistant works with the chief to unblock the flow of yang qi and leach out dampness - (if wondering why this herb is included, it is stronger than fu ling to leach out damp) fang feng (12g) - assistant — strengthens the formula's function of expelling wind and damp sheng jiang (15g) - envoy — strengthens the spreading and mobilizing actions of the other herbs gan cao (6g) - envoy — harmonizes other herbs ---- ***all the warm herbs in this mix are about mobilization
What formula is best for the following symptoms of externally-contracted wind-cold with concurrent internal injury due to dampness and stagnation?
Huo Xiang Zheng Qi San
Patchouli/Agastache Powder to Rectify the Qi
(Release Exterior: Warming)
Pulse: Moderate, soggy
Tongue: White, greasy coating
Fever and chills Headache Sensation of fullness and stifling oppression in the chest Pain in the epigastrium and abdomen Nausea and vomiting Borborygmus - bubbling in stomach Diarrhea Loss of taste sudden turmoil
ingredients
huo xiang (12g) - chief — disperses wind-cold, transforms turbid dampness, revives the spleen, stops vomiting
jiang chao hou po (9g) - deputy
chen pi (9g) - deputy — these first 2 deputies move the qi and promotes proper water metabolism to expand the chest and reduce fullness or stifling sensation in chest
zi su ye (6g) - deputy
bai zhi (6g) - deputy — the second two deputies help the chief herb dispel externally contracted cold (bai zhi also treats headache
zhi ban xia (9g) - assistant — harmonizes the stomach and stop vomiting
da fu pi (9g) - assistant — focuses on the lower burner // both act on qi mechanism
bai zhu (12g) - assistant
fu ling (9g) - assistant — these two assistants strengthen the spleen and transform dampness
jie geng (9g) - assistant — promotes the proper function of the lungs and diaphragm
zhi gan cao (3g) - harmonizes the actions of the other herbs to regulate spleen and stomach
CC: Because this formula contains warm and drying herbs, it should not be used without significant modification for conditions of wind-heat or fire due to deficiency.
Huo Xiang Zheng Qi San
Patchouli/Agastache Powder to Rectify the Qi
What formula is best for the following symptoms of externally-contracted wind-cold with concurrent internal injury due to dampness and stagnation?
(Release Exterior: Warming)
Pulse: Moderate, soggy
Tongue: White, greasy coating
Fever and chills Headache Sensation of fullness and stifling oppression in the chest Pain in the epigastrium and abdomen Nausea and vomiting Borborygmus - bubbling in stomach Diarrhea Loss of taste sudden turmoil
ingredients
huo xiang (12g) - chief — disperses wind-cold, transforms turbid dampness, revives the spleen, stops vomiting
jiang chao hou po (9g) - deputy
chen pi (9g) - deputy — these first 2 deputies move the qi and promotes proper water metabolism to expand the chest and reduce fullness or stifling sensation in chest
zi su ye (6g) - deputy
bai zhi (6g) - deputy — the second two deputies help the chief herb dispel externally contracted cold (bai zhi also treats headache
zhi ban xia (9g) - assistant — harmonizes the stomach and stop vomiting
da fu pi (9g) - assistant — focuses on the lower burner // both act on qi mechanism
bai zhu (12g) - assistant
fu ling (9g) - assistant — these two assistants strengthen the spleen and transform dampness
jie geng (9g) - assistant — promotes the proper function of the lungs and diaphragm
zhi gan cao (3g) - harmonizes the actions of the other herbs to regulate spleen and stomach
CC: Because this formula contains warm and drying herbs, it should not be used without significant modification for conditions of wind-heat or fire due to deficiency.
What formula is best for the following symptoms of externally-contracted wind-cold-dampness with concurrent internal accumulation of heat?
Jiu Wei Qiang Huo Tang
Nine-Herb Decoction with Notopterygium
(Release Exterior: Warming)
Pulse: Floating
Tongue: White coating
Fever and chills (chills predominant) without sweating Headache Stiff neck Generalized aches and pain Slight thirst Bitter taste in the mouth
ingredients qiang huo (4.5g) - chief — disperses exterior wind cold dampness fang feng (4.5g) - deputy can zhu (4.5g) - deputy — these first two deputies assist the chief in releasing the exterior and eliminating dampness xi xin (1.5g) - deputy chuan xiong (3g) -deputy bai zhi (3g) - deputy - these three deputies treat the head and body aches huang qin (3g) -assistant sheng di huang (3g) - assistant — these two assistant clear qi and blood level interior heat, treating thirst and bitter taste gan cao (3g) - envoy — harmonizes the middle burner and the actions of other herbs
CC: Due to its acrid and drying nature, this formula is contraindicated in warm pathogen diseases (including damp-warmth disorders). It should be used with great care in patients who tend toward yin deficiency.
Wei Qiang Huo Tang
Nine-Herb Decoction with Notopterygium
What formula is best for the following symptoms of externally-contracted wind-cold-dampness with concurrent internal accumulation of heat?
(Release Exterior: Warming)
Pulse: Floating
Tongue: White coating
Fever and chills (chills predominant) without sweating Headache Stiff neck Generalized aches and pain Slight thirst Bitter taste in the mouth
ingredients qiang huo (4.5g) - chief — disperses exterior wind cold dampness fang feng (4.5g) - deputy can zhu (4.5g) - deputy — these first two deputies assist the chief in releasing the exterior and eliminating dampness xi xin (1.5g) - deputy chuan xiong (3g) -deputy bai zhi (3g) - deputy - these three deputies treat the head and body aches huang qin (3g) -assistant sheng di huang (3g) - assistant — these two assistant clear qi and blood level interior heat, treating thirst and bitter taste gan cao (3g) - envoy — harmonizes the middle burner and the actions of other herbs
CC: Due to its acrid and drying nature, this formula is contraindicated in warm pathogen diseases (including damp-warmth disorders). It should be used with great care in patients who tend toward yin deficiency.
Qiang Huo Sheng Shi Tang
Notopterygium Dispel Damp Decoction
(Release Exterior: Warming)
What formula is best for the following symptoms of painful obstruction with wind-dampness being predominant?
Pulse: Floating
Tongue: White coating
A heavy and painful head Generalized sensation of heaviness Back pain or generalized pain Stiffness of the neck Difficulty in rotating or bending the trunk Mild fever Chills
ingredients
qiang huo (3g) - chief — expels wind-damp from upper reaches of the greater yang
du huo (3g) - chief — expels wind damp from lower reaches of the channel
gao ben (1.5g) - deputy
fang feng (1.5g) - deputy — these two deputies expel wind damp from exterior aspects of greater yang channel and treat headache
chuan xiong (1.5g) - assistant — treats headache and invigorates blood and relieves generalized heaviness and pain
man jing zi (0.9g) - assistant — treats headache
zhi gan cao (1.5g) - envoy — harmonizes the actions of the other herbs
CC: Use with caution in patients with constitutional yin deficiency, or for any condition with heat.
What formula is best for the following symptoms of painful obstruction with wind-dampness being predominant?
Qiang Huo Sheng Shi Tang
Notopterygium Dispel Damp Decoction
(Release Exterior: Warming)
Pulse: Floating
Tongue: White coating
A heavy and painful head Generalized sensation of heaviness Back pain or generalized pain Stiffness of the neck Difficulty in rotating or bending the trunk Mild fever Chills
ingredients
qiang huo (3g) - chief — expels wind-damp from upper reaches of the greater yang
du huo (3g) - chief — expels wind damp from lower reaches of the channel
gao ben (1.5g) - deputy
fang feng (1.5g) - deputy — these two deputies expel wind damp from exterior aspects of greater yang channel and treat headache
chuan xiong (1.5g) - assistant — treats headache and invigorates blood and relieves generalized heaviness and pain
man jing zi (0.9g) - assistant — treats headache
zhi gan cao (1.5g) - envoy — harmonizes the actions of the other herbs
CC: Use with caution in patients with constitutional yin deficiency, or for any condition with heat.
Xing Su San
Apricot Kernel and Perilla Leaf Powder
(Release Exterior: Warming)
Pulse: wiry
Tongue: dry, white coating
Sight headache, chills w/out sweating, cough with watery sputum, stuffy nose, dry throat
ingredients
zi su ye (6-9g) - chief – releases exterior cold by producing moderate sweating
qian hu (6-9g) - deputy - directs qi downward and releases exterior
xing ren (6-9g) - chief –disseminates LU qi, stops cough
jie geng (6g) - deputy – causes LU qi to descend & stops coughing
zhi ke (6g) - deputy – moves the qi, expands the chest, stops cough by regulating qi
chen pi (6g) - assistant
fu ling (6-9g) - assistant
zhi ban xia (6-9g) - assistant – all the assistants work to relate the qi of the middle burner and transform phlegm
sheng jiang 2-3 pieces - envoy
da zao 2-3 pieces - envoy
gan cao (3g) - envoy – the envoys all work to harmonize the actions of the other herbs and regulate the nutritive and protective qi.
Ren Shen Bai Du San
Ginseng Powder to Overcome Pathogenic Influences
(Release Exterior: Warming)
What formula is best for the following symptoms of externally-contracted wind-cold-dampness battling the body’s deficient normal qi, which is unable to expel the pathogenic influences?
Pulse: Floating, soggy
Tongue: Greasy, white coating
High fever accompanied by severe chills and shivering
Absence of sweating
Pain and stiffness of the head and neck
Soreness and pain of the extremities
Focal distention and fullness of the chest
Nasal congestion with loud nasal breathing
A productive cough
ingredients qiang huo (30g) - chief du huo (30g) - chief — the two chief herbs dispel damp and alleviate pain and address fever, chills w/out sweating, headache, generalized pain and soreness chuan xiong (30g) - deputy - moves blood and dispels wind to aid in pain relief chai hu (30g) - deputy — reduces fever and expels pathogenic influences jie geng (30g) - deputy fu chao zhi ke (30g) - deputy — these two deputies (jie geng/zhi ke) regulate the flow of qi in the chest qian hu (30g) - deputy — improves circulation of lung qi, expels phlegm and stops coughing ren shen (30g) - assitant — strengthens the normal qi, generates fluids and strengthens body's resistance to invasions to prevent a relapse fu ling (30g) - assistant — leaches out dampness gan cao (15g) - envoy — assists ren shen in tonifying qi and harmonizes the actions of the other herbs
CC: Because of the warm, drying properties of many of the ingredients, it is important to remember that this formula is indicated only for externally-contracted wind-cold-dampness and is contraindicated for cases due to heat or damp-heat.
What formula is best for the following symptoms of externally-contracted wind-cold-dampness battling the body’s deficient normal qi, which is unable to expel the pathogenic influences?
Ren Shen Bai Du San
Ginseng Powder to Overcome Pathogenic Influences
(Release Exterior: Warming)
Pulse: Floating, soggy
Tongue: Greasy, white coating
High fever accompanied by severe chills and shivering
Absence of sweating
Pain and stiffness of the head and neck
Soreness and pain of the extremities
Focal distention and fullness of the chest
Nasal congestion with loud nasal breathing
A productive cough
ingredients qiang huo (30g) - chief du huo (30g) - chief — the two chief herbs dispel damp and alleviate pain and address fever, chills w/out sweating, headache, generalized pain and soreness chuan xiong (30g) - deputy - moves blood and dispels wind to aid in pain relief chai hu (30g) - deputy — reduces fever and expels pathogenic influences jie geng (30g) - deputy fu chao zhi ke (30g) - deputy — these two deputies (jie geng/zhi ke) regulate the flow of qi in the chest qian hu (30g) - deputy — improves circulation of lung qi, expels phlegm and stops coughing ren shen (30g) - assitant — strengthens the normal qi, generates fluids and strengthens body's resistance to invasions to prevent a relapse fu ling (30g) - assistant — leaches out dampness gan cao (15g) - envoy — assists ren shen in tonifying qi and harmonizes the actions of the other herbs
CC: Because of the warm, drying properties of many of the ingredients, it is important to remember that this formula is indicated only for externally-contracted wind-cold-dampness and is contraindicated for cases due to heat or damp-heat.
Xiang Ru San
Mosla Powder
(Relieve Summerheat/Release Exterior)
What formula is best for the following symptoms of exterior cold with interior dampness contracted in the summer?
Pulse: Floating
Tongue: White, greasy coating
Chills with skin that is warm to the touch An absence of sweating A sensation of heaviness in the head Headache Abdominal pain Vomiting Diarrhea A stifling sensation in the chest Fatigued extremities
ingredients*
xiang ru (9-12g) - chief — stimulates sweating and releases exterior cold
chao bian dou (6-9g) - deputy
jiang hou po (6-9g) — assistant
CC: Using this in those with summerheat that is NOT yin summerheat (i.e. Yang summerheat), will severely injure the fluids and qi, increase heat in the body, and significantly aggravate the condition.
What formula is best for the following symptoms of exterior cold with interior dampness contracted in the summer?
Summerheat release exterior
Xiang Ru San
Mosla Powder
Pulse: Floating
Tongue: White, greasy coating
Chills with skin that is warm to the touch An absence of sweating A sensation of heaviness in the head Headache Abdominal pain Vomiting Diarrhea A stifling sensation in the chest Fatigued extremities
ingredients*
xiang ru (9-12g) - chief — stimulates sweating and releases exterior cold
chao bian dou (6-9g) - deputy
jiang hou po (6-9g) — assistant
CC: Using this in those with summerheat that is NOT yin summerheat (i.e. Yang summerheat), will severely injure the fluids and qi, increase heat in the body, and significantly aggravate the condition.
Zhi Sou San
Stop Coughing Powder
(Release Exterior: Warming)
What formula is best for the following symptoms of cough that occurs as the sequela to externally-contracted wind-cold?
Pulse: Moderate, floating
Tongue: Thin, white coating
Coughing with or without slight chills and fever
An itchy throat
Phlegm that is difficult to expectorate
ingredients jie geng (960g) - deputy — the two deputies focus on opening constrained lung qi jing jie (960g) - assistant — slight exterior releasing action to help eliminate lingering pathogenic influence zi wan (960g) - chief bai bu (960g) - chief — the two chiefs warm without causing heat and moisten without being cold, stop coughing transform phlegm in acute and chronic disorders bai qian (960g) - deputy gan cao (360g) - envoy — harmonizes the other herbs chen pi (480g) - assistant — regulates qi (MOVES QI) to transform phlegm
CC: This formula has a tendency to dry and should therefore not be used in treating coughs associated with yin deficiency. It was designed for treating wind-cold and should not be used, without modification, in treating coughs due to heat in the LU.
