Formulas - Release the Exterior Flashcards
In the formula Ma Huang Tang, which 2 herbs are combined for inducing sweating?
Ma Huang & Gui Zhi
Ma Huang (Ephedrae) Gui Zhi (Cinnamon) Xing Ren (Apricot Seed) Zhi Gan Cao (Honey Fried Licorice)
Ma Huang Tang
In Ma Huang Tang formula, which 2 herbs are combined to treat cough & wheezing?
Ma Huang & Xing Ren
What does Ma Huang Tang treat?
Exterior Cold Excess Pattern
What are the actions for Ma Huang Tang?
- ) Induces perspiration (sweating), releases exterior wind-cold
- ) Disperses lung qi & arrests wheezing
What are the KEY indications for Ma Huang Tang?
Fever & Chills (chills are predominant) WITH OUT sweating
Cough and/or wheezing
Tight Pulse
*** May also have h/a, body aches & thin, white TC
Which herb is the chief herb in Ma Huang Tang?
Deputy?
Assistant?
Envoy?
Ma Huang
Gui Zhi
Xing Ren
Zhi Gan Cao
Contraindicated uses for Ma Huang Tang?
Wind-cold deficiency pattern Wind-heat pattern Exterior disorder with internal deficiency Patient with heavy blood loss Elderly with weak constitution
When should you use Ma Huang cautiously?
Patient has:
- -> skin sores/carbuncles
- -> frequent Lin Syndrome
- -> gets nose bleeds easily
In Ma Huang Tang formula, what are the herb pairs?
Ma Huang & Gui Zhi —> Induce sweating
Ma Huang & Xing Ren —>Cough & wheezing
Is Ma Huang Tang used long term or short term?
Short term, days not weeks. Stop once sweating stops.
What is the main pathology for using Ma Huang Tang?
Wind-cold attacking the exterior and fetters wei qi at the exterior and nutritive qi in the interior.
Also constrains the dissemination of lung qi.
What is another name for Ma Huang Tang?
Ephedra decoction
What herbs are in Da Qing Long Tang?
C: Ma Huang
D: Gui Zhi, Shi Gao
A: Xing Ren, Sheng Jiang, Da Zao
E: Zhi Gan Cao
Da Qing Long Tang Pairs
Ma Huang & Gui Zhi —> Induce sweating
Ma Huang & Xing Ren —> Direct LU Qi downward & balances dispersive action of Ma Huang
Ma Huang & Shi Gao —> Clars internal heat w/out inhibiting dispersing action of Ma Huang
What kind of pattern does Da Qing Long Tang treat?
Mixture pattern:
- -> Exterior wind-cold excess (Primary)
- -> Interior heat excess (Secondary)
Another name for Da Qing Long Tang?
Major Blue Dragon Decoction
What do you treat with Da Qing Long Tang?
Severe exterior excess, wind-cold syndrome with interior constrained heat pattern
Indications for using Da Qing Long Tang?
Severe fever and chills without sweating, thirst, irritability, acute floating edema
What are the actions for Da Qing Long Tang?
Strongly induces perspiration, releases exterior wind-cold , and clear interior heat
What are the indications for interior heat?
high fever, thirst & irritability
Another name for Gui Zhi Tang?
Cinnamon Twig Decoction
Herbs in Gui Zhi Tang?
C: Gui Zhi D: Bai Shao A: Sheng Jiang A: Da Zao E: Zhi Gan Cao
Gui Zhi Tang pairs?
Gui Zhi & Bai Shao (equal doses) —> Regulates both the protective & nutritive Qi
Sheng Jiang & Da Zao —> Benefits middle Spleen Qi (nausea, vomiting, harmonize nutritive qi & blood)
Ren Shen Bai Du San
Ginseng Powder to Overcome Pathogenic Influences
C: Qiang Huo, Du Huo
D: Chuan Xiong, Chai Hu, Bo He
A: Jie Geng, Zhi Ke, Qian Hu, Sheng Jiang, Ren Shen, Fu Ling
E: Gan Cao
What are the actions for Ren Shen Bai Du San?
Releases the exterior, dispels wind and dampness, and augments the Qi
Indications for using Ren Shen Bai Du San?
Pre-existing Qi deficiency, Severe fever, severe chills & shivering but no sweating. Pain and stiffness of head and neck, focal distention. Pain and soreness for extremities, nasal congestion, loud breathing, and productive cough.
Main pathology or pattern for using Ren Shen Bai Du San?
Exterior wind-cold-dampness (battling the body’s deficient normal Qi) with pre-existing Qi deficiency (unable to expel the pathogenic influence)
Ma Huang Xi Xin Fu Zi Tang
C: Ma Huang
D: Zhi Fu Zi
A/E: Xi Xin
What is the actions for Ma Huang Xi Xin Fu Zi Tang?
Assists the Yang, and releases the exterior wind-cold
What are the indications for using Ma Huang Xi Xin Fu Zi Tang?
Slight fever, severe chills not relieved by wearing more clothing or adding covers, exhaustion with a constant desire to sleep.
P: Submerged faint pulse
What pattern would you use Ma Huang Xi Xin Fu Zi Tang for?
Wind-cold attack exterior and pre-existing Yang deficiency (Qi unable to expel pathogenic influences)
Ma Huang Xi Xin Fu Zi Tang pairs?
Fu Zi & Xi Xin —> warming the channels
Ma Huang & Xi Xin —> dispersing wind-cold
Special clinical features for use of Ma Huang Xi Xin Fu Zi Tang?
chills (severe, can’t get warm)
fever (low grade)
pulse (weak & deep)
What formula do you use to treat simultaneous tai yang (greater yang) & shao yin (lesser yin)?
Ma Huang Xi Xin Fu Zi Tang