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
What formula do you take with a Gui Zhi Tang presentation with coughing & wheezing?
Gui Zhi Jia Hou Po Xing Zi Tang
Cinnamon twig decoction plus magnolia bark (Hou Po) & apricot kernel (Xing Ren)
What is the actions of Gui Zhi Tang?
(Exterior-deficient, wind-cold syndrome: greater Yang channel disorder)
Release wind-cold or wind from the exterior muscle layer.
Regulate and harmonizes the nutritive & protective qi.
What formula do you use for indications of fever and chills unrelieved by sweating, aversion to wind, stiff neck, nasal congestion, dry heaves, headache and NO thirst?
Gui Zhi Tang
What formula can be used for disharmony between the nutritive & protective qi in patients recovering from serious illness or after childbirth and not suffering from an external invasion?
Gui Zhi Tang
What is the main pathology present for using Gui Zhi Tang?
Wind-cold attacking the exterior muscle layer that leads to disharmony between the nutritive & protective qi
What herbs are in Xiao Qing Long Tang?
C: Ma Huang, Gui Zhi
D: Gan Jiang, Xi Xin
A: Wu Wei Zi, Bai Shao, Ban Xia
E: Zhi Gan Cao
Which herb in Xiao Qing Long Tang has an action that prevents the leakage of Lung Qi from acrid & scatter herbs?
Wu Wei Zi
Which herb in Xiao Qing Long Tang has the action to nourish the Yin, blood and nutritive Qi (prevent the side effects from acrid, warm & scatter ingredients)?
Bai Shao
What is the action of Gan Jiang, Xi Xin & Ban Xia in the formula Xiao Qing Long Tang?
Warm the Lungs and transforms congested fluids
What is another name for Xiao Qing Long Tang?
Minor Bluegreen Dragon Decoction
Actions of Ma Huang?
Releases the exterior, arrests wheezing, promotes urination
Actions of Gui Zhi?
Release the exterior, opens blood vessels, promotes Qi transformation
Action of Gan Jiang?
Warms the Spleen
Action of Xi Xin?
Stops coughing by facilitating the flow of qi throughout the body
Action of Wu Wei Zi?
Prevents leakage of Lung Qi
Action of Bai Shao?
Nourishes the blood & nutritive qi
Actions of Zhi Ban Xia?
Transforms thin mucus, harmonizes the Stomach
Actions of Zhi Gan Cao?
Augments the Qi, harmonizes the interaction of the acrid & sour herbs
What are the actions of Xiao Qing Long Tang?
Release the exterior wind-cold, transforms thin mucus (congested fluids), warms the Lungs, and directs rebellious Lung Qi downward
What are the indications for Xiao Qing Long Tang?
Fever & chills (chills predominant) with out sweating.
Heaviness and body aches, no particular thirst
Coughing, wheezing, difficult to expectorate sputum (copious & white/stringy)
Stifling sensation in the chest, difficulty breathing when lying down
Main pathology for Xiao Qing Long Tang?
Wind-cold attacking exterior, constrained wei qi and lung qi flow, cold congested fluids accumulated in the Lungs and disrupt Lung qi to descend
(Exterior wind-cold with interior congested fluids pattern)
Da Qing Long Tang vs Xiao Qing Long Tang?
Exterior wind-cold with interior heat
vs
Exterior wind-cold with interior congested fluids pattern
What is the actions of Jiu Wei Qiang Huo Tang?
Induces sweating
Releases exterior wind-cold-dampness
Clears interior heat
What formula should you use for fever and chills (chills predominant) without sweating, H/A, stiff neck, generalized aches, pain and heaviness, slight thirst, bitter taste in mouth, white tonge coat & floating pulse?
Jiu Wei Qiang Huo Tang
What formula do you use for wind-cold-dampness attacking the exterior which constrains protective qi with heat accumulating in the interior?
Jiu Wei Qiang Huo Tang
Which symptoms are very important among the indications for using Jiu Wei Qiang Huo Tang?
Generalized aches, pains, and heaviness
Which formula is common for treating exterior wind-cold-dampness excess pattern w/ internal accumulation of heat?
Jiu Wei Qiang Huo Tang
Another name for Jiu Wei Qiang Huo Tang?
Nine-herb Decoction w/ Notopterygium
Which formula treats mild wind-heat disorder?
Sang Ju Yin
Chief ingredients for Sang Ju Yin?
Sang Ye & Ju Hua
Deputy herbs in Sang Ju Yin?
Lian Qiao, Bo He, Jie Geng, Xing Ren
What is the actions for Sang Ju Yin?
Disperses wind, clears heat, facilitates the flow of Lung qi & stops cough
What formula is used for mild early, superficial stage or warm febrile disease (exterior wind-heat pattern)?
Sang Ju Yin
What formula do you use when you have a slight fever, cough, slight thirst, a thin, white tongue coating, and floating, rapid pulse?
Sang Ju Yin
What is the main pathology for Sang Ju Yin?
Wind-heat enter the exterior and obstruct the Lungs and inhibit its clarifying and descending function
What is a very common formula for treating mild exterior wind-heat disorders in which coughing is the dominant symptom?
Sang Ju Yin
Which formula should you not cook for more than 20 minutes because the herbs will lose their efficiency?
Sang Ju Yin
Which two ingredient in Sang Ju Yin are the main ingredients to stop coughing by facilitating the flow of Lung qi?
Jie Geng & Xing Ren
What herbs are in Yin Qiao San?
C: Jin Yin Hua, Lian Qiao
D: Jie Geng, Niu Bang Zi, Bo He, Dan Dou Chi
A: Jing Jie Sui, Dan Zhu Ye, Xian Lu Gen
E: Gan Cao
Which formula is for protective level warm-febrile disorder (exterior wind-heat pattern)?
Yin Qiao San
What are the actions of Yin Qiao San?
Disperses wind-heat, clears heat, and relieves toxicity
What are the indications for Yin Qiao San?
Fever (acute onset), slight chills or chills lasting for only a very brief period of time before aversion to heat develops, headache, thirst, cough, sore throat,red tipped body tongue, floating, rapid pulse
What is the main pattern that Yin Qiao San treats?
Wind-heat toxicity attacks the Lungs and disrupts protective (wei) qi
Sang Ju Yin vs Yin Qiao San?
Sang Ju Yin is better for coursing wind, dissipating heat and treating cough
Yin Qiao San is better for dispersing the exterior with acidity and coolness and for clearing heat and resolving toxin, and treating fever & sore throat
Which formula is for unresolved exterior wind-cold that is transforming into heat?
Chai Ge Jie Ji Tang
Which formula has the action of releasing pathogenic influences from the muscle layer and clears interior heat?
Chai Ge Jie Ji Tang
Which formula would you use if you had increasing fever, decreasing chills,no sweating, headache, stiff extremities, orbital & eye pain, dry nasal passages, insomnia and irritability?
Chia Ge Jie Ji Tang
What is the main pattern for using Chia Ge Jie Ji Tang?
Exterior wind-cold & muscle layer and wind-cold evil qi constrains and then transforms into interior heat
What two herbs in Chia Ge Jie Ji Tang can release heat pathogenic influences from muscle layer?
Chai Hu & Ge Gen
What formula can not be used for simple exterior wind-heat or simple exterior wind-cold?
Chai Ge Jie Ji Tang
In Yin Qiao San, what pair clears Lung heat & relieves toxicity?
Jin Yin Hua & Lian Qiao
In Yin Qiao San, what pair treats sore throat?
Jie Geng & Gan Cao
In Yin Qiao San, what pair spreads Lung qi & improves the function of the throat?
Niu Bang Zi & Jie Geng