Formulas that Direct Rebellious Qi Downward Flashcards
Su Zi Jiang Qi Tang (Perilla Fruit decoction for directing qi downwards): Ingrediants
Treat exuberant pathogenic qi above) C: Zi Su Zi (9-12) (warming, acrid, moistening. Directs rebellious qi downward, expels phlegm, stops coughing, arrests wheezing. Helps both LU and LI) D: Zhi Ban Xia (6-9) + Hou Po (3-6) (Direct qi downward and transform phlegm) A: Chen Pi(6-9) + Zhi Ban Xia (Transform phlegm and regulate the qi) A: Qian Hu (6-9) + Hou Po (Direct qi downward and expel phlegm)
Tx deficiency below
Rou Gui (1.5-3)
(Warm fire at the gate of life, direct floating yang back to its source, dispels cold)
Dang Gui (6-9)
(Complicated. Maybe tx cough. Harmonize qi and blood. Helps bring errant parts of the body back to their respective sources. Prevent injury to yin)
Gan Cao (3-4.5)
(Harmonize middle burner and other herbs)
Su Zi Jiang Qi Tang (Perilla Fruit decoction for directing qi downwards): Actions
Directs Rebellious Qi downward
Arrests wheezing
Stops coughing
Warms and transforms phlegm cold
OR
Primary action: direct rebellious qi downward, stop coughing and wheezing, expel phlegm
Secondary action: warming the fire at the gate of vitality and supporting the lower burner function of grasping the qi
Su Zi Jiang Qi Tang (Perilla Fruit Decoction for Directing qi Downwards): Indications
Abundance above, deficiency below
Coughing and wheezing with water, copious sputum
A stifling sensation in the chest and diaphragm
SOB marked by relatively labored inhalation and smooth exhalation
White tc- either slippery or greasy
Also:
Pain and weakness of the lower back and legs
Edema of the extremities
Fatigue
Espeicaly in patients with constitutionally deficient yang with internal phlegm who contract external wind cold which transforms into phlegm cold and obstructs the circulation of LU qi
Ding Chuan Tang (Arrest Wheezing Decoction): Ingrediants
Dissiminate and Direct LU qi downward
C: Ma Huang: unblocks and redirects LU qi, arrests wheezing and releases exterior
C: Bai Guo: transforms phlegm, contains the leakage of LU qi, arrests wheezing, reins in Ma Haung
D: Sang Bai Pi: drains LU, stop wheezing
D: Huang Qin: clears heat and transforms phlegm
(together eliminate phlegm heat from LU)
A: Xing Ren: reinforce Ma Huang
A: Zi su zi + Zhi Ban Xia + Kuan Dong Hua: direct rebellious qi downward, arresting wheezing, expelling phlegm
E: Gan cao: harmonizes the actions of the other ingredients in the formula
Ding Chuan Tang (Arrest Wheezing Decoction): Actions
Disseminate and direct LU qi downward
Drain heat
Transform phlegm
Ding Chuan Tang (Arrest Wheezing Decoction): Indications
Interior and exterior excess: wind cold constraining the exterior, phlegm heat smoldering the interior
Thus, obstruction of LU dynamic by phlegm heat
Coughing and wheezing with copious, thick, and yellow sputum
Labored breathing
Greasy, yellow tc
Slippery, rapid pulse
May also be simultaneous chills and fever
Patients tend to have excess phlegm and catch a wind cold.
Xuan Fu Dai Zhe Tang (Inula and Hematite Decotion): Ingrediants
C: Xuan Fu Hua: bitter nature drives rebellious qi downward, acrid saltiness disolves phlegm
D: Dai Zhe Shi: sinking nature strongly suppresses rebellious qi
A: Zhi Ban Xia + Sheng Jiang
(warm and harmonize St, direct qi downward therefore dispelling the phlegm and dispersing the focal distention)
A: Ren shen + zhi gan cao + da zao
(tonify deficient qi and strengthen SP and ST)
Xuan Fu Dai Zhe Tang (Inula and Hematite Decoction): Actions
Excess and Deficiency: rebellious ST qi and deficiency of MB qi with accumulation of phlegm fluids
Main focus: subdue rebellion
Direct the rebellion downward
Transform phlegm
Augment Middle burner qi
Xuan Fu Dai Zhe Tang (Inula and Hematite Decoction): Indications
Phlegm Turbidity Obstructing the Interior + Weak, deficient ST qi
Unremitting Belching Hiccup Regurgitation Nausea or Vomitting Hard epigastric focal distention White, slippery tc Wiry, deficient pulse
Ju Pi Zhu Ru Tang (Tangerine Peel and Bamboo Shavings Decoction): Ingrediants
C: Chen Pi (harmonizes St, stops hiccough)
C: Zhu ru (clears heat, calms St, stops hiccough)
D: Ren Shen (tonifies in midst of regulation)
D: Sheng Jiang (Very effective at harmonizing St and stopping vomiting)
+ Zhu Ru: reinforces downward flow of ST qi, prevents cool herbs from injuring SP
A: Gan Cao + Da Zao (+ren shen augment the qi)
Ju Pi Zhu Ru Tang (Tangerine Peel and Bamboo Shavings Decoction): Actions
Primary focus: Directs Rebellious qi downward
Stops hiccup
Augments the Qi
Clears heat
Ju Pi Zhu Ru Tang (Tangerine Peel and Bamboo Shavings Decoction): Indications
Qi stagnation and constraint dt chronic ST deficiency or when ST qi is injured
Hiccup
Nausea
Dry Heavings or retchings
Optional: tender red tongue and deficient rapid pulse
Also: for vomiting resulting from debility following a prolonged illness
Ding Xiang Shi Di Tang (Clove and Persimmon Calyx Decoction): Ingrediants
C: Ding Xiang (warms ST, dispels cold, directs flow of qi downward, stops hiccough and belching)
C: Shi Di (major herbs for stopping hiccough and belching)
(Very effective in directing rebellious qi dt cold down)
D: Sheng Jiang (warms St, direct rebellious qi downward- supports and enhances chief)
A: Gen Shen (strongly augments qi and tonifies deficiencies)
Ding Xiang Shi Di Tang (Clove and Persimmon Calyx Decoction): Actions
Primary focus: Warm the MB, direct rebellious qi downward
Augments the Qi
Warms the MB
Directs rebellious qi downward
Stops Hiccough
Ding Xiang Shi Di Tang (Clove and Persimmon Calyx Decoction): Indications
Rebellious Qi dt cold from deficiency in ST
Hiccup Belching Vomiting with stifling sensation in epigastrium Focal distention of the chest Pale tongue with white coating Submerged, slow pulse
