Formulas that Purge Heat Accum; Simultaneously Attack & Tonify...

Question 1

How does a Yang Ming Channel Pattern diagnosis differ from a Yang Ming Bowel Pattern diagnosis? What is the treatment for Yang Ming Bowel D/O’s

Answer 1

1. Yang Ming Channel has 4 bigs presentation - FORMLESS HEAT - NOT LOCALIZED
2. Yang Ming Bowel - FORMED HEAT/ACCUM has:

• Fullness - ABD pain worse with pressure
• Glomus/MJ Plumpit Pi/Focal Distention - Pt. Subjective
• Dryness - Heat will damage fluids
• Repletion - Excess Heat; Fever/Constipation

** Treat with Precipitation/Purging/Xia

Question 2

What is the key Yang Ming Bowel pattern formula? What are the four key ingredients? What do they relate to?

Answer 2

Da Cheng Qi Tang/Major Order the Qi Decoction

1. Da Huang - Repletion - ADD LAST 5 MINS
2. Mang Xiao - Dryness - stir in & dissolve last
3. (Zhi) Zhi Shi - Glomus
4. (Zhi) Hou Po - Fullness

Question 3

What are three different patterns Da Cheng Qi Tang is given for? What are some C/I’s?

Answer 3

1. Heat excess in Yang Ming organs
2. Heat clumping w. circumfluence
3. Heat Inversion - (cold hands/feet)

C/I’s:

1. In exterior patterns w. aversion to cold & no disruption to urination
2. Hardness in EPIgastric area - pathogen still above ABD
3. Flushed face
4. Xu SP&ST Qi due to habitual small amount of eating
5. Patients who stop eating as the D/O develops
6. Freq. Vomiting
7. A slow pulse indicating Cold in Interior
8. Spont. Sweating & freq. urination

Question 4

What is the action of Xiao Cheng Qi Tang/Minor Order the Qi Decoction? What are the three herbs in this formula? How do the indications differ from Da Cheng Qi Tang?

Answer 4

Xiao Cheng Qi Tang/Minor Order the Qi Decoction: Moderately purges clumped Heat - relatively MILD Yang ming bowel D/O

1. Da Huang - Repletion
2. Hou Po - Fullness
3. (Zhi) Zhi Shi - Glomus

* less S&S of dryness & ABD does NOT increase upon pressure

Question 5

When would it be appropriate to use Tiao Wei Cheng Qi Tang/Regulate ST & order the Qi Decoction? What are the ingredients?

Answer 5

When there are more S&S of repletion & dryness like constipation & Fever.

1. Da Huang - Repletion
2. Gan Cao - Harmonize
3. Mang Xiao - Dryness

Question 6

What are some S&S for Repletion, Dryness, Glomus & Fullness?

Answer 6

1. Repletion - refers to Heat accumulating and resulting in constipation & ADB pain that increases with pressure
2. Dryness - refers to the dry stool that accumulates in the Intestines & causes parts of the abdomen to become tense & firm
3. Glomus - refers to the sensation of obstruction, distention, & heaviness that is focused in the epigastrium
4. Fullness - refers to the visible distention that is resistant

to palpation

Question 7

Which formula would you use for even milder heat signs presenting with vomiting & nausea? What are the ingredients for this formula?

Answer 7

Da Huang Gan Cao Tang

1. Da Huang - Repletion
2. Gan Cao - Harmonize

Question 8

What are the ingredients for Hou Po San Wu Tang? What are the actions of this formula?

Answer 8

Hou Po San Wu Tang: - Drains Qi downward & unblocks bowels

1. Hou Po - more warming - Fullness
2. Zhi Shi - Glomus
3. Da Huang - Repletion

Qi stagnation causing constipation & unrelenting pain & fullness in the epigastrium & ABD.

Question 9

Which formula Drains Heat & drives out water by flushing downward? What are the ingredients for this formula? Some indications? What is a caution for this formula?

Answer 9

Da Xian Xiong Tang -

1. Da Huang - Repletion
2. Mang Xiao - Dryness
3. Gan Sui - down draining/harsh expellant

• Severe clumping of fluids in chest, interrrupted breathing; “Pathological fluids”
• Take for a short duration

Question 10

What are the actions of Zeng Ye Cheng Qi Tang? What are the ingredients?

Answer 10

Zeng Ye Cheng Qi Tang - Enriches Yin, generates fluids, drains heat & unblocks bowels

1. Xuan Shen
2. Mai Men Dong
3. Sheng Di Huang
4. Da Huang
5. Mang Xiao