Formulas that Release Exterior Wind-Cold Flashcards
Da Qing Long Tang (Major Bluegreen Dragon Decoction)
Promotes sweating
Releases exterior (
Clears Interior Heat (Shi Gao)
C: Ma Huang (18)
(Pronounced fettering of exterior by wind cold. Strong diaphoretic)
A: Xing Ren (6-9)
(Cough not predominant, but it balances Ma Huang)
A: Gui Zhi (6)
A: Zhi Gan Cao (6)
(Harmonizes by bringing everything into a coherent whole)
D: Shi Gao (12-30)
(acrid, sweet, cold. Clears internal heat without inhibiting the dispersing action of the diaphoretics or further damaging the yin fluids)
A: Sheng Jiang (9)
(warms ST and disperses fluids)
A: Da Zao (12)
Ma Huang + Gui Zhi + Sheng Jiang = Strongly open the pores, induce sweating, and scatter wind cold. Also provide outlet for excessive fluids.
Xing Ren vs Ma Huang= bitter flavor of xing ren directs LU qi downward and balances dispersive action of ma huang. Its oily nature protects the LU from Ma Huang’s drying.
Zhi Gan Cao + Da Zao= tonify the middle burner qi and provide the essence from which fluids can be replenished.
Sheng Jiang + Zhi Gan Cao + Da Zao= reinforces the movement and transformation of middle burner qi.
- For Exterior cold with heat from constraint in the interior: severe fever and chills without sweating, body aches, thirst, irritability, and floating tight pulse.
- Also for overflowing thin mucus patterns: heaviness and aching of the entire body or by superficial edema in extremities in addition to the other signs and sx above
Gui Zhi Tang (Cinnamon Twig Decoction)
Releases pathogenic influences from the muscle layer
Regulates the nutritive and protective qi
C: Gui Zhi (9)
(releases externally contracted wind cold from muscle layer.)
D: Shao(bai) Yao (9)
(Benefits the yin and contains the weak nutritive qi)
A: Sheng Jiang (9)
(Helps release exterior, also treating the nausea and vomiting by warming the middle and directing qi downward)
A: Da Zao (12 pieces)
(Helps Bai Shao nourish and harmonize nutritive qi and blood)
5. Zhi Gan Cao (6)
(harmonizes the actions of other ingredients)
Gui Zhi + Bai Shao= enhance ability of wei qi to dispel pathogenic influences while strengthening the nutritive qi.
Da Zao + Sheng Jiang = Benefit the middle qi which rises to regulate the nutritive and protective qi)
Gui Zhi + Sheng Jiang + Zhi Gan Cao= transform yang
Bai Shao, Da Zao + ZGC= nourish yin.
Fever and chills unrelieved by sweating, h/a, aversion to wind, stiff neck, nasal congestion, dry heaves, no particular thirst, a thin white and moist tc, floating pulse that is either lax or fail. Also for patients not suffering from external invasion.
Ge Gen Tang (Kudzu Decoction) Ingredients
C: Ge Gen (12)
(releases muscle layer (especially of the upper back and neck) by drawing fluids into the affected area and releases the exterior)
D: Ma Huang (9)
(Induces sweating. Powerfully releases cold from exterior)
D: Gui Zhi (6)
(Helps chief herb release exterior and muscle layers)
A: (Bai) Shao Yao (6)
(Preserves the yin by preventing the exterior releasing herbs from causing excessive sweating)
Sheng Jiang (9)
Da Zao (12 pieces)
Zhi Gan Cao (6)
(Harmonizes the actions of other herbs)
Bai Shao + Gui Zhi = Regulates the protective an nutritive qi and assists in the expulsions of the pathogenic influences
Sheng Jiang + Da Zao = regulate the protective and nutritive qi and harmonize the St, protecting it from injury.
Zhi Gan Cao + Bai Shao= relieves muscle spasms and useful in the tx of neck and back stiffness.
Ge Gen Tang (Kudzu Decoction) Actions
Releases the Exterior and muscle layer
Generates Fluids
Ge Gen Tang (Kudzu Decoction) Indictations
Fever and chills without sweating
Stiff and rigid neck and upper back
Thin white tc
Floating tight pulse
Distinguishing feature: stiff and rigid neck and upper back
Xiao Qing Long Tang (Minor Blue Dragon Decoction) Ingredients
C: Ma Haung (9)
(releases the exterior, arrests wheezing and promotes urination)
C: Gui Zhi (9)
(Releases the exterior, opens the blood vessels, promotes qi transformation)
D: Gan Jiang (9)
(Particularly effective at warming SP, from which the thin mucus emanates)
D: Xi Xin (9)
(Also stops coughing by facilitating the flow of qi throughout the body)
A: Wu Wei Zi (9)
(Prevents leakage of LU qi)
A: Bai Shao (9)
(Nourishes the blood and nutritive qi)
A: Zhi Ban Xia (9)
(Transforms thin mucus and harmonizes the ST)
E: Zhi Gan Cao (9)
(Augments the qi and harmonizes the interaction of the acrid and sour herbs)
Ma Huang + Gui Zhi = disperse wind cold from the exterior, promotes water metabolism to remove thin mucus, disseminate LU qi and opens the vessels to tx wheezing and body aches)
Gan Jiang + Xi Xin = warm the interior, transform thin mucus and helps the chief herbs release the exterior
Bai Shao + Wu Wei Zi= prevent drying and scattering of qi and fluids by acrid herbs.
Xiao Qing Long Tang (Minor Blue Dragon Decoction) Actions
Releases the exterior
Transforms thin mucus
Warms the LU
Directs rebellious qi downward
Effective because it simultaneously release wind cold from the exterior and transform thin mucus in the interior.
Xiao Qing Long Tang (Minor Blue Dragon Decoction) Indications
Fevers and chills (chills predominant) without sweating
Cough
Wheezing
Sputum that is copious, white, stringy and difficult to expectorate
Stifling sensation in the chest
Generalized sensation of heaviness and body aches
No particular thirst
Moist tc
Floating, tight pulse
In severe cases:
There may be floating edema
Considerable difficulty in breathing when laying down
Jiu Wei Qiang Huo Tang (Nine-herb decoction with Notopterygium): Ingredients
C: Qiang Huo (4.5)
(Principle herb for dispersing wind-cold-dampness)
D: Fang Feng (4.5) + Cang Zhu (4.5)
(assist chief herb in releasing the exterior and eliminating dampness)
D: Xi Xin (1.5) + Chuan Xiong (3) + Bai Zhi (3)
(assist chief herb in releasing the exterior and treating the head and body aches)
A: Huang Qin (3)+ Sheng Di Huang (3)
(Clear qi and blood level heat, treat thirst and bitter taste in mouth, and prevent dry nature of other herbs from injuring the fluids)
Gan Cao (3)
(Harmonizes middle burner and actions of the other herbs)
Jiu Wei Qiang Huo Tang (Nine-herb decoction with Notopterygium): Actions
Induces sweating and dispels dampness
Simultaneously drains interior heat
Wind-cold-dampness invasion with internal heat
Jiu Wei Qiang Huo Tang (Nine Herb decoction with Notopterygium): Indications
Fever and chills (chills predominant) without sweating H/a Stiff neck Generalized aches and pain Slight thirst A bitter taste in the mouth White tc Floating pulse
Jia Wei Xiang Su San (Augmented Cyperus and Perilla Leaf Powder) Ingrediants
C: Zi Su Ye (4.5)+ Jing Jie (3)
(warm, acrid, light herbs. Facilitate the movement of qi in the exterior, open up the skin and interstices, dispel wind cold)
Deputies: focus on releasing pathogens from the muscles, channels, and collaterals
D: Fang Feng (3) +Qin Jiao (3)
(Dispel Wind cold and alleviate pain)
D: Man Jing Zi (3)
(indicated for head aches)
Assistants: regulate qi and blood in the interior, promoting the qi dynamic to enable the normal qi to ascend and spread through the exterior
A: Xiang Fu (3.6)
(releases constraint and disperses stagnation through all 12 channels)
A: Chuan Xiong (1.5)
(focus on head ache)
A: Chen Pi (3.6)
(regulates the qi, directs downward, and drys dampness.)
+ Sheng Jiang (three slices to each prescription)
(Facilitates the LU control of pores and interstices
E: Zhi Gan Cao (2.1)
(harmonizes the actions of other herbs, strengthens the st, and prevents the qi regulating herbs from depleting the qi)
Jia Wei Xiang Su San (Augmented Cyperus and Perilla Leaf Powder) Actions:
Promotes Sweating
Releases exterior
Distinguishing: mild formula. Ideal for children, invalids, and elderly. Either weak epi or hasn’t penetrated deeply
Jia Wei Xiang Su San (Augmented Cyperus and Perilla Leaf Powder) Indications:
Common cold year round
H/a and stiffness of the neck
Nasal obstruction or runny nose
Aches and pains in the body or extremities
Fever with chills or aversion to wind but w/o sweating
Thin white tc
Floating pulse
Shi Shen Tang (Ten Miracle Decoction): Ingredients
C: Zi Su Ye (6-9)
(acrid and warm. Opens obstructed LU qi, disseminates the qi in the bodies exterior, warms and disperses the cold pathogen that fetters the exterior. Frees the Lu qi, fluids and protective qi to be dispersed. Arouses the SP and transforms dampness removing oppression)
D: Chen Pi (6-9)
(Helps Zi Su Ye transform dampness and move the qi)
D: Xiang Fu (6-9)
(With Chen Pi regulates the qi and dredges the LV)
Zi Su Ye + Chen Pi + Xiang Fu = promotes free flow of qi through three burners
D: Ma Huang (6) + Ge Gen (12-18)
(Release pathogens from exterior)
A: Sheng Ma (6-9)
(Helps ge gen to ascend and disperse the muscle layer)
D: Chi Shao (6-9)
(adjusts and connects yin and yang, allowing the heat from the interal stasis to move to the exterior where it is released)
D: Chuan Xiong (6)
(Moves the qi with int he blood)
Bai Zhi (6) + Chuan Xiong + Ge Gen+ Sheng Ma = treat wind cold h/a and nasal congestion
E: Zhi Gan Cao (6)
(Tonifies and harmonizes middle burner and various herbs
