Formulas that Warm the Yang & Purge; Moisten the Intestines & Unblock the Bowels; Drive out Excess Water

Question 1

Which Formula Warms the Interior, disperses Cold, unblocks the bowels & alleviates Pain? What are the Ingredients? What are some S&S/Indications for this Formula?

Answer 1

Da Huang Fu Zi Tang - Cold (Yin) Pathogen & Accum from stagnation that clumps in interior.

1. Fu Zi - warms Yang & dispels Cold
2. Da Huang - flush intestiines & purge accum
3. Xi Xin - expel Cold & disperse Accum

Indications: ABD pain, constipation, hypochondriac pain, chills, low-grade fever, cold hands & feet, a white greasy tongue coat & a submerged tight/wiry pulse.

**

Question 2

Which Formula Harshly Purges Cold Accumulation? What are some S&S/Indications for this Formula? What is a dose caution?

Answer 2

San Wu Bei Ji Wan - 3 substance Pill prepared for Emergencies ** Sudden onset of SEVERE COLD accum. attributed to COLD food stagnating in the ST & Intestines completely obstructing the flow of QI

• Indications: Sudden epigastric & ABD pain, Distention with pain so intense it feels as if “an awl is piercing ABD”, rough uneven breathing, a cyanotic complexion, NO bowel mmtns, bluish-purple tongue w. a white coat & submerged/tight pulse
• 1 gram @ a time & less if a pediatric patient (W. warm water) This is an extremely harsh formula that will induce diarrhea & often vomiting. It should only be used in true emergencies. If the diarrhea becomes severe, it may be stopped by taking cool rice porridge.

Question 3

Which Moisten the Intestines & Unblock the Bowels Formula is used to Nourish the blood, enrich the Yin & moisten the Intestines while eliminating W/H in the Intestines? This formula is mostly used in damage to fluids in the aftermath of things that have caused depletion leading to constipation due to dessicated Intestines.

Answer 3

Run Chang Wan - Moistens the Intestines & unblocks the Bowels

Indications: Constipation, lusterless skin & nails, dry mouth with an unquenchable thirst, a dry tongue & thin pulse

Question 4

Which formula Moistens the Intestines, drains Heat, promotes the movement of Qi & unblocks bowels - SP Bind pattern? What are the ingredients for this formula? What is a caution?

Answer 4

Ma Zi Ren Wan - SP Bind patterns

1. Huo Ma Ren - Moisten Intestines & unblock bowels
2. Xing Ren - “ “
3. Shao Yao - Bitter/Sour, Sl. Cold, enters SP, nourishes Yin
4. Zhi Zhi Shi - Breaks up Accum.
5. Zhi Hou Po - Removes fullness & distention
6. Da Huang - Purge

• Indications: Constipation w. HARD stool that is diff. to expel, normal to freq. urination, a dry yellow tongue coat & a submerged rapid or floating/choppy pulse, hemmorrhoids
• Use for SHORT DURATION

Question 5

Which formula warms the KD’s, nourishes the blood, augments the essence, moistens the Intestines & unblocks the bowels? What are the ingredients for this formula?

Answer 5

Ji Chuan Jian - KD Yang Xu giving rise to Constipation

1. Jiu Cong Rong - warms & tonify’s KD yang, warms LB
2. Dang Gui - nourish & harmonize blood/ moisten intestines
3. Niu Xi - Strengthen LB & KD’s, move downward
4. Ze Xie - descends; drains turbid & drains ministerial fire
5. Zhi Ke - relaxes intestines & direct Qi down
6. Sheng Ma - raise clear Yang & encourage turbid to decsend

Indications: Constipation, clear & copious urine, lower back pain, & a cold sensation in the back. This can be considered constipation due to Kidney Xu. The Kidneys are the foundation of the body’s yang qi.

Question 6

Which Drive out Excess Water formula focuses on suspended thin mucus clogging up chest/hypochondria aka suspended Rheum? What are some Indications? What is dosage?

Answer 6

Shi Zao Tang - Purges & Drives out Thin Mucus - 10 JUJUBE decoction

Indications: Cough w. pain in chest & hypochondria, hard focal distention in epighastrium aka Pi/Glomus, dry heaves, SOB, H/A, vertigo, a white slippery tongue coat & a submerged wiry pulse.

** Da Zao is added to augment Qi, protect ST & moderate harshness & toxicity of other ingredients. 5-6 bowel movements a day ater each dose is deal - watery diarrhea.

** .5 - 1 gram a day taken in morning

Question 7

Which Drive out Excess Water formula focuses on Water & Heat accumulation in the Interior causing the obstruction of Qi mechanism? What are some Indications? What is a dosage caution?

Answer 7

Zhou Che Wan - Promotes the movement of Qi & harshly drives out water & heat accumulation.

Indications: Acsites & distention in a robust patient accompanied by thirst, labored breathing, hard ABD, constipation, scanty urine & a submerged rapid/forceful pulse.

** Small dose for a short duration to otherwise “Robust Patients”.