Handling Pathogens

Question 1

RELEASE THE EXTERIOR: WIND COLD
Ma Huang Tang – Ephedra Decoction;

	**Ma** -means yellow" in Chinese. In Ma Huang Tang, it represents another herb called "Aconite" or "Aconitum," which has yellowish roots and is also used in TCM.
	
	**Huang** - means yellow in Chinese. In Ma Huang Tang, it represents another herb called "Aconite" or "Aconitum," which has yellowish roots and is also used in TCM.
	
	**Tang** - means soup or decoction. It indicates that the herbs are prepared by boiling them in water to extract their medicinal properties.
	
	**Probably why its good for wind cold**
	
	STRONG
			Ma Huang (Ephedra different from US- Strong warming herb)
			Gui Zhi (Cinnamon- a warming herb)
			Xing Ren
			Zhi Gan Cao (Licorice) * Usually takes 1 dose

Answer 1

Action:
* Releases the exterior and promotes sweating
* Moves Lung Qi
* Stops wheezing and dyspnea

**Indications:** * Wind Cold Invasion 

C/I:
* Discontinue once sweating occurs; as anything more may cause lost of nutrients. Do not use in Qi deficiency
* Exterior deficiency
* Wind Heat invasion
* Bleeding disorders
* Postpartum
* Caution in hypertension

Question 2

RELEASE THE EXTERIOR: WIND COLD

	Gui Zhi Tang – Cinnamon Twig Decoction; MILD
			Gui Zhi
			Bai Shao – (Peony) Sheng Jiang – (Ginger) Da Zao
			Zhi Gan Cao

• Usually takes 2-3 dose, start as soon as symptoms start. Usually started early in the AM

Answer 2

Actions:
* Releases pathogens from muscle layer
* Regulates Ying and Wei Qi

**Indications:** * Wind Cold (deficient type) aka exterior deficiency with Wind Cold * Ying (Nutritive Qi) and Wei Qi
	disharmony * Deficiency of the middle burner with cold

**Contraindications:**  - Wind Cold invasion (excess type)  - Excess internal heat  - Alcohol consumption: leads to nausea,
	vomiting, bloating

Question 3

RELEASE THE EXTERIOR: WIND

Chuan Xiong Cha Tiao San – Ligusticum Powder to be
taken with Green Tea
Chuan Xiong – (Good Antiviral)
Qiang Huo Bai Zhi
Xi Xin Fang Feng Jing Jie Bo He Gan Cao
Green or black tea (Green in summer and black in
winter)
* Doesn’t matter it is wind heat/cold as this is too get rid of wind. Effective in 1 dose but you do not have to stop this as it is good for fighting against pathogens. These are JUST for EXTERNAL HEADACHES

Answer 3

Actions:
* Clears exterior wind to relieve pain
Indications:
* External wind causing headaches

Contraindications:
* Headaches from Liver Yang rising, Qi def, Blood def, or Liver and Kidney def.

Question 4

RELEASE THE EXTERIOR: WIND HEAT

	Sang Ju Yin – Morus and Chrysanthemum
	Decoction
			Sang Ye Ju Hua Bo He Lian Qiao Jie Geng Xing Ren Lu Gen Gan Cao * Used in Covid Outbreak as it matched a diagnosis of Wind Heat. Patients given this DID NOT go into ICU

Answer 4

Actions:
* Promotes sweating to release the exterior
* Clears wind heat
* Moves Lung Qi to stop coughing I:
* Wind Heat invasion
* Cough from Wind heat

Contraindications:
* Cough from Wind cold

Question 5

RELEASE THE EXTERIOR: WIND HEAT

	Yin Qiao San – Honeysuckle and
	Forsythia Powder
			Jin Yin Hua Lian Qiao Bo He
			Jing Jie
			Dan Dou Chi Jie Geng Niu Bang Zi Gan Cao
			Lu Gen
			Dan Zhu Yu

Answer 5

Actions:
* Releases the exterior
* Clears Wind heat
* Clears heat toxins (are aggressive can show
as blisters, boils, etc.)
Indications:
* Wind heat invasion with heat toxin
* Sore throat, boils, sores C/I:
* Wind cold invasion
* Damp heat (ineffective for the condition)

Question 6

RELEASE THE EXTERIOR: WIND HEAT

	Gan Mao Ling Jie Du Wan – Common
	Cold Effective Remedy
			Gang Mei Gen San Cha Ku Wu Zhi Gan Ban Lan Gen Ju Hua
			Jin Yin Hua
			Bo He

Answer 6

Actions:
* Clears wind heat
* Releases the exterior
* Clear heat toxins

Indications:
* Wind heat invasion with heat toxin
* Sore throat, boils, sores
* Similar to Yin Qiao San but most effective at the onset of sxs
* Can treat all external patterns since 74% of the herbs are anti-viral ; Has been researched but found to have an antihistamine and antinausea pharmaceutical agent in there

Contraindications:
Severe chills

Question 7

What conditions are releasing the exterior for?

Answer 7

-Wind Heat
-Wind Cold
-Wind invasion
-Wind Damp
This list is not exhaustive

Question 8

As in what are the distinguishing factors

What are differentials for the different wind conditions in TCM?

Answer 8

Wind Heat you sweat easily – which is a differential

Wind Damp – effects joints

			When releasing the exterior it pushes pathogens, but it can also release nutrients depending on how strong and or how long we release the exterior. If symptoms are seen passively sweating is a good start point.

Wind Cold If it is harder to start sweating passively it is likely a Wind Cold invasion. As the body is trying to hold on to heat.

Important information on releasing the exterior- Once you promote sweating you can stop. Ideally during the day but if they can’t then at night. This can reduce the time the patient is feeling sick. If the symptoms come back then you re-dose