Important Formulas To Learn Flashcards

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1
Q

Action: EXTERIOR WIND COLD DEFIENCY
Release the exterior AND MUSCLE LAYER
Regulates and harmonizes ying qi and wei qi

SX: fever and chills unrelieved by sweating, HA, aversion to wind, stiff neck, nasal congestion, dry heaves, no thirst (tai yang defiency)
T: thin, white coating
P: Floating, moderate

A

Gui zhi tang - cinnamon twig decoction

Gui zhi - cinnamon branch - king herb
Release wind cold from muscle layer
—————————————————
bai shao - peony - deputy
benefits the yin and contains weak ying qi
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sheng jiang - ginger - assistant
Helps the king and treats nausea/vomiting
————————————————
da zao - dates - assistant
Helps the deputy, nourishes the ying qi
—————————————————-
zhi gan cao - h.f. licorice - envoy
tonifies middle burner, harmonizes herbs

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2
Q

Action: EXTERIOR WIND HEAT
Dispels wind and CLEARS HEAT
Facilities the lung and STOPS COUGH

Sx: slight fever, cough, slight thirst, slight sore throat, red painful eyes
T: normal or red with thin white coating
P: floating, rapid

A

Sang ju yin - mulberry leaf and chrysanthemum decoction

Sang ye - mulberry leaf - king
Ju hua - chyrsanthemum - king
Disperse wind heat, stop cough, clear eyes
———————————————–
Lian qiao - forsythia - deputy 1
Bo he - mint - deputy 1
More exterior releasing properties
——————————————
Jie geng - Platycodon Root - deputy 2
xing ren - apricot seed - deputy 2
Facilitating lung qi with both acending and decending actions
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Lu gen - pharagmites - assit.
Clears heat and genreates fluids, reducing thirst
—————————————————
Gan cao - licorice - envoy
helps clear heat and harmonize herbs

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3
Q

Action: EXTEIOR WIND HEAT, WITH HEAT TOXIN
Disperses wind heat
Clears heat, resolves toxicity

Sx: fever, slight or no chills, thirst, SORE THROAT, cough, HA, BOILS, SORES
T: red tip with thin white or thin yellow coating
P: floating, rapid

A

Yin qiao san - honeysuckle and forsythia powder

Jin yin hua - lonicerae flos (honeysuckle) - king
Lian qiao - forsythia - king
King herbs release heat from exterior and toxicity
———————————————–
Jie geng - platycodi radix - deputy 1
Niu bang zi - arctii fructus - deputy 1
Deputy 1 spreads lung qi, relieve sore throat
—————————————————-
Bo he - mint - deputy 2
Dan dou chi - sojae semen prep. - deputy 2
Help the king herbs release exterior heat
—————————————————-
Jing jie - schizonepetae spica - assist 1
Boots exterior releasing action w/o drying
—————————————————–
Dan zhu ye - lophatheri herba - assist 2
Lu gen - phragmitis - assist 2
Gan cao - licorice - assist 2
Generates fluids, alleviates thirst, gan cao helps with sore throat

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4
Q

Actions: Drains heat and accumulations downward
1. SEVERE PATTERN OF YANG MING (LI and ST) ORGAN SYNDROME
Sx: severe constipation and flatulence, focal distention, abdominal fullness, abdominal pain worse w/ pressure, tense and firm abdomen, possible tidal fever, delirious speech, profuse sweating from palms and soles
T: dry yellow, or dry black coating with prickles
P: deep, full

  1. YANG MING ORGAN SYNDROME CAUSING DIARRHEA
    Sx: foul smelling green watery diarrhea or discharge with abdominal distention, fullness and pain, dry mouth, thirst, palpable fecal impaction
  2. EXCESS INERNAL HEAT CAUSING HEAT COLLAPSE
    Sx: fever, cold limbs, thirst, sweating from the head, constipation, scanty dark urine, disorientation, delirious speech, a hot sensation in the sternum and epigastrium, a full pulse, convulsions, mania
A

Da cheng qi tang - major order the qi decoction

da huang - rhei radix (rhubarb) - king
Propulsive action, purges and cools to treat constipation
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Mang xiao - natrii sulfas - deputy
stool softening action
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Hou po - magnolia cortex - assist
Disseminates the qi, relieves sensation of fullness
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Zhi shi - auantii fructus immature - assist
Dissipates clumps, reduces focal distention

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5
Q

Actions: MILD PATTERN OF YANG MING ORGAN SYNDROME
Gently drains heat and accumulations downward

Sx: tidal fever, delierum, constipation, foal distention, abdominal fullness, abdominal pain that does not increase with pressure, also early stage of dysentary disorders with abdominal distention and tenesmus
T: dirty and dry with yellow coating
P: slippery, rapid

A

Xiao cheng qi tang - minor order of the qi decoction

da huang - rhei radix (rhubarb) - king
Propulsive action, purges and cools to treat constipation
——————————————
Hou po - magnolia cortex - deputy
Disseminates the qi, relieves sensation of fullness
————————————————
Zhi shi - auantii fructus immature - deputy
Dissipates clumps, reduces focal distention

THIS FORMULA IS THE SAME AS DA CHENG QI TANG - MAJOR ORDER OF THE QI BUT WITHOUT MANG XIAO - NATRII SULFAS

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6
Q

Actions: ST/LI DRY HEAT PATTERN OF YANG MING ORGAN SYNDROME W/ DEFIENCY PATTERN
Slowly drains heat and accumulations downward

Sx: Mild constipation without focal distention or abdominal fullness but with irritability, fever, delierium, and for nosebleed, swollen gums and throat, petechiae
T: yellow coating
P: slippery, rapid

A

Tiao wei cheng qi tang - regulate the stomach and order the qi decoction

da huang - rhei radix (rhubarb) - king
Propulsive action, purges and cools to treat constipation
——————————————
Mang xiao - natrii sulfas - deputy
stool softening action
————————————————
Zhi gan cao - h.f. licorice - assist
Harmonizes and regulates drastic actions of other herbs

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7
Q

Actions: DESICCATED INTESTINES DUE TO BLOOD XU
Moistens the intestines and unblocks the bowels

Sx: Constipation, lusterless skin and nails, dry mouth with an unquenchable thirst
T: dry coating
P: thin

A

Run chang wan - moisten the intestines pill

Hou ma ren - cannabis semen - king
Tao ren - persicae semen - ling
Moisten intestines, unblock bowels
———————————————-
Dang gui - angelica - deputy
Sheng di huang - rehmannia raw - deputy
nourish blood and yin, moisten intestines
————————————————-
Zhi ke - aurantii fructus - assist
prevents cloying, helps with laxative effect, unblocks qi

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8
Q

Actions: SHAO YANG SYNDROME (SJ/GB)
Harmonizes the shao yang

Sx: alternating fever and chills, dry throat, bitter or sour taste in mouth, dizziness, irritability, sensation of fullness in the chest and hypochondria (difficulty in taking deep breaths), heartburn, nausea and vomiting, reduced appetite
T: thin w/ white coating
P: wiry

Note: shao yang disorders are typically when the pathogen is stuck between the interior and exterior, prior to it going into the tai yin phase

A

Xiao chai hu tang - minor bupleurum decoction

Chai hu - bupleuri radix - king
Vents shaoyang stage disorders, exterior aspect
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Huang qin - scutellaria radix - deputy
Drains heat from the LV and GB - interior aspect
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Ban xia - pinelliae rhizoma - assist 1
Warms and transforms phlegm in m.j.
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Sheng jiang - ginger - assist 2
Harmonizes the m.j.
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Da zao - jujube dates - assist 3
Zhi gan cao - h.f. licorice - assist 3
supports the normal qi to prevent further pathogen penetration

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9
Q

Actions: YANG TYPE INVERSION TO INTERNAL QI CONSTRAINT
Ventilates the pathogens outward and relieves constraint
Spreads LV qi and harmonizes the LV and SP

Sx: COLD FINGERS AND TOES WITH A WARM HEAD AND BODY, sometimes accompanied by a sensation of irritability and fullness in the chest and epigastrium, may be abdominal pain and or severe diarrhea
T: red with yellow coat
P: wiry

A

Si ni san - frigid extremities powder

Chai hu - bupleuri radix - king
Regulates the qi by venting heat and releasing constraint
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Zhi shi - aurantii fructus imm. - deputy
drains stagnation from m.j. to aid t&t of SP
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Bai shao - peony - assist
nourish liver and preserve the yin while chai hu disperses
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Zhi gan cao - envoy
assists bai shao in moderating acute pain, harmonizes

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10
Q

Actions: LIVER QI STAGNATION W/ LIVER BLOOD AND SPLEEN QI XU
Soothes the liver and relieves qi stagnation
Strengthens the SP and nourishes the blood

Sx: Headache, vertigo, bitter taste in mouth, dry mouth and throat, fatigue, reduced appetite, hypochondriac pain, alternating fever and chills, premenstrual syndrome with distended breasts
T: pale red
P: wiry, empty

A

Xiao yao san - rambling powder

Chai hu - bupleuri radix - king
Relieves qi constraint
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Dang gui - angelica sin radix - deputy
Bai shao - peony - deputy
Nourish blood, soften edginess of liver constraint
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Bai zhu - atractylodis mac. - assist 1
Fu ling - poria - assist 1
Fortifies spleen and t&t
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Zhi gan cao - assist 2
Tonifies spleen, assists bai shao
—————————————————
Wei jiang - ginger prep - envoy
Bo he - mint - envoy
Harmonizes St, prevents rebellious qi
Enhances relieve of qi constraint and heat dispersal

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11
Q

Actions: YANG MING (LI/ST) SYNDROME DUE TO BLAZING HEAT
Clears qi level heat and drains stomach fire
Generates fluids and alleviates thirst

Sx: high fever, aversion to heat without aversion to cold, severe thirst with desire for cold drinks, profuse sweating, red face, irritability, incoherent speech, headache, toothache, bleeding of the gums and nose
T: red with dry yellow coating
P: surging, full, slippery, rapid

A

Bai hu tang - white tiger decoction

Shi gao - gypsum - king
Extremely cold to clear heat, drain fire
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Zhi mu - anemarrhenae rhizome - deputy
assists king clear heat, moisten dryness, enrich yin
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Zhi gan cao - prep. licorice - assist
Jing mi - oryzae semen/non glutenous rice - envoy
Both benefits the stomach and protects fluids

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12
Q

Actions: EXCESS HEAT AND FIRE TOXIN IN ALL BURNERS
Drains fire and resolves toxicity

Sx: high fever, irritability, dry mouth and throat, incoherent speech, insomnia, dark urine can also include nosebleed, vomiting of blood, carbuncles, deep rooted boils, or other toxic swellings, jaundice
T: red with yellow coating
P: rapid and full

A

Huang lian jie du tang - coptis decoction to resolve toxicity

Huang lian - coptis - king
clear heat from middle burner and HT
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Huang qin - scutellaria - deputy
clears heat from upper burner
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Huang bai - phellodendri cortex - assist
clears heat from lower burner
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Zhi zi - gardenia fructus - assist
drains triple burner heat via urine, relieves irritability

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13
Q

Actions: HEAT ACCUMULATION IN THE STOMACH
Drains stomach fire and cools the blood
Nourishes yin

Sx: TOOTHEACHE where pain extends into the head, facial swelling, fever, bad breath, dry mouth, bleeding and sores of the gums, swollen, painful tongue, lips, or jaw where pain responds favorably to cold and worse with heat
T: red with little coat
P: slippery, surging, rapid

A

Qing wei san - clear the stomach powder
NOT TO BE CONFUSED WITH PING WEI SAN

Huang lian - coptis - king
attacks the ST fire and drains accumulation of heat
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Sheng ma - cimicifugae rhizoma
raises and clears toxic heat and guides herbs to face and mouth
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Mu dan pi - moutan cortex - assist
Sheng di huang - rehmannia radix - assist
cools the blood, nourishes the yin
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Dang gui - angelica sin. radix - assist
Reduces swelling and stops pain by harmonizing blood

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14
Q

Actions: HEAT IN THE HEART AND SMALL INTESTINE CHANNELS
Clears Ht and nourishes yin
Promotes urination and relieves dysuria syndrome

Sx: irritability with a sensation of heat in the chest, thirst with a desire to drink cold beverages, a red face, possibly sores around the mouth. Also used for dark, scanty, rough, and painful urination, or even clearly visible blood in urine
T: red
P: rapid

A

Dao chi san - guide out the red powder

Mu tong - akebiae caulis - king
clears heat from HT and SI, promotes urination
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Sheng di huang - rehmannia - deputy
enters the HT to cool blood, enters KD to nourish yin
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Dan zhu ye - lophatheri herba - assist
alleviates irritability by clearing HT heat
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Gan cao shao - licorice tips - envoy
resolves toxicity, harmonizes other herbs

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15
Q

Actions: LIVER FIRE ATTACKING UPWARD and LV & GB DAMP HEAT INVADING DOWNWARD
Sedates excess fire in the LV and GB
Clears damp heat in the lower jiao

Sx: Liver fire attacking upward: HA, dizziness, red and sore eyes, hearing loss, swelling in the ears, a bitter taste in mouth, irritability, short temper, pain in the hypochondria
T: red with yellow coating
P: wiry, rapid, full

Sx: LV and GB damp heat invading downward: difficulty and painful urination with a sensation of heat in the urethra, swollen, sweating, and pruritic external genitals, impotence in females, in males foul smelling leukorrhea, the menstrual cycle will be shortened and the blood will turn reddish-purple
T: red with greasy yellow coating
P: slippery, wiry, rapid, full

A

Long dan xie gan tang - Gentiana decoction to drain the liver

Long dan cao - gentianae radix - king
Drains heat from LV/GB, eliminates damp heat from lower jiao
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Huang qin - scutellaria - deputy 1
Zhi zi - gardenia fructus - deputy 1
Drain fire, eliminate dampness
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Chai hu - bupleuri radix - deputy 2/envoy
disperes heat and guides other herbs to LV/GB channels
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Mu tong - akebiae caulis - Assist 1
Che quian zi - plantaginis semen - assist 1
Zie xie - alismatis rhizoma - assist 1
Drain heat from upper burner, eliminate damp heat from lower burner by promoting urination
—————————————————
Sheng di huang - rehmannia - assist 2
Dang gui - angelica sin. - assist 2
Supplements the yin
—————————————————
Gan cao - licorice - envoy
harmonizes middle burner, regulates other herbs

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16
Q

Actions:
Warms and tonifies the LV and ST
Directs rebellious qi downward and stops vomiting

STOMACH DEFIENCY COLD TURNING INTO REBELLIOS QI (yang ming)
Sx: vomiting immediately after eating, indeterminate gnawing hunger, acid reflux with or without epigastric pain
T: white, slippery cating
P: thin, slow, wiry

LIVER DEFIENCY COLD (jue yin)
Sx: Dry heaves or spitting of clear fluids with vertex headache

KIDNEY CHANNEL COLD (shao yin)
Sx: vomiting and diarrhea with cold hands and feet, agitation so severe the patient wants to die

A

Wu zhu yu tang - evodia decoction

Wu zhu yu - evodia - king
warms the ST, soothes LV, directs rebellious qi down
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Sheng jiang - ginger - deputy
warms the ST, directs rebellious qi down
—————————————————
Ren shen - ginseng - assit
fortifies the SP, generates fluids, calms spirit
—————————————————
Da zao - jujube dates - envoy
moderates the acrid and drying herbs, tonifies qi

17
Q

Actions: MIDDLE JIAO XU COLD W/ INSUFFICIENT OF SP T&T
Warms and tonifies the middle jiao
Harmonizes the interior and relieves pain

Sx: Intermittent, spasmodic abdominal pain that responds favorably to local application of warmth and pressure, lusterless complexion, reduced appetite
May also be low grade fever, palpitations, irritability, cold and sore extremities, with nonspecific discomfort, dry mouth and throat
T: pale with white coating
P: thin, wiry, moderate

A

Xiao jian zhong tang - minor construct the middle decoction

Yi tang - maltosum - king
tonifies qi, blood, fluids, moderates spasmodic pain
—————————————————
Gui zhi - cinnamon branch - deputy
Warms the middle, disperses cold
Bai shao - peony - deputy
Sweet and sour benefits the yin
—————————————————
Sheng jiang - ginger - assist
Da zao - jujube dates - assist
fortifies the middle jao
—————————————————
Zhi gan cao - stops spasmodic abdominal pain, harmonizes middle jiao

18
Q

Actions: MIDDLE BURNER YANG XU (ROOT) W/ VIGOROUS YIN COLD (MANIFESTATION)
Warms and tonifies the middle jiao
Directs rebellious qi downward and relieves pain

Sx: Excruciating epigastric and abdominal pain to the point that the patient cannot tolerate being touched, a strong sensation of cold in the epigastrium, vomiting to the point of being unable to eat, possible borborygmus
T: White slippery coating
C: Thin, tight, wiry, possibly hidden

A

Da jian zhong tang - major construct the middle decoction

Hua jiao - zanthoxyli pericarplium - king
stimulates the yang, dispels cold, alleviates pain
—————————————————
Gan jiang - ginger - deputy
reinforces the king herb, quiets the upsurge of cold qi
—————————————————
Ren shen - ginseng - assist
Yi tang - maltosum - assist
Tonifies the middle qi to relieve abdominal spams

19
Q

Actions:
Restores devastated yang
Rescues from counterflow cold

YIN TYPE INVERSION ASSOCIATED WITH SHAO YIN LEVEL (HT, KD)
Sx: extremely cold extremeties, aversion to cold, sleeping with the knees drawn up, lethargic state with a constant desire to sleep, vomiting, diarrhea with undigested food particles, abdominal pain and cold, lack of thirst
T: pale with white slippery coating
P: deep, thin, minute

YANG COLLAPSE
Sx: Profuse cold sweating, pale face, cold limbs, intolerance to cold, weak breath, mental fatigue and somnolence, desire for warm water, sudden faiting
T: pale with white coating
P: minute

TRUE COLD AND FALSE HEAT
Sx: flushed face and irritability, desire for warm drinks, loose stools

A

Si ni tang - frigid extremities DECOCTION
NOT TO BE CONFUSED WITH SI NI SAN - FRIGID EXTREMETIES POWDER

Ren shen - ginseng - king
powerfully tonifies SP qi
—————————————————
Bai zhu - atractylodis mac - deputy
strengthens the SP and dries damp
—————————————————
Fu ling - poria - assist
leaches dampness, strengthens the SP, balances gan cao
—————————————————
Zhi gan can - h.f. licorice - envoy
Warms and regulates the middle burner, balances fu ling