Week 11- Formulas that Drain Downward_Purge Heat Accumulation Flashcards
Ax
Vigorously purges heat accumulation
Da Cheng Qi Tang
PinYin
Major Order the Qi Decoction
Da Cheng Qi Tang
Ingredients
Da Huang [Rhei Radix et Rz]- Purgative
Mang Xiao [Natrii Sulfas]- Downward Draining
Zhi Zhi Shi [Prep Aurantii Fs Immaturus]- Regulate Qi
Zhi Hou Po [Prep Magnoliae Officinalis Cx]- Aromatic Transform Dampness
Da Cheng Qi Tang
S/Sx
Severe constipation and flatulence
Focal distention and abdominal fullness
Abdominal pain that increases upon pressure
Tense and firm abdomen
TONGUE: dry yellow or dry black coating w prickles
PULSE: submerged, excessive
Da Cheng Qi Tang
Dx
Heat excess in the Yangming Organs
Heat clumping w circumfluence
Heat inversion
Da Cheng Qi Tang
PinYin
Minor Order the Qi Decoction
Xiao Cheng Qi Tang
S/Sx
Relatively mild yangming organ-warp disorders characterized by tidal fever, constipation, focal distention, abdominal fullness, abdominal pain that does not increase upon pressure
TONGUE: ‘old-looking’ yellow tongue coating
PULSE: slippery, rapid
Xiao Cheng Qi Tang
Dx
Less severe obstruction
Xiao Cheng Qi Tang
Ingredients
Jiu Xi Da Huang [wine-washed Rhei Rx et Rz]
Zhi Hou Po [prep Magoniliae Officinalis Cx]
Zhi Zhi Shi [prep Aurantii Fs immaturus]
Xiao Cheng Qi Tang
Ax
Moderately purges clumped heat
Moving the Qi wo breaking up and eliminating heat
Flush out excess
Xiao Cheng Qi Tang
PinYin
Regulate the ST and Order the Qi Decoction
Tiao Wei Cheng Qi Tang
Ax
Mildly purges clumped heat
Regulate and harmonize ST qi by removing obstructions
Tiao Wei Cheng Qi Tang
Ingredients
Da Huang [Rhei Rx et Rz]
Mang Xiao [Natrii Sulfas]
Gan Cao [Glycyrrhizae Rx]
Tiao Wei Cheng Qi Tang
S/Sx
Absence of focal distention and abdominal fullness, but w irritability, nosebleed, swollen gums and throat, petechiae due to heat
PULSE: slippery, rapid
Tiao Wei Cheng Qi Tang
Dx
Mild constipation due to Yangming warp heat
Tiao Wei Cheng Qi Tang
PinYin
Rhubarb and Licorice Decoction
Da Huang Gan Cao Tang
Ingredients
Da Huang [Rhei Rx et Rz]
Gan Cao [Glycyrrhizae Rx]
Da Huang Gan Cao Tang
Ax
Unblock the bowels, purges, harmonizes the ST, stops vomiting [guide via the bowels]
Da Huang Gan Cao Tang
S/Sx
Facial flushing, red eyes, irritability, bitter taste in the mouth
*NOT indicated for severe symptoms such as delirious speech, abdominal distention or pain
TONGUE: red w prickles
PULSE: excessive, forceful
Da Huang Gan Cao Tang
Dx
For heat clumping in the Intestines and fire rising to disturb the ST
Da Huang Gan Cao Tang
PinYin
Three-Substance Decoction w Magnolia Bark
Hou Po San Wu Tang
Ax
Drain Qi downward and unblocks the bowels
[Move Qi]
Hou Po San Wu Tang
Ingredients
Hou Po [Magnoliae Officinalis Cx]
Zhi Shi [Zurantii Fructus Immaturus]
Da Huang [Rhei Rx et Rz]
Hou Po San Wu Tang
S/Sx
Constipation and unrelenting pain and fullness in the epigastrium and abdomen
Hou Po San Wu Tang
Dx
Qi stagnation causing constipation (vs. const –> qi stag) and unrelenting pain and fullness in the epigastrium and abdomen
Hou Po San Wu Tang
PinYin
Major Decoction [for Pathogens] Stuck in the Chest
Da Xian Xiong Tang
Ax
Drain heat and drives out WATER by flushing downward
Da Xian Xiong Tang
Ingredients
Gan Sui [Kansui Rx]
Da Huang [Rhei Rx et Rz]
Mang Xiao [Natrii Sulfas]
Da Xian Xiong Tang
S/Sx
Hardness, fullness, and pain from the epigastrium to the lower abdomen that becomes unbearable w even the slightest pressure
TONGUE: very dry tongue coating
PULSE: submerged, tight, forceful
Da Xian Xiong Tang
Dx
Clumping of heat and FLUIDS in the chest and epigastrium
Da Xian Xiong Tang