WK11-DD-Purge Heat & Guide out Accumulation

Question 0

What is the general caution when using purgative formulas?

Answer 0

misdiagnosis and purging patients that don’t need to be purged can quickly deplete a patient.

Also - as soon as bowel movement is achieved - formula should be discontinued.

Question 1

Yang Ming Channel heat is cleared by venting. Why does Yang Ming Bowel heat require a different methhod?

Answer 1

YM channel: qi level heat, formless heat, get rid of by venting.
YM bowel: deeper heat - drain downward because it is a formed heat actually in the interior. Need to help purge because our body’s natural tendency is to move up and the heat is creating a qi stagnation. We need to “give it a kick”.

Question 2

What is the action of Da Cheng Qi Tang?

Answer 2

Vigorously purges heat accumulation

Question 3

What are the herbs in Major Order the Qi Decoction?

Answer 3

Da Huang - Rehi Radix et Rhizoma
Mang Xiao - Natrii Sulfas
Zhi Zhi Shi - Aurantii Fructu immaturus preparata
Zhi Hou Po - Magnoliae Officinalis Cortex preparata
- Da Cheng Qi Tang-

Question 4

Why is Da Cheng Qi Tang said to ‘rescue the yin’?

Answer 4

Da Cheng Qi Tang DOES NOT ACTUALLY TONIFY THE YIN - but using Da Huang or Da Cheng Qi Tang will remove the stagnating heat that is leading to the Yin deficiency - so it can be said to rescue the yin - but it doesn’t actually nourish or replenish the yin.

Question 5

How do the herbs of Da Cheng Qi Tang - Major Order the Qi Decoction function together?

Answer 5

Mang Xiao - pulls fluids into the intestines, creates a hypertonic solution to attract water in the intestines. Is the river that Da Huang “kicks”the fecal matter down.
Zhi Zhi Shi & Zhi Hou Po - Qi Regulators to help the da huang push - moves down because they follow the leader.
All herbs in this formula move down. There is no buffer.

Question 6

What is the action of Xiao Cheng Qi Tang?

Answer 6

Moderately purges clumped heat

Question 7

What are the herbs in Minor Order the Qi Decoction?

Answer 7

Jiu Xi Da Huang - Rhei Radix et Rhizoma - wine washed
Zhi Hou Po - Magnoliae Officinalis Cortex preparata
Zhi Zhi Shi - Aurantii Fructus immaturus preparata
- Xiao Cheng Qi Tang-

Question 8

Why does Xiao Cheng Qi Tang use Wine-Washed Da Huang?

Answer 8

wine washed da huang - more invigorating but wine also enters the heart- gives a more lifting property, so all in all it reduces its downward potential while enhancing the qi regulating potential

Question 9

What is the action of Hou Po San Wu Tang?

Answer 9

Drains Qi Downward and unblocks the bowels

Question 10

What are the herbs in Three Substances Decoction with Magnolia Bark?

Answer 10

Hou Po - Magnoliae Officinalis Cortex
Zhi Shi - Aurantii Fructus immaturus
Da Huang - Rhei Radix et Rhizoma
-Hou Po San Wu Tang-

Question 11

Which herb is dose highest in Hou Po San Wu Tang? Why?

Answer 11

same ingredients as Xiao Cheng Qi Tang -but-
4x as much hou pou in this one -
indicates that this is stronger - pushing the da huang with a stronger force - this is more for Qi stagnation, but still needing to purge

Question 12

What is the action of Tiao Wei Cheng Qi Tang?

Answer 12

Mildly purges clumped heat

-Regulate the ST and Order the Qi Decoction-

Question 13

What are the herbs in Regulate the ST and Order the Qi Decoction?

Answer 13

Da Huang - Rhei Radix et Rhizoma
Gan Cao - Glycyrrhizae Radix
Mang Xiao - Natrii Sulfas
-Tiao Wei Cheng Qi Tang-

Question 14

How do the herbs in Tiao Wei Cheng Qi Tang function together?

Answer 14

Da Huang and Mang Xiao are a bitter and cold pair-

the Gan Cao is adding a buffer to protect the middle jiao for someone who cannot tolerate the Da Cheng or Xiao Cheng

Question 15

What is the action of Da Huang Gan Cao Tang?

Answer 15

unblocks the bowels, purges, harmonizes the ST and stops vomiting

Question 16

Order the five “Cheng Qi” formulas and one “Da Xian Xiong” from strongest to weakest and describe their differences?

Answer 16

Da Xian Xiong Tang - very strong w two purgatives and a cathartic (Da huang, Mang Xiao, Gan Sui)
Da Cheng Qi Tang - all herbs move down, no buffers (da huang, mang xiao, Zhi Zhi Shi, Zhi Hou Po)
Hou Po San Wu Tang - might be same strength as Xiao Cheng - but 4x as mouch Hou Po which makes a stronger pushing action for Da Huang, more for Qi Stagnation (+ Zhi Shi)
Xiao Cheng Qi Tang - wo Mang Xiao, not as purging, the wine washed Da Huang (Jiu Xi) makes herb more uplifting and reduces purging and increases Qi Regulation (+Zhi Zhi Shi, Zhi Hou Po)
Tiao Wei Cheng Qi Tang- no Qi regulators, just purgatives and buffer -even w 2 purgatives is milder wo the pushing herbs (Da Huang, Mang Xiao, Gan Cao)
Da Huang Gan Cao Tang - one purgative and one buffer - mild (Da Huang, Gan Cao)

Question 17

What is the action of Da Huang Fu Zi Tang?

Answer 17

Warms the interior, disperses cold, unblocks the bowels and alleviates pain

Question 18

What are the herbs in Da Huang Fu Zi Tang?

Answer 18

Bao Fu Zi - Aconiti Radix lateralis - baked
Da Huang - Rhei Radix et Rhizoma
Xi Xin - Asari Radix et Rhizoma

Question 19

What formula is similar to Ma Huang Xi Xin Fu Zi Tang?

Answer 19

Da Huang Fu Zi Tang

Question 20

What is the action of Three Action Pill Prepared for Emergencies?

Answer 20

Harshly purges cold accumulation

Question 21

What are the herbs in San Wu Bei Ji Wan?

Answer 21

Ba Dou - Crotonis Semen
Gan Jiang - Zingiberis Rhizoma
Da huang - Rhei Radix et Rhizoma
-Three Action Pill Prepared for Emergencies-

Question 22

What formula has the diagnosis: Yang brightness organ disorder with desiccated stool in the intestines?

Answer 22

Major Order the Qi Decoction
Da Cheng Qi Tang
Sx: focal distention, fullness, dryness, hardness, a dry yellow or dry, black tongue coating w prickles, and a submerged excessive pulse
notes: vigorously purges heat accumulation

Question 23

What formula has the diagnosis: clumping of heat and fluids in the chest and epigastrum?

Answer 23

Major Decoction [for pathogens] Stuck in the Chest
Da Xian Xiong Tang
Sx: hardness, fullness and pain from the epigastrium to the lower abdomen that becomes unbearable w even the slightest pressure, a very dry tongue coating and a submerged tight and forceful pulse.
notes: three may also be shortness of breath and irritability

Question 24

What formula is the diagnosis: Cold accumulation in the interior?

Answer 24

Rhubarb and Prepared Aconite Accessory Root Decoction
Da Huang Fu Zi Tang
Sx: hypochondriac pain, chills, low grade fever, cold hands and feet, a white greasy tongue coating and a submerged tight and wiry pulse.
notes: may also have low grade fever

Question 25

What formula is the diagnosis: Diagnosis: sudden severe cold accumulation for?

Answer 25

Three Substance Pill Prepared for Emergencies
San Wu Bei Ji Wan
Sx: sudden, severe epigastric and abdo pain and distention, cyanotic complexion, a bluish purple tongue, and submerged tight pulse
notes: when severe, there may also be loss of consciousness