Dui-Yao Chapter 8 Herb Pairings that Harmonizing Exterior & Interior and Regulating Qi & Blood Copyright by Dr.

. Eric Hsiao

Bai Shao Sour, bittier, cool (LV,SP) Nourish Blood and regulates menses Calms and curbs Liver Yang, nourishes LV yin (blood) and alleviates pain Preserve the yin , adjusts the nutritive and protective levels

Gui Zhi Acrid, sweet, warm (HT,LU,BL) Adjust the nutritive and protective qi level Warm channel and disperse cold Unblock the yang and transforms the qi

Warm and facilitate the flow in the blood vessels Commonly Used Dosage 6-10g 6-10g Combined Properties: Bai Shao is bitter, cold and sour with the ability to astringe and assist yin, while Gui Zhi is acrid, sweet and warm with the ability to scatter/move and assist yang. When combined together, these herbs harmonize yin and yang, Qi and Blood, as well as Ying and Wei. Also, they drain without damaging yin and constrain yin without retaining evils. They harmonize the vessels, relieve tension and stop pain as well as support ST Yin and SP Yang while regulating the SP and ST. Major indications 1. Chills and fever, slight sweating, headache, thin white tongue coating, slow and superficial pulse due to Wind-Cold deficiency type. 2. Spontaneous and/or night sweats accompanied by aversion to Wind and Cold and frequent catching of colds due to disharmony between Ying Qi and Wei Qi(Ying and Wei Disharmony). 3. Chest pain due to Heart Yang Deficiency (disharmony between the Qi and Blood). 4. Abdominal pain due to Deficiency Cold (disharmony between the Qi and Blood). 5. Pain and/or numbness of the limbs due to disharmony between the Qi and Blood. 6. Morning sickness with aversion to cold, no appetite, nausea and a weak pulse on 3rd position (Chi Mai). Comments: 1. In cases of cold limbs due to cold accumulation, Fu Zi can be added to increase the efficacy. 2. Its could used to treat vasculitis. Resource Shan Han Lun-Gui Zhi Tang

Dui-Yao Chapter 8 Herb Pairings that Harmonizing Exterior & Interior and Regulating Qi & Blood Copyright by Dr. Eric Hsiao

Chai Hu Bittier, acrid, cool (GB,LV,PC,SJ) Resolve Shao Yang (lesser yang) disorders and reduce fever Spread Liver qi and relieves constraint

Bai Shao Sour, bittier, cool (LV,SP) Nourish Blood and regulates menses

Calms and curbs Liver Yang, nourishes LV yin (blood) and alleviates pain Raise the yang qi in patterns of SP or ST Preserve the yin , adjusts the nutritive and deficiency protective levels Commonly Used Dosage 6g-10g 10g-15g Combined Properties: Bai Shao, sour and astringent, helping to secure Yin; Chai Hu, acrid and dissipating, helping to sooth qi and support Yang. Combining these two ingredients can drain the LV without damaging Yin, nourishes the LV without causing LV Qi Stagnation. These two herbs directed towards the Shao Yang Channel; regulate the SP & LV and stops pain. Harmonize the interior and exterior as well as constrain yin and raise yang. Major indications 1. Alternative chills and fever, due to LV Qi stagnation and disharmony between Qi and Blood. 2. Vertigo, unclear vision, chest/lateral costal oppression, pain and distention due to LV Qi Stagnation or disharmony between exterior and interior. 3. Irregular Menstruation, dysmenorrhea, pre-menstruation syndrome, hepatitis, cholecystitis, intercostals neuritis due to LV Qi Stagnation or disharmony between exterior and interior. Comments: This combination is effective in treating liver and digestive problems caused by LV Qi Stagnation, or LV & Middle Jiao disharmony such as sub-acute or chronic hepatitis, hepatomegaly, cholecystitis, enteritis and colitis. Chai Hu in small doses (3g-6g), it raises Yang Qi; in an average doses (8g-12g), moves the LV, sooth the Qi. This pair is especially beneficial for Shao Yang Syndrome. You can add Shi Shao to increase the treatment efficacy. Resource- Shan Han Lun Xiao Yao San

Dui-Yao Chapter 8 Herb Pairings that Harmonizing Exterior & Interior and Regulating Qi & Blood Copyright by Dr. Eric Hsiao

Chai Hu Bittier, acrid, cool (GB,LV,PC,SJ) Resolve Shao Yang (lesser yang) disorders and reduce fever Spread Liver qi and relieves constraint Raise the yang qi in patterns of SP or ST deficiency

Huang Qin Bittier, cold (GB,LI,LU,ST) Clears heat and drains fire, especially for upper burner Clears heat and drain dampness Clears heat and calms the fetus

Clears heat and stops bleeding Sedated ascendant LV yang Commonly Used Dosage 6g-10g 6g-10g Combined Properties Chai Hu, dispel exterior pathogen in Shao Yang Syndrome; Huang Qin, drain interior pathogen in Shao Yang Syndrome. Combining these two ingredients can raise the yang, drain fire, harmonize the interior & exterior, sooth at LV & GB and clear the heat at Shao Yang channel. Major indications 1. Alternating chills and fever, bitter taste in the mouth, dry throat, dizziness, nausea and lack of appetite due to Shao-Yang syndrome. 2. Alternating chills and fever due to Malaria. 3. LV Qi stagnation transforming into fire. Comments: The pair, specifically treat digestive diseases (liver, gallbladder, stomach, pancreas...), could be included acute or chronic hepatitis, biliary cholecystitis and so on, especial present at Shao Yang stage. Resource: Shan Han Lun Xiao Chai Hu Tang

Dui-Yao Chapter 8 Herb Pairings that Harmonizing Exterior & Interior and Regulating Qi & Blood Copyright by Dr. Eric Hsiao

Ban Xia Acrid, warm, toxic (LU, SP, ST) Dries dampness, transforms phlegm and descends rebellious qi Dissipates nodules and reduces distension Harmonizes Middle Jiao and stops vomiting

Huang Qin Bittier, cold (GB,LI,LU,ST)

Clears heat and drains fire, especially for upper burner Clears heat and drain dampness Clears heat and calms the fetus Clears heat and stops bleeding Sedated ascendant LV yang Commonly Used Dosage 6g-10g 6g-10g Combined properties: Ban Xia is warm, acrid with descend properties; Huang Qin is bitter, cold with drain properties. When combined, they dispel Pi Syndrome, clear heat, drain fire, harmonize ST, and stop vomiting. Major indications 1. Pi syndrome (distention and fullness in the ST and diaphragm) due to mixed heat & cold or damp heat accumulation. 2. Gastric acid reflex disease. Resource: Shan Han Lun Ban Xia Xie Xin Tang Commonly used herbal formula for Gastroentertis, could be included gastritis, colitis.