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FUNCTIONS
Harmonizes
Shao-Yang/
Lesser-Yang
T: thin, white
P: wiry
SYMPTOMS
Alternate attacks of
chills & fever, full
chest, hypo. discomf,
poor appetite, irritb.,
vomiting, bitter
taste in mouth, dry
throat, dizziness
Ban Xia
MODIFICATIONS
Dysphoria in chest
w/o vomiting:
(-) Ban Xia, Ren Shen
Chai Hu
Ren Shen
Huang Qin
Sheng Jiang
Da Zao
C/C
1. EXC upper/
DEF lower
2. EXC LV fire
3. Bleeding due
to Yin DEF
4. Caution:
hyper LV yang
Cough w/thin,
white sput:
(-) Ren Shen, Da
Zao, Sheng Jiang
NOTES:
PREPARATION Chai Hu: dispel
Decoction
path factor located
half ext - harmonize
Shao-Yang
Huang Qin: clear
stagnated heat
located in half int.
Ban Xia & Sheng
Jiang: regulate ST
Zhi Gan Cao
function, lower
Cough w/yellow adverse flow of qi,
sputum: (+)
disperse clumps,
Jie Geng, Gua
reduce fullness &
Lou & Chuan
stop vomiting
Bei Mu
Ren Shen & Da Zao:
Vertigo: (+)
tonify qi & stren. MJ
Zhi Gan Cao: harm.
Ju Hua, Gou
Teng & Jue
MJ & functions of
Ming Zi
other herbs
FUNCTIONS
SYMPTOMS
Harmonize/release
Shao-Yang & purge
INT heat accum.
T: yellow coat
P: wiry/forceful
MODIFICATIONS
NOTES:
C/C
Shao-Yang dis.
w/o Yang-Ming
symptoms
Da Huang
hardness, constipation
PREPARATION
Decoction
factor in 1/2 EXT
Chai Hu
Huang Qin
Zhi Shi
Bai Shao
FUNCTIONS
1. Clears GB heat
& elim. Dampness
2. Harmonize ST &
dissolve phlegm
T: red tongue w/
white or yellow
coat, OR combo
white & yellow
coating
P: rapid w/slippery
SYMPTOMS
Alternation of mild
chills & pronounced
fever, bitter taste in
mouth, chest opp,
spitting up bitter/
sour fluids, hiccup,
vomiting yellow &
sticky fluids or dry
heaves, distention &
P! in chest/hypo
MODIFICATIONS
None
C/C
None
Ban Xia
on R & wiry on L
NOTES:
PREPARATION Qing Hao: clear
Decoction
heat in Shao Yang
Huang Qin: clear
heat & dry damp
Zhu Ru: clear heat
& transf phlegm
Ban Xia: transform
Hua Shi
phlegm & stop vom.
Zhi Ke & Chen Pi:
regulate qi &
harmonize ST
Gan Cao
Zhi Ke
Qing Dai
Qing Hao
Huang Qin
Zhu Ru
Chen Pi
Chi Fu Ling
FUNCTIONS
1. Dispersing
pathogens &
relieve stagnation
2. Soothing LV
qi & regulate SP
T: white coating
P: wiry
SYMPTOMS
cold hands & feet,
fullness & oppress.
in epigastrium &
abdomen, or w/
cough, or palpitation,
or dysuria, or abd.
P! & diarrhea w/
tenesmus
Chai Hu
Zhi Shi
Bai Shao
MODIFICATIONS
Cough: (+) Wu Wei
Zi, Gan Jiang
Palpitations:
(+) Gui Zhi
Difficulty urine:
(+) Fu Ling
Abd P!:
(+) Pao Fu Zi
Diarrhea w/
tenesmus: (+)
Xie Bai
C/C
Cold limbs due
to yang qi
DEF or heat
Bi Yu San
NOTES:
PREPARATION Chai Hu: dispel
1. Powder
path & raise yang
2. Decoction
qi, soothe LV
Zhi Shi: descend qi
& break stagnation,
regulate circ of qi
Bai Shao: nourish
yin & moderate LV,
relieve spasm/P!
Zhi Gan Cao: w/Bai
Shao to relieve P! &
spasm, harmonize
functions of other
herbs
FUNCTIONS
1. Soothe LV &
dispersing the
depressed qi
2. Strengthening
SP & nourish ying
T: wiry, deficient
SYMPTOMS
Hypo P!, HA, dizz.,
bitter taste mouth,
dry throat, lassitude,
poor appetite ; OR
alternation chills/
fever; OR irregular
menses, distention
& P! in breast
MODIFICATIONS
None
Bai Zhu
C/C
None
PREPARATION
1. Powder: draft
in 6-9 g doses
w/Wei Jiang
& Bo He
2. Decoction:
cook w/Wei
Jiang & Bo He
Dan Gui
Bai Shao
Fu Ling
Wei Jiang
ASSOCIATED FORMULAS:
*JIA WEI XIAO YAO SAN - Blood Deficiency of LV & SP w/Transformed Heat
Xiao Yao San (+)
1. Mu Dan Pi
2. Zhi Zi
1. Spreads LV qi &
strengthen SP
2. Nourish blood
& clear heat
Mu Dan Pi
Zhi Zi
*HEI XIAO YAO SAN - (1) Blood Def. w/Interior Heat OR (2) More Blood Def. w/o Heat
Xiao Yao San (+)
1. Sheng Di Huang
2. Shu Di Huang
1. Spreads LV qi &
strengthen SP
2. Nourish blood
& reg. menses
Dysmenorrhea w/
LV & SP Blood def
Premenstrual or
menstrual cramps or
massive menstrual
bleeding
P: wiry & deficient
Sheng Di Huang
Shu Di Huang
(Roasted ginger)
Chai Hu
NOTES:
Chai Hu: soothe LV
& remove qi stag.
Dan Gui & Bai Shao:
nourish blood & LV
Bai Zhu & Fu Ling:
Bo He
6. TONG XIE YAO FANG - Painful Diarrhea Due to SP Deficiency & Over-Controlling LV Qi
INGREDIENTS
K- Chao Bai Zhu
90g (9-12g)
K- Chao Bai Shao
60g (6-24g)
K-Chao Chen Pi
45g (4.5-9g)
A & E- Fang Feng
60g (3-6g)
FUNCTIONS
Tonify SP &
disperse LV
T: thin, white
P: wiry/moderate
SYMPTOMS
Borborygmus &
diarrhea w/P!,
unrelieved abd. P!
after diarrhea
Diagnosis : IBS
MODIFICATIONS
None
Chao Chen Pi
C/C
None
Fang Feng
Chai Hu
FUNCTIONS
Spread LV qi,
activate blood &
relieve P!
T: thin, white
P: wiry
Zhi Ke
SYMPTOMS
Distention & P! in
hypo , alternating
fever/chills, OR ST P!
OR abd. P!, irregular
menses, dysmenorr.
Xiang Fu
MODIFICATIONS
None
Chen Pi
C/C
None
Chuan Xiong
NOTES:
PREPARATION Chai Bai Zhu: tonify
1. Powder
SP & dry dampness
2. Decoction
Chao Bai Shao:
nourish blood,
Fang Feng: enter
soften overactive
LV/SP disperse &
LV & relieve P!
Chao Chen Pi: reg.
relieve overcontroling LV qi,
qi, harm. function
raise pure SP yang
of MJ, transform
qi to stop diarrhea
dampness
NOTES:
PREPARATION ***Compare w/
1. Powder
Shao Yao San
2. Decoction
Bai Shao
8. BAN XIA XIE XIN TANG- Disorder of ST Qi w/Cold & Heat Complex
INGREDIENTS
K- Ban Xia (9g)
M- Gan Jiang (6g)
M- Huang Qin (6g)
M- Huang Lian (3g)
A- Ren Shen (6g)
A- Da Zao (12 pieces)
E- Zhi Gan Cao (6g)
FUNCTIONS
1. Regulate ST &
lower adverse
flow of qi
2. Relieve stag
& distention
T: yellow/greasy
P: wiry/rapid
SYMPTOMS
MODIFICATIONS
C/C
Fullness & distention Gan Cao Xie Xin
ST yin def.
in epigastric w/o P! , nausea,
Tang = Ban Xia
nausea, vomiting or
Xie Xin Tang
dry heaves,
(+) Zhi Gan Cao (9g)
1. Reinforce qi &
borboryg., diarrhea
harmonize ST
2. Disperse accum.
& stop vomiting
DX: Accumulation w/
Ren Shen
Ban Xia
Huang Qin
Gan Jiang
Huang Lian
Da Zao
ST qi deficiency
SX: stuffiness &
distention in epig.
region, thundering
borborygmus,
diarrhea w/
undigest. food, dry
heaves, irritability
Sheng Jiang
FUNCTIONS
1. Harmonizing
ST, relieving
distention
2. Dispersing
accumulation,
expelling water
SYMPTOMS
Fullness & distention
in epigastrium, dry
heaves w/foul odor,
borborygmus,
diarrhea
MODIFICATIONS
None
*Ban Xia Xie Xin
Tang reduces
Gan Jiang (3g), (+)
Sheng Jiang (12g)
C/C
ST yin def.
Huang Lian
Ban Xia
Gan Jiang
Huang Qin
Ren Shen
NOTES:
PREPARATION Ban Xia: relieves
Decoction
fullness & distention,
direct qi down to
stop nausea &
vomiting
Gan Jiang: warm
MJ & expel cold
Huang Qin &
Huang Lian: drain
heat accumulation
Ren Shen & Da Zao:
tonify qi &
strengthen MJ
Zhi Gan Cao: tonify
qi & strengthen
MJ, harmonize
effects of other
herbs
NOTES:
PREPARATION Gan Jiang: warm
Decoction
MJ & expel cold
Huang Qin &
Huang Lian: drain
heat accumulation
Ren Shen & Da Zao:
tonify qi &
Da Zao
strengthen MJ
Zhi Gan Cao: tonify
qi & strengthen
MJ, harmonize
effects of other
herbs
Zhi Gan Cao
FORMULAS 1 - WARM THE INTERIOR & EXPEL COLD (ON THE FINAL)
1. LI ZHONG WAN - Deficient Cold of the SP & ST
INGREDIENTS
K- Gan Jiang (9g)
M- Ren Shen (6g)
A- Bai Zhu (9g)
E- Zhi Gan Cao (6g)
Gan Jiang
FUNCTIONS
1. Warm MJ &
dispel cold
2. Tonifies qi &
strengthen SP
T: pale w/white
coating
P: deep/thready
OR deep/slow
Ren Shen
SYMPTOMS
Abd. P! w/preference
to warmth & pressure,
diarrhea w/watery
stool, no thirst, nausea
& vomiting, epigastric
distention, loss of
appetite OR loss of
blood w/yang def
OR chronic infantile
convulsion OR chest
Bi syn due to def.
cold of MJ
MODIFICATIONS
Severe vomiting:
(+) Sheng Jiang
Severe fullness
of abdomen:
(+) Fu Zi
Palpitations:
(+) Fu Ling
Bleeding:
substitute Pao
Jiang for Gan
Jiang. (+) Huang qi,
Dang Gui & E Jiao
C/C
1. EXT heat
2. Yin def
Heat
Fu Zi Li Zhong
Wan = Li Zhong
Wan + Pao
Fu Zi (cold in
Lower Jiao)
Bai Zhu
PREPARATION
1. Pill (form into
pill w/honey)
2. Decoction
FUNCTIONS
1. Warm MJ &
tonifies qi
2. Descent
rebellious qi &
stops vomiting
SYMPTOMS
Def cold of ST: vomit
immediately after
eating , fullness &
distention in chest
& epi, acid regurg.
w/ or w/o epi P!
P: deep/thready/tense
Wu Zhu Yu
Ren Shen
Sheng Jiang
Da Zao
HA in Jue-Yin CH:
nausea or spitting of
clear fluids w/HA at
vertex (dull P!)
Cold attacking MJ:
Vomiting & diarrhea
w/cold hands & feet
and severe irritab.
P: deep/thready
MODIFICATIONS
Severe vomiting
or morning sick:
(+) Ban Xia &
Sha Ren
Severe HA:
(+) Chuan Xiong
Vomiting &
diarrhea w/o
cold extremities &
severe irritability:
substitute Dang
Shen for Ren
Shen
C/C
PREPARATION
1. ST P! or
Decoction
vomiting due
to heat
2. Severe
vomiting: take
cold decoc. To
prevent vomit
of herb tea in
a few pts may
experience a
more severe
vomiting after
taking decoct;
it will subside
by itself in half
an hour.
NOTES:
Gan Jiang: warm
MJ, dispel cold,
regulate ST &
arrest vomiting
Ren Shen: tonify
qi, strengthen
SP & ST
Bai Zhu:
strengthen SP &
dry dampness
Zhi Gan Cao:
tonify qi, strength.
SP, harmonize MJ
NOTES:
Wu Zhu Yu: enter
LV/SP/KS channels
warm ST, lower
adverse flow of
qi to arrest vomit,
soothe LV to relieve
3. XIAO JIAN ZHONG TANG - Abdominal P! due to Deficienct Cold or Fever due to Yang Def.
INGREDIENTS
K- Yi Tang (30g)
M- Gui Zhi (9g)
M- Shao Yao (18g)
FUNCTIONS
1. Warms &
tonifies MJ
2. Mod. Spasm
A- Sheng Jiang (10g) & relieves P!
A- Da Zao (4 pieces) P: thready, wiry
E- Zhi Gan Cao (6g) & slow
*Compare w/
Gui Zhi Tang
Yi Tang
Gui Zhi
SYMPTOMS
Low grade fever w/
sore extremities , dry
mouth & throat, OR
Abd. P! better w/
warmth & pressure;
OR palpitation, irrit.,
pale complexion
MODIFICATIONS
Huang Qi Jian
Zhong Tang:
(+) Huang Qi (9g)
* More severe
Qi deficiency
Dang Gui Jian
Zhong Tang:
Dang Gui (12g)
* More blood def
& postpartum
weakness
Shao Yao
C/C
1. Hyperact.
of fire due to
Yin Deficiency
2. Vomiting
3. Vomiting
roundworms
PREPARATION
Decoction: (+)
Yi Tang (Maltose)
to strained
decoction
Da Zao
Sheng Jiang
4. SI NI TANG - Shao Yin Dx; Yang Collapse due to Inappropriate Sweating in Tai Yang Stage
INGREDIENTS
K- Sheng Fu Zi (6g)
M- Gan Jiang (9g)
A/E- Zhi Gan Cao (6g)
FUNCTIONS
1. Warms SP/KD
2. Rescue Yang
Collapse
T: white &
slippery coating
P: deep, slow &
minute
*Compare w/Si Ni San
Sheng Fu Zi
Gan Jiang
Zhi G an Cao
SYMPTOMS
Mental fatigue &
lethargic state w/
constant desire to
sleep , extremely
cold extremities,
intolerance to cold,
sleeping w/knees
drawn up, vomit w/o
thirst, abd. Cold p!,
diarrhea w/undig.
MODIFICATIONS
Si Ni Jia Ren Shen
Tang: (+) Ren Shen (3g)
*Restore Yang &
tonify qi, rescue
qi from collpase
Dx: More yin/
blood injury
Sx: diarrhea
stop but cold
extrem. & other
symptoms remain
primary yang
pale complexion,
profuse sweating
Tong Mai Si Ni
collapse
Sx: Diarrhea w/
Fu Zi (15g),
Gan Jiang (9g)
*Restore yang
C/C
1. Heat symp
2. Real heat
w/false cold
Tong Mai Si Ni
Tang cont:
Dx: More sev.
yin-cold INT,
NOTES:
Yi Tang: tonify SP
qi & nourish SP yin,
relieve spasm & P!
Gui Zhi:
warm yang qi
Shao Yao: nourish
Yin & blood,
relieve spasm & P!
Sheng Jiang:
warm ST
Da Zao: nourish Yin
& Ying, strengthen
SP/ST
PREPARATION
Decoction: cook
Sheng Fu Zi for
1 hr before (+)
ingredients,
take warm
NOTES:
Sheng Fu Zi: warm
KD yang & dispel
cold, rescue yang
collapse
Gan Jiang: warm
yang of MJ &
dispel cold
Zhi Gan Cao: tonify
qi & strenght. SP,
reduce toxin of K
& moderate dry of
K&M
FUNCTIONS
1. Warms &
tonifies MJ
2. Lowers
reversed qi &
relieves P!
T: white &
slippery coating
P: thready &
tense or hidden
SYMPTOMS
Severe epig & abd.
cold & P!, aversion to
be touched, vomit,
poor appetite OR
cold extremities OR
borborygmus
Chuan Jiao
MODIFICATIONS
C/C
1. D-H
None
2. Yin &
Blood def.
Gan Jiang
Ren Shen
PREPARATION
Decoction: (+)
Yi Tang (Maltose)
to strained
decoction
Yi Tang
6. HUI YANG JIU JI TANG - Severe Yang Def, Cold directly Attacking all 3 Yin Stages
INGREDIENTS
K- Shu Fu Zi (9g)
M- Gan Jiang (5g)
M- Rou Gui (3g)
A- Ren Shen (6g)
A- (Chao) Bai Zhu (9g)
A- Fu Ling (9g)
A- Chen Pi (6g)
A- Ban Xia (9g)
FUNCTIONS
1. Rescues yang
2. Tonifies qi &
restores pulse
T: pale w/white
coating
P: deep/weak OR
imperceptible
SYMPTOMS
Intolerance to cold/
chills/cold extrem.,
vomit, diarrhea, abd.
P!, lethargic state w/
constant desire to
sleep, cyanosis of
fingernails & lip
MODIFICATIONS
C/C
None
None
NOTES:
PREPARATION
Decoction: cook
w/3 pieces of
Sheng Jiang.
Take 0.1g of She
Xiang w/decoct.
A- Wu Wei Zi (3g)
A- She Xiang
Fu Ling
Gan Jiang
NOTES:
Chuan Jiao: warm
SP/ST, dispel cold,
lower reversed qi
& eliminate accum.
Gan Jiang: warm
MJ, dispel cold,
relieve P! &
stop vomiting
Ren Shen & Yi
Tang: tonify MJ &
strengthen SP/ST
Ban Xia
Wu Wei Zi
Ren Shen
primary yang
Ren Shen, Chao
Bai Zhu, Fu Ling,
Chen Pi, Ban Xia,
Zhi Gan Cao: tonify
qi, strengthen SP,
eliminate accum.
of phlegm
Wu Wei Zi: astringe
Shu Fu Zi
Rou Gui
Chen Pi
She Xiang
7. DANG GUI SI NI TANG - Yang/Blood Deficiency w/Cold Attack; Cold Attacking the Channels
INGREDIENTS
K- Dang Gui (12g)
M- Gui Zhi (9g)
M- Bai Shao (9g)
A- Xi Xin (1.5g)
A- Mu Tong (3g)
FUNCTIONS
1. Warming CH &
dispelling cold
2. Nourishing
blood & unblock
the channels
SYMPTOMS
Raynaud's dx, RA,
fibromyalgia,
sciatica, thromboangitis obliterans
E- Da Zao (8 pieces)
E- Zhi Gan Cao (5g)
Dang Gui
Gui Zhi
Bai Shao
MODIFICATIONS
C/C
None
None
Xi Xin
Da Zao
Mu Tong
PREPARATION
1. Decoction
2. Use Tong
Cao (6g) to
substitute Mu
Tong (which
might be too
harsh)
NOTES:
Dang Gui: nourish
blood & promote
blood circulation
Gui Zhi: warm CH
& dispel cold
Shao Yao: nourish
blood & yin
Xi Xin: warm CH &
dispel cold, stop P!
Mu Tong: unblock
CH & benefit joint
Da Zao: tonify qi
& strengthen SP
Zhi Gan Cao:
harm. other herbs