HERBAL FORMULA REVIEW STUDY SUMMARY 83 STATE BOARD FORMULAS

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1 HERBAL FORMULA REVIEW STUDY SUMMARY 83 STATE BOARD FORMULAS with Modifications of CALE herbs from Bensky & Barolet (Includes New California State Board Formulas) By: Lana Farson, M.S., L.Ac. October 2015 Lana Farson, M.S., L.Ac. 1

2 TABLE OF CONTENTS Formulas that Release the Exterior Gui Zhi Tang 5, 28 Sang Ju Yin 6 Yin Qiao San 6 Chai Ge Jie Ji Tang 7 Ren Shen Bai Du San 8 Formulas that Clear Heat Huang Lian Jie Du Tang 9 Long Dan Xie Gan Tang 9 Qing Hao Bie Jia Tang 10 Bai Hu Tang 10 Qing Wei San 11 Xie Xin Tang 11 Dao Chi San 12 Bai Tou Weng Tang 12 Formulas that Drain Downward Da Cheng Qi Tang 13, 51 Xiao Cheng Qi Tang 13, 51 Tiao Wei Cheng Qi Tang 13, 51 Ma Zi Ren Wan 14 Run Chang Wan 14 Formulas that Harmonize Xiao Chai Hu Tang 15 Ban Xia Xie Xin Tang 16 Si Ni San 17 Xiao Yao San 18 Formulas that Expel Dampness Ping Wei San 19 Huo Xiang Zheng Qi San 20 Ba Zheng San 21 Wu Ling San 21, 22 Zhu Ling Tang 23 Wu Pi San 23 Zhen Wu Tang 24 Juan Bi Tang 25 Formulas that Warm Interior Cold Wu Zhu Yu Tang 26 Li Zhong Wan 26 Da Jian Zhong Tang 27 Xiao Jian Zhong Tang 27 Si Ni Tang 28 Lana Farson, M.S., L.Ac. 2

3 Formulas that Reduce Food Stagnation Bao He Wan 29 Formulas that Tonify Si Jun Zi Tang (& variations) 30, 26 Bu Zhong Yi Qi Tang 31 Gui Pi Tang 33 Si Wu Tang 33 Ba Zhen Tang 34 Liu Wei Di Huang Wan (& variations) 35 Sheng Mai San 36 Jin Gui Shen Qi Wan 38 Shi Quan Da Bu Tang 39 Shen Ling Bai Zhu San 32 Zuo Gui Wan 37 You Gui Wan 38 Dang Gui Bu Xue Tang 34 Formulas that Treat Dryness Xing Su San 40 Bai He Gu Jin Tang 40 Mai Men Dong Tang 41 Formulas that Treat Phlegm Er Chen Tang 42 Wen Dan Tang 43 Zhi Sou San 44 Ban Xia Bai Zhu Tian Ma Tang 45 Bei Mu Gua Lou San 46 Qing Qi Hua Tan Wan 46 Formulas that Regulate Qi Ban Xia Hou Po Tang 47 Yue Ju Wan 48 Su Zi Jiang Qi Tang 49 Ju Pi Zhu Ru Tang 50 Formulas that Invigorate the Blood Tao He Cheng Qi Tang 51 Xue Fu Zhu Yu Tang 52 Gui Zhi Fu Ling Wan 52 Wen Jing Tang 53 Sheng Hua Tang 54 Dan Shen Yin 54 Formulas that Stop Bleeding Jiao Ai Tang 55 Huai Hua San 55 Lana Farson, M.S., L.Ac. 3

4 Formulas that Calm the Spirit Huang Lian E Jiao Tang 56 Suan Zao Ren Tang 56 Gan Mai Da Zao Tang 57 Formulas that Expel Wind Xiao Feng San 58 Tian Ma Gou Teng Yin 58 Xiao Huo Luo Dan 59 Zhen Gan Xi Feng Tang 60 Formulas that Stabilize and Bind Yu Ping Feng San 61 Gu Jing Wan 62 Si Shen Wan 63 Wan Dai Tang 63 Jin Suo Gu Jing Wan 64 Dang Gui Liu Huang Tang 64 Lana Farson, M.S., L.Ac. 4

5 FORMULAS THAT RELEASE THE EXTERIOR Gui Zhi Tang Cinnamon Twig Decoction DX: external wind-cold with sweats (when Zheng qi and Xie (evil) Qi are both weak) contains Shao Yao Tang (Bai Shao & ) which releases muscles Gui Zhi releases exterior, while Bai Shao enhances protective and nutritive qi Bai Shao preserves yin & prevents release ext. herbs from causing excess sweats Traditionally: drink tea, take 1 cup of rice soup, cover up under blanket to produce mild & gentle sweat. Once mild sweat occurs, discontinue formula. Contra: exterior cold and interior heat (fever, thirst, sorethroat, rapid pulse) Caution: summertime or hot weather, heat cases If incorrectly prescribed or dosage is too high! result is profuse sweats, high fever, severe thirst, palpitations and irritability. Syndrome goes from Tai Yang to Yang Ming. Then give Bai Hu Jia Ren Shen Tang to cope with side effects. (this is in bensky p. 37 and from clause 26 of the Shang Han Lun) MOD#1: nasal congestion & sneezing: +Fang Feng +Xin Yi Hua MOD#2: shortness of breath and rough breathing +Hou Po MOD#3: swollen heavy sensation in head +Ju Hua +Chan Tui MOD#4: Profuse Sweat: increase dose of Bai Shao, +Huang Qi + Fang Feng; And decrease dose by 1/3 of Gui Zhi, Sheng Jiang & Zhi MOD#5: Severe Headache: substitute Chi Shao for Bai Shao; +Gao Ben MOD#6: Severe Vomiting: increase dose of Bai Shao +Sheng Jiang +Chen Pi +Hou Po MOD#7: Joint pain in extremities with fatigue +Qiang Huo +Fang Feng same Diff. S/S Gui Zhi Tang Gui Zhi Bai Shao Sheng Jiang Da Zao Zhi Sweats, H/A fever, chills P: floating Slight def. qi Gui Zhi Jia Gen Gen Tang Gui Zhi Bai Shao Sheng Jiang Da Zao Zhi Ge Gen + stiff neck +upper back & shoulder pain Lana Farson, M.S., L.Ac. 5

6 Sang Ju Yin DX: external wind-heat with cough Silly pneumonic: JLBGL = stands for Just Let Bad Germs Leave Contains: JLBGL (common with YQS), Sang Ye, Ju Hua (formula name) +Xing Ren MOD #1: Qi Level Heat & dryness = +Shi Gao, +Zhi Mu MOD #2: Severe lung heat = +Huang Qin MOD #3: pronounced thirst = +Tian Hua Fen +increase Lu Gen MOD #4: cough with yellow sputum = +Huang Qin, +Gua Luo MOD #5: cough with yellow sputum & blood = +Bai Mai Gen +Mu Dan Pi Biomedically-defined disorders: upper respiratory tract infection, influenza, early-stage acute bronchitis, acute tonsillitis, acute conjunctivitis Same (JLBGL) Different Sang Ju Yin 8 herbs Jie Geng Lian Qiao Bo He Lu Gen Sang Ye Ju Hua Xing Ren Yin Qiao San 10 herbs Jie Geng Lian Qiao Bo He Lu Gen Jin Yin Hua Jing Jie Dan Dou Chi Dan Zhu Ye Niu Bang Zi Yin Qiao San DX: external wind-heat with sorethroat Contains: JLBGL (common with YQS), and JJDDN = Jin Yin Hua, Jing Jie, Dan Dou Chi, Dan Zhu Ye, Niu Bang Zi MOD #1 = dampness with tightness in chest & epig. +Hou Xiang, +Yu Jin MOD #2 very sorethroat +Ma Bo, +Shan Dou Gen, +Xuan Shen MOD #3 = nosebleed Dan Dou Chi, -Jing Jie, +Bai Mao Gen, +Zhi Zi Biomedically-defined disorders: upper respiratory tract infection, influenza, acute bronchitis, measles, epidemic parotitis, acute endometritis, early-stage encephalitis, meningitis Contra: damp-heat (unless modified) Lana Farson, M.S., L.Ac. 6

7 Chai Ge Jie Ji Tang DX: External wind-cold changing to internal excess heat Use when the cold is getting better, but fever is getting higher with body aches Use when Ma Huang Tang & Gui Zhi Tang have not been effective For simultaneous Tai Yang (UB/SI) and Yang Ming invasion (ST/LI). Chai Hu prevents Shao Yang level. CGJJT contains Shao Yao Tang to relax the muscles Jie Geng & together are known to be good for the throat MOD #1: no chills or headache -Qiang Huo - Bai Zhi MOD #2: dry mouth & tongue +Zhi Mu, +Tian Hua Fen MOD #3: coughing of viscous sputum +Gua Lou Pi +Zhe Bei Mu Biomedically-defined disorders: influenza, toothache Contra: simple exterior wind-heat disorders Clear heat relax muscles Release ext. w-c Clear lung heat Circulate lung qi Direct herbs upward three amigos Jiang Zao Cao Chai Ge Jie Ji Tang 11 herbs Chai Hu - prevents it from going to Shao Yang level Ge Gen Bai Shao Qiang Huo Bai Zhi Huang Qin Shi Gao Jie Geng Sheng Jiang Da Zao Lana Farson, M.S., L.Ac. 7

8 Ren Shen Bai Du San DX: wind-cold-damp invasion with constitutional deficiency S/S: nasal congestion with sonorous breathing! Contains Si Jun Zi Tang Bai Zhu Contains Er Huo (Qiang Huo & Du Huo) for damp Contains Er Hu (Chai Hu & Qian Hu) Contains Jie Geng and Zhi Ke to circulate qi. RSBDS patient has spleen qi def. & lots of damp and is much weaker than a Gui Zhi Tang patient. This is why they need a partial Si Jun Zi Tang and Er Huo for damp. RSBDS patient has a history of easily catching colds This formula is 70% relieve the surface, 30% tonification MOD#1: for malaria increase dose of Chai Hu, and + Huang Qin Biomedically-defined disorders: upper respiratory tract infection, influenza, early-stage dysentery, early-stage measles, surgical infections Contra: cases of heat Er Huo to expel upper & lower body wind-colddamp Si Jun Zi Tang Bai Zhu (because other expel damp herbs are already used) Er Hu to move qi & transform phlegm Open, descend & circulate lung qi Ren Shen Bai Du San 12 herbs Qiang Huo Du Huo Ren Shen Fu Ling Chai Hu Qian Hu Jie Geng raise qi Zhi Qiao/Zhi Ke descend qi Chuan Xiong Sheng Jiang Bo He Lana Farson, M.S., L.Ac. 8

9 FORMULAS THAT CLEAR HEAT Huang Lian Jie Du Tang DX: excess fire toxin obstructing all three jiaos Includes the 3 Huangs + Zhi Zi (which by itself goes to all 3 jiaos) Huang Qin upper jiao Huang Lian middle jiao Huang Bai lower jiao Zhi Zi all three jiaos, including the triple burner MOD #1: constipation +Da Huang MOD #2: jaundice due to heat obstruction +Yin Chen Hao +Da Huang MOD #3:dysenteric disorders w/ blood, mucus, tenesmus +Mu Xiang +Qin Pi MOD #4: damp-heat in lower burner w/difficult urinary frequency, urgency, discomfort +Mu Tong, +Ze Xie +Che Qian Zi MOD #5: nosebleed, vomiting of blood, or erythema and purpura: +Sheng Di Huang +Dan Pi +Xuan Shen Clear heat Huang Lian Jie Du Tang Huang Qin Huang Lian Huang Bai Zhi Zi Long Dan Xie Gan Tang DX #1: excess heat in LV & GB DX #2: LV fire rising DX #3: damp-heat in the LV organ and meridians Contains Chai Hu and Huang Qin, classic combo to clear Shao Yang heat Mod #1: severe headache & painful, red eyes +Ju Hua, +Sang Ye Mod #2: coughing blood +Mu Dan Pi, +Ce Bai Ye Mod #3: tremors +Gou Teng, +Chuan Bei Mu Clear heat Promote urination clear heat Nourish liver yin/blood Move blood Counteracts drying & bitter herbs harmonize Long Dan Xie Gan Tang 10 herbs Long Dan Cao Huang Qin Zhi Zi Chai Hu brings herb to lv/gb Mu Tong Che Qian Zi Ze Xie Sheng Di clear heat, cool blood Dang Gui Lana Farson, M.S., L.Ac. 9

10 Qing Hao Bie Jia Tang DX: heat smoldering in Yin regions of body or Lingering heat from deficiency Usually occurs during the later stages of warm febrile disease when heat has depleted yin and fluids. Once heat has settled in the body, it is unwise to nourish the yin alone, since this will only trap the heat inside. S/S: night fevers, very thirsty for room temp, emaciation MOD #1: LU consumption + Sha Shen MOD #2: More cough & wheeze + Sang Bai Pi + Zi Wan MOD #3: Summertime night fever & morning coolness in children + Bai Wei MOD #4: Blazing fire from yin deficiency + Bai Wei + Di Gu Pi MOD #5: Five center heat, yellow urine, T=red w/ yellow coat + Bai Mao Gen MOD #6: Fever of unknown origin due to yin deficiency + Di Gu Pi + Bai Wei Nourish Yin Clear heat Clear heat Qing Hao Bie Jia Tang 5 herbs Bie Jia Zhi Mu Sheng Di Huang Qing Hao add at end of cooking Mu Dan Pi Bai Hu Tang DX: Yang Ming / Qi level blazing heat (XS only) S/S: the 4 bigs (big fever , big thirst for cold, big sweats, big pulse), red face, irritability, toothaches, T: red body, dry yellow fur After 2 hours of giving first dose of tea, give 2 nd dose only if needed If this formula is given by mistake due to incorrect diagnosis! if will damage the spleen causing diarrhea. The antidote is 30 grams Gan Jiang tea. MOD #1: for concurrent ST Qi Def, -Geng Mi; +Shan Yao MOD #2: for concurrent wind-cold in the exterior +Dan Dou Chi MOD #3: for red, swollen eyes & excruciating headache +Huang Lian +Huang Qin MOD #4: for pain & swelling of gums, headache, nosebleed, dry mouth, thirst, irritability, insatiable hunger +Tian Hua Fen +Lu Gen +Mai Men Dong MOD #5: for subcutaneous blotches, irritability, restlessness, disorientation, insomnia associated with febrile disease & heat toxin +Huang Lian Jie Du Tang To make Bai Hu Jia Ren Shen Tang! + Ren Shen or +Dang Shen To make Bai Hu Cang Zhu Tang! +Cang Zhu for internal heat with damp To make Bai Hu Gui Zhi Tang! +Gui Zhi Clear heat / fire, nourish yin Tonify SP qi Protect qi & fluids from damage Bai Hu Tang 4 herbs Sheng Shi Gao Zhi Mu Geng Mi Zhi Lana Farson, M.S., L.Ac. 10

11 Qing Wei San Clear the Stomach Powder DX: Stomach Fire or Yang Ming Channel Heat Functions: 1. Clears heat from the stomach; 2. Cools the blood and nourishes the yin S/S: toothache that radiates to the head (relieve by cold, worse with heat) Bleeding gums, Mouth sores, tongue soreness, dry mouth, bad breath, facial swelling, red eyes, fever, tongue: red, pulse: rapid, large, flooding MOD #1: Strong thirst for cold beverages - Dang Gui; + Xuan Shen + Tian Hua Fen MOD #2: Heat in LI with constipation +Da Huang Qing Wei San 5 herbs Sheng Di Huang Huang Lian Mu Dan Pi Dang Gui Sheng Ma Xie Xin Tang Drain the Epigastrium Decoction DX 1: Heart Fire causing bleeding (nose, mouth) with constipation & yellow urine DX 2: Damp-heat causing jaundice (greasy, yellow coating) DX 3: Full heat in the triple warmer (fever, irritability, restless, flushed face, red eyes, mouth & tongue ulcers, constipation, abscesses, T: red, yellow coat, P: rapid, flooding) MOD #1: Trigeminal Neuralgia + Chan Tui MOD #2: Headache from yangming & jueyin +Si Ni San Xie Xin Tang Da Huang Huang Lian Huang Qin Lana Farson, M.S., L.Ac. 11

12 Dao Chi San Guide Out the Red Powder DX #1: Heat in the Heart Channel (irritable, thirst for cold, red face, tongue/mouth sores, T: red, P: wiry, rapid) DX #2: Heart Fire transferring to the Small Intestine (dark, yellow, burning, scanty urine +/- blood) MOD #1: Yin Deficient + Shi Hu + Zhi Mu MOD #2: Blood in urine + Mo Han Lian (Han Lian Cao) + Bai Mao Gen MOD #3: Ulcerated sores around mouth + Wu Ling San Dao Chi San Sheng Di Huang Mu Tong Dan Zhu Ye Bai Tou Weng Tang Pulsatilla Decoction DX: Toxic heat in the Stomach & Intestines causing dysentery, abdominal pain, burning anus T: red, yellow coat MOD # 1: for concurrent signs of and exterior condition such as chills and fever + Ge Gen + Huang Qin + Jin Yin Hua + Lian Qiao MOD # 2: for severe tenesmus + Bai Shao MOD # 3: for urinary frequency, urgency, pain + Mu Tong + Bai Mao Gen MOD # 4: for hot, swollen, painful, red eyes + Ju Hua + Mu Dan Pi + Hong Hua MOD # 5: for bacillary dysentery + Qin Pi + Di Yu + Xian He Cao Bai Tou Weng Tang Bai Tou Weng Huang Lian Huang Bai Qin Pi Lana Farson, M.S., L.Ac. 12

13 FORMULAS THAT DRAIN DOWNWARD Cheng Qi Tang Formulas DX (for Cheng Qi Tangs): Yang Ming organ excess heat (physical dried heat) Distinguish the Cheng Qi Tangs from Yang Ming channel disorder, where heat should be cleared, not purged down (Ma Xing Shi Gan Tang - shapeless heat) Da means big so this formula has all 4 herbs Xiao means small so subtract one herb (-Mang Xiao) Tiao Wei means regulate the stomach- think of adding something mild like to regulate or protect the stomach from such strong herbs Same Diff. Distinguishing symptoms Same Diff. Distinguishing symptoms Da Cheng Qi Tang Da Huang Hou Po Zhi Shi Mang Xiao Severe constipation with distention, hardness & pain upon pressure Da Cheng Qi Tang Da Huang add last 5 min Mang Xiao Hou Po Zhi Shi Severe constipation with distention, hardness & pain upon pressure Xiao Cheng Qi Tang Da Huang Hou Po Zhi Shi Constipation with distention No dryness Pain not worse with pressure Tiao Wei Cheng Qi Tang Da Huang Mang Xiao Mild constipation Mild or no distention Da Cheng Qi Tang Severe constipation with distention, hardness & pain upon pressure MOD # 1: for high fever, severe thirst, rapid and forceful pulse + Zhi Mu + Shi Gao MOD # 2: for severe abdominal distention + Lai Fu Zi MOD # 3: for signs of blood stasis + Tao Ren + Chi Shao Xiao Cheng Qi Tang No modifications with CALE herbs listed in Bensky Tiao Wei Cheng Qi Tang No modifications with CALE herbs listed in Bensky Lana Farson, M.S., L.Ac. 13

14 Ma Zi Ren Wan Hemp Seed Pill This formula contains Xiao Cheng Qi Tang (Da Huang, Hou Po, Zhi Shi) so it is basically a Hemp Modification of Xiao Cheng Qi Tang. MOD #1: for severe injury to fluids +Bai Zi Ren +Gua Lou Ren MOD #2: for severe heat accumulation with yellow tongue coat & rapid pulse: increase Da Huang and +Mang Xiao MOD #3: for hemorrhoids +Tao Ren +Dang Gui MOD #4: for bleeding hemorrhoids +Huai Mi +Di Yu MOD #5: for deficiency of Middle Qi, combine with Bu Zhong Yi Qi Tang MOD #6: for intestinal obstruction due to roundworms +Wu Mei +Bing Lang +Chen Pi Unblock Bowels Xiao Cheng Qi Tang Moisten Ma Zi Ren Wan Huo Ma Ren - moistens Da Huang unblock bowels Hou Po moves qi downward Zhi Shi moves qi downward Xing Ren Bai Shao Run Chang Wan Moisten the Intestines Pill from Master Shen s Book This is also a hemp formula DX: Constipation caused by Severe Yin & Blood Def with Depleted Fluids Good formula for elderly and debilitated, or for after childbirth (yin def due to blood loss) This formula is like a Gentle Xiao Cheng Qi Tang Wannabe. The patient is too weak for Xiao Cheng Qi Tang, so Zhi Ke is the only herb remotely related to that formula. S/S: constipation, lusterless skin & nails, dry mouth, severe thrist T: dry, pale P: thin No modifications with CALE herbs listed in Bensky Unblock Bowels Moisten Tonify Blood Moisten Run Chang Wan Huo Ma Ren Tao Ren Dang Gui Sheng Di Zhi Ke Lana Farson, M.S., L.Ac. 14

15 FORMULAS THAT HARMONIZE Xiao Chai Hu Tang DX: Gallbladder disharmony (½ interior ½ exterior) Shao Yang Liver wood invading earth XCHT is balanced in three ways: 1. tonifying herbs (RS, ZGC, DZ) sedating herbs (CH, HQ) 2. guides qi up & to surface (CH) descends qi down internal level (BX, SJ) 3. bitter, cold = HQ (clears heat) spicy, warm = BX, SJ (harmonize stomach) XCHT contains 3 Amigos or Jiang Zao Cao, Sheng Jiang, Da Zao, Zhi This formula can treat many different types of problems. MOD #1: for irritability in chest w/o nausea -Zhi Ban Xia -Ren Shen; +Gua Lou Ren MOD #2: for pronounced thirst -Zhi Ban Xia; +Tian Hua Fen MOD #3: for abdominal pain -Huang Qin +Bai Shao MOD #4: for hard focal distention & firmness below ribs -Da Zao; +Mu Li MOD #5: for palpitations in epigastric area with inhibited urination +Huang Qin +Fu Ling MOD #6: for cases with no thirst, slight fever in the exterior -Ren Shen +Gui Zhi MOD #7: for cough -Ren Shen -Da Zao -Sheng Jiang; +Wu Wei Zi +Gan Jiang MOD #8: for heat entering the blood chamber +Tao Ren +Hong Hua +Mu Dan Pi MOD #9: for rough, scanty, dark & painful urination +Jin Qian Cao +Bai Hua She She Cao MOD #10: for fever, aversion to wind, headache, stifling sensation in the chest, constipation, loss of appetite, dark urine, irritability, thirst, yellow tongue coating, and a tight pulse +Huo Ma Ren +Zhi Shi MOD #11: for fever, coughing of yellow sputum & chest pain +Jie Geng +Gua Lou +Chuan Bei Mu MOD #12: for vertigo +Ju Hua +Gou Teng +Jue Ming Zi MOD #13: for coughs that are more severe around midnight, alternating fever/chills & bitter taste in mouth +Gan Jiang +Wu Wei Zi MOD #14: for UTI with chills, fever, urgent frequent urination, combine with Liu Wei Di Huang Wan Xiao Chai Hu Tang 7 herbs Ren Shen Zhi Ban Xia Huang Qin Da Zao Chai Hu Sheng Jiang Lana Farson, M.S., L.Ac. 15

16 Ban Xia Xie Xin Tang DX #1: sp/st def. with cold-heat complex due to external pathogen (Spleen is deficient and stomach qi is rebelling) DX #2: stomach & intestine disharmony (with constip. & fullness under diaphragm) The fullness is said to be from stomach duct glomus (like a nodule) that is due to evils trapped in the middle burner Etiology: improper purging of exterior or Shao Yang condition with SP/ST deficiency in which pathogen sinks to interior This syndrome can be due to heat, cold or heat and cold together If symptoms due to heat only, can remove Ban Xia & Gan Jiang If symptoms due to cold only; can remove either Huang Lian or Huang Qin Modern treatment: Dang Shen is substituted for Ren Shen BXXXT contains a modified 3 Amigos or Jiang Zao Cao, which in this case is Gan Jiang, Da Zao, Zhi BXXXT is balanced in two ways: 1. Cold herbs (HQ, HL) warm herbs (BX, GJ) 2. Ren Shen, Da Zao & Zhi can tonify without causing clumping, because of dispersing (sedating) herbs (Ban Xia, Huang Qin, Huang Lian) MOD #1: For damp heat aggregating in the middle burner with vomiting & focal distention -Ren Shen -Gan Jiang -Da Zao -Zhi ; +Zhi Shi +Sheng Jiang Same different Xiao Chai Hu Tang 7 herbs Ren Shen Zhi Ban Xia Huang Qin Da Zao Chai Hu Sheng Jiang Ban Xia Xie Xin Tang 7 herbs Ren Shen Zhi Ban Xia Huang Qin Da Zao Huang Lian Gan Jiang Lana Farson, M.S., L.Ac. 16

17 Si Ni San Important light, mini-formula DX: cold extremities from Yang Qi constraint (not Yang Deficiency, like Si Ni Tang) Often, the patient is sensitive to stress, anxiety, nervousness,which causes congestion Contains Shao Yao Tang (Bai Shao & ) SNS is balanced in two ways: 1. Chai Hu (ascending action) Zhi Shi (descending action) (results in a stronger qi regulating function & smoothes dispersing of heat) 2. Bai Shao (astringent/holding) Chai Hu (dispersing/ brings qi up and out) (effective combo to disseminate Liver Qi without damaging yin) MOD #1: for cough +Wu Wei Zi +Gan Jiang MOD #2: for palpitations +Gui Zhi MOD #3: for urinary difficulty +Fu Ling MOD #4: for abdominal pain +Fu Zi MOD #5: for blood def hypochondriac pain & irregular menses: -Zhi Shi, +Bai Zhu +Fu Ling +Dang Gui MOD #6: for food stagnation with abdominal pain +Shan Zha +Mai Ya Ji +Nei Jin MOD #7: for pinpoint fixed pain from blood stasis +Pu Huang +Wu Ling Zhi +Dan Shen MOD #8: for painful menses +Dang Gui +Wu Yao +Xiang Fu +Yan Hu Suo MOD #9: for breast abscess +Qing Pi MOD #10: for biliary tract disorder +Yin Chen Hao +Dan Shen +Yu Jin +Chi Shao MOD #11: for intercostal neuralgia +Gua Lou Pi +Yu Jin MOD #12: for roundworms +Wu Mei MOD #13: for intestinal obstruction +Da Huang Smooth LV Move qi relax muscles; harmonize Si Ni San 4 herbs Chai Hu Bai Shao relaxes / nourishes yin & muscles Zhi Shi Lana Farson, M.S., L.Ac. 17

18 Xiao Yao San DX: Liver Qi congestion with blood def. (spleen def.) This is a variation of Si Ni San, but XYS is for a more deficient condition XYS contains SNS Zhi Qiao +Dang Gui (to tonify and move blood, instead of qi) XYS is way over used MOD #1: for more severe hypochondriac pain with distention, -Bai Zhu +Xiang Fu MOD #2: for intense fixed pain due to blood stasis +Mu Dan Pi +Yu Jin +San Leng MOD #3: for vaginal discharge +Jin Yin Hua MOD #4: for pain over the liver with fatigue & low appetite, -Wei Jiang/Pao Jiang, -Bo He +Xiang Fu +Dan Shen +Dang Shen MOD #5: for enlarged LIV & SP +Hai Piao Xiao +Bie Jia +Mu Li MOD #6: for fibrocystic breasts -Zhi +Wang Bu Liu Xing +Dan Shen +Xiang Fu Smooth LV Tonify blood soften edges Tonify SP Xiao Yao San 8 herbs Chai Hu relieves shao yang Bo He helps CH relieves heat to surface Bai Shao smooth liver yin Dang Gui move blood Bai Zhu reduce damp Fu Ling - reduce damp Zhi helps spasms Pao Jiang warms ST Lana Farson, M.S., L.Ac. 18

19 FORMULAS THAT EXPEL DAMPNESS There are 4 sub-categories to the formulas that expel dampness 1.) Eliminate Dampness With Fragrant Aromatics * Ping Wei San * Huo Xiang Zheng Qi San 2.) Eliminate Heat & Dampness * Ba Zheng San Eight Herb Powder for Rectification (not the same as Ba Zhen San) 3.) The Diuretic Formulas * Wu Ling San * Zhu Ling Tang * Wu Pi San 4.) Eliminate Dampness by Warming * Zhen Wu Tang * Juan Bi Tang 1.) Eliminate Dampness With Fragrant Aromatics Ping Wei San DX: excess damp-cold stagnating in spleen/stomach S/S: epigastric & abd. Distention & fullness, poor appetite, bland taste in mouth, nausea/vomiting, fatigue, belching, acid regurgitation, heavy limbs, BM-soft, loose, T: enlarged, thick white, greasy fur, P: slippery, moderate (describes rate; it is not on state board pulse list) The acid regurgitation and the nausea / vomiting are due to turbid yin rising. In this case, the acid regurgitation is not due to heat, but rather to cold-damp stagnation. More for acute excess case (not so much for qi def.) MOD #1: for severe damp-cold w generalized cold & pn +Rou Gui +Gan Jiang MOD #2: for damp heat w bitter taste, dry throat w no thirst & yellow greasy tongue +Huang Qin +Huang Lian MOD #3: for food stag w severe distention & constipation +Lai Fu Zi +Da Fu Pi +Zhi Qiao (Zhi Ke) MOD #4: for severe vomit +Ban Xia MOD #5: for more SP def marked by loss of appetite w less distention & fullness, substitute Bai Zhu for Cang Zhu & +Huang Qi +Shan Yao MOD #6: for delayed labor or fetal death w similar presentation +Mang Xiao +Zhi Shi MOD #7: for stones in common bile duct +Yin Chen Hao +Zhi Zi +Yu Yin Aromatic Transform Damp Reg qi 3 Amigos Sheng Jiang Da Zao Ping Wei San Cang Zhu Hou Po reduce distention Chen Pi Lana Farson, M.S., L.Ac. 19

20 Huo Xiang Zheng Qi San HXZQS is one of the 50 most important formulas DX: External wind-cold & internal stagnation of damp (upper & middle jiaos) This formula is more for internal accumulation, with only mild exterior symptoms and the herbs are stronger to transform damp, than to release exterior This formula could be for a patient who had a Ping Wei San or Er Chen Tang original condition, who then caught a mild exterior w-cold HXZQS contains two formulas inside: Er Chen Tang and almost Ping Wei San (use Bai Zhu (Rhizoma Atractylodis Macrocephalae) instead of Cang Zhu (Rhizoma Atractylodis) see above for herbs in Ping Wei San HXZQS contains the 3 Amigos SJ, DZ, GC Silly story to remember herbs in the formula: The HXZQS Circus MOD #1: for severe wind-cold, increase dose of Zi Su Ye from 6g up to (not stated) MOD #2: for food stagnation Da Zao, +Shen Qu +Ji Nei Jin MOD #3: for severe dampness with a very thick, greasy coat: substitute Cang Zhu instead of Bai Zhu MOD #4: for brief, scanty urination +Mu Tong +Ze Xie Spicy warm Release exterior Er Chen Tang Treat root along with FL, GC, DZ Move down. Promote proper water metabolism Huo Xiang Zheng Qi San 13 herbs Huo Xiang Zi Su Ye Bai Zhi Ban Xia Chen Pi Fu Ling Sheng Jiang Bai Zhu Hou Po Da Fu Pi HXZQS Circus acrobats on suspended platform 1 acrobats on suspended platform 2 Represents supportive mat underneath acrobatic area (BZ is flat & wide) DFP is shaped like a bowl, which is full of water, & dumped on a clown climbing the Hou Po pole Guide up Jie Geng Represents clown riding unicycle 3 Amigos Da Zao (+Sheng Jiang &, listed above in ECT) upward, on incline, to bring qi up The audience is eating snacks of red dates, licorice, perhaps candied ginger Lana Farson, M.S., L.Ac. 20

21 2.) Eliminate Heat & Dampness Ba Zheng San Eight Herb Powder for Rectification DX: damp-heat in lower jiao (UB) causing heat, qi or xue lin There is possibly heart or small intestine heat Caution: modify for pregnancy, or cold from deficiency Long term use can cause injury MOD #1: if more blood: +Bian Xu +Bai Mao Gen MOD #2: if shi lin (stones): +Shi Wei +Niu Xi Stronger for UTI than Dao Chi San Guide the Red Out (non-state board formula) Ba Zheng San is called the Eight Herb Powder for Rectification when in fact it contains 9 herbs Clears heat & dries damp Drains heat & fire Release abd. pain, harmonize Ba Zheng San 9 herbs Mu Tong Hua Shi Che Qian Zi Bian Xu Qu Mai Zhi Zi drains from the San Jiao Da Huang Deng Xin Cao Zhi 3.) The Diuretic Formulas Wu Ling San DX #1: External & Internal Damp DX #2: Damp in UB and TaiYang DX #3: Spleen Qi Def. & Damp-phlegm S/S: 1. Exterior Tai Yang (UB/SI) attack (headache, fever, P: floating) 2. Congested fluids in lower jiao (edema, throbbing pulsation below umbilicus, vomiting) 3. Clear Yang can t rise (headache, vertigo, SOB, coughing This formula is slightly sedating (Ze Xie & Fu Ling), slightly tonifying (Bai Zhu & Fu Ling) and slightly warming (Gui Zhi) This formula very peacefully treats the evil that goes from the Tai Yang channel to the UB organ This formula is for water retention due to excess and deficiency Promote urination & transform damp Tonify & transform damp Relieves surface & damp from UB Wu Ling San Ze Xie Zhu Ling Fu Ling Bai Zhu Gui Zhi warms yang & qi hua function Lana Farson, M.S., L.Ac. 21

22 Wu Ling San, continued MOD #1: for severe edema +Sang Bai Pi +Chen Pi +Da Fu Pi (like Wu Pi San)* MOD #2: for concurrent edema and qi obstruction +Wu Pi Yin (WJP, DGP, SBP)* MOD #3: for cold-damp Bi Zheng with thirst & urinary difficulty +Qiang Huo MOD #4: for damp-heat diarrhea Bai Zhu Gui Zhi, +Yin Chen Hao +Jin Yin Hua *Note: Wu Pi Yin = Wu Jia Pi, Di Gu Pi, Sang Bai Pi Wu Pi San = Sang Bai Pi, Da Fu Pi, Sheng Jiang Pi, Fu Ling Pi, Chen Pi Lana Farson, M.S., L.Ac. 22

23 Zhu Ling Tang DX #1: Internal heat (in upper & lower jiaos) with dampness DX #2: UB damp-heat with yin. Def. DX #3: Heart & kidney fire (+/- damages yin) with damp This formula can also be described as being for upper jiao heat and lower jiao dampness Compare to Wu Ling San: instead of Gui Zhi (warming), use Hua Shi to clear heat; instead of Bai Zhu (ton. Qi), use E Jiao to nourish yin & blood Compare to Ba Zheng San, which is much much cooler and not tonifying Zhu Ling Tang is cooling & tonifying. The heat is both in lower jiao (diff. urination, diarrhea) and upper jiao (insomnia, irritability, thirsty) Wu Ling Tang is warmer because it is tonifying the Qi, not the Blood or Yin (which would need more cooling in the case of Zhu Ling Tang) Promote urination & transform damp Wu Ling San Ze Xie Zhu Ling Fu Ling Bai Zhu ton qi Gui Zhi warming Zhu Ling Tang Ze Xie Zhu Ling Fu Ling E Jiao ton yin, blood Hua Shi - cooling Wu Pi San DX: Spleen qi deficiency with water/damp and qi stagnation Symptoms: pitting edema, swollen fingers, dyspnea, urinary retention, abdominal and epigastric distention and fullness, labored & heavy breathing, low energy T: pale, swollen, teethmarks, sticky or greasy white coat P: slippery, possibly deep or weak Translated name is 5 peel powder, and it contains 5 peels Descend LU qi, open sanjiao Reduce damp, create slight sweats Tonify qi, promote urine Move qi, transform damp Wu Pi San 5 herbs Sang Bai Pi Sheng Jiang Pi Fu Ling Pi Chen Pi Da Fu Pi MOD #1: for marked SP def.: +Dang Shen, +Bai Zhu MOD #2: for constipation due to accumulation in intestines: +Da Huang, +Zhi Shi MOD #3: for severe abdominal distention: +Lai Fu Zi, +Hou Po MOD #4: for internal damp-cold: +Gan Jiang, +Fu Zi MOD #5: for damp-heat in low jiao & edema below waist: +Che Qian Zi, +Yi Yi Ren MOD #6: for damp in low jiao & edema below waist: +Che Qian Zi, +Han Fang Ji Lana Farson, M.S., L.Ac. 23

24 4.) Eliminate Dampness by Warming Zhen Wu Tang The True Warrior Decoction DX: Kidney & Spleen Yang Def. leading to damp retention Silly pneumonic to remember herbs: Ginger said Bai Bai to the Fu Fu = Sheng Jiang, Bai Zhu, Bai Shao, Fu Zi, Fu Ling There are palpitations & dizziness because the cold water retention is going to the upper jiao, and kidney yang relates to heart yang (leads to palps) dampness turbid yin rising clear yang cannot ascend Pathogenic water ascends & affects heart & lungs Symptoms of Presentation #1 difficult urination generalized edema abd. pain worse with cold heavy,aching extremities loose stools Dizziness heavy sensation in head vomiting pathogenic water affects sp/st Palpitations coughing Symptoms of Presentation #2 (from Bensky p ) sweating that does not reduce the fever, palpitations in the epigastrium, dizziness, shivering & trembling with an unsteady appearance, T: white, slippery fur P: submerged, thin & forceless for externally contracted wind-cold at the Tai Yang stage When sweating doesn t alleviate fever, the continuous loss of fluids causes the body to wither and severely depletes the yang qi. This deprives the sinews and flesh of nourishment, and the channels and extremities of warmth, which is manifested as shivering and trembling and an unsteady appearance. Warm kidney & spleen Tonify spleen Reduce pain, astringes yin & tonifies blood to protect against Fu Zi Zhen Wu Tang 5 herbs Fu Zi Sheng Jiang Fu Ling Bai Zhu Bai Shao Lana Farson, M.S., L.Ac. 24

25 Juan Bi Tang Remove Painful Obsruction Decoction DX: Bi Zheng due to Wind-Damp-Cold S/S: joint pain worse with cold, heavy and/or numb limbs, T: thick, white coat P: slow, possibily slippery Note: Gui Zhi (4.5g) can be substituted for Rou Gui (in Version #2) VERSION #1 Juan Bi Tang 9 herbs Expel wind-damp Qiang Huo Fang Feng Move blood Jiang Huang (Jiu Xi) Dang Gui (wine-washed) Tonify (Mi Zhi) Huang Qi (honey-fried) Bai Shao 3 Amigos Zhi Sheng Jiang Da Zao MOD #1: for more severe cold: +Gui Zhi MOD #2: for more severe dampness: +Cang Zhu +Han Fan Ji +Yi Yi Ren MOD #3: for paraesthesia & numbness, indicating the vessels & collaterals are blocked: increase Huang Qi, +Gui Zhi VERSION #2 Expel wind-damp Move blood Move Qi Tonify & Warm Juan Bi Tang 9 herbs Qiang Huo Du Huo Qin Jiao Sang Zhi Hai Feng Teng Dang Gui Chuan Xiong Ru Xiang Mu Xiang Rou Gui Zhi Lana Farson, M.S., L.Ac. 25

26 FORMULAS THAT WARM INTERIOR COLD Wu Zhu Yu Tang DX: stomach coldness Bensky says WZYT is used for 3 different presentations: 1.) vomiting immediately after eating, gnawing hunger, acid regurgitation with or without epigastric pain (due to cold from def. of stomach, which causes st. qi to rebel causing vomiting) 2.) dry heaves or spitting of clear fluids with headache at the vertex (due to cold from def. of the stomach and liver) 3.) vomiting and diarrhea with cold hands and feet, and agitation so severe that the patient wants to die (due to cold attacking the middle burner) All 3 presentations involve vomiting and deficient cold of the middle jiao. MOD #1: for severe vomiting or morning sickness +Ban Xia +Sha Ren MOD #2: for severe headache +Chuan Xiong +Dang Gui MOD #3: for severe cold +Chuan Jiao +Gan Jiang MOD #4: for severe epigastric pain +Dan Shen MOD #5: for palpitations & insomnia +Dang Gui +Fu Ling Wu Zhu Yu Tang 4 herbs Warms stomach Wu Zhu Yu and smoothes liver Sheng Jiang tonify qi Ren Shen and generate fluids 20% Da Zao Li Zhong Tang DX: middle jiao coldness (SP yang def.) This formula is warming (think of Gan Jiang) and tonifying (like Si Jun Zi Tang) If a Si Jun Zi Tang case goes more toward coldness, (-Fu Ling and +Gan Jiang to penetrate the coldness instead of draining it out through the urine (as Fu Ling does) MOD #1: for severe vomiting +Sheng Jiang MOD #2: for bleeding due to yang deficiency: substitute Pao Jiang for Gan Jiang and +Huang Qi, +Dang Gui and +E Jiao MOD #3: for palpitations: +Fu Ling Li Zhong Tang Ren Shen Bai Zhu Zhi Gan Jiang Si Jun Zi Tang Ren Shen Bai Zhu Zhi Fu Ling Lana Farson, M.S., L.Ac. 26

27 Da Jian Zhong Tang DX: Middle Jiao yang deficiency with cold in the interior Deficiency and excess together S/S: chest & abdomen pain (extreme), low appetite, vomiting, coldness (head, lips), headaches Western Biomedical disorders: chronic gastritis, gastric ulcer, duodenal ulcer, chronic pancreatitis, chronic cholecystitis, urinary calculi, intestinal spasms, uncomplicated intestinal obstruction P: small, tight or slow (if more severe cold), wiry (pain), hidden (especially severe) T: pale, enlarged, white slippery fur Warm sp/st strengthen yang qi Tonify qi, Circulate yang qi Da Jian Zhong Tang 4 herbs Chuan Jiao Gan Jiang Ren Shen Yi Tang MOD #1: to strengthen pain-relieving actions: +Dan Shen, +Yan Hu Suo, +Mu Xiang MOD #2: for nausea: +Ban Xia, +Sheng Jiang MOD #3: for numb hands & feet: +Gui Zhi Note: Da Xian Xiong Tang = not state board, but it is a similar sounding purgative formula that you may have studied Xiao Jian Zhong Tang Minor Construct the Middle Decoction DX: Spleen Yang Def with cold causing abdominal pain S/S: intermittent colicky abdominal pain releived by warmth or pressure, low appetite, palps, pale dull complexion, irritability, low-grade fever T: pale, thin WF P: weak, slow, wiry MOD #1: for vomiting +Zhu Ru +Sheng Jiang MOD #2: for very gummy sputum that cannot be expectorated +Bei Mu +Dan Nan Xing MOD #3: for severe distention & pain +Yu Jin +Zhi Shi MOD #4: for indeterminate gnawing hunger (heat) +Zhi Shi +Zhi Zi MOD #5: for myocardial infarction +Tao Ren +Hong Hua +Pu Huang Warms & dispels cold Tonify qi, Circulate yang qi Xiao Jian Zhong Tang 6 herbs Yi Tang Gui Zhi Sheng Jiang stops nausea Bai Shao Zhi Da Zao Gui Zhi Tang Gui Zhi Sheng Jiang Bai Shao Zhi Da Zao Lana Farson, M.S., L.Ac. 27

28 Si Ni Tang DX: Kidney yang Def. with internal cold (shaoyin syndrome) Qi and yang are very weak Kidney & spleen yang have been damaged Exterior cold has gone internally Shang Han Lun formula Emergency use only, for life threatening situations. Only give one pack. In this case there is approximately 60% yin, 40% yang within the body Symptoms: low blood pressure, icy cold limbs, shock, fainting, sweating, body temp 96-97, diarrhea, no thirst (no heat), vomiting, wants to curl up to be warm, fatigue This formula is for true cold, false heat (if there are false heat signs, they could be flushed face & irritability. In this case, have patient take decoction when it is cool. Be sure to know how this formula is different from Si Ni San, which is for true heat, false cold (p. 145 Bensky) Western Biomedical presentations: acute myocardial infarction, cardiac insufficiency, acute or chronic gastroenteritis (with vomiting and diarrhea), hypopituitarism, hypothyroidism, adrenal insufficiency, and intractable arthritis. T: pale or purple, moist, slippery white fur P: minute, small, weak, hollow or shallow or deep, possibily irregular Tonify yang, expel cold, Open channels Warm SP/ST, support Fu Zi Reduce toxicity Si Ni Tang 3 herbs Fu Zi, qian (cook 1 hr. before other herbs) Gan Jiang Zhi MOD #1 +Ren Shen (Si Ni Jia Ren Shen Tang) for yang collapse with Qi def. (SOB, spontaneous sweats, weak breathing). 1 st use Si Ni Tang, then when better add 1 qian Ren Shen MOD #2: for intractable arthritis from wind-damp: +Rou Gui +Bai Zhu MOD #3: for edema or leucorrhea: +Dang Shen +Fu Ling +Ze Xie Lana Farson, M.S., L.Ac. 28

29 FORMULAS THAT REDUCE FOOD STAGNATION Bao He Wan DX: food stagnation due to excessive eating (or contaminated food) This syndrome is not originally caused by heat or cold. If there is heat, it is likely because food accumulation readily transforms into heat from constraint. (Lian Qiao is added to prevent build up of heat) BHW is 80% harmonizing, 15% moving, 5% tonifying Ban Xia and Chen Pi descend lung & stomach qi This formula is best for early stages and mild disorders The formula is balanced in the following ways: warming: BX, CP cooling: LQ tonifying: FL sedating: SZ, LFZ On p. 456, under the main version of Bao He Wan from the teachings of Zhu Dan Xi, Bensky says to powder following herbs and take with warm water or with a decoction made with Mai Ya. Bensky says that the reducing action is strengthened when this formula is taken with a Mai Ya decoction On p. 457, Bensky briefly discusses a variation of Bao He Wan that is from the text Precious Mirror for Advancement of Medicine in which Mai Ya is definitely a part of the formula. Food stagnation herbs Er Chen Tang (- -Sheng Jiang) Prevent build up of heat Bao He Wan 7 or 8 herbs (depending) Shen Qu Lai Fu Zi descends qi & reduce phlegm Shan Zha esp. for fatty foods & meats Ban Xia move qi, reduce stag. of phlegm Chen Pi harmonize ST Fu Ling tonify speen, drain damp Lian Qiao +/- Mai Ya reduces stagnation from grains MOD #1: for more severe abd. distention: +Zhi Shi +Hou Po MOD #2: for sweating from the head due to accumulation of food that has transformed into heat + ginger fried Huang Lian (Jiang Zhi Chao Huang Lian) MOD #3: for constipation: +Da Huang +Bing Lang Lana Farson, M.S., L.Ac. 29

30 FORMULAS THAT TONIFY Si Jun Zi Tang Most basic formula for Spleen Qi Deficiency Used as a base for most Qi Def cases MOD #1: For indigestion, reduced appetite, abdominal distention, weightloss +Xiang Fu +Hou Po MOD #2: For morning sickness +Sha Ren +Chen Pi +Hou Po MOD #3: For edema during pregnancy +Wu pi yin MOD #4: For periodic paralysis +Huang Qi +Mai Men Dong +Bai Zhi +Fang Feng MOD # 5: For uterine fibroids +E Zhu +San Leng +Niu Xi Core formula for qi deficiency To transform phlegm & reg qi Move qi Aid digestion Si Jun Zi Tang 4 herbs Ren Shen Bai Zhu Fu Ling Liu Jun Zi Tang 6 herbs Ren Shen Bai Zhu Fu Ling Chen Pi Ban Xia Xiang Sha Liu Jun Zi Tang 8 herbs Ren Shen Bai Zhu Fu Ling Chen Pi Ban Xia Mu Xiang Sha Ren Si Jun Zi Tang Variations: Liu Jun Zi Tang S/S: qi def +nausea/vomiting, or excess phlegm. For stomach problems with dampness. Xiang Sha Liu Jun Zi Tang S/S: above symptoms plus abdominal pain from qi stagnation or loose stools. Ban Xia & Chen Pi regulate qi in the chest and stomach, and Mu Xiang & Sha Ren are for diarrhea. Qi Def commonly occurs along with Qi stagnation; In this case, giving only tonics causes more bloating and chest constriction. Lana Farson, M.S., L.Ac. 30

31 Bu Zhong Yi Qi Tang DX: SP / ST qi def. with prolapse Bu Zhong Yi Qi Tang (12) = SJZT (-1); plus 3 that raise qi (HQ,CH,SM); plus digestive (CP), plus treat the blood (DG) Bensky says that Dang Gui tonifies the qi in the blood and that it works synergistically with the qi tonifying herbs to augment the qi by invigorating the blood. MOD #1: for abdominal pain, increase the dose of Zhi & +Bai Shao (Shao Yao Tang = GC & BS) MOD #2: for abd. distention +Zhi Shi +Hou Po +Mu Xiang +Sha Ren MOD #3: for pronounced aversion to cold +Rou Gui MOD #4: for headache: +Man Jing Zi +Chuan Xiong (if severe) MOD #5: for vertex +Gao Ben MOD #6 for recurrent miscarriage +Du Zhong +Tu Si Zi MOD #7 for leukorrhea +Cang Zhu +Huang Bai All three raise sunken yang qi Si Jun Zi Tang Fu Ling (b/c FL drains down & BZYQT pulls the qi up) Tonifies the qi in the blood Regulates qi (which helps to raise qi) Bu Zhong Yi Qi Tang Huang Qi also tonifies qi Sheng Ma Chai Hu Ren Shen Bai Zhu Zhi Dang Gui Chen Pi helps digest cloying tonifying herbs, & thereby increases effectiveness Lana Farson, M.S., L.Ac. 31

32 Shen Ling Bai Zhu San DX: SP / ST qi def. with dampness Warming formula that is not drying MOD #1: For coughing up copious, watery sputum with generalized weakness & stifling sensation in chest +Chen Pi +Ban Xia +Xing Ren MOD #2: For a dusky yellow color of skin/eyes, lethargy, focal distention in epigastrium, pain in hypochondria, nausea +Si Ni San MOD #3: For post partum fever with spontaneous sweating +Dang Gui Bu Xue Teng (Huang Qi, Dang Gui) MOD #4: For diabetes mellitus +Huang Qi +Wu Wei Zi +Ji Nei Jin Si Jun Zi Tang Tonify qi Drain damp Shen Ling Bai Zhu San Ren Shen Bai Zhu Fu Ling Zhi Shan Yao Bai Bian Dou Lian Zi Yi Yi Ren Sha Ren Jie Geng Biomedically-defined disorders: chronic gastritis, chronic hepatitis, chronic bronchitis, chronic nephritis, diabetes mellitus, mal-absorption syndromes, and malnutrition (especially in children) Lana Farson, M.S., L.Ac. 32

33 Si Wu Tang DX: blood def. MOD #1: For restless fetus disorder with continuous bleeding from vagina +Ai Ye +E Jiao MOD #2: For heat sign Shu Di + Sheng Di Huang +Huang Qin +Mu Dan Pi MOD #3: For predominance of blood stasis -Bai shao +Chi Shao +Tao Ren + Hong Hua MOD #4: For blood deficiency with cold in the womb +Ai Ye +Xiang Fu MOD #5: For short menstrual cycle with steaming bone disorder in which the fever worsens early in the evening +Di Gu Pi +Mu Dan Pi Si Wu Tang Shu Di Huang Dang Gui Shao Yao Chuan Xiong Sheng Si Wu Tang = Sheng Di Huang, Chi Shao, Dang Gui, Chuan Xiong Shu Si Wu Tang = Shu Di Huang, Bai Shao, Dang Gui, Chuan Xiong Gui Pi Tang contains Si Jun Zi Tang (almost) - change Fu Ling to Fu Shen DX: spleen qi def with heart blood def. Primary focus: spleen S/S: forgetfulness, palpitations, insomnia, dream-disturbed sleep, anxiety, phobia, reduced appetite, pale complexion, chronic bleeding S/S: possible feverishness (due to blood def. heat) T: pale, thin white fur P: thin, frail MOD #1: for numbness of upper extremities: +Qiang Huo, +Chuan Xiong MOD #2: for numbness in low back & low extremities: +Wei Ling Xian +Du Huo +Niu Xi MOD #3: for painful menses with clots: +Yu Jin +Xiang Fu MOD #4: for dark menstrual blood (blood stagnation) +Hong Hua +Mu Dan Pi +Zhi Zi MOD #5: for menses that suddenly changes in volume and flows continuously: +Wu Zhu Yu +Wu Wei Zi Si Jun Zi Tang (-Fu Ling, +Fu Shen): to tonify qi Tonify qi, even more Tonify blood Calm spirit Warm middle jiao & help digest tonifying herbs Gui Pi Tang 12 herbs Ren Shen Bai Zhu Fu Shen Huang Qi Da Zao Dang Gui Suan Zao Ren Yuan Zhi Long Yan Rou Mu Xiang Sheng Jiang Lana Farson, M.S., L.Ac. 33

34 Dang Gui Bu Xue Tang DX: Qi & Blood Def. Contains Huang Qi 30g and Dang Gui 6g MOD #1: For ulcerated sores in which toxin hasn t been completely discharged +Jin Yin Hua + MOD #2: For allergic purpura +Niu Xi Ba Zhen Tang DX: Qi & Blood deficiency Optional: +/- Sheng Jiang (3p) & Da Zao (2p) MOD #1: for insomnia +Suan Zao Ren MOD #2: for St deficiency with reduced appetite +Sha Ren +Shen Qu MOD #3: for galactorrhea from def, and St qi deficiency Chuan Xiong; +Huang Qi +Wu Wei Zi +Qian Shi Ba Zhen Tang Si Wu Tang Si Jun Zi Tang Shu Di Huang Dang Gui Shao Yao Chuan Xiong Ren Shen Bai Zhu Fu Ling Shu Di Huang Dang Gui Shao Yao Chuan Xiong Ren Shen Bai Zhu Fu Ling Lana Farson, M.S., L.Ac. 34

35 Liu Wei Di Huang Wan DX: liver & kidney yin deficiency MOD #1: for severe fluid depletion with heat signs substitute Sheng Di for Shu Di MOD #2: for wasting and thirsting: -Ze Xie; +Tian Hua Fen MOD #3: for SP def: +Bai Zhu +Sha Ren +Chen Pi MOD #4: for childhood nutritional impairment shu di; + Bai Zhu, +Ji Nei Jin +Sha Ren MOD #5: for optic nerve atrophy +Chai Hu +Dang Gui +Wu Wei Zi (all go to LV) MOD #6: for hypertension +Sang Ye +Di Long +Niu Xi MOD #7: for chronic nephritis +Yi Mu Cao +Tian Hua Fen +Dan Zhu Ye MOD #8: for irregular menstruation +Ai Ye +Xiang Fu Liu Wei Di Huang Wan and variations The 3 S s to tonify Drain damp Clear def. heat Liu Wei Di Huang Wan - 6 herbs S. Di Huang Shan Zhu Yu Shan Yao Fu Ling Ze Xie Zhi Bai Di Huang Wan - 8 herbs S. Di Huang Shan Zhu Yu Shan Yao Fu Ling Ze Xie Qi Ju Di Huang Wan S. Huang Shan Zhu Yu Shan Yao Fu Ling Ze Xie Mai Wei Di Huang Wan 8 herbs S. Di Huang Shan Zhu Yu Shan Yao Fu Ling Ze Xie Mu Dan Pi Mu Dan Pi Mu Dan Pi Mu Dan Pi Zhi Mu clear def.heat Huang Bai clear heat Gou Qi Zi Ju Hua Mai Men Dong Wu Wei Zi Zhi Bai Di Huang Wan DX: liver & kidney yin def plus false heat: night sweats, low-grade fever, hematuria from heat in the blood, flushed face Qi Ju Di Huang Wan DX: liver & kidney yin def. with eye problems, etc (blurred vision, eye dryness & itchiness, eye tearing when windy, dizziness) Mai Wei Di Huang Wan DX: liver & kidney yin def with def heat leading to cough and thirst Lana Farson, M.S., L.Ac. 35

36 Sheng Mai San DX: Upper Jiao Qi & Yin Def. Depending on the dose of the herbs and the type of Ginseng used, Sheng Mai San can be stronger than all the other Qi Tonics, and can be used when the situation is more severe, even in emergency (also call 911). The sweats damage the yin of the heart, because the sweat is from the heart Use extreme caution in case of high fever, or when pathogen has not been resolved Causes: 1. chronic heart disease, angina, cold sweats (true cold, false heat), irregular pulse 2. chronic lung deficiency 3. acute summer stroke or heat stroke: palpitations, profuse warm sweats, pale lips, T: pale, irregular pulse. MOD #1: for profuse sweat with dark scanty urine +Huang Qi +Dang Gui MOD #2: for severe coughing +Kuan Dong Hua +Bai He MOD #3: for irritability with insomnia +Suan Zao Ren +He Huan Pi MOD #4: for marked palpitations +Gui Zhi +Long Gu +Mu Li MOD #5: for coronary artery disease +Zhi +Dan Shen +Hong Hua +Chi Shao Strongly tonify qi, 20% nourish yin Nourish HT yin, clear false heat, clear summerheat Astringe Qi & Yin Sheng Mai San 3 herbs Ren Shen Mai Men Dong Wu Wei Zi Biomedically defined disorders: chronic bronchitis, pulmonary TB, supraventricular arrhythmias, rheumatic heart disease, coronary artery disease, post-bypass debility Lana Farson, M.S., L.Ac. 36

37 Zuo Gui Wan DX: Kidney Yin & Essence Def. Zuo means left This formula is stronger than Zuo Gui Yin, which is a modification of Liu Wei Di Huang Wan (but which is not a CA formula) Tongue: red, shiny MOD #1: for spontaneous emmisions -Chuan Niu Xi MOD #2: for patterns without heat signs Gui Ban Jiao MOD #3: for def of true yin with upflaring of fire Gou Qi Zi -Gui Ban Jiao; +Nu Zhen Zi +Mai Men Dong MOD #4: for fire scorching the lungs with dry cough +Bai He MOD #5: for heat at night +Di Gu Pi MOD #6: for urinary obstruction +Fu Ling MOD #7: for dry stools Tu Si Zi; +Rou Cong Rong MOD #8: for qi deficiency +Ren Shen The 3 S s to tonify Zuo Gui Wan Zuo Gui Yin (not State Board) Liu Wei Di Huang Wan Shu Di Huang Shu Di Huang Sheng Di Huang Shan Zhu Yu Shan Zhu Yu Shan Zhu Yu Shan Yao Shan Yao Shan Yao Gou Qi Zi Chuan Niu Xi Tu Si Zi Lu Jiao Jiao Gui Jiao Fu Ling - Drain damp Gou Qi Zi Zhi Fu Ling - Drain damp Ze Xie - Drain damp Mu Dan Pi - Clear def. heat Lana Farson, M.S., L.Ac. 37

38 You Gui Wan DX: Kidney Yang Def. You means right MOD #1: For Yang and Qi deficiency +Ren Shen 60-90g MOD #2: For Yang deficiency w/ spermatorrhea or leukorrhea +Bu Gu Zhi (wine fried) MOD #3: For incessant diarrhea + Wu Wei Zi +Rou Dou Kou MOD #4: For low appetite, poor digestion, nausea due to Sp/St deficient cold +Gan Jiang MOD #5: For incessant abdominal pain +Wu Zhu Yu MOD #6: For impotence +Ba Ji Tian The 3 S s to tonify You Gui Wan Shu Di Huang Shan Zhu Yu Shan Yao Rou Gui Fu Zi Tu Si Zi Du Zhong Dang Gui Gou Qi Zi Lu Jiao Jiao Jin Gui Shen Qi Wan Sheng Di Huang Shan Zhu Yu Shan Yao Fu Ling Ze Xie Mu Dan Pi Gui Zhi Fu Zi Jin Gui Shen Qi Wan DX: KI yang def. The herbs in JGSQW are the same as Liu Wei Di Huang Wan +Gui Zhi +Fu Zi. Therefore JGSQW can also be called Ba We Di Huang Wan. This formula contains Gui Zhi (not Rou Gui). Gui Zhi is more moving and promotes circulation for pain, urination, edema, cough & phlegm. With Rou Gui, the formula is called either Fu Gui Di Huang Wan or Fu Gui Bao Wei Wan. MOD #1: To further strengthen Yang substitite Rou Gui for Gui Zhi MOD #2: For nocturia +Wu Wei Zi MOD #3: For frequent, copious clear urination +Bu Gu Zhi +Lu Rong MOD #4: For Impotence +Ba Ji Tian +Rou Cong Rong +Suo Yang +Gou Qi Zi MOD #5: For Painful urinary dribbling due to cold +Lu Rong +Chen Xiang MOD #6: For incontinence/turbid urine from excess bitter cold herbs +Ze Xie +Wu Wei Zi MOD #7: For edema of lower extremities +Wu Pi Yin Liu Wei Di Huang Wan Warm channels Strengthen KI yang Jin Gui Shen Qi Wan - 8 herbs Sheng Di Huang Shan Zhu Yu Shan Yao Fu Ling Ze Xie Mu Dan Pi Gui Zhi Fu Zi Lana Farson, M.S., L.Ac. 38

39 Shi Quan Da Bu Tang DX: Qi & blood def. with some coldness (yang def.) Shi Quan Da Bu Tang contains 2 formulas: SWT & SJZT SWT & SJZT is called Ba Zhen Tang Eight Treasure Decoction (this is not the same as Ba Zheng San, which is for UTI) MOD #1: For palpitations +Wu Wei Zi +Suan Zao Ren MOD #2: For severe sweating +Long Gu +Mu Li MOD #3: For Lung & Heart Yin chronic deficiency +Yuan Zhi +Wu Wei Zi +Zhi Ke Si Wu Tang to tonify blood Si Jun Zi Tang to tonify qi Shi Quan Da Bu Tang - 10 herbs Dang Gui Chuan Xiong Bai Shao Shu Di Huang Ren Shen Bai Zhu Fu Ling Huang Qi Rou Gui Lana Farson, M.S., L.Ac. 39

Used for exterior conditions such as common colds, fevers, and flu s. Many of these formulas induce sweating. This category can be subdivided into

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