25 new single herbs - acupuncturemedia · (rice paper plant pith) tong cao (chuan) mu tong promote...
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25 NEW SINGLE HERBSAddendum to the 5th Edition Handbook (pp.363‐399)
6. CLEAR TOXIC-HEATYE JU HUA bitter
acrid sl cold
9‐15g
LULV
Clear Toxic‐Heat: Toxic swollen sores, boils, abscesses → Wu Wei Xiao Du Yin Dispel Wind‐Heat, clear the eyes: red, swollen, painful eyes Treat hypertension: dizziness, headache due to LV Yang rising野菊花(야국화)
Chrysanthemi indici Fl(Wild Chrysanthemum flower)
Huang Ju Hua (yellow) Bai Ju Hua (white) Ye Ju Hua (wild)
Disperse Wind‐Heat Calm LV Yang Clear Toxic‐Heat
Which of the following is a common function of Huang Ju Hua (Yellow chrysanthemum), Bai Ju Hua (White chrysanthemum),
and Ye Ju Hua (Wild chrysanthemum)?
A. Disperse Wind‐Heat
B. Calm Liver Yang
C. Clear the eyes
D. Clear Toxic‐Heat
YU XING CAO acrid cool
15‐30g
LULI
Clear Toxic‐Heat, resolve abscesses & pus: boils, furuncles, skin infections, LU abscesses, fever, cough
Clear Damp‐Heat & promote urination: diarrhea, painful urinary dribbling due to Lower Jiao Damp‐Heat
魚腥草(어성초)
Houttuyniae Hb(Houttuynia)
Pu Gong Ying Yu Xing Cao Bai Jiang Cao Bai Hua She She Cao
Clear Toxic‐Heat & expel pus → abscesses from Toxic‐Heat
Breast, LI, LU LU LI LI
Which of the following is an INCORRECT match?
A. Pu Gong Ying (Taraxaci Herba) ‐ treats breast abscess
B. Yu Xing Cao (Houttuniae Herba) ‐ treats breast abscess
C. Bai Jiang Cao (Patriniae Herba) ‐ treats intestinal abscess
D. Bai Hua She She Cao (Hedyotis diffusae Herba) ‐ treats intestinal abscess
BAI HUA SHE SHE CAO
bittersweetcold
15‐30g
LVSTLI SI
Clear Toxic‐Heat: Toxic accumulation, sores due to Fire Toxin, swollen sore throat
Clear Heat & drain Damp: Damp‐Heat jaundice, painful urinary dribbling, intestinal abscess, dysenteric disorder
Treat cancer: gastric, esophageal, colon or rectal cancer
白花蛇舌草(백화사설초)
Hedyotis diffusae Hb(Oldenlandia)
Which of the following herbs does NOT have anti‐cancer property?
A. Bai Hua She She Cao (Hedyotis diffusae Herba)
B. Ban Zhi Lian (Scutellariae barbatae Herba)
C. Shan Dou Gen (Sophorae tonkinensis Radix)
D. Bai Hua She (Agkistrodon)
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LU DOU sweetcold
15‐30g
HTST
Clear Summer‐Heat: Summer‐Heat especially with pronounced thirst Clear Toxic‐Heat: Toxic sores & swelling Antidote for Fu Zi & Ba Dou: agitation, vomiting or thirst due to Fu Zi (Aconiti Radix lateralis preparata) or Ba Dou (Crotonis Fructus) poisoning
綠豆(녹두)
Phaseoli raiati Sm(Mung bean)
Which of the following single herbs is most appropriate for irritation and thirst due to an overdose of Fu Zi (Aconiti Radix
lateralis preparata) and Ba Dou (Crotonis Fructus)?
A. Lu Dou (Phaseoli Radiati Semen)
B. Huang Lian (Coptidis Rhizoma)
C. Gan Cao (Glycyrrhizae Radix)
D. Bai Mao Gen (Imperatae Rhizoma)
BAI XIAN PI bittercold
4.5‐9g
SP ST
Clear Toxic‐Heat & Damp‐Heat, relieve itching: boils, furuncles with pus, chronic skin ulcers, skin pruritus, eczema, tinea, vaginal itching → Si Wu Xiao Feng Yin
Dispel Wind & resolve painful obstruction: mobile muscle aches & pains Clear Damp‐Heat: jaundice, right flank pain
白鮮皮(백선피)
Dictamni Cx(Chinese Dittany root bark)
Ku Shen Bai Xian Pi Di Fu Zi
clear Damp‐Heat from the skin to stop itching
kill parasites drain pus promote urination
Which of the following herbs is used for dermatological disorders internally and as an herbal decoction or topically as an
herbal wash?
A. Bai Xian Pi (Dictamni Cortex)
B. Di Fu Zi (Kochiae Fructus)
C. Ku Shen (Sophorae flavescentis Radix)
D. All of the Above
MA BO acrid neutral
1.5‐6g
LU Clear Heat constraint in the LU: Toxic swelling of the throat with cough & loss of voice → Yin Qiao Ma Bo San
Stop bleeding: continuous nosebleed馬勃(마발)
Lasiosphaera/Calvatia(Puffball)
Xuan Shen Ban Lan Gen She Gan Shan Dou Gen Ma Bo
Cool the LU, clear Toxic‐Heat, reduce throat pain and swelling
Nourish Yin For Wind‐Heat Dissolve Phlegm Anti‐cancer Stop Bleeding
Which of the following herbs is used for sore‐throat and bleeding (internally) and for bleeding from the oral cavity or
post‐surgical bleeding (externally)?
A. Ma Bo (Lasiosphaera/Calvatia)
B. Xuan Shen (Scrophulariae Radix)
C. She Gan (Belamcandae Rhizoma)
D. Ban Lan Gen (Isatidis Radix)
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8. PURGATIVESFAN XIE YE sweet
bittercold
1.5‐3g;4.5‐9g
LI Purge accumulation in LI: accumulated pathogenic Heat in the LI, small dosage can dissolve food stagnation
Purge Water: ascites with abdominal distention NOTE: Use 1.5‐3g for a mild laxative effect; 4.5‐9g for a strong purge. This herb is usually steeped in hot water for no more than 15 minutes, and consumed as a tea.
番瀉葉(번사엽)
Sennae Fo(Senna leaf)
Fan Xie Ye Da Huang
Purge downward and treat constipation due to heat
Relieve constipation only Clear Toxic‐Heat, Disperse Blood‐stasis
Caution/Contraindication: pregnant, lactating and menstruating women
Which of the following herbs is taken as a tea for mild constipation and may cause damage to the large intestine and liver
with long‐term use due to its containing of an anthraquinone compound?
A. Da Huang (Rhei Radix et Rhizoma)
B. Mang Xiao (Natrii Sulfas)
C. Fan Xie Ye (Sennae Folium)
D. Lu Hui (Aloe)
10. DRAIN DAMPTONG CAO sweet
blandsl cold
2‐4.5g
LU ST
Promote urination, leach out Damp: dark scanty urine, hot painful urinary dribbling → San Ren Tang
Promote lactation: insufficient or blocked lactation通草(통초)
Tetrapanacis Medulla(Rice Paper Plant pith)
Tong Cao (Chuan) Mu Tong
Promote lactation
sweet bitter
What is the common function of the following herbs and food?
Tong Cao (Tetrapanacis Medulla), Mu Tong (Akebiae Caulis), Dong Kui Guo (Malvae Fructus),
Wang Bu Liu Xing (Vaccariae Semen), Pu Gong Ying (Taraxaci Herba), Pig’s feet, Papaya
A. Promote urination
B. Promote lactation
C. Promote healing and generate flesh
D. Promote blood circulation
17. REGULATE QIFO SHOU acrid
bitterwarm
3‐9g
LVLUSTSP
Soothe the LV Qi, regulate Qi, stop pain: constrained LV & SP Qi causing distending fullness of the flanks & abdomen & loss of appetite
Harmonize the SP/ST: Middle Jiao stagnation with epigastric pain & fullness, regurgitation, vomiting
Transform Phlegm & stop cough: cough & stifling sensation in the chest with profuse Phlegm
佛手(불수)
Citri sarcodactylis Fr(Finger Citron fruit)
Which of the following Qi‐regulators is relatively mild and is most suitable for concurrent Qi stagnation and Qi deficiency?
A. Fo Shou (Citri sarcodactylis Fructus)
B. Chuan Lian Zi (Toosendan Fructus)
C. Qing Pi (Citri reticulatae viride Pericarpium)
D. Xiang Fu (Cyperi Rhizoma)
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XIE BAI acrid bitterwarm
5‐9g
LILUST
Circulate the Yang Qi, disperse Turbid‐Phlegm: painful obstruction of the chest with wheezing, cough, pain through the chest & back, shortness of breath → Gua Lou Xie Bai Ban Xia Tang
Activate the Qi & relieve pain: epigastric fullness, abdominal pain, chronic diarrhea with blood & mucus
薤白(해백)
Allii macrostemi Bulbus(Chinese Garlic)
Anticoagulants Antiplatelets
Warfarin (Coumadin), Heparin, Enoxaparin (Lovenox) Aspirin, Clopidogrel (Plavix), Dipyridamole (Persantine)
What is the common indication for the following herbs?
Xie Bai (Allii macrostemi Bulbus), Gua Lou (Trichosanthis Fructus), Tan Xiang (Santali albi Lignum), Dan Shen (Salviae miltiorrhizae Radix)
A. Cold‐Phlegm in the chest
B. Blood stasis in the chest
C. Painful obstruction of the chest
D. Hot‐Phlegm in the chest
MEI GUI HUA sweetsl bitterwarm
1.5‐6g
LVSP
Gently regulate Qi & Blood, harmonize the LV & ST: stifling sensation in the chest, belching, flank distention, poor appetite due to LV Qi stagnation
Regulate menstruation: irregular menstruation, breast distention or abdominal pain due to Qi & Blood stasis
玫瑰花(매괴화)
Rosae rugosae Fl(Chinese Rose bud)
Which of the following Qi‐regulators gently regulates Qi and Blood, harmonizes the Liver and Stomach, and Regulates
menstruation?
A. Xiang Fu (Cyperi Rhizoma)
B. Mei Gui Hua (Rosae rugosae Flos)
C. Yi Mu Cao (Leonuri Herba)
D. Ze Lan (Lycopi Herba)
18. STOP BLEEDINGDA JI sweet
cool
9‐15g
LVSPHT
Cool the Blood to stop bleeding: hemorrhagic conditions with Blood‐Heat, hematuria, hemafecia, hematemesis → Shi Hui San
Reduce swelling, generate flesh: sores, ulcers, boils, carbuncles, swelling Modern applications: jaundice due to Damp‐Heat, hypertension due to LV Heat
大薊(대계)
Cirsii japonici Hb sive Rx(Japanese Thistle)
DA JI (Herba seu Radix Cirsii Japonici) 大薊(대계) DA JI (Raidx Euphorbiae seu Knoxiae) 大戟(대극)
Stop bleeding Harsh Expellants (Cathartics)
Which of the following herbs cools the Blood to stop bleeding?
A. San Qi (Notoginseng Radix)
B. Pu Huang (Typhae Pollen)
C. Ai Ye (Artemisiae Argyi Folium)
D. Da Ji (Cirsii Japonici Herba sive Raidx)
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XIAO JI sweetcool
9‐30g
LVHT
Cool the Blood to stop bleeding: any bleeding due to Blood‐Heat → San Xian Yin
Resolve Toxicity, reduce abscesses: sores & abscesses due to Heat‐Toxin Promote urination: Blood in the urine due to Damp‐Heat, reduce jaundice, hepatitis, hypertension
小薊(소계)
Cirsii Hb(Field Thistle)
Da Ji Xiao Ji
Big thistle Small thistle
Cool the Blood to stop bleeding, Used for swelling and abscess
Stronger effect to reduce swelling and disperse blood stasis Stronger in treating hematuria and dysuria
Which of the following stop‐bleeding herbs is most appropriate for hematuria or dysuria due to Damp‐Heat?
A. Da Ji (Cirsii Japonici Herba sive Raidx)
B. Xiao Ji (Cirsii Herba)
C. Di Yu (Sanguisorbae Radix)
D. Huai Hua (Sophorae Flos immaturus)
Ou Jie sweetastringentneutral
9‐15g
LUSTLV
Stop bleeding: used for many types of bleeding because, while it is an astringent, it also reduces stasis. Most often used for bleeding associated with heat in the LU or ST with vomiting or coughing of blood. Also for chronic bleeding when combined with other appropriate substance
藕節(우절)
Nelumbinis Nodus Rz(Lotus Rhizome Node)
LOTUS
He Ye leaf Clear Summer‐Heat Qing Luo Yin
Lian Zi seed Strengthen SP/KD to stop diarrhea Sheng Ling Bai Zhu San
Lian Zi Xin seed heart Clear HT Fire Qing Gong Tang
Lian Xu stamen Astringe the KD to stop discharge Jin Suo Gu Jing Wan
Lian Fang peduncle Stop Bleeding Ou Jie rhizome node Stop Bleeding, Move the Blood Xiao Ji Yin Zi
Which part of the lotus is most used for many types of bleeding?
A. Leaf
B. Seed
C. Stamen
D. Rhizome node
19. ACTIVATE BLOODJI XUE TENG bitter
sweetwarm
9‐15g
HTLVSP
Invigorate the Blood, tonify the Blood: irregular menstruation, pain of dysmenorrhea & postpartum → Dang Gui Ji Xue Teng Tang
Unblock the channels & relax the tendons: numbness & paralysis of the extremities, pain in the lumbar & knees, Wind‐Damp painful obstruction
雞血藤(계혈등)
Spatholobi Caulis(Spatholobus vine)
Ji Xue Teng Dang Gui
Tonify Blood + Move Blood
Move Blood > Tonify Blood Tonify Blood > Move Blood
Unblocks the channels & Relax the tendons Moisten the intestine, Generate Flesh
Which of the following Blood‐movers is used for numbness of the extremities, lower back pain, knee pain, or generalized
joint soreness from Wind‐Damp painful obstruction, with either blood deficiency or stasis?
A. Ji Xue Teng (Spatholobi Caulis)
B. Dang Gui (Angelicae sinensis Radix)
C. Yan Hu Suo (Corydalis Rhizoma)
D. Jiang Huang (Curcumae longae Rhizoma)
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21. QI TONICSTAI ZI SHEN sweet
sl bitterneutral
9‐30g
LUSP
Mildly tonify the SP & augment the Qi: SP Qi deficiency with fatigue or lack of appetite, LU deficiency with spontaneous sweating
Generate fluid & relieve thirst: injury to fluids after febrile or chronic diseases, thirst, cough
太子蔘(태자삼)
Pseudostellariae Rx(Psuedostellaria root)
Which of the following herbs has the weakest Qi tonifying action, necessitating the use of a larger dose which can be up
to 30g?
A. Ren Shen (Ginseng Radix)
B. Dang Shen (Codonopsis Radix)
C. Tai Zi Shen (Pseudostellariae Radix)
D. Xi Yang Shen (Panacis quinquefolii Radix)
22. BLOOD TONICSHE SHOU WU bitter
sweetastringentsl warm
9‐30g
LVKD
ZHI (Prepared 製제) ‐ Nourish the Blood & Yin, preserve the Essence: LV & KD deficiency causing premature greying of hair, weak lower back & knees → Qi Bao Mei Ran Wan何首烏(하수오)
Polygoni multiflori Rx(Fleeceflower root) ZHI He Shou Wu SHENG He Shou Wu
Tonify Sedate
bittersweetastringentneutral
9‐30g
LVHTLI
SHENG (Raw 生생) ‐ Moisten the LI, resolve Fire Toxicity, expel Wind from the skin, & check malarial disorder: Fire‐Toxin carbuncles, sores & neck lumps, constipation due to Blood deficiency, Wind rash due to Blood deficiency, chronic malarial disorders with Qi & Blood deficiency → He Ren Yin
Which of the following He Shou Wu preparations and combinations is used for Liver and Kidney deficiency causing
premature greying of the hair and soreness of the back and knee?
A. Use as Processed, Combine with Hei Zhi Ma (Sesami Semen nigrum), Nu Zhen Zi (Ligustri lucidi Fructus)
B. Use as Processed, Combine with Qing Hao (Artemisiae annuae Herba), Cao Guo (Tsaoko Fructus)
C. Use as Unprocessed, Combine with Hei Zhi Ma (Ecliptae Herba), Nu Zhen Zi (Ligustri lucidi Fructus)
D. Use as Unprocessed, Combine with Qing Hao (Artemisiae annuae Herba), Cao Guo (Tsaoko Fructus)
23. YANG TONICSDONG CHONG XIA CAO
sweetwarm
3‐9g
LUKD
Tonify the KD Yang, augment the Essence: impotence, sore & weak lower back & legs due to KD Yang deficiency
Tonify LU Yin, settle cough & wheezing, stop sweating & bleeding: chronic cough or consumptive cough with blood‐streaked sputum, wheezing from deficiency
Fortify the Wei Qi: general weakness, spontaneous sweating (with fish, chicken, duck or pork in a stew)
冬虫夏草(동충하초)
Cordyceps(Chinese caterpillar fungus)
Hu Tao Ren Dong Chong Xia Cao Ge Jie
Tonify the KD to help grasp LU Qi, tonify the KD to strengthen lumbar/knees
Moisten the intestine Expel Phlegm, ↓hempotysis ↑Blood/Essence
Which of the following herbs augments the Kidney essence as well as fortifies weakened protective Qi?
A. Huang Qi (Astragali Radix)
B. Bai Zhu (Atractylodis macrocephalae Rhizoma)
C. Fang Feng (Saposhnikoviae Radix)
D. Dong Chong Xia Cao (Cordyceps)
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24. YIN TONICSXI YANG SHEN sweet
sl bittercold
3‐6g
HTKDLU
Tonify Qi, generate fluids, nourish Yin: Yin deficiency with Heat signs, chronic unabating fever, weakness, irritability & thirst after febrile disease → Qing Shu Yi Qi Tang
Nurture LU Yin & clear Fire from the LU: LU Yin deficiency with Fire blazing, loss of voice due to Yin deficiency
西洋蔘(서양삼)
Panacis quinquefolii Rx(American Ginseng root)
Xi Yang Shen Ren Shen
Tonify Qi and Yin
Cool in nature, Tonify Yin > Tonify Qi Warm in nature, Tonify Qi > Tonify Yin
Which of the following herbs has a cold property and tonifies Qi and Yin?
A. Ren Shen (Ginseng Radix)
B. Xi Yang Shen (Panacis quinquefolii Radix)
C. Dang Shen (Codonopsis Radix)
D. Tai Zi Shen (Pseudostellariae Radix)
HAN LIAN CAO = Mo Han Lian
sweetsourcool
9‐15g
KDLV
Tonify the LV & KD Yin: Yin deficiency with dizziness, blurred vision, vertigo, premature greying of hair → Er Zhi Wan
Cool the Blood & stop bleeding: bleeding due to Heat in the Blood in Yin deficiency patterns
旱蓮草(한련초)
Ecliptae Hb(Eclipta)
Er Zhi Wan (Two Solstice Pill)
Nu Zhen Zi (privet fruit) Han Lian Cao (eclipta)
Nourish the LV/KD Yin
Clear Empty‐Heat, improve vision Cool the Blood, stop bleeding
Harvest at Winter solstice Harvest at Summer solstice
Which of the following herbs tonifies the Liver and Kidney for premature greying of hair and can also be applied externally
to assist blackening of the hair?
A. Du Zhong (Eucommiae Cortex)
B. Sang Ji Sheng (Taxilli Herba)
C. Han Lian Cao (Ecliptae Herba)
D. Xu Duan (Dipsaci Radix)
GUI BAN salty sweetcold
15‐45g
HT KD LV
Nourish the Yin, anchor the Yang: night sweats, dizziness, Steaming Bone disorder due to Yin deficiency, Yin deficiency generating internal Wind → Da Bu Yin Wan / San Jia Fu Mai Tang / Zuo Gui Wan / Zhen Gan Xi Feng Tang
Benefit the KD, strengthen the bones: sore lower back, weak legs, retarded skeletal development, failure of the fontanels to close → Gui Lu Er Xian Jiao
Nourish the Blood, tonify the HT: HT deficiency with insomnia, anxiety, forgetfulness
Cool the Blood, stop uterine bleeding: excessive menstruation or uterine bleeding due to reckless movement of hot Blood
Regenerate tissue: chronic, non‐healing, indolent sores
龜板(구판)
Testudinis Plastrum(ventral aspect of Freshwater Turtle shell)
GUI BAN JIAO 龜板膠(구판교) ‐ Testudinis Plastri Colla (Turtle Plastron Glue) The glue has the same properties as GUI BAN but is richer, more cloying, and almost exclusively enriches the Yin.
Dosage is 3‐9g. It is dissolved in either wine or the decoction of the other herbs before ingesting.
Gui Ban Jiao (Testudinis Plastri Colla) has the same properties as Gui Ban (Testudinis Plastrum) but is richer, more cloying,
and almost exclusively enriches the Yin. What is the cooking method for Gui Ban Jiao (Testudinis Plastri Colla)?
A. Dissolve in the strained decoction
B. Decocted in gauze
C. Separately simmered
D. Added near end
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25. ASTRINGENTSSANG PIAO XIAO sweet
saltyneutral
4.5‐9g
KD LV
Tonify KD Yang, secure the Essence, contain urine: KD Yang deficiency with dribbling urine, urinary frequency, nocturnal emissions (without dreams), bedwetting in children → Sang Piao Xiao San / Tu Si Zi Wan桑螵蛸(상표소)
Mantidis Ootheca(Mantis Egg‐case)
Sang Piao Xiao Yi Zi Ren Fu Pen Zi Wu Yao
Contain urine
Consolidates essenceMore strongly tonifies
SP and KDMore strongly tonifies
LV and KDWarms KD/UB to regulate Qi, & treat frequent urination
Which of the following herbs does NOT secure frequent, dribbling, or incontinent urination?
A. Sang Piao Xiao (Mantidis Ootheca)
B. Yi Zhi Ren (Alpiniae oxyphyllae Fructus)
C. Fu Pen Zi (Rubi Fructus)
D. Hai Piao Xiao (Sepiae Endoconcha)
27. NOURISH & CALM SHENHE HUAN PI sweet
neutral
6‐15g
HT LV
Calm the Spirit, relieve Qi stagnation: bad temper, depression, insomnia, irritability, poor memory
Invigorate the Blood, stop pain: pain & swelling due to trauma, including fractures
Dissipate swelling, reduce abscesses: swollen, painful abscesses, especially LU abscess
合歡皮(합환피)
Albiziae Cx(Mimosa bark)
sweetneutral
4.5‐9g
LVST
HE HUAN HUA 合歡花(합환화) ‐ Albiziae Flos (Silktree flowers) Relieves constrained LV Qi, promotes Qi flow in the collaterals, and calms the sprit: insomnia, forgetfulness, and irritability due to constrained emotions, especially when accompanied by epigastric pain and feeling of pressure in the chest
He Huan Pi He Huan Hua
Relieve constraint & Calm the Spirit
Move Qi and Blood Move Qi
He Huan Hua Ye Jiao Teng Bai Zi Ren Suan Zao Ren
Treat insomnia
due to LV Qi stagnation due to Blood deficiency due to HT deficiency due to LV deficiency
Which of the following herbs calms the spirit, relieves Qi stagnation, and invigorates the Blood?
A. Suan Zao Ren (Ziziphi spinosae Semen)
B. He Huan Pi (Albiziae Cortex)
C. Ye Jiao Teng (Polygoni multiflori Caulis)
D. Yuan Zhi (Polygalae Radix)
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30. AROMATIC FOR OPENING ORIFICESSHI CHANG PU acrid
bitterwarmaromatic
3‐9g
HT ST
Open the HT orifices, vaporize Phlegm, quiet the Spirit: Phlegm veiling the sensory orifices, coma, withdrawal‐mania, impaired mental functioning from Phlegm‐Damp veiling the consciousness → Di Dan Tang / Ding Zhi Wan / Sheng Tie Luo Yin
Transform turbid‐Damp and harmonize the Middle Jiao: chest & epigastric fullness & abdominal pain from Damp distressing the SP/ST → Lian Po Yin
Dispel Wind‐Damp‐Cold: ulceration of the mucous membranes, Wind‐Cold‐Damp painful obstruction
石菖蒲(석창포)
Acori tatarinowii Rz(Grassleaf Sweetflag rhizome)
Shi Chang Pu Yuan Zhi
Open the HT orifices, vaporize Phlegm, calm the Shen
For disorientation, forgetfulness, dizziness, stupor, coma, mind agitation, insomnia
SP/ST Damp, Wind‐Damp‐Cold LU Damp‐Phlegm, swelling
Aromatics that Transform Dampness Aromatics that Open the Orifices
Huo Xiang, Cang Zhu, Hou Po Shi Chang Pu, Niu Huang, (She Xiang)
Which of the following Dui‐Yao (herb pairs) is used for mental confusion, decreased intellectual acuity and insomnia due to
Phlegm misting Heart orifice?
A. Suan Zao Ren (Ziziphi spinosae Semen) + Zhi Zi (Gardeniae Fructus)
B. Long Gu (Fossilia Ossis Mastodi) + Mu Li (Ostreae Concha)
C. Shi Chang Pu (Acori tatarinowii Rhizoma) + Yuan Zhi (Polygalae Radix)
D. Bai Zi Ren (Platycladi Semen) + Suan Zao Ren (Ziziphi spinosae Semen)
NIU HUANG bittercool
0.2‐0.5g
HT LV
Clear the HT to awaken the Spirit, vaporize Phlegm to open the orifices: delirium or coma due to warm‐febrile diseases, Wind‐stroke, convulsions, or seizures → Niu Huang Qing Xin Wan / Zhi Bao Dan / An Gong Niu Huang Wan
Extinguish LV Wind and stop convulsions: spasms, tremors, or convulsions with high fever from LV Heat
Clear Toxic‐Heat: red, painful, swollen or ulcerated throat, hot swellings & sores
牛黃(우황)
Bovis Calculus(Cattle Gallstone)
REN GONG NIU HUANG 人工牛黃(인공우황) ‐ Artificial Cattle Bezoar This is produced from bovine or porcine bile in accordance with the chemical constitution of NIU HUANG. Its nature and actions are similar to those of the natural product, albeit much weaker. Clinically, it does have a definite ability to clear heat, resolve toxicity, and expel Wind‐Phlegm.
Niu Huang (Bovis Calculus)Cattle gallstone
Dan Nan Xing (Arisaema cum Bile)Arisaematis prepared with Bovine bile
Clear Heat, Eliminate Phlegm, Settle convulsions
More powerfully clears the HT and opens the orifices, while also cooling the Blood and resolving toxicity
More strongly eliminates phlegm, expels Wind and arrests convulsions, and is thus better suited to patterns involving
overabundance of Phlegm‐Heat
TCM looks to the Heart in the presence of sensory or consciousness disorders, while Western medicine assesses the brain
and central nervous system. Herbs that are said to “open the orifices” act to dispel any pathogenic blockages in order to
restore sensory function and induce consciousness. One must discern whether the disorder is Cold or Hot in nature. Which
of the following Orifice‐opening herbs is used for loss of consciousness due to Heat?
A. She Xiang (Moschus)
B. Su He Xiang (Styrax)
C. An Xi Xiang (Benzoinum)
D. Niu Huang (Bovis Calculus)
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