herb board review formulas 2

7/29/2019 Herb Board Review Formulas 2

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Harmonizing, Drynessand Dampness

FormulasHBR class 9


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Formulas thatHarmonize


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*Minor Bupleurum Decoction (xiao chai

hu tang) C: Chai Hu

D: Huang Qin

A: Ban Xia, Sheng Jiang, Ren Shen, Zhi Gan

Cao, Da Zao

Pattern: Lesser Yang Disorder

Indications: Alternating fever and chills, dry throat,

bitter or sour taste in the mouth, dizziness, irritability,

sensation of fullness in the chest and hypochondria

(often experienced as difficulty in taking deep breaths),

heartburn, nausea and vomiting, reduced appetite, a

thin, white tongue coating, and a wiry pulse.


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CAUTIONS AND CONTRAINDICATIONS: has an

ascending action which can injure the qi and cause

headache, dizziness, and bleeding of the gums if takenlong-term.

Contraindicated in patients with excess above and

deficiency below, Liver Fire, or bleeding of the gums.

Caution in cases of ascendant Liver yang, hypertension, or

vomiting of blood due to yin deficiency.

Patients with relatively weak normal qi may experiencefever and chills while taking this formula because the

pathogenic influence is vented from the lesser yang stage

via the greater yang.


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Major Bupleurum Decoction

(da chai hu tang) C: Chai Hu Huang Qin, Da Huang, Zhi Shi, Sheng Jiang, Da Zao,

Bai Shao Yao, Ban Xia, Zhi Gan Cao

Pattern: Concurrent lesser yang and yang brightness-stage disorder.

Indications:Alternating fever and chills, fullness in the

chest and hypochondria (with or without pain), a bitter

taste in the mouth, nausea, continuous vomiting, hardfocal distention or fullness and pain in the epigastrium,

burning diarrhea or no bowel movements, despondency,

slight irritability, a yellow tongue coating, and a wiry,

forceful pulse.


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*Frigid Extremities Powder

(si ni san) C: Chai Hu D: Zhi Shi

A: Bai Shao

E: Zhi Gan Cao

Pattern: Rebellious Liver qi disturbing the Stomach (or

yang-type collapse)

Indications: Cold fingers and toes (although the bodyis warm) sometimes with a sensation of irritability and

fullness in the chest and epigastrium, a red tongue

with a yellow coating, and a wiry pulse. There may

also be abdominal pain and/or severe diarrhea.


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MODIFICATION / ASSOCIATED FORMULA

Bupleurum Powder to Spread the Liver (chai hu

shu gan san)

Chai Hu, Bai Shao, Xiang fu, Chuan xiong, Zhi Ke,Chen pi, Zhi Gan Cao

Spreads the Liver qi, harmonizes the blood, and

alleviates pain. For constraint and clumping of the

Liver qi with hypochondriac pain and alternating feverand chills. Also for premenstrual syndrome or

dysmenorrhea.


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*Rambling Powder

(xiao yao san) C: Chai Hu

D: Dang Gui, Bai Shao

A: Bai Zhu, Fu Ling, Zhi Gan Cao

E: Wei Jiang, Bo He

Pattern: Liver Constraint with Blood Deficiency

Indications: Hypochondriac pain, headache, vertigo, abitter taste in the mouth, dry mouth and throat, fatigue,

reduced appetite, pale-red tongue, and a wiry,

deficient pulse. There may also be alternating fever

and chills, and irregular menstruation or distended

breasts.


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Augmented Rambling Powder (jia wei xiao yao san)

Chai Hu, Dang Gui, Shao Yao, Bai Zhu, Fu Ling, Mu Dan

Pi, Zhi Zi, Zhi Gan Cao

Spreads the Liver qi, strengthens the Spleen, nourishes theblood and clears heat.

For Liver constraint with Spleen deficiency that transforms

into heat characterized by irritability, a short temper with

possible tidal fever and sweating, red eyes, dry mouth,palpitations, lower abdominal pressure, difficult painful

urination, and increased menstrual flow or uterine bleeding.


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Black Rambling Powder (hei xiao yao san)

Chai Hu, Dang Gui, Bai Shao, Fu Ling, Sheng Di Huang,

Gan Cao

Spreads the Liver qi, strengthens the Spleen, nourishesthe blood and regulates menstruation.

For the same presentation as the principal formula, but

with more severe blood deficiency characterized bypremenstrual cramps or excessive menstrual bleeding,

and a wiry deficient or wiry rapid pulse.


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Important Formula for Painful

Diarrhea (tong xie yao fang) C: Bai Zhu

Bai Shao Yao, Chen Pi, Fang Feng

Pattern: Painful diarrhea due to Spleen deficiency with

an overcontrolling Liver.

Indications: Recurrent problems of borborygmus,

abdominal pain, diarrhea with pain (which starts with

the urge to defecate and subsides after completion), athin, white tongue coating, and a wiry, moderate or

wiry, thin pulse.


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*Pinellia Decoction to Drain the

Epigastrium (ban xia xie xin tang)

C: ban xia

D: gan jiang, huang qin, huang lian

A: ren shen, da zao

E: zhi gan cao

Pattern: Heat-Cold Complex in the Middle Burner

Indications: Epigastric focal distention, epigastric fullness

and tightness with very slight or no pain, dry heaves or

frank vomiting, borborygmus with diarrhea, reduced

appetite, a thin, yellow, and greasy tongue coating, and

a wiry, rapid pulse.


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Formulas that TreatDryness


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Apricot Kernel and Perilla

Leaf Powder (xing su san) C: Xing Ren, Zi Su Ye

Qian Hu, Jie Geng, Zhi Ke, Chen Pi, Fu Ling, Ban Xia,

Sheng Jiang, Da Zao, Gan Cao

Pattern: Externally-contracted cool-dryness interfering

with the disseminating and descending functions of the

Lungs.

Indications: Slight headache, chills without sweating,cough with watery sputum, stuffy nose, dry throat, a

dry, white tongue coating, and a wiry pulse.


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Mulberry Leaf and Apricot Kernel

Decoction (sang xing tang)

C: Sang Ye, Xing Ren

Zhi Zi, Dan Dou Chi, Zhe Bei Mu, Sha Shen, Bei Sha

Shen, Li Pi

Pattern: Warm-dryness injuring the Lung qi at a relatively

superficial (exterior) level.

Indications: Moderate fever, headache, thirst, a dry,

hacking cough or cough with scanty, thick, and stickysputum, a red tongue with a thin, dry, and white coating,

and a floating, rapid pulse (especially on the right).


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Eliminate Dryness and Rescue the

Lungs Decoction (qing zao jiu fei tang)

C: Sang Ye, Shi Gao

Mai Men Dong, E Jiao, Hei Zhi Ma, Xing Ren, Pi Pa Ye,

Ren Shen, Gan Cao

Pattern: Warm-dryness attacking the Lungs.

Indications: Headache, fever, hacking cough, wheezing,

a dry and parched throat, dry nasal passages, a

sensation of fullness in the chest, hypochondriac pain,irritability, thirst, a dry tongue without coating, and a

deficient, big, and rapid pulse.


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Lily Bulb Decoction to Preserve the

Metal (bai he gu jin tang)

C: Bai He, Sheng Di Huang, Shu Di Huang

Mai Men Dong, Xuan Shen, Chuan Bei Mu, Jie Geng,

Dang Gui, Bai Shao, Gan Cao

Pattern: Internal dryness of the Lungs due to Lung and

Kidney yin deficiency.

Indications: Coughing with blood-streaked sputum,

wheezing, a dry and sore throat, hot palms and soles,night sweats, a red tongue with little coating, and a thin,

rapid pulse.


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Ophiopogonis Decoction

(mai men dong tang) C: Mai Men Dong

Ren Shen, Jing Mi, Da Zao, Gan Cao, Ban Xia

Pattern: Lung atrophy (fei wei).

Indications: Coughing and spitting of saliva, wheezing,

shortness of breath, a dry and uncomfortable

sensation in the throat, a dry mouth, a dry, red tonguewith little coating, and a deficient, rapid pulse.


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Increase the Fluids Decoction

(zeng ye tang)

C: Xuan Shen

Mai Men Dong, Sheng Di Huang

Pattern: This is dry Intestines due to injury to the fluids,

usually from a warm-febrile disease.

Indications: Constipation, thirst, a dry, red tongue, anda thin and slightly rapid, or a weak, forceless pulse.


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Formulas that ExpelDampness


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*Five-Ingredient Powder with

Poria (wu ling san) C: Ze Xie

D: Fu Ling, Zhu Ling

A: Bai Zhu

E: Gui Zhi

Pattern: Taiyang-sage Water Buildup (Xu Shui)

Indications: (1) Headache, fever, irritability, strong thirst

but with vomiting immediately after drinking, urinary

difficulty, and a floating pulse;


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Indications, continued:

(2) edema, generalized sensation of heaviness,diarrhea, urinary difficulty, and possible vomiting and

diarrhea due to sudden turmoil disorder;

(3) throbbing pulsations just below the umbilicus,

vomiting frothy saliva, vertigo, shortness of breath, andcoughing.

COMMENTARY: The basic strategy is to restore to the

qi its function of regulating fluid metabolism. This

formula may therefore be used in treating other

problems than those described above.


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CAUTIONS AND CONTRAINDICATIONS: In patients

with Spleen or Kidney qi deficiency, the dosage and

duration of use of this formula must be carefullylimited.

Symptoms of overdose may include dizziness, vertigo,

a bland taste, and reduced appetite.

In cases with deficiency, this formula is often

combined with others that tonify and nourish the

Spleen and Stomach to prevent injury to the normal qi.

In cases of urinary difficulty with yin deficiency, this

formula should be modified to protect the yin from

further injury.


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*Polyporus Decoction

(zhu ling tang) C: Zhu Ling, Fu Ling

D: Ze Xie

A: Hua Shi, E Jiao

Pattern: Injury from cold entering the yang brightness

or the lesser yin stage where it transforms into heat.

Indications: Urinary difficulty accompanied by feverand thirst with a desire to drink. There may also be

diarrhea, cough, nausea, irritability, or insomnia.


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*Five-Peel Powder (wu pi

san) Sang Bai Pi, Sheng Jiang Pi, Fu Ling Pi, Chen Pi, Da

Fu Pi

Pattern: Skin edema (pi shui).

Indications: Generalized edema with a sensation of

heaviness, distention, and fullness in the epigastrium

and abdomen, labored and heavy breathing, urinary

difficulty, a white, greasy tongue coating, and asubmerged and moderate pulse.

Add Spleen-tonifying herbs for SP deficiency.


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*Calm the Stomach Powder

(ping wei san) C: Cang Zhu

D: Hou Po

A: Chen Pi

E: Zhi Gan Cao, Sheng Jiang, Da Zao

Pattern: Damp-Cold Stagnating in SP/ST

Indications: Distention and fullness in the epigastrium andabdomen, loss of taste and appetite, heavy sensation in

limbs, loose stool or diarrhea, easily-fatigued, increased

desire to sleep, nausea & vomiting, belching, acid

regurgitation, swollen tongue with thick white greasy

coating, moderate or slippery pulse.


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CAUTIONS AND CONTRAINDICATIONS: This

formula contains warm, drying herbs which easily

injure the yin and the blood, and should therefore only

be used with significant modification for patients withyin deficiency or blood deficiency.

It should also be used with caution during pregnancy.


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*Agastache Powder to Rectify the Qi

(huo xiang zheng qi san) C: Huo Xiang

D: Hou Po, Chen Pi, Zi Su Ye, Bai Zhi

A: Ban Xia, Da Fu Pi, Bai Zhu, Fu Ling, Jie Geng

E: Zhi Gan Cao, Sheng Jiang, Da Zao

Pattern: Externally-contracted wind-cold with

concurrent internal injury due to stagnation.

Indications: Fever and chills, headache, fullness and

stifling oppression in the chest, pain in the epigastrium

& abdomen, nausea & vomiting, borborygmus,

diarrhea, loss of taste, white, greasy tongue coating,

moderate, soggy pulse.


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CAUTIONS AND CONTRAINDICATIONS: Because

this formula contains warm and drying herbs, it should

not be used without significant modification for

conditions of wind-heat or fire due to deficiency.


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*Eight-Herb Powder for

Rectification (ba zheng san) C: Mu Tong D: Hua Shi, Che Qian Zi, Qu Mai, Bian Xu

A: Zhi Zi, Da Huang

E: Deng Xin Cao, Gan Cao

Pattern: Hot or bloody painful urinary dysfunction caused

by the clumping of damp-heat in the lower burner.

Indications: Dark, turbid, scanty, difficult, and painful

urination, a dry mouth and throat, a yellow, greasy tongue

coating, and a slippery, rapid pulse. In severe cases,

there may be urinary retention and lower abdominal

distention and pain.


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CAUTIONS AND CONTRAINDICATIONS: Long-term

use of this formula may cause weakness, light-

headedness, palpitations, and a loss of appetite.

It should not be used without significant modification in

treating conditions of cold from deficiency, or during

pregnancy.

A t i i Yi h h


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Artemisia Yinchenhao

Decoction (yin chen hao

tang) C: Yin Chen Hao

Shan Zhi Zi, Da Huang

Pattern: Yang-type jaundice or damp-heat jaundicedue to dampness and static heat accumulating in the

interior.

Indications: Whole-body jaundice with color that

resembles a fresh tangerine, slight abdominaldistention, urinary difficulty, thirst (with the ability to

take only sips), a yellow, greasy tongue coating, and a

slippery, rapid pulse.


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*True Warrior Decoction

(zhen wu tang)

C: Fu Zi

D: Bai Zhu, Fu Ling

A: Sheng Jiang, Bai Shao

Pattern: Retention of Pathogenic Fluids with Kidney

Yang (or Spleen and Kidney Yang) Deficiency

Indications:Abdominal pain which is aggravated by

cold, urinary difficulty, and deep aching and heaviness

in the extremities.


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Indications, continued:

There may also be generalized edema, loose stools,

dizziness, a heavy sensation in the head, palpitations,

coughing, vomiting, a pale or dark swollen tongue with

tooth marks, a white, slippery tongue coating, and a

submerged, thin, and forceless pulse.

Also for externally-contracted disorders with sweating

that does not reduce the fever, palpitations in the

epigastrium, dizziness, shivering and trembling with an

unsteady appearance, a white, slippery tonguecoating, and a submerged, thin, and forceless pulse.


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C: Bei Xie

Yi Zhi Ren, Wu Yao, Fu Ling, Shi Chang Pu, Gan Cao

Pattern: Cloudy painful urinary dysfunction (gao lin) d/t

cold from deficiency in the lower burner.

Indications: Frequent urination with cloudy, dense,

milky (resembling rice water), or greasy urine.

Note: There is a similarly-named formula for Damp-

Heat

Dioscorea Hypoglauca Decoction to

Separate the Clear (bei xie fen qing yin)


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*Angelica Pubescens and Sangjisheng

Decoction (du huo ji sheng tang) C: Du Huo

D: Xi Xin, Fang Feng, Qin Jiao

A: Sang Ji Sheng, Du Zhong, Niu Xi, Rou Gui, Dang

Gui, Chuan Xiong, Sheng Di Huang, Bai Shao, Ren Shen,

Fu Ling

E: Zhi Gan Cao

Pattern: Painful obstruction with Liver-Kidney Deficiency

Indications: Heavy and painful sensations at fixed

locations in the lower back and lower extremities

accompanied by weakness and stiffness, an aversion to

cold and attraction to warmth, palpitations, shortness of

breath, a pale tongue with a white coating, and a thin,

weak, slow pulse.


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Notopterygium Decoction to Overcome

Dampness (qiang huo sheng shi tang)

C: Qiang Huo, Du Huo

Fang Feng, Gao Ben, Chuan Xiong, Man Jing Zi, Zhi

Gan Cao

Pattern: Wind-dampness in the superficial aspects of

the body, the exterior and muscle levels

Indications: Heavy and painful head, a generalized

sensation of heaviness, back pain or generalized pain,difficulty in rotating or bending the trunk, mild fever,

chills, a white tongue coating, and a floating pulse.


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Remove Painful Obstruction Decoction

from Medical Revelations (juan bi tang)

C: Qiang Huo, Du Huo

Qin Jiao, Sang Zhi, Hai Feng Teng, Dang Gui, Chuan

Xiong, Ru Xiang, Mu Xiang, Rou Gui, Gan Cao

Pattern: Joint pain due to local obstruction of qi from

the effects of wind, dampness, and cold.

Indications: Joint pain that increases with cold and

diminishes with warmth, possibly accompanied by asensation of heaviness and numbness in the limbs, a

thick, white tongue coating, and a slow, possibly

slippery pulse.


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Cinnamon Twig, Peony, and

Anemarrhena Decoction (gui zhi shao

yao zhi mu tang) C: Gui Zhi, Ma Huang

Fu Zi, Zhi Mu, Bai Shao, Bai Zhu, Fang Feng, Sheng Jiang,

Gan Cao

Pattern: Recurrent wind-cold-damp painful obstruction in

which localized constraint generates heat.

Indications: Swollen and painful joints (especially of the

lower extremities), joints that are warm to the touch andworsen at night, reduced range of motion in the affected

joints, chills, no sweating, weight loss, headache,

dizziness, a white, greasy tongue coating, and a wiry,

slippery pulse.

herb board review formulas 2

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