herb board review formulas 5

7/29/2019 Herb Board Review Formulas 5

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Formulas that Calm

the SpiritHBR class 12


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*Emperor of Heaven's Special Pill to

Tonify the Heart (tian wang bu xin dan) C: Sheng Di Huang

D: Dan Shen, Dang Gui, Bai Zi Ren, Yuan Zhi, Ren

Shen, Fu Ling

A: Tian Men Dong, Mai Men Dong, Xuan Shen, Wu

Wei Zi, Suan Zao Ren

E: Jie Geng, Zhu Sha

Pattern: Yin deficiency of the Heart and Kidneys.

Indications: Irritability, palpitations with anxiety, fatigue,

insomnia with very restless sleep, inability to think or

concentrate for even short periods of time, nocturnal

emissions, forgetfulness, dry stools, a red tongue with little

coating, and a thin, rapid pulse. There may also be sores of

the mouth and sores of the tongue, low-grade fever, andnight sweats.


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This formula and Restore the Spleen Decoction (gui pitang) are both used in treating conditions marked by

insomnia, palpitations, and forgetfulness.

However, the latter formula is indicated for concurrentqi and blood deficiency marked by reduced appetite,

loose stools, a pale tongue, and a thin, frail pulse.

This formula is for blood and yin deficiency with

irritability, a red tongue with little coating, and a thin,rapid pulse.


4/47

*Sour Jujube Decoction

(suan zao ren tang)

(suan zao ren tang) C: Suan Zao Ren D: Chuan Xiong

A: Fu Ling, Zhi Mu

E: Gan Cao

Pattern: Liver blood deficiency with heat from

deficiency.

Indications: Irritability, inability to sleep, palpitations,

night sweats, dizziness and vertigo, dry throat and dry

mouth, a dry, red tongue, and a wiry or thin, rapid

pulse.


5/47

Settle the Emotions Pill

(ding zhi wan)

(ding zhi wan)

C: Ren Shen, Fu Ling

Shi Chang Pu, Yuan Zhi

Pattern: Deficient Heart Qi with severe emotional

shock

Indications: Apprehensiveness, easily frightened orincessant laughter, palpitations, anxiety, forgetfulness


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*Licorice, Wheat, and Jujube Decoction

(gan mai da zao tang) C: Fu Xiao Mai

D: Gan Cao, Da Zao

Pattern: Restless organ disorder (zang zao); injury to

the Heart yin, Liver qi, and Spleen qi. Indications: Disorientation, frequent attacks of

melancholy and crying spells, inability to control

oneself, restless sleep (sometimes with night sweats),

frequent bouts of yawning, a red tongue with a sparse

coating, and a thin, rapid pulse. In severe cases, the

behavior and speech become abnormal. This is called

restless organ disorder (zang zao), an emotional

condition that is generally due to excessive worry,

excessive anxiety, or excessive pensiveness.


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Oyster Shell Decoction

(chai hu jia long gu mu li tang)

(chai hu jia long gu mu li tang)(chai hu jia long gu mu li tang) C: Chai Hu,

Huang Qin, Ban Xia, Ren Shen, Sheng Jiang, Gui Zhi,

Fu Ling, Long Gu, Mu Li, Da Huang, Da Zao, Qian

Dan

Pattern: Disorder of all three Yang stages or extreme

fright

Indications: Fullness in the chest, irritability with

occasional palpitations, urinary difficulty, constipation,

delirious speech, inability to rotate the trunk, sensation

of extreme heaviness throughout the body, red tongue

with slippery coating, wiry rapid pulse


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Formulas that TreatPhlegm


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*Two-Cured Decoction

(er chen tang) C: Ban Xia, Ju Hong (or Chen Pi)

D: Fu Ling

A: Zhi Gan Cao

E: Sheng Jiang, Wu Mei

Pattern: Damp-Phlegm due to Spleen's failure to transform

fluids

Indications: Coughing with copious, white sputum that is

easily expectorated, focal distention and stifling sensation in

the chest and diaphragm, palpitations, nausea or vomiting,

dizziness, a swollen tongue with a white, thick, greasy

coating, and a slippery pulse.


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CAUTIONS AND CONTRAINDICATIONS: The

improper use of this formula can lead to excessivethirst and a dry throat. Unless modified, it is

contraindicated for cases with cough associated with

Lung yin deficiency.


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*Warm the Gallbladder

Decoction (wen dan tang) C: Zhu Ru D: Zhi Shi

A: Ban Xia, Chen Pi, Fu Ling, Gan Cao

E: Sheng Jiang

Pattern: Gallbladder-Stomach disharmony with Phlegm-

Heat

Indications: Dizziness, vertigo, nausea or vomiting,insomnia, palpitations, anxiety, indeterminate gnawing

hunger, or seizures accompanied by copious sputum, focal

distention of the chest, a bitter taste in the mouth, slight

thirst, a greasy, yellow tongue coating, and a rapid pulse

that is either slippery or wiry.


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Clear the Qi and Transform Phlegm Pill

(qing qi hua tan wan)

Dan Nan Xing, Huang Qin, Gua Lou Ren, Ban Xia, Zhi

Shi, Chen Pi, Xing Ren, Fu Ling Pattern: Internal clumping of Phlegm Heat in the Lung.

Indications: Coughting yellow viscous sputum phlegm,

difficult to expectorate, focal distension and fullness in

the chest, nausea, red tongue with greasy yellowcoating, Slippery, rapid Pulse


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Minor Sinking into the Chest Decoction

(xiao xian xiong tang)

Gua Lou, Huang Lian, Ban Xia

Pattern: Clumping in the chest due to Phlegm-Heat

Indications: Focal distention (with or without nodules) in

chest and epigastrium tht are painful when pressed,

coughing of yellow, viscous sputum, constipation, bitter

taste in mouth, greasy yellow coating, Slippery, rapid orfloating Pulse.


14/47

*Fritillaria and Trichosanthes Fruit

Powder (bei mu gua lou san)

C: Chuan Bei Mu

D: Gua Lou

A: Tian Hua Fen, Fu Ling, Ju Hong, Jie Geng

Pattern: Dry phlegm in the Lungs

Indications: Cough with deep-seated sputum that is

difficult to expectorate, wheezing, a dry and sorethroat, a red and dry tongue with little coating, and a

rapid and thin but strong pulse.


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Sargassum Decoction for the Jade

Flask

(hai zao yu hu tang)

Hai Zao, Kun Bu, Zhe Bei Mu, Ban Xia, Du Huo,

Chuan Xiong, Dang Gui, Qing Pi, Chen Pi, Lian Qiao,

Gan Cao Pattern: Qi goiter from stagnation of dampness,

phlegm, qi and blood.

Indications: Masses in the center of the neck which

are rock-like in hardness, immobile, cause no changein the color of the skin, and do not ulcerate. Tongue

has thin greasy coating, pulse is wiry and slippery.


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Poria, Cinnamon Twig, Atractylodes

Macrocephala, and Licorice Decoction

(ling gui zhu gan tang)

Fu Ling Gui Zhi Bai Zhu Zhi Gan Cao

Pattern: Congested fluids in the epigastrium

Indications: Fullness in chest, palpitations, dizziness,

S.O.B., watery sputum. Tongue: pale, swollen,

Greasy white coating Pulse: wiry, slippery


17/47

Poria, Licorice, Schisandra, Ginger, and

Asarum Decoction

(ling gan wu wei jiang xin tang)

Gan Jiang, Xi Xin, Fu Ling, Wu Wei Zi, Gan Cao

Pattern: cold congested fluids due to yang deficiency

and ascendent yin.

Indications: Coughing, profuse clear sputum, excess

saliva, discomfort in the chest. Tongue: white slippery

coat. Pulse: wiry, slippery


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Three-Seed Decoction to Nourish One's

Parents (san zi yang qin tang)

Bai Jie Zi, Su Zi, Lai Fu Zi

Pattern: Cold in the Lungs with food stagnation.

Indications: Coughing and wheezing, copious sputum,

focal distention in the chest, loss of appetite, digestive

difficulties, a white, greasy tongue coating, and a

slippery pulse.


19/47

*Stop Coughing Powder

(zhi sou san) C: Zi Wan, Bai Qian, Bai Bu

D: Jie Geng, Chen Pi

A: Jing Jie

E: Gan Cao

Pattern: Lingering cough due to wind attacking the

Lungs.

Indications: Coughing with slight chills and fever, or no

chills and fever, an itchy throat, a thin, white tongue

coating, and a moderate, floating pulse.


20/47

This is wind attacking the Lungs. This presentationusually occurs as the sequela to an externally-

contracted disease that has been treated, but in which

the cough persists.

CAUTIONS AND CONTRAINDICATIONS: This formula

has a tendency to dry and should therefore not be used

in treating coughs associated with yin deficiency. It was

designed for treating wind-cold and should not be used

without modification in treating coughs due to heat in theLungs.


21/47

*Pinellia, Atractylodes, & Gastrodia

Decoction (ban xia bai zhu tian ma

tang) C: Ban Xia, Tian Ma

D: Bai Zhu

A: Fu Ling, Chen Pi, Sheng Jiang, Da Zao

E: Gan Cao

Pattern: Upward disturbance of Wind-Phlegm when

dampness accumulates due to Spleen deficiency

Indications: Dizziness or vertigo (possibly severe),

headache, a stifling sensation in the chest, nausea or

vomiting, copious sputum, a white, greasy tongue coating,

and a wiry, slippery pulse.


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CAUTIONS AND CONTRAINDICATIONS:Contraindicated for vertigo from either ascendant Liver

yang or blood deficiency.


23/47

Formulas thatExtinguish Wind


24/47

*Eliminate Wind Powder from True

Lineage (xiao feng san) C: Jing Jie, Fang Feng, Niu Bang Zi, Chan Tui

D: Cang Zhu, Ku Shen, Mu Tong, Shi Gao, Zhi

Mu

A: Sheng Di Huang, Dang Gui, Hei Zhi Ma

E: Gan Cao

Pattern: Wind-heat or wind-dampness with underlying

damp-heat.

Indications: Weepy, itchy, red skin lesions over a large

part of the body, a yellow or white tongue coating, and

a forceful, floating, and rapid pulse.


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CAUTIONS AND CONTRAINDICATIONS: Because

this formula is primarily dispersing in nature, it shouldnot be used in cases with marked qi deficiency or

blood deficiency.


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*Minor Invigorate the Collaterals

Special Pill (xiao huo luo dan) C: Zhi Cao Wu, Fu Zi,

Tian Nan Xing, Mo Yao, Ru Xiang, Di Long

Pattern: Wind-stroke or Wind-cold-damp painful

obstruction Indications: Chronic pain, weakness, and numbness

(especially in the lower extremities) due to wind-stroke.

Also for fixed or migrating pain in the bones and joints

with reduced range of motion due to wind-cold-damp

painful obstruction. In both conditions, the symptoms

are aggravated by cold. The tongue coating is white

and moist.


27/47

Lead to Symmetry Powder (qian zheng

san)

C: Bai Fu Zi

Jiang Can, Quan Xie

Pattern: Channel stroke of head and face, d/t WindPhlegm, possibly with underlying Deficiency of Wei Qi.

Indications: Sudden facial paralysis with deviation of

the eyes and mouth and facial muscle twitch.

CAUTIONS AND CONTRAINDICATIONS:

Contraindicated during pregnancy. Avoid using for

long periods of time, due to toxic ingredients.

Warming, best used for cold-damp type Wind-Phlegm.


28/47

Sedate the Liver and Extinguish Wind

Decoction (zhen gan xi feng tang)

C: Huai Niu Xi

Dai Zhe Shi, Long Gu, Mu Li, Gui Ban, Xuan Shen, Tian

Men Dong, Bai Shao, Yin Chen Hao, Chuan Lian Zi, Mai Ya,Gan Cao

Pattern: Liver and Kidney yin deficiency with ascendant Liver

yang

Indications: Dizziness, vertigo, a feeling of distention in theeyes, tinnitus, feverish sensation in the head, headache,

irritability, flushed face (as if intoxicated), and a wiry, long,

and forceful pulse.


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There may also be frequent belching, progressive

motor dysfunction of the body or development of facial

asymmetry that occurs over a period of a few hours to

a few days, severe dizziness and vertigo, sudden loss

of consciousness, mental confusion with moments of

lucidity, and an inability to fully recover after loss of

consciousness.


30/47

*Gastrodia and Uncaria Decoction

(tian ma gou teng yin) C: Tian Ma, Gou Teng, Shi Jue Ming

D: Zhi Zi, Huang Qin

A: Yi Mu Cao, Chuan Niu Xi, Du Zhong, Sang Ji

Sheng, Ye Jiao Teng, Fu

Shen

Pattern: Ascendant Liver yang with internal movement

of Liver wind

Indications: Headache, dizziness, vertigo, tinnitus,

blurred vision, a sensation of heat rushing to the head,insomnia with dream-disturbed sleep, a red tongue,

and a wiry, rapid pulse. In severe cases, there may

also be numbness, twitching and spasms in the

extremities, or hemiplegia.


31/47

Antelope Horn and Uncaria Decoction

(ling jiao gou teng tang) C: Ling Yang Jiao, Gou Teng

D: Sang Ye, Ju Hua

A: Bai Shao, Sheng Di Huang, Chuan Bei Mu, Zhu Ru,

Fu Shen

E: Gan Cao

Pattern: Liver Excess Heat stirring Wind

Indications: Persistent high fever, irritability, restlessness,dizziness, vertigo, twitching and spasms of the extremities, a

deep-red, dry or burnt tongue with prickles, and a wiry rapid

pulse. In severe cases there may also be impaired or actual

loss of consciousness.


32/47

Formulas that Openthe Orifices


33/47

Calm the Palace Pill with Cattle

Gallstone (an gong niu huang wan)

C: Niu Huang, Xi Jiao, She Xiang

D: Huang Lian, Huang Qin, Zhi Zi, Xiong Huang, Bing

Pian, Yu Jin

A: Zhu Sha, Zhen Zhu

Pattern: Warm disease: Nutritive (Ying) Level Pericardium

Heat; Phlegm-Fire Obstructing Heart Orifices

Indications: High fever, irritability, restlessness, delirious

speech, impaired consciousness, a red or deep-red tongue,and a rapid pulse. Also for coma d/t wind-stroke or childhood

convulsions with similar presentation, and for stiffness of the

tongue and frigid extremities.

CAUTIONS AND CONTRAINDICATIONS: Contraindicated

during pregnancy. Avoid long-term use (toxic).


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Purple Snow Special Pill (zi xue dan)

C: Shi Gao, Han Shui Shi, Hua Shi; Xi Jiao, Ling Yang

Jiao, She Xiang

Xuan Shen, Ci Shi, Sheng Ma, Zhi Gan Cao, Qing Mu Xiang,

Chen Xiang, Ding Xiang, Zhu Sha, Mang Xiao, Xiao Shi

Pattern: Nutritive (Ying) Level Pericardium Heat stirring LiverWind

Indications: High fever, irritability, restlessness, delirious

speech, impaired consciousness, muscle twitches, spasms

and convulsions, thirst, parched lips, dark urine, severe

constipation, and childhood convulsions.

CAUTIONS AND CONTRAINDICATIONS: Contraindicated

during pregnancy. Discontinue once consciousness returns.

May damage qi and yin. Not for long-term use (toxic).


35/47

Liquid Styrax Pill (su he xiang wan)

C: Su He Xiang, An Xi Xiang, She Xiang, Bing Pian

D: Mu Xiang, Tan Xiang, Chen Xiang, Ru Xiang, Ding

Xiang, Xiang Fu

A: Bi Ba, Xi Jiao, Zhu Sha, Bai Zhu, He Zi

Pattern: (1) Windstroke d/t Damp-Cold and turbid phlegm veiling

the sensory orifices; (2) Qi stagnation or damp-cold obstructionleading to collapse; (3) Epidemic sudden turmoil disorder


36/47


37/47

Scour Phlegm Decoction (di tan tang)

Ban Xia, Ju Hong, Fu Ling, Gan Cao (Er Chen Tang)

Zhi Shi, Zhu Ru, Dan Nan Xing, Shi Chang Pu, Ren Shen

Pattern: Phlegm obstructing Heart orifices

Indications: Stiffness of the tongue and speech impairment

CAUTIONS AND CONTRAINDICATIONS: Contraindicatedduring pregnancy. Caution in weak patients.


38/47

Vaporize Phlegm Pill (gun tan wan)

C: Duan Meng Shi (Lapis**)

Da Huang, Huang Qin, Chen Xiang

Pattern: Phlegm-Fire obstructing the orifices, chest orchannels

Indications: Mania-withdrawal and palpitations with anxiety; or

severe, continuous palpitations whichcan lead to coma; or

coughing and wheezing with thick, viscous sputum; or focaldistension and stifling sensation in the chest and epigastrium;

or dizziness, vertigo or tinnitus.


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In each of these cases there is constipation, a yellow

thick and greasy tongue coating, and a slippery rapidand forceful pulse. There may also be facial tics,

insomnia, or very strange dreams, sudden, deep pain

in the joints that is difficult to describe, nodules in the

neck, or a choking sensation.

**Lapis Micae seu Chloriti is sweet, salty, and neutral;

it scours Phlegm, directs Qi downward, calms

wheezing, and stops palpitations.


Contraindicated during pregnancy and post partum.Caution in weak patients. Do not use in the absence

of phlegm and heat


40/47

Formulas that ReduceFood Stagnation


41/47

*Preserve Harmony Pill

(bao he wan) C: Shan Zha D: Shen Qu, Lai Fu Zi

A: Ban Xia, Chen Pi, Fu Ling, Lian Qiao, Mai Ya

Pattern: Food Stagnation

Indications: Focal distention and fullness in the chest

and epigastrium, abdominal distention with occasional

pain, rotten-smelling belching, acid regurgitation,

nausea and vomiting, aversion to food, a yellow,greasy tongue coating, and a slippery pulse. There

may also be diarrhea.


42/47

CAUTIONS AND CONTRAINDICATIONS: Unless

modified, this formula is contraindicated in cases withSpleen deficiency.


43/47

Strengthen the Spleen Pill (jian pi wan) C: Bai Zhu, Fu Ling, Ren Shen

D: Shan Yao, Rou Dou Kou

Shan Zha, Shen Qu, Mai Ya, Mu Xiang, Chen Pi, Sha

Ren, Huang Lian, Gan Cao

Pattern: Spleen & Stomach Deficiency with FoodStagnation

Indications: Reduced appetite with difficulty in digestion,

bloating and focal distension of the epigastrium and

abdomen, loose and watery diarrhea, a greasy slightly

yellow tongue coating and a deficient frail pulse.

Immature Bitter Orange and


44/47

Immature Bitter Orange and

Atractylodis Macrocephalae Pill (zhi

zhu wan)

C: Bai Zhu

D: Zhi Shi

Pattern: Spleen Qi Deficiency with mild Food Stagnation

Indications: Loss of appetite, focal distention in the

epigastrium and abdomen, a white tongue coating, and a

deficient pulse.


45/47

Formulas that ExpelParasites


46/47

Mume Pill (wu mei wan)

C: Wu Mei

D: Chuan Jiao, Xi Xin, Huang Lian, Huang Bai

A: Gan Jiang, Fu Zi, Gui Zhi, Ren Shen, Dang Gui

Pattern: SHL: Jueyin pattern; Roundworm collapse withheat above and cold below.

Indications: Intermittent attacks of abdominal pain, a

stifling sensation, irritability, warmth in chest and

epigastrium, vomiting after eating, cold hands and feet,vomiting of roundworms.


Contraindicated for Damp Heat conditions on in cases of

explosive diarrhea.


47/47

Fat Baby Pill (fei er wan)

C: Shi Jun Zi, Bing Lang

D: Huang Lian, Rou Dou Kou

A: Shen Qu, Mai Ya, Mu Xiang

Pattern: Childhood nutritional impairment (gan) with

parasite infestation

Indications: Parasitic infestations with intermittent attacks

of abdominal pain, indigestion, emaciation, loose stools,

foul-smelling breath, feverishness, sallow complexion,

large distended abdomen.

herb board review formulas 5

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