Formulas that Release the Exterior. HCR8. Scallion and Prepared Soybean Decoction (cong chi tang). Cong Bai, Dan Dou Chi Pattern: First stage WInd-Cold or Wind-Heat
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Pattern: Wind-Cold with Ying-Wei Disharmony (Taiyang Stage Attack by Wind; Wind-Cold Exterior Deficiency)
Indications: Fever and chills unrelieved by sweating, headache, aversion to wind, stiff neck, nasal congestion, dry heaves, no particular thirst, a thin, white, and moist tongue coating, and a floating pulse that is either moderate or frail.
If prescribed in cases with heat, nosebleed may result. If incorrectly prescribed, or if the dosage is too strong, profuse sweating, high fever, severe thirst, palpitations and irritability may result.
Gan Jiang, Xi Xin, Wu Wei Zi, Bai Shao, Ban Xia, Zhi Gan Cao
Pattern: Exterior Wind-Cold with congested fluids
Indications: Chills > Fever, no sweating, cough, wheezing, sputum that is copious, white, stringy, and difficult to expectorate, floating, tight pulse. May be floating edema or considerable difficulty in breathing when lying down.
Fang Feng, Cang Zhu, Xi Xin, Chuan Xiong, Bai Zhi, Huang Qin, Sheng Di Huang, Gan Cao
Pattern: Externally-contracted wind-cold-dampness with concurrent internal accumulation of heat.
Indications: Fever and chills (chills predominant) with no sweating, headache, stiff neck, generalized aches and pain, slight thirst, a bitter taste in the mouth, a white tongue coating, and a floating pulse.
Pattern: Exterior wind-cold with interior qi constraint.
Indications: Fever and chills with no sweating, headache, focal distention and a stifling sensation in the chest and epigastrium, poor appetite, belching, a thin, white tongue coating, and a floating pulse.
Pattern: exterior cold with interior dampness contracted in the summer
Indications: Aversion to cold with skin that is warm to the touch, an no sweating, a sensation of heaviness in the head, headache, abdominal pain, vomiting, diarrhea, a stifling sensation in the chest, fatigued extremities, a white, greasy tongue coating, and a floating pulse.
Pattern: Wind Cold transforming into Interior Heat
Indications: An exterior wind-cold presentation characterized by increasing fever and decreasing chills accompanied by headache, stiffness of the extremities, orbital and eye pain, dry nasal passages, irritability, insomnia, a thin, yellow tongue coating, and a floating, slightly flooding pulse.
D: Ge Gen: help chief disperses wind heat and vents rash
A: Chi Shao, Zhi Gan Cao: cool the blood and resolve toxicity
Pattern: Measles and similar rashes are caused by externally-contracted heat collecting in lungs and stomach
Indications: early-stage measles or rashes that do not surface evenly, fever and chills, headache, generalized body aches, sneezing, coughing, red eyes, tearing, thirst, a red and dry tongue, and a floating, rapid pulse .
A: Jie geng, Zhi ke, Qian hu, Sheng jiang, Ren shen, Fu ling
E: Gan cao
Pattern: Exterior Wind-Cold-Dampness with Qi Deficiency
Indications: High fever and severe chills with shivering, no sweating, pain and stiffness of the head and neck, soreness and pain of the extremities, focal distention and fullness of the chest, nasal congestion with sonorous breathing, a productive cough, a greasy, white tongue coating, and a floating, soggy pulse.
Pattern: Exterior cold with yang deficiency (Taiyang + Shaoyin)
Indications: Sensation of extreme cold and severe chills (relieved by wearing more clothing or adding covers), a slight fever and no sweating, exhaustion, a white, slippery tongue coating, and a submerged, faint pulse.
Jing Jie, Bo He, Zhi Zi, Hua Shi, Shi Gao, Lian Qiao, Huang Qin, Jie Geng, Chuan Xiong, Dang Gui, Bai Shao, Bai Zhu, Gan Cao, Sheng Jiang
Pattern: Excess Heat in both Interior and Exterior
Indications: Strong fever and chills, light-headedness, dizziness, red and sore eyes, difficulty in swallowing, nasal congestion with thick and sticky nasal discharge and saliva, a bitter taste in the mouth, dry mouth, focal distention with a stifling sensation in the chest and diaphragm, constipation, dark, rough urination, a yellow, greasy tongue coating, flooding, rapid or wiry, slippery pulse.
Pattern: Blazing heat in Yang Ming channel-stage, or Qi level.
Indications: High fever with profuse sweating and an aversion to heat, a red face, severe thirst and irritability, and a flooding, forceful or slippery, rapid pulse. May also include headache, toothache, or bleeding of the gums and nose.
Ren Shen, Mai Men Dong, Ban Xia, Zhi Gan Cao, Nonglutinous Rice
Pattern: Qi-level heat lingering in Lungs and Stomach
Indications: Lingering, low-grade fever (from a febrile disease) accompanied by vomiting, irritability and thirst, parched mouth, lips, and throat, a choking cough, stifling sensation in the chest, a red tongue with little coating, and a deficient, rapid pulse. Some patients experience restlessness and insomnia.
xuan shen, sheng di huang, mai men dong, jin yin hua, lian qiao, huang lian, dan zhu ye, dan shen
Pattern: Heat in Ying Level
Indications: High fever that worsens at night, severe irritability and restlessness, a scarlet, dry tongue, and a thin, rapid pulse. Some patients are thirsty, some delirious, and some exhibit faint and indistinct erythema and purpura.
Indications: High fever, irritability, a dry mouth and throat, incoherent speech, insomnia, dark urine, a red tongue with a yellow coating, and a rapid, forceful pulse. Also for nosebleed or vomiting of blood due to heat excess; carbuncles, boils, and other toxic swellings; and dysenteric disorders or jaundice due to damp-heat.
Indications: Fever, irritability and restlessness, flushed face, red eyes, delirious speech, dark urine, constipation, a greasy, yellow tongue coating. Also for epigastric focal distention, jaundice, diarrhea, and dysenteric disorders; or vomiting of blood or nosebleed; or red and swollen eyes and ears; or ulcerations of the tongue and mouth; or abscesses.
Decoction of Universal Benefit to and cold, this formula should only be prescribed in cases of excess for patients of robust constitution. Eliminate Toxin (pu ji xiao du yin)
C: huang qin, huang lian
niu bang zi, lian qiao, bo he, jiang can, xuan shen, ma bo, ban lan gen, jie geng, gan cao, chen pi, chai hu, sheng ma
Pattern: Epidemic Toxin w/Wind Heat and Damp Phlegm
Indications: Strong fever and chills, redness, swelling, and burning pain of the head & face, dysfunction of the throat, dryness and thirst, a red tongue with a powdery-white or yellow coating, and a floating rapid and forceful pulse
Five-ingredient Decoction to and cold, this formula should only be prescribed in cases of excess for patients of robust constitution. Eliminate Toxin (wu wei xiao du yin)
C: Jin Yin Hua
Pu Gong Ying, Zi Hua Di Ding, Ye Ju Hua, Zi Bei Tian Kui
Pattern: Fire in Qi and Blood Levels (manifesting as boils)
Indications: All types of boils and carbuncles with localized erythema, swelling, heat and pain accompanied by fever, chills, a red tongue with a yellow coating, a rapid pulse.
Jie geng: conducts the actions of the other herbs upward
Pattern: Severe fire toxin in the qi and blood levels
Indications: : Intense fever, strong thirst, dry heaves, severe and stabbing headache, extreme irritability ,and in severe cases, delirious speech, rash and nosebleed. The tongue is dark-red, the lips are dark and scorched, the pulse is rapid and either submerged and thin or floating and large.
Drain the White Powder due to cold and in cases where the pathogenic influence lingers due to normal qi deficiency. (xie bai san)
C: Chao Sang Bai Pi
Di Gu Pi, Zhi Gan Cao, Nonglutinous Rice
Pattern: Smoldering Fire d/t Constrained Heat in the Lungs
Indications: Coughing, wheezing, and fever with skin that feels hot to the touch, all symptoms worsen in the late afternoon. There is also a dry mouth, little or difficult-to-expectorate sputum, a thin, rapid pulse, and a red tongue with a yellow coating.
Drain the Yellow Powder due to cold and in cases where the pathogenic influence lingers due to normal qi deficiency. (xie huang san)
C: Shi Gao, Zhi Zi
Fang Feng, Huo Xiang Ye, Gan Cao
Pattern: Smoldering Fire in the Spleen
Indications: Mouth ulcers, bad breath, thirst, frequent hunger, dry mouth and dry lips, a red tongue, and a rapid pulse. Also for tongue thrusting in children.
Clear the Stomach Powder due to cold and in cases where the pathogenic influence lingers due to normal qi deficiency. (qing wei san)
C: Huang Lian
Sheng Ma, Mu Dan Pi, Sheng Di Huang, Dang Gui
Pattern: Heat Accumulation in the Stomach
Indications: Toothache (the pain extends into the head), facial swelling, fever, bad breath, a dry mouth, a red tongue with little coating, and a slippery, large, and rapid pulse. Also for bleeding, swelling and sores of the gums, and for a swollen, painful tongue, swollen, painful lips, or swollen, painful jaw.
Jade Woman Decoction due to cold and in cases where the pathogenic influence lingers due to normal qi deficiency. (yu nu jian)
C: Shi Gao, Shu Di Huang
Zhi Mu, Mai Men Dong, Niu Xi
Pattern: Stomach Heat with Yin Deficiency
Indications: Toothache, loose teeth, bleeding gums, frontal headache, irritability and fever, thirst with a desire to drink cold beverages, a dry, red tongue with a yellow coating, and a floating, slippery, deficient, and large pulse.
Guide out the Red Powder due to cold and in cases where the pathogenic influence lingers due to normal qi deficiency. (dao chi san)
C: Sheng Di Huang
Mu Tong, Dan Zhu Ye, Gan Cao Shao
Pattern: Heat in the Heart and Small Intestine channels.
Indications: Irritability with a sensation of heat in the chest, thirst with a desire to drink cold beverages, a red face, possibly sores around the mouth, a red tongue, and a rapid pulse. Also used for dark, scanty, rough, and painful urination, or even clearly visible blood in the urine.
A: Mu Tong, Che Qian Zi, Ze Xie, Sheng Di Huang, Dang Gui
E: Gan Cao
Pattern: Excess Heat in Liver / Gallbladder Channels
Indications: Pain in the hypochondria, headache, dizziness, red sore eyes, hearing loss, swelling in the ears, bitter taste, irritability, short temper, a wiry, rapid, and forceful pulse, and red tongue with yellow coating. Also: difficult & painful hot urination, swollen itchy external genitalia, foul-smelling leukorrhea. Women: shortened cycle w/reddish-purple menstrual blood.
Left Metal Pill (zuo jin wan) Spleen. It should therefore not be taken for prolonged periods or in large doses, nor in cases with Spleen deficiency or injury to the fluids.
C: Huang Lian
D: Wu Zhu Yu
Pattern: Liver Stomach Disharmony from Liver Heat
Indications: Hypochondriac pain, indeterminate gnawing hunger, epigastric focal distention, vomiting, acid regurgitation, belching, a bitter taste in the mouth, a dry mouth, a red tongue with a yellow coating, and a wiry, rapid pulse.
Pulsatilla Decoction Spleen. It should therefore not be taken for prolonged periods or in large doses, nor in cases with Spleen deficiency or injury to the fluids. (bai tou weng tang)
C: Bai Tou Weng
Huang Lian, Huang Bai, Qin Pi
Pattern: Hot dysenteric disorder d/t heat toxin searing the Stomach and Intestines.
Indications: Abdominal pain, tenesmus, a burning sensation around the anus, diarrhea containing more blood than pus, thirst, a red tongue with a yellow coating, and a wiry, rapid pulse.
Lian Geng, Shi Hu, Mai Men Dong, Dan Zhu Ye, Zhi Mu, Huang Lian, Zhi Gan Cao, Nonglutinous Rice
Pattern: Summerheat injuring Qi and Fluids
Indications: Fever, profuse sweating, irritability, thirst, scanty and dark urine, a desire to curl up, shortness of breath, apathy and a deficient rapid pulse. This is summerheat injuring the qi and fluids.
Indications: Severe constipation and flatulence, focal distention and abdominal fullness, abdominal pain which increases upon pressure, a tense and firm abdomen, a dry, yellow or dry, black tongue coating with prickles, and a submerged, excessive pulse. In severe cases, there may be tidal fevers, delirious speech, and profuse sweating from the palms and soles.
For relatively mild yang brightness organ-stage disorders characterized by tidal fever, constipation, focal distention, and abdominal fullness, abdominal pain that does not increase upon pressure, an old-looking (dirty and dry), yellow tongue coating, and a slippery, rapid pulse. Also for early-stage dysenteric disorders.
Mildly purges clumped heat. For mild constipation due to yang brightness-stage heat characterized by no focal distention and no abdominal fullness, but with irritability and a slippery, rapid pulse. Also for nosebleed, swollen gums and swollen throat, and petechiae (subcutaneous bleeding) due to heat in the Stomach and Intestines.
Cook Da huang with Gan cao, and dissolve Mang xiao in the strained decoction.
Da huang, Mang xiao, Gan cao (tiao wei cheng qi tang): drain the formed heat from yang ming organs
Dan zhu ye, huang qin, Zhi zi, Lian qiao: clear unformed heat
Bo He: clear heat from upper burner
Pattern: formed or accumulated heat in the middle burner, and unformed or blazing heat in the upper burner.
Indications: Sensation of heat and irritability in the chest and abdomen, delirious speech (in severe cases), thirst, flushed face, red lips, mouth and tongue sores, sore throat, swollen tongue, red eyes, nosebleed, constipation, dark, scanty urine, red tongue body or edges with a dry yellow, or white coating, and a rapid, slippery pusle
Pattern: Suspended, congested fluids clogging up the chest and hypochondriac regions
Indications: Cough with pain in the chest and hypochondria, hard focal distension in the epigastrium, dry heves, shortness of breath, headache, vertigo, white slippery tongue coating, submerged wiry pulse. May also be chest pain extending to the back which makes breathing difficult.