1. Aversion to ColdsweatingStiffness and aching in the nape of the neckHeadacheAching limbs and trunkT: Thin White CoatP: Floating Pulse: Gui Zhi Tang

Gui Zhi (acrid, war, sweet, HT/LU/BL)Bai Shao (bitter, sour, sl. cold, LR/SP)Sheng Jiang (acrid, warm, ST/SP/LU)Da Zao (sweet, warm, HT/SP/ST)Zhi Gan Zao (sweet, warm, SP/ST, LU, HT)

Exogenous Wind Cold attack resulting with Exterior Vacuity

aversion to wind, fever, spontaneous sweating (gentle) - mainpathogen is WIND, which injures the Wei causing weakness inthe interstices, draining out the Wei Qi

Ma Huang Tang: aversion to cold, fever, NO sweating - mainpathogen is COLD

RELEASE EXTERIOR (acrid & warming)2. Aversion to cold, heat effusion (fever), no sweating, stiff

neck, headache, heavy & aching sensation of limbs,bitter taste slight thirst.: Jiu Wei Qiang Huo Tang

Qiang HuoFang FengCang ZhuXi XinBai ZhiChuang XiongSheng Di HuangHuang QinGan Cao

Wind Cold Damp with Interior Heat

RELEASE EXTERIOR (acrid & warming)

3. Heat effusion, no sweat or very little sweat, slightaversion to wind and cold, headache thirst, sore throatand cough.

T:Red tip, thin white coat or slightly yellowP:Floating &rapid: Yin Qiao San

Lian Qiao 15gJin Yin Hua 15gBo He 6gJie Geng 6gZhu Ye 4gJing Jie 4gDan Chou Chi 5gNiu Bang Zi 6gLu Gen 15-30gGan Cao 5g

Early onset of Wind Warmth pattern, Wind Heat pattern. Virus.

RELEASE EXTERIOR (acrid & cooling)4. Primarily coughs, body feels warm and slight thirst.

P:Floating & slightly rapidT:Thin white coating: Sang Ju yin

Sang Ye 7.5gJu hua 3gXing REn 6gLian Qiao 4.5gBo He 2.5gJie Geng 6gLu Gen 6gGan Cao 6g

Early onset of Wind Warmth pattern

RELEASE EXTERIOR (acrid & cooling)5. Abdominal pain which like warmth and pressure,

diarrhoea, no thirst, cold limbs, nausea vomiting, doesnot like to eat.: Li Zhong Wan (Regulating the Middle JiaoPill)

Ren ShenGan JiangGan CaoBai Zhu

Vacuity Cold Pattern in the middle jiao

WARM INTERIOR

72 Herbal Formulas S/S's (Clinical Practicum)Study online at quizlet.com/_ewyer

6. Sallow complexion, low/feeble voice, shortness of breath,no energy, eating less, loose stools, weak limbs.

T: Pale White Coat P: Empty & Weak: Si Jun Zi Tang (Four-noble Ingredient Decoction)

Ren Shen Bai ZhuFu LingZhi Gan Cao

SP & ST Qi Xu

TONIFY (Qi)7. Eating less, no appetite loose stool stuffiness, stifling

sensation in the chest/ epigastrium or nausea,vomiting, diarrhoea

T:Pale, white coating P:Vacuity & Weak wiry: Yi Gong San(Extraordinary Merit Powder)

Ren Shen Bai ZhuFu Ling Zhi Gan CaoChen PiSheng JiangDa Zao

SP & ST Xu with Qi Shi

TONIFY (Qi)8. Eating less, no appetite, loose stool, stuffiness & stifling

sensation in the chest/ epigastrium, nausea, vomiting,diarrhoea, sallow complexion, underweight, low/feeblevoice, shortness of breath, no energy, cough w copiouswhite phlegm

T:Pale white greasy coat P:Vacuity: Liu Jun Zi Tang (Six-Noble Ingredient Decoction)

Ren Shen Bai ZhuFu Ling Gan CaoChen PiBan XiaSheng JiangDa Zao

Sp & ST Qi Xu w Dampness & Phlegm Pattern

TONIFY (Qi)

9. Eating less, no appetite, loose stool, stuffiness andFullness sensation in th epigastrium, nausea vomiting,lethargy, underweight abdominal distention/pain,general puffiness/ swelling.

T:Pale white coat P:weak slippery: Xiang Sha Liu Jun Tang(Six-Noble Ingredient with Mu Xiang and Sha Ren Decoction)

Ren Shen Bai ZhuFu LingGan CaoChen PiBan XiaMu XiangSha RenSheng Jiang

Sp & ST Qi Xu w Cold & Dampness Shi Pattern

TONIFY (Qi)10. 1.Dizziness w spinning sensation, blurry vision,

tinnitus, deafness, fatigue, lethargy, weak limbs, lazy totalk, sallow complexion, loose/watery stool eating less. T: Pale P:Weak2.Rectal prolapsed, uterus prolapsed, chronicdiarrhoea, chronic dysentery, hemorrhage, shortnessof breath, fatigue loose stool, no appetite.T:Pale P:Vacuity, soft.3. Fever spontaneous sweating, thirst likes warm drink,fatigue, shortness of breath.T:Pale Swollen P:Big but no force.: Bu Zhong Yi Qi Tang(Tonifying the Middle Jiao and Replenishing the Qi Decoction)

Huang QiRen ShenBai ZhuGan Cao Dang GuiChen PiChai HuSheng Ma

1.Sp & St Qi Xu unable to raise the 'clear yang' 2. Sunken Middle Qi Pattern3.Fever (low grade) disorder due to SP & ST Qi Xu

TONIFY (Qi)

11. 1.Dry cough, little phlegm, weak body & limbs, shortnessof breath, feeble voice, lazy to talk, sweating and drymouth and tongue.T:Red dry little coating P:fine weak or deficient, big,rapid

2.Profuse sweating fatigue, lethargy shortness of breath,lazy to talk dry throat thirst.: Sheng Mai San (Pulse-Generating Powder)

Ren ShenMai Men DongWu Wei Zi

Concurrent Qi & Yin Xu 1.Chronic cough due to hidden lung fire affecting the Qi anddepleting the Yin.2. Post febrile disease and summer- heat disorder

TONIFY (Qi)12. 1. Indigestion, reduced appetite, weak limbs distenstion

and stifling sensation in the chest and abdomen,borborygmus, diarrhoea, weight loss, sallowcomplexion.T:Pale w greasy white coating P: deficient slow(huan)

2. Coughing with abundant white phlegm, congestedchest and fullness in the epigastrium, lethargy, lack ofenergy, pale and shiny complexion, loose stool, noappetite. T:Pale w white greasy coat P:Fine, weak & Slippery: ShenLing Bai Zhu San (Ren Shen, Fu Ling, Bai Zhu CombinationDecoction)

Ren Shen Bai ZhuFu LingGan CaoShan YaoLian ZiBai Bian DouYi Yi Renjie GengSha Ren

1. Diarrhoea due to SP & ST Xu Dampness.

2.Coughing disorder due to Lung ans Spleen Qi vacuity withphlegm Damp Pattern.

TONIFY (Qi)

13. 1.Pale face, pale lips, pale fingernails, a sallowcomplexion, dizziness, blurry vision, palpitations,insomina. T:Pale with white coating P:Thin & Wiry or thin andretarded (Choppy)2.Irregular menstruation, hypomenorrhroea orhypermenorrhoea, delayed menstruation,amenorrhoea, trickling of blood w pale red colour peri-umbilical abdominal pain, hard abdominal mass from'blood stasis'.: Si Wu Tang (Four-Ingredient Decoction)

Shu Di HuangDang GuiBai ShaoChuan Xiong

1.Blood Xu affecting blood circulatory function pattern.2.Chong Mai & Ren Mai Xu Pattern.

TONIFY (Blood)14. Shortened menstrual cycle copious bleeding of dark

purple and sticky blood with or without clottingabdominal pain. Dysmenorrhoea w similarpresentation.: Tao Hong Si Wu Tang (Four-Ingredient withTao Ren& Hong Hua Decoction)

Shu Di huangDang GuiBai Shaochuan XiongTao Ren Hong Hua

Blood Xu w Xue stasis

TONIFY (Blood)15. Feverish warm sensation in the skin and muscles, red

complexion, thirst with desire to drink warm water,irritability heat.T:Pale P:Flooding/big but deficient, forceless whenpressed.: Dang Gui Bu Xue Tang (Dang Gui Decoction forTonifying the Blood)

Huang QiDang Gui

Xue Xu => floating Yang manifesting as Fever disorder

TONIFY (Blood)

16. 1. Palpitation, anxiety forgetfulness, insomnia, nightsweat, feverish w Xu heat lethargy eating less sallowcomplexion.T:Pale with thin white coating. P:fine moderate.

2.Uterine bleeding early menstruation w heavy bleedingmetrorrhagia (hypermenorhorea) prolongedmenstruation w little flow, purplish spot under the skin,blood in the stool.T:Pale P:Thin & weak: Gui Pi Tang (Restore the SpleenDecoction)

Ren ShenBai ZhuFu ShenGan CaoDan GuiHuang GuiLong Yan RouSuan Zao RenYuan ZhiMu XiangSheng jiangDa Zao

1.HT & SP w Qi & Xue Xu2.SP Xu unable to keep the blood circulation within the vessels

TONIFY (Blood)17. Sallow complexion, dizziness, weak limbs, lethragy,

shortness of breath, lazy to talk, palpitation, anxietyeating less.T:Pale with thin white coating. P:Thin & frail, deficientwithout strength.: Ba Zhen Tang (Eight-Treasure Decoction)

Qi & Blood Vacuity Pattern

Ren ShenBai ZhuFu LingGan CaoDang GuiShu Di HuangBai ShaoChuan Xiong

TONIFY (Qi & Blood)

18. Soreness & weakness in the lower back & Knees,dizziness , tinnitus, hearing loss, night sweat, seminalemission, Xiao Ke(Wasting & thirsting disorder) hotpalms & soles, dry & sore throat, loose teeth copiousurination.T:red w little coat P:sunken, thin, rapid.: Liu Wei DiHuang Wan (Six-Ingredient with Di Huang Pill)

Shu Di huangShan Zhu YuShan YaoZe XieFu LingMu Dan Pi

KD Yin Xu

TONIFY (Yin)19. Hypochondriac & chest pain, acid reflux epigastric &

abdominal distention, dry mouth & throat.

T:Red & Dry P:Thin weak or deficient wiry: Yi Guan Jian(Linking Decoction)

Sheng Du HuangGou Qi ZiSha ShenMai Men DongDan GuiChaun Lian Zi

LR & KD Yin Xu w LR Qi Stasis

TONIFY (Yin)20. Soreness & weakness of the lower back & knees, cold

sensation of the lower part of the body, lower abdominalcramp, frequent urination (especially in the evening)impotence, premature ejaculation, oedema(esp. in theankles).this include Dan Yin (Phlegm damp) and XiaoKe disorders. T:Pale & Swollen P Vacuous & Weak, particularlysubmerged thin at the rear position.: Jin Gui Shen Qi Wan(Kidney Qi Pill from the Golden Cabinet)

Sheng Di huangSahn Zhu YuShan YaoZe XieFu LingMu Dan PiGui ZhiFu Zi

KD Yang Xu

TONIFY (Yang)

21. General weakness, aversion to draupht, spontaneoussweating, shiny pale complexion. T:Pale w thin white coating P:floating deficient: Yu PingFeng San (Jade Screen Powder)

Huang QinBai ZhuFang Feng

Vital Qi Xu resulting in weak Wei Qi (Lung Wei) Pattern.

STABILISE & BIND(Exterior & Sweating)22. Diarrhoea which occurs daily just before sunrise, no

appetite, indigestion, abdominal pain, cold limbs,lethargy, soreness of the lower back fatigue.T:Pale w thin coating P:sunken slow & forceless.: Si ShenWan (Ban Xia (Four-Miracle Pill)

Bu Gu ZhiRou Dou KouWu Zhu YuWu Wei Zi

Sp & KD Xu cold patterns resulting in daybreak diarrhoea.

STABILISE & BIND(Leakage from Intestine)23. Vaginal discharge(Lrg volume), white in colour, no

particularly, foul smelling, thin in consistency, usuallycontinuous, fatigue weak body & Limbs.T:Pale w White coating P:Moderate or frail & slippery:Wan Dai Tang (Ending Morbid Leukorrhea Decoction)

Bai ZhuShan YaoRen ShenCang ZhuChen PiChe Qian ZiBai ShaoCahi HuHei Jing JieGan cao

Dampness turbidity leukorrhea due to SP Xu w LR Shi

STABILISE & BIND(Womb Bleeding/VD)

24. Blood stasis in the chest causing obstruction of bloodflow in the area above the diaphragm, painful chest,chronic headaches, the pain is in a fixed site andstabbing; persistent hiccough; internal heat w stiflingsensation; palpitations, insomnia, irritation,restlessness and easily angry, evening 'tidal fever', darkor purplish lips or sclera.

T:Dark red w dark spots P:choppy or wiry and tense:Xue Fu Zhu Yu Tang ( Drive Out Blood Stasis in the Manision ofBlood Decoction)

Dang GuiChuan XiongChi ShaoTao RenHong HuaSheng Di HuangZhi KeJie GengChai HuNiu XiGan Cao

Xue stasis in the chest and obs. Xue cir.

REGULATE BLOOD25. Hemiplegia, facial paralysis, atrophy of the lower limbs,

slurred speech, drooling, frequent urination orincontinence.T:Darkish w white coating P:Moderate: Bu Yang Huan WuTang (Tonify the Yang to Restore the Five Decoction)

Sequelae of Wind-stroke disorder leading to qi vacuity with bloodstasis pattern.

REGULATE BLOOD26. Abdominal pain, which is worse when pressed,

persistent uterine bleeding, dark purplish colour,unstable foetus disorder, retention of lochia.

T: Dark purple or with spots P:sunken, sluggish(uneven): Gui Zhi Fu Ling Wan (Gui Zhi and Fu Ling Pill)

Blood stasis in the womb (during pregnancy) pattern.

REGULATE BLOOD27. Headache (overall or one sided or vertex), fever chills,

dizziness, blocked nose.T:Thin, white coating. P:Floating.: Chuan Xiong Cha TiaoSan (Chuan Xiong Powder To be Taken with Tea)

Headache due to external wind attack pattern.

EXPEL WIND (External)

28. Blocked nose, loss of sense of smelling, runny nose,frontal-head pain.

T:thin white coat or greasy white coat. P:Wiry.: Cang ErZi San (Cang Er Zi powder)

Nasal obstruction caused by exogenous wind invasion pattern.(Nasosinusitis, rhinosinusitis disorder)

EXPEL WIND (External)29. Red rash or skin lesion in blotches, itchy, weepy when

scratched.T:White coating or yellow. P:Floating or wiry rapid.:Xiao Feng San (Eliminate Wind Powder)

Wind dampness and wind heat attacking the skin and musclelayers pattern. (Eczema, urticaria, rashes, psoriasis, tineacapitis)

EXPEL WIND (External)30. Persistent high fever, big heat, delirium, twitching and

spasms of the extremities, epileptic fit.T:crimson, dry or black with thorn. P:Wiry & Rapid.:Ling Jiao Gou Teng Yin (Antelope's horn and Gou TengDecoction)

Excess heat in the liver channel generating wind pattern.

EXPEL WIND (Internal)31. Dizziness, sensation of distention in the eyes, tinnitus,

feverish sensation in the head, irritability flushed face(as if drunk), belching, motor dysfunction, developmentof facial asymmetry, loss of consciousness.: Zhen Gan XiFeng Tang (Sedate the Liver Yang and Extinguish WindDecoction)

Liver & Kidney Yin vacuity generating liver yang rising pattern.

EXPEL WIND (Internal)32. (Hypertnesion, trigeminal neuralgia, stroke, dizziness

and vertigo, prevention of seizures and epilepsy.)Headache, dizziness, tinnitus, insomnia, hot sensationin the head.T:red w yellow coating P:wiry: Tian Ma Gou Teng Yin ( TianMa and Gou Teng Decoction)

Hyperactive Liver Yang with concurrent Liver Wind risingpattern.

EXPEL WIND (Internal)

33. Slight headache, aversion to cold without sweating,coughing, thin sputum, nasal congestion, dry throat.T:White coating P:Wiry.: Xing Su San (Xing Ren and Su YePowder)

External Attack of cool dryness pattern.

TREAT DRYNESS (External)34. Headache, fever, dry throat and nasal passage, thirst,

dry cough, no phlegm or little sticky phlegm. T:Red w dry thin white coating. P:floating and rapidespecially on the right.: Sang Xing Tang (Sang Ye and XingRen Decoction)

External attack of warm dryness pattern.

TREAT DRYNESS (External)35. Headache, fever, dry cough without phlegm, wheezing,

dry throat, thirst, dry nasal passage, stifling sensationin the chest. (More Qi Xu & heat more serious)T:Dry without coating. P:Deficient, big and rapid.: QingZao Jiu Fei Tang (Eliminate Dryness and Recue the LungsDecoction)

Warm dryness injuring the Lung with damage of Qi and Yinpattern.

TREAT DRYNESS (External)36. Coughing with blood-streaked sputum, dry and sore

throat, warm, sensation in the palms and soles,'steaming bones': Bai He Gu Jin Tang (Bai He Decoction toPreserve the Metal)

Lung & kidney Yin Xu with vacuous fire rising pattern.

TREAT DRYNESS (Internal)37. Distension in the abdomen, lack of appetite, nausea,

vomiting,belching, acid re-flux, sensation of heavy limbsand body, lethargy, increased desire to sleep, loose stoolor diarrhea.T: thick white & Greasy coat P:Moderate(slippery): PingWei San (Calm the Stomach Powder)

Dampness accum. in SP & ST

Cang Zhu (DAMP)Hou Po (DAMP)Chen Pi (Reg. MJ) Gan Cao (Reg. MJ)Sheng jiang (Reg. MJ)Da zao (Reg. MJ)

EXPEL DAMPNESS (ST)

38. Urgent & frequent Urination, painful & burningsensation, dark urine, in severe condition here may beurinary retention & lower abdominal distention andpain.T:yellow and greasy. P:Slippery & rapid.: Ba Zhen San(Eight Herb Powder for Rectification)

Qu MaiBian XuHua ShiChe Qian ZiMu TongDeng Xin CaoDa HuangZhi ZiGan Cao

Downward flow of damp heat to the lower jiao.

EXPEL DAMPNESS (Heat)39. Urinary dysfunction headache slight fever, irritability,

thirsty, in sever cases vomiting immediately afterdrinking.T:white coating. P: Floating or floating and rapid.: WuLing San (Five-ingredient Powder with Fu Ling)

water accumulation in the lower jiao

Ze XieFu LingZhu LingBai ZhuGui Zhi

EXPEL DAMPNESS (Urination & Leech Out)40. oedema, loose stools, urinary difficulty, vomiting and

diarrhea due to 'sudden turmoil' disorder.: Wu Ling San(Five-ingredient Powder with Fu Ling)

Acc. of Water and Damp in the interior pattern.

Ze XieFu LingZhu LingBai ZhuGui Zhi

EXPEL DAMPNESS (Urination & Leech Out)

41. Abdominal pulsation (rumbling sensation) below theumbilicus, spiting of frothy saliva, vertigo, shortness ofbreath.: Wu Ling San (Five-ingredient Powder with Fu Ling)

Tan Yin (Phlegm Fluid) Pattern

Ze XieFu LingZhu LingBai ZhuGui Zhi

EXPEL DAMPNESS (Urination & Leech Out)42. Shortness of breath, cough.: Wu Ling San (Five-ingredient

Powder with Fu Ling)

Shui Yin (water fluid) insulting the LUNG

Ze XieFu LingZhu LingBai ZhuGui Zhi

EXPEL DAMPNESS (Urination & Leech Out)43. Difficulty urination, fever, thirst, irritability, insomina,

coughing, nausea, diarrhoea. T:Red w white or yellow coating P:Thin & Rapid: ZhuLing Tang (Zhu Ling Decoction)

Interlocking of Water and Heat

Zhu LingFu LingZe XieHua ShiE jiao

EXPEL DAMPNESS (Urination & Leech Out)44. Fullness in the chest and hypochondriac region,

dizziness and vertio, palpitations, shortness of breath,coughing.T:White & Slippery coating P:Wiry and slippery: LingGui Zhu Gan Tang (Fu Ling, Gui Zhi, Bai Zhu and Gan CaoDecoction)

Yang Qi Xu in the MJ, Phlegm fluid retention.

Fu LingGui ZhiBai ZhuGan Cao

EXPEL DAMPNESS (Warm & Water/Damp)

45. Coughin,copious white phlegm, stifling sensation in thechest and diaphragm, nausea,vomiting, palpitations,dizziness.T:White & Slippery coating P:Slippery: Er Chen Tan (Two-cured ingredient Decoction)

Dampness phlegm accumulation.

Ban Xia (Trans Phlegm)Ju Hong (Trans Phlegm)Fu Ling (Restrain Lung)Sheng jiang (Restrain Lung)Wu Mei (Restrain Lung)Zhi Gan Cao

TREAT PHLEGM (Damp)46. Easily frightened, irritability, anxiety, insomnia,

nausea, vomiting, bitter taste, slight thirst.T: greasy & yellow coating P:Rapid, wiry or slippery.:Wen Dan Tang (Warm the Gall Bladder Decoction)

GB Shi w Phlegm arousing

Ban Xia (Trans Phlegm)Zhu Ru (Trans Phlegm)Zhi Shi (Qi Reg)Chen Pi (Qi Reg)Fu Ling (MH Reg)Gan Cao (MH Reg)Sheng Jiang (MH Reg)Da Zao (MH Reg)

TREAT PHLEGM (Damp)47. Coughing w wheezing,copious sputum which is yellow &

thick, slight aversion to cold, laboured breathing.T:Yellow & greasy coating P:Slippery & rapid.: DingChuan Tang (Arrest Wheezing Decoction)

Wind Cold in the Ext. & Phlegm-Heat smouldering in the Int.

Ma Huang (Disp Ext Factors)Bai GuoXing RenSu ZiKuan Dong HuaBan XiaHuang QinSang Bai PiGan Cao

TREAT PHLEGM (Damp)

48. Coughing w yellow & thick sputum that is difficult tocough out, stifling sensation in the chest & diaphragm,nausea, panting.T:Red w yellow greasy coating P:Rapid, slippery: Qing QiHua Tang Wan (Clear the Heat in the Qi and Transform PhlegmPill)

Phlegm-Heat stag. in LU

Dan Nan XingGua Lou RenHuang QinZhi ShiChen PiFu LingXing RenBan XiaGinger juice

TREAT PHLEGM (Heat)49. Coughing with urgency, difficulty in coughing out the

phlegm, dry throat and mouth.T:Dry & white coating P:: Bei Mu Gua Luo San (Bai Mu andGua Lou Powder)

Dryness-Phlegm in the LU

Bei MuGua LuoTan Hua FenJie GengFuLingJu hong

TREAT PHLEGM (Dry)50. Coughing with profuse phlegm, that is thin and white,

tendency to spit out frothy spittle, congested sensationin the chest.T:White, slippery coat P:Wiry, slippery: Ling Gan Wu WeiJiang Xin Tang (Fu Ling, Gan Cao, Wu Wei Zi, Gan Jiang, andXi Xin Cao Decoction)

Cold Phlegm

Gan JiangXi XinFu LingWu Wei ZiGan Cao

TREAT PHLEGM (Warm & Cold)

51. Itchy throat, cough w phlegm, unsatisfactory feeling ofincomplete coughing out phlegm; or slight aversion tocold, heat effusion as in fever.T:Thin white coat. P:moderate (could be floating): ZhiSou San (Stop Coughing Powder)

Exogenous Wind assaulting the LU (Persistent cough)

Zi Wan Bai BuBai QianJie GengJing JieChen PiGan Cao

TREAT PHLEGM (Wind)52. Dizziness and vertigo,heaviness of the head, headache,

stifling sensation in the chest,nausea, vomiting copioussputum. T:white & greasy coating P:wiry slippery: Ban Xia Bai ZhuTian Ma Tang (Ban Xia, Bai Zhu, and Tian Ma Decoction)

Wind Phlegm rising upward.

Ban xiaTian Ma Bai ZhuFu LingJu HongGan CaoDa ZaoSheng Jiang

TREAT PHLEGM (Wind)53. 1.Constipation & flatulence abdominal distension hard

when pressed, abdominal pain which dislikes beingpressed, afternoon tidal fever.Tongue: dry yellow coating with prickles Pulse: Repletion/excessive and submerged

2.Bluish-green watery stool, with a strong foul smell,abdominal and periumbilical pain, solid mass whenpalpated, dry mouth. Tongue:dry coat Pulse:rapid and slippery: Da Cheng QiTang

Da Huang Mang XiaoZhi ShiHou Po

1.Yang Ming Fu Shi OR 2.Compacted stool & watery fluids due toHeat Accumulation

DRAIN DOWNWARD

54. Strong heat, red complextion, irritability heat, thirst,sweating, dislikes heat

Tongue:yellow coat Pulse:flooding huge forceful: Bai HuTang

(White Tiger Decoction)Shi GaoZhi MuGan CaoGeng Mi

Heat Excess disorder of the YM

CLEAR HEAT(Qi)55. Body Heat(fever), abundant sweating, heat vexation and

stifling sensation in the chest and heart region, nausea,dry mouth like to drink, or restlessness insomnia.

Tongue:red body with little coating. Pulse:fine rapid.:Zhu Ye Shi Gao Tang

(Zhu Ye and Shi Gao Decoction)Zhu YeShi GaoBan XiaMai Men DongRen ShenGan CaoGeng Mi

Residual Heat Damaging Qi and JinYe after externallycontracted:1. Wind Cold turning into heat.OR2.Warm disease or Summer heat

CLEAR HEAT (Qi)

56. 1. Strong fever severe irritability heat dry mouth andthroat, delirium insomnia.2.Heat disease with vomiting blood, nosebleed.3. Toxic swelling, skin rash, sores, boils, carbuncles,abscesses.4.Body heat(fever) with dysentery or damp heatjaundice

Tongue: Red, yellow coat. Pulse: Rapid and forceful:Huang Lian Jie Du Tang

(Huang Lian Decoction to neutralize Toxicity)Huang LianHuang QinHuang BaiZhi Zi

Repletion Heat & Fire Toxin in the TE

CLEAR HEAT (Toxicity)57. Cough, wheeze, skin feels hot to touch, fever which is

worsened in the afternoon.

Tongue: Red w Yellow coating Pulse:thin and rapid: XieBai San

(Drain the White (Lung Heat) PowderDi Gu PiSang Bai PiZhi Gan CaoGeng Mi

Coughing & Wheezing disorder due to hidden fire in the LU

CLEAR HEAT (Zang Fu)58. Body heat(fever) that gets worse at night, restlessness,

insomnia, may have delirious speech, thirst or no thirstor concealed rashes.

T:crimson dry with thorn P:fine & rapid: Qing Ying Tang

(Clear Heat in the Ying Level Decoction)Shui Niu JiaoSheng Di HuangXuan ShenDan Zhu YeMai Men DongDan ShenHuang LianJin Yin HuaLian Qiao

Early onset heat entering the Ying level.

CLEAR HEAT (Ying)

59. Espeacially toothache that extends into the head, facialswelling(inflammation), bad breath, fever, dry, mouthbleeding and sores of the gums, painful and swollenmouth & Jaw.

Tongue:Red w Yellow coating Pulse:slippery rapid.:Qing Wei San

(Clear the Stomach Heat Powder)Huang Lian Sheng Di HuangMu Dan Pi Dang GuiSheng Ma

ST fire raging upward pattern

CLEAR HEAT (Zang Fu)60. 1.Headache, red eyes, hypochindriac pain, bitter taste,

hearing loss, irritability heat.Tongue:red with yellow coating Pulse:wiry forceful,rapid

2.Genital disorders, urinary tract infection, frequent &turbid urination, foul-smelling leucorrhoea.Tongue:Red w Greasy & yellow coating Pulse:Wiry &forceful: Long Dan Xie Gan Tang(Long Dan Cao Decoction to Drain the Liver Fire)Long Dand CaoHuang QinZhi ZiZe XieChuan Mu Tong

1. LR & GB Repletion heat rising upwards.OR2. LR & GB Damp heat converging in the Lower Jiao

CLEAR HEAT (Zang Fu)61. Halitosis, mouth ulcers, gets hungry easily, irritability

heat, thirst, dry mouth & lips or wagging the tongue.

Tongue: Red Pulse:Rapid: Xie Huang San

(Drain the Yellow (Spleen hidden Heat) PowderHuo XiangZhi ZiShi GaoFang FengGan CaoHoneyWine

Hidden Fire in the SP & ST

CLEAR HEAT (Zang Fu)

62. Toothache, frontal headache, loose tooth, bleedinggums, irritability heat(hot & bothered), thirst.

Tongue:Red dry w yellow coat. Pulse:Thin, rapid.: Yu NuJian

(Jade Lady Decoction)Shi GaoShu Di HuangZhi MuMai Men DongNiu Xi

YM fire w SY(Kidney Yin) Xu

CLEAR HEAT (Zang Fu)63. Fever, excessive sweating, irritability heat, thirst, scanty

& yellow urine, lethargy.Pulse:Thin & rapid.: Qing Shu Yi Qi Tang

(Clear Summerheat and Augment the Qi Decoction)Xi Gua PiXi Yang ShenShi HuMai Men DongHuang Lian Zhu YeHe GengZhi MuGan CaoGeng Mi

Exogenous Summer-heat attack injuring the Qi & Yin

CLEAR HEAT (Summer Heat)

64. Disturbances of the Shen, palpitations with anxiety,insomnia, irritability, fatigue, forgetfulness, nocturanalemissions with dreams, hot center of palms and soles,tongue ulcers, dry stool.

T:Red w little coating P:Thin & Rapid: Tian Wang Bu XinDan (Emperor of Heaven's Special Pill to Tonify the Heart)

Sheng Di HuangXuan ShenTain DongMai DongDan ShenDan GuiBai Zi RenSuan Zao RenRen ShenFu LingYuan ZhiWu Wei Zi

HT & KD xu w YIN Xue Xu

CALM SHEN65. Insomnia palpitations, irritability, restlessness,

dizziness and vertigo, dry throat and mouth.

T:Red P:wiry, thin, slightly rapid.: Suan Zao Ren Tang(Sour Jujube Decoction)

Suan Zao RenZhi MuFu LingChuan XiongGan Cao

LR Xue Xu w Heat rising

CALM SHEN66. Hypochondriac pain, intermittent chills & fever,

belching, focal distension in the chest and abdomen.

T: P:Wiry: Chai Hu Shu Gan Wan (Chai Hu to Spread theLiver)

Chai HuXiang FuChuan Xiong QChen PiZhi KeBai ShaoGan Cao

LR Qi Stasis.

REGULATE QI

67. Sensation of something caught in the throat, cantswallow it down and can't spit it out, stifling sensationin the chest, cough, vomiting. T:White and moist/greasy coat P:wiry, moderate orwiry, slippery.: Ban Xia Hou Po Tang (Ban Xia and Hou PoDecoction)

Ban XiaHou PoFu LingSheng JiangZi Su Ye

Mei He Qi (plum-stone throat)

REGULATE QI68. Cold-type hernias disorder. Sensation of cold and pain

in the testicles, abdominal pain, dislikes cold, feelsbetter with warm.

T:Pale white coat P:submerged retarded: Nuan Gan Jian(Warm The Liver Decoction)

Rou GuiXiao Hui XiangDan GuiGou Qi ZIWu YaoChen XiangFu Ling Sheng Jiang

LR & KD(Yang Xu) Xu => Cold obs. LR & KD channels.

REGULATE QI69. 1.Cold extremities(mild) or slight body heat, cough,

palpitation, disruption of urination.Tongue: nil. Pulse: wiry.

2.Disstended sensation of hypochondriac region,abdominal apin diarrhoea loose stool.Pulse:wiry.: Si Ni San

(Frigid Extremities Powder)Chai HuBai ShaoZhi ShiGan Cao

1.Constrained Yang Qi w cold extremities OR 2.LR Shi affectingSP & ST Qi

HARMONISE (LR & SP)

70. Irritability heat, bad temper, or spontaneoussweating/night sweat, or headache, irritating (dry)eyes, or red cheek, dry mouth, lower abdominal,distension or pulling sensation), irregular menses,painful and irritating urination. T:red thin yellow coating. P:Wiry, vacuity and rapid.:Jia Wei Xiao Yao San

Chai HuBai ShaoDang GuiBai ZhuFu LingGan CaoBo HeSheng JiangModification + (Zhi Zi, Mu Dan Pi) Clear heat, drain fire TE/LR

Liver and Spleen Blood Vacuity creating Vacuity Heat Pattern

HARMONISE (LR & SP)71. Hypochondria pain, headache, eye-dizziness, dry

mouth and throat, no appetite, lethargy, eating less, maybe intermittent fever and chills, or irregular menses,painful and distended breats.Tongue:pale Pulse:wiry & vacuity.: Xiao Yao San

(Rambling Powder)Chai HuBai ShaoDang GuiBai ZhuFu LingBo HeGan CaoSheng Jiang

LR Shi, Xue Xu & SP weakness

HARMONISE (LR & SP)72. Acute ab. pain with oedema, pale complexion, dizziness,

palpitation, vertigo, tinnitus, fatigue, cold hands & feetor oedema of the lower limbs, abnormal urination. T:Pale white greasy coat. P:Moderate, slippey and fineor fine and wiry.: Dan Gui Shao Yao San

Shao YaoBai ZhuChuan XiongDang GuiFu LingZe Xie

Liver Blood Vacuity and Splee Vacuity with DampnessAccumulating Pattern

HARMONISE (LR & SP)

73. Borborygmus, abdminal pain, diarrhoea w abdominal pain, pain is reduced after the diarrhoeatongue:thin white coating Pulse:wiry & moderate: Tong Xie Yao Fang

Bai ZhuBai ShaoChen PiFang Feng

Painful Diarrhoea due to overdispersing LR & SP xu

HARMONISE (LR & SP)74. Sensation of fullness(man) but no pain, or nausea/vomiting, borborygmus, diarrhoea.

T:Greasy thin yellow coating. P:Nil: Ban Xia Xie Xin Tang

Ban XiaHuang QinGan JiangRen ShenHuang LianGan CaoDa Zao

Pi Glomus below the Heart (epigastric) due to HOT and COLD clumping

HARMONISE (Cold and Hot int & ST)75. 1.Intermittent fever & chills, fullness in the chest & hypchondriac region, no appetite, irritabilty heat, nausea, dry throat

bitter taste, eye dizziness.

2.Complex Pattern:Wind-cold whihch turns into heat during menses. During menses sea of blood is becomes deficient.TF pathgenic heat enters blood chamber disrupting the menses. Manifests as alternating chills nad fever, fullness in thechest and hypochondriac region, irritability heat, nausea, dry throat, bitter taste and eye-dizziness.: Xiao Chai Hu Tang

(Minor Bupleurum (Chai Hu) Decoction)Chai HuHuang QinRen Shen Ban XiaZhi Gan CaoSheng JiangDa Zao

1.External Wind Cold Attack ShaoYang OR 2.Exogenous Wind Cold Attack turning into heat which enters the blood chamber duringmenstruation.

HARMONISE (ShaoYang)

72 Herbal Formulas S/S's (Clinical Practicum)