1 Wen Bing 5

2 Autumn Dryness

3 Dryness pathogenic factor attack in Autum Starts from LU Dryness damages body fluid

4 Etiology and Pathology –Cool dryness – Warm dryness

5 Diagnosis –Seasonal factor: beginning of Autumn –LU Wei-stage symptoms with dry mouth, nose, skin, etc –LU,ST, seldom transmit to Lower Jiao

6 1. Autumn Dryness in LU Wei-stage –Fever, slight aversion to wind cold, cough with little phlegm, hoarse voice, dry throat, dry nose, slight thirst, red tongue tip and edge with dry thin white coating, rapid large pulse on right –Sang Xing Tang 桑叶 sang ye (Folium Mori Albae) 杏仁 xing ren (Semen Pruni Armeniacae) 沙参 sha shen (Radix Adenophorae seu Glehniae) 贝母 bei mu (Bulbus Fritillariae)\ 豆豉 dou chi (Semen Sojae Praeparatum) 栀子 zhi zi (Fructus Gardeniae Jasminoidis) skin Pear skin

7 2 Autumn dryness in Qi-stage –2-1 Dryness disturbs orifices –2-2 Dryness heat injures LU –2-3 LU dryness and LI heat with bleeding –2-4 Dryness in LU with constipation –2-5 LU & ST yin injury

8 2-1 Dryness disturbs orifices –Fever, thirst, tinnitus, red eyes, swollen gums, sore throat, dry yellow tongue coating, rapid pulse –Qiao He Tang 薄荷 bo he (Herba Menthae Haplocalycis) 连翘 lian qiao (Fructus Forsythiae Suspensae) 甘草 gan cao (Radix Glycyrrhizae Uralensis) 栀子 zhi zi (Fructus Gardeniae Jasminoidis) skin 桔梗 jie geng (Radix Platycodi Grandiflori) 绿豆 lu dou (Semen Phaseoli Radiati) skin

9 2-2 Dryness heat injures LU –Fever, thirst, restlessness, non-productive cough, fullness in chest, rib pain, dry throat, dry nose, red tongue tip and edge, thin white dry or thin yellow dry coating, rapid pulse –Qing Zao Jiu Fei Tang 石膏 shi gao (Gypsum) 桑叶 sang ye (Folium Mori Albae) 甘草 gan cao (Radix Glycyrrhizae Uralensis) 人参 ren shen (Radix Ginseng) 黑芝麻 hei zhi ma (Semen Sesami Indici) 阿胶 e jiao (Gelatinum Corii Asini) 麦门冬 mai men dong (Tuber Ophiopogonis Japonici) 杏仁 xing ren (Semen Pruni Armeniacae) 枇杷叶蜜炙 pi pa ye (Honey –fried Folium Eriobotryae Japonicae)

LU dryness and LI heat with bleeding –Itchy throat and non-productive cough at beginning, follows severe cough with sticky phlegm with blood, chest pain, burning in abdomen, diarrhea, red tongue with thin yellow dry coating, rapid pulse –E Jiao Huang Qin Tang 阿胶 e jiao (Gelatinum Corii Asini) 黄芩 huang qin (Radix Scutellariae Baicalensis) 杏仁 xing ren (Semen Pruni Armeniacae) 桑白皮 sang bai pi (Cortex Mori Albae Radicis) 白芍 bai shao (Radix Paeoniae Lactiflorae) 甘草 gan cao (Radix Glycyrrhizae Uralensis) 车前草 che qian cao (Herba Plantaginis) Sugar cane

Dryness in LU with constipation –Cough with phlegm, fullness in chest and abdomen, constipation with dry stools, dry red tongue –Wu Ren Ju Pi Tang 杏仁 xing ren (Semen Pruni Armeniacae) 郁李仁 yu li ren (Semen Pruni) 桃仁 tao ren (Semen Persicae) 柏子仁 bai zi ren (Semen Biotae Orientalis) Pine nut 陈皮 chen pi (Pericarpium Citri Reticulatae)

LU & ST yin injury –After fever or with slight fever, non-productive cough or with little phlegm, dry nose, dry throat, thirst, dry tongue body with little coating, thin rapid pulse –Glehnia and Ophiopogonis Decoction 沙参麦 门冬汤 sha shen mai men dong tang

13 3. Autumn dryness in Ying or Xue-stage –Fever, thirst, restlessness, with all kinds of bleeding, deep red tongue body with yellow dry tongue coating, rapid pulse –Bai Hu Jia Di Huang Tang Bai Hu Tang Sheng Di

14 Warm Toxin

15 Warm-Toxin Acute infectious High fever, swollen pain, bleeding macula in face, head and throat Epidemic infectious disease

16 Da Tou Wen Etiology and pathogenesis –Wind-heat toxin attack through nose and mouth and obstructed in channels  red swollen face

17 Diagnosis –Acute onset, high fever, aversion to cold, red swollen face, burning pain in local area –Winter, Spring

18 1. Pathogen attacks LU Wei-stage –Aversion to cold, fever but not high, no sweating or little sweating, headache, red swollen face, soreness pain all over body, red eyes, sore throat, thirst, thin yellow tongue coating, floating rapid pulse –Jia Wei Cong Chi Jie Geng Tang ( Xian Cong Bai, JIe Geng, Zhi Zi, Dan Dou Chi, Bo He, Lian QIao, Gan Cao, Dan Zhu Ye, Niu Bang Zi, Jin Yin Hua, Da Qing Ye, Chan Tui)

19 2. Excessive toxin in LU ST –High fever, thirst, restlessness, swollen pain in face, severe sore throat, red tongue with yellow coating, rapid excessive pulse –Pu Ji Xiao Du Yin (Huang Qin, Huang Lian, Xuan Shen, Lian Qiao, Ban Lan Gen, Ma Bo, Niu Bang Zi, Bo He, Jiang Can, Jie Geng, Sheng Ma, Chai Hu, Chen Pi, Gan Cao)

20 3. Excessive toxin in LU ST & Intestines –Fever like burning, fast heavy breathing, restlessness, thirst, sore throat, red eyes, red swollen pain in face and around ears, constipation, concentrated urine, red tongue with yellow coating, rapid pulse –Tong Sheng Xiao Du San (Fang Feng, Bai Zhi, Jin Yin Hua, Lian Qiao, Niu Bang Zi, Zhi Zi, Hua Shi, Mang Xiao, Da Huang, Jie Geng, Gan Cao, Shui Niu Jiao, Da Qing Ye, Bo He, Xian Cong Bai, Dan Dou Chi)

21 4. ST yin injury –Fever’s gone, swollen face disappear, thirst with desire of water, poor appetite, dry throat, dry eyes, red dry lips, dry tongue body lack of fluid with no or little tongue coating, thin a bit rapid pulse –Qi Xian Yu Yin Tang ( Xian Sheng Di, Xian Shi Hu, Xian Bai Mao Gen, Xian Dao Sui, Xian Li Zhi, Xian Zhe Zhi, Xian Pi Pa Ye)

22 Lan Hou Sha Etiology and pathogenesis –Warm toxin attack LU ST  heat toxin obstructed in exterior (Skin, Muscle)  redness on skin, swollen sore throat –scarlet fever

23 Diagnosis –Acute onset of fever, rashes on skin, sore throat with pus, deep red tongue body with prickles (red bayberry ) –Winter, Spring –severe infections

24 1. Toxin attacks LU Wei-stage –Aversion to cold, fever at beginning, followed by high fever, sever thirst, swollen sore throat, even with pus, rash on skin, red tongue with prickles, white dry coating, floating, rapid pulse –Qing Yan Zhi Chi Tang (Zhi Zi, Dan Dou Chi, Jin Yin Hua, Bo He, Niu Bang Zi, Gan Cao, Chan Tui, Jiang Can, Shui Niu Jiao, Lian QIao Ke, Jie Geng, Ma Bo, Lu Gen, Deng Xin Cao, Zhu Ye)

25 2. Heat accumulate in upper Jiao –Severe heat, thirst, restlessness, swollen sore throat, rashes, red tongue body with prickles, dry yellow coating, flooding rapid pulse –Liang Ge San Modification (Lian Qiao, Huang Qin, Zhi Zi, Bo He, Shi Gao, Jie Geng, Gan Cao, Zhu Ye, Sheng Di, Dan Pi, Chi Shao, Zi Cao)

26 3. Heat in Qi-stage and Ying-stage –Swollen sore throat, air tract obstruction, hoarse voice, rapid breathing, rashes on skin in large area, high fever, restlessness, deep red dry tongue body with prickles, thin rapid pulse –Liang Ying Qing Qi Tang (Shui Niu Jiao, Xian Shi Hu, Zhi ZI, Dan Pi, Sheng Di, Bo He, Huang Lian, Chi Shao, Xuan Shen, Shi Gao, Gan Cao, Lian Qiao Ke, Zhu Ye, Lu Gen, Jin Zhi)

27 4. Remaining toxin injures Yin –Swollen sore throat reduced, high fever vanished, but still with afternoon fever, dry lips, dry skin, dry red tongue body, thin rapid pulse –Qing Yan Yang Ying Tang (Xi Yang Shen, Sheng Di, Fu Shen, Mai Dong, Bai Shao, Tian Hua Fen, Tian Dong, Xuan Shen, Zhi Mu, Zhi Gan Cao)