General Introduction to Formulas

The ones with english names behind them from NCCAOM are the focus here. Know about their functions, effect. Have to choose the correct formula. Need to know the chief herbs. Dosage ratios as noted in these slides. Some special combinations, but basically q is based on function/action of Rx. Formula families. Like the Liu Wei Di Huang Wans. What are the differences.

8 therapeutic methods Just a couple of q’s on this topic. 1. sweating – open LU qi, harmonize ying/wei, open pores to expel pathogenic evil, enliven and relax shen (caution: protect body fluid/Qi, weak patients, bleeding patients) 2. vomiting – expel phlegm, food stagnation, poison from throat, chest, ST. (caution: overuse can seriously damage ST yin) 3. descending/draining downward – also called “draining downward,” unblock intestines, ST to expel accumulation of water, blood stagnation, food stagnation, dry stool, cold accumulation, and phlegm. Harshly quickly gets rid of pathogenic factor. Not the same as gradual descending. 4. harmonizing – cold/heat, SP/LV, interior/exterior 5. warming – warm the middle, expel cold, restore yang, unblock channels, treat internal cold in zang, fu, channels. (related to yang qi xu, caution: internal heat, use small dose for short term) 6. clearing – clear heat, drain fire (for internal heat, caution: strong herbs may damage yang qi). Know side fx – damage MJ yang qi = loose stools. 7. reducing – gradually resolve stagnation of Qi, xue, phlegm, food, water, parasite, in zangfu, channels, muscles. Gradual slow elim. 8. tonifying – zangfu (more zang than fu), Qi/xue/yin/yang (caution: too much tonics can give opposite of the desired effect).

Composition 1. emperor/chief herb (1) 2. deputy herb (2) Assist/Help king to treat major syndrome Tx 2ndary syndrome 3. assistant herb (3) Help king/deputy to treat syndrome 4. envoy herb (2) Has same temp as disease and guides other herbs to location of disease. Pork bile is commonly tested. Guide to disease location. Know some common ones. Know which guide up and guide down. Know the basic function of each role. Be able to ID the chief.

Modification Ingredient (never delete King herbs) – move the king, change the country/formula Dosage – focuses not on #g, but ratio between herbs. Dosage form Dosage Form Powder – fastest in action. (Tincture works fast too because of the alcohol carrier) Decoction – most flexible for modification. Pill – slowest in action.

Formulas- Release Exterior Syndrome

Sweating therapeutic method Exterior Wind-C or Wind-H…in combination with: Be able to ID the px that has these things when you analyze case. + Dampness + Interior heat – bitter, restlessness, thirst sx. + Deficiency Aversion to wind or cold, fever, W/ or W/O sweating (excess/Ma huang tang or deficiency/gui zhi tang), pain, floating pulse Shang Han Lun rx’s important for the board q. Lots of Q’s on this! Thirst, sore throat. Heat toxins injures the flesh, qi and blood. Cough, wheezing. LU is the first organ attacked. Deficiency. Pay attn to the pulse – ren shen bai du san q’s won’t show a lot of xu sx but will see it in the pulse…just like Dr. He Q’s. Measles , dysentery, edema. Common formula for this? Short decoction, promote sweating These are aromatic herbs full of volatile oils. Cook short time. Promote sweating is the next step after taking the herbs. gotta know that this +ST qi and sweat pushes pathogens out. Know what the px should not ingest afterwards! Foods: Might have a q or 2 about food – which meat is hot and which is cooler, same for veggies.

Section 1 Release Exterior W-C Section 2 Release Exterior W-H Section 3 Release Exterior and Tonify Interior

Section 1 Release Exterior W-C Ma Huang Tang (Ephedra Decoction) Gui Zhi Tang (Cinnamon Twig Decoction) Xiao Qing Long Tang (Minor Blue-Green Dragon Decoction) Ge Gen Tang (Kudzu Decoction) Zhi Sou San (Stop Coughing Powder)

Syndrome Cough Wheezing *Xing Su San Ma Huang Tang *Qing Zao Jiu Fei Tang Zhi Sou San *Sang Ju Yin Wheezing Xiao Qing Long Tang *Su Zi Jiang Qi Tang *Ding Chuan Tang *Ma Xing Shi Gan Tang

Special Term Compatibilities Administration Acrid + Sweetyang Sour+ Sweet yin Compatibilities Ma Huang : Gui Zhi, Xing Ren Gui Zhi: Shao Yao (1:1), Gan Cao Shao Yao: Gan Cao Wu Wei Zi, Gan Jiang, Xi Xin Administration Gui Zhi Tang

Section 2 Release Exterior W-H Yin Qiao San (Honeysuckle and Forsythia Powder) Sang Ju Yin (Mulberry Leaf and Chrysanthemum Decoction) Ma Xing Shi Gan Tang (Ephedra, Apricot Kernel, Gypsum and LicoriceDecoction) Chai Ge Jie Ji Tang (Bupleurum and Kudzu Decoction) Ge Gen Huang Lian Huang Qin Tang (Kudzu, Coptis, and Scutellaria Decoction)

Syndrome Acrid cool release exterior W-H Wheezing and Cough Sang Ju Yin Yin Qiao San Ma Xing Shi Gan Tang Wheezing and Cough Refer to section 1

Compatibility Compare Administration Ma Huang, Shi Gao (1:2) Sang Ye , Ju Hua Jing Jie, Dan Dou Chi Jie Geng, Xing Ren Compare Yin Qiao San, Sang Ju Yin The 5 herbs in common from Yin Qiao San and Sang Ju Yin Administration Yin Qiao San

Section 3 Release Exterior and Tonify Interior Ren Shen Bai Du San (Ginseng Powder to Overcome Pathogenic Influences)

Formulas- Drain Downward

Purgation method Interior excess Heat Cold Dry Water retention Deficiency Not over use. Careful or forbidden to weak body constitution, pregnancy

Section 1 Drain Downward Heat Section 2 Drain Downward Cold Section 3 Moisten Purgation Section 4 Drain Downward & Tonify Section 5 Drive out Excess Water

Section 1 Drain Downward Heat Da Cheng Qi Tang (Major Order the Qi Decoction) Xiao Cheng Qi Tang (Minor Order the Qi Decoction) Tiao Wei Cheng Qi Tang (Regulate the Stomach and Order the Qi Decoction)

Syndrome and symptom Constipation *Ma Zi Ren Wan *Wen Pi Tang Zeng Ye Chen Qi Tang Da Cheng Qi Tang

Special Term Compatibility Compare Urgent purgation to save yin Remove firewood from hot pot Compatibility Da Huang: Mang Xiao, Tao Ren Zhi Shi, Hou Po Compare Da Cheng Qi Tang, Xiao Cheng Qi Tang, Tiao Wei Cheng Qi Tang

Section 2 Drain Downward Cold Da Huang Fu Zi Tang Wen Pi Tang Compatibility Da Huang, Fu Zi

Section 3 Moisten Purgation Ma Zi Ren Wan (Hemp Seed Pill) Ji Chuan Jian (Benefit the River (Flow) Decoction) Syndrome Spleen restrict

Section 4 Drain Downward & Tonify Xin Jia Huang Long Tang Zeng Ye Cheng Qi Tang

Section 5 Drive out Excess Water Shi Zao Tang

Formulas- Harmonize

Harmonization method Half exterior, half interior Liver, Sp disharmony Heat and cold coagulation Exterior pathogen with interior excess

Section 1 Harmonize Shaoyang Section 2 Regulate Liver & Sp Section 3 Regulate Heat & Cold Section 4 Release Exterior and Interior

Section 1 Harmonize Shaoyang Xiao Chai Hu Tang (Minor Bupleurum Decoction)

Compatibility Chai Hu, Huang Qin Ren Shen, Gan Cao, Da Zao

Section 2 Regulate Liver & Sp Si Ni San (Frigid Extremities Powder) Xiao Yao San (Rambling Powder) Jia Wei Xiao Yao San Tong Xie Yao Fang (Important Formula for Painful Diarrhea) Shao Yao Gan Cao Tang (Peony and Licorice Decoction)

Syndrome and symptom Compatibility Hypochondriac pain Chai Hu, Zhi Shi *Yi Guan Jian Xiao Yao San Si Ni San Compatibility Chai Hu, Zhi Shi Chai Hu+Dang Gui, Bai Shao

Section 3 Regulate Heat & Cold Ban Xia Xie Xin Tang (Pinellia Decoction to Drain the Epigastrium) Sheng Jiang Xie Xin Tang Gan Cao Xie Xin Tang Huang Lian Tang Compatibility Ban Xia, Gan Jiang + Huang Qin, Huang Lian

Section 4 Release Exterior and Interior Da Chai Hu Tang (Major Bupleurum Decoction) Ge Gen Huang Lian Huang Qin Tang (Kudzu, Coptis, and Scutellaria Decoction)

Formulas- Clear Heat

Interior heat but not combine with turbidity Clearing Heat method Interior heat but not combine with turbidity Qi stage, Ying Xue Stage Excessive, deficiency Location

Section 1 Cleat Heat in Qi-stage Section 2 Cleat Heat in Ying and Blood-stages Section 3 Cleat Heat and Detoxification Section 4 Cleat Heat from Zang-Fu Organs Section 5 Cleat Summer-Heat Section 6 Cleat Deficient Heat

Section 1 Cleat Heat in Qi-stage Bai Hu Tang (White Tiger Decoction) Zhu Ye Shi Gao Tang (Lophatherus and Gypsum Decoction) Compatibilities Shi Gao, Zhi Mu Ban Xia in Zhu Ye Shi Gao Tang

Section 2 Cleat Heat in Ying and Blood-stages Qing Ying Tang (Clear the Nutritive Level Decoction) Xi Jiao Di Huang Tang (Rhinoceros Horn and Rehmannia Decoction) Special term Penetrate warmth from Ying to Qi stage Compatibility Jin Yin Hua, Lian Qiao Zhu Ye, Huang Lian

Section 3 Cleat Heat and Detoxification Huang Lian Jie Du Tang (Coptis Decoction to Relieve Toxicity) Pu Ji Xiao Du Yin (Universal Benefit Decoction to Eliminate Toxin) Wu Wei Xiao Du Yin (Five-Ingredient Decoction to Eliminate Toxin)

Section 4 Cleat Heat from Zang-Fu Organs Dao Chi San (Guide Out the Red Powder) Long Dan Xie Gan Tang (Gentiana Longdancao Decoction to Drain the Liver) Zuo Jin Wan (Left Metal Pill) Xie Bai San (Drain the White Powder) Qing Wei San (Clear the Stomach Powder) Yu Nu Jian (Jade Woman Decoction) Shao Yao Tang (Peony Decoction) Bai Tou Weng Tang (Pulsatilla Decoction)

Compatibility Zhu Ye, Bo He in Liang Ge San Chai Hu + Sheng Di, Dang Gui in Long Dan Xie Gan Tang Rou Gui in Shao Yao Tang Huang Lian, Sheng Ma (Qing Wei San) Huang Lian: Wu Zhu Yu (6:1)

Section 5 Cleat Summer-Heat Liu Yi San Gui Ling Gan Lu Yin Qing Shu Yi Qi Tang

Section 6 Cleat Deficient Heat Qing Hao Bie Jia Tang (Artemisia Annua and Soft-Shelled Turtle Shell Decoction) Qing Gu San (Cool the Bones Powder) Dang Gui Liu Huang Tang (Tangkuei and Six-Yellow Decoction) Special term Nourish yin and disperse heat Compatibility Qing Hao, Bie Jia

Formulas- Warm Interior

Warming Method Interior cold Warm + tonify Warm +disperse

Section 1 Warm Middle Jiao and Expel Cold Section 2 Warm yang to Rescue Collapse Section 3 Warm Meridian and Disperse Cold

Section 1 Warm Middle Jiao and Expel Cold Li Zhong Wan (Regulate the Middle Pill) Xiao Jian Zhong Tang (Minor Construct the Middle Decoction) Da Jian Zhong Tang (Major Construct the Middle Decoction) Wu Zhu Yu Tang (Evodia Decoction) Xiao Ban Xia Tang

Syndrome and symptoms Compatibility Vomiting Gan Jiang, Ren Shen Wen Dan Tang Wu Zhu Yu Tang Xuan Fu Dai Zhe Tang Ju Pi Zhu Ru Tang Xiao Ban Xia Tang Compatibility Gan Jiang, Ren Shen Gui Zhi , Shao Yao (1:2)

Section 2 Warm yang to Rescue Collapse Si Ni San (Frigid Extremities Powder) Compatibility Fu Zi, Gan Jiang

Syndrome and Symptoms Si Ni Headache Si Ni San Si Ni Tang Dang Gui Si Ni Tang Wu Zhu Yu Tang Headache Chuan Xiong Cha Tiao San

Section 3 Warm Meridian and Disperse Cold Dang Gui Si Ni Tang Huang Qi Gui Zhi Wu Wu Tang Yang He Tang Compatibility Mu Tong in Dang Gui Si Ni Tang Compare *Si Ni San, *Si Ni Tang, Dang Gui Si Ni Tang

Formulas- Tonify

Section 1 Tonify Qi Section 2 Tonify Blood Section 3 Tonify Qi and Blood Section 4 Tonify Yin Section 5 Tonify Yang Section 6 Tonify Yin & Yang

Section 1 Tonify Qi Si Jun Zi Tang (Four-Gentleman Decoction) Liu Jun Zi Tang, Xiang Sha Liu Jun Zi Tang Shen Ling Bai Zhu San (Ginseng, Poria and Atractylodes Macrocephala Powder) Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) Yu Ping Feng San (Jade Windscreen Powder) Sheng Mai San (Generate the Pulse Powder)

Special Term Tonify qi to lift yang Tonify qi to consolidate exterior Tonify qi to bind blood Cultivate Earth to generate Metal

Section 2 Tonify Blood Si Wu Tang (Four-Substance Decoction) Tao Hong Si Wu Tang Dang Gui Bu Xue Tang (Tangkuei Decoction to Tonify the Blood) Gui Pi Tang (Restore the Spleen Decoction)

Section 3 Tonify Qi and Blood Ba Zhen Tang (Eight-Treasure Decoction) Shi Quan Da Bu Tang (All Inclusive Great Tonifying Decoction) Tai Shan Pan Shi San (Powder that Gives the Stability of Mount Tai) Zhi Gan Cao Tang (Honey-Fried Licorice Decoction)

Section 4 Tonify Yin Liu Wei Di Huang Wan (Six-Ingredient Pill with Rehmannia) Zhi Bai Di Huang Wan (Anemarrhena Phellodendron and Rehmannia Pill) Qi Ju Di Huang Wan (Lycium Fruit, Chrysanthemum and Rehmannia Pill) Du Qi Wan (Capital Qi Pill) Mai Wei Di Huang Wan Zuo Gui Wan (Restore the Left (Kidney) Pill) Zuo Gui Yin (Restore the Left (Kidney) Decoction) Da Bu Yin Wan (Great Tonify the Yin Pill) Er Zhi Wan (Two-Ultimate Pill) Yi Guan Jian (Linking Decoction)

Section 5 Tonify Yang Jin Gui Shen Qi Wan (Kidney Qi Pill from the Golden Cabinet) Ji Sheng Shen Qi Wan You Gui Wan (Restore the Right (Kidney) Pill) You Gui Yin (Restore the Right (Kidney) Decoction)

Section 6 Tonify Yin & Yang Er Xian Tang (Two-Immortal Decoction) Shou Tai Wan (Fetus Longevity Pill)

Formulas- Regulate Qi

Section 1 Move Qi Section 2 Descend Qi

Section 1 Move Qi Yue Ju Wan (Escape Restraint Pill) Chai Hu Shu Gan San (Bupleurum Powder to Spread the Liver) Gua Lou Xie Bai Bai Jiu Tang Gua Lou Xie Bai Ban Xia Tang, Zhi Shi Xie Bai Gui Zhi Tang Ban Xia Hou Po Tang (Pinellia and Magnolia Bark Decoction) Tian Tai Wu Yao San (Top-quality Lindera Powder) Nuan Gan Jian (Warm the Liver Decoction)

Section 2 Descend Qi Su Zi Jiang Qi Tang (Perilla Fruit Decoction for Directing Qi Downward) Ding Chuan Tang (Arrest Wheezing Decoction) Xuan Fu Dai Zhe Tang Ju Pi Zhu Ru Tang (Tangerine Peel and Bamboo Shaving Decoction Ding Xiang Shi Di Tang

Formulas- Regulate Blood

Section 1 Move blood and remove blood stasis Section 2 Stop Bleeding

Section 1 Move blood and remove blood stasis Xue Fu Zhu Yu Tang (Drive Out Stasis in the Mansion of Blood Decoction) Tong Qiao Huo Xue Tang, Ge Xia Zhu Yu Tang (Drive Out Blood Stasis Below the Diaphragm Decoction), Shao Fu Zhu Yu Tang (Drive-Out Blood Stasis in the Lower Abdomen Decoction), Shen Tong Zhu Yu Tang (Drive Out Blood Stasis from a Painful Body Decoction) Bu Yang Huan Wu Tang (Tonify the Yang to Restore Five (Tenths) Decoction) Fu Yuan Huo Xue Tang (Revive Health by Invigorating the Blood Decoction) Wen Jing Tang (Warm the Menses Decoction) Sheng Hua Tang (Generation and Transformation Decoction) Gui Zhi Fu Ling Wan (Cinnamon Twig and Poria Pill) Shi Xiao San (Sudden Smile Powder)

Special term Tonify qi to quicken blood

Section 2 Stop Bleeding Shi Hui San Si Sheng Wan Ke Xue Fang Huai Hua San Xiao Ji Yin Zi Huang Tu Tang Jiao Ai Tang (Ass-Hide Gelatin and Mugwort Decoction)

Syndrome and symptoms Special Term uterine bleeding Huang Tu Tang *Gui Pi Tang *Li Zhong Wan Special Term Warm Yang to stop bleeding Clearing Liver calming LU to stop bleeding

Formulas- Calm Shen

Section 1 Sedate Shen Section 2 Nourish and Calm Shen

Section 1 Sedate Shen Syndrome and symptoms *Tian Wang Bu Xin Dan Zhu Sha An Shen Wan Ci Zhu Wan Syndrome and symptoms *Tian Wang Bu Xin Dan *Wen Dan Tang *Suan Zao Ren Tang

Section 2 Nourish and Calm Shen Tian Wang Bu Xin Dan (Emperor of Heaven’s Special Pill to Tonify the Heart) Suan Zao Ren Tang (Sour Jujube Decoction) Gan Mai Da Zao Tang (Licorice, Wheat, and Jujube Decoction) Huang Lian E Jiao Tang (Coptis and Ass-Hide Gelatin Decoction)

Formulas- Stabilize and Bind

Section 1 Stabilize exterior to stop sweating Section 2 Astringe LU to stop cough Section 3 Stabilize LI to stop diarrhea Section 4 Bind essence and stop enuresis and spermatorrhea Section 5 Consolidate to arrest vaginal bleeding and leucorrhea

Section 1 Stabilize Exterior to Stop Sweating Mu Li San (Oyster Shell Powder)

Section 2 Astringe LU to stop Cough Jiu Xian San

Section 3 Stabilize LI to stop diarrhea Zhen Ren Yang Zang Tang Si Shen Wan (Four-Miracle Pill) Special Term Strengthen Fire to generate Earth

Section 4 Bind Essence and Stop Enuresis and Spermatorrhea Jin Gui Shen Qi Wan (Kidney Qi Pill from the Golden Cabinet) Sang Piao Xiao San (Mantis Egg-Case Powder) Suo Quan Wan

Section 5 Consolidate to arrest vaginal bleeding and leucorrhea Gu Jing Wan Yi Huang Tang Wan Dai Tang (End Discharge Decoction)

Formulas- Treat Wind

Section 1 Expel Wind Section 2 Extinguish Internal Wind

Section 1 Expel Wind Chuan Xiong Cha Tiao San (Ligusticum Chuanxiong Powder to be Taken with Green Tea) Xiao Huo Luo Dan Qian Zheng San Xiao Feng San (Eliminate Wind Powder from True Lineage) Cang Er Zi San (Xanthium Powder) Juan Bi Tang (Remove Painful Obstruction Decoction from Medical Revelations)

Section 2 Extinguish Internal Wind Ling Jiao Gou Teng Tang (Antelope Horn and Uncaria Decoction) Zhen Gan Xi Feng Tang (Sedate the Liver and Extinguish Wind Decoction) Tian Ma Gou Teng Yin (Gastrodia and Uncaria Decoction) Da Ding Feng Zhu

Formulas- Treat Dryness

Xing Su San (Apricot Kernel and Perilla Leaf Powder) Sang Xing Tang (Mulberry Leaf and Apricot Kernel Decoction) Qing Zao Jiu Fei Tang (Eliminate Dryness and Rescue the Lungs Decoction) Mai Men Dong Tang (Ophiopogonis Decoction) Bai He Gu Jin Tang (Lily Bulb Decoction to Preserve the Metal)

Formulas- Expel Dampness

Section 1 Dry Dampness and Regulate Stomach Section 2 Clear and Eliminate Damp-heat Section 3 Promote Urination and Leach out Dampness Section 4 Warm to Transform Cold Damp Section 5 Expel Wind and Dry Dampness

Section 1 Dry Dampness and Regulate Stomach Ping Wei San (Calm the Stomach Powder) Huo Xiang Zheng Qi San (Agastache Powder to Rectify the Qi)

Section 2 Clear and Eliminate Damp-heat Yin Chen Hao Tang (Artemisia Yinchenhao Decoction) Ba Zheng San (Eight-Herb Powder for Rectification) San Ren Tang Er Miao San (Two-Marvel Powder)

Section 3 Promote Urination and Leach out Dampness Wu Ling San (Five-Ingredient Powder with Poria) Zhu Ling Tang (Polyporus Decoction) Wu Pi San (Five-Peel Powder)

Section 4 Warm to Transform Cold Damp Ling Gui Zhu Gan Tang (Poria, Cinnamon Twig, Atractylodis Macrocephalae and Licorice Decoction) Zhen Wu Tang (True Warrior Decoction) Gui Zhi Shao Yao Zhi Mu Tang (Cinnamon Twig, Peony, and Anemarrhena Decoction)

Section 5 Expel Wind and Dry Dampness Qiang Huo Sheng Shi Tang (Notopterygium Decoction to Overcome Dampness) Du Huo Ji Sheng Tang (Angelica Pubescens and Sangjisheng Decoction)

Formulas- Treat Phlegm

Section 1 Dry dampness and resolve phlegm Section 2 Clear heat and resolve phlegm Section 3 Moistening dryness and resolve phlegm Section 4 Warm and resolve cold phlegm Section 5 Resolve phlegm and extinguish Wind

Section 1 Dry dampness and resolve phlegm Er Chen Tang (Two-Cured Decoction) Wen Dan Tang (Warm the Gallbladder Decoction)

Section 2 Clear heat and resolve phlegm Qing Qi Hua Tan Wan (Clear the Qi and Transform Phlegm Pill)

Section 3 Moistening dryness and resolve phlegm Bei Mu Gua Lou San

Section 4 Warm and resolve cold phlegm San Zi Yang Qin Tang (Three-Seed Decoction to Nourish One’s Parents)

Section 5 Resolve phlegm and extinguish Wind Ban Xia Bai Zhu Tian Ma Tang (Pinellia, Atractylodis Macrocephalae, and Gastrodia Decoction)

Formulas- Treat Food Stagnation

Section 1 Eliminate food stagnation Section 2 Tonify SP and Eliminate food stagnation

Section 1 Eliminate food stagnation Bao He Wan (Preserve Harmony Pill)

Section 2 Tonify SP and Eliminate food stagnation Jian Pi Wan Zhi Shi Xiao Pi Wan Zhi Zhu Wan

Formulas-Expel Parasites

Wu Mei Wan