Transcript Development of TCM Internal Medicine

Herbs that regulate the Qi
Sp. & St. Qi stag. -- Epigastric & abdominal Fullness, Distention, & Pain,
belching, gas, acid regurgitation, nausea, vomiting, loss of appetite, and
diarrhea or constipation;
Liver Qi Stag. -- Stifling sensation in the chest, irregular menstruation or
swollen , tender breasts;
Lu. Qi Stag.-- Cough & wheezing shortness of breath
Regulate both Lung Qi &
Spleen Qi
Chen Pi; Ju Hong; Tan Xiang; Xie Bai
Regulate Spleen & St. Qi
Zhi Shi; Zhi Ke; Da Fu Pi; Mu Xiang; Tu Mu Xiang;
chuan Mu Xiang;
Regulate Liver Qi
Qing Pi; Xiang Fu; Chuan Lian Zi;
Kidney Meridian
Wu Yao; Chen Xiang;
Contraindications
Qi & Yin def.
Tow important Points
Distention or Pain
Location
Herbs that regulate the Qi
Part One
Agents which regulate both lung & Spleen Qi
Chen Pi 陈皮
Ju Hong 橘红
Chen Pi 陈皮
Chen Pi 陈皮
(warm)
Pharmaceutical Name
Citri reticulatae Pericarpium
Regulates the Qi, adjusts the middle, and relieves the
diaphragm
Actions
Dries dampness & transforms phlegm
Helps prevent stagnation
Epigastric or abdominal distention
Cough with sputum
Indications
( Excess )
Nausea & vomiting
Thick, greasy tongue coating
Dosage
Cook
Toxic sym.
3–9g
Chen Pi 陈皮
Contraindications
(warm)
Dry cough due to Qi & Yin def.
Combinations
Indications
Sheng Jiang 生姜
Vomiting & hiccough due to
cold
Zhu Ru 竹茹
Huang Lian 黄连
Vomiting due to phlegm-heat
Sang Bai Pi 桑白皮
Lung heat type coughing
Zhi Shi 枳实
Mu Xiang 木香
Abdominal distention & pain
Bai Zhu 白术
Bad appetite due to dampness
Qin Pi 青皮
Liver Qi invade stomach: rib
area distention
Dang Shen 党参
Bai Zhu 白术
Coughing & wheezing due to
Qi def.
Formular
Ju Hong 橘红
Ju Hong 橘红
(Warm)
Pharmaceutical Name
Citri reticulatae Exocarpium rubrum
Regulates the Qi & expends the chest
Drying dampness & transform phlegm
Actions
Reduce food stagnation or accumulation
Cough with sputum
Indications
(Excess)
Dosage
3-9g
Cook
Toxic Sym.
None noted
Ju Hong 橘红 (Warm)
Contraindications
Comparisons
Ju Hong
Chen Pi
Taste
More drying & aromatic
Actions
Less effective in harmonizing the
middle & regulating the St. & Sp.
Treat the dampness in
the middle
Instructions
Mainly treating phlegm-damp coughs
Vomiting & belching;
Widely used in most
damp & phlegm disease
Area
Only used in local area & Si Chuan &
eastern China
All
Herbs that regulate the Qi
Part Two
Agents which regulate Stomach & Spleen Qi
Zhi Shi 枳实;
Zhi Ke 枳壳;
Da Fu Pi 大腹皮;
Mu Xiang 木香;
Tu Mu Xiang 土木香;
chuan Mu Xiang 川木香;
Zhi Shi 枳实
Zhi Shi 枳实
( slightly cold)
Pharmaceutical Name
Aurantii Fructus immaturus
Breaks up stagnant Qi & reduces accumulation
Actions
Transforms phlegm & expels focal distention
Used with Qi-tonifying herbs
Epigastric or abdominal pain & distention
Indications
(Excess)
Phlegm obstruction
Gastriectasis, gastroptosis, rectal prolapse, or uterine
prolapse
Raise blood pressure
Dosage
Cook
Toxic Sym.
3-9g
Zhi Shi 枳实 ( slightly cold)
Contraindications
Pregnancy
Spleen & St. deficienct
Indications
Hou Pu 厚朴
Food stagnation
Da Huang 大黄
Abdominal distention with
constipation
Huang Qi 黄芪
Sheng Ma 升麻
Prolapse ( rectal or urine )
Xiang Fu 香附
Shen Qu 神曲
Food stagnation with chest &
abdominal distention
Xie Bai 薤白
Gui Zhi 桂枝
Gua Lou 瓜篓
chest distention
Formular
Zhi Ke 枳壳
Zhi Ke 枳壳
( slightly cold )
Pharmaceutical Name
Aurantii Fructus
Promotes the flow of Qi
Actions
Cough
Indications
(Excess )
Dosage
Cook
Toxic Sym.
Distention
Constipation
3 -9 g
Zhi Ke 枳壳 ( slightly cold )
Contraindications
Pregnancy
Combinations
Indications
Gui Zhi 桂枝
Stabbing pain in the chest
and flanks
Jie Geng 桔梗
Phlegm in the chest & block
the Qi
Formular
Comparisons
Zhi Shi
Zhi Ke
Similar actions
Strong
Gentle in effect
Actions
Break up the Qi stagnation;
Regulate the Qi;
Instructions
Strong distention & fullness
Lightly fullness
Prolapse
Da Fu Pi 大腹皮
Da Fu Pi 大腹皮
(Slightly warm)
Pharmaceutical Name
Arecae Pericarpium
Drives Qi downword & eases the middle
Actions
Promotes urination & reduces edema
Abdominal distention due to dampness
Indications
( Excess )
Acid rgurgitation
Edema with abdominal distention
Dosage
4.5 – 9 g
Cook
Toxic Sym.
Urticaria, severe abdominal pain & diarrhea
Da Fu Pi 大腹皮 (Slightly warm)
Contraindications
Pregnancy
Combinations
Indications
Bai Zhu 白术
Spleen qi Def. with dampness
or water accmulation
Hou Pu 厚朴
Chen Pi 陈皮
Difficult bowl movement
Sheng Jiang Pi 生姜皮
Sang Bai Pi 桑白皮
Edema
Formular
Wu Pi Yin 五皮饮
Mu Xiang 木香
Mu Xiang 木香
(Warm)
Pharmaceutical Name
Aucklandiae Radix
Promotes the movement of Qi & stop pain
Actions
Adjusts and regulates stagnant Qi in the intestines
Strengthens the spleen & prevents stagnation
Epigastric or abdominal pain
Indications
( Excess & def. )
Dosage
Diarrhea and dysenteric disorders
Spleen & st. weak of transformative function
3 – 9g
Cook
Toxic Sym.
Allergic reaction including abdominal discomfort
Mu Xiang 木香 (Warm)
Contraindications
Yin def. or depleted fluids
Combinations
Indications
Zhi Ke 枳壳
Yan Hu Suo 延胡索
Epigastric & abdominal pain
Sha Ren 砂仁
Focal distention
Bai Zhu 白术
Lose of appetite with
epigastric and abdominal
pain and distention
Dang Shen 党参
Sha Ren 砂仁
Chronic diarrhea
Da Huang 大黄
Yin Chen Hao 茵陈蒿
GB stone or constipation due
to damp-heat
Formular
Xiang Sha Liu Jun Zi
Tang 香砂六君子汤
Chuan Mu Xiang 川木香
Chuan Mu Xiang
川木香 (warm)
Pharmaceutical Name
Dolomiaeae Radix
Promotes proper movement of Qi
Actions
Warms the middle
Harmonizes the stomach
Distention & pain in the abdomen
Indications
(Excess )
Dosage
Vomiting
Diarrhea
3-9 g
Cook
Toxic Sym.
None noted
Tu Mu Xiang 土木香
Tu Mu Xiang
土木香(warm)
Pharmaceutical Name
Inulae Radix
Promotes flow of Qi
Actions
Stop pain
Fullness & distention of the chest
Indications
(Excess)
Dosage
Nausea & vomiting, diarrhea
3-9 g
Cook
Toxic Sym.
None noted
Herbs that regulate the Qi
Part Three
Agents which regulate the Liver Qi
Qing Pin 青皮;
Xiang Fu 香附;
Chuan Lian Zi 川楝子;
Qing Pi 青皮
Qing Pi 青皮
(warm)
Pharmaceutical Name
Citri reticulatae viride Pericarpium
Spreads the liver qi & breaks up stagnant qi
Actions
Dissipates clumps & reduces stagnation
Distention & pain in the rib area
Indications
(Excess)
Dosage
Cook
Toxic Sym.
Food stagnation with pain or a stiffing sensation
Breast abscess ( clumping)
3–9g
Qing Pi 青皮 (warm)
Contraindications
Qi def.
Combinations
Indications
Yu Jin 郁金
Liver qi stag.
Chai Hu 柴胡
Liver pain
Chen Pi 陈皮
Shan Zha 山楂
Shen Qu 神曲
Mai Ya 麦芽
Food stagnation
Sang Leng 三棱
E Zhu 莪术
Masses
Wu Yao 乌药
Gao Liang Jiang 高良
姜
Lower abdominal cold pain
Formular
Chai Hu Shu Gan
San柴胡疏肝散
Tian Tai Wu yao
San 天台乌药散
Xiang Fu 香附
Xiang Fu 香附
( Neutral )
Pharmaceutical Name
Cyperi Rhizoma
Spreads & regulates liver Qi
Actions
Regulates menstruation & alleviates pain
Liver Qi stag.
Indications
(Excess)
Dosage
Cook
Toxic Sym.
Dysmenorrhea or irregular menstruation
Disharmony between the liver & spleen
6 -12
Xiang Fu 香附 ( neutral )
Contraindications
Qi def. & no stagnation; yin def. ; heat in the blood
Combinations
Indications
Zhi Zi 栀子
Stomach ache
Gao Liang Jiang 高良
姜
Stomach ache due to cold
Dang Gui 当归
Ai Ye 艾叶
Dysmenorrheal
Chai Hu 柴胡
Distention & Pain in the rib
area
Gua Lou 瓜篓
Breast distention & pain
Mu Xiang 木香
Fo Hou 佛手
Abdominal pain
Formular
Chai Hu Shu Gan
San 柴胡疏肝散
Chuan Lian Zi 川楝子
Chuan Lian Zi
川楝子 (cold)
Pharmaceutical Name
Toosendan Fructus
Dredges liver Qi, release constraint, stops pain
Actions
Cools Heat
Kills parasites & stops pain
Distention & pain from liver/stomach disharmony
Indications
(Excess)
Dosage
Liver pain due to heat
Roundworms & tapeworms
4.5 – 9 g
Cook
Toxic Sym.
Slightly toxin：Nervous sys. ; digestive tract; circulatory system;
Chuan Lian Zi 川楝子 (cold)
Contraindications
Cold from deficiency of the spleen & stomach
Combinations
Indications
Yan Hu Suo 延胡索
Intermittent epigastric and
hypochondriac pain
Xiang Fu 香附
Liver Qi stag.
Formular
Herbs that regulate the Qi
Part Four
Agents which go to Kidney meridian
Wu Yao 乌药
Chen Xiang 沉香
Wu Yao 乌药
Wu Yao 乌药
(warm)
Pharmaceutical Name
Linderae Radix
Promotes the movement of Qi & alleviates pain
Actions
Warms the kidney
Epigastric & abdominal pain and distention from cold &
qi stagnation
Indications
(Excess & def.)
Dosage
Urinary frequency or incontinence due to insufficiency
of kidney yang and cold from bladder
3-9 g
Cook
Toxic Sym.
Long term administration & overdosage should both be avoided
Wu Yao 乌药 (warm)
Contraindications
Significant qi & blood def. or internal heat
Combinations
Indications
Mu Xiang 木香
Zhi Ke 枳壳
Epigastric and abdominal
pain
Rou Gui 肉桂
Abdominal pain of cold
Wu Zhu Yu 吴茱萸
Abdominal pain, vomiting
and diarrhea due to spleen &
kidney yang def.
Dang Gui 当归
Xiang Fu 香附
Menstrual pain
Yi Zhi Ren 益智仁
Bai Shao 白芍
Urinary frequency in adults
and enuresis in children
Formular
Chen Xiang 沉香
Chen Xiang 沉香
( Warm )
Pharmaceutical Name
Aquilariae Lignum resinatum
Promotes the movement of Qi & alleviates pain
Actions
Directs rebellious Qi downward & regulates the middle
Aids the kidney in grasping the Qi
Pain in the lower abdominal due to cold
Indications
(Excess & def. )
Dosage
Cook
Toxic Sym.
Vomiting, belching or hiccough due to def. cold
Asthma & wheezing
1 – 1.5 g
Added near the end
Nausea, borborygmus, and diarrhea
Chen Xiang 沉香
Contraindications
( Warm )
Sunken qi or fire from yin def.
Combinations
Indications
Formular
Wu Yao 乌药
Lower abdominal pain
Liu Mo Tang 六磨汤
Fu Zi 附子
Rou Gui 肉桂
Asthma due to def. cold of
kidney
Rou Gui 肉桂
Gan Jiang 干姜
Abdominal cold pain
Fu Zi 附子
Ding Xiang 丁香
Cold limbs
Zi Su Ye 紫苏叶
Bai Dou Kou 白豆蔻
Vomiting & hiccough
Comparisons
Chen Xiang
Mu Xiang
Moving Qi & Stop pain
Actions
Aids the kidney in grasping the Qi
Strengthen the Spleen
Indication
Asthma & wheezing
Diarrhea due to spleen def.
Comparisons
Wu Yao
Xiang Fu
Moving Qi
&
Mu Xiang
Stop pain & warm
Kidney
Liver
Spleen & St.
Warm the kidney
Regulate the liver Qi
Regulate & strengthen the
Sp. & St. Qi
Urienary frequency;
Menstrual pain due to
cold;
Menstrual pain due to liver Qi
stag.;
Main herb to treat women
disease;
Abdominal distention; bad
digestion
Herbs that Regulate the Qi
Conclusion
Good at Promoting the movement
of the Qi
Chen Pi; Ju Hong; Zhi Shi; Zhi Ke;
Da Fu Pi; Qing Pi;
Xie Bai
Good at Alleviating the Pain
Mu Xiang; Tu Mu Xiang; Chuan Mu
Xiang; Xiang Fu; Chuan Lian Zi;Wu
Yao; Chen Xiang;
Tan Xiang;
All go to the middle Jiao
Go to Lung
Go To Kidney
Chen Pi: Ju Hong; Wu Yao;
Chen Xiang; Wu Yao;