Transcript Development of TCM Internal Medicine

Tonifying Yin Herbs
Yin deficient symptoms:
Lung Yin def。： dry cough, loss of voice, thirst, dry throat, dry skin, thick sputum
St. Yin def.: lack of appetite, irritability, thirst, dry mouth, and constipation
Liver Yin def.:
-- Liver Blood def.: diminished visual acuity, dry, dull eyes, night blindness,
dizziness, tinnitus, and dry nails
-- Liver Yang rising: vertigo, tinnitus, dry mouth & throat, insomnia, red
tongue, and a fast thin pulse
Kidney Yin def.: dizziness, tinnitus, weakness of the lower back & legs, warm
palms & soles, afternoon low-grade fever, diminished sexual function, scanty & dark
urine
Nourish the Yin
Nourish the Yin &
anchors the Yang
Nourish Liv. & Kid. Yin
Sha Shen ( Bei Sha Shen, Nan Sha Shen) Mai Men Dong,
Tian Men Dong, Bai He, Shi Hu, xi yang shen, yu zhu
Gui Ban, Bie Jia
Nu Zhen Zi, Hei Zhi Ma, Mo Han Lian
Contraindications
Herbs that Nourish Yin
Herbs that Nourish Yin & Clear deficient fever
Bei Sha Shen 北沙参
Nan Sha Shen 南沙参
Mai Men Dong 麦门冬
Tian Men Dong 天门冬
Bai He 百合
Shi Hu 石斛
Xi Yang Shen 西洋参
Yu Zhu 玉竹
Bei Sha Shen 北沙参
Bei Sha Shen 北沙参
( slightly cold )
Pharmaceutical Name
Glehniae Radix
1. Nourishes the Lung Yin & clears lung heat
Actions
1. Nourishes the Stomach yin & generates fluids
Dry, nonproductive cough from lung yin def.
Indications
( Deficiency )
Dosage
St. Yin def.
9 – 15 g
Cook
Toxic Sym.
None noted
Bei Sha Shen 北沙参 ( slightly cold )
Contraindications
Cough due to wind-cold
Combinations
Indications
Formular
Mai Men Dong
麦门冬
Tian Hua Fen
天花粉
Chronic, dry cough due
to lung yin def.
ShaShenMaiMenDongTang
沙参麦门冬汤
Zhi Mu 知母
Bie Jia 鳖甲
Chuan Bei Mu 川贝母
Coughing of blood due
to yin def.
Sheng Du Huang
生地黄
Mai Men Dong
麦门冬
Stomach yin def. after
warm disease
Sang Ye 桑叶
Xing Ren 杏仁
Lung dryness disease
Sang Xing Tang 桑杏汤
Nan Sha Shen 南沙参
Nan Sha Shen 南沙参
( cool )
Pharmaceutical Name
adenophorae Radix
1. Moistens the Lungs & stops coughs
Actions
1. Nourishes the Stomach, generates fluids, and clear
heat
2. Moistens the exterior
Dry nonproductive cough due to lung yin def.
Indications
( Deficiency )
Dosage
Yin def. causes dryness of the mouth or throat
9 – 15 g
Cook
Toxic Sym.
Allergic contact dermatitis
Nan Sha Shen 南沙参( cool )
Contraindications
Do not combine with Li Lu
Combinations
Indications
Formular
Chuan Bei Mu贝母
Zhi Mu 知母
Dry cough with sputum
Shi Hu 石斛
Sheng Di 生地
Thirst, dry throat and mouth,
constipation due to St. yin def.
Yu Zhu 玉竹
Mai Dong麦冬
Itching, dry skin in winter
compairation
Bei Sha Shen
Nan Sha Shen
Good at tonifying the yin
Good at dispelling phlegm
Mai Men Dong 麦门冬
Mai Men Dong 麦门冬
( Slightly cold )
Pharmaceutical Name
Ophiopogonis Radix
1. Moistens the lungs & nourishes the yin
1. Augments the Stomach yin & generates fluids
Actions
2. Moistens the Intestine
2. Clears the Heart & eliminates irritability
Hacking, dry cough with thick sputum
Dry tongue & mouth due to St. yin def.
Indications
( def. )
Constipation
Irritability due to yin def.
Dosage
6 – 15g
Cook
Toxic Sym.
Allergic reactions: nausea, vomiting, nervousness, agitation
Mai Men Dong 麦门冬( Slightly cold )
Contraindications
Loose stools from spleen def.
In the early stages of wind-cold disease
Combinations
Indications
Formular
Shi Gao 石膏
Sang Ye 桑叶
Pi Pa Ye 枇杷叶
Warm-dryness injury the
lung: cough, wheezing
Qing Zao Jiu Fei Tang
清燥救肺汤
Jin YinHua 金银花
Xuan Shen 玄参
Dry & sore throat
Sheng Di Huang 生地
Da Huang 大黄
Constipation due to dry
intestine
Dan Zhu Ye 淡竹叶
Huang Lian 黄连
Irritability & insomnia due
to heat disease
Suan Zao Ren 酸枣仁
ShengDi 生地
Insomnia due to yin def.
Huang Qi 黄芪
Dang Gui 当归
irritability due to severe
loss of fluids from sweating
Tian Men Dong 天门冬
Tian Men Dong 天门冬
( very cold )
Pharmaceutical Name
Asparagi Radix
1. Nourishes the Kidney yin & clears Lung heat
Actions
2. Moistens the Lungs, nourishes the kidneys, and
generates fluids
Deficiency with heat signs in the upper burner
Lung yin & kidney yin def.
Indications
( def. )
Dosage
Wasting & thirsting disorder and consumption with low
grade afternoon fever
6 – 12 g
Cook
Toxic Sym.
None noted
Tian Men Dong 天门冬( very cold )
Contraindications
Diarrhea from deficiency or cold
Combinations
Indications
Mai Men Dong 麦门冬
Dry cough & thirst
Chuan Bei Mu 川贝母
Bai He 百合
Chronic cough
Sang Ye 桑叶
Xing Ren 杏仁
Warm-dryness
Mai Dong麦冬
Tian Hua Fen天花粉
Zhi Mu 知母
Upper burner wasting &
thirsting disorder
Zhi Mu 知母
HuangBai 黄柏
Shan Zhu Yu 山茱萸
Lower burner wasting &
thirsting disorder
Formular
Tian Men dong
Mai men dong
Property
Very cold
Slightly cold
Actions
Clear lung heat, and
generates fluids.
Moisten the lung,
Clear hearts,
eliminates irritability
Instruction
Excess lung heat
caused coughing
blood
Insomnia & irritability
due to heart yin def.
Bai He 百合
Bai He 百合
( slightly cold )
Pharmaceutical Name
Lilii Bulbus
1. Moistens the lungs, clears heat, and stops cough
Actions
2. Clears heart & calms the spirit
Dry lung or lung heat coughs and sore throat
Indications
( def.)
Insomnia, restlessness, and irritability
.
Dosage
9 – 30 g
Cook
Toxic Sym.
Allergic reactions: irritability, palpitations, tidal flushes
Bai He 百合( slightly cold )
Contraindications
None noted
Combinations
Indications
Sang Bai Pi 桑白皮
Zi Wan 紫菀
Bei Mu 贝母
Cough due to phlegm heat in
the lung
Jie Geng 桔梗
KuanDongHua 款冬花
Cough with phlegm
Bai Shao 白芍
Qian Hu 前胡
Wind-heat cough
Sheng Di Huang
生地黄
Palpitation, irritability due to
heat
Zhi Mu 知母
Irritability & mental
disorientation due to yin def.
or lingering heat in the late
stage
Formular
Bai He Zhi Mu Tang
百合知母汤
Shi Hu 石斛
Shi Hu 石斛
( slightly cold )
Pharmaceutical Name
Dendrobii Herba
1. Nourishes the yin, clears heat, and generates fluids
2. Enriches the Kidney yin & reduces heat from def.
Actions
3. Tonifies the kidneys, augments the essence, and
brightens the vision
Severe thirst, yin def.
Indications
( def. )
Dosage
Diminished visual acuity
Dizziness and weakness of the lower back
6 – 12g
Cook
Toxic Sym.
None noted
Shi Hu 石斛( slightly cold )
Contraindications
Damp-warmth
Combinations
Indications
Sheng Di 生地黄
Mai Dong 麦冬
Thirsty & irritability after
warm disease
Sha Shen 沙参
Yu Zhu 玉竹
Stomach Yin def.
Sheng Di 生地
Qing Hao 青蒿
Low fever due to yin def.
Shu Di Huang 熟地
Niu Xi 牛膝
Weak lower back & knees due
to kidney def.
Jue Ming Zi 决明子
Gou Qi Zi 枸杞子
Blurred vision due to kidney &
liver yin def.
Formular
Yu Zhu 玉竹
( slightly cold )
Pharmaceutical Name
Polygonati odorati rhizoma
1. Nourishes the yin and moistens dryness
Actions
2. Extinguishes wind and softens and moistens the
sinews
Lung & stomach dry heat or yin def.
Indications
( def. )
Dosage
Dizziness caused by yin def.
6 – 15 g
Cook
Toxic Sym.
None noted
Xi Yang Shen 西洋参
( cold )
Pharmaceutical Name
Panacis quinquefolii radix
1. Benefits the qi, generates fluids, and nourishes the
yin
Actions
2. Nurtures the lung yin and clears fire from the lungs
Yin def. with heat signs and chronic, unabating fever
Indications
( def. )
Dosage
Long term wheezing and coughing up blood streaked
sputum
3- 6 g
Cook
Toxic Sym.
Headache, weakness, apathy, aversion to cold, distended
abdomen
Herbs that tonify the Blood
Nourish the Yin & anchors the Yang
Gui Ban 龟板
Bie Jia 鳖甲
Gui Ban 龟板
Gui Ban 龟板
( cold )
Pharmaceutical Name
Testudinis Plastrum
1. Nourishes the yin and anchors the yang
2. Benefits the kidneys and strengthens the bones
Actions
2. Nourishes the blood, enriches the yin, and stabilizes
the Penetrating & Conception vessels
3. Cools the blood & stops uterine bleeding
3. Nourishes the blood and tonifies the Heart
4. Also for nonhealing sores and ulcerations
Facial spasms & tremors of the hands and feet
Indications
(Def.)
Soreness of the lower back
Red or white vaginal discharge or uterine bleeding
Insomnia & forgetfulness
Dosage
15 – 45 g
Cook
Toxic Sym.
Allergic reactions: sensation of discomfort & oppression in the chest,
Gui Ban 龟板( cold )
Contraindications
Pregnancy or cold-dampness
Indications
Formular
Bie Jia 鳖甲
E Jiao 阿胶
Low-grade fever & night
sweats
San Jia Fu Mai
Tang 三甲复脉汤
Zhi Mu 知母
Huang Bai 黄柏
Steaming bone fever
Da Bu Yin Wan
大补阴丸
Lu Rong 鹿茸
Weakness & debility dut to
kid. Def.
Gui Lu Er Xian Jiao
龟鹿二仙胶
Mu Li 牡蛎
Irregular uterine bleeding
Long Gu 龙骨
Yuan Zhi 远志
Anxiety, insomnia, and
forgetfulness
Ju Hua 菊花
Shi Jue Ming 石决明
Lightheadedness & vertigo
associated with ascendant
liver yang
Ren Shen 人参
Sang Ji Sheng 桑寄生
hemiplegia
Bie Jia 鳖甲
Bie Jia 鳖甲
( slightly cold )
Pharmaceutical Name
Trionycis Carapax
1. Nourishes the yin and anchors the yang
Actions
2. Invigorates the blood, promotes menstruation, and
dissipates nodules
2. Heavily anchors and causes to descend, unblocks
and facilitates the functions of the blood vessels
Fever, steaming bone disorder, nightsweats, or
consumption
Indications
(Def. & excess)
Dosage
Malarial disorders with palpable masses
Internal stirring of liver wind
9 – 30 g
Cook
Toxic Sym.
Allergic reactions: stifling ,uncomfortable sensation in the chest
Bie Jia 鳖甲( slightly cold )
Contraindications
Pregnancy and cold from deficiency
Indications
Gui Ban 龟板
Steaming bone disorder,
nightsweats, or consumption
Sheng Di 生地
Zhi Mu 知母
Qing hao 青蒿
Febrile disease with yin def.
San Leng 三棱
E Zhu 莪术
Qing Pi 青皮
Hard, fixed masses of the
epigastrium and abdomen
E jiao 阿胶
Ai Ye 艾叶
Dang Gui 当归
Excessive menstruation and
uterine bleeding
Formular
Herbs that tonify the Blood
Nourish Liv. & Kid. Yin
Nu Zhen Zi 女贞子
Hei Zhi Ma 黑芝麻
Mo Han Lian 墨旱莲
Nu Zhen Zi 女贞子
Nu Zhen Zi 女贞子
( cool )
Pharmaceutical Name
Ligustri lucidi Fructus
1. Nourishes and tonifies the liver and kidneys
Actions
2. Augments the liver and kidneys and clears heat from
deficiency
3. Augments the liver and kidneys and improves the
vision
Dizziness, spots before the eyes, soreness of the lower
back
Indications
(Def.)
Internally-generated heat from yin deficiency
Diminished visual
.
Dosage
9 – 18 g
Cook
Toxic Sym.
None noted
Nu Zhen Zi 女贞子( cool )
Contraindications
Diarrhea from spleen & st. yang def.
Indications
Hei Zhi Ma 黑芝麻
He Shou Wu 何首乌
Premature greying of the
hair
Du Gu Pi 地骨皮
Mu DanPi 牡丹皮
Heat from yin def.
Bu Gu Zhi 补骨脂
Tu Si Zi 菟丝子
Dizziness, and weakness
and soreness of the lower
back
Jue Ming Zi 决明子
Red eyes from wind heat
Formular
Hei Zhi Ma 黑芝麻
Hei Zhi Ma 黑芝麻
( neutral )
Pharmaceutical Name
Sesami Semen nigrum
1. Nourishes and fortifies the liver and kidneys
Actions
2. Nourishes the blood and extinguishes wind
2. Moistens and lubricates the intestine
Blurred vision, tinnitus
Indications
(Def.)
Dosage
Dizziness and numbness due to blood or yin def.
Constipation
9 – 30 g
Cook
Toxic Sym.
Allergic reactions: asthma, pruritus, urticaria, edema, cough
Hei Zhi Ma 黑芝麻 ( neutral )
Contraindications
diarrhea
Indications
Sang Ye 桑叶
Dizziness, blurred vision
He Shou Wu 何首乌
Tu Si Zi 菟丝子
Niu Xi 牛膝
Premature greying of the
hair
Dang Gui 当归
Bai Zi Ren 柏子仁
constipation
Formular
Mo Han Lian 墨旱连
( Cool)
Pharmaceutical Name
Ecliptae Herba
1. Nourishes and tonifies the liver and kidney yin
Actions
2. Cools the blood and stops bleeding
Dizziness, blurred vision, vertigo
Indications
(Excess &Def.)
Dosage
Bleeding due to heat in the blood
9 – 15 g
Cook
Toxic Sym.
None noted