Transcript Formulas that Calm the Spirit

Formulas that Calm
the Spirit
HBR class 12
*Emperor of Heaven's Special Pill to
Tonify
the
Heart
(tian
wang
bu
xin
dan)
• C:
Sheng Di Huang
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D:
Dan Shen, Dang Gui, Bai Zi Ren, Yuan Zhi, Ren
Shen, Fu Ling
A:
Tian Men Dong, Mai Men Dong, Xuan Shen, Wu
Wei Zi, Suan Zao Ren
E:
Jie Geng, Zhu Sha
Pattern: Yin deficiency of the Heart and Kidneys.
Indications: Irritability, palpitations with anxiety, fatigue,
insomnia with very restless sleep, inability to think or
concentrate for even short periods of time, nocturnal
emissions, forgetfulness, dry stools, a red tongue with little
coating, and a thin, rapid pulse. There may also be sores of
the mouth and sores of the tongue, low-grade fever, and
night sweats.
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This formula and Restore the Spleen Decoction (gui pi
tang) are both used in treating conditions marked by
insomnia, palpitations, and forgetfulness.
However, the latter formula is indicated for concurrent
qi and blood deficiency marked by reduced appetite,
loose stools, a pale tongue, and a thin, frail pulse.
This formula is for blood and yin deficiency with
irritability, a red tongue with little coating, and a thin,
rapid pulse.
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*Sour Jujube Decoction
(suan zao ren tang)
C:
Suan Zao Ren
D:
Chuan Xiong
A:
Fu Ling, Zhi Mu
E:
Gan Cao
Pattern: Liver blood deficiency with heat from
deficiency.
Indications: Irritability, inability to sleep, palpitations,
night sweats, dizziness and vertigo, dry throat and dry
mouth, a dry, red tongue, and a wiry or thin, rapid
pulse.
Settle the Emotions Pill
(ding zhi wan)
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C: Ren Shen, Fu Ling
Shi Chang Pu, Yuan Zhi
Pattern: Deficient Heart Qi with severe emotional
shock
Indications: Apprehensiveness, easily frightened or
incessant laughter, palpitations, anxiety, forgetfulness
*Licorice, Wheat, and Jujube Decoction
(gan mai da zao tang)
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C:
Fu Xiao Mai
D:
Gan Cao, Da Zao
Pattern: Restless organ disorder (zang zao); injury to
the Heart yin, Liver qi, and Spleen qi.
Indications: Disorientation, frequent attacks of
melancholy and crying spells, inability to control
oneself, restless sleep (sometimes with night sweats),
frequent bouts of yawning, a red tongue with a sparse
coating, and a thin, rapid pulse. In severe cases, the
behavior and speech become abnormal. This is called
restless organ disorder (zang zao), an emotional
condition that is generally due to excessive worry,
excessive anxiety, or excessive pensiveness.
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Bupleurum plus Dragon Bone and
Oyster Shell Decoction
(chai hu jia long gu mu li tang)
C: Chai Hu,
Huang Qin, Ban Xia, Ren Shen, Sheng Jiang, Gui Zhi,
Fu Ling, Long Gu, Mu Li, Da Huang, Da Zao, Qian
Dan
Pattern: Disorder of all three Yang stages or extreme
fright
Indications: Fullness in the chest, irritability with
occasional palpitations, urinary difficulty, constipation,
delirious speech, inability to rotate the trunk, sensation
of extreme heaviness throughout the body, red tongue
with slippery coating, wiry rapid pulse
Formulas that Treat
Phlegm
*Two-Cured Decoction
(er chen tang)
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C:
Ban Xia, Ju Hong (or Chen Pi)
D:
Fu Ling
A:
Zhi Gan Cao
E:
Sheng Jiang, Wu Mei
Pattern: Damp-Phlegm due to Spleen's failure to transform
fluids
Indications: Coughing with copious, white sputum that is
easily expectorated, focal distention and stifling sensation in
the chest and diaphragm, palpitations, nausea or vomiting,
dizziness, a swollen tongue with a white, thick, greasy
coating, and a slippery pulse.
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CAUTIONS AND CONTRAINDICATIONS: The
improper use of this formula can lead to excessive
thirst and a dry throat. Unless modified, it is
contraindicated for cases with cough associated with
Lung yin deficiency.
*Warm the Gallbladder
(wen dan tang)
• C:Decoction
Zhu Ru
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D:
Zhi Shi
A:
Ban Xia, Chen Pi, Fu Ling, Gan Cao
E:
Sheng Jiang
Pattern: Gallbladder-Stomach disharmony with PhlegmHeat
Indications: Dizziness, vertigo, nausea or vomiting,
insomnia, palpitations, anxiety, indeterminate gnawing
hunger, or seizures accompanied by copious sputum, focal
distention of the chest, a bitter taste in the mouth, slight
thirst, a greasy, yellow tongue coating, and a rapid pulse
that is either slippery or wiry.
Clear the Qi and Transform Phlegm Pill
(qing qi hua tan wan)
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Dan Nan Xing, Huang Qin, Gua Lou Ren, Ban Xia, Zhi
Shi, Chen Pi, Xing Ren, Fu Ling
Pattern: Internal clumping of Phlegm Heat in the Lung.
Indications: Coughting yellow viscous sputum phlegm,
difficult to expectorate, focal distension and fullness in
the chest, nausea, red tongue with greasy yellow
coating, Slippery, rapid Pulse
Minor Sinking into the Chest Decoction
(xiao xian xiong tang)
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Gua Lou, Huang Lian, Ban Xia
Pattern: Clumping in the chest due to Phlegm-Heat
Indications: Focal distention (with or without nodules) in
chest and epigastrium tht are painful when pressed,
coughing of yellow, viscous sputum, constipation, bitter
taste in mouth, greasy yellow coating, Slippery, rapid or
floating Pulse.
*Fritillaria and Trichosanthes Fruit
Powder (bei mu gua lou san)
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C:
Chuan Bei Mu
D:
Gua Lou
A:
Tian Hua Fen, Fu Ling, Ju Hong, Jie Geng
Pattern: Dry phlegm in the Lungs
Indications: Cough with deep-seated sputum that is
difficult to expectorate, wheezing, a dry and sore
throat, a red and dry tongue with little coating, and a
rapid and thin but strong pulse.
Sargassum Decoction for the Jade
Flask
(hai zao yu hu tang)
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Hai Zao, Kun Bu, Zhe Bei Mu, Ban Xia, Du Huo,
Chuan Xiong, Dang Gui, Qing Pi, Chen Pi, Lian Qiao,
Gan Cao
Pattern: Qi goiter from stagnation of dampness,
phlegm, qi and blood.
Indications: Masses in the center of the neck which
are rock-like in hardness, immobile, cause no change
in the color of the skin, and do not ulcerate. Tongue
has thin greasy coating, pulse is wiry and slippery.
Poria, Cinnamon Twig, Atractylodes
Macrocephala, and Licorice Decoction
(ling gui zhu gan tang)
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Fu Ling Gui Zhi Bai Zhu Zhi Gan Cao
Pattern: Congested fluids in the epigastrium
Indications: Fullness in chest, palpitations, dizziness,
S.O.B., watery sputum. Tongue: pale, swollen, Greasy
white coating Pulse: wiry, slippery
Poria, Licorice, Schisandra, Ginger, and
Asarum Decoction
(ling gan wu wei jiang xin tang)
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Gan Jiang, Xi Xin, Fu Ling, Wu Wei Zi, Gan Cao
Pattern: cold congested fluids due to yang deficiency
and ascendent yin.
Indications: Coughing, profuse clear sputum, excess
saliva, discomfort in the chest. Tongue: white slippery
coat. Pulse: wiry, slippery
Three-Seed Decoction to Nourish One's
Parents (san zi yang qin tang)
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Bai Jie Zi, Su Zi, Lai Fu Zi
Pattern: Cold in the Lungs with food stagnation.
Indications: Coughing and wheezing, copious sputum,
focal distention in the chest, loss of appetite, digestive
difficulties, a white, greasy tongue coating, and a
slippery pulse.
*Stop Coughing Powder
(zhi sou san)
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C:
Zi Wan, Bai Qian, Bai Bu
D:
Jie Geng, Chen Pi
A:
Jing Jie
E:
Gan Cao
Pattern: Lingering cough due to wind attacking the
Lungs.
Indications: Coughing with slight chills and fever, or no
chills and fever, an itchy throat, a thin, white tongue
coating, and a moderate, floating pulse.
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This is wind attacking the Lungs. This presentation
usually occurs as the sequela to an externallycontracted disease that has been treated, but in which
the cough persists.
CAUTIONS AND CONTRAINDICATIONS: This formula
has a tendency to dry and should therefore not be used
in treating coughs associated with yin deficiency. It was
designed for treating wind-cold and should not be used
without modification in treating coughs due to heat in the
Lungs.
*Pinellia, Atractylodes, & Gastrodia
Decoction (ban xia bai zhu tian ma
tang)
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C:
Ban Xia, Tian Ma
D:
Bai Zhu
A:
Fu Ling, Chen Pi, Sheng Jiang, Da Zao
E:
Gan Cao
Pattern: Upward disturbance of Wind-Phlegm when
dampness accumulates due to Spleen deficiency
Indications: Dizziness or vertigo (possibly severe),
headache, a stifling sensation in the chest, nausea or
vomiting, copious sputum, a white, greasy tongue coating,
and a wiry, slippery pulse.
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CAUTIONS AND CONTRAINDICATIONS:
Contraindicated for vertigo from either ascendant Liver
yang or blood deficiency.
Formulas that
Extinguish Wind
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*Eliminate Wind Powder from True
Lineage (xiao feng san)
C:
Jing Jie, Fang Feng, Niu Bang Zi, Chan Tui
D:
Mu
Cang Zhu, Ku Shen, Mu Tong, Shi Gao, Zhi
A:
Sheng Di Huang, Dang Gui, Hei Zhi Ma
E:
Gan Cao
Pattern: Wind-heat or wind-dampness with underlying
damp-heat.
Indications: Weepy, itchy, red skin lesions over a large
part of the body, a yellow or white tongue coating, and
a forceful, floating, and rapid pulse.
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CAUTIONS AND CONTRAINDICATIONS: Because
this formula is primarily dispersing in nature, it should
not be used in cases with marked qi deficiency or
blood deficiency.
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*Minor Invigorate the Collaterals
Special Pill (xiao huo luo dan)
C: Zhi Cao Wu, Fu Zi,
Tian Nan Xing, Mo Yao, Ru Xiang, Di Long
Pattern: Wind-stroke or Wind-cold-damp painful
obstruction
Indications: Chronic pain, weakness, and numbness
(especially in the lower extremities) due to wind-stroke.
Also for fixed or migrating pain in the bones and joints
with reduced range of motion due to wind-cold-damp
painful obstruction. In both conditions, the symptoms
are aggravated by cold. The tongue coating is white and
moist.
Lead to Symmetry Powder (qian zheng
san)
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C:
Bai Fu Zi
Jiang Can, Quan Xie
Pattern: Channel stroke of head and face, d/t Wind
Phlegm, possibly with underlying Deficiency of Wei Qi.
Indications: Sudden facial paralysis with deviation of
the eyes and mouth and facial muscle twitch.
CAUTIONS AND CONTRAINDICATIONS:
Contraindicated during pregnancy. Avoid using for long
periods of time, due to toxic ingredients. Warming,
best used for cold-damp type Wind-Phlegm.
Sedate the Liver and Extinguish Wind
Decoction (zhen gan xi feng tang)
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C: Huai Niu Xi
Dai Zhe Shi, Long Gu, Mu Li, Gui Ban, Xuan Shen, Tian
Men Dong, Bai Shao, Yin Chen Hao, Chuan Lian Zi, Mai Ya,
Gan Cao
Pattern: Liver and Kidney yin deficiency with ascendant Liver
yang
Indications: Dizziness, vertigo, a feeling of distention in the
eyes, tinnitus, feverish sensation in the head, headache,
irritability, flushed face (as if intoxicated), and a wiry, long,
and forceful pulse.
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There may also be frequent belching, progressive
motor dysfunction of the body or development of facial
asymmetry that occurs over a period of a few hours to
a few days, severe dizziness and vertigo, sudden loss
of consciousness, mental confusion with moments of
lucidity, and an inability to fully recover after loss of
consciousness.
*Gastrodia and Uncaria Decoction
(tian
• C:
Tian
Ma,ma
Gougou
Teng, teng
Shi Jueyin)
Ming
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D:
Zhi Zi, Huang Qin
A:
Yi Mu Cao, Chuan Niu Xi, Du Zhong, Sang Ji
Sheng, Ye Jiao Teng, Fu Shen
Pattern: Ascendant Liver yang with internal movement
of Liver wind
Indications: Headache, dizziness, vertigo, tinnitus,
blurred vision, a sensation of heat rushing to the head,
insomnia with dream-disturbed sleep, a red tongue,
and a wiry, rapid pulse. In severe cases, there may
also be numbness, twitching and spasms in the
extremities, or hemiplegia.
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Antelope Horn and Uncaria Decoction
(ling jiao gou teng tang)
C:
Ling Yang Jiao, Gou Teng
D:
Sang Ye, Ju Hua
A:
Bai Shao, Sheng Di Huang, Chuan Bei Mu, Zhu Ru,
Fu Shen
E:
Gan Cao
Pattern: Liver Excess Heat stirring Wind
Indications: Persistent high fever, irritability, restlessness,
dizziness, vertigo, twitching and spasms of the extremities, a
deep-red, dry or burnt tongue with prickles, and a wiry rapid
pulse. In severe cases there may also be impaired or actual
loss of consciousness.
Formulas that Open
the Orifices
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Calm the Palace Pill with Cattle
Gallstone (an gong niu huang wan)
C:
Niu Huang, Xi Jiao, She Xiang
D:
Huang Lian, Huang Qin, Zhi Zi, Xiong Huang, Bing
Pian, Yu Jin
A:
Zhu Sha, Zhen Zhu
Pattern: Warm disease: Nutritive (Ying) Level Pericardium
Heat; Phlegm-Fire Obstructing Heart Orifices
Indications: High fever, irritability, restlessness, delirious
speech, impaired consciousness, a red or deep-red tongue,
and a rapid pulse. Also for coma d/t wind-stroke or childhood
convulsions with similar presentation, and for stiffness of the
tongue and frigid extremities.
CAUTIONS AND CONTRAINDICATIONS: Contraindicated
during pregnancy. Avoid long-term use (toxic).
Purple Snow Special Pill (zi xue dan)
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C:
Shi Gao, Han Shui Shi, Hua Shi; Xi Jiao, Ling Yang
Jiao, She Xiang
Xuan Shen, Ci Shi, Sheng Ma, Zhi Gan Cao, Qing Mu Xiang,
Chen Xiang, Ding Xiang, Zhu Sha, Mang Xiao, Xiao Shi
Pattern: Nutritive (Ying) Level Pericardium Heat stirring Liver
Wind
Indications: High fever, irritability, restlessness, delirious
speech, impaired consciousness, muscle twitches, spasms
and convulsions, thirst, parched lips, dark urine, severe
constipation, and childhood convulsions.
CAUTIONS AND CONTRAINDICATIONS: Contraindicated
during pregnancy. Discontinue once consciousness returns.
May damage qi and yin. Not for long-term use (toxic).
Liquid Styrax Pill (su he xiang wan)
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C:
Su He Xiang, An Xi Xiang, She Xiang, Bing Pian
D:
Mu Xiang, Tan Xiang, Chen Xiang, Ru Xiang, Ding
Xiang, Xiang Fu
A:
Bi Ba, Xi Jiao, Zhu Sha, Bai Zhu, He Zi
Pattern: (1) Windstroke d/t Damp-Cold and turbid phlegm veiling
the sensory orifices; (2) Qi stagnation or damp-cold obstruction
leading to collapse; (3) Epidemic sudden turmoil disorder
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Indications: (1) sudden collapse, loss of consciousness with
clenched jaw (windstroke); (2) impending loss of consciousness
with sensation of fullness, pain, and cold in chest and abdomen;
(3) abdominal pain and focal distention in chest with urge to
vomit or defecate without doing either, which in severe cases
may lead to sudden unconsciousness or coma.
All of the above are accompanied by a pale complexion, purple
lips, excessive mucus and saliva, cold extremities, a pale
tongue with a slippery greasy coating and a submerged,
slippery pulse.
CAUTIONS AND CONTRAINDICATIONS: Contraindicated
during pregnancy. Not for long-term use (toxic).
Scour Phlegm Decoction (di tan tang)
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Ban Xia, Ju Hong, Fu Ling, Gan Cao (Er Chen Tang)
Zhi Shi, Zhu Ru, Dan Nan Xing, Shi Chang Pu, Ren Shen
Pattern: Phlegm obstructing Heart orifices
Indications: Stiffness of the tongue and speech impairment
CAUTIONS AND CONTRAINDICATIONS: Contraindicated
during pregnancy. Caution in weak patients.
Vaporize Phlegm Pill (gun tan wan)
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C:
Duan Meng Shi (Lapis**)
Da Huang, Huang Qin, Chen Xiang
Pattern: Phlegm-Fire obstructing the orifices, chest or
channels
Indications: Mania-withdrawal and palpitations with anxiety; or
severe, continuous palpitations whichcan lead to coma; or
coughing and wheezing with thick, viscous sputum; or focal
distension and stifling sensation in the chest and epigastrium;
or dizziness, vertigo or tinnitus.
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In each of these cases there is constipation, a yellow
thick and greasy tongue coating, and a slippery rapid
and forceful pulse. There may also be facial tics,
insomnia, or very strange dreams, sudden, deep pain
in the joints that is difficult to describe, nodules in the
neck, or a choking sensation.
**Lapis Micae seu Chloriti is sweet, salty, and neutral;
it scours Phlegm, directs Qi downward, calms
wheezing, and stops palpitations.
CAUTIONS AND CONTRAINDICATIONS:
Contraindicated during pregnancy and post partum.
Caution in weak patients. Do not use in the absence
of phlegm and heat
Formulas that Reduce
Food Stagnation
*Preserve Harmony Pill
(bao
he
wan)
• C:
Shan Zha
•
•
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D:
Shen Qu, Lai Fu Zi
A:
Ban Xia, Chen Pi, Fu Ling, Lian Qiao, Mai Ya
Pattern: Food Stagnation
Indications: Focal distention and fullness in the chest
and epigastrium, abdominal distention with occasional
pain, rotten-smelling belching, acid regurgitation,
nausea and vomiting, aversion to food, a yellow,
greasy tongue coating, and a slippery pulse. There
may also be diarrhea.
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CAUTIONS AND CONTRAINDICATIONS: Unless
modified, this formula is contraindicated in cases with
Spleen deficiency.
Strengthen the Spleen Pill (jian pi wan)
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C:
Bai Zhu, Fu Ling, Ren Shen
D:
Shan Yao, Rou Dou Kou
Shan Zha, Shen Qu, Mai Ya, Mu Xiang, Chen Pi, Sha
Ren, Huang Lian, Gan Cao
Pattern: Spleen & Stomach Deficiency with Food
Stagnation
Indications: Reduced appetite with difficulty in digestion,
bloating and focal distension of the epigastrium and
abdomen, loose and watery diarrhea, a greasy slightly
yellow tongue coating and a deficient frail pulse.
Immature Bitter Orange and
Atractylodis Macrocephalae Pill (zhi
zhu wan)
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•
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C:
Bai Zhu
D:
Zhi Shi
Pattern: Spleen Qi Deficiency with mild Food Stagnation
Indications: Loss of appetite, focal distention in the
epigastrium and abdomen, a white tongue coating, and a
deficient pulse.
Formulas that Expel
Parasites
Mume Pill (wu mei wan)
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C:
Wu Mei
D:
Chuan Jiao, Xi Xin, Huang Lian, Huang Bai
A:
Gan Jiang, Fu Zi, Gui Zhi, Ren Shen, Dang Gui
Pattern: SHL: Jueyin pattern; Roundworm collapse with
heat above and cold below.
Indications: Intermittent attacks of abdominal pain, a
stifling sensation, irritability, warmth in chest and
epigastrium, vomiting after eating, cold hands and feet,
vomiting of roundworms.
CAUTIONS AND CONTRAINDICATIONS:
Contraindicated for Damp Heat conditions on in cases of
explosive diarrhea.
Fat Baby Pill (fei er wan)
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C:
Shi Jun Zi, Bing Lang
D:
Huang Lian, Rou Dou Kou
A:
Shen Qu, Mai Ya, Mu Xiang
Pattern: Childhood nutritional impairment (gan) with
parasite infestation
Indications: Parasitic infestations with intermittent attacks
of abdominal pain, indigestion, emaciation, loose stools,
foul-smelling breath, feverishness, sallow complexion,
large distended abdomen.