Herb Board Review Formulas 4

7/29/2019 Herb Board Review Formulas 4

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Formulas that

Regulate Qi & BloodHBR class 11


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Formulas thatRegulate the Qi


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*Escape Restraint Pill

(yue ju wan) C: Xiang Fu

D: Chuan Xiong, Cang Zhu, Zhi Zi, Shen Qu

Pattern: Constraint due to stagnant qi; "sixstagnations"

Indications: Focal distention and a stifling sensation in

the chest and Focal distention and a stifling sensation

in the abdomen, fixed pain in the hypochondria,belching, vomiting, acid regurgitation, mild coughing

with copious sputum, decreased appetite and

indigestion.


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CAUTIONS AND CONTRAINDICATIONS: Unlessmodified, this formula is contraindicated in cases of

stagnation due to deficiency.


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*Pinellia and Magnolia Bark

Decoction (ban xia hou po

tang) C: Ban Xia

D: Hou Po, Fu Ling

A: Sheng Jiang

E: Zi Su Ye

Pattern: Plum-pit qi; binding of Qi and Phlegm in the

throat

Indications: A feeling of something caught in the throat

that can neither be swallowed nor ejected, a stifling

sensation in the chest and hypochondria, a moist or

greasy, white tongue coating, and a wiry, slow or wiry,

slippery pulse. There may also be coughing and vomiting.


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CAUTIONS AND CONTRAINDICATIONS: This

formula is contraindicated in patients presenting with a

flushed face, a bitter taste in the mouth, and a red

tongue with scanty coating.

This formula is comprised of warm, acrid, or fragrant

substances which are drying and dispersing in nature

and can therefore easily injure the yin and fluids. Thus,

the formula is appropriate only in cases of constrained

qi and phlegm.


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Trichosanthes Fruit, Chinese Chive,

and Wine Decoction

(gua lou xie bai bai jiu tang)

C: Gua Lou

Xie Bai, Bai Jiu

Pattern: Painful obstruction of the chest due to upper

burner yang deficiency.

Indications: Pain in the chest which often radiates to

the upper back, wheezing, cough with copious

sputum, shortness of breath, a thick, greasy tongue

coating, and a pulse that is either submerged and wiry

or tight.


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Galangal and Cyperus Pill

(liang fu wan)

Gao Liang Jiang, Xiang Fu

Pattern: Stagnation of Liver qi with cold congealing inthe Stomach

Indications: Epigastric pain that responds favorably to

warmth, a stifling sensation in the chest,

hypochondriac pain, painful menstruation, and a whitetongue coating.


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Melia Toosendan Powder

(jin ling zi san)

Jin Ling Zi (Chuan Lian Zi), Yan Hu Suo

Pattern: Liver constraint with heat.

Indications: Intermittent epigastric and hypochondriac

pain, hernial pain, or menstrual pain that is aggravated

by the ingestion of hot food or beverages, and is

accompanied by irritability, a red tongue with a yellowcoating, and a wiry or rapid pulse.


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Top-quality Lindera Powder

(tian tai wu yao san)

Wu Yao, Mu Xiang, Xiao Hui Xiang, Qing Pi, Gao

Liang Jiang, Bing Lang, Chuan Lian Zi, Ba Dou Pattern: Cold stagnation in the Liver channel (shan

qi/hernial disorder)

Indications: Lower abdominal pain radiating to the

testicles, a pale tongue with a white coating and eithera submerged and slow or a wiry pulse.


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*Perilla Fruit Decoction for Directing Qi

Downward (su zi jiang qi tang) C: Su Zi

D: Ban Xia, Hou Po, Qian Hu

A: Rou Gui, Dang Gui

E: Sheng Jiang, Su Ye, Zhi Gan Cao, Da Zao

Pattern: Phlegm-cold obstructing the Lungs with Kidneys

unable to grasp the qi (excess above and deficiency

below).

Indications: Coughing and wheezing with watery, copioussputum, a stifling sensation in the chest and diaphragm,

shortness of breath marked by relatively labored inhalation

and smooth exhalation, and a white tongue coating that is

either slippery or greasy.


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Indications, continued: There may also be pain and

weakness of the lower back and pain and weakness of

the legs, edema of the extremities, and/or fatigue. This

condition is known as excess above and deficiency

below.

CAUTIONS AND CONTRAINDICATIONS:

Inappropriate for treating Lung and Kidney deficiency

with no externally-contracted pathogenic influence,

and in cases of wheezing and a productive cough dueto heat in the Lungs.


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Four Milled-Herb Decoction

(si mo tang)

Ren Shen, Bing Lang, Chen Xiang, Wu Yao

Pattern: Constraint and clumping of Liver Qi due toinjury from emotional upset.

Indications: An irritable, stifling sensation in the chest

and diaphragm together with labored breathing,

wheezing, epigastric focal distension and fullness, andloss of appetite.


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Inula and Hematite Decoction

(xuan fu dai zhe tang) C: Xuan Fu Hua

Ban Xia, Sheng Jiang, Ren Shen, Zhi Gan Cao, Da

Zao

Pattern: Phlegm turbidity obstructing the interior

together with weak, deficient Stomach qi.

Indications: Unremitting belching, hiccough,

regurgitation, nausea or vomiting, hard epigastric focaldistention, a white, slippery tongue coating, and a wiry,

deficient pulse.


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*Tangerine Peel and Bamboo Shavings

Decoction (ju pi zhu ru tang) C: Chen Pi, Zhu Ru

D: Ren Shen, Sheng Jiang

A: Gan Cao, Da Zao

Pattern: Rebellious qi due to heat from deficiency in

the Stomach

Indications: Hiccough, nausea, dry heaves, or retching

accompanied by a tender, red tongue and a deficient,

rapid pulse. Also for vomiting resulting from debilityafter a prolonged illness, or heat from deficiency in the

Stomach.


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CAUTIONS AND CONTRAINDICATIONS: Thisformula is contraindicated in cases of heat from

excess or cold from deficiency.


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*Arrest Wheezing Decoction

(ding chuan tang) C: Ma Huang, Yin Xing

D: Xing Ren, Su Zi, Ban Xia, Kuan Dong Hua

A: Sang Bai Pi, Huang Qin

E: Gan Cao

Pattern: Wheezing caused by wind-cold constraining the

exterior and phlegm-heat smoldering in the interior. Indications: Coughing and wheezing with copious, thick,

and yellow sputum, labored breathing, a greasy, yellow

tongue coating, and a slippery, rapid pulse. There may

also be simultaneous fever and chills.


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Inappropriate in cases of externally-contracted wind-cold which present with no sweating and internal

phlegm-heat. Also inappropriate in cases of chronic

asthma with qi deficiency and a frail pulse.


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Ding Xiang, Shi Di, Ren Shen, Sheng Jiang

Pattern: Rebellious qi due to cold from deficiency ofthe Stomach

Indications: Hiccough, belching or vomiting with a

stifling sensation in the epigastrium, focal distension of

the chest, a pale tongue with white coating, andsubmerged, slow pulse.

Clove and Persimmon Calyx Decoction

(ding xiang shi di tang)


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Formulas thatInvigorate the Blood


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*Peach Pit Decoction to

Order the Qi (tao he cheng qi

tang) C: Tao Ren, Da Huang

D: Gui Zhi

A: Mang Xiao

E: Zhi Gan Cao

Pattern: Blood buildup (xu xue) in the lower burner

which is caused by the accumulation of blood stasis

and heat.

Indications:Acute lower abdominal pain, incontinence

of urine, night fevers, delirious speech, irritability,

restlessness and thirst, and a submerged, full, or

choppy pulse.


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Indications, continued: In more severe cases there

may be manic behavior. Women will usually

experience dysmenorrhea or amenorrhea.


Contraindicated during pregnancy. If there are still

exterior symptoms, the exterior should first be

released before using this formula.


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*Drive out Blood Stasis in the Mansion

of Blood Decoction (xue fu zhu yu tang)

C: Tao Ren, Hong Hua, Chuan Xiong

D: Chi Shao, Chuan Niu Xi

A: Sheng Di Huang, Dang Gui, Chai Hu, Jie Geng,

Zhi Ke

E: Gan Cao

Pattern: Blood stasis in the chest with impairment of

blood flow in the area above the diaphragm. Indications: Pain in the chest and hypochondria, chronic,

stubborn headache with a fixed, piercing quality, chronic,

incessant hiccough, a choking sensation when drinking,

dry heaves, depression or low spirits accompanied

by...(continued)


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Indications, continued: ...accompanied by a sensation

of warmth in the chest, palpitations, insomnia, restless

sleep, irritability, extreme mood swings, evening tidalfever, a dark-red tongue, dark spots on the sides of the

tongue, dark or purplish lips, dark or purplish

complexion, or dark or purplish sclera, and a choppy

or wiry, tight pulse.

CAUTIONS AND CONTRAINDICATIONS: Because

the actions of this formula in invigorating the blood and

dispelling blood stasis are very strong, it is

contraindicated during pregnancy and in most caseswhich involve excessive menstrual bleeding. It is also

contraindicated in cases with bleeding diathesis or any

active hemorrhagic disorder.


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Associated Formula #1

Drive Out Blood Stasis in the Area Below the

Diaphragm Decoction (ge xia zhu yu tang )

Chao Wu Ling Zhi, Dang Gui, Chuan Xiong, Tao Ren,

Mu Dan Pi, Chi Shao, Wu Yao, Yan Hu Suo, Gan Cao,

Xiang Fu, Hong Hua, Zhi Ke

Invigorates the blood, dispels blood stasis, promotes

the movement of qi, and alleviates pain.

For blood stasis and Liver qi stagnation in the areabelow the diaphragm with palpable abdominal masses

accompanied by fixed pain, or abdominal masses

which are visible when lying down.


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Associated Formula #2

Drive Out Blood Stasis in the Lower Abdomen

Decoction (shao fu zhu yu tang)

Chao Xiao Hui Xiang, Chao Gan Jiang, Yan Hu Suo, Dang

Gui, Chuan Xiong, Mo Yao, Guan Gui, Chi Shao, Pu

Huang, Chao Wu Ling Zhi

Invigorates the blood, dispels blood stasis, warms the

menses, and alleviates pain. For blood stasis accumulating

in the lower abdomen characterized by palpable masses

which may or may not be painful, or lower abdominal pain

with no palpable masses, or lower abdominal distention, orlower back pain or lower abdominal distention during

menstruation, or frequent menstruation (3-5 times per

month) with dark or purple menstrual blood (usually with

clots), or abnormal uterine bleeding accompanied by lower

abdominal soreness and pain.


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Wu Ling Zhi, Pu Huang

Pattern: Retention of blood stasis which obstructs thevessels that serve the lower abdomen.

Indications: Irregular menstruation, dysmenorrhea,

retention of the lochia, post partum abdominal pain,

acute, colicky pain in the lower abdomen, severe painin the middle abdomen, or epigastric pain.

Sudden Smile Powder

(shi xiao san)


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Salvia Decoction (dan shen

yin)

C: Dan Shen

Tan Xiang, Sha Ren

Pattern: Blood stasis and qi stagnation in the middle

burner.

Indications: Abdominal or epigastric pain which may

radiate upward accompanied by signs and symptomsof blood stasis and qi stagnation.


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Tonify the Yang and Restore Five-

tenths Decoction (bu yang huan wu

tang) C: Huang Qi

Dang Gui Wei, Chuan Xiong, Chi Shao, Tao Ren,

Hong Hua, Di Long

Pattern: This is deficiency of the normal and yang qi

together with blood stasis obstructing the channels.

Indications: Sequelae of wind-stroke including

hemiplegia, paralysis, and atrophy of the lower limbs,facial paralysis, slurred speech, drooling, dry stools,

frequent urination or urinary incontinence, a white

tongue coating, and a moderate pulse.


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*Cinnamon Twig and Poria

Pill (gui zhi fu ling wan)

C: Gui Zhi, Fu Ling

D: Shao Yao

A: Mu Dan Pi, Tao Ren

Pattern: Blood stasis in the womb.

Indications: Mild, persistent uterine bleeding of purpleor dark blood during pregnancy accompanied by

abdominal pain that increases with pressure.


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Indications, continued:Also for such problems as

immobile masses in the lower abdomen with pain andtenderness, abdominal spasms and tension, amenorrhea

with abdominal distention and pain, dysmenorrhea, and

retention of the lochia.

All of these problems are accompanied by a choppy

pulse.

CAUTIONS AND CONTRAINDICATIONS: Use with

extreme caution during pregnancy or post partum with noblood stasis. Use only when there is a confirmed

diagnosis of blood stasis producing this pattern.

G ti d


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Generation and

Transformation Decoction

(sheng hua tang) Dang Gui, Chuan Xiong, Tao Ren, Gan Jiang, Gan

Cao

Pattern: Post-partum blood stasis due to cold invading

the womb.

Indications: Retention of the lochia accompanied by

cold and pain in the lower abdomen, a pale-purple

tongue or a pale tongue with purple spots, and a thin,

submerged and choppy pulse.


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*Warm the Menses Decoction

(wen jing tang)

C: Wu Zhu Yu, Gui Zhi

D: Dang Gui, Chuan Xiong, Bai Shao, E Jiao, Mai

Men Dong

A: Mu Dan Pi, Ren Shen, Gan Cao, Sheng Jiang,

Ban Xia

Pattern: Deficiency cold of the Conception and

Penetrating vessels with blood stasis obstructing the

channels.

Indications: Mild, persistent uterine bleeding, irregular

menstruation (either early or late), extended or

continuous menstrual flow, bleeding between periods,

pain, distention, and cold in the lower abdomen,

infertility, dry lips and mouth, low-grade fever at dusk,warm palms & soles.


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Contraindicated in cases with abdominal masses due

to blood stasis from excess.


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Xue Jie, Hong Hua, Ru Xiang, Mo Yao, She Xiang,

Bing Pian, Er Cha, Zhu Sha

Pattern: Stagnant Qi and Blood Stasis due to traumatic

injury

Indications: Bruising, swelling, and pain,

accompanying traumatic injuries such as broken

bones and torn sinews, and bleeding due to

lacerations.

Seven-Thousandths of a Tael

Powder (qi li san)


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Fantastically Effective Pill to Invigorate

the Collaterals (huo luo xiao ling dan)

Dang Gui, Dan Shen, Ru Xiang, Mo Yao

Pattern: Stagnant Qi and Blood Stasis obstructing thecollateral vessels.

Indications: pain in various locations such as the heart,

stomach, abdomen, back, leg or arm, bruising and

swelling due to traumatic injury , rheumatic pain, fixed

abdominal masses, internal or external ulceration, a

dark tongue or one with static points, and a wiry pulse.


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Formulas that StopBleeding

Ten Partially charred


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Ten Partially-charred

Substances Powder (shi hui

san) Da Ji, Xiao Ji, He Ye, Ce Bai Ye, Bai Mao Gen, Qian

Cao Gen, Zong Lu Pi, Zhi Zi, Da Huang, Mu Dan Pi

Pattern: Fire blazing in the middle and upper burners

that injures the blood vessels, due to Liver fire

attacking the Stomach.

Indications: Vomiting up blood, spitting up blood, or

coughing up blood. These symptoms usually occur as

acute bleeding disorders with sudden onset.


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Four-Fresh Pill (si sheng

wan) Sheng Ce Bai Ye, Xian Di Huang, Sheng He Ye,

Sheng Ai Ye

Pattern: Heat in the blood causing bleeding in theupper jiao.

Indications: Coughing, spitting or vomiting of blood or

nosebleeds, particularly of bright-red blood.

Accompanying signs and symptoms include a drymouth and throat, a red or deep-red tongue, and a

wiry, rapid or forceful wiry rapid pulse


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Sophora Japonica Flower

Powder (huai hua san) C: Huai Hua Ce Bai Ye, Jing Jie Sui, Zhi Ke

Pattern: Wind-heat in the Intestines and Stomach or

accumulation of damp-heat in the Intestines andStomach.

Indications: Bright-red bleeding from the rectum during

defecation which typically precedes (but may also

follow) the passage of stool, blood in the stools,

hemorrhoids with either bright-red or dark-red

bleeding, a red tongue body, and a wiry, rapid or

soggy, rapid pulse.


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Cephalanoplos Decoction

(xiao ji yin zi) C: Xiao Ji

Ou Jie, Pu Huang, Sheng Di Huang, Hua Shi, Mu

Tong, Dan Zhu Ye, Zhi Zi, Dang Gui, Zhi Gan Cao

Pattern: Heat stagnation in the lower burner causing

blood in the urine.

Indications: Bloody painful urinary dysfunction (with

blood in the urine and urinary frequency, urgency,burning, and pain) or simple blood in the urine,

accompanied by thirst, irritability, a red tongue with a

thin, yellow coating, and a rapid, forceful pulse.


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Yellow Earth Decoction

(huang tu tang) Fu Long Gan, Sheng Di Huang, E Jiao, Bai Zhu, Gan

Cao, Fu zi, Huang qin

Pattern: Spleen Yang Deficiency with Spleen unable tomanage Blood

Indications: Blood in the stool, vomiting or spitting up

of blood, nosebleeds, abnormal uterine bleeding of

pale red blood accompanied by cold extremities, awan complexion, a pale tongue with a white coating,

and a submerged, thin and forceless pulse

Ass hide Gelatin and


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Ass-hide Gelatin and

Mugwort Decoction (jiao ai

tang) C: E Jiao, Ai Ye Sheng Di Huang, Dang Gui, Chuan Xiong, Bai Shao,

Gan Cao

Pattern: Injury and deficiency of the penetrating and

conception vessels.

Indications: Abdominal pain with uterine bleeding,

excessive menstruation, menstruation with constant

spotting, post partum bleeding, or bleeding during

pregnancy. The blood is pale and thin without clots,

and is accompanied by weakness and soreness of the

lower back, a dull complexion, a pale tongue with a thin,

white coating, and a thin, frail pulse.


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Formulas thatStabilize and Bind

*Jade Windscreen Powder


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Jade Windscreen Powder

(yu ping feng san)

C: Huang Qi

D: Bai Zhu

A: Fang Feng

Pattern: deficiency of the exterior with weak and

unstable protective qi

Indications: Aversion to drafts, spontaneous sweating,

recurrent colds, a shiny, pale complexion, a pale

tongue with a white coating, and a floating, deficient,

and soft pulse.


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Oyster Shell Powder (mu li

san)

Mu Li, Huang qi, Ma Huang Gen, Fu Xiao Mai

Pattern: Spontaneous sweating due to unstableprotective qi.

Indications: Spontaneous sweating that is worse at night,

palpitations, easily startled, shortness of breath,

irritability, general debility, letargy, a pale-red tongue anda thin, frail pulse.


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Tangkuei and Six-Yellow Decoction

(dang gui liu huang tang)

Dang Gui, Sheng Di Huang, Shu Di Huang, Huang

Lian, Huang Qin, Huang Bai, Huang Qi

Pattern: Night sweats due to raging fire from

deficiency.

Indications: Fever, night sweats, red face, dry mouth

and parched lips, irritablity, dry stols, dark and scantyurine, a red dry tongue and a rapid pulse.


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True Man's Decoction for Nourishing

the Organs (zhen ren yang zang tang) Ren Shen, Bai Zhu, Bai Shao, Dang Gui, Mu Xiang, Rou

Gui, Wei Rou Dou Kou, He Zi, Zhi Ying Su Ke, Zhi Gan

Cao

Pattern: Abandoned disorder from loss of fluids due to

chronic diarrhea or dysentery.

Indications: Chronic diarrhea or dysentery, with

unremitting diarrhea to the point of incontinence and, in

severe cases, prolapsed rectum. The diarrhea may

contain pus and blood, and there may be tenesmus.

Accompanying symptoms include mild, persistentabdominal pain better with pressure and warmth,

lethargy, wan complexion, reduced appetite, soreness of

the lower back, lack of strength in the legs, a pale

tongue with white coating, and a slow thin pulse.


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*Four-Miracle Pill (si shen

wan) C: Bu Gu Zhi

D: Rou Dou Kou

A: Wu Zhu Yu, Wu Wei Zi

E: Sheng Jiang, Da Zao

Pattern: Daybreak diarrhea from Kidney & Spleen Yang

deficiency

Indications: Diarrhea which occurs daily just beforesunrise, lack of interest in food and inability to digest

what is eaten, soreness of the lower back with cold

limbs, fatigue and lethargy, a pale tongue with a thin,

white coating, and a submerged, slow, and forceless

pulse.


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Indications, continued: There may also be abdominal

pain.

CAUTIONS AND CONTRAINDICATIONS: Without

modification, this formula should not be used if there is

accumulation or stagnation in the Stomach or

Intestines.


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Mantis Egg-Case Powder

(sang piao xiao san)

Sang Piao Xiao, Long Gu, Ren Shen, Fu Shen, Yuan

Zhi, Shi Chang Pu, Gui Ban, Dang Gui

Pattern: Leakage of Essence and urine due toDeficiency of Kidney and Heart Qi

Indications: Frequent urination, (sometimes to the

point of incontinence), urine the color of rice water

sometimes with spermatorrhea. Also disorientation,forgetfulness, pale tongue with white coating, thin slow

frail pulse.


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Shut the Sluice Pill

(suo quan wan)

Yi Zhi Ren, Wu Yao, Shan Yao

Pattern: Frequent urination from Deficiency of Bladder

Qi associated with Deficiency Cold in the Kidneys

Indications: Frequent, clear, and prolonged urination

or enuresis accompanied by a pale tongue with a

white coating and a submerged, frail pulse.

Ci T i D ti l


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Cinnamon Twig Decoction plus

Dragon Bone and Oyster Shell

(gui zhi jia long gu mu li tang)

C: Gui Zhi, Bai Shao

Long Gu, Mu Li, Sheng Jiang, Da Zao, Gan Cao

Pattern: Deficiency of both Yin and Yang with lack of

communication between Heart and Kidney

Indications: Spermatorrhea (in men) or dreaming of

sexual intercourse (in women), lower abdominal

contraction and pain, a cold sensation at the tip of thepenis, occasionally watery diarrhea, dizziness,

palpitations, insomnia and dream-disturbed sleep, loss

of hair, and a hollow, slow pulse.


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Fetus Longevity Pill

(shou tai wan) Tu Si Zi, Sang Ji Sheng, Xu Duan, E Jiao

Pattern: Restless Fetus due to Deficiency of Kidney

Qi leading to instability in Penetrating and Conception

vessels.

Indications: Soreness and distension of the lower

back, a sensation of collapse in the lower abdomen,

and vaginal bleeding during pregnancy. Also may

include dizziness, tinnitus, weak legs, frequenturination tot he point of incontinence, a pale tongue

with a white, slippery coating, and a submerged, frail

pulse at the rear position.


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Stabilize Gushing Decoction

(gu chong tang) C: Bai Zhu, Huang Qi

Shan Zhu Yu, Bai Shao, Duan Long Gu, Duan Mu Li, Hai

Piao Xiao, Zong Lu Tan, Wu Bei Zi, Qian Cao Gen

Pattern: Uterine bleeding due to Spleen unable to manageBlood

Indications: Uterine bleeding or profuse menstrual bleeding

in which the blood is thin and pale, and either gushes out

or continuously trickles out. Accompanying signs andsymptoms include palpitations, shortness of breath, a pale

tongue, and a deficient and big or thin and frail pulse.


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*Stabilize the Menses Pill

(gu jing wan) C: Gui Ban, Bai Shao

D: Huang Qin, Huang Bai

A: Xiang Fu, Chun Gen Pi

Pattern: Uterine bleeding from Blood heat due to Liver

constraint

Indications: Continuous menstruation or uterine

bleeding that alternates between trickling and gushing

of blood. The blood is very red and may contain dark-purple clots. Accompanying signs and symptoms

include a sensation of heat and irritability in the chest,

abdominal pain, dark urine, a red tongue, and a rapid,

wiry pulse.


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End Discharge Decoction

(wan dai tang) C: Chao Bai Zhu, Chao Shan Yao, Ren Shen

Cang Zhu, Chen Pi, Jiu Chao Che Qian Zi, Chai Hu,

Jiu Chao Bai Shao, Jie Sui Tan, Gan Cao

Pattern: Liver constraint and qi deficiency whichinjures the Spleen and causes dampness to descend.

Indications: Profuse vaginal discharge that is white or

pale yellow in color, thin in consistency, not particularly

foul-smelling, and usually continuous. Accompanying

signs and symptoms include fatigue, lethargy, a shiny,

pale complexion, loose stools, a pale tongue with a

white coating, and a soggy and frail or moderate

pulse.


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Change Yellow [Discharge]

Decoction (yi huang tang)

Shan Yao, Qian Shi, Huang Bai, Che Qian Zi, Yin Xing

Pattern: Spleen Qi Deficiency with Damp Heat of Lower

Burner Indications: Long-term, unremitting vaginal discharge that

is yellowish-white in color, viscous, and fishy-smelling.

Also may include pale-yellow complexion, dizziness,

sensation of heaviness in the head, reduced appetite,

occasional loose stools, delayed menstruation with paleblood, a pale tongue with thin white coating, and a soft

slippery pulse that may be submerged.

Herb Board Review Formulas 4

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Transcript of Herb Board Review Formulas 4