Quick Selection of Chinese Herbal Formulas Based on Clinical Conditions

7/27/2019 Quick Selection of Chinese Herbal Formulas Based on Clinical Conditions

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Quick Selection of Chinese Herbal Formulas

Based on Clinical Conditions

Dr. Xies Jing-Tang Herbal Inc.

Tel :(352)591-0561 (800)891-1986 Fax: (352)591-2854 (866)700-8772

Website: http://www.tcvmherbal.com E-mail: [email protected]

Address: 9700 W Hwy 318, Reddick, FL 32686

BI SYNDROME (OSTEOARTHRITIS AND MUSCLE PAIN).............................................................................1

WEI SYNDROME (WASTING SYNDROME)........................................................................................................2

PRURITUS/ERUPTION/EROSION/ECZEMA/DERMATITIS (SHI ZHEN) .....................................................3

AUTOIMMUNE SKIN DISEASES INCLUDING LUPUS .....................................................................................4

SEIZURE......................................................................................................................................................................5

ANOREXIA .................................................................................................................................................................7

VOMITING..................................................................................................................................................................8

DIARRHEA IN HORSES...........................................................................................................................................9

DIARRHEA IN SMALL ANIMALS.......................................................................................................................10

INFLAMMATORY BOWEL DISEASE (IBD)......................................................................................................11

CONSTIPATION / MEGACOLON / ABDOMINAL PAIN .................................................................................12

NASAL DISCHARGE AND CONGESTION.........................................................................................................13

COUGH......................................................................................................................................................................14

DYSPNEA / HEAVES / ASTHMA..........................................................................................................................15

CONGESTIVE HEART FAILURE.........................................................................................................................16RENAL FAILURE (LIN SYNDROME) .................................................................................................................16

DIABETES.................................................................................................................................................................18

CUSHINGS DISEASE.............................................................................................................................................19

HYPOTHYROIDISM...............................................................................................................................................20

HYPERTHYROIDISM.............................................................................................................................................21

ACUTE MUSCULOSKELETAL CONDITIONS..................................................................................................21

ACUTE INTERNAL CONDITIONS.......................................................................................................................22


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1

Bi Syndrome (Osteoarthritis and Muscle Pain)

Bi syndrome refers to pain and stiffness in muscles, tendons, bones and joints. The difficultmovements or deformities of these tissues are caused by invasion of Wind, Cold, Damp andHeat. Bi syndrome includes osteoarthritis, arthritis, rheumatoid arthritis, gouty arthritis,discospondylitis, spondylosis, and intervertebral disc diseases (IVDD). The most commonly

seen bi syndromes are Kidney Qi Deficiency Bony Bi, Kidney Yin and Qi/Yang Deficiency BonyBi, Painful Bi and Fixed Bi.

Table -1.1: Herbal selection for the most common patterns of Bi (arthritis) syndrome

Pattern Type Clinical Signs Herbal Formula

Painful (Cold) Bi

Joint pain

Difficult movement

Heat relieves pain

Dislikes being massaged

Cold exacerbates pain

Tongue: Purple or normal; slightly pale coating

Pulse: Tight and wiry pulse

Doks Formula(C2031)

or

Equine Du Huo

(A0030)

Fixed (Damp) Bi

Difficult movement

More stiffness than pain

Heat and dryness relieves pain

Cold-damp (weather changes) exacerbatespain

Tongue: Greasy and pale coating

Pulse: Soft and slow

Coix Formula(C2032)

Kidney Qi/YangDeficiency Bi

Syndrome

Difficulty getting up and/or walking

Coldness of back and extremities or soft stool

Lameness is worse in cold/damp or winter

Heat seeking

Likes to be massaged Tongue: Pale, wet

Pulse: Deep and weak

Loranthus Powder

(C2033)

Kidney Yin andQi/Yang Deficiency Bi

Syndrome

Dry skin

Thirsty

Lameness is worse in summer or hot conditions

Cool-seeking

Difficulty in getting up

Lethargy

Tongue: Pale or red

Pulse: Thready and weak

Di Gu Pi(C2034)

For better results add:

Sang Zhi San (C2035) if there is osteoarthritis in limbs (e.g. shoulder, hip, hock)

Body Sore (B0020) if there is pain in soft tissues (e.g. muscle and ligaments)

Relief Salve (K9010) for any type of pain (massage into local areas)


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Wei Syndrome (Wasting Syndrome)

This refers to general weakness and muscle wasting.

Table -1.1: Herbal selection for the most common patterns of Wei syndrome


Damp-Heat

Obesity

Earth personality

History of IBD or damp skin

Edema

Muscle atrophy

Weakness

Lethargy

Tongue: Greasy and wet

Pulse: Fast

Si Miao San(C3037)

Qi/Yang Deficiency

Lethargy

Shortness of breath

Weakness of limbs

Too weak to walk or get up

Loose lips

Anorexia

Loose stool

Emaciation

Dry or burned hair

Edema

Heat-seeking Tongue: Pale and wet


Bu Yang Huan Wu(A2080)

Qi-Yin Deficiency

Emaciation

Weakness of the lumbar area and limbs

Heat-seeking

Dry skin

Tongue: Pale or red and dry

Pulse: Weak and thready

HindquarterFormula(A2090)


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3

Pruritus/Eruption/Erosion/Eczema/Dermatitis (Shi Zhen)

Table -1.1: Herbal selection for most common patterns of Shi-zhen


Skin allergy(External Wind)

Atopy Contact dermatitis

Flea allergy dermatitis

IgE-mediated hypersensitivity reactions

Pruritus

Itching

Scratching the face, neck and upper body

Otitis externa

Rubbing the face

Tongue: Red or slightly dry

Pulse: Wiry or fast

External Wind(E2042)

Wind-Heat

Warm skin surface

A patch of erythema

Small vesicles on the body surface

Itching

Scratching and rubbing the affected area

Alopecia in the affected area

Tongue: Red

Pulse: Floating and forceful

Wind Toxin Formula(E2041)

Damp-Heat

in whole body

Small vesicles on the skin (may be ruptured)

Thick, yellow discharge on the surface with odor

Scab formation

Itching and restlessness

Scratching and rubbing Alopecia.

Tongue: Red with greasy coating

Pulse: Fast and forceful

Damp Heat Skin

(E2043a)

Damp-Heatin four paws

Damp-Heat skin conditions (red, swelling, heat,yellow discharge on the skin surface with an odorand/or itching) located on all four paws

Four Paws DampHeat

(E2043b)

Damp-Heatin lower Jiao

Damp-Heat skin conditions (red, swelling, heat,yellow discharge on the skin surface with an odorand/or itching) located around the lower jiaos(lower abdomen, thigh, and rear limbs)

Lower Jiao DampHeat

(E2043c)

Damp-Heatin front paws

Damp-Heat skin conditions (red, swelling, heat,yellow discharge on the skin surface with an odorand/or itching) located on the front paws

Front Paw DampHeat

(E2043d)


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Damp Heatin ears

Damp-Heat skin conditions (red, swelling, heat,yellow discharge from the ears with skin odorand/or itching) located in the ears.

Ear Damp-Heat(E2043e)

Damp Heat

in genital areas

Damp-Heat skin conditions (red, swelling, heat,

yellow discharge on the skin surface with an odorand/or itching) located on the genital areas

Genital Damp-Heat

(E2043f)

Blood Deficiency

Chronic itching in an aged patient

Dandruff

Dry skin/haircoat

Alopecia

Dry or cracked paws/hooves

Poor growth of feet

Tongue: Pale and dry tongue

Pulse: Deep, thready, weak

Ku Shen Si Wu(E2065)

Yin Deficiency

Chronic itching, worse at night and in summer

Dandruff

Dry skin/haircoat

Alopecia or crusting

Hyperactivity at night or night sweating

Cool-seeking behavior

Tongue: Red/deep red and dry

Pulse: Deep, thready, fast

Zhi Bai Di Huang(A3504)

Autoimmune Skin Diseases Including LupusTable -1.1: Herbal selection for most common patterns of autoimmune skin disease


Blood Heat

Depigmentation, crusting, ulceration of the planumnasale or skin

Erythema

Erosions of thin-skinned areas (axilla, periocularskin)

Includes discoid lupus erythematosus (DLE),systemic lupus erythematosus (SLE), pemphigus

Tongue: Red or purple

Pulse: Surging and rapid

Blood HeatFormula(E2044)


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5

BloodStagnation

Crusts, scales, eruptions or erosions

Ulceration

Erythema

Wood type of behavior

Tongue: Purple


Mu Dan Pi Powder(E2045)

Qi-BloodDeficiency

Depigmentation

Crusting

Bleeding ulceration

Erythema

Erosions

Tongue: Pale and dry


Han Lian Cao(E2047)

Seizure

Table -1.1: Herbal selection for most common patterns of seizure (epilepsy)


Obstruction by

Wind-Phlegm

Sudden onset of seizure without warning

Loss of consciousness

Convulsions

Foaming at the mouth

Screaming Possible incontinence of urine and stool

Sporadic, temporary disorientation without seizure

Tongue: Pale or purple with white greasy coating

Pulse: Wiry and slippery

Ding Xian Wan

(H2410)

InternalProfusion ofPhlegm-Fire

Wood type of personality (agitated, irritability)



Convulsions


Screaming

Sporadic constipation

Cough with yellow phlegm Tongue: Red or purple with greasy coating

Pulse: Slippery

Di Tan Tang(H2412)

and

Long Dan Xie Gan

(E3907)


8/26

Stagnation of

Blood

History of injuries on the head



Convulsions


Screaming

Possible incontinence of urine and stool Sporadic, temporary disorder of consciousness

Temporary disorientation without seizure

Tongue: Pale or purple with white greasy coating

Pulse: Wiry and slippery

Ding Xian Wan(H2410)

and

Tao Hong Si WuTang

(B3315)

Liver BloodDeficiency

Chronic seizures

Anemia

Emaciation

Dry or burned hair

Rigidity of the neck and lockjaw

Weakness in four limbs Cool ear and nose

Tongue: Pale


Bu Xue Xi Feng(A3320)

Liver/Kidney YinDeficiency

Chronic seizures

Dry nose and mouth

Seizure occurred at night or late afternoon

Tongue: Red


Yang Yin Xi Feng(A3325)

Modification:

Epimedium Powder (A 0190) for Kidney Jing Deficiency

Tian Ma Plus II (A3330) for Blood and Yin Deficiency

Tian Ma Bai Zhu (F2430) for Damp or Spleen Qi Deficiency


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7

Anorexia

Table -1.1: Herbal selection for most common patterns of Anorexia syndrome


Stomach Cold

Anorexia

Lassitude

Coldness in ear/nose

Too much saliva

Wet mouth

Tongue: Pale/purple with pale coating

Pulse: Deep and slow

Happy EarthFormula(D2060)

Stomach Heat

Anorexia

Thirsty

Foul odor from mouth Dry feces

Dark and short urination

Tongue: Deep red with yellow coating

Pulse: Surging and fast

Jade Lady(E0172)

Food Stasis

Anorexia

Lassitude

Vomiting

Weariness

Foul odor from mouth

Tongue: Greasy and thick coating Pulse: Deep and slippery

Bao He Wan(D2061)

Spleen QiDeficiency

Anorexia

Lassitude

Loose stool with indigested grain

Weariness

Weight loss

Edema

Weakness in four limbs

Tongue: Pale


Eight Gentlemen(A3030)


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Vomiting

Table -1.1: Herbal selection for the most common patterns of vomiting


Disruption ofStomach byExogenousPathogenic

Factors

Sudden onset of vomiting especially after

weather/season changes or travel Aversion to cold, wind or heat (sunshine)

Headache (aversion to touch around the head)

Palpation reveals cranial abdomen pain (++)

Tongue: Pale coating

Pulse: Floating/superficial

Happy EarthFormula(D2060)

Food Stagnation

Anorexia

Sudden onset of vomiting after eating

Loose stool

Foul odor from mouth

Vomits acidic fluid or undigested stomach contents

Relief after vomiting

Abdominal palpation: Fullness Tongue: Red with greasy and thick coating

Pulse: Slippery

Bao He Wan(D2061)

Liver QiStagnation

Hyperactive personality

Irritability

Vomiting small amounts

Flank and rib pain (+++) on palpation

Frequent acid regurgitation/eructation

Red eyes

Tongue: Purple

Pulse: Wiry

Liver Happy(B3905)

Spleen Qi/YangDeficiency

Vomiting Fatigue

Loose stool with undigested grain

Loss of appetite

Weakness

Edema

Warm-seeking

Enjoys massage of the abdomen

Abdominal discomfort

May improve after massage

Tongue: Pale


Eight Gentlemen(A3030)

Stomach YinDeficiency

Vomiting Frequent vomiting of small amount of contents

Loss of appetite

Dry mouth

Small, dry fecal-balls

Palpation: Abdominal pain (+++)

Tongue: Red with less or no coating

Pulse: Thready and rapid

Stomach Happy(E0171)


11/26

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Diarrhea in Horses

Table -1.1: Herbal selection for the most common patterns of equine diarrhea


Cold-Damp

Increased bowel movements or loose stool afterstressful environmental changes, sudden changes indiet, or drinking too much cold water

Cold ear/nose

Colic

Tongue: Pale or purple and wet

Pulse: Deep and slow

Equine GI Formula(D0140)

Heat-ToxinDamp-Heat

Bloody/watery diarrhea or malodorous mucoid feces

Could be colitis, enteritis, Potomac fever,salmonellosis and non-specific gastroenteritis

Hot ear/nose

Thirsty

Tongue: Deep red with yellow coating Pulse: Deep and rapid

Yu Jin San(E0131)

Liver QiStagnation

Diarrhea due to stressful work or environment

Diarrhea due to a gastric ulcer

Racehorses or hyperactive horses are predisposed

Tongue: Purple or red

Pulse: Taut-string or wiring

Stomach Happy(E0171)

Spleen QiDeficiency

Chronic diarrhea with undigested grain

Anorexia

Loss of body weight Exercise intolerance

Tongue: Pale or yellow


Shen Ling Bai Zhu(A3070)

Kidney YangDeficiency

Prolonged diarrhea

Diarrhea at night or early morning (day break)

Cold and painful back

Rear weakness and stiffness

Tongue: Pale


Four Immortals(A2150)

Diarrhea inFoal

Soft to watery diarrhea due to bacteria, viruses,parasites or other pathogenic factors

Tongue: Pale or purple

Pulse: Thready and fast

Mume Powder(E0240)


12/26

Diarrhea in Small Animals

Table -1.1: Herbal selection for common patterns of diarrhea in dogs and cats


Heat-Toxin/Damp-Heat

Bloody/watery diarrhea or mucoid feces with afoul odor

Can be colitis, enteritis, and non-specificgastroenteritis

Hot ear/nose

Thirsty


Pulse: Deep and rapid

Great SaussureaCoptis

(E2181)

Liver-SpleenDisharmony

Diarrhea due to stressful work or environmental

factors Diarrhea due to gastric ulcer

Hyperactive pets are predisposed


Pulse: Taut-string or wiring

Escape StagnationPill

(B0033)

Spleen QiDeficiency


Anorexia

Loss of body weight

Exercise intolerance





Prolonged diarrhea

Diarrhea at night or early morning (day break)

Cold and painful back

Rear weakness and stiffness

Tongue: Pale


Four Immortals(A2150)


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Inflammatory Bowel Disease (IBD)

Table -1.1: Herbal selection for common patterns of inflammatory bowel disease


Heat-Toxin/Damp-Heat

Bloody/watery diarrhea or mucoid feces with afoul odor

Acute onset

Hot ear/nose

Thirsty

Vomiting


Pulse: Deep and rapid

Great SaussureaCoptis

(E2181)

Qi-BloodStagnation

Chronic diarrhea with stink odor

Abdominal pain Vomiting

Loss of appetite


Pulse: Wiring

Xiang Lian San(E2182)

Spleen QiDeficiency


Anorexia

Loss of body weight





Canine Parvovirus

Bloody diarrhea with mucus or foul odor

Anorexia

Vomiting

Tongue: Red and dry

Pulse: Fast

Red Back Door(E2185)


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Constipation / Megacolon / Abdominal Pain

Table -1.1: Herbal selection for common patterns of constipation/colic


Heat

Acute onset of colic

Hot ear/nose

Cool-seeking

Thirsty

Foul breath

Swollen upper palate

Tongue: Red and dry

Pulse: Fast

Da Cheng Qi Tang(I0097)

Qi Stagnation

Sub-acute onset of colic

Bloat

Gaseous bowel movement Abdominal fullness

Anorexia


Pulse: Fast or wiry

Xiao Zhang San(B0263)

Qi Deficiency

Chronic constipation or colic

Anorexia

Loss of body weight

Exercise intolerance or general weakness

Tongue: Pale


Fan Xie Ye(I8001)

Yin/BloodDeficiency

Very chronic megacolon

Impaction

Dry and flaky skin

Weak or geriatric patient

Tongue: Pale or red and dry

Pulse: Fast, thready and weak

Dang Gui CongRong

(A0250)


15/26


16/26

Cough

Table -1.1: Herbal selection for common patterns of cough


Wind-Cold

Aversion to cold

Clear nasal discharge

Cough with sputum

Cold ears and nose

Acute onset of cough

Tongue: Pale red with thin coating

Pulse: Superficial / slow

Zhi Sou San(F0045)

Wind-Heat

Depression

Fever

Thirst Loud cough with less sputum

Warm air exhaled from the nose

Tongue: Red with yellow coating

Pulse: Superficial / fast

Jade Screen Eight(E0138)

Lung Heat

High fever

Asthma or cough

Tongue: Dry and red


Qing Fei San(E0087)

Lung YinDeficiency

Prolonged and weak cough

Cough is better in day and worse at night

Emaciation

Dry hair

Dry and thick nasal discharge

Tongue: Red and dry


Lily Combination(A0050)

Lung Qi Deficiency

Cough with weak voice

Fatigue

Exercise intolerance Tongue: Pale and wet


Bu Fei San(A0085)


17/26

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Dyspnea / Heaves / Asthma

Table -1.1: Herbal selection for common patterns of dyspnea


AllergyHeat

Allergic heaves

Worse in Summer

Cool-seeking,

Tongue: Red and dry

Pulse: Strong and fast

Schisandra 5(F0081)

Lung Yin Deficiency

Chronic heaves/asthma

Emaciation

Dry hair

Dry and thick nasal discharge Dry cough

Cool-seeking

Tongue: Red and dry


Lily Combination(A0050)

Lung Qi Deficiency

Chronic heaves/asthma

Dyspnea worse when moving

Weak voice

Fatigue


Tongue: Pale and wet Pulse: Deep and weak pulse

Bu Fei San(A0085)

Kidney and Lung QiDeficiency

Prolonged course of asthma

Feeble asthma with low sound of respiration


Loss of breath

Worse asthma when moving

Obvious heaves/asthma groove

Tongue: Pale with thin coating


Breath Easer(F0082)


18/26

Congestive Heart Failure

Table -1.1: Herbal selection for common patterns of congestive heart failure


Heart Qi Deficiency

Shortness of breath

Palpitation

Spontaneous sweating

Listlessness

Lassitude

Tongue: Pale tongue, white coating

Pulse: Weak, irregularly or regularly intermittent

Heart Qi Tonic(A0016)

Heart YangDeficiency

Shortness of breath

Palpitation

Spontaneous sweating

Listlessness

Lassitude

Fatigue

Lethargy

Loose stool

Coolness of ears/nose

Tongue: Pale or purple

Pulse: Weak, irregularly or regularly intermittent

Bao Yuan Tang(A0015)


Cough

Shortness of breath

Ascites

Edema in rear limbs

Warm-seeking behavior

Coldness of back and limbs

Tongue: Pale purple


Zhen Wu Tang(A0096)

Renal Failure (Lin Syndrome)

Table -1.1: Herbal selection for common patterns of renal failure


Kidney QiDeficiency

Urinary incontinence or dysuria

Stranguria

Weakness of back

Tongue: Pale, wet

Pulse: Deep, weak (especially at right)

Suo Quan Wan(A2110)


19/26

17

Kidney Yang

Deficiency

Pale complexion

Aversion to cold

Cold extremities

Subdued manner

Sore lumbar region

Poor teeth

Hearing loss Copious clear urine or enuresis

Urinary incontinence

General debility/weakness

Edema in limbs or ventral abdomen

Tongue: Swollen and pale with a wet coating

Pulse: Weak, deep (especially on the right side).

Zhen Wu Tang

(A0096)

Kidney YinDeficiency

Dysuria

Stranguria

Weakness of back

Thin and shriveled (dehydrated) constitution

Dry throat

Warm palmar surfaces (hot five hearts) Night sweating

Generalized erythema

Hearing loss

Weak lumbar region or infertility problems

Tongue: Red, dry

Pulse: Deep, thready, weak (especially on left)

Zhi Bai Di Huang(A3504)

Kidney Qi and YinDeficiency


Lethargy

Cool-seeking behavior

Dry and red skin

Tongue: Red and dry or pale and wet

Pulse: Thready and fast or weak and deep

Rehmannia 11(A2194)

Kidney JingDeficiency

Premature aging

Bad teeth

Brittle bones

Slow growth and development of neonates

Poor skeletal development

Developmental bone diseases

Congenital defects

A preponderance of symptoms toward eitherKidney Yin or Kidney Yang Deficiency

Tongue: Pale or red

Pulse: Weak

Epimedium Powder(A0190)

Modification:

Add Eight Gentlemen (A3030) if clinical signs include with vomiting and anorexia


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21/26

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Cushings Disease

Table -1.1: Herbal selection for common patterns of hyperadrenocorticism


Yin Deficiency

Polyphagia

Dry haircoat and skin

Hair thinning to frank alopecia

Polyuria

Polydipsia

Excessive panting with nightly outbursts

Tongue: Dry and red


OphiopogonPowder(A3510)

Qi and YinDeficiency

Polydipsia

Polyuria

Pendulous abdomen or ascites

Pulmonary edema

Congestive heart failure

Enlarged liver

Excessive panting with nightly outbursts

Tongue: Pale or red


Rehmannia 11(A2194)

Yang Deficiency

Polydipsia

Polyuria

Pendulous abdomen or ascites

Pulmonary edema

Congestive heart failure

Enlarged liver

Warm-seeking

Hirsutism

Chronic/recurrent laminitis

Tongue: Swollen and pale


Rehmannia 14(A0150)


22/26

Hypothyroidism

Table -1.1: Herbal selection for common patterns of hypothyroidism


Liver Qi Stagnation

Wood type of personality

Goiter or evident thyroid enlargement

Emotional activities

Tongue: Purple or slightly red

Pulse: Wiry or string-taut

Si Hai Powder(A2203)

Yuan Qi Deficiency

Developmental retardation (bone and tendon)

Muscular problems

Poor exercise tolerance or tiredness

Warm-seeking or decreased body temperature

Goiter

Scaly hair coat

Edema

Tongue: Pale tongue with white coating

Pulse: Deep, weak

Xiao Ying Powder(A2204)

Qi-Yin Deficiency

Aversion to cold

Cold extremities

Cold and painful lower back

Reduced libido or fertility

Loose teeth

Deafness or loss of hearing

Copious clear urine

Urinary incontinence

Lethargic


Dry flaky skin

Increased shedding

Hair loss in bilaterally symmetrical pattern

Loose, dry, thickened and darkly pigmented skin

Weight gain without increased appetite or caloricconsumption

Weak bark or meow

Constipation or diarrhea Tongue: Swollen, pale, thin moist or red/dry

Pulse: Weak, deep

Jia Bing Fang(A2201)


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24/26

Acute Internal ConditionsTable -1.1: Herbal selection for common patterns of internal conditions

Disease TCM Pattern Formula

Wind HeatEquine Yin Qiao

(E0130)

Respiratory Viral Infection

Lung HeatQing Fei San

(E0087)

General Bacterial or ViralInfection

Heat-ToxinsPu Ji Xiao Du Yin

(E0135)

Urinary Tract Infection Damp Heat in Lower JiaoEight Righteous Powder

(E2101)

Inflammatory Bowel Disease Damp Heat in IntestinesGreat Saussurea Coptis

(E2181)

Qi Stagnation/ColdJu Pi San(B0094)

Colic, abdominal pain

Gaseous Colic/BloatXiao Zhang San

(B0263)

Nose-BleedingSingle Immortal

(B0072)

Intestinal BleedingRed Lung Plus

(B0073)Internal Hemorrhage

Urinary BleedingRed Front Door

(E2102)

Wheals, Hives and Urticaria Lung Wind-HeatLung Wind Huang

(E3210)


25/26


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Quick Selection of Chinese Herbal Formulas Based on Clinical Conditions

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Transcript of Quick Selection of Chinese Herbal Formulas Based on Clinical Conditions