Formulas 1 Exterior Wind Cold Ge Gen Tang To Jiu Wei Qinag Huo Tang

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Ge Gen Tang Source

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Discussion of Cold Damage (C. 220)

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releases the exterior and muscle layer, and generates fluids

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Ge Gen Tang

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Externally-contracted wind-cold affecting the Tai Yang channel manifested by fever and chills without sweating, stiff and rigid neck and upper back, a thin, white tongue coating, and a floating, tight pulse

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Ge Gen Tang

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A small bird that strains its neck and upper back in an attempt to fly.” This is caused by wind-cold, which binds the upper portion of the Tai Yang channel and prevents the fluids from reaching the area

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Ge Gen Tang

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Ma Huang (Ephedrae Herba) 9g
Gui Zhi (Cinnamomi Ramulus) 6g
deputy for what formula

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Ge Gen Tang

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Assistant
Bai Shao (Paeoniae Radix) 6g
Sheng Jiang (Zingiberis Rhizoma recens) 9g
Da Zao (Jujubae Fructus) 12 pcs

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Ge Gen Tang

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Envoy of ge gen tang

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zhi gan cao

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releases the muscle layer (especially of the upper back and neck) by drawing
fluids to the affected area, and releases the exterior
single herb

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Ge Gen

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Key Point of diagnosis
Fever, chilly, no sweating, stiff neck and upper back

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Ge Gen Tang

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Contraindicate in case of exterior cold def.; Should not be given to patients due to wind heat. Contraindicated in patients with internal damp-heat. Should be used with caution during the summer or hot weather

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Ge Gen Tang

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Ge Gen Tang mods For severe nasal blockage

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+ Chuan Xiong, Huang Qin, Xin Yi Hua, Jie Geng

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Ge Gen Tang mods For urticaria

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+ Chan Tui;

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Ge Gen Tang mods For sever facial pain

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+ Du Huo; Tao He Cheng Qi Tang

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Clinic Use
Problems characterized by neck and back pain including common cold, cervical spine disease, torticollis, periarthritis of the shoulder, lumbar disc disease, lumbar strain;
Problems affecting the head, including trigeminal neuralgia, cerebral vascular insufficiency, hypertension, cerebrovascular disease, otitis media, gingivitis, sinusitis, allergic rhinitis, tonsilitis, and iritis.
Acute digestive problems, including acute enteritis and bacillary dysentery

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Ge Gen Tang

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Comparisons
Ma Huang Tang and Ge Gen Tang
Common points: Both formulas treat Tai Yang pattern caused by wind-cold obstructing protective Yang in the exterior.

Difference?

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Ma Huang Tang treats patterns where wind-cold is affecting the dispersion and downward-directing of Lung Qi, leading to coughing and wheezing.
Ge Gen Tang treats patterns where wind-cold is affecting the dispersion of Qi and blood in the Yang Ming channel, manifesting as stiff and rigid neck.

Front 16

Xiao Qing Long Tang source

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Discussion of Cold Damage (C. 220)

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Actions: releases the exterior, transforms thin mucus, warms the Lungs, and directs Qi downward

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Xiao Qing Long Tang

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Indications: acute attacks of wind-cold in cases with chronic thin mucus manifested by fever and chills (chills predominant) without sweating, cough, wheezing, sputum that is copious, white, stringy, and difficult to expectorate, stifling sensation in the chest, generalized sensation of heaviness and body aches, no particular thirst, moist tongue coating, and a floating, tight pulse. In severe cases, there may be floating edema or considerable difficulty in breathing when lying down

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Xiao Qing Long Tang

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Chief
Ma Huang (Ephedrae Herba) 9g
Gui Zhi (Cinnamomi Ramulus) 9g

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Xiao Qing Long Tang

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Deputy
Gan Jiang (Zingiberis Rhizoma) 9g
Xi Xin (Asari Radix et Rhizoma) 9g

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Xiao Qing Long Tang

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Assistant
Wu Wei Zi (Schisandrae Fructus) 9g
Bai Shao (Paeoniae Radix alba) 9g
Zhi Ban Xia (Pinelliae Rhizoma preparatum) 9g

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Xiao Qing Long Tang

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The efficacy of this formula is attributed to its ability to simultaneously release wind-cold from the exterior and transform thin mucus in the interior. If the exterior is not resolved, the fluids can not be moved. If thin mucus constrains the interior, protective yang can not penetrate to the exterior. Only a strategy that focuses on both dispersing the protective yang and transforming the yin excess can overcome this vicious circle

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Xiao Qing Long Tang

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a combination of Ma Huang Tang, Gui Zhi Tang and Ling Gan Wu Wei Jiang Xin Tang

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Xiao Qing Long Tang

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Key Point of diagnosis
Chilly, no sweating, asthma or cough, thin and profuse sputum.
Caution and contraindication in Use

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Xiao Qing Long Tang

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Caution and contraindication in Use
Should not be used long term, nor for conditions with heat, coughing of blood, or coughing due to yin deficiency. Use with caution in cases with hypertension (Zhi Ma Huang rather than Ma Huang).

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Xiao Qing Long Tang

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Xiao Qing Long Tang mods For severe exterior cold disorders

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increase the dosage of Ma Huang and Gui Zhi;

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Xiao Qing Long Tang mods For marked congestion, copious sputum, breathing difficulty while lying down, a slippery and wet tongue coating, and a wiry and tight or slippery pulse

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increase the dosage of Xi Xin, Zhi Ban Xia, + Sheng Jiang

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Xiao Qing Long Tang mods For pronounced nasal congestion, runny nose, and headache

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substitute Sheng Jiang for Gan Jiang, substitute Chi Shao for Bai Shao, + Fang Feng and Jing Jie

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Clinic Use
Disorders marked by coughing and/or wheezing, including upper respiratory tract infections, acute and chronic bronchitis, bronchial asthma, emphysema, and cardiopulmonary disease;
Disorders marked by discharges from the nose and/or eyes, including hay fever, allergic rhinitis, viral conjunctivitis, and dacryosolenitis.
Disorders marked by hiccups or retching, including enteritis, peptic ulcer, atrophic gastritis, cirrhosis, and chronic bacillary dysentery.
Miscellaneous diseases such as nephritis, rheumatic heart disease, pleuritis, epilepsy, and periarthritis of the shoulder;

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Xiao Qing Long Tang

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Cang Er Zi San source

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Formulas to Aid the Living (1253)

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Actions: disperses wind, alleviates pain, and unblocks the nose

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Cang Er Zi San

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Indications: deep-source nasal congestion (Bi Yuan) or seepage from the brain marked by copious, purulent, and even foul-smelling nasal discharge, nasal obstruction, dizziness, frontal headache, a normal or thin, white or greasy, white tongue coating

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Cang Er Zi San

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Pathogenic analysis
Bi Yuan usually appears after an unsolved case of the common cold;
Protective Qi obstruction readily manifests in its external orifice, the nose.
Obstruction of the Yang Ming channel, which traverses the nose, causes frontal headache and dizziness;
Heat engendered from constraint and fluids that are not directed downward by the Lungs combine to produce profuse, foul-smelling nasal discharge;
A normal or white tongue coating indicates, however, that the heat constraint is not pronounced.

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Cang Er Zi San

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Chief
Cang Er Zi (Xanthii Fructus) 6-9g
Xin Yi Hua (Magnoliae Flos) 3-6g

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Cang Er Zi San

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Deputy
Bai Zhi (Angelicae Dahuricae Radix) 6-9g

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Cang Er Zi San

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Assistant
Bo He (Menthae haplocalycis Herba) 3-6g

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Cang Er Zi San

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Envoy
Cong Bai (Allii fistulosi Bulbus) 3-6g
Or green tea

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Cang Er Zi San

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Key Point of diagnosis
Copious, purulent, even foul-smelling nasal discharge, nasal congestion, frontal headache, anosmia (loss of smell);

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Cang Er Zi San

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Cang Er Zi San Caution and contraindication in Use

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Caution with pregnancy or pediatric patients

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Cang Er Zi San Modification For severe nasal obstruction

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+ E Bu Shi Cao, Xi Xin

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Cang Er Zi San Modification For concurrent fever and heat in the Lungs

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+ Huang Qin, Yu Xing Cao

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Cang Er Zi San Modification For bloody nasal discharge or nosebleed

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+ Qian Cao Gen, Sheng Di Huang

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Cang Er Zi San Modification For more severe dizziness and headache

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+ Ju Hua, Bai Ji Li

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Clinic Use
Acute or chronic sinusitis; acute, chronic, or allergic rhinitis;

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Cang Er Zi San

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Chuan Xiong Cha Tiao San Source

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Formulary of the Pharmacy Service for Benefiting the People in the Taiping Era (1107)

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Actions: disperses wind and alleviates pain

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Chuan Xiong Cha Tiao San

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Indications: Externally-contracted wind causing headache in any part of the head which may be accompanied by fever and chills, dizziness, nasal congestion, a thin, white tongue coating, and a floating pulse

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Chuan Xiong Cha Tiao San

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Chief
Chuan Xiong (Chuanxiong Rhizoma) 120g
Qiang Huo (Notopterygii Rhizoma seu Radix) 60g
Bai Zhi (Angelicae dahuricae Radix) 60g

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Chuan Xiong Cha Tiao San

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Deputy
Jing Jie (Schizonepetae Herba) 120g
Fang Feng (Saposhnikoviae Radix) 45g
Bo He (Menthae haplocalycis Herba) 240g
Xi Xin (Asari Herba) 30g

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Chuan Xiong Cha Tiao San

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Assistant
Green tea

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Chuan Xiong Cha Tiao San

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The so-called wind herbs are ______, _______ and ______ing in nature and thereby embody the nature of wind within themselves

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acrid, warm and ascending

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what sinlge herb alleviates headaches along the Shao Yang (temporal) and Jue Yin channels (vertex)

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Chuan Xiong

Front 53

what sinlge herb alleviates headaches along the Tai Yang channel (occipital);

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qiang huo

Front 54

what sinlge herb alleviates headaches along the Yang Ming channel (frontal)

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Bai Zhi

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Chuan Xiong Cha Tiao San mod For wind-heat headache

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— Qiang Huo, Xi Xin; + Ju Hua, Man Jing Zi

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Chuan Xiong Cha Tiao San mod For wind-cold headache

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— Bo He; + Sheng Jiang, Zi Su Ye

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Chuan Xiong Cha Tiao San mod For chronic headache

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+ Hong Hua, Tao Ren, Bai Jiang Can, Quan Xie

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Clinic Use
Upper respiratory tract infection, migraine headache, tension headache, neurogenic headache, and acute and chronic rhinitis or sinusitis, postconcussion headache

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Chuan Xiong Cha Tiao San

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Xing Su San source?

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Systematic Differentiation of Warm Pathogen Diseases (1798)

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Actions: gently disperse cool-dryness, disseminates the Lung Qi, and transforms thin mucus

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Xing Su San apricot kernel and perilla leaf powder

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Indications: Externally-contracted cool-dryness interfering with the disseminating, clearing, and downward-directing functions of the Lungs marked by slight headache, chills without sweating, cough with watery sputum, stuffy nose, dry throat, a dry, white coating, and a wiry pulse;

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Xing Su San

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Chief
Xing Ren (Armeniacae Semen) 6-9g
Zi Su Ye (Perillae Folium) 6-9g

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Xing Su San

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Deputy
Qian Hu (Peucedani Radix) 6-9g
Jie Geng (Platycodi Radix) 6g
Zhi Ke (Aurantii Fructus) 6g

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Xing Su San

Front 64

Assistant
Chen Pi (Citri reticulatae Pericarpium) 6g
Fu Ling (Poria) 6-9g
Zhi Ban Xia (Pinelliae Rhizoma preparatum) 6-9g

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Xing Su San

Front 65

Envoy
Sheng Jiang (Zingiberis Rhizoma recens) 2-3pcs
Da Zao (Jujubae Fructus) 2-3pcs
Zhi Gan Cao (Glycyrrhizae Radix) 3g

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Xing Su San

Front 66

Key Point of diagnosis
Chills without sweating, cough with watery sputum, stuffy nose, dry throat, white tongue coating and wiry pulse

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Xing Su San

Front 67

Caution and contraindication in Use
Caution with warm-dryness, wind-heat or body fluid deficiency from febrile disease

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Xing Su San

Front 68

Xing Su San mod For absence of sweating and a very wiry or tight pulse

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+ Qiang Huo

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Xing Su San mod For diarrhea and a sensation of fullness in the abdomen

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+ Cang Zhu, Hou Po

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Xing Su San mod For headache involving the supraorbital ridge

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+ Bai Zhi

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Xing Su San mod For pronounced fever

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+ Huang Qin

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Jiu Wei Qiang Huo Tang (Nine Herb Decoction with Notopterygium) source?

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Hard-Won Knowledge (1308)

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Actions: induces sweating and dispels dampness while simultaneously draining interior heat

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Jiu Wei Qiang Huo Tang

Front 74

Externally-contracted wind-cold-dampness with concurrent internal accumulation of heat marked by fever and chills (chills predominant) without sweating, headache, stiff neck, generalized aches and pain, slight thirst, a bitter taste in the mouth, a white tongue coating, and a floating pulse

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Jiu Wei Qiang Huo Tang

Front 75

The predominance of chills and the generalized aches and pains are the primary markers of externally-contracted cold-dampness.
Heat accumulating internally produces slight thirst and a bitter taste in the mouth

The white tongue coating and floating pulse indicate that the pathogenic influences remain in the exterior;
what formula would you use

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Jiu Wei Qiang Huo Tang

Front 76

Deputy
Fang Feng (Saposhnikoviae Radix) 4.5g
Cang Zhu (Atractylodis Rhizoma) 4.5g
Xi Xin (Asari Radix et Rhizoma) 1.5g
Chuan Xiong (Chuanxiong Rhizoma) 3g
Bai Zhi (Angelicae dahuricae Radix) 3g

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Jiu Wei Qiang Huo Tang

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Assistant
Huang Qin (Scutellariae Radix) 3g
Sheng Di Huang (Rehmanniae Radix) 3g

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Jiu Wei Qiang Huo Tang

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Jiu Wei Qiang Huo Tang envoy?

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Gan Cao (Glycyrrhizae Radix) 3g

Front 79

This formula uses a strategy of simultaneously resolving the exterior and dispelling dampness. It is characterized by a combination of ascending and dispersing herbs with heat-clearing herbs intended to facilitate the unobstructed movement of the Qi dynamic and by the use of herbs that enter all of the channels of the head and neck

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Jiu Wei Qiang Huo Tang

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The deputies:
Fang Feng and Cang Zhu, assist Qiang Huo in releasing the exterior and eliminating dampness.
Xi Xin, Chuan Xiong and Bai Zhi, assistant Qiang Huo in releasing the exterior and treating the head and body aches

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Jiu Wei Qiang Huo Tang

Front 81

The assistants
Huang Qin and Sheng Di Huang, clear Qi and blood-level interior heat, respectively, treating the thirst and bitter taste in the mouth and also preventing the dry nature of the other herbs from injuring the fluids.

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Jiu Wei Qiang Huo Tang

Front 82

Key Point of diagnosis
Chills and fever (chills predominant) without sweating, headache, generalized aches and pain, slight thirst and bitter taste, floating pulse

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Jiu Wei Qiang Huo Tang

Front 83

Jiu Wei Qiang Huo Tang mod For upper back and shoulder pain

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+ Qin Jiao

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Jiu Wei Qiang Huo Tang mod Where there is an absence of thirst or bitter taste in the mouth

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—Huang Qin, Sheng Di Huang

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Jiu Wei Qiang Huo Tang mod For pronounced thirst and irritability

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+ Shi Gao, Zhi Mu

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Jiu Wei Qiang Huo Tang mod For a dry or sore throat

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+ Jie Geng, Niu Bang Zi, Bo He

Front 87

Jiu Wei Qiang Huo Tang mod For epigastric discomfort and distention with a greasy tongue coating

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— Sheng Di Huang; + Huo Xiang, Zhi Ban Xia

Front 88

iu Wei Qiang Huo Tang mod For coughing up of thick sputum

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+ Xing Ren, Qian Hu