Formulas - Drain Downward

Front 1

Yang Ming Organ Disorder with Desiccated Stool in the INTS

S/sx
paradigm

Back 1

DA CHENG QI TANG

Hint 1

severe constipation, flatulence
tidal fever, profuse sweat from palms & soles
T: dry yellow/black, with prickles
P: submerged, excess

hardness
dryness
fullness
distention

Front 2

DA CHENG QI TANG

Constituents
Role
Function

Back 2

C: da huang - cool heat, purge stool

D: mang xiao - soften stool

A: zhi shi - zhi shi - dissipate clumps, reduce distention

A: hou po - disseminate qi, downbear, relieve fullness sensation

A's together: expel stool by regulating qi

Front 3

da huang
mang xiao
hou po
zhi shi

Back 3

DA CHENG QI TANG

Front 4

DA CHENG QI TANG

Dx:

Back 4

Yang Ming Organ d/o with Desiccated Stool in the INTS

Front 5

ModerateYang Ming Organ Stage d/o

S/sx

Back 5

XIAO CHENG QI TANG

Hint 5

Constipation, focal distention, abdominal fullness & pain (not worse with pressure)
Tidal fever
T: dirty, dry, yellow
P: slippery, rapid

Front 6

XIAO CHENG QI TANG

Dx

Back 6

Moderate Yang Ming Organ Stage d/o

Front 7

XIAO CHENG QI TANG

Constituents
Role
Function

Back 7

C: da huang - cool heat, purge stool

A: hou po - disseminate qi, relieve fullness

A: zhi shi - disseminate clumps, relieve distention

Front 8

da huang
hou po
zhi shi

Back 8

XIAO CHENG QI TANG

Front 9

Mild Constipation d/t Yang Ming Heat

S/sx

Back 9

TIAO WEI CHENG QI TANG

Hint 9

Mild constipation (no distention or fullness)
Irritability
Also for heat in ST and INTS with nosebleed, swollen gums & throat, petechiae
P: slippery, rapid

Front 10

TIAO WEI CHENG QI TANG

Dx

Back 10

Mild Constipation d/t Yang Ming Heat

Front 11

TIAO WEI CHENG QI TANG

Constituents
Role
Function

Back 11

C: da huang - clear heat, purge stool

mang xiao - soften stool

gan cao - harmonize, clear heat, generate fluids?

Front 12

da huang
mang xiao
gan cao

Back 12

TIAO WEI CHENG QI TANG

Front 13

Severe Constipation d/t Yang Ming Organ d/o with Yin Xu

S/sx

Back 13

ZENG YE CHENG QI TANG

Hint 13

Severe constipation
Yin xu s/sx

Front 14

ZENG YE CHENG QI TANG

Dx:

Back 14

Severe Constipation d/t Yang Ming Organ d/o with Yin Xu

Front 15

ZENG YE CHENG QI TANG

Constituents
Role
Function

Back 15

To clear heat in LU & LI, enrich yin:
ZENG YE TANG
xuan shen
mai men dong
sheng di huang

To unblock bowels:
CHENG QI TANG
da huang
mang xiao

Front 16

xuan shen
mai men dong
sheng di huang
da huang
mang xiao

Back 16

ZENG YE CHENG QI TANG

Front 17

Early-Stage INTS Abscess (d/t accumulation of heat and blood stasis)

S/sx

Back 17

DA HUANG MU DAN TANG

Hint 17

Lower abdominal distention and pain, usu. on the right, worse with pressure & rebound
Guarding of abdomen
T: thin, yellow, greasy
P: slippery, rapid

Front 18

DA HUANG MU DAN TANG

Dx:
C:

Back 18

Early-Stage INTS Abscess (d/t accumulation of heat and blood stasis)

C: da huang

D: mang xiao, mu dan pi
A: tao ren, dong gua ren

Front 19

Formed Heat in MJ, Unformed Heat in UJ

S/Sx

Back 19

LIANG GE SAN

Hint 19

Heat & irritability in chest & abdomen
Thirst, flush face, red lips, mouth, tongue sores, red eyes, swollen tongue, nosebleed
Constipation, dark, scanty urine
T: red body or edges, dry yellow/white coat
P: rapid, maybe slippery

Front 20

LIANG GE SAN

Dx:
C:

Back 20

Formed Heat in MJ, Unformed Heat in UJ

C: da huang

mang xiao
gan cao
huang qin
zhi zi
lian qiao
bo he
dan zhu ye

Front 21

Clumping in Chest d/t Heat & Fluid Accumulation in Chest

S/Sx

Back 21

DA XIAN XIONG TANG

Hint 21

Full, hard epigastrium or abdomen - severe pain upon pressure
Tidal fever, severe constipation, thirst
Possibly SOB, irritability
T: very dry coat
P: submerged, tight, forceful

Front 22

DA XIAN XIONG TANG

Dx:
C:

Back 22

Clumping in Chest d/t Heat & Fluid Accumulation in Chest

C: gan sui

D: da huang, mang xiao

Front 23

Stomach Heat Binding Spleen (Heat Induced Dryness in ST & INTS)

S/Sx

Back 23

MA ZI REN WAN

Hint 23

d2e constipation
frequent urination
T: dry, yellow
P: submerged, rapid OR floating, choppy

Front 24

MA ZI REN WAN

Constituents
Role
Function

Back 24

C: huo ma ren - moisten INTS, unblock bowels

D: xing ren - downbear qi, moisten INTS

D: bai shao - nourish yin, soften & smooth flow of qi

A: downbear qi
zhi shi - break accumulation in INTS
hou po - relieve fullness
da huang - purge stool

dui yao - bai shao & zhi shi instead of chai hu for stagnation with damaged yin & xue

Front 25

huo ma ren
xing ren
bai shao
zhi shi
hou po
da huang

Back 25

MA ZI REN WAN

Front 26

MA ZI REN WAN

Dx:
C:

Back 26

Dx: Stomach Heat Binding Spleen or Heat Induced Dryness in ST & INTS

C: huo ma ren

Front 27

Constipation d/t Desiccated INTS

S/sx

Back 27

RUN CHANG WAN

Hint 27

Constipation
lusterless, skin and nails
dry mouth and unquenchable thirst
T: dry
P: thin

Front 28

RUN CHANG WAN

Constituents
Role
Function

Back 28

C: Moisten & unblock INTS
huo ma ren
tao ren

dang gui - nourish blood, moisten dry INTS

sheng di huang - nourish yin

zhi ke - move, regulate qi, prevent cloying

Front 29

huo ma ren
tao ren
dang gui
sheng di huang
zhi ke

Back 29

RUN CHANG WAN

Front 30

RUN CHANG WAN

Dx:
C:

Back 30

Dx: Constipation d/t Desiccated INTS

C: huo ma ren, tao ren

Front 31

Constipation d/t Kidney Yang & Qi Deficiency

S/Sx

Back 31

JI CHUAN JIAN

Hint 31

Constipation
FCCU
low-back pain
cold sensation in back

Front 32

JI CHUAN JIAN

Dx:
C:

Back 32

Dx: Constipation d/t Kidney Yang & Qi Deficiency

C: rou cong rong

Front 33

Cold Accumulation in Interior

S/Sx

Back 33

DA HUANG FU ZI TANG

Hint 33

Constipation
Abd. and hypochondriac pain
Chills, cold hands & feet
low-grade fever
T: white, greasy
P: submerged, tight, wiry

Front 34

DA HUANG FU ZI TANG

Dx:
C:

Back 34

Dx: Cold Accumulation in Interior

C: fu zi

Front 35

Sudden Onset of Severe Cold Accumulation

S/Sx

Back 35

SAN WEI BEI JI WAN

Hint 35

Sudden, intense, epig/abd pain
rough, uneven urination
constipation
cynotic
T: blue-purple, white coat
P: submerged, tight

Front 36

SAN WU BEI JI WAN

Dx:
C:

Back 36

Dx: Sudden Onset of Severe Cold Accumulation

C: ba dou

Front 37

Severely Congested Fluids Clogging Chest & Epigastrium

S/Sx

Back 37

SHI ZAO TANG

Hint 37

Hard, focal, epig distention
cough w/pain, dry heaves, SOB
HA, vertigo
T: white, slippery
P: submerged, wiry

Front 38

SHI ZAO TANG

Dx:
C:

Back 38

Dx: Severely Congested Fluids Clogging Chest & Epigastrium

C: gan sui

Front 39

Water and Heat Accumulation in Interior

S/Sx

Back 39

ZHOU CHE WAN

Hint 39

Ascites, drum distention, hard abdomen
labored breathing
thirst, constipation, scanty urine
P: submerged, rapid forceful

Front 40

ZHOU CHE WAN

Dx:
C:

Back 40

Water and Heat Accumulation in Interior

C: gan sui