Chinese Herbal Medicine (TCM)

Formulas that clear Heat

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Formulas that clear heat

 

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Bai Hu Tang

Bai Tou Weng Tang

Dang Gui Liu Huang Tang

Dao Chi San

Huang Lian Jie Du Tang

Liang Ge San

Liu Yi San

Long Dan Xie Gan Tang

Pu Ji Xiao Du Yin

Qin Jiao Bie Jia San

Qing Gu San

Qing Hao Bie Jia Tang

Qing Luo Yin                       

Qing Shu Yi Qi Tang

Qing Wei San

Qing Wen Bai Du San (Yin)

Qing Ying Tang

Shao Yao Tang

Ting Li Da Zao Xie Fei Tang

Xi Jiao Di Huang Tang

Xin Jia Xiang Ru Yin

Yu Nu Jian

Zhu Ye Shi Gao Tang

Zuo Jin Wan

 

 

Qi level

Bai Hu Tang – clears Qi level Heat, drains Stomach Fire, generates fluids, relieves thirst

Bai Hu Tang - Shang Han Lun

Shi Gao (gypsum)…30g

Zhi Mu (radix anemarrhenae asphodeloidis)…9g

Zhi Gan Cao (honey fried radix glycyrrhizae uralensis)…3g

Geng Mi (non-glutinous rice)…9-15g

Indications: Four Bigs (fever, sweat, pulse, thirst), irritability, headache, this is the Excess Heat in the Yangming stage, or Qi level, *the presence of thirst is an indicator that the pathogen has not reached deeper levels (Ying, Xue).  This invasive powerful disorder quite often happens in people of good health.  This is an interior disease so the presence of chills is not present.  One may even see toothaches and bleeding gums if the Yangming Heat has traveled upward along the meridian.

 

Zhu Ye Shi Gao Tang – clears Heat, generates fluids, strengthen & regulate Qi, harmonizes Stomach

Zhu Ye Shi Gao Tang - Shang Han Lun

Dan Zhu Ye (herba lophatheri gracilis)…9-15g

Shi Gao (gypsum)…30g

Ren Shen (radix ginseng)…6g

Mai Men Dong (tuber ophiopogonis japonici)…9-18g

Ban Xia (rhizoma pinelliae ternatae)…9g

Zhi Gan Cao (honey fried radix glycyrrhizae uralensis)…3-6g

Geng Mi (non-glutinous rice)…12-15g

Indications: lingering fever from febrile disease accompanied by vomiting, irritability and thirst, parched mouth lips and throat, chest distension, red tongue with scanty coat, weak rapid pulse, restlessness, insomnia. 

Qi level Heat that is in the Lungs and Stomach long enough injures the fluids.  Extreme symptoms are not as apparent as with Bai Hu Tang (above).  This formulas treats conditions when the Yin and fluids have been injured after a Warm febrile disease, or Summer Heat damage.  This formulas is similar to Bai Hu Tang, but is not as cold, and is more tonifying.

This is reflected in the 2 primary herbs Dan Zhu Ye and Shi Gao, being teamed with the secondary herbs Ren Shen and Mai Men Dong.  The primary herbs clear Heat, and the secondary herbs tonify Qi and nourish the Yin/fluids.

 

 

Ying & Xue levels

Qing Ying Tang – clears Ying level, relieves Fire toxin, drain Heat, nourish Yin

Qing Ying Tang - Wen Bing Tiao Bian

Xi Jiao (cornu rhinoceri)…9g,   Shui Niu Jiao (water buffalo) is quite often substituted for Rhinoceros horn.

Xuan Shen (radix scrophulariae ningpoensis)…9g

Sheng Di Huang (radix rehmanniae glutinosae)…15g

Mai Men Dong (tuber pohiopogonis japonici)…9g

Jin Yin Hua (flos lonicerae japonicae)…9g

Lian Qiao (fructus forsythiae suspensae)…6g

Huang Lian (rhizoma coptidis)…4.5g

Dan Zhu Ye (herba lophatheri gracilis)…3g

Dan Shen radix salviae miltiorrhizae)…6g

Indications: high fever that is worse at night, Heat disturbs the Heart causing severe irritability, restlessness, and insomnia, dry scarlet red tongue, thin rapid pulse, may be thirsty, delirious, may see faint erythema of the epidermis (if this is present the pathogen is moving into the Xue level).  If there is still thirst some of the pathogen remains in the Qi level, if there is no thirst the pathogen has fully entered the Ying level.  This formula vents the pathogen through the Qi level.  It can be used for epidemic warm febrile diseases such as meningitis, pneumonia, etc..

 

Xi Jiao Di Huang Tang – clears Heat/Fire toxin, cools blood, nourish Yin, moves Blood Stasis, stops bleeding

Xi Jiao Di Huang Tang - Qian Jin Yao Fang                                                                 

Xi Jiao (cornu rhinoceri)…3g

Sheng Di Huang (radix rehmanniae glutinosae)…24g

Shao Yao (radix paeoniae)…9g

Mu Dan Pi (cortex moutan radicis)…6g

Indications: when the heat enters the blood level distinct rashes and/or hemorrhage appears (vomiting, nosebleeds, urine, stool), fever, black tarry stools (molena), abdominal distension, T- scarlet red with prickles, P- thin rapid, may be delerium.  When Heat is severe, this can cause Stasis and the rashes will turn purple.  These patients tend to want to rinse their mouth with water but not swallow.  This Chinese herbal formula is commonly used for all types of bleeding due to Heat and Blood Stasis. 

*Do not use for bleeding due to Spleen deficiency.

 

 

Detoxify

Liang Ge San – drains Fire, unblocks bowels by clearing upper & middle Jiao

 

Liang Ge San - Tian Ping Hui Min He Ji Ju Fang

Da Huang (radix and rhizoma rhei)…600g

Mang Xiao (mirabilitum)…600g

Gan Cao (radix glycyrrhizae uralensis)…600g

Huang Qin (radix scutellariae)…300g

Zhi Zi (fructus gardeniae jasminoidis)…300g

Lian Qiao (fructus forsythiae suspensae)…1200g

Bo He (herba mentae haplocalycis)…300g

Indications: Heat in the chest and diaphragm causing irritability.  Heat in the Stomach and intestines causes thirst, dry lips, mouth, sore throat, constipation, and dark scanty urine.  Heart Fire produces cankers, red lips, and a disturbed spirit (irritable, insomnia, delirious speech).  Heat in the Lungs or Liver show dry bloody nasal passages, red dry eyes, headaches, and dry hacking coughs.  T- will be red, can have yellow or dry coating, P- rapid.

Heat in the upper and mid Jiao is the focus of this Chinese Herbal formula.  It is a variation of Tiao Wei Cheng Qi Tang with less of a purgative action.  Once Constipation has been relieved the practitioner should be careful as to not damage the Spleen with Da Huang and Mang Xiao.

 

Huang Lian Jie Du Tang – drains Fire & detoxifies

Huang Lian Jie Du Tang - Wai Tai Bi Yao

Huang Lian (rhizoma coptidis)…9g

Huang Qin (radix scutellariae)…6g

Huang Bai (cortex phellodendri)…6g

Zhi Zi (fructus gardeniae jasminoidis)…6-12g

Indications: toxicity is generally distinguished from heat by the presence of pustular lesions (Heat in the muscular layer)  and/or general malaise, high fever, irritability, dry mouth and throat (fluid damage), insomnia, dark urine, T-red with yellow coat, P- rapid forceful, may also show bleeding, various toxic swellings (skin), dysentery, jaundice due to damp/heat, disruption of the spirit is also common (due to Fire in all three Jiao). 

This should be used with extreme caution in patients that do not have a strong constitution.  Long term use is also not recommended as it can injure the Yin (if the Yin is damaged or in danger add Yin tonics that clear Heat such as Zhi Mu, Tian Hua Fen, Mai Men Dong).  If there is constipation add Da Huang.

 

Pu Ji Xiao Du Yin – clears Heat, detoxifies, expels Wind/Heat

 

Pu Ji Xiao Du Yin - Wei Sheng Bao Jian

Jiu Chao Huang Qin (wine fried radix scutellariae)…15g

Jiu Chao Juang Lian (wine fried rhizoma coptidis)…15g

Niu Bang Zi (fructus arctii lappae)…3g

Lian Qiao (fructus forsythiae suspensae)…3g

Bo He (herba mentae haplocalycis)…3g

Jiang Can (bombyx batryticatus)…1.5g

Xuan Shen (radix scrophulariae ningpoensis)…6g

Ma Bo (fructificatio lasiosphaerae seu calvatiae)…3g

Ban Lan Gen (radix isatidis seu baphicacanthi)…3g

Jia Geng (radix platycodi grandiflori)…6g

Gan Cao (radix glycyrrhizae uralensis)…6g

Chen Pi (pericarpium citri reticulatae)…6g

Chai Hu (radix bupleuri)…6g

Sheng Ma (rhizoma cimicifugae)…1.5g

Indications:  This is the result of an acute sudden onset of Fire Toxin of the head (usually in children in winter or spring), most commonly caused by Wind/Heat.  Characterized by powerful high fever and chills, red head and face with burning pain (these symptoms show the great strength of both the patient and the pathogenic invasion).  Sore throat, dry mouth, lips and throat, thirst, T- red with yellow coat (if severe the tongue is said to take on a powdery white coating), P- floating rapid full and forceful.  The two primary herbs in this formula are fried with wine to bring their actions upward toward the head.  Use this formula with caution where there is Yin deficiency.

This can translate into tonsillitis, ‘strep’ throat, pharyngitis, suppurative otitis media.

 

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Qi & Xue levels

Qing Wen Bai Du San (Yin) – clear Heat, detoxify, cool blood, drains Fire

 

Qing Wen Bai Du Yin - Yi Zhen Yi De

Shi Gao (gypsum)…60-120g

Zhi Mu (radix anemarrhenae asphodeloidis)…6-12g

Gan Cao (radix glycyrrhizae uralensis)…3-6g

Dan Zhu Ye (herba lophatheri gracilis)…3-6g

Xi Jiao (cornu rhinoceri)…9-12g

Sheng Di Huang (radix rehmanniae glutinosae)…9-15g

Mu Dan Pi (cortex moutan radicis)…6-12g

Chi Shao (radix paeoniae rubrae)…6-12g

Xuan Shen (radix scrophulariae ningpiensis)…6-12g

Huang Lian (rhizoma coptidis)…6-12g

Huang Qin (radix scutellariae)…3-9g

Zhi Zi (fructus gardeniae jasminoidis)…6-12g

Lian Qiao (fructus forsythiae suspensae)…6-12g

Jie Geng (radix platycodi grandiflori)…3-6g

Indications:  severe Fire in the Qi and Xue levels. This formula is basically a combination of Bai Hu Tang, Xi Jiao Di Huang Tang, and Huang Lian Jie Du Tang, therefore one can understand it’s usage and power. 

Powerful high fevers and excessive thirst show Qi level Heat, headache and rashes with general malaise shows Fire toxin, irritability, various bleeding, and rashes show Heat in the Xue level.  T- dark red (lips are also dark red), P- rapid and thin or floating and large (if the Fire has penetrated but still partially remains in the superficial levels of the body).  If severe the patient may show delirious speech and altering of consciousness.

 

 

Zang Fu

Long Dan Xie Gan Tang – clear Liver Gallbladder Heat, Damp/Heat in low Jiao

Long Dan Xie Gan Tang - Yi Fang Ji Jie

Long Dan Cao (radix gentianae longdancao)…3-9g*

Huang Qin (radix scutellariae)…6-12g**

Zhi Zi (fructus gardeniae jasminoidis)…6-12g**

Mu Tong (caulis mutong)…3-6g***

Che Qian Zi (semen plantaginis)…9-15g***

Ze Xie (rhizoma alismatis orientalis)…6-12g***

Chai Hu (radix bupleuri)…3-9g**

Sheng Di Huang (radix rehmanniae glutinosae)…9-15g***

Dang Gui (radix angelicae sinensis)…6-12g***

Gan Cao (radix glycyrrhizae uralensis)…3-6g****

Indications:  both the Liver and Gallbladder meridians travel to the head, when there is Heat in these meridians one will see pain in the hypochondriac region, headache, dizziness, red sore eyes, trouble with hearing, ear swelling or infection, bitter taste in the mouth, irritability, & anger.  Since the Gallbladder and San Jiao are interiorly-exteriorly related Heat in the Gallbladder effects the water metabolism of the San Jiao which causes internal dampness.  Together these create Damp and Heat which can cause hot painful difficult urination that is dark yellow and smelly, possible smelly leukorrhea or menstrual irregularities in women, along with other conditions that affect the external genitalia (herpes, eczema, tinea).

T- red with yellow coat, P- wiry.  The use of Dan Zhi Xiao Yao San may be used for similar although milder cases with signs of stagnation. 

These conditions translate into urinary tract infections, pyelonephritis, gallstones, conjunctivitis, otitis media, cystitis, or orchitis.

Long Dan Xie Gan Tang cools Heat without causing Stasis, and drains pathogenic Qi without injuring the patients vital Qi.

Caution should be used with Spleen deficient patients.  The very cold and bitter properties of this formula also limit it’s use to short term low dose administration.

 

Zuo Jin Wan – clears Liver Heat, redirects rebel Qi, stops nausea & vomiting

 

Zuo Jin Wan - Dan Xi Xin Fa (dosages commonly used today)

Huang Lian (ginger juice fried rhizoma coptidis)…15-18g*

Wu Zhu Yu (fructus evodiae rutaecarpae)…2-3g**

Indications: hypochondriac pain, indeterminate gnawing hunger, epigastric focal distension, vomiting, acid regurgitation, belching, bitter taste in mouth, dry mouth, red tongue with yellow coat, wiry rapid pulse.  Liver Stomach disharmony. 

Interestingly opposite herbal combination,…bitter cold Huang Lian drains the Fire from the Heart downward (in cases of excess, sedate the child, Heart is the child of the Liver) and directs the Qi the same way.  Hot pungent Wu Zhu Yu directs Huang Lian to the Liver, moves Qi, directs Qi downward, and moves stagnation.  Six times the amount of Huang Lian to Wu Zhu Yu moderates the Heat of Wu Zhu Yu as to not worsen the condition.  *Do not use with cases of deficient Stomach cold.

This condition seems to translate into peptic ulcers, hiatal hernias, acid reflux, and other gastric complaints usually from stress.

 

Yu Nu Jian – drains Stomach Heat, nourishes Yin

Yu Nu Jian - Jing Yue Quan Shu

Shi Gao (gypsum)…15-30g*

Shu Di Huang (radix rehmanniae glutinosae conquitae)…9-30g*

Zhi Mu (radix anemarrhenae asphodeloidis)…3-6g**

Mai Men Dong (tuber ophiopogoniss japonici)…6-9g**

Niu Xi (radix achyranthis bidentatae)…3-6g****

Indications: toothache, loose teeth, bleeding gums, frontal headache (Yangming), irritable, fever, thirst with desire to drink cold beverages, gingivitis, stomatitis, T- dry red with yellow coat, P- floating slippery weak large. Stomach Fire injuring the Kidney Yin, this shows directly when there is toothache and bleeding gums (Stomach Heat) and loose teeth (Kidney deficiency).

 

Ting Li Da Zao Xie Fei Tang – drains Lung Heat, moves fluids, drives out Phlegm & fluids from the Lungs, calms wheezing

Ting Li Da Zao Xie Fei Tang – Ting Li Zi & Da Zao to drain the Lungs soup

Ting Li Zi (semen descurainiae seu lepidii)…9-12g

Da Zao (fructus Zizyphi jujubae)…12 pieces

Indications: cough, wheezing, fullness and distension in chest, whole body edema, nasal congestion with clear discharge, loss of taste and smell.  For Lung abscess with Phlegm in the chest.  The action of the small pungent bitter cold seed Ting Li Zi is the basis of this formula, it enters the Lung and Bladder thus taking care of the Lung symptoms and draining the Fluids through urination.  Da Zao tonifies the Spleen taking care of the possible root of this problem (creating Phlegm), and keeps the bitter cold properties of Ting Li Zi from harming the digestion.

 

Shao Yao Tang – regulates & harmonizes Qi & blood, clears Heat, detoxify

 

Shao Yao Tang - Su Wen bing Ji Qi Yi Bao Ming Ji

Peony soup   (todays dosages and herbs)

Bai Shao Yao (radix paeoniae lactiflorae)…15-20g* [regulate Blood and Ying]

Dang Gui (radix angelicae sinensis)…6-9g** [regulate Blood and Ying]

Gan Cao (radix glycyrrhizae uralensis)…4.5g** [moderates spasm]

Mu Xiang (radix aucklandiae lappae)…4.5g** [move Qi]

Bing Lang (semen arecae catechu)…4.5g** [move Qi]

Huang Lian (rhizoma coptidis)…6-9g*** [clear Damp & Heat]

Huang Qin (radix scutellariae)…9-12g*** [clear Damp & Heat]

Da Huang (radix and rhizoma rhei)…6-9g*** [purge Heat]

Rou Gui (cortex cinnamomi cassiae)…1.5-3g*** [move Blood, oppose cold bitter of other herbs]      

Indications: Damp-heat in the intestines causing stagnation.  Quite often may be food poisoning or epidemic febrile disease that produces stagnation leading to diarrhea, pain, and tenesmus (always wanting to go to defecate but not producing significant amounts of stool).  This can cause difficulty with bowel movements, pus and blood in the stool, burning anus (ring of fire), Damp-Heat in the low Jiao causes scanty dark urine.  T- greasy yellow coat, P- rapid (soft or slippery).

The primary action of this Chinese herbal formula is to regulate the Qi and Blood to treat the above pattern.

 

Dao Chi San – clears Heart & Small Intestine meridian Heat, promotes urination

Dao Chi San - Xiao Er Yao Zheng Zhi Jue

Guide out the Red powder

Sheng Di Huang (radix rehmanniae glutinosae)…15-30g*

Mu Tong (caulis mutong)…3-6g**

Dan Zhu Ye (herba lophatheri gracilis)…3-6g***

Gan Cao Shao (tips of radix glycyrrhizae uralensis)…3-6g****

Indications: Heat in the Heart and Small Intestine meridians.  This causes irritability and Heat in the chest, thirst for cold drinks, red face, cankers of the tongue, painful urination (Heat transferring to the SI) that may be difficult or contain blood.  T- red, P- rapid.  This formula does not damage the Yin or the Stomach. 

This formula is said to treat nightmares, stomatitis, urethritis, cystitis, glomerulonephritis.

If the Heat is excess one can add Huang Lian.  If the Heat is deficient one can add Shi Hu and Zhi Mu.

In comparison to Ba Zheng San, Dao Chi San clears Heat from the Heart and upper Jiao (Ba Zheng San from the low Jiao), nourishes the Yin (Ba Zheng San does not), and has a weaker effect at treating painful urinary problems than does Ba Zheng San.  Xiao Ji Yin Zi (a modification of Dao Chi San, cools Blood and stops bleeding in the urine secondarily to draining Fire.  Xiao Ji Yin Zi also moves Blood Stasis.

 

Xie Bai San – drains Lung Heat, calms wheezing

Xie Bai San - Xiao Er Yao Zheng Zhi Jue

Drain the White powder

Chao Sang Bai Pi (dry fried cortex mori albae radicis)…30g

Di Gu Pi (cortex lucii radicis)…30g

Zhi Gan Cao (honey fried radix glycyrrhizae uralensis)…3g

Geng Mi (non-glutinous rice)…15-30g

Indications: moderate residual Heat in the Lungs with deficiency causing Qi to rebel- cough and wheezing, skin feels warm to the touch (Lungs govern skin), dry mouth and throat, scanty sputum that is difficult to cough up (Heat injures the Lung Yin), T- red with scanty or yellow coat, P- thin rapid.  King Sang Bai Pi drains Heat from the Lungs and calm wheezing and cough.  Di Gu Pi the secondary herb clears Heat from deficiency.  This formula is good for children because the 2 main herbs are sweet and cold instead of the usual bitter and cold, although it may be too cold for some with Spleen deficiency (even after Sang Bai Pi and Gan Cao are fried, and Geng Mi is added to protect the Spleen), these aspects also make Xie Bai San useful when it is hard to determine whether a condition is excess or deficiency. 

This can be used for such conditions as bronchitis, pneumonia, pertussis, late stage flu. 

 

Qing Wei San – drains Stomach Fire, cools blood, nourishes Yin

 

Qing Wei San - Lang Shi Mu Cang (todays dosages)

Clear Stomach powder

Huang Lian (rhizoma coptidis)…3-6g*

Sheng Ma (rhizoma cimicifugae)…3-6g**

Mu Dan Pi (cortex moutan radicis)…6-9g

Sheng Di Huang (radix rehmanniae glutinosae)…6-12g

Dang Gui (radix angelicae sinensis)…6-12g

Indications: Heat accumulating in the Stomach causing Fire to travel along its meridian causing toothache and headache, mouth sores, bad breath, bleeding of the gums, dry mouth, swollen painful tongue or gums, T- red with scanty coating, P- rapid slippery large.  King Huang Lian to the rescue, aided by Sheng Ma which relieves toxic swellings in the oral cavity and guides other herbs upwards.  The remaining herbs nourish Yin, and cool and nourish the blood.  This formula is quite effective at treating what it is said to treat (from a western standpoint; stomatitis, gingivitis, periodontal diseases, glossitis, idiopathic halitosis).  These conditions are commonly caused by a diet consisting of spicy hot deep fried greasy foods or improper use of Hot tonic herbs.

 

Bai Tou Weng Tang – clear Heat & detoxify bowels, cool blood & stop diarrhea

Bai Tou Weng Tang - Shang Han Lun

Bai Tou Weng (radix pulsatillae chinensis)…6g* [best herb to clear Damp-Heat and relieve Fire toxin for dysenteric disorders]

Huang Lian (rhizoma coptidis)…9g**

Huang Bai (cortex phellodendri)…9g**

Qin Pi (cortex fraxini)…9g***

Indications: Fire toxin in the stomach and intestines causing diarrhea with pain in the abdomen, tenesmus, burning anus, stool contains more blood than pus, T- red with yellow coat, P- wiry rapid.  This is when Damp-Heat or a toxin enters the Xue level, depending on the severity, the doses of these strong herbs may be altered.  In comparison to Shao Yao Tang, Bai Tou Weng Tang is better at clearing Heat and toxicity, but Shao Yao Tang can move Qi better so it is best used in situations where there is less Heat or toxicity but more Qi stagnation (pain and tenesmus). 

Bai Tou Weng Tang conditions translate into any toxic attack causing the above symptoms, i.e. amebic dysentery, bacillary dysentery, or other conditions such as ulcerative colitis or Crohn’s disease.

 

 

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deficiency heat

Qing Hao Bie Jia Tang – nourish Yin and clear Heat

Qing Hao Bie Jia Tang - Wen Bing Tiao Bian

Bie Jia (carapax amydae sinensis)…15g    

Qing Hao (herba artemisiae annuae)…6g  [add near end]

Sheng Di Huang (radix rehmanniae glutinosae)…12g

Zhi Mu (radix anemarrhenae asphodeloidis)…6g

Mu Dan Pi (cortex moutan radicis)…9g

 

Indications: Yin and fluids are very depleted, this causes a night fever without sweat (no fluids left to produce sweat), the patient will wake in the morning with feelings of coldness, emaciation but no loss of appetite (may be showing signs towards wasting and thirsting), T- red with scanty coat, P- thin rapid.

Once Heat has lodged deep inside the body, clearing Heat as well as nourishing the Yin is essential.  Only nourishing the Yin can trap the Heat inside (give wood to the fire and make it worse!).  Also bitter cold herbs should be used with great caution as they can damage the Yin.

This formula focuses more on externally contracted pathogenic febrile disorders that have subsided and lodged Heat deep inside, or a warm febrile has damaged the fluids thus leaving deficient Heat after its remission.  Today this formula is considered for use with severe menopausal syndromes manifesting with the signs and symptoms above.

 

Qin Jiao Bie Jia San – enriches Yin, nourishes blood, clears Heat, relieve steaming bone

Qin Jiao Bie Jia San - Wei Sheng Bao Jian

Chai Hu (radix bupleuri)…30g

Zhi Bie Jia (honey fried carapax amydae sinensis)…30g

Di Gu Pi (cortex lycii radicis)…30g

Qin Jiao (radix gentianae qinjiao)…15g

Dang Gui (radix angelicae sinensis)…15g

Zhi Mu (radix anemarrhenae asphodeloidis)…15g

*taken in powder form as a draft with a small handful af Qing Hao and one piece of Wu Mei.

This is an associated formula with Qing Hao Bie Jia Tang (above)

 

Indications: improper treatment of an external pathogenic invasion on a patient with an pre-existing Yin deficiency.  This causes Wind or Lung consumption which manifests as night sweats, emaciation, red-lip, cheeks, and fever in the afternoon, cough with sticky yellow sputum which is hard to cough up (may be blood streaked), 5 center Heat sensation, T- red with scanty coat, P- thin rapid.

 

Qing Gu San – clears deficiency Heat, relieves steaming bone

Qing Gu San - Zheng Zhi Zhun Sheng

Yin Chai Hu (radix stellariae dichotomae)…4.5g

Zhi Mu (radix anemarrhenae asphodeloidis)…3g

Hu Huang Lian (rhizoma picrorhizae)…3g

Di Gu Pi (cortex lycii radicis)…3g

Qing Hao (herba artemisiae annuae)…3g

Qin Jiao (radix gentianae qinjiao)…3g

Zhi Bie Jia (honey fried carapax amydae sinensis)…3g

Gan Cao (radix glycyrrhizae yralensis)…1.5g

 

Indications: Liver and Kidney Yin deficiency gives rise to Fire, afternoon tidal fever or constant low grade fever, patient can feel the Heat deep inside the body or in the bones although the skin is not warm to the touch, may also manifest as disturbances of the spirit, i.e. irritability, anxiety, insomnia, light sleeps, many dreams, fidgety.  If becomes chronic one will manifest classic Yin deficient signs on top of steaming bone, i.e. emaciation, lethargy, red lips and cheeks in the afternoon, night sweats, thirst, dry mouth and throat, 5 center Heat sensation, T-  red with scanty coat, P- thin rapid.

 

Dang Gui Liu Huang Tang – nourish Yin, clears Heat, stabilize exterior, stop night sweating

 

Dang Gui Liu Huang Tang - Lan Shi Mu Cang (powder dosages)

Dang Gui (radix angelicae sinensis)…15g

Sheng Di Huang (radix rehmanniae glutinosae)…15g

Shu Di Huang (radix rehmanniae glutinosae conquitae)…15g

Huang Lian (rhizoma coptidis)…15g

Huang Qin (radix scutellariae)…15g

Huang Bai (cortex phellodendri)…15g

Huang Qi (radix astragali membranacei)…30g

 

Indications: Kidney Yin deficiency leads to deficient Heart Fire (water below cannot balance the King Fire above) causing night sweats, fever, red face in the afternoon, anxiety, irritability, dry lips, mouth, and throat, dry stool, dark scanty urine, T- red dry, P- thin rapid.  When the patient wakes the sweating stops.

This formula is quite strong at clearing deficient Heat and nourishing the Yin.  Caution should be taken if there are signs of a weak middle Jiao (bitter cold could further injure the Spleen Stomach).   

 

 

Summer-heat

The effects of summer-heat are similar to those of Heat.  It causes high fever and copious sweating (because pores are more open in summer) therefore it damages the Qi and fluids easier resulting in thirst and irritability. 

 

Liu Yi San – clears summer-heat, resolves Damp, regulates and strengthens Qi

Liu Yi San - Shang Han Zhi Ge Fang Lun – Six-to-One powder

Hua Shi (talcum)…6 parts

Gan Cao (radix glycyrrhizae uralensis)…1 part

***Grind together into powder, take 9-18g

Indications: summer-heat easily disturbs the Heart causing fever, sweat (the fluid of the Heart), and irritability.  The sweat injures the fluids causing thirst, the Heat and possibly Damp injures the Qi which may cause Bladder Qi problems (urinary difficulty), T- thin yellow and greasy, P- rapid and may be soggy (if damp invades with Heat).  Hua Shi promotes urination and is cold thus draining and cooling the pathogens.  Together with Gan Cao this combination nourishes fluids, and relieves toxicity (hot painful urination).  It is usually combined with other formulas for conditions such as urinary tract infections, or upper respiratory tract infections.

Note: for dry summer-heat without Dampness, substitute Shi Gao for Hua Shi at half the dosage.

 

Qing Shu Yi Qi Tang – clears summer-heat, strengthens Qi, nourishes Yin, generates fluids

Qing Shu Yi Qi Tang - Wen Re Jing Wei – Clear summer-heat and augment Qi

Xi Yang Shen (radix panacis quinquefolii)…4.5-6g*

Xi Gua Pi (pericarpium citrulli vulgaris)…24-30g*

Lian Geng (ramulus nelumbinis nuciferae)…12-15g**

Shi Hu (herba dendrobii)…12-15g**

Mai Men Dong (tuber ophiopogonis japonici)…6-9g**

Dan Zhu Ye (herba lphatheri gracilis)…4.5-6g***

Zhi Mu (radix anemarrhenae asphodeloidis)…4.5-6g***

Huang Lian (rhizoma coptidis)…2-3g***

Gan Cao (radix glycyrrhizae uralensis)…2-3g***

Geng Mi (non-glutinous rice)…12-15g

Indications: summer-heat has entered the interior causing fever, irritability, dark scanty urine, copious sweating which injures the fluids causing thirst for cold drinks, desire to curl up, shortness of breath, apathy, P- rapid deficient.

The focus of this formula is to generate fluids, thus it may be compared to Zhu Ye Shi Gao Tang.

Note: if there is Dampness involved in this invasion, modifications should be made to this formula because it is very Yin nourishing and sticky.

 

Xin Jia Xiang Ru Yin – releases severe early stage summer-heat with concurrent external cold

Xin Jia Xiang Ru Yin - Wen Bing Tiao Bian

Xiang Ru (herba elsholtiziae seu moslae)…6g

Bai Bian Dou (semen dolichoris lablab)…9g

Hou Po (cortex magnoliae officinalis)…6g

Jin Yin Hua (flos lonicerae japonicae)…9g

Lian Qiao (fructus forsythiae suspensae)…6g

Indications: releases exterior severe early stage summer-heat conditions with concurrent Wind/Cold characterized by fever and chills without sweating, headache, thirst, red face, tightness in chest, T- white greasy coat, P- floating rapid.  This is shown in summer when the weather changes from hot to cool or vice-versa, diet not harmonized with summer heat, or entering and exiting air conditioned buildings when it is hot outside.  Xiang Ru aromatically releases exterior Cold, expels summer-heat, and transforms Damp, by promoting urination.  This formula is used only when there are no signs of sweating.

 

Qing Luo Yin – releases summer-heat, clears Lungs

Qing Luo Yin - Wen Bing Tiao Bian – Clear the collaterals drink

Xian Jin Yin Hua (flos lonecerae japonicae recens)…6g

Xian Bian Dou Hua (flos dolichoris lablab recens)…6g

Xi Gua Shuang (mirabilitum praeparata citrulli)…6g

Si Gua Pi (pericarpium luffae acutangulae)…6g

Xian He Ye (folium nelumbinis nuciferae recens)…6g

Xian Dan Zhu Ye (herba lophatheri gracilis recens)…6g

Indications: fever, mild thirst, unclear head and vision with light headedness, slight distension of the head, pink tongue with thin white coat. This is mild summer-heat that has injured the Qi level of the Lung meridian, or moderate summer-heat that has not been fully released via sweating.  The fact that most of these symptoms are in the head (the most Yang part of the body), show that the pathogen is superficial.  You will notice that ‘Xian’ precedes most of the herbs in the formula, this means ‘fresh’.  Fresh herbs are available in summer and they are generally more aromatic than their dried counterparts.

 

 

 

 

Reference:

Benskey & Gamble 1993, Chinese Herbal Medicine formulas and strategies, Seattle Washington, Eastland Press Inc.

 

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