Final Study Guide

Shen Qi Wan*** (Kidney Qi Pill from the Golden Cabinet) Indication and All Ingredients

Lower back pain, weakness of the lower extremities, a cold sensation in the
lower half of the body, tenseness in the lower abdomen. Urinary difficulty with
edema, or excessive urination, sometimes to the point of incontinence.
The patient may be irritable to the point of experiencing difficulty lying down
and will breathe most comfortably leaning against something.
Tongue: pale, swollen with a moist, thin white coat
Pulse: empty or frail that is submerged in the chi position

This is Kidney Yang Deficiency

Chief: Fu Zi, Gui Zhi

Deputy: Sheng Di Huang, Shan Zhu Yu, Shan Yao

Assistant: Fu Ling, Ze Xie, Mu Dan Pi

Dang Gui Si Ni Tang*** (Dang Gui Decoction for Frigid Extremities) Indication and All Ingredients

Long-standing cold hands and feet that are both cold to the touch and feel very cold to the patient. Also, other pain conditions worse with exposure to cold and with underlying blood deficiency.
Tongue: pale with a white coating
Pulse: thin or one that is so thin that it is almost imperceptible
(Cold hands and feet up to the wrists and ankles)

This is cold invading the channels with underlying LV Blood Deficiency.

Chief: Dang Gui, Gui Zhi

Deputy: Bai Shao, Xi Xin

Assistant: Zhi Gan Cao, Da Zao

Envoy: Mu Tong

Li Zhong Wan/ Fu Zi Li Zhong Wan*** (regulate the middle pill) Indication and All Ingredients

For Spleen yang deficiency presenting with:
1. watery diarrhea and abdominal pain, N&V, no particular thirst, loss of appetite. tongue: pale with a white coating pulse: submerged, thin
2. bleeding such as nose bleeds, vomiting of blood, excessive menstrual bleeding, bleeding from the rectum, and various types of internal bleeding. In all cases, the blood is pale and the bleeding is accompanied by cold extremities, a wan complexion and other MW cold symptoms. Tongue: pale. Pulse: frail.
3. Other presentations including chronic childhood convulsions characterized by emaciation, cold hands and feet, vomiting and diarrhea; spitting of frothy saliva during the recovery stage of an illness; sudden turmoil disorder with cold marked by the absence of thirst; and chest Bi characterized by rigid focal distention in the heart region, a sense of fullness in the chest, and pain in the hypochondrium that shoots towards the Heart

Chief: Gan Jiang

Deputy: Ren Shen

Assistant: Bai Zhu

Envoy: Zhi Gan Cao

Wu Zhu Yu Tang*** (Evodia Decoction) Indication and All Ingredients

For cold in the ST/SP, LV and/or KD with symptoms such as:
1. Vomiting immediately after eating, indeterminate gnawing hunger, and acid reflux with or without epigastric pain (ST/SP)
2. Vertex headache with dry heaves or spitting of clear fluids (LV)
3. Vomiting and diarrhea with cold hands and feet, and agitation s severe that the patient wants to die. (KD)

Treats patterns characterized by rebelliousness due to cold in the LV and ST

Chief: Wu Zhu Yu

Deputy: Sheng Jiang

Assistant: Ren Shen

Envoy: Da Zao

Xiao Jian Zhong Tang*** (Minor Construct the Middle Decoction) Indication and All Ingredients

Intermittent, spasmodic abdominal pain that responds favorably to local application of warmth and pressure, a lusterless complexion, reduced appetite, *hard, tight epigastric area. There may also be low-grade fever, palpitations, irritability, cold and sore extremities with non–specific discomfort, and a dry mouth and throat.
Tongue: pale with a white coating
Pulse: thin, wiry moderate

This is consumptive deficiency. SP yang deficiency dryness with LV blood deficiency

Chief: Yi Tang

Deputy: Gui Zhi, Bai Shao

Assistant: Sheng Jiang, Da Zao

Envoy: Zhi Gan Cao

Suan Zao Ren Tang*** (Sour Jujube Decoction) Indication and All Ingredients

Irritability, inability to sleep, palpitations, night sweats, dizziness and vertigo, dry throat and mouth
Tongue: dry
Pulse: wiry or thin, rapid
Other: lightheadedness, pain in the head and eyes, dry mouth and throat without thirst, insomnia with a clear mind when the patient lies in bed.

This is deficiency irritability from LV blood deficiency and stagnation with heat

Chief: Suan Zao Ren

Deputy: Chuan Xiong

Assistant: Fu Ling, Zhi Mu

Envoy: Gan Cao

Huang Lian E Jiao Tang***(Coptis and Ass-Hide Gelatin Decoction) Indication and All Ingredients

Irritability with a sensation of heat in the chest, insomnia, palpitations with anxiety. There may also be tongue or mouth sores. There can also be a tendency to bleeding from the reckless movement of hot blood.
Tongue: red with a dry, yellow coating
Pulse: thin, rapid

This is excess ST heat damaging the KD yin and Liver blood

Chief: Huang Lian, E Jiao

Deputy: Huang Qin, Bai shao

Assistant/Envoy: Ji Zi Huang

Gan Mai Da Zao Tang (Licorice, Wheat and Jujube Decoction)*** Indication and All Ingredients

Disorientation, frequent attacks of melancholy and crying spells, in ability to control oneself, restless sleep (sometimes with night sweats), and frequent bouts of yawning. In severe cases, the behavior and speech can be abnormal

This is restless organ disorder.

Chief: Fu Xiao Mai

Deputy: Da Zao and Gan Cao

Ban Xia Hou Po Tang*** (Pinellia and Magnolia Bark Decoction) Indication and All Ingredients

A feeling of something caught in the throat that can neither be swallowed nor ejected, a stifling sensation in the chest and hypochondria. There may also be coughing and vomiting.
Tongue: a moist or greasy white tongue coating,
Pulse: and a wiry, slow or wiry, slippery pulse.

This is plum pit qi.

Chief: Zhi Ban Xia, Hou Po

Deputy: Fu Ling

Assistant: Sheng Jiang

Envoy (Deputy): Zi Su Ye

Jin Ling Zi San*** (Melia Toosendan Powder) Indication and All Ingredients

Intermittent epigastric and hypochondriac pain, hernial pain, or menstrual pain that is aggravated by ingestion of hot food or beverage, and is accompanied by irritability, a bitter taste in the mouth
Tongue: red with a yellow coating
Pulse: wiry or rapid

This is Liver Constraint transforming into heat.
Shao Yang block with heat accumulating

Chief: Chuan Lian Zi

Assistant and Envoy: Yan Hu Suo

Xue Fu Zhu Yu Tang*** (Drive Out Stasis from the Mansion of Blood Decoction) Indication and All Ingredients

Pain in the chest and hypochondria, chronic, stubborn headache with a fixed, piercing quality, chronic, incessant hiccup, a choking sensation when drinking, dry heaves, depression or low spirits accompanied by a sensation of warmth in the chest, palpitations, insomnia, restless sleep, irritability, extreme mood swings, evening tidal fever. Dark lips,
complexion or sclera
Tongue: dark red, dark spots on the sides of the tongue
Pulse: choppy or wiry, tight pulse

This is blood stasis in the mansion of blood with impairment of blood flow in the
area above the diaphragm.

Chief: Tao Ren, Hong Hua, Chuan Xiong

Deputy: Dang Gui, Chi Shao, Niu Xi, Sheng Di Huang

Assistant: Chai Hu, Jie Geng, Zhi Ke

Envoy: Gan Cao

Gui Zhi Fu Ling Wan*** (Cinnamon Twig and Poria Pill) Indication and All Ingredients

Mild persistent uterine bleeding of purple or dark blood during pregnancy accompanied by abdominal pain that increases with pressure.

This is restless fetus due to blood stasis

Chief: Gui Zhi, Fu Ling

Deputy: Chi Shao

Assistant: Mu Dan Pi, Tao Ren

Dang Gui Shao Yao San*** (Tangkuei and Peony Powder) Indication and All Ingredients

Continuous cramping pain of the abdomen that is not severe, urinary difficulty, and slight edema (primarily of the lower limbs). Such pain can occur during pregnancy or with a variety of Gyn disorders.

This is abdominal pain due to disharmony between the LV and SP characterized by both blood deficiency stasis and qi stagnation due to dampness

Chief: Bai Shao

Deputy: Ze Xie, Chuan Xiong

Assistant: Dang Gui, Fu Ling, Bai Zhu

Shi Xiao San*** (Sudden Smile Powder) Indication and All Ingredients

Irregular menstruation, dysmenorrhea, retention of the lochia,
postpartum abdominal pain, acute, colicky pain in the lower abdomen,
severe pain in the middle abdomen, or epigastric pain.

This is blood stasis in the (often lower) abdomen. Retention of blood stasis that obstructs the vessels of the lower abdomen.

Chief: Wu Ling Zhi

Deputy: Pu Huang

Jiao Ai Tang*** (Ass-hide Gelatin and Mugwort Decoction) Indication and All Ingredients

Abdominal pain with uterine bleeding, excessive menstruation, menstruation with constant spotting, postpartum bleeding, or bleeding during pregnancy, restless fetus. The blood is pale and thin without clots, and is accompanied by weakness and soreness of the lower back and a dull complexion
Tongue: pale with a thin, white coating
Pulse: thin, frail

This is injury and deficiency of the Ren and Chong
This is uterine bleeding due to LV blood deficiency that tends towards cold

Chief: E Jiao, Ai Ye

Deputy: Sheng Di Huang, Dang Gui, Chuan Xiong, Bai Shao (Si Wu Tang)

Assistant: Gan Cao

Envoy: Rice Wine

Cang Er Zi San*** (Xanthium Powder) Indication and All Ingredients

Copious, purulent, and even foul-smelling nasal discharge, nasal obstruction,
Dizziness, frontal headache
Tongue: normal or thin-white, or greasy-white tongue coating

“Deep-source nasal congestion” or “Seepage from the brain"

Chief: Cang Er Zi, Xin Yi Hua

Deputy: Bai Zhi

Assistant: Bo He

Envoy: Cong Bai, Green Tea

Zeng Ye Tang***(increase the fluids decoction) Indication and All Ingredients

Constipation, thirst
Tongue: dry, red
Pulse: thin and sl. Rapid or weak and forceless

This is constipation due to exhaustion of fluids, usually from a long-term warm-febrile disease

Chief: Xuan Shen

Deputy: Mai Men Dong, Sheng Di Huang

Ping Wei San***(Calm the Stomach Powder) Indication and All Ingredients

• Distention and fullness in the epigastrium and abdomen
• Loss of taste and appetite
• Heavy sensation in the limbs
• Loose stools or diarrhea
• Easily fatigued
• Increased desire to sleep
• Nausea and vomiting
• Belching
• Acid reflux
Tongue: swollen with a thick, white, greasy tongue coat
Pulse: moderate or slippery

This is Dampness Stagnating in the Stomach and Spleen

Chief: Cang Zhu

Deputy: Hou Po

Assistant: Chen Pi

Envoy: Zhi Gan Cao, Sheng Jiang, Da Zao

Er Miao San*** (Two Marvel Powder) Indication and All Ingredients

For a wide variety of complaints accompanied by scanty, yellow urine. Including pain in low back or extremities (especially the sinews and bones); weakness or atrophy of the lower extremities, red, hot, swollen, painful knees, a thick, yellow, foul smelling vaginal discharge; and sores on the lower extremities.
Tongue: yellow, greasy coating

This is damp-heat lodged in the lower burner

Chief: Huang Bai

Deputy: Cang Zhu

Assistant: Jiang Zhi

Wu Ling San*** (5 Ingredient Powder with Poria) Indication and All Ingredients

Main Symptom: Water issue below WITH stronger thirst with vomiting after drinking
Water issue below: often a urinary issue (can be frequent, scant, inhibited, etc), edema
This can be a UTI or a prostate issue or no diagnosis
Thirst with desire to vomit after drinking: only drink in small sips, gagging after drinking

This is water build-up, Earth failing to transport water

Chief: Ze Xie

Deputy: Fu Ling, Zhu Ling

Assistant: Bai Zhu

Assistant/Envoy: Gui Zhi

Zhu Ling Tang*** (Polyporus Decoction) Indication and All Ingredients

Urinary difficulty accompanied by fever and thirst with a desire to drink. There may also be diarrhea, cough, nausea, irritability and insomnia

This is clumping of water and heat in the BL with yin deficiency

Chief: Zhu Ling

Deputy: Fu Ling, Ze Xie

Assistant: Hua Shi, E Jiao

Ling Gui Zhu Gan Tang*** (Poria, Cinnamon Twig, Atractylodes and Licorice Decoction) Indication and All Ingredients

Fullness in the chest and hypochondria, palpitations, shortness of breath, coughing
up clear and watery sputum, and dizziness or vertigo.
Tongue – pale and swollen with a with a white and slippery or greasy wtc
Pulse – usually slippery and either wiry or soggy
*Hara – water splash sounds

This is thin mucus in the epigastrium. This is mild Spleen yang deficiency not transforming fluids. Instead of the fluids sinking they stay propped up to affect the upper warmer.

Chief: Fu Ling

Deputy: Gui Zhi

Assistant: Bai Zhu

Envoy: Zhi Gan Cao

Zhen Wu Tang*** (True Warrior Decoction) Indication and All Ingredients

1. Abdominal Pain that is aggravated by cold, urinary difficulty, and deep aching and heaviness in the extremities. There may also be generalized edema, loose stools, dizziness, heaviness sensation in the head, palpitations, coughing, and vomiting.
2. Also for externally contracted disorder with sweating that does not reduce the fever, palpitations in the epigastrium, dizziness, generalized twitching, the patient feeling unstable on their feet as if they were about to fall. *Fatigue, lethargy, faint, thin pulse – characteristic of Shao Yin pathology
Tongue: pale or dark and swollen with toothmarks and a white, slippery coating
Pulse: submerged, thin and forceless

This is KD yang deficiency or SP and KD yang deficiency

Chief: Fu Zi

Deputy: Bai Zhu, Fu Ling

Assistant: Sheng Jiang, Bai Shao

Er Chen Tang*** (Two-Aged Decoction) Indication and All Ingredients

Coughing with copious, white sputum that is easily expectorated, focal
distention and a stifling sensation in the chest and diaphragm,
palpitations, nausea or vomiting, dizziness,
Tongue: a white, moist or greasy coating
Pulse: slippery pulse

This is phlegm-damp in the SP and LU

Chief: Ban Xia, Ju Hong

Deputy: Fu Ling

Assistant: Zhi Gan Cao

Envoy: Sheng Jiang and Wu Mei

Wen Dang Tang*** (Warm the Gallbladder Decoction) Indication and All Ingredients

• Dizziness, vertigo, Seizures accompanied by copious sputum
• Insomnia, dream-disturbed sleep with strange or unusual dreams
• Anxiety, "deficiency agitation" PTSD
• Palpitations
• Focal Distention of the chest
• Epigastric distention
• Nausea or vomiting, reflux, heartburn
• Indeterminate gnawing hunger
• Bitter taste
• Poor appetite
• Sl. Thirst
• Irregular stool
Tongue: greasy, yellow coat
Pulse: rapid and wiry or slippery

This is disharmony between the GB and ST with phlegm-heat obstructing the
qi dynamic

Chief: Zhi Ban Xia

Deputy: Zhu Ru

Assistant: Zhi Shi, Chen Pi, Fu Ling, Zhi Gan Cao

Bei Mu Gua Lou San*** Indication and All Ingredients

Cough with deep-seated sputum that is difficult to expectorate, wheezing, a dry and sore throat
Tongue: red and dry with a white coating
Pulse: rapid and thin but strong or slippery

This is phlegm dryness in the LU

Chief: Chuan Bei Mu

Deputy: Gua Lou

Assistant: Tian Hua Fen, Fu Ling, Ju Hong, Jie Geng

Ban Xia Ba Zhu Tian Ma Tang*** (Pinellia, White Atractylodes, and Gastrodia Decoction) Indication and All Ingredients

Dizziness or vertigo (possibly severe), headache, a stifling sensation in the chest, nausea or vomiting, copious sputum. A distinctive feature of these head symptoms is that the head feels heavy and clouded.
Tongue: white greasy coating
Pulse: wiry, slippery

This is upward disturbance of wind-phlegm.

Chief: Ban Xia, Tian Ma

Deputy: Bai zhu

Assistant: Ju Hong, Fu Ling

Envoy: Gan Cao, Sheng Jiang, Da Zao

Chief Herbs for: Sang Piao Xiao San

Sang Piao Xiao

Chief and Deputy Herbs for: Wan Dai Tang

(Tu Chao) Bai Zhu, (Chao) Shan Yao

Chief Herbs for: Tian Wang Bu Xin Dan

Sheng Di

Chief Herbs for and 5 types of Constraints for Yue Ju Wan

Cang Zhu, Chuan Xiong

Qi, Blood, Phlegm, Fire, Food, Damp

Chief Herbs for: Ding Chuan Tang

(Chao) Bai Guo, Ma Huang

Chief and Deputies Herbs for: Ju Pi Zhu Ru Tang

Chief: Chen Pi, Zhu Ru

Deputy: Sheng Jiang, Ren Shen

Chief Herbs for: Bu Yang Huan Wu Tang (+dosage of Huang Qi compared to others)

Chief: Huang Qi (120g vs 6 dang gui) [Dang Gui Bue Xue Tang)

Chief and Deputy Herbs for: Wen Jing Tang

Chief: Why Zhu Yu, Gui Zhi

Deputy: Dang Gui, Chuan Xiong, Bai Shao, E Jiao, Mai Men Dong

Chief Herbs for: Huai Hua San

(Chao) Huai Hua

Chief Herbs for: Chuan Xiong Cha Tiao San

Chuan Xiong, Bai Zhi, Qiang Huo

Chief Herbs for: Tian Ma Gou Teng Yin

Tian Ma, Gou Teng

Chief and Deputy Herbs for: Ba Zheng San

Qu Mai

Chief Herbs for: Qing Qi Hua Tan Wan

Dan Nan Xing

Chief Herbs for: Bao He Wan

Shan Zha

Chief Herbs for: Gui Zhi Shao Yao Zhi Mu Tang

Gui Zhi

What is Ban Xia’s role in Mai Men Dong Tang?

It adds the acrid, warm and down-bearing Ban Xia to descend counterflow ST and LU qi and help the SP warmly spread its yin up to the LU

Common Indications for Dai Zhe Shi, Shi Jue Ming, Long Gu, Mu Li

Heavy settlers: Subdue Liver Yang

All Formulas with Er Chen Tang

Wen Dan Tang, Bao He Wan (-zhi gan cao), Ban Xia Bai Zhu Tian Ma Tang

38 yo female who has had frequent sweating since having her baby 4 months ago. The
sweating comes spontaneously and is worse at night. She is tired, has an aversion to wind and has already been sick twice since putting her baby in daycare 6 weeks ago.
What diagnosis would you give her?
What Stabilize and Bind formula would be appropriate?
What formula could you integrate into the above formula to make it even better for her?

Wei Qi and HT Qi and Yin Def
Mu Li San
Add Yu Ping Feng San

50 yo woman with chronic diarrhea for the past 16 years. She has started to wake up in the middle of the night with it. She has tried many damp-heat removal formulas and it has only worsened. She is tired and has developed low back pain for which she likes to use a heating pad. Her tongue is pale with a thin wtc. Her pulse is slow and weak

Shi Shen Wan

63 yo male comes to you with chronic low back pain. Upon questioning you find he also has had frequent urination of clear urine and a little leakage and spermatorrhea for the past several months. His body temp feels relatively normal. He is tired and has a some tinnitus. His tongue is pale with a thin wtc. His pulse is weak overall.

Jin Suo Gu Jing Wan

38 yo woman who has had a period non-stop for the past 2.5 weeks. The blood ranges from light to heavy an is bright red. She is tending toward warm with a reddish complexion. Her tongue is red and pulse is wiry and rapid

Gu Jing Wan

40 yo female comes to you for chronic loose stools. She is lethargic and has a chronic stuffy nose. Upon questioning you find she also has daily, profuse vaginal discharge that is white in color. Her tongue is scalloped and swollen.

Wen Dai Tang

A 52 yo woman comes in for "menopausal syndrome. She has been irritable towards her husband and kids and thinks it might be the hormone. The fact that she hasn’t been able to sleep well isn't helping. She thinks she would get a good night's sleep but she can't settle her mind and once she does fall asleep she is awoken by night sweats. She also has palpitations and sometimes feels a bit dizzy. Her pulse is wiry and her tongue is dry

Suan Zao Ren Tang

A 49 yo male patient has been suffering from insomnia for the past 6 months. He has difficulty falling asleep and has many dreams. Sometimes he has night sweats. He is irritable and anxious and has heart palpitations, memory loss, and difficulty concentrating at work. His tongue is red especially at the tip with little coating. His pulse is thin and rapid

Tian Wang Bu Xin Dan

56 yo female who has an asthma attack every winter. The last one was yesterday. It is difficult for her to lie down, she has a wheezing sound in her throat, a congested chest, white, watery phlegm, and no desire to eat or drink. She also has low back pain for which she uses a heating pad for relief.
Tongue: white slippery coating

Su Zi Jiang Qi tang

38 yo male comes in for stress relief. He's under quite a bit of pressure at work. He tries to leave the stress at work but finds he is taking it out on his family at home. He is quick to anger at his kids and yelled at his wife over the weekend. He is not liking himself. He also has a really tight chest and his boss asked him if he was ok because he kept sighing. he is sighing all the time. He has had some pain in his right subcostal. He is getting indigestion after eating and is sure it's from the stress. He has a bitter taste in his mouth.
Pulse: wiry