Herbs 4 - Quiz 2 - 1.3 - Formulas that Release Exterior Wind-Heat

Exterior Wind Heat symptoms
1) heat?
2) wind
3) face/head (3)
4) tongue
5) pulse
6) rate of illness
7) Tx

1) Fever / chills
2) aversion to wind
3) Sharp, sore throat, HA, heat signs: red face, eyes
4) pink tongue body w/ thin white coat, + - red tip
5) Pulse: floating / superficial, rapid
6) rapidly progressing pathogen
7) sweat not as defining sx as WC
8 - rahes/measles → surface and vent

Sang Ju Yin - English name category?
1) pattern
2) indications (1 + 4unique keywords)
3) ingredients (8)
4) actions (3)

Sāng jú yǐn 桑菊飲 Mulberry Leaf and Chrysanthemum Drink (this one disperses lungs, while yin qiao san cools)
Formulas that Release Exterior Wind-Heat
1) early stage ext wind heat
2) a. early stage sx: fever, slight thirst, cough
b. eye irritation
c. hacking cough due to exterior dryness
"Silly Jumping Little Boys Juiced X-tra Large Grapes"
(They did this because they had fever, thirst, cough, dry eyes, and wanted to clear the heat and stop the hacking cough!)
a. Sang Ye (care-LU/LR, blood, eyes)- 7.5g
aa. Ju Hua (care - LR. eyes) - 3g
b. Lian Qiao (clr heat. rslv toxic. wh & swelling)- 4.5g
c. Bo He (care-rahes, LR, eyes) - 2.4g
d. Jie Geng (tx cld phlgm. guide to upper) - 6g
e. Xing Ren (cough/wheeze. intest) - 6g
f. Lu Gen (clr heat, drain fire. lu/st. fluids) - 6g
g. Gan Cao (tonify qi. 12 chan. hrmnze) - 2.4g
4) a. dispels wind and clears heat from ext.
b. disseminates the LU qi (downward) to stop cough

a. early stage sx: fever, slight thirst, cough

b. eye irritation

c. hacking cough due to exterior dryness

appropriate formula - pinyin and english category?
1) pattern
2) ingredients (8)
3) actions (2 w/ 4 keywords)

Sāng jú yǐn 桑菊飲 Mulberry Leaf and Chrysanthemum Drink (this one disperses lungs, while yin qiao san cools)
Formulas that Release Exterior Wind-Heat
1) early stage ext wind heat
2) a. early stage sx: fever, slight thirst, cough
b. eye irritation
c. hacking cough due to exterior dryness
"Silly Jumping Little Boys Juiced X-tra Large Grapes"
(They did this because they had fever, thirst, cough, dry eyes, and wanted to clear the heat and stop the hacking cough!)
a. Sang Ye (care-LU/LR, blood, eyes)- 7.5g
aa. Ju Hua (care - LR. eyes) - 3g
b. Lian Qiao (clr heat. rslv toxic. wh & swelling)- 4.5g
c. Bo He (care-rahes, LR, eyes) - 2.4g
d. Jie Geng (tx cld phlgm. guide to upper) - 6g
e. Xing Ren (cough/wheeze. intest) - 6g
f. Lu Gen (clr heat, drain fire. lu/st. fluids) - 6g
g. Gan Cao (tonify qi. 12 chan. hrmnze) - 2.4g
3) "Windy Heat OUT, Lungs OPEN."
a. dispels wind and clears heat from ext.
b. disseminates the LU qi to stop cough

pinyin

latin

category

formulas (2)

key char (4 keywords)

Jié Gěng/Platycodi Radix     桔梗                    pg.429
6.2 Warm Herbs that Transform Cold Phlegm

Properties:  bitter, acrid, neutral   Channel: LG

Sang Ju Yin (4th ing.) & Yin Qiao San (3rd ing.)
- causes the qi and the action of other herbs to rise,
- soothes the throat, releases the exterior,
- transform phlegm, expels pus

1. Opens up and disseminates the Lung qi, dispels phlegm, and benefits the throat:

2. Pushes out pus: 

3. Opens up and raises the Lung qi while also directing the actions of other herbs to the upper regions of the body:

• Acrid that disperses, Bitterness drains

• Light weight for ascending action

• Has ascending and dispersing nature which raise and opens the Lung qi

• Releases the exterior, benefits the throat, transforms phlegm, and expel pus. 
  

  Dosage: 3-9g. 

  Cautions & Contraindications: because this herb’s acrid, dispersing, and draining qualities, it is contraindicated for chronic cough from yin deficiency or in patients with a tendency to cough up blood.  

pinyin

latin

category

formulas

key char (2 - 6 words)

杏仁 Xìngrén Armeniacae Semen
Apricot Seed
Relieve Cough and Wheezing
-Maureen: External Cough

Sang Ju Yin (5th ing.)

-Moistens intestine

used quite broadly for many kinds of cough disorders caused by either heat or cold, depending on the combination.

Because the herb is moist in nature, it is especially useful for externally contracted dry cough

caution: toxicity - over-dosage must be avoided

Yin Qiao San category?

english
1) pattern + indication
2) ingredients (10)
3) actions (3 w/ 2 unique keywords)
4) Prep / direction (3 steps)

Yín qiào sàn 銀翹散 Honeysuckle and Forsythia Decoction (SJY disperses lungs, yin qiao san cools)
Formulas that Release Exterior Wind-Heat
1) Early Stage Wind Heat w/ HA or Sore throat as a primary complaint
2) Just Let Joyful Nymphs Blow Dandelion Dust, Juggling XyLophones Gracefully
a. jin yin hua (clr ht rslv tox) - 30gm (9-15gm)
b. lian qiao (clr heat rsolve tox) - 30gm (9-15gm)
c. jie geng (wrm tx cold phlgm) - 18 gm (3-6gm)
d. niu bang zi (care) - 18gm (9-12gm)
d. bo he (care) - last cook 18gm (3-6gm)
e. dan dou chi (care) - 15gm (3-5gm)
f. Dan Zhu Ye (clr heat drain fire) - 12gm (3-6gm)
g. Jing Jie Sui (ware) - 12gm (6-9gm)
h. Xian Lu gen (clr heat drain fire)- 15-30gm (fresh)
i. gan cao (tonify qi) - 15gm (3-6gm)
3) Actions: "Scatter wind, cool Lungs, detoxify."
a) Dispers ext. WH; b) clr LU heat; c) reliev tox
4) Prep: cook Xian Lu Gen, grind formula into powder. Take in 9 gm doses along w/ decoction

1) Early Stage Wind Heat w/ HA or Sore throat as a primary complaint

Formula - pinyin and english category?

2) ingredients (10)

3) actions (3)

4) Prep / Direction (3 steps)

Yín qiào sàn 銀翹散 Honeysuckle and Forsythia Decoction (SJY disperses lungs, yin qiao san cools)
Formulas that Release Exterior Wind-Heat
2) Just Let Joyful Nymphs Blow Dandelion Dust, Juggling XyLophones Gracefully
a. jin yin hua (clr ht rslv tox) - 30gm (9-15gm)
b. lian qiao (clr heat rsolve tox) - 30gm (9-15gm)
c. jie geng (wrm tx cold phlgm) - 18 gm (3-6gm)
d. niu bang zi (care) - 18gm (9-12gm)
d. bo he (care) - last cook 18gm (3-6gm)
e. dan dou chi (care) - 15gm (3-5gm)
f. Dan Zhu Ye (clr heat drain fire) - 12gm (3-6gm)
g. Jing Jie Sui (ware) - 12gm (6-9gm)
h. Xian Lu gen (clr heat drain fire)- 15-30gm (fresh)
i. gan cao (tonify qi) - 15gm (3-6gm)
3) Actions: "Disperse wind, clear Lungs, detoxify."
a) Dispers ext. WH; b) clr LU heat; c) reliev tox
4) Prep: cook Xian Lu Gen, grind formula into powder. Take in 9 gm doses along w/ decoction

Yin Qiao Ma Bo San - english? category?

1) indication / pattern
2) ingredients (5)
3) actions
4) preparation / direction

Yín qiào mǎ bó sàn 銀翹馬勃散
Honeysuckle, Forsythia, & Puffball Powder
Formulas that Release Exterior Wind-Heat
1) Throat Bi (Hou Bi)
2) "Just Let Nasty Sorethroats Melt."
a. Jin Yin Hua (Clr Ht, rslv toxic) 15g
b. Lian Qiao (Clr Ht, rslv toxic) 30g
c. Niu Bang Zi (care) 18g
d. She Gan (Clr Ht, rslv toxicity) 9g
e. Ma Bo (Clr Ht, Purge Fire:Clr Ht Detoxify) 6g
3) Relieves severe heat toxin of the throat
4) "Lu Gen washes, powder punches."

• Cook Lu Gen fresh as the decoction (it washes/cools),

• Take the powder (the 5 herbs ground) in 9g doses (it punches out the toxin).

Songs for Sang Ju Yin and Yin Qiao San

category?

Sang Ju Yin treats Wind-Heat with a cough
Formulas that Release Exterior Wind-Heat

Sang Ye, Ju Hua, Xing Ren

Jie Geng all resolve cough, and Lu Gen makes fluids 

Bo He and Lian Qiao dispel wind heat

And Gan Cao can make it all sweet

And now I’m gonna tell you what Yin Qiao San can treat

Wind heat with a sore throat

Jin Yin Hua and Lian Qiao are the kings you can bet

Jing Jie, Dan Dou Qi, and Bo He make you sweat

Niu Bang Zi, Jie Geng and Gan Cao for when your throat is sore

Dan Zhu Ye and Xian Lu Gen can make you pee some more

1) Throat Bi (Hou Bi)

Formula - pinyin and english category?

2) ingredients (5)

3) actions (1)

4) Prep / Direction (3 steps)

Yín qiào mǎ bó sàn 銀翹馬勃散
Honeysuckle, Forsythia, & Puffball Powder
Formulas that Release Exterior Wind-Heat
1) Throat Bi (Hou Bi)
2) "Just Let Nasty Sorethroats Melt."
a. Jin Yin Hua (Clr Ht, rslv toxic) 15g
b. Lian Qiao (Clr Ht, rslv toxic) 30g
c. Niu Bang Zi (care) 18g
d. She Gan (Clr Ht, rslv toxicity) 9g
e. Ma Bo (Clr Ht, Purge Fire:Clr Ht Detoxify) 6g
3) Relieves severe heat toxin of the throat
4) "Lu Gen washes, powder punches."

• Cook Lu Gen fresh as the decoction (it washes/cools),

• Take the powder (the 5 herbs ground) in 9g doses (it punches out the toxin).

Sheng Ma Gen Gen Tang category?

1) Indications
2) Pattern
3) Ingredients
4) actions (2)
5) preparation

Shēng má gégēn tāng 升麻葛根湯 Cimicifuga & Kudzu Decoction Formulas that Release Exterior Wind-Heat
1) Early-stage measles or similar unevenly expressed rashes
2) Early-stage yangming heat where heat is affecting the SP leading to diarrhea
3) "Some Good Zesty Choices"
a. Sheng Ma (care; vent rashes. raise yang qi) - 3-6gm
b. Ge Gen (care; heat in muscles; HTN, stiff neck) - 3-9gm
c. Zhi Gan Cao (tonify qi) - 3gm
d. Chi Shao (invig blood; cool/sour; early abscesses) - 6-9gm
e. (Sheng Jiang) included in some versions
4) actions: releases the muscle layer and vents rashes
5) "12 Ground, 20 Light"
classic preparation: grind equal amounts of herbs and take over 12 doses
-today we decoct at light but expected dose range of ingredients - do not decoct more than 20 minutes

1) Early-stage measles or similar unevenly expressed rashes

Formula - pinyin and english category?

2) Pattern / pathomechanism / indication
3) ingredients (5)
4) actions (2)
5) Preparation (classic and modern)

Shēng má gégēn tāng 升麻葛根湯 Cimicifuga & Kudzu Decoction Formulas that Release Exterior Wind-Heat
2) Early-stage yangming heat where heat is affecting the SP leading to diarrhea
3) "Some Good Zesty Choices"
a. Sheng Ma (care; vent rashes. raise yang qi) - 3-6gm
b. Ge Gen (care; heat in muscles; HTN, stiff neck) - 3-9gm
c. Zhi Gan Cao (tonify qi) - 3gm
d. Chi Shao (invig blood; cool/sour; early abscesses) - 6-9gm
e. (Sheng Jiang) included in some versions
4) actions: releases the muscle layer and vents rashes
5) "12 Ground, 20 Light"
classic preparation: grind equal amounts of herbs and take over 12 doses
-today we decoct at light but expected dose range of ingredients - do not decoct more than 20 minutes

Chuan Xiong Cha Tiao San category?
1) Pattern / indications (2)

2) Ingredients (9)

3) Actions / indication

4) Preparation / Direction (classic v. modern)

Chuānxiōng chá diào sǎn 川芎茶調散 Ligusticum Chuanxion Powder to be taken w/ Green Tea
Formulas that Release Exterior w/ Head & Neck Sx

1) a. Ext. wind cold or heat w/ headache due to wind
b. Chronic headache due to retained wind

2) Blowing Cold Breezes Quickly Cross(X) Jubilant Fields For Zestful Leaves
a. Bo He (care.rash.lr.eyes) - 240 gm
b. Chuan Xiong (invig bld.displ wnd. HA) - 120gm
c. Bai Zhi (ware; HA. lj damp;congst; orbital pain) - 60g
d. Qiang Huo (ware; wcd;guide to upper;TY,Du) - 60gm
e. Xi Xin (ware;unblock nose;warm LU; coldpain) - 30gm
f. Jing Jie (ware; vent rash; bleeding(tan))- 120gm
g. Fang Feng (ware;WC bi; hvy metl pois)- 45gm
h. Zhi Gan Cao (tonify qi; 12 chan; other herbs)- 60gm
i. Lu Cha
3) Actions: Headache anywhere due to wind
4) “9 ingredients - 90% reduction”
Classic prep: finely grind and take 6gm bid after meals
w/ green tea
Modern prep: standard decoction w/ classic dose
reduced by 90%. Do not cook more than 10 minutes

1) a. Ext. wind cold or heat w/ headache due to wind
b. Chronic headache due to retained wind

Appropriate Formula - pinyin, english, category

2) Ingredients (9)

3) Actions / indication

4) Preparation / Direction (classic v. modern)

Chuānxiōng chá diào sǎn 川芎茶調散 Ligusticum Chuanxion Powder to be taken w/ Green Tea
Formulas that Release Exterior w/ Head & Neck Sx

2) Blowing Cold Breezes Quickly Cross(X) Jubilant Fields For Zestful Leaves
a. Bo He (care.rash.lr.eyes) - 240 gm
b. Chuan Xiong (invig bld.displ wnd. HA) - 120gm
c. Bai Zhi (ware; HA. lj damp;congst; orbital pain) - 60g
d. Qiang Huo (ware; wcd;guide to upper;TY,Du) - 60gm
e. Xi Xin (ware;unblock nose;warm LU; coldpain) - 30gm
f. Jing Jie (ware; vent rash; bleeding(tan))- 120gm
g. Fang Feng (ware;WC bi; hvy metl pois)- 45gm
h. Zhi Gan Cao (tonify qi; 12 chan; other herbs)- 60gm
i. Lu Cha
3) Actions: Headache anywhere due to wind
4) “9 ingredients - 90% reduction”
Classic prep: finely grind and take 6gm bid after meals
w/ green tea
Modern prep: standard decoction w/ classic dose
reduced by 90%. Do not cook more than 10 minutes

Cang Er Zi Wan
1) English
2) Category
3) Indications
4) Ingredients
5) Actions

Cāng ěr zǐ wán 蒼耳子丸 Xanthium Powder (cn: dark blue; fly; musca + ear + child; son; (noun suffix) + pill)
1) deep source nasal Bi
b) Nao Luo - Brain Leakage

Cang Er Zi (ware; nasal; HA)
Xin Yi Hua (ware; WC; nasal)
Bai Zhi (ware; wind esp YM HA-congest; external toxins)
Bo He (care; head, eyes, throat)

actions: a) disperses wind; b) alleviates pain c) unblocks the nose

1) deep source nasal Bi
b) Nao Luo - Brain Leakage

Formula

Ingredients

Cāng ěr zǐ wán 蒼耳子丸 Xanthium Powder (cn: dark blue; fly; musca + ear + child; son; (noun suffix) + pill)
1) deep source nasal Bi
b) Nao Luo - Brain Leakage

Cang Er Zi (ware; nasal; HA)
Xin Yi Hua (ware; WC; nasal)
Bai Zhi (ware; wind esp YM HA-congest; external toxins)
Bo He (care; head, eyes, throat)

actions: a) disperses wind; b) alleviates pain c) unblocks the nose

3) Actions: "Scatter wind, cool Lungs, detoxify."
Formula?
1) pattern + indication
2) ingredients (10)
3) actions (3 w/ 2 unique keywords)
4) Prep / direction (3 steps)

Yín qiào sàn 銀翹散 Honeysuckle and Forsythia Decoction (SJY disperses lungs, yin qiao san cools)
Formulas that Release Exterior Wind-Heat
1) Early Stage Wind Heat w/ HA or Sore throat as a primary complaint
2) Just Let Joyful Nymphs Blow Dandelion Dust, Juggling XyLophones Gracefully
a. jin yin hua (clr ht rslv tox) - 30gm (9-15gm)
b. lian qiao (clr heat rsolve tox) - 30gm (9-15gm)
c. jie geng (wrm tx cold phlgm) - 18 gm (3-6gm)
d. niu bang zi (care) - 18gm (9-12gm)
d. bo he (care) - last cook 18gm (3-6gm)
e. dan dou chi (care) - 15gm (3-5gm)
f. Dan Zhu Ye (clr heat drain fire) - 12gm (3-6gm)
g. Jing Jie Sui (ware) - 12gm (6-9gm)
h. Xian Lu gen (clr heat drain fire)- 15-30gm (fresh)
i. gan cao (tonify qi) - 15gm (3-6gm)
a) Dispers ext. WH; b) clr LU heat; c) reliev tox
4) Prep: cook Xian Lu Gen, grind formula into powder. Take in 9 gm doses along w/ decoction