formed heat accumulation

Formulas that Purge Heat Accumulation

a) indications (6)
a.1) fun fact
b) pattern
c) etiology
d) biomedical tx principle
e) caution/contraindication (4)

a) 4 bigs (sweat, thirst, fever, pulse) + constipation, abdom discomf
a1) 4 bigs not always present.
b) Formed heat in the YangMing (stasis&heat→injuresFluids→thickensDriesUpTheStool
c) From hot or cold pathogen. Could be from chronic heat (e.g. smoker, YM heat, easily sweat, red face, hate summer heat, rabid hunger, thirst, etc.) or sequella
d) Stimulate gastric peristalsis
e) caution w/ weak pt, pregnancy, menses, xu type constipation

Types of Abdominal Disharmony

4 types and their qualities

1) Focal Distention (Pi) - subjective heaviness/stuck sensation

2) Fullness (Man) - objective visible belly swelling, dislike of pressure (excess)

3) Dryness (Zao) - Heat clumping stool intest. Tense and firm abdomen (purge, peristalsis, and laxative. osmotic laxative to pull water into bowels and soften)

4) Excess (Shi) - Heat accum→physical form constipation, abd main, worse w/ pressure

Severe constipation; focal distension, abdominal fullness and pain that’s worse with pressure, red tongue often w/ heat prickles, dry yellow or even brown/black coat, deep, submerged, but forceful pulse, tidal fever 3-9pm, mania or delirium, heavy sweating esp in palms and feet soles, green foul diarrhea;

a) formula
b) 3 applications / patterns
c) tx principle
d) action (1)
e) pathomechanism re: pulse and abdom pain w/ pressure
f) important indications (4)

(a) Da Cheng Qi Tang Major Order the Qi Decoction; (b) XS HeatinYM; heatClumpingW circumfluence; InternHeatW/ heat Inversion (c) tx principle - purge through stool (d) strongly purges heat accumulations (e) i. Deep,sumberged,forceful pulse=XS trapped deep in body; ii. Accum path→intest prssre→body floods heat bind w/ water→circumfluence; iii. Fever→ (f) all 4 abd. disharm: Focal Distention; Fullness; Dryness; Excess

(a)Da Huang (last cook-drn heat/fire (blood and more); purge; Tx damp; urin;); (b)Mang Xiao (no cook-dissolve; softns hard; purg, clear heat, reduc swell; kinetic-peristalsis-osmo lax), (c )Zhi Shi (Dissip qi stag, descends qi, rel. (d)Hou Pou (aroTxDamp; PromoMvmtMJ qi;FoodStag;DescendRebell;ReducPhlgm)

Tidal fever w/ constipation, Abdominal fullness not worse with pressure, dirty, Grayish brown dry tongue coat;

a) formula
b) indication / pattern
c) difference between other formulas
d) action (2)
f) tx principle compared to other formulas (3)

a) Xiao Cheng Qi Tang / Minor Order the Qi Decoction
b) For moderate clumping in the YM
c) Clumping in the YM that’s less progressed.NO MANG XIAO
d) moderately purges heat accumulation; Rectifies qi dynamic in the middle (2ndary-earlyStageDysenteric
f) more focused on moving and regulating the qi and clearing heat. don’t need to strongly break. Stop as soon as there’s loose stool;
JiuDaHuang(DwnwrdDrainPurg.moderate,clrYMheat,moveBld,openbowels&urine; ZhiShi (regQi;MJ;focalDistention); HouPo(aroTxDamp)

Constipation, No belly swelling or stuck sensation in abdomen, Irritability, Large rapid slippery pulse, Maybe: nosebleed, bleeding swollen gums, sore throat, petechiae on skin or eyes, maybe mania, maybe hiccups or retching

a) formula
b) indication / pattern
c) difference between other formulas
d) action (1)
e) tx principle compared to other formulas (3)

a) Tiao Wei Cheng Qi Tang - RegulateST&OrderQiDecoction
b) Yang Ming Fu. Bind is developing or mild.
c) Heat in ST & Int w. Rebellion; No ZhiShi or HouPo(purg)
d) Mildly purges heat Accumulation
e) Can be used after Da Cheng Qi Tang; Hist: for coming out of alcohol addict, or overuse of warming herbs (e.g. ashwagandha, ginseng).
DaHuang (dwnwrdPurg), GanCao(moist,clrHeat,modHerbs), MangXiao(dwnrdDrainPurg, purgeStag,elimHard,rslvConstip)

Major complaint of vomiting, constipation, Red flushed face, eyes, and tongue with heat prickles, irritable, bitter taste in mouth, strong excess forceful pulse

a) formula
b) indication / pattern
c) difference between other formulas
d) action (1)
e) tx principle (3 general qualities)

a) Da Huang Gan Cao Tang
b) Intestinal heat Stomach fire (vomiting chief complaint)
c) No strong abdominal signs
d) unblock&purge intest, Hrmnz ST, Rslv heat rebel stop vomit
e) Cold, strong formula. Take 2 days dosage . Pt should stop vomit

Da Huang (purge, clr fire&heat, elimAccum 12g) GanCao (3g GanCao.Hrmnz, support DH)

epigastric fullness and hardness that is very painful w/ pressure, tidal fever at dusk, thirsty, dry, constipated, dry tongue coat, Submerged tight forceful, irritable, short of breath,

a) formula
b) indication / pattern
c) difference between other formulas
d) action (2)
e) pathogenesis
f) Tx principle

a) Da Xian Xiong Tang
b) Heat and water accumulation in the chest
c) very acute, Strong prsntion of path. in chest. takeW.Congee/IV
d) Drains heat, Purges water accumulation
e) Heat path→clumping→interrupts flow of qi in chest→LU can’t gvrn and circulate→accum. maybe bc purging formula improperly used w. Ext.path Pt
f) Drive water dwnwrd (not bowel), elim LU&chest congested fluids

Gan Sui (DwnwrdDrainHarshExpell), Da Huang, Gan Cao

constipation w. very dry and blocky stool, fullness & stuck sensation in abdomen & epigastrium, dry mouth, dry lips, maybe cracked dry tongue, thin maybe dark/yellow tongue coat, thin

a) formula
b) indication / pattern
c) difference between other formulas
d) action (4)
e) pathogenesis
f) Tx principle

a) Zheng Ye Cheng Qi Tang
b) Yang Ming Xu w. constipation (still heat bind)
c) formula that simult. attack&tonify: purgeThruTonify
d) generate fluids, nourish yin, unblock the bowels, drains heat
e) Yin Xu+heat moves in→clumps in ST&Intest→burns fluid→no moisture to use purge formulas
f)