TCM Formulas and Edema

Phlegm Formulas

• Ji Chui, Liu Jin, Jan:
  • Urchin tongue plus Dang Wei and Shu Di.
  • For Yin deficiency with phlegm.
  • Yin deficiency can cause heat, condensing deficient fluids, leading to phlegm.
  • Treatment requires working on the Qi mechanism and protecting Yin and blood.

Chest Bi Syndrome Formulas (from Jin Gui)

• Family of formulas for chest Bi syndrome. Example: Wallow Shibai Bonshatam.
• Generally contain Guano and Shibei.
• Guano:
  • Rhino horn.
  • Cold, cool, phlegm-resolving herb.
  • Expands the chest and loosens phlegm.
  • Used in Shanhong Wan for chest stagnation.
• Shibei:
  • Allium type, not onion or garlic.
  • Warms and unblocks Qi circulation in the chest.
  • Bonshot: Resolves phlegm.
• For chest pain due to phlegm clogging the chest.
• Other versions exist for slightly different syndrome pictures.

Dingxuan Wan

• For seizures, large formula usually in pills.
• Contains animal ingredients.
• Expels wind phlegm causing epilepsy.

Guntang Wan

• Strong phlegm-resolving formula in pill form.
• Contains mineral ingredients (long shelf life).
• Strongly resolves phlegm and purges.
• Treats psycho-emotional problems due to extreme phlegm.

Other Formulas

• For dementia, spirit disorders due to phlegm-heat.
• Shi Xi Tong: Clears phlegm and resolves.
  • More for heat.
• formulas act strongly, clearing phlegm and disturbing the spirit together
• Qing Qing Tong: Urchin tongue combined with other herbs.
  • Hardens Qi, walks and calms the spirit.
  • For dementia, depression.

Clinical Use

• Dantao Wan plus urchin tongue are similar.
  • Dantao Wan calms the spirit and tonifies heart Qi.
  • Urchin tongue resolves phlegm.
• Useful for poor memory, forgetfulness, early-stage dementia.
• Requires prolonged use.

Formulas for Phlegm and Blood Stasis

• Taken as pills, treat phlegm and blood stasis in channels.
• Dapollow Wan: Large formula.
• Shaol Hollow Wan:
  • Quite warm.
  • Treats cold phlegm and blood stasis in channels.
  • Used for musculoskeletal problems.

Herb functions

• Smattering of issues involving phlegm combined with other disharmonies like heat or blood stasis.

Edema

• Two herbs: Eiran (coix seed) and Chekienza (plantain seeds).
• Seven formulas (some previously discussed).

Eiran (Coix Seed/Job's Tears)

• Grain resembling barley cooked like rice or barley.
• Chewier than rice.
• Used in congee with rice and Fuling for fluid metabolism issues (phlegm, dampness, edema).
• Mild treatment to promote urination and harmonize fluid metabolism.
• Fuling and Ee'erin can treat phlegm by targeting the lungs.
• Qualities:
  • Sweet, bland, slightly cold (cool).
• Organ Affinities:
  • Lung, spleen, stomach, kidney.
• Strengthens the spleen, leaches out dampness, clears heat (unlike Fuling, except with Chi Fu Ling technique).
• Cautions:
  • Generally none.
  • Avoid alone with profound deficiency and internal cold (Yang deficiency).
  • Can add Ganjang (ginger) to warm it.
• Formulas:
  • Shangling Baiju San: Resolves dampness and strengthens the spleen.
  • San Rantang: Clears damp heat.
  • Adding to Er Miao San is San Miao San
  • : Damp heat B syndrome, musculoskeletal complaints.
• Pairs with Spleen-tonifying and Damp-heat clearing herbs.
• Frequently dry-fried to reduce coldness and augment spleen-strengthening.

Chutienza (Plantain Seeds)

• Small black seeds.
• Qualities:
  • Sweet and cold.
• Organ Affinities:
  • Bladder, kidney, liver, lungs.
• Functions:
  • Promotes urination and drains damp heat.
  • Clears the eyes.
• Used for eye problems with dampness interfering with vision.
• Not a nourishing herb.
• Salt preparation directs it more to the kidneys and augments vision treatment.
• Vision Formulas
  *Gochizo, Tusuzo, Janza, things like that.
• Always combined with Yin and blood nourishing herbs for vision problems (e.g., Gochizo, Juhua).

Edema Classifications

• Oldest classification: Five Edemas.
• Basic division: Yin vs. Yang.

Yin vs. Yang Edema

• Yang Edema:
  • Upper body.
  • Acute onset.
  • Young patients.
  • Example: Rapid facial swelling.
• Yin Edema:
  • Lower body.
  • Chronic.
  • Older patients.
  • Example: Pitting edema in legs.

Five Edemas

• Wind Edema, Skin Edema, Jung Edema, Stone Edema, Yellow Sweat.
• The old classification has fallen out of great use.
• Wind Edema: Wind invasion. *Wind invades the lungs and constrains the descent of fluids.
  • Superficial, upper body (face, upper chest).
  • Yang.
• Skin Edema: Spleen and lung. *Affects the abdomen and legs and is a disharmony of the spleen and lung. *The spleen's failure to transport in the lungs and for inability to descend.
  • Abdomen and legs affected.
  • Spleen and lung disharmony.
  • Also yang.
• Jung Edema: Kidney Yang. *It is water accumulation. *Kidney yang and lung.
  • Water accumulation from kidney Yang deficiency.
  • Abdomen and legs swollen.
  • Lung involvement (asthmatic symptoms).
  • Yin.
• Stone Edema: Kidney Yang. *Yang deficiency, but no lung involvement.
  • Kidney Yang deficiency without lung involvement.
  • Lower abdomen and legs swollen and hard.
  • Yin.
• Yellow Sweat:
  • Heavy sweating followed by immersion in cold water.
  • Cold and damp constrict pores, causing heat.
  • Heat steams fluids out, causing yellow sweat.
  • Treated by Huizhou Bai Shao Huang Qi cooked in vinegar.
    *Huang qi bai shou Huang qi wager bai shou Huang Huang tongue or something like that.
  • Secures the exterior and harmonizes (not clearing heat).

Excess vs. Deficient Edema

• Excess Types:
  • Wind (cold or heat).
  • Dampness or damp-heat.
  • Qi constraint.
  • Blood stasis (localized swelling after trauma).
• Deficient Types:
  • Qi deficiency (spleen, lungs, kidneys).
  • Yang deficiency (spleen, kidney).
  • Combination can be called Chi Edema.

Edema Formulas for further study

formulas act strongly, clearing phlegm and disturbing the spirit together

• For you see it by definition by water in the superficial tissues is what you see.
• If it's called edema, to the best of my knowledge.
• Is super important so you see it if it's water in deeper tissues, it's called one of those other things I could just see.
• The degree of it is swelling.
• Three formulas for Yin Edema. Shurpi Yin, Jamutong, and Jisheng or Jiawei Shun Shun. Are all for yin edema.
• Shurpina (or Shurpi Yin): Spleen and kidney Yang deficiency.
  • pizza, ganja, and jirgonshaw, cinitom, Fueng and Baiju
  • Mu gua, hopo Cao guo, and wuxiang.
  • Lower body edema, heaviness, cold extremities, poor appetite, abdominal bloating, scanty urination, loose bowels, thick greasy tongue coating, slow deep pulse.
  • It will be more generalized than in a kidney yang deficiency, a pure kidney yang deficiency case.
  • Based on Sunni Tang, but with added herbs for dampness and Qi movement.
  • This one is a later formula Chen Qi one.
• Jangwu Tong: Kidney Yang deficiency.
  • Symptoms: Lower body edema, coldness, heaviness, difficult urination, weak knees, weak pulse.
  • Fuji, Fuling Baiju, Shangjiang, Bai Shao.
    • The presence of Bai Shao in Jianwutong and how, it can there there there I believe I've read somewhere there's an older view that Bai Shao had some ability to promote urination and there's abdominal pain.
• Sheng Shi Huang: Shur Di, Shang Ju Yu, Shang Yao.
  • rogue whey and food soup
  • Chukchanze, Chuan Yoshi.
  • For broadkidney yang deficiency with an emphasis on fluid metabolism. Difficulty urinating edema, lower back pain, knee knee pain, or leg weakness that kind of thing.

Notes

• Next week, we're gonna go and drink that tea. Next week, Wu Mei san, skin edema. Chi deficiency edema, with a Chi Deficiency Formula, and the two for Wind Edema
  ( and),Congested fluids will be covered next week, along with other formulas. The final two herbs will need to be discussed still.