Ch 5: Formulas that Clear Heat and Toxin Flashcards
Ingredients of Huang Lian Jie Du Tang?
- Huang Lian - Coptis rhizome (9g)
- Huang Qin - Scutellaria (6g)
- Huang Bai - Phellodendron (6g)
- Zhi Zi - Gardenia seeds (9g)
What is the function of Huang Lian Jie Du Tang?
Reduce fire and clear toxins.
What is the indication for Huang Lian Jie Du Tang?
Excessive toxic heat syndrome (three jiaos)
(Not commonly used on its own, often with other formula)
Mind being disturbed by excessive heat causes which symptoms?
- Fever
- Foggy mind
- Insomnia
- Irritability
What is the pathogenesis for epistaxis, hematemesis, macula?
Fire or heat drives blood out of the vessels
What is the pathogenesis for jaundice? Dysentery?
Jaundice - Accumulation of damp heat
Dysentery - Damp heat in large intestine
Pathogenesis for boils and carbuncles?
Accumulation of toxic fire in the skin.
What symptoms will be caused by excessive heat in the interior?
- Brown urine
- Red tongue with yellow coating
- Rapid and forceful pulse
Action of Huang Lian?
King herb
- Clear heat from MJ
- Sedate fire
Action of Huang Qin?
Deputy herb
- Clear heat from upper jiao
Actions of Huang Bai?
Assistant
- Clear heat from lower jiao
Actions of Zhi Zi?
Messenger
- Clear heat in three jiao’s
- Conduct heat downward
What is the characteristic of the combination of herbs in Huang Lian Jie Du Tang?
“Directly and strongly remove heat toxin with cold and bitter herbs.”
What are the key symptoms for Huang Lian Jie Du Tang?
- Fever
- Irritability
- Thirst
- Dry mouth and throat
- Red tongue with yellow coating
- Rapid pulse
What conditions is Huang Lian Jie Du Tang applicable to?
- Acute cholecystitis
- Acute dysentery
- Acute enteritis
- Acute icteric hepatitis
- Boils and carbuncles
- Erysipelas
- Pneumonia
- Septicemia
Precautions for Huang Lian Jie Du Tang?
Only use for excessive heat and toxin as it will easily damage the spleen. Only use for a short time.
What are the ingredients of Pu Ji Xiao Du Yin?
- Huang Qin - Scutellaria root (15g)
- Huang Lian - Coptis rhizome (15g)
- Niu Bang Zi - Great burdock fruit (3g)
- Lian Qiao - Forsythia (3g)
- Bo He - Mint (3g)
- Jiang Can - Silkworm (2g)
- Xuan Shen - Scrophularia, Ningpo Figwort Root (6g)
- Ban Lan Gen - Woad root, Isatis (3g)
- Ma Bo - Puffball fruiting body (3g)
- Jie Geng - Balloon flower root (6g)
- Chen Pi - Aged tangerine peel (6g)
- Gan Cao (6g)
- Chai Hu - Bupleurum root (6g)
- Sheng Ma - Black Cohosh (2g)
Pu Ji Xiao Du Yin is a common formula for what condition?
Mumps! Epidemic parotitis
(Flushed swollen face and head, sore throat)
What are the functions of Pu Ji Xiao Du Yin?
- Dispel wind
- Clear heat
- Relieve toxins
What are the indications for Pu Ji Xiao Du Yin?
Epidemic febrile disease with flushed swollen face and head due to invasion by exogenous pathogens, heat and toxin
What is the progression of epidemic wind and heat invading the body in Da Tou Wen?
Epidemic wind and heat –> Invade the exterior –> Accumulated in upper jiao –> Flaring up to face and head
What is the pathogenesis for fever and chills?
Dysfunction of defensive qi and depression of yang qi derived from exogenous pathogen, wind heat and toxin invade the exterior
Pathogenesis for flushed swollen face and head, sore throat?
Epidemic wind and heat accumulated in the upper jiao and then attacking the face and head.
Pathogenesis for thirst and dry throat?
Injury of body fluids by heat