Ch2: Formulas that Release Exterior Wind Heat

Question 1

What are the ingredients of Yin Qiao San (name the two king herbs at least)?

Answer 1

1. Jin Yin Hua (Honeysuckle flower) 15g
2. Lian Qiao (Forsythia fruit) 15g
3. Bo He (Field mint) 6g
4. Dan Dou Chi (Prepared soybean) 5g
5. Jing Jie Sui (Catnip) 6g
6. Niu Bang Zi (Great burdock fruit) 6g
7. Jie Geng (Balloon flower root) 6g
8. Dan Zhu Ye (Lopatherum) 6g
9. Lu Gen (Reed rhizome) 6g
10. Gan Cao (Licorice) 6g

Question 2

What are the functions of Yin Qiao San?

Answer 2

• Promote sweat and release the exterior
• Clear heat and release toxins

Question 3

What are the indications for Yin Qiao San?

Answer 3

• Wind heat in the defensive system as in the initial stage of febrile disease
• Wind heat in Wei level

Question 4

What are the manifestations (and pathogenesis) of Yin Qiao San?

Answer 4

• Fever, sweat or little sweat, slight aversion to wind and cold, headache - wind heat
• Cough - wind heat or wind warm pathogen attacks exterior and invades the lungs, defensive qi is depressed, lung qi fails to disperse/descend
• Thirst, sore throat - upward steaming of warmth and heat, injury of body fluid
• Red tongue tip, thin, white or yellow coating, superficial and rapid pulse - exterior heat symptoms in lung and Wei level

Question 5

Action of Jin Yin Hua (Honeysuckle) and Lian Qiao (Forsythia)?

Answer 5

King herbs

• Clear heat and release toxins
• Dispel filth with aroma
• Release exterior

Question 6

Action of Jing Jie Sui and Dan Dou Chi?

Answer 6

Deputy herbs

• Promote sweat
• Release exterior
• Dispel heat

Question 7

Actions of Bo He, Niu Bang Zi?

Answer 7

Deputies

• Aid king to dispel, clear heat
• Soothe the throat

Question 8

Action of Jie Geng (Balloon flower root, platycodon)?

Answer 8

Assistant herb

• Vent the lung
• Resolve phlegm

Question 9

Action of Zhu Ye (Lopatherum stem and leaves)?

Answer 9

Assistant

• Clear heart heat

Question 10

Action of Lu Gen (reed rhizome)?

Answer 10

Assistant

• Clear heat through the urine and promote body fluid

Question 11

Action of Gan Cao (Licorice)>

Answer 11

Messenger

• Harmonize other herbs
• Combine with Jie Geng to soothe throat

Question 12

What are the characteristics of the combinations of herbs in Yin Qiao San?

Answer 12

1. Combining small amount of pungent and warm herbs with pungent and cool herbs, good to release pathogen
2. Combine dispel wind with clear heat and toxin herbs

Question 13

What are the key symptoms that make Yin Qiao San the correct choice?

Answer 13

• Fever
• Mild chills
• Sore throat
• Thirst
• Superficial rapid pulse

Question 14

What diseases is Yin Qiao San applicable to?

Answer 14

• Common cold with fever
• Acute tonsillitis
• Influenza
• Initial stage of febrile disease caused by heat
• Initial stage of measles

Question 15

What are the precautions for Yin Qiao San?

Answer 15

Contraindicated to exterior wind cold or damp heat initial stage

Question 16

What are the ingredients of Sang Ju Yin? (Name two king herbs at minimum)

Answer 16

1. Sang Ye (Mulberry leaf) 9g
2. Ju Hua (Chrysanthemum flower) 3g
3. Bo He (Field mint) 3g
4. Jie Geng (Balloon flower root) 6g
5. Xing Ren (Apricot seed) 6g
6. Lian Qiao (Forsythia) 5g
7. Lu Gen (Reed rhizome) 6g
8. Gan CAo (Licorice) 3g

Question 17

What are the functions of Sang Ju Yin?

Answer 17

• Clear heat, release exterior
• Vent lung, stop cough

Question 18

What are the indications for Sang Ju Yin?

Answer 18

Initial stage of wind warm diseases, mild cough due to wind heat attacking the lungs

Question 19

Which is stronger, Sang Ju Yin or Yin Qiao San?

Answer 19

Yin Qiao San

Question 20

What are the manifestations (and pathogenesis) of Sang Ju Yin formula?

Answer 20

• Cough - wind heat invades the lung, lung fails to disperse/descend
• Mild fever - Wei system slightly injured by heat
• Slight thirst - mild heat starting to injure fluid, not severe
• Thin white coating, superficial rapid pulse - exterior wind heat syndrome

Question 21

What is the key symptom for Sang Ju Yin?

Answer 21

Cough. Fever will be mild and same with thirst. This is a mild syndrome with heat directly attacking the lungs.

Question 22

Actions of Sang Ye and Ju Hua?

Answer 22

King herbs

• Clear and dispel wind and heat in upper jiao
• Stop cough

Question 23

Xing Ren, Jie Geng actions?

Answer 23

Deputies

• Disperse and descend lung qi to stop cough and resolve phlegm

Question 24

Bo He action?

Answer 24

Assistant

• Strengthen the effect of dispelling wind heat

Question 25

Lian Qiao action?

Answer 25

Assistant * Clear heat from upper jiao * Release toxins * Dispel wind heat

Question 26

Lu Gen action?

Answer 26

Assistant * Clear heat from lung * Promote production of body fluid to relieve thirst

Question 27

Characteristics of herbal combinations in Sang Ju Yin?

Answer 27

1. Light weight herbs to dispel (Sang Ye, Ju Hua, Bo He), uplifting herbs to clear heat from head, face and eyes 2. Bitter herbs (xing ren) to descend, regulate qi and stop cough

Question 28

Precautions for Sang Ju Yin?

Answer 28

Cook herbs for a short time.

Question 29

What five herbs are the same across Sang Ju Yin and Yin Qiao San?

Answer 29

1. Jie Geng 2. Lian Qiao 3. Lu Gen 4. Bo He 5. Gan Cao

Question 30

What two herbs strongly release the exterior in Yin Qiao San?

Answer 30

Jing Jie Sui (Catnip) and Dan Dou Chi (prepared Soybean)

Question 31

What herb strongly stops cough in Sang Ju Yin?

Answer 31

Xing Ren - apricot seed

Question 32

What are the ingredients of Ma Xing Shi Gan Tang?

Answer 32

1. Ma Huang (ephedra) 9g 2. Shi Gao (gypsum) 18g 3. Xing Ren (apricot seed) 9g 4. Gan Cao (licorice) 6g

Question 33

What are the functions of Ma Xing Shi Gan Tang?

Answer 33

* Clear heat in lungs and soothe asthma * Promote lung function of disperseing and descending * Release exterior

Question 34

What are the indications for MXSGT?

Answer 34

* Cough or asthma due to heat in lungs * (Exterior syndrome not totally released) - Note: You can still use this formula even if there are no exterior symptoms

Question 35

What are the manifestations (and pathogenesis) for MXSGT?

Answer 35

* Cough, asthma, fever - exterior wind cold or heat enters into the lungs turning to heat, qi rebellion caused by heat in the lung * Thirst, sweat, yellow tongue coating, slippery and rapid pulse - excessive heat

Question 36

Action of Ma Huang and Shi Gao?

Answer 36

King herbs * Ma Huang: Pungent and warm to vent the lung, soothe asthma * Shi Gao: Pungent and cold to clear heat from lung and stomach, generate body fluid

Question 37

Xing Ren actions?

Answer 37

Deputy herb * Promote lung function to disperse and descend * Relieve asthma * Stop cough

Question 38

Gan Cao actions?

Answer 38

Messenger * Coordinate action of other herbs * Combine with Shi Gao, sweet and cold to generate fluids and stop thirst

Question 39

Characteristics of combination of Shi Gao and Ma Huang?

Answer 39

Shi Gao and Ma Huang to vent the lung but not increase heat, clear heat but not keep pathogen

Question 40

Which actions is greater for MXSGT... clear heat or release exterior? (Hint: what is the ratio of Ma Huang to Shi Gao?)

Answer 40

clear heat \> release exterior Ma Huang 1: Shi Gao 2 Twice as much Shi Gao which is more important for clearing heat.

Question 41

Key symptoms for Ma Xing Shi Gao Tang?

Answer 41

* Fever * Wheezing * Thin yellow coating * Rapid pulse