Clear Heat - Formulas Flashcards
Formulas that Clear heat from Qi-Level
Function: Clears heat in Qi-Level (Yang-Ming Channel Syndrome), Generates fluids
Diagnosis: lingering-heat in the qi-level at the final stage of febrile disease
Symptoms: High fever, aversion to heat, flushed face, profuse sweating, thirst (polydipsia), irritability, red tongue, yellow coating, flooding, forceful and rapid pulse or slippery and rapid pulse.
Formulas:
Bai Hu Tang,
Zhu Ye Shi Gao Tang
Formulas that Clear heat from Ying level
Function: Cools blood
Diagnosis: Heat in the Ying-blood level
Symptoms: Fever, worse at night, irritability, insomnia, delirium, or bleedings such as hematemesis, pistaxis, hematuria, hemafecia, etc., or faint skin rashes, deep-red and dry tongue, thin/rapid pulse
Formulas
Qing Ying Tang,
Xi Jiao Di Huang Tang
Formulas that Clear heat and relieve toxicity
Function: Clears heat, purges fire, and resolves toxin
Diagnosis: Fire-toxins in triple-burner, accumulation heat in chest and diaphragm, epidemic wind-heat at head and face
Symptoms: fever, irritability, delirium, skin eruption, boils, carbuncles on the skin
Accumulation heat in chest and diaphragm: fever, flushed face, sensation of heat and irritability in the chest and diaphragm, sores on the tongue and mouth, constipation, yellow urine sore throat
Formulas
Huang Lian Jie Du Tang,
Pu Ji Xiao Du Yin,
Liang Ge San
Formula that Clears Qi & Blood Heat
Function: Clear heat, resolve toxicity, cool blood and drain fire
Formula
Qing Wen Bai Du Yin
Formulas that Clear heat from Zang-fu (Organ Level)
Function: Clears heat in various Zang-fuorgans
Diagnosis: Heat in the specific organs and its associated channels
Liver-fire syndrome, Purging fire and clearing heat in the liver: Long Dan XieGanTang , ZuoJinWan
Heart fire syndrome, Clearing heat in the Heart: Dao Chi San
Lung-heat syndrome: Clearing heat in the Lung: Xie Bai San
Spleen & Stomach-fire syndrome, Clearing fire in the stomach and cool blood: XieHuang San, Qing Wei San, Yu Nu Jian
Damp-heat in large intestine syndrome, Clearing heat and draining dampness: Shao Yao Tang, Bai Tou Weng Tang
Formulas that Nourish Yin and clears heat
Function: Clears heat, nourishes Yin
Diagnosis: Deficient heat syndrome; lingering-heat in the final stage of febrile disease
Formulas
Qing Hao Bie Jia Tang,
Qing Gu San,
Dang Gui Liu Huang Tang
Formulas that Clear summer-heat
Function: Clear heat and dampness from summerheat
Diagnosis: High fever, profuse sweating, unclear head, thirst and irritability. Thin white/ yellow tongue coating, soggy/rapid pulse
Formulas
Qing Shu Yi Qi Tang
Liu Yi san,
Gui Ling Gan Lu Yi
Pattern that shows main symptoms: High fever, profuse sweating, irritability, thirst and floating, large, and rapid pulse.
Qi Level Heat
Functions: Clears heat and generates body fluids
Diagnosis: Heat in Qi-level (Yang-Ming channel syndrome)
Symptoms: High fever, profuse sweating, severe thirst, flushed face, irritability, aversion to heat, flooding/forceful pulse or Slippery/rapid pulse
Applications: Flu., epidemic encephalitis B, epidemic cerebrospinal meningitis, pneumonia, septicemia
Bai Hu Tang/ White Tiger Decoction:
Heat in Qi-level
Ingredients
1.Shi Gao (Gypsum)
2.ZhiMu (Radix Anemarrhenae)
3.ZhiGanCao (Honey-fried Radix Glycyrrhizae)
4.Jing Mi(Non glutinous rice)
Bai Hu Tang/ White Tiger Decoction:
Contraindication & Cautions
1.Exterior syndrome with fever, but without sweating and thirst
2.Floating and thin pulse or deep
3.Fever due to blood deficiency; though the pulse is flooding, it is weak under pressure
4.Real cold syndrome with pseudo-heat symptoms
Formula Functions: Clears heat, tonifies Qi and generate body fluids
Symptoms: Bai Hu Tang syndrome with large and forceless pulse
Bai Hu Jia Ren Shen Tang
(White Tiger plus Ginseng Decoction)
Ingredients: Bai Hu Tang + Ren Shen (Radix Ginseng)
Formula Functions: Clears heat, relieves warm-malaria, regulates Ying and unblocks the collaterals
Symptoms: Bai Hu Tang syndrome with painful joints, occasional vomiting, or wind-damp-heat Bi syndrome with swollen and painful joints, wiry and rapid pulse
Bai Hu Jia Gui Zhi Tang (White Tiger plus Cinnamon Twig Decoction)
Ingredients: Bai Hu Tang + GuiZhi(RamulusCinnamomiCassiae)
Formula Functions:
1.Clears heat and generates body fluids
2. Tonifies qi and harmonizes stomach
Diagnosis: Lingering-heat with impairment of both qi and body fluid (In final stage of cold-induced disease, febrile disease, summer-heat disease)
Symptoms: Fever, profuse sweating, fatigue, shortness of breath, irritability, nausea, thirst with desire to drink, or insomnia, restlessness, red tongue, with scanty coating, rapid pulse
Applications: Flu., epidemic encephalitis B, epidemic cerebrospinal meningitis, pneumonia and septicemia
Zhu Ye Shi Gao Tang/ Lophatherusand Gypsum Decoction:
Lingering-heat with impairment of both qi and body fluid
Ingredients
1.Zhu Ye (Herba Lophatheri)
2.Shi Gao (Gypsum)
3.Ren Shen (Radix Ginseng)
4.Mai Men Dong (Radix Ophiopogonis)
5.Ban Xia (Rhizoma Pinelliae Praeparata)
6.Zhi Gan Cao (Honey-fried Radix Glycyrrhizae)
7.Jing Mi (Non glutinous rice)
Contraindication & Cautions: High fever with strong righteous-qi and excessive evil without impairment of qi and yin
Formula Functions
1.Clears and dispels heat from Ying-level
2.Nourishes Yin and promotes blood circulation
Diagnosis: Invasion of Ying-level by pathogenic heat
Symptoms: Fever, aggravated at night, delirium, irritability, insomnia, or indistinct erythema and purpura, deep-red and dry tongue, rapid pulse
Applications: Epidemic encephalitis B, epidemic cerebrospinal meningitis, pneumonia, septicemia and other infection diseases
Qing Ying Tang
Clear the Nutritive Level Decoction:
Ingredients
1.Xi Jiao (Cornu Rhinoceri)
2.Sheng Di Huang (Radix Rehmanniae)
3.Xuan Shen (Radix Scrophulariae Ningpoensis)
4.Mai Men Dong (Tuber Ophiopogonis Japonici)
5.Jin Yin Hua (Flos Lonicerae Japonicae)
6.Lian Qiao (Fructus Forsythiae Suspensae)
7.Zhu Ye Herba Lophatheri Gracilis)
8.Huang Lian (Rhizoma Coptidis)
9.Dan Shen (Radix Salviae Miltiorrhizae)
Qing Ying Tang
Clear the Nutritive Level Decoction:
Preparation
Shui Niu Jiao (Cornu Bubali) substitute for Xi Jiao in a dosage of 30-I20g
Qing Ying Tang/ Clear the Nutritive Level Decoction:
Contraindication & Cautions
Case with white and slippery coating due to dampness
Functions
1.Clears heat and toxicity
2.Cools blood and removes blood stasis
Diagnosis: Invasion of blood-level by heat
Symptoms: Fever, various bleeding—vomiting of blood, nosebleed, urinary bleed, blood in stools, dark purple rashes, or madness, delirium, thirst with water rinsing in the mouth but no desire to swallow it, distension and pain in the lower abdomen, deep-red tongue with prickles
Applications: Epidemic encephalitis B, epidemic cerebrospinal meningitis, typhus, epidemic hemorrhagic fever, acute yellow atrophy of liver, hepatic coma, septicemia and thrombocytopenic purpura and hemophilia
Xi Jiao Di Huang Tang
Rhinoceros Horn and RehmanniaDecoction:
Ingredients
1.Xi Jiao (CornuRhinoceri)
2.Sheng Di Huang (Radix Rehmanniae)
3.Chi ShaoYao(RadixPaeoniae)
4.Mu Dan Pi (Cortex MoutanRadicis)
Preparation: Decoction. Same as Qing Ying Tang
Contraindication & Cautions
1.Bleeding due to Qi-deficiency
2.Bleeding with spleen and stomach deficiency
What pattern show: Fever, irritability, incoherent speech, nausea, nosebleed, rashes or various types of sores.
In addition, formulas that treat toxic sores characterized by localized redness, swelling, pain, and malaise.
Heat toxin with vigorous heat in the 3 burners.
Clear Heat & Resolve Toxicity
Functions: Purges fire and eliminates toxins
Diagnosis: Fire-toxin, excessive and intense heat in the San-Jiao
Symptoms: High fever, fidgetiness, dry mouth, and lips, delirium, insomnia, vomiting blood, or nose-bleeding, or erythema and purpura, or dysentery with fever, or jaundice due to damp-heat, or sores and carbuncles, dark-yellow urine, red tongue with yellow coating, rapid and forceful pulse
Applications: Flu, epidemic encephalitis B, epidemic cerebrospinal meningitis, septicemia, acute hepatitis, acute cholecystitis, acute gastroenteritis, bacillary dysentery, infection in the urinary tract, toothache, hypertension, stomatitis, etc
Huang LianJieDu Tang
CoptisDecoction to Relieve Toxicity:
Ingredients
1.Huang Lian(RhizomaCoptidis)
2.Huang Qin (Radix Scutellariae)
3.Huang Bai (Cortex Phellodendri)
4.ZhiZi(FructusGardeniaeJasminoidis)
Preparation: Decoction. Same as Qing Ying Tang (Clear the Nutritive Level Decoction)
Contraindication & Cautions
1.Body fluid deficiency due to excessive fire with deep-red tongue with little coating
2.Weakness of constitution
3.It should not be used for a long period of time, otherwise it will injury the SP & ST
Functions: Drains fire, relieves toxicity, and dries dampness
Diagnosis:
1.Bleeding due to rushing flow of blood by pathogenic fire: vomiting blood, nosebleed
2.Jaundice due to damp-heat: bright-yellow eyes and skin
3.Ulcerations and abscesses due to accumulated heat: red and swollen eyes, ulcers on tongue and mouth, or skin abscesses and carbuncles
Symptoms: The above symptoms with dark yellow urine, greasy, yellow coating, rapid and forceful or rapid and soft pulse
Applications: Flu, epidemic encephalitis B, epidemic cerebrospinal meningitis, septicemia, acute hepatitis, acute cholecystitis, acute gastroenteritis, bacillary dysentery, infection in the urinary tract, toothache, hypertension, stomatitis, etc.
XieXin Tang/ Drain the Epigastrium Decoction:
Ingredients
1.Da Huang(Radixet RhizomaRhei)
2.Huang Lian(RhizomaCoptidis)
3.Huang Qin (Radix Scutellariae)
Formula Functions
1.Relieves toxic-fire
2.Dispels wind-heat
Diagnosis: Heat and toxin infection with swollen head
Symptoms: High fever, chills, redness, swelling and burning pain in the head and face, swollen eyelids which hard to open, sore throat, dry mouth, thirst, red tongue, yellow coating, rapid/forceful pulse
Applications: Facial erysipelas, acute parotitis and tonsillitis, carbuncle and other infectious swelling in the face
Contraindication & Cautions
Cases with Yin-deficiency should be used with caution
Pu Ji Xiao Du Yin
Universal Benefit Decoction to Eliminate Toxin:
Ingredients
1.HuangQin(Wine-friedRadixScutellariae)
2.HuangLian(Wine-friedRhizomaCoptidis)
3.NiuBangZi(FructusArctiiLappae)
4.LianQiao(FructusForsythiaeSuspensae)
5.BoHe(HerbamenthaeHaplocalycis)
6.JiangCan(BombyxBatryticatus)
7.XuanShen(RadixScrophulariaeNingpoensis)
8.MaBo(FructificatioLasiosphaeraeseuCalvatiae)
9.BanLanGen(RadixIsatidisseuBaphicacanthi)
10.JieGeng(RadixPlatycodiGrandiflori)
11.GanCao(RadixGlycyrrhizaeUralensis)
12.ChenPi(pericarpiumCitiriReticulatae)
13.ShengMa(RhizomaCimicifugae)
14.ChaiHu(RadixBupleuri)
Formula Functions
1.Purging fire and promoting bowel movement
2.Clearing heat from upper body and draining heat through the lower passage
Diagnosis: Heat accumulation in/between the Upper and Middle jiao
Symptoms: Fever, thirst, flushed face, drylips, sensation of heat and irritability in the chest and diaphragm, sores in the mouth and tongue, sore throat, red eyes, vomiting blood, nose bleed, constipation and dark-yellow urine, red tongue, yellow coating, and rapid/ slippery pulse
Applications
Bronchitis,pneumonia,tonsillitis,meningitis,typeBencephalitis,cholecystitis,cholelithiasis,hypertension
Liang Ge San
Cool the Diaphragm Powder
Ingredients
1.Da Huang(Radixet RhizomaRhei)
2.MangXiao(Mirabilitum)
3.GanCao (RadixGlycyrrhizaeUralensis)
4.LianQiao(FructusForsythiaeSuspensae)
5.HuangQin(RadixScutellariae)
6.ZhiZi(FructusFardeniae)
7.Bo He (HerbaMenthae)
* Dan Zhu Ye (HerbaLophatheri), and Honey
Preparation
1.Powder. Take 6-12 g 2-3 times a day with small amount of honey and Dan Zhu Ye (Herba Lophatheri) 3g
2.Decoction with a proportionate reduction in dosage
Contraindication & Cautions
Case with constipation/diarrhea due to SP deficiency
Functions
1.Clears heat and toxin
2.Cools blood and purges fire
3.Nourishes Yin and arrests blood
Diagnosis: Heat and virulent pathogen in both Qi and blood levels
Symptoms: High fever, thirst, severe headache like being chopped, retching, restlessness, delirium, coma, skin eruption, or vomiting of blood, nosebleed, convulsion, or coldness of extremities, deep-red tongue with cracked lips, deep and rapid pulse, or deep, thready/rapid pulse, or floating/large/rapid pulse
Applications
Epidemic encephalitis B, epidemic cerebrospinal meningitis, or other febrile diseases with the above syndrome
Qing Wen Bai Du Yin/
Clear Epidemics and Overcome ToxinDecoction
Heat and virulent pathogen in both Qi and blood levels
Ingredients
1.Shi Gao (Gypsum)
2.Sheng Di Huang (Radix Rehmanniae)
3.Xi Jiao(CornuRhinoceri)
4.HuangLian(RhizomaCoptidis)
5.HuangQin(RadixScutellariae)
6.ZhiZi(FructusGardeniaeJasminoidis)
7.ZhiMu (RadixAnemarrhenae
8.Mu Dan Pi (CortexMoutanRadicis)
9.Chi Shao (Radix PaeoniaeRubrae)
10.LianQiao(FructusForsythiaeSuspensae)
11.Xuan Shen (Radix ScrophulariaeNingpo)
12.Dan Zhu Ye (HerbaLophatheri)
13.JieGeng(Radix PlatycodiGrandiflori)
14.GanCao (RadixGlycyrrhizaeUralensis)
Preparation: Decoction. Cook Shi Gao first for 15-20 minutes. Xi Jiao is ground into powder and taken with the decoction
Contraindication & Cautions
1.Yang deficiency
2.Spleen and Stomach weakness
3.Patient without exuberant heat and toxin