Drain Downward - Formulas Flashcards
Formulas that
Purge Heat Accumulation
Da Cheng Qi Tang
Xiao Cheng Qi Tang
Tiao Wei Cheng Qi Tang
Da Xian Xiong Tang
Formulas that
Moisten LI
Ma Zi Ren Wan
Run Chang Wan
Formula Functions: Purges the accumulation of heat
Diagnosis & Symptoms
1.YangmingFu syndrome: Constipation, abdominal fullness and pain with tenderness, flatulence, aversion to pressure, tidal fever at dusk, delirium, sweating in the hands and feet, dry yellow tongue coating or dry black tongue coating with fissure, deep and forceful pulse
2.Fecal impaction due to heat with watery discharge: Watery discharge with terribly foul odor, abdominal distension and pain with tenderness and guarding, dry mouth and tongue, slippery and forceful pulse
3.Cold limbs due to excess of heat, convulsion, mania and other symptoms belonging to excessive interior heat syndrome
Applications: Infectious or non-infectious febrile diseases, paralytic, simple and obliterative intestinal obstructions
Da Cheng Qi Tang/
Major Order the Qi Decoction:
Yang-mingFu syndrome with four types of abdominal symptoms disharmony
Ingredients
1.Da Huang(Radixet RhizomaRhei)
2.MangXiao (Mirabilitum)
3.ZhiShi (FructusIrnmuaturusCitriAurantii)
4.HouPo (Cortex MagnoliaeOfficinalis)
Preparation: Decoct ZhiShi and HouPo first, then add Da Huang, dissolve MangXiao in the strained tea
Contraindication & Cautions
1.Contraindicated to the pregnant women
2.Cautiously used in the patients with exterior symptoms or with deficiency
3.Over administration is prohibited
4 types of abdominal symptoms disharmony:
- Focal distension refers to the sensation of obstruction, distension, and heaviness which is focused in the epigastrium
- Fullness refers to the visible distention which is resistant to palpation
- Dryness refers to the dry stool which accumulates in the intestines and causes parts of the abdomen to become tense and firm
- Hardness refers to the heat which accumulates and takes form resulting in constipation and abdominal pain that increases upon pressure
Formula Functions: Slightly purges accumulation of heat
Diagnosis
1.Mild Yangming fu syndrome
2.The onset of dysentery due to heat
Symptoms: Constipation, tidal fever, delirium, distension and fullness in the chest and abdomen, dark yellow coating, rapid and slippery pulse. Or the onset of dysentery with abdominal distension, pain, and tenesmus
Xiao Cheng Qi Tang
Minor Order the Qi Decoction:
Mild Yang-ming fu syndrome
Ingredients
1.Da Huang (Radix et RhizomaRhei)
2.ZhiShi (FructusImmuaturusCitriAurantii)
3.HouPo (Cortex MagnoliaeOfficinalis)
Formula Functions: Mildly purges the accumulation of heat
Diagnosis: Accumulation of heat and dry in Yang-ming fu
Symptoms: Constipation, thirst, irritability, fever like steaming, sweating, mild distension and fullness in the abdomen, yellow tongue coating, slippery and rapid pulse Or vomiting blood, nosebleed, gum bleeding, swollen gums and throat or erythema and purpura, due to heat in the stomach and intestine
Tiao Wei Cheng Qi Tang
Regulate the Stomach and Order the Qi Decoction
Accumulation of heat and dry in Yang-mingfu
Ingredients
1.Da Huang(Radixet RhizomaRhei)
2.MangXiao (Mirabilitum)
3.GanCao (Radix GlycyrrhizaeUralensis)
Preparation: Decoct Da Huang and GanCao first, then dissolve MangXiao in the strained decoction
Formula Functions
1.Moisten the intestines, drain heat
2.Promote flow of qi, relieving constipation
Diagnosis: Constipation due to intestinal heat-dryness
Symptoms: Constipation with hard stool which is difficult to expel, frequent urination
Applications: Habitual constipation, or constipation due to dehydration after febrile diseases
Ma Zi Ren Wan/Hemp Seed Pill:
Constipation due to intestinal heat-dryness
Ingredients
1.Ma ZiRen (Semen Cannabis Sativae)
2.Xing Ren (Semen PruniArmeniacae)
3.Shao Yao (Radix paeoniae)
4.Da Huang(Radixet RhizomaRhei)
5.ZhiShi (FructusImmaturusCitriAurantii)
6.HouPo (Cortex MagnoliaeOfficinalis)
Ma Zi Ren Wan/Hemp Seed Pill:
Preparation & Contraindication
Preparation
Pills, made with honey, take 9g Bid with warm water
Contraindication & Cautions
1.The pregnant women
2.The aged and the weak patients with exhaustion of body fluids or blood deficiency without heat
Formula Functions: Moistens the Intestines and unblocks the bowels.
Diagnosis: Constipation due to blood and yin deficiency or desiccated Intestines
Symptoms: Constipation, lusterless skin and nails, dry mouth with an unquenchable thirst, a dry tongue, and a thin pulse
Applications: Post partum and habitual constipation
Run Chang Wan
Moisten the Intestines Pill
Constipation due to blood and yin deficiency
Ingredients
1.Ma ZiRen (Semen Cannabis Sativae)
2.Tao Ren (Semen Persicae)
3.Dang Gui(Radix AngelicaeSinensis)
4.Sheng Di Huang (Radix RehmanniaeGlutinosae)
5.ZhiKe(FructusCitriseuPonciri)
Preparation: Grind the ingredients into powder and form into pills with honey. Take 15g daily.
Contraindication & Cautions: Constipation due to excessive heat
Formula Functions: Moistens dryness, harmonizes the blood, and disperses wind
Diagnosis: Constipation from injury to the Spleen and Stomach due to wind-heat entering the Intestines, or from improper diet or overwork
Symptoms & Applications: This type of constipation includes aspects of blood deficiency, blood stasis, and wind (due to blood deficiency). The generation of wind further desiccates the Intestines, thereby aggravating the constipation. This formula is stronger than the Ma Zi Ren Wan, and is indicated for more severe conditions.
Run Chang Wan: Moisten the Intestines Pill
Ingredients
1.Da Huang(Radixet RhizomaRhei)
2.DangGuiWei(Rootletsof RadixAngelicaeSinensis)
3.QiangHuo(Radixet RhizomaNotopterygii)
4.Tao Ren(Semen Persicae)
5.Ma ZiRen (Semen Cannabis Sativae)
Preparation: Grind the ingredients into powder and form into pills with honey
Contraindication & Cautions: Constipation due to Qi deficiency
Formula for Constipation
Due to LI Dryness + Heat, Blood deficiency
Ma Zi Ren Wan
Formula for Constipation (More severe)
Due to: Body fluid deficiency + Dry Heat (ST/LI)
Run Chang Wen
