Expel Wind-Cold (1) Flashcards
Ma Huang Tang
A. Ingredients and Dosages
ma huang 9g; gui zhi 6g ; xing ren 9-12g; zhi gan cao 3g.
B. Functions
Releases wind cold exterior, disperses the lung qi and calms down wheezing.
C. Indications
Fever and chills ( chills predominate ) without sweating, headache, generalized body aches, wheezing, a thin, white tongue coating, and a floating, tight pulse.
This formula is mainly used for treating wind-cold excess in the exterior.
D. Analysis
Chief herb: ma huang
Ma huang may promote sweating, release the exterior, redirect the Lung qi downward and calm wheezing.
Deputy herb: gui zhi
Gui zhi is also warm, acrid sweat promoting herb, helps ma huang to induce sweating, strengthen the sweating effect of this formula.
Assistant herb: xing ren
Xing ren can disseminate and unblock the flow of the lung qi. It helps the chief herb to stop wheezing.
Envoy herb: zhi gan cao
Zhi gan cao primary function is to harmonize the other herbs, and moderate the inducing sweating action of ma huang.
E. Modifications
San Ao Tang (Three-Unbinding Powder)
On the base of Ma Huang Tang, omit gui zhi to make San Ao Tang. This formula can disseminate the lung qi and releases the exterior. It may be used for externally-contracted wind cold characterized by head and body aches, nasal congestion, coughing, wheezing, copious white, thin sputum, and a sensation of fullness in the chest. May also be used for coughing and loss of voice due to wind cold.
Hua Gai San (Canopy Powder)
Ingredients and Dosages
Ma huang 30g; sang bai pi 30g; xing ren 30g; chi fu ling;30g; chen pi 30g; gan cao 15g.
B. Functions
Disseminates the lung qi, releases the exterior, expels phlegm, and stop coughing.
C. Indications
This formula is used for wind cold attacking the lungs characterized by coughing with copious sputum and a stifling sensation in the chest.
Da Qing Long Tang (Major Blue-Dragon Decoction)
Ingredients and Dosages
Ma huang 12g; gui zhi 6g; xing ren 6-9g; zhi gan cao 6g; shi gao 12-30g; sheng jiang 9g; da zao 3g or 12 pieces.
B. Functions
Releases the exterior by inducing sweating, clears the interior heat and eliminates irritability.
C. Indications
Severe fever and chills without sweating, body aches, irritability, thirst, possibly coughing, wheezing with sticky, yellow sputum, a floating, tight pulse, and a thin, white tongue coating or thin, yellow tongue coating.
This formula is mainly used for exterior cold with interior heat.
Xiao Qing Long Tang
Ingredients and Dosages
Ma huang 9g; gui zhi 9g; gan jiang 9g; xi xin 9g; wu wei zi 9g; bai shao 9g; ban xia 9g; zhi gan cao 9g.
B. Functions
Releases the exterior, dispels cold, transforms congested fluids, warms the lungs, and directs rebellious qi downward.
C. Indications
Fever and chills (chills predominate) without sweating, coughing, wheezing, and sputum that is copious, white, thin, a stifling sensation in the chest, heaviness sensation of body, body aches, no particular thirst, a moist tongue coating, and a floating, tight pulse. In severe cases, there may be floating edema or difficult to expectorate, difficulty in breathing when lying down.
This formula mostly often used for acute attacks of wind cold in cases of chronic congested fluids or spleen deficiency.
D. Analysis
Chief herb: ma huang and gui zhi
Ma huang releases the exterior, stops wheezing, moves water by facilitating the flow of the lung qi to reduce edema.
Gui zhi warms yang qi, promotes water and congested fluids metabolism.
Deputy herb: xi xin and gan jiang
Xi xin warms the lung, transforms congested fluids, stops coughing by facilitating the flow of the lung qi.
Gan jiang is particularly effective in warming and tonifying the spleen.
Assistant herb: wu wei zi, bai shao, and ban xia
Wu wei zi restrain lung qi, prevent the leakage of lung qi.
Bao shao nourishes the blood and nutritive qi.
Ban xia dries dampness, transforms congested fluids, and harmonizes the stomach.
Envoy herb: zhi gan cao
She Gang Ma Huang Tang *Belamcanda and Ephedra Decoction)
Ingredients and Dosages
She gan 9g; ma huang 12g; zi wan 9g; kuan dong hua 9g; ban xia 9g; wu wei zi 3g; sheng jiang 12g; da zao 3 pieces.
B. Functions
Warms the lungs, transforms cold and congested fluids lingering in the chest, redirects rebellious qi, and stops coughing.
C. Indications
This formula come from Xiao Qing Long Tang, omit gui zhi, shao yao, and gan cao, add she gan, zi yuan, kuan dong hua and da zao.
This formula is used for acute attacks of wind cold in cases of chronic congested fluids too.
Ge Gan Tang (Kudzu Decocotion)
Ingredients and Dosages
Ge gen 12g; ma huang 9g; gui zhi 6g; bai shao 6g; sheng jiang 9g; da zao 4 pieces; gan cao 6g.
B. Functions
Releases the exterior and muscle layer, and generates fluids.
C. Indications
Fever and chills without sweating, a thin, white tongue coating, and a floating, tight pulse.
This is a typically externally-contracted wind-cold in the tai yang channels. Its distinguishing feature is stiff and rigid neck and upper back, which is caused by wind-cold obstructing the upper part of the tai yang channel and preventing the fluids from nourishing the area.
D. Analysis
Chief herb: ge gen
Ge gen is specifically effective in releasing the muscle layer (especially of the upper back and neck) by drawing fluids to the affected area, and releasing the exterior.
Deputy herbs: ma huang and gui zhi
Ma huang induces sweating.
Gui zhi helps the chief herb release the exterior and relieve the muscle layer.
Assistant herbs: bai shao, sheng jiang and da zao
Bai shao preserves the ying by preventing the exterior releasing herbs from causing excessive sweating.
Sheng jiang and da zao, regulate the yin and wei, harmonize the spleen and stomach, and protect those organs from injury.
Envoy herb:
Ma Huang Jia Zhu Tang (Ephedra Decoction plus Atractylodes)
. Ingredients and Dosages
On the base of Ma Huang Tang, add bai zhu 12g.
B. Functions
Induces sweating, releases the exterior, dispel cold and expel wind.
C. Indications
This formula is used for the exterior syndrome pronounced body aches with irritability due to damp cold or invasion of wind-dampness in patients with chronic dampness, usually due to spleen deficiency.
Ma Xing Yi Gan Tang (Ephedra, Apricot Kernal Coicis, and Licorice Decoction)
Ingredients and Dosages
Ma Huang Tang omits gui zhi, add yi yi ren to make Ma Xing Yi Gan Tang.
B. Functions
Releases the exterior and dispels wind-dampness.
C. Indications
This formula is used for externally-contracted wind-dampness characterized by mild, generalized body aches, slight aversion to wind, and fever that worsens in the afternoon.
Gu Zhi Tang (Cinnamon Twig Decoction)
Ingredients and Dosages
Gui zhi 9g; shao yao (bai shao) 9g; sheng jiang 9g; zhi gan cao 6g; da zao 12 pieces.
B. Functions
Releases the exterior from muscle layer, harmonizes the nutritive (ying) and protective (wei) qi.
C. Indications
The main clinic manifestations are: fever and chills with sweating, but fever and chills is unrelieved by sweating, aversion to wind, headache, stiff neck, nasal congestion or dry heaves, no particular thirst, a thin, white, and moist tongue coating, and a floating , moderate, or floating, frail pulse.
This formula is mainly used for exterior wind cold deficient condition.
D. Analysis
Chief herb: gui zhi
Gui zhi may release externally-contracted wind cold from muscle layer. It also may strengthen the protective qi and facilitate the flow of the channels.
Deputy herb: bai shao
Bai shao benefits the yin and contains the weak nutritive qi.
Assistant herb: sheng jiang and da zao
Sheng jiang helps the chief herb to release the cold exterior, it also harmonizes the stomach.
Da zao helps the deputy herb to nourish and harmonize the nutritive qi, it also strengthens the spleen.
Envoy herb: zhi gan cao
Gui Zhi Jia Ge Gen Tang (Cinnamon Twig Decoction plus Kudzu)
Ingredients and Dosages
Gui Zhi Tang adds ge gen 12g.
B. Functions
Releases the muscle layer, relaxes and moistens the sinews.
C. Indications
Gui Zhi Tang presentation characterized by stiff neck and upper back, sweating, sensitivity to wind.
D. Analysis
Ge gen is the deputy herb in this formula too. Ge gen releases the muscle layer (especially of the upper back and neck) by drawing fluids to this area, and release the exterior.
