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Dui-Yao for Ch. 7 Descend Stomach Rebellious Qi

Dui-Yao for Ch. 7 Descend Stomach Rebellious Qi

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Dui-Yao Chapter 7 – Herb Pairings that Descend Stomach Rebellious Qi Copyright by Dr.

Eric Hsiao

Zhu Ru Sweet, slightly cold (GB, LU, ST) Clears heat and transforms phlegm-heat

Ban Xia Acrid, warm, toxic (LU, SP, ST)

Dries dampness, transforms phlegm and descends rebellious qi Clears heat and stops vomiting Dissipates nodules and reduces distension Cools the blood and stops bleeding Harmonizes Middle Jiao and stops vomiting Commonly Used Dosage 6-10g 6-10g Combined Properties Zhu Ru is cool, with the ability to focus on treating vomiting due to heat accumulations and rebellious Qi Flow. Ban Xia is warming, with the ability to focus on treating vomiting due to accumulations of Dampness in the middle jiao. When combined, they mutually reinforce each other. They effectively dry dampness, clear heat, transform phlegm, harmonize the stomach and stop vomiting. Major Indications 1. Hiccup, nausea and vomiting due to disharmony and counter-flow of Stomach Qi 2. Vertigo, agitation and insomnia due to phlegm turbidity. 3. Nausea and vomiting during pregnancy due to disharmony of ST, Phlegm-Heat or Stomach-Heat Comments In cases of Middle jiao disharmony, use ginger-processed Ban Xia and ginger stir-fried Zhu Ru to warm up the middle jiao, dispel cold, and stop vomiting

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2. ST) Chen Pi (Ju Pi) Acrid. descending rebellious qi and dispelling phlegm. slightly cold (GB. stopping vomiting. When combined. epigastric distention and abdominal distention due to SP/ST Deficiency with Cold and Heat. They effectively harmonize the middle jiao due to heat-cold accumulation. LU. tonifies the Spleen Clears heat and stops vomiting Dries dampness and transforms phlegm Cools the blood and stops bleeding Harmonizes the Stomach and stops vomiting Commonly Used Dosage 6-10g 6-10g Combined Properties Zhu Ru focuses on clearing heat. SP. Resource Jing Gui Yao Lou-Ju Pi Zhu Ru Tang 2 . Chen Pi and Zhu Ru should be used. Eric Hsiao Zhu Ru Sweet. tonify the Spleen. these two herbs simultaneously warm and clear. vomiting. Major Indications 1. Ding Xiang and Shi Di are used for cold accumulation patterns. bitter. Nausea.Dui-Yao Chapter 7 – Herb Pairings that Descend Stomach Rebellious Qi Copyright by Dr. identifying whether it is a heat or cold pattern is the first step. aromatic (LU. ST) Clears heat and transforms phlegm-heat Regulates the Qi . Nausea and vomiting due to pregnancy. harmonize the Stomach and transform phlegm. In the case of a heat accumulation pattern. Comments To treat nausea and vomiting. Chen Pi (Ju Pi) is warming and acrid and is able to regulate qi. descend the counter-flow of Qi and stop vomiting. warm.

ST) Clears Heat and dries Dampness Drains fire and resolves toxins Gang Jiang Acrid. Gang Jiang and Huang Lian should be prescribed equally. 2. LV. one can prescribe a small quantity of Gan Jiang and a larger quantity of Huang Lian. Together.Dui-Yao Chapter 7 – Herb Pairings that Descend Stomach Rebellious Qi Copyright by Dr. LI. Major Indications 1. and epigastric pain due to mixture of heat and cold in the Middle Jiao. and the other is cold and down bearing. one is warm and dissipating. one can prescribe a small quantity of Huang Lian and a large quantity of Gan Jiang. Vomiting. Eric Hsiao Huang Lian Bitter.5-10g Combined Properties One is acrid and frees the flow. LU. When these two herbs are combined together. Diarrhea and dysentery. Resource Shan Han Lun “Ban Xia Xie Xin Tang” 3 . they drain mixed cold and heat in order to stop vomiting. In the case of predominant cold. Comments  In the case of predominant heat. If cold and heat are in equal proportion. acid regurgitation and harmonize the stomach. hot (HT. acid regurgitation. belching. cold (HT. ST) Warms the middle and expels cold Rescues devastated yang and expels interior cold Clears Heart & Stomach fire Warms the Lung and transforms phlegm Clears heat and stop bleeding Warms the channel and stops bleeding Commonly Used Dosage 3-5g 1. while the other is bitter and drains. they eliminate cold accumulation and depressive heat. SP.

Huang Lian is able to treat ST heat.Dui-Yao Chapter 7 – Herb Pairings that Descend Stomach Rebellious Qi Copyright by Dr. descend reversal. disperses cold. belching.LV. and stops pain Drains fire and resolves toxins Warms the ST & SP. vomiting and acid regurgitation due to LV/ST disharmony as well as drain fire from the LV channel. 2. slightly toxic (KD. use Huang Lian in a larger dosage.  Traditionally this combination is used to treat LV/ST Disharmony causing nausea. In this case. acid regurgitation.5-5g Combined Properties Huang Lian is cold and draining while Wu Zhu Yu is hot and opening. gastric and duodenal ulcers. reinforces the action of Huang Lian to treat vomiting and acid regurgitation as well as draining fire from the LV channel. As a messenger. If cold and heat are in equal proportions. 3. When combined. If heat is more prevalent. clamoring stomach.  This combination can also be used in patterns where cold and heat are mixed.5-5g 1. wiry and rapid pulse due to LV Fire attacking ST. Huang Lian should be used in larger quantity than Wu Zhu Yu. Comments  As a chief herb. they effectively drain LV Fire. vomiting and acid regurgitation. LI. stops diarrhea Clears Heart & Stomach fire Redirects rebellious qi downward and stops vomiting Clears heat and stop bleeding Leads fire downward Commonly Used Dosage 1. cold (HT. bitter. Major Indications 1. Diarrhea and dysentery due to Damp-Heat. harmonize the Stomach. Eric Hsiao Huang Lian Bitter. Wu Zhu Yu guides the action of Huang Lian towards the LV.Zuo Jin Wan (Huang Lian : Wu Zhu Yu= 6:1 ratio) for LV Fire attacking ST “Tai Ping Shen Hui Ju Fang”-Zhu Yu Yuan Fan (1:1 ratio) for Diarrhea and dysentery due to deficiency –cold accumulation pattern Zhang Jing Yue-Huang Liang Wan (1:1 ratio) for hemorrhoids and associated symptoms with LV fire 4 . the quantities of both medicinals should be equal.ST) Clears Heat and dries Dampness Wu Zhu Yu Acrid. bitter taste in the mouth and red tongue body covered with yellow coating. If cold is more prevalent. use Wu Zhu Yu in a larger dose. disperses cold. acid regurgitation and vomiting.SP.ST) Warms the Middle Jiao. LV. Lateral costal pain/distention. Resource “Dan Xi Xing Fa”. relieves constraint in the LV channel. and stop pain. For acute or chronic gastritis. nausea. hot.

one is dispersing and the other is descending. dispelling phlegm. and eliminating abdomen distension. vomiting and hiccup due to turbid phlegm stagnation in diaphragm area. 3. When combined. while the other is a heavy substance that is bitter & cold. Eric Hsiao Xuan Fu Hua Bitter. LV. 2. acrid. Major Indications 1. nosebleed and hematemesis. LU. stopping wheezing. slightly warm (LV. lowering blood pressure. Nausea.Dui-Yao Chapter 7 – Herb Pairings that Descend Stomach Rebellious Qi Copyright by Dr. cold (HT. This combination can increase the function of calming rebellious qi. Resource Shan Han Lun-“Xuan Fu Hua Dai Zhe Shi Tang” 5 . Hypertension. SP) Redirects qi downward and expels phlegm Stops vomiting and calms rebellion Dai Zhe Shi Bitter. PC) Calms the Liver. Comments This combination can be used for esophageal spasm or asthma and COPD (excess pattern). Coughing and wheezing with phlegm. anchors the floating yang and clears Liver fire Directs Qi downward Cools the blood and stops bleeding Combined properties One is lightweight with an acrid taste. ST.

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