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Course Code

3 Units



Wilcox, Lorraine
Fall 2011

COURSE DESCRIPTION The second in this two course series continues to explore the diagnostic skills and knowledge for identifying complex pathological patterns of TCM internal medicine. Students gain an understanding of the complex patterns in Zang Fu diagnosis, including differentiation of etiology, root, branch, symptoms and environmental and congenital patterns that involves more than one organ system. Students will also learn how to write and present case studies in a clear, precise, and professional manner. ______________________________________________________________________________ LEARNING OBJECTIVES 1. Students will learn how to analyze a patient’s condition according to combined Zang Fu Patterns (臟腑辨証 zang fu bian zheng). 2. Students will learn how to analyze a patient’s condition according to patterns of the channels and network vessels (經 絡辨証 jing luo bian zheng). 3. Students will learn how to analyze a patient’s condition according to disease cause patterns (病因辨証 bing yin bian zheng). 4. Students will learn how to analyze a patient’s condition according to cold damage patterns (傷寒 shang han). 5. Students will learn how to analyze a patient’s condition according to warm disease patterns (溫病 wen bing). ______________________________________________________________________________ COURSE PREREQUISITIES Zang Fu I ______________________________________________________________________________ REQUIRED TEXTS Practical Diagnosis in Traditional Chinese Medicine by Tietao Deng, Churchill Livingston Press (This book is on the State Board List) Class handouts ______________________________________________________________________________ RECOMMENDED TEXTS Chinese Acupuncture and Moxibustion (CAM) ______________________________________________________________________________ COURSE REQUIREMENTS ATTENDANCE & PARTICIPATION - 10% QUIZZES - 5% EACH, TOTAL OF 15% TWO TESTS - 25% EACH, TOTAL OF 50% FINAL EXAMINATION - 25% ABSENCE POLICY: SEPARATE FROM INDIVIDUAL COURSE REQUIREMENTS, ECTOM STUDENTS MUST ATTEND NO LESS THAN 80% OF COURSE HOURS TO PASS THAT CLASS. STUDENTS WHO MISS MORE THAN 2 CLASSES IN A 10 WEEK COURSE WILL EARN AN F IN THAT COURSE. ANY TWO OCCURRENCES OF LATE ARRIVALS OR EARLY DEPARTURES, OF 15 MINUTES OR MORE, WILL CONSTITUTE AS 1 ABSENCE.

GRADING SCALE: 100-90% A, 89-80% B, 79-70% C, 69% and below F

______________________________________________________________________________ SPECIAL NOTES

pages 305-323) ______________________________________________________________________________ CLASS FOUR Test 1 Disease Cause Patterns (Practical Diagnosis in TCM. pages 185-210) ______________________________________________________________________________ CLASS SIX Quiz 2 Six Channel Patterns (Practical Diagnosis in TCM. pages 247-252) ______________________________________________________________________________ CLASS ELEVEN Final Exam ______________________________________________________________________________ REFERENCE MATERIAL ______________________________________________________________________________ FACULTY INFO Wilcox.) Combined Zang Fu Patterns ______________________________________________________________________________ CLASS TWO Quiz 1 Channel and Network Vessel Patterns (Practical Diagnosis in .Course Code OM325 3 Units EMPEROR'S COLLEGE MTOM COURSE SYLLABUS ZANG FU II Wilcox. zhenjiu@gmail. pages 230-247) ______________________________________________________________________________ CLASS NINE Warm Disease Patterns (Practical Diagnosis in TCM. pages 211-229) ______________________________________________________________________________ CLASS EIGHT Test 2 Warm Disease Patterns (Practical Diagnosis in TCM. Lorraine Please check with instructor during class to get updated contact info. pages 211-229) ______________________________________________________________________________ CLASS SEVEN Six Channel Patterns (Practical Diagnosis in TCM. pages 185-210) ______________________________________________________________________________ CLASS FIVE Disease Cause Patterns (Practical Diagnosis in TCM. pages 305-323) ______________________________________________________________________________ CLASS THREE Channel and Network Vessel Patterns (Practical Diagnosis in TCM. pages 230-247) ______________________________________________________________________________ CLASS TEN Quiz 3 San Jiao Patterns (Practical Diagnosis in TCM. Lorraine Fall 2011 ______________________________________________________________________________ CLASS ONE (The syllabus is subject to change at the discretion of the instructor. Table of Contents COMBINED PATTERNS ................................3 Non-interaction of heart and kidneys 心腎不交 ..................................9 The Formulas ...............................................................................2 Liver qi invading the stomach 肝氣犯胃.............................................................8 Spleen-kidney yang vacuity 脾腎陽虛................Zang Fu 2 Class: Combined Organ Patterns Instructor: Lorraine Wilcox L...............................................................7 Lung-spleen qi vacuity 肺脾氣虛 ................................................................................... zhenjiu@gmail...............................................................................................3 Liver-kidney yin vacuity 肝腎陰虛 ...............2 Liver qi invading the spleen 肝氣犯脾........................................................8 Appendix: Five-Element Relationships of the Organs............................................................2 Liver fire invading the lungs 肝火犯肺...........................6 Heart-lung qi vacuity 心肺氣虛....12 © 2011 by Lorraine Wilcox L..............................................................Ac.................................4 Lung-kidney yin vacuity 肺腎陰虛.........5 Liver-heart blood vacuity 肝心血虛 ...............................................................................6 Dual vacuity of heart and spleen 心脾俱虛..................................................................................Ac..................5 Spleen-liver blood vacuity 脾肝血虛 ................................................................... Combined Organ Patterns 1 ........................................................7 Heart-kidney yang vacuity 心腎陽虛....................................................................

were discussed in Zang Fu 1 Class. nausea. supplement points for the spleen. Qi Hai (Ren 6). sometimes dry stool sometimes loose stool Irritable. Formula 2. descend stomach qi. rib-side distention and pain. Treatment Course the liver. Tai Chong (LV 3). but if the liver invades horizontally. Zu San Li Treatment (ST 36). sighing Abdominal distention and pain. Principle Zhang Men (LV 13). acid reflux. Zu San Li (ST 36). Yang Ling Quan (GB 34). hiccups. sighing Epigastric oppression. vomiting Normal or slightly red on the sides Bowstring (wiry) weak Stomach qi should descend. Combined Organ Patterns 2 . Principle Qi Men (LV 14). such as spleen and stomach. Those involving paired organs. Drain all except possibly Zu San Li (ST 36). flatulence. Acu-Moxa Xia Wan (Ren 10). Wei Shu (UB 21). Bu Rong (ST 19). rib-side distention and pain. Liver qi invading the spleen 肝氣犯脾 Both Liver qi depression Spleen qi vacuity Tongue Pulse Alternating constipation and diarrhea. Da Heng (SP 15). belching. so it returns back upward. Acu-Moxa Zhong Wan (Ren 12). 四磨湯 si mo tang © 2011 by Lorraine Wilcox L. Nei Guan (PC 6).Ac. Yang Ling Quan (GB 34). Treatment Course the liver and supplement the spleen. it Mechanisms cannot pass through. Shang Wan (Ren 13). San Yin Jiao Treatment (SP 6). 逍遙散 xiao yao san Liver qi invading the stomach 肝氣犯胃 Liver qi depression Counterflow stomach qi Tongue Pulse Irritability. Drain points for the liver. Liang Men (ST 21). Formula 1. fatigue Normal or slightly red on the sides Bowstring (wiry) weak If spleen is weak or liver is too strong. Qi Men (LV 14).COMBINED PATTERNS These involve more than one organ. Liang Qiu (ST 34). Zhi Gou (SJ 6). Tian Shu (ST 25). the liver can invade Mechanisms horizontally.

tinnitus. Treatment Clear the liver. 桑白皮 sang Formula bai pi. cough and Lungs cannot catch breath. 左歸丸 zuo gui wan © 2011 by Lorraine Wilcox L. low back ache. dry Kidney yin vacuity throat. Tian Tu (Ren 22). dry stools. Qi Xue (KI 13). Shen Shu (UB 23). dry hair and skin. and 竹茹 zhu ru Liver-kidney yin vacuity 肝腎陰虛 Also known as: Liver and kidney yin deficiency Dizzy. brittle Liver yin vacuity nails. Liver fire bloodshot eyes Chest fullness and distention. Zhao Hai (KI 6). headache. drain fire. scant dark urine. breathlessness. thirst. Fire rises and the liver is below the lungs. dizzy. 3. Dan Acu-Moxa Zhong (Ren 17). descend lung qi. dry vagina. blurred vision. Supplement Tai Xi (KI 3). dry yellow coat Pulse Bowstring (wiry) Liver fire melts metal. scant periods or amenorrhea Tongue Red dry body.Liver fire invading the lungs 肝火犯肺 Both Red face. nocturnal emissions. Lie Que (LU 7). San Yin Jiao (SP 6). Drain Xing Jian (LV 2). Qu Quan (LV 8). Tongue Red body. Qi Men (LV 14). Tai Chong (LV 3). deafness. bitter taste. so it Mechanisms is easily affected. infertility Insomnia. dull headache. yellow or blood tinged sputum. asthma. numb tingling limbs. little or no coating Pulse Rapid fine Mechanisms There may be more or less heat. Treatment Qu Chi (LI 11). dry eyes. Treatment Principle Nourish liver and kidney yin. Acu-Moxa Treatment Guan Yuan (Ren 4). Formula 4. Nei Guan (PC 6). night sweats.Ac. clear heat and moisten the Principle lungs. Combined Organ Patterns 3 . No moxa. 龍膽瀉肝湯 long dan xie gan tang plus 蘇子 su zi. bound stool Rib-side fullness and distention.

Zhao Hai (KI 6). five heart heat. Guan Yuan (Ren 4). so there may be a need to nourish heart yin as well. tidal fever or low fever. Combined Organ Patterns 4 . yellow coat or no coat Bowstring (wiry) rapid or fine rapid This heart fire may be due to heart yin vacuity. tinnitus or deafness. Jiu Wei (Ren 15). anxiety. bound stool Palpitations. Supplement Tai Xi (KI 3). difficulty sleeping. downbear fire. Fire (heart) flares up. vexation. dizzy. dry throat at night. not just drain heart fire.Non-interaction of heart and kidneys 心腎不交 Also known as: kidneys and heart not harmonized Sore weak low back and knees. thirst. Enrich yin. dream-disturbed sleep. nocturnal emission with dreams. 5. Shen Ting (Du 24). poor memory. Shen Men (HT 7). Zhu Bin (KI 9).Ac. erosion and scorching pain of the lips and tongue Red body. red cheeks. Yin Gu (KI 10). emaciation. water (kidneys) is insufficient to cool and descend it. 天王補心丹 tian wang bu xin dan Kidney yin vacuity Heart fire Tongue Pulse Mechanisms Treatment Principle Acu-Moxa Treatment Formula © 2011 by Lorraine Wilcox L. Tong Li (HT 5). Yin Xi (HT 6). night sweats. scant dark urine. San Yin Jiao (SP 6). Even technique on yin tang (non-channel). promote interaction of heart and kidneys. Drain Xin Shu (UB 15).

poor memory. dream-disturbed sleep. Gan Shu (UB Acu-Moxa 18). No moxa except for Gao Huang (UB 43). Nei Guan (PC 6). night sweats. Zu San Li Treatment (ST 36). Moxa is appropriate.Ac. or with blood streaked phlegm). Combined Organ Patterns 5 . Zhong Fu (LU 1). Zhao Hai (KI 6). Ju Que (Ren 14). diminished night vision. dull pale face. Principle Supplement Tai Xi (KI 3). 八仙長壽丸 ba xian chang shou wan Liver-heart blood vacuity 肝心血虛 Both Liver blood vacuity Heart blood vacuity Tongue Pulse Mechanisms Treatment Principle Dizzy. Nourish blood. scant urine Red dry tongue. Pi Shu (UB 20). Guan Yuan (Ren 4).Lung-kidney yin Also known as: Lung and kidney yin deficiency vacuity 肺腎陰虛 Both Lung yin vacuity Kidney yin vacuity Red cheeks. scant periods or amenorrhea. Tai Yuan Acu-Moxa (LU 9). Gao Huang (UB Treatment 43). Supplement Shen Men (HT 7). blurred vision. dizziness. bound stool Hoarse voice. insomnia. dry cough worse in the evening (without phlegm. settle the ethereal soul. numb tingling limbs. San Yin Jiao (SP 6). withered brittle nails Palpitations. tidal fever. anxiety. supplement the heart and liver. Qu Quan (LV 8). Guan Yuan (Ren 4). Tongue Pulse Mechanisms Treatment Enrich and supplement the lungs and kidneys. muscular weakness. depression Pale thin body Rough or fine See liver blood vacuity and heart blood vacuity. Qi Xue (KI 13). 歸脾湯 gui pi tang © 2011 by Lorraine Wilcox L. tinnitus or deafness. Ge Shu (UB 17). little or no coat Fine rapid There may be more or less heat. five heart heat. thin body. with little phlegm. Jiu Wei (Ren 15). San Yin Jiao (SP 6). Formula 6. calm the spirit. dry hair and skin Easily startled. dry mouth and throat. pale lips. cramps. Lie Que (LU 7) with Zhao Hai (KI 6). Formula 7. breathlessness Sore weak low back and knees.

blurred vision. emotions. San Yin Jiao (SP 6). Supplement and boost the heart (blood) and spleen (qi). muscular weakness Scant periods or amenorrhea. Pi Shu (UB 20). Zhong Wan (Ren 12). slight distention after eating. blood loss. Wei Shu (UB 21). Shen Shu (UB 23). scant periods Palpitations. dry hair and skin. Ge Shu (UB 17) (moxa). Zu San Li (ST 36). slight depression Poor appetite. Jiu Wei (Ren 15). nourish liver blood. thin body. dizziness. Ge Shu Treatment (UB 17) (direct moxa). cramps. loose stool. insomnia. taxation. abdominal distention. dislikes speaking. Principle Supplement Qu Quan (LV 8). blood loss. fatigue.Ac. dizziness. poor appetite. Supplement Shen Men (HT 7). Zu San Li Acu-Moxa (ST 36). 7. Pi Shu (UB 20). easily startled Short breath. diminished night vision. Combined Organ Patterns 6 . vexation. Guan Yuan (Ren 4). Ju Que (Ren 14). Spleen qi vacuity Liver blood vacuity Tongue Pulse Mechanisms Treatment Supplement spleen qi. weak limbs. San Yin Jiao (SP 6). loose stool Pale thin body Rough or fine Due to diet. brittle withered nails Pale dry body Rough or fine Due to diet. Formula 7. Moxa is appropriate. pale complexion. numb limbs. Nei Guan (PC 6). Zhong Wan (Ren 12). dream-disturbed sleep. pale lips. lack of strength. poor memory. Guan Yuan (Ren 4). Gan Shu (UB 18). anxiety. Moxa is appropriate. taxation. pale lips and nails. 歸脾湯 gui pi tang Both Heart blood vacuity Spleen qi vacuity Tongue Pulse Mechanisms Treatment Principle Acu-Moxa Treatment Formula © 2011 by Lorraine Wilcox L. Tai Bai (SP 3). 歸脾湯 gui pi tang Dual vacuity of heart and spleen 心脾俱虛 Also known as: Spleen and heart blood vacuity Pale lusterless or withered yellow face.Spleen-liver blood vacuity 脾肝血虛 Both Fatigue. difficulty sleeping.

Dan Treatment Zhong (Ren 17). Xin Shu (UB 15). tired Palpitations. Qi Hai (Ren 6). easily catches colds Poor appetite. Can lead to damp or phlegm. Principle Supplement Tai Yuan (LU 9). Zhong Wan Acu-Moxa (Ren 12). Can lead to heart blood vacuity or Mechanisms stagnation of qi in the chest. Combined Organ Patterns 7 . lack of strength. Lie Que (LU 7). forceless cough or panting. San Yin Jiao (SP 6). Zu San Li (ST 36). Tong Li (HT 5). lifestyle. Zhong Wan Treatment (Ren 12). 四君子湯 si jun zi tang plus 黃耆 huang qi Lung-spleen qi vacuity 肺脾氣虛 Both Lung qi vacuity Spleen qi vacuity Also known as: Lung and spleen qi deficiency Short breath. Principle Supplement Tai Yuan (LU 9). Fei Shu (UB 13). Moxa is appropriate. Wei Shu (UB 21). forceless cough or panting. dislikes speaking. difficulty sleeping. Heart qi vacuity spirit fatigue Spontaneous sweating. Formula 8. fatigue. lack of strength.Heart-lung qi vacuity 心肺氣虛 Also known as: Heart and lung qi deficiency Both Pale bright face. thin white coat Pulse Fine weak Due to emotions. Nei Guan (PC 6). spontaneous sweating. weak voice. tends toward obesity Pale body. taxation. Tongue Pulse Mechanisms Treatment Supplement and boost the lungs and spleen. hasty breathing. easily frightened. slight short breath. forgetfulness. 六君子湯 liu jun zi tang © 2011 by Lorraine Wilcox L. abdominal distention after eating. thin white coat Weak Due to diet. Lie Que (LU 7). frequent spontaneous sweating. pale face Weak voice. copious thin white phlegm. Pi Shu (UB 20). Zu San Li (ST 36). Shen Zhu (Du 12). Tai Bai (SP 3). Fei Acu-Moxa Shu (UB 13). rapid breathing.Ac. Shen Zhu (Du 12). Qi Hai (Ren 6). Formula 8. Treatment Supplement and boost the qi of the heart and lungs. dislikes speaking. slight Lung qi vacuity breathlessness. easily catches colds Tongue Pale body. sloppy stool. dislikes speaking. copious thin white phlegm.

Combined Organ Patterns 8 . Principle Supplement Shen Shu (UB 23). nocturia.Ac. cold limbs. impotence. Nei Guan (PC 6). Pi Shu (UB 20). Both Heart yang vacuity Kidney yang vacuity Tongue Pulse Mechanisms Treatment Principle Supplement Tong Li (HT 5). Acu-Moxa Ming Men (Du 4). weak knees. sloppy stool Palpitations. Zhi Shi (UB 52). Moxa is necessary. fatigued spirit Sore low back. clear urine Pale fat body. 附子理中丸 fu zi li zhong wan © 2011 by Lorraine Wilcox L. Fu Liu (KI 7). cold pain and weakness of the low back and knees. tired. Shen Shu (UB 23). likes to sleep. Tai Xi (KI 3). Shang Ju Xu (ST 37). prefers lying down. feels cold. chronic diarrhea Dizziness. Fu Liu (KI 7). Acu-Moxa Zhong Wan (Ren 12). tinnitus. distention after eating. Formula 9. easily frightened. Guan Yuan (Ren 4). moist white coat Deep fine slow weak See heart yang vacuity and kidney yang vacuity sections. puffy face and limbs. Tian Shu (ST 25). Wei Shu (UB 21). Shui Fen (Ren 9). decreased sexual desire. Xin Shu (UB 15). Warm and supplement heart and kidney yang. Ming Men (Du 4). Da Chang Shu (UB 25). no thirst. desire to lie down Bland taste. Guan Yuan (Ren 4). Tai Bai Treatment (SP 3). poor appetite. Zhi Shi (UB 52). dizziness. Zu San Li (ST 36).Heart-kidney yang vacuity 心 腎陽虛 Also known as: Heart and kidney yang deficiency Lack of strength. Dan Treatment Zhong (Ren 17). Both Spleen yang vacuity Kidney yang vacuity Tongue Pulse Mechanisms Treatment Warm and supplement the spleen and kidneys. Moxa is necessary. Qi Hai (Ren 6). fifth watch diarrhea. Formula 10. cold limbs. white moist coat Deep fine slow weak Can have yang vacuity water swelling – edema. Qi Hai (Ren 6). Da Zhui (Du 14). loose stool. edema in the legs Pale body. abundant clear urine. tinnitus. Tai Xi (KI 3). feels cold. 真武湯 zhen wu tang Spleen-kidney yang vacuity 脾腎陽虛 Also known as: Spleen and kidney yang deficiency Bright pale face.

To treat a disease affecting two organs. Wood drains water.Appendix: Five-Element Relationships of the Organs Deng.Ac. we can often harmonize it using five-element theory. Wood overwhelms earth. © 2011 by Lorraine Wilcox L. Wood rebels against metal. Combined Organ Patterns 9 . Diseases or patterns can be transferred from one organ to another in this way. Wood feeds fire. p334-6 生 Engendering: The mother feeds the son. 剋 Restraining: The grandmother righteously disciplines the grandchild. 侮 Rebellion: The grandchild rebels against the discipline of the grandmother. we can often treat the mother or grandmother or son instead of treating it directly. To treat a disease in one organ. 泄 Draining: The son drains the mother. Wood restrains earth. 乘 Overwhelming: The grandmother excessively disciples the grandchild.

irregular menses. etc. insomnia. dizziness. easily angered. etc. sloppy stools. fear of cold. etc. Combined Organ Patterns 10 . insomnia. etc. sore weak low back and knees. Mania in severe cases. etc. flustered. etc. Effulgent fire scorching metal Blood not nourishing the liver Fire not engendering earth Heart and kidneys not communicating Heart vexation. copious thin white sputum. diarrhea. easily angered. easily angered. sloppy stools. palpitations. palpitations. palpitations. dizziness. and/or abdominal pain. easily angered. etc. shortness of breath from activity. sighing. puffy swelling. tidal fever. Spleen-lung vacuity Congestion of earth with constraint of wood Spleen vacuity with liver overwhelming Dual vacuity of heart and spleen Spleen vacuity unable to restrain water Spleen qi timidity. spitting blood. heavy limbs. fatigued spirit. etc. scant urine. cold limbs. poor appetite. dim vision. dizziness. etc. low voice. cold pain of the low back and abdomen. dizziness. abdominal and epigastric pain. forgetfulness. night sweating. cough. weak limbs. epigastric fullness. dry eyes. possibly enduring forceless cough or wheezing. etc. night sweating. pulling pain of the sinews. sores on mouth or tongue. scant urine. coughing blood. fatigue. belching sour fluids. poor appetite. insomnia. Abdominal or rib-side distention. qi timidity. poor appetite. bloody sputum. poor appetite. nightmares.Ac. cold limbs. dry or sore throat. bleeding. diminished appetite. lassitude. dream emissions or irregular menses. night time urination. seminal emission. etc. sloppy stools. chest pain.Liver wood overwhelming the spleen Wood (liver) fire tormenting metal Wood exuberance and scorching fire Liver vacuity affecting the kidneys Liver rib-side. numb limbs. etc. water swelling. etc. fear of cold. severe headache. fatigue. headache. low voice. poor appetite. vomiting. epigastric. © 2011 by Lorraine Wilcox L.

If severe: Heart fire is debilitated. cannot lie down. tinnitus. Yin expiring: sweat like pearls. lassitude. cannot fall asleep. etc. copious urination. vomiting blood. etc. prefers to lie down. puffy swelling. © 2011 by Lorraine Wilcox L. possibly irregular menses. palpitations. sore low back. panting. Kidney yin vacuity with hyperactivity of liver yang Debility of life gate fire and non-arousal of spleen yang Inability of kidney water to rise and save heart fire The relationship of kidney yin and yang Kidneys dizziness. shortness of breath. collapse of yang. seminal emission. easily angered. These are only examples. cough. etc. impotence. nosebleeds. faint pulse about to expire. etc. copious phlegm. instead into water Lung vacuity affecting the kidneys Lung vacuity unable to calm the liver panting. etc. If extreme. reverting cold of the limbs. agitation. etc. etc. mouth or tongue sores. shortness of breath. sore low back. kidney water floods so water swelling. irregular menses. lusterless face. night sweating. vexation. dream emissions. possibly cough with bloody sputum. etc. headache.Lungs Lung vacuity affecting the spleen. phlegm-water intimidating the heart Lung vacuity causing qi not to transform into essence. piercing chest and rib-side pain. insomnia. tidal fever. cough. weak legs. other patterns are possible. short yellow urine. Yang expiring: great dripping sweat.Ac. vexation. insomnia. Combined Organ Patterns 11 . etc. shortness of breath. collapse of yin. easily angered. Mild: low essence-spirit. sore low back. etc.

3. © 2011 by Lorraine Wilcox L. eliminate damp mu tong drain heat. Combined Organ Patterns 12 . eliminate damp heat ze xie drain heat.The Formulas 1. clear and drain damp heat from the lower burner. eliminate damp heat chai hu disperse heat from liver gallbladder qi sheng di huang protect yin and blood dang gui protect yin and blood Drain repletion fire from the liver-gallbladder. 2. supplement the spleen chuan niu xi move blood tu si zi nourish liver and kidney yin lu jiao jiao warm and supplement kidney yang. nourish blood. strengthen the spleen. nourish blood shan yao nourish liver. replenish essence and marrow gui jiao nourish yin and blood Nourish yin. 龍膽瀉肝湯 (long dan xie gan tang) Gentian Liver Draining Decoction long dan cao drain repletion heat from liver gallbladder. transform stagnation chen xiang descend qi ren shen supplement and protect qi Descend counterflow qi. move depressed liver qi. 4. eliminate damp heat che qian zi drain heat. 四磨湯 (si mo tang) Four Milled Herb Decoction (Ji Sheng Fang) wu yao move liver qi bing lang move qi. benefit marrow.Ac. 左歸丸 (zuo gui wan) Restore the Left [Kidney] Pill (Zhang Jiebin) shu di huang nourish liver and kidney yin. expand the chest. strengthen the spleen Course liver qi. supplement kidney. supplement essence. 逍遙散 (xiao yao san) Rambling Powder (Ju Fang) chai hu course the liver dang gui move and supplement blood bai shao soften the liver bai zhu strengthen the spleen fu ling strengthen the spleen zhi gan cao envoy. eliminate damp-heat huang qin drain fire. eliminate damp zhi zi drain fire. supplement the spleen gou qi zi nourish liver and kidney yin shan zhu yu nourish liver and kidney yin.

Ac. clear heat wu wei zi prevent leakage of heart qi suan zao ren prevent leakage of heart qi jie geng conducts the formula up zhu sha anchors and calms the spirit (illegal in California) Enrich yin. calm the spirit suan zao ren calm the spirit yuan zhi calm the spirit mu xiang regulate qi Supplement spleen qi and nourish heart blood. supplement the heart. add mai men dong and wu wei zi to 六味地黃丸 (liu wei di huang wan) Six Ingredient Rehmannia Pill (Qian Yi). 歸脾湯 (gui pi tang) Return the Spleen Decoction (Ji Sheng Fang) dang gui supplement and move blood ren shen supplement qi bai zhu supplement qi fu ling drain damp. 7. clear heat mai men dong nourish yin. supplement qi zhi gan cao envoy. restrain leakage of essence shan yao stabilize essence. 天王補心丹 (tian wang bu xin dan) Heavenly Emperor Heart Supplementing Elixir sheng di huang nourish yin. 6.5. clear heat dan shen nourish heart blood without causing stasis dang gui nourish heart blood without causing stasis ren shen assist heart qi fu ling assist heart qi yuan zhi calm the spirit bai zi ren calm the spirit tian men dong nourish yin. nourish the lungs and kidneys. Combined Organ Patterns 13 . strengthen spleen mu dan pi drain liver fire ze xie drain kidney fire Enrich yin. For 八仙長壽丸 (ba xian chang shou wan) Eight Immortals Pill for Longevity. which contains shu di huang enrich kidney yin and essence shan zhu yu nourish liver. nourish blood. clear heat xuan shen nourish yin. supplement qi huang qi supplement and raise qi long yan rou nourish blood. calm the spirit. © 2011 by Lorraine Wilcox L. supplement spleen fu ling drain damp.

add chen pi and ban xia to transform phlegm. boosts qi. 真武湯 (zhen wu tang) True Warrior Decoction (Shang Han Lun) fu zi restore kidney yang bai zhu strengthen spleen fu ling promote urination sheng jiang warm and dispel water evils bai shao preserve yin. reinforce yang bai zhu supplement spleen-stomach. dispels cold. add fu zi aconite. promote urination. This warms yang. boost middle burner qi Warm the middle burner. alleviate pain Warm yang. strengthen the spleen and stomach. 10. 9. eliminate interior cold ren shen supplement source qi. supplement spleen qi Boost qi. supplement the spleen and stomach. Combined Organ Patterns 14 .Ac. transform dampness fu ling drain dampness. 四君子湯 (si jun zi tang) Four Gentleman Decoction (Ju Fang) ren shen supplement spleen qi bai zhu supplement spleen qi. For 六君子湯 (liu jun zi tang) Six Gentlemen Decoction. supplement spleen qi zhi gan cao envoy.8. strengthens the spleen. © 2011 by Lorraine Wilcox L. 理中丸 (li zhong wan) Center Rectifying Pill (Shang Han Lun) gan jiang warm spleen-stomach yang. For 附子理中丸 (fu zi li zhong wan) Aconite Center Rectifying Decoction. dry damp zhi gan cao harmonize.