Chapter 4: Clearing Heat Formulas


{ {
Predominantly Made Up of: Clearing Heat Herbs

{
Clear Heat
Drain Fire Are Referred to as: Clearing Heat Formulas
Formulas That Function to
Cool Blood (Correspond to "Clearing Method" Within the 8 Methods)
Resolve Toxicity ...
That Regulate Treatment of: Interior Heat Patterns

Warmth
Heat
Fire
{ All Share the Same Nature
(Warmth is a Mild Form of Heat)
(Fire is an Extreme Form of Heat) { ∴ They Are Often All Summarized as "Heat"

《Su Wen·Zhi Zhen Yao Da Lun》Refers to 19 Types of Pathomechanisms { 45 Correspond

Correspond to Fire
to Heat
( i.e. Heat / Fire Conditions are Common )

Pathogenic Causes Include { External Contraction

Internal Damage

{
External Contraction of the 6 Excesses Entering the Interior
Excesses Among the 5 Minds (Mental / Emotional Activities)
Unilateral Flourishing Within Individual Zang, Fu Organs
Excess Consumption of Warm, Hot, Cooked, or Fried Foods
Can All { Transform Heat
Engender Fire
Excess Smoking / Excess Alcohol Consumption
Incorrect / Excessive Use of Warming / Supplementing Herbs

There are Many Types of Internal Heat Patterns:

Qi Aspect Replete Heat Specific
Clinical Manifestations Can be Divided Into: vs vs Zang or Fu
Blood Aspect Vacuous Heat Organ Systems

{
Clear Qi Aspect Heat
Clear Ying Cool Blood
Clear Heat Resolve Toxicity
Each Has Their Corresponding Clearing Method ∴ Clearing Heat Formulas are Correspondingly Divided Into
Clear Qi and Blood
Clear Zang Fu Heat

{ { {
Clear Vacuous Heat
Clear Heat Resolve Exterior Resolving Exterior
Attack, Precipitate Replete Heat Draining, Precipitating
Clear Heat Open Orifices Formulas are Addressed in Open Orifices Chapters
Clear Heat Extinguish Wind Treating Wind
Clear Heat Dispel Dampness Dispelling Dampness
When Using Clearing Heat Formulas, Attention Should be Paid to the Following:

1. Clearing Heat Formulas Should be Used When: Exterior Patterns Have Already Resolved, and Heat Has Entered the Interior
Scorching, Flourishing Interior Heat Has Not Yet Bound (To Form) Repletion
Pathogenic Heat in the Exterior → Resolve Exterior
Interior Heat Forming Repletion → Precipitate Downwards
Unresolved Exterior Pattern, Heat Pathogen Entering Interior → Resolve Both Exterior, Interior

2. Differentiation Must Be Made According to: Type of Heat Pattern (Vacuity Heat vs Replete Heat)
Location of Pathogenic Heat (Zang Location vs Fu Location)
Stage of Heat Pattern (Qi Aspect vs Ying, Blood)

3. Differentiation Must Be Made Between True Heat and False Heat

True Heat False Cold: Clearing Heat Formulas Should be Used ( Avoid Use of Warming Herbs )
True Cold False Heat: Warming Formulas Should be Used ( Avoid Use of Clearing Herbs )
* Regarding Repeated Use of Clearing Heat Draining Fire Formulas Where Heat Does Not Abate
Wang Bing: “Cold [Herbs] Not Cold [Cooling]: Lack of Water [Yin]” (i.e. True Yin Insufficiency Pattern) :
Enriching Yin Invigorating Water Should be Used (When Yin Returns (Recovers), Heat Will Spontaneously Abate)

4. Consideration Must Be Given to the Severity of the Heat Pattern

Mild Clearing Heat Formula Used for Severe Heat Pattern → “Fighting Fire with a Glass of Water” ( Illness Does Not Diminish )
Strong Clearing Heat Formula Used for Mild Heat Pattern → ( Yang Qi is Damaged : Heat Exits, Cold is Engendered )

5. Cold, Cooling Formulas Easily Damage Middle, Earth

Excessive Used Can Damage Yang, Stomach Qi ∴ When Appropriate, Pair With: Arousing Spleen
Harmonizing Stomach
Warming Middle
{ Medicinals

6. Vomiting When Consuming Clearing Heat Formulas For Flourishing, Scorching Pathogenic Heat:
Assist With Small Amounts of Acrid, Warming Jiang Zhi (Ginger Juice)
Consume Cooling Herbs Hot (《Su Wen·Wu Chang Zheng Da Lun》: “Treating Heat: Cold [Clear], Warm to Move” )
Use Small Concentrations of Opposing Assistant Herbs (To Prevent Reversal)

7. Consideration Must be Given to Constitution

Yin Vacuity Constitutions With Heat Patterns: Protect Yin Within Clearing (Clearing, Supplementing Method)
Yang Vacuity Constitutions With Heat Patterns (Often Cold): Clearing Heat Should Not Be Too Extreme

Section 1: Clear Qi Aspect Heat Formulas

Bai Hu Tang
Zhu Ye Shi Gao Tang

Clearing Qi Aspect Heat Formulas Suit:
Heat in the Qi Aspect: Flourishing Heat Damaging Liquid Heat Diseases (Late Stage): Qi Aspect Excess Heat Uncleared
Qi, Liquid Both Damaged
Clinical Manifestations: Vigorous Heat
Vexation Thirst Clinical Manifestations: Body Heat, Copious Sweating
Profuse Perspiration Heart, Chest Vexation, Oppression
Surging, Large, Strong Pulse Dry Mouth, Red Tongue

Qi Aspect Pathogenic Heat Depressing, Binding the Chest, Diaphragm

Clinical Manifestations: Body Heat
Vacuity Vexation Insomnia
Heart Anxiety / Brooding
Thin, Yellow, Slimy Tongue Coating
Shi Gao
Medicinals Commonly Include: Clearing Heat, Draining Fire Herbs (Should be Cooling but Not Restraining / Obstructing) e.g. Zhu Ye
Zhi Zi
Common Pairings:
Jing Mi
Nourish Stomach Harmonize Middle Herbs e.g.
Gan Cao
During External Contraction of Warm Pathogens, Survival of Stomach Qi is Crucial: "Stomach Qi: Birth
No Stomach Qi: Collapse"

Pairing With Clearing Qi Aspect Heat Herbs Can: Harmonize Middle, Nourish Stomach
Prevent Shi Gao ... (Strong Cold) Herbs From Damaging Stomach Qi
e.g. Bai Hu Tang
Zhu Ye Shi Gao Tang { Both Pair With: Jing Mi
Gan Cao
Ren Shen
Boost Qi Engender Liquid Herbs e.g.
Mai Dong
( Zhi Mu (Bitter, Cold, Moistening) Can Both: Clear Heat Drain Fire ∴ It Is Also Commonly Used )
Moisten Dryness, Engender Liquid

Flourishing Qi Aspect Heat ( Heat

Copious Sweating )
Effusion
Easily Damages:
Qi
Liquid
∴ These are Often Included to:
Boost Qi
Engender Liquid
e.g. Zhu Ye Shi Gao Tang: Ren Shen Bai Hu Tang: Zhi Mu
Mai Dong

Heat Depressing Chest, Diaphragm Patterns: (Shan) Zhi Zi is Often Used to Clear, Discharge
(Dan) Dou Chi is Often Used to Diffuse, Dissipate
e.g. Zhi Zi Chi Tang
Bai Hu Tang
Representative Clearing Heat Aspect Formulas: Zhu Ye Shi Gao Tang
Zhi Zi Chi Tang
 ⽩白⻁虎汤
*** Bai Hu Tang ***
《Shang Han Lun》

Shi Gao 1 Jin (50g), Broken, Zhi Mu 6 Liang (18g), Gan Cao 2 Liang (6g), Mix-Fried, Jing Mi 6 He (9g)

Clear Heat Engender Liquid Yang Ming Qi Aspect Heat Accumulating

Symptoms: Vigorous Heat Effusion, Red Face, Vexation and Thirst,
Great Sweating, Heat Aversion, Surging, Large,
Forceful Pulse, or Slippery Rapid Pulse

Vigorous Heat — Pathogenic Heat

Red Face Entering Interior
Yang Ming Heat
Heat Aversion — Accumulating
Shi Gao 50 : Acrid, Sweet, Great Cold
Clear Heat Engender Liquid
Great Sweating — Heat Distressing
Liquid Discharging
Yang Ming Qi Aspect Clear Heat Zhi Mu 18 : Bitter, Cold, Moistening
Vexation and Heat Scorching Heat Accumulating Engender Liquid
Thirst (Drinking) — Liquid Damaged Assist Shi Gao Clear Lung,
Stomach Pathogenic Heat
Surging, Large
 — Enrich Yin, Moisten Dryness
Forceful Pulse Yang Ming Heat
Slippery, Rapid — Accumulating
Pulse
Jing Mi 9 : Boost Stomach Protect Liquid
Protect Against Shi Gao
Damaging Middle
Gan Cao 6 : Harmonize Herbs, Middle
This Formula Was Originally the Main Formula Used to Treat Yang Ming Meridian Pattern. Later Doctors (Wen Bing School) Used it as the
Representative Formula to Treat Qi Aspect Heat Flourishing Pattern.

This Pattern Will Present With Both: Shang Han (Cold Damage) Transforming Heat, Propagating Internally to Yang Ming Meridian
Wen (Warm) Pathogen Propagating From Wei Aspect to Qi Aspect

Internal Heat Scorching, Flourishing : Vigorous Heat, No Cold Aversion

Stomach Heat, Liquid Damaged : Vexation Thirst, Frequent Drinking
Internal Heat Steaming, Abducting Liquid to Discharge Outwards : Sweating
Heat Flourishing in the Meridians : Surging, Large, Strong Pulse

Qi Aspect Heat Flourishing, Yang Ming Fu (Organ) Repletion Not Yet Seen ∴ Attacking Precipitation is Unsuitable
Heat Flourishing Liquid Damaged ∴ Cannot Use Bitter Cold Straight Downbearing

Only Clearing Heat Engendering Liquid Method is Suitable

Sheng Shi Gao: Acrid, Sweet, Strongly Cold, Enters Lung, Stomach Meridians,
Excels at Clearing, Resolving, Outthrusting Heat to Exit the Exterior in Order to Clear Yang Ming Qi Aspect Heat
Zhi Mu: Bitter, Cold, Quality Moistening, Assists Shi Gao Clear Lung, Stomach Heat
Enrich Yin Moisten Dryness to Recover Damaged Yin / Liquid
Shi Gao and Zhi Mu Mutually Enhance to Increase Clearing Heat Engendering Liquid Efficacy
Jing Mi, Zhi Gan Cao: Boost Stomach Engender Liquid
Prevent Large Cold Damaging Middle
Zhi Gan Cao Can Also Regulate, Harmonize Multiple Herbs Natures

Four Herbs Paired Together Clear Heat, Engender Liquid, Stop Thirst, Eliminate Vexation,
Allowing Heat to Clear, Liquid to Return, Multiple Symptoms to Spontaneously Resolve.
Differential Diagnostic Keys: Foundational Formula: Yang Ming Qi Aspect Heat Flourishing Pattern
Associated Symptoms: High Body Heat
Copious Sweating
Strong Thirst
Large, Surging Pulse

Modern Usage: Infectious Diseases: Lobar Pneumonia

Epidemic Encephalitis B
Epidemic Hemorrhagic Fever
Gingivitis (Qi Aspect Heat Flourishing Patterns)
Paediatric Summer Heat
Diabetes
Rheumatoid Arthritis…

Important Points: Cannot be Used For: Exterior Pattern Unresolved (No Sweat, Heat Effusion, No Thirst)
Thin Floating or Deep Pulse
Blood Vacuity Heat Effusion, Pulse Not Strongly Surging
True Cold False Heat (Yin Flourishing Repelling Yang Pattern)
 +

Qi, Blood Both Burning, Stirring Liver Wind Ling Yang Jiao
Cool Liver Extinguish Fire
(Clouded Spirit, Delirious Speech, Convulsions) Shui Niu Jiao

Yang Ming Fu Replete

Da Huang
(Clouded Spirit, Delirious Speech, Constipation, Rough Voiding of Drain Heat Attack Accumulation
Mang Xiao
Reddish Urine)
Tian Hua Fen
Xiao Ke Disease (Dispersion-Thirst)
Lu Gen Increase Clear Heat Engender Liquid Ability
(Vexation Thirst, Increased Drinking) (Stomach Heat)
Mai Dong …

Yang Ming Heat Accumulating, Qi, Liquid

Damaged, or Summerheat Damaging Qi, Liquid
Shi Gao
Bai Hu Jia Ren Shen Tang Zhi Mu Clear Heat Bai Hu Tang Pattern Plus Slight Cold Aversion in
Gan Cao Boost Qi the Back, or Liquid Consumption Not Abating
《Shang Han Lun》
Jing Mi Engender Liquid Thirst, or Pulses Floating, Large, Scallion-Stalk
Ren Shen (Kou Mai)
Emphasis on Boosting Qi, Engendering Liquid

Shi Gao Warm Malaria, Damp Heat Bi Patttern

Bai Hu Jia Gui Zhi Tang Zhi Mu Clear Heat
Gan Cao Free Collaterals Bai Hu Tang Pattern (Vigorous Heat, Bone and
《Jing Gui Yao Lue》 Joint Pain, Rough Breathing, Vexation and
Jing Mi Relieve Pain
Gui Zhi Agitation,

Shi Gao
Bai Hu Jia Cang Zhu Tang Zhi Mu
Clear Heat
Gan Cao
《Lei Zheng Huo Ren Shu》 Dispel Damp
Jing Mi
Cang Zhu
 ⽵竹叶⽯石膏汤
*** Zhu Ye Shi Gao Tang ***
《Shang Han Lun》

Zhu Ye 2 Ba (6g), Shi Gao 1 Jin (50g), Ban Xia 0.5 Sheng (9g), Washed, Mai Men Dong 1 Sheng (18g), Remove Heart, Ren Shen 2 Liang (6g), Gan Cao 2 Liang (6g), Mix-Fried,
Jing Mi 0.5 Sheng (9g)

Clear Heat Engender Liquid After Resolution of Shang Han, Excess Heat Still Exuberant,
Boost Qi Harmonize Stomach Qi, Liquid Both Damaged
Symptoms: Body Heat, Profuse Sweating, Heart, Chest Vexation &
Oppression, Dry Mouth, Frequent Drinking, Vacuity,
Marked Weakness / Emaciation, Scantness of Breath,
Qi Counterflow (Desire to Retch), Possible Vacuity
Vexation Insomnia, Red Tongue, Scant Dry Coating,
Large, Vacuous, Rapid Pulse

Body Heat
Profuse Sweat — Uncleared Excess Heat
Shi Gao 50 : Clear Heat Resolve Flesh
Dry Mouth — Heat Damaging
↑ Drinking Yin and Liquid Eliminate Vexation Relive Thirst
Heat Disease
Weakness & Heat Wearing Down Latter Stage Zhu Ye 6 : Assist Shi Gao to Clear Heat,
Scant Breathing — Qi and Liquid Clear Heat Eliminate Vexation
Excess Heat
Heart, Chest Uncleared Mai Dong 18 : Nourish Yin Engender Liquid
Vexation or —
Oppression Heat Harassing Heart Ren Shen 6 : Boost Qi Engender Yin
and Spirit (Shen)
Vacuity Vexation —
Insomnia

Red Tongue Ban Xia 9 : Harmonize Stomach, Downbear

Scant Coating —
Qi, Yin Both Damaged Boost Qi, Counterflow, Relieve Retching
Rapid, Vacuous — Engender Liquid
Pulse Jing Mi 9 Boost Qi, Harmonize Stomach
Gan Cao 6 :
Qi Counterflow — Stomach Losing Gan Cao 6 : Balance,Harmonize Herb Natures
Retching Desire Harmonized Downbearing
 Heat Disease Late Stage, Excess Heat Unresolved,
This Formula Pattern is
Qi, Liquid Both Damaged, Stomach Qi Disharmony.

Heat Disease Late Stage, High Heat Already Abated, Only Excess Heat Remains Lodged in Qi Aspect: Body Heat, Sweating Unresolved,
Rapid Pulse
Excess Heat Internally Harassing : Heart, Chest Vexation, Oppression
Yin Damage Signs: Dry Mouth, Red Tongue, Scant Coating
Qi Damage Signs: Shortness of Breath, Fatigue, Vacuous Pulse
Stomach Losing Harmonious Downbearing: Qi Counterflow Frequent Retching

Qi Aspect Excess Heat Suits (Requires) Clearing

Qi, Liquid Both Damaged Suits (Requires) Supplementation
∴ Treatment Should Clear Heat Engender Liquid,
Boost Qi Harmonize Stomach

Shi Gao Paired With Zhu Ye: Clear, Outthrust Qi Aspect Excess Heat, Eliminate Vexation Stop Thirst
Ren Shen Paired With Mai Dong: Supplement Qi Nourish Yin Engender Liquid
Ban Xia: Downbear Counterflow Harmonize Stomach to Stop Counterflow Retching
Gan Cao, Jing Mi: Harmonize Spleen Nourish Stomach

Pairing Characteristics: Clears Heat, Boosts Qi, Nourishes Yin Together

Dispels Pathogen, Supports Right Together
Clears Without Being Cold
Boosts Without Stagnating

This Formula Clears, Supplements Together ∴ Heat is Cleared, Vexation is Eliminated

Qi, Liquid Return
Multiple Symptoms Spontaneously Recover
This Formula is a Variation of Bai Hu Tang:
Bai Hu Tang Pattern: Heat Flourishing, Zheng Not Vacuous
Zhu Ye Shi Gao Tang Pattern: Large Heat Has Already Declined, Excess Heat Is Not Completely Gone, Qi And Liquid are Both Damaged
Heat Declining and Stomach Qi Disharmony: Remove Bitter, Cold, Quality Moistening Zhi Mu,
Add Zhu Ye: Eliminate Vexation
Ren Shen, Mai Dong Boost Qi Engender Liquid
Ban Xia: Harmonize Stomach

Ban Xia is Warming, but it is Paired with Clearing Heat Engendering Liquid Herbs
∴ Warming, Drying Nature is Removed
Downbearing Counterflow Efficacy is Preserved
It Assists in Distributing Liquid, Enabling Ren Shen, Mai Dong to Supplement Without Stagnating

In Shang Han Lun: “After Shang Han Resolution, Qi Vacuity, Scantness or Breath, Qi Counterflow Frequent Retching" Pattern
In Actual Usage: in the Course of Heat Diseases, Can Be Used For: Qi, Liquid Already Damaged,
Body Heat, Sweating Not Abating,
Stomach Losing Harmonious Downbearing
Also Suitable for Summer / Heat Diseases: Heat Effusion, Qi, Liquid Damaged

Differential Diagnostic Keys:
Commonly Used Formula: Heat Diseases (Late Stage): Excess Heat Uncleared, Qi, Yin Damaged
Associated Symptoms: Body Heat
Copious Sweating
Qi Counterflow (Deire to Retch)
Vexation Thirst, Frequent Drinking
Red Tongue Scant Liquid
Vacuous Rapid Pulse

Modern Usage: Epidemic Encephalitis (Late Stage)

Summer Heat (Excess Heat Uncleared, Qi, Liquid Both Damaged Patterns)
Summerheat Stroke…
Diabetes (Dry Thirst, Copious Drinking) (Stomach Heat Yin Damaged Pattern)

Important Points: This Formula is Clearing, Cooling, its Quality is Moistening ∴ it is Contraindicated for: Internal Phlegm, Dampness
Yang Vacuity Heat Effusion
 +

Stomach Yin Insufficiency, Stomach Fire Counterflow Upwards Shi Hu

Clear Heat, Nourish Yin, Engender Liquid
(Mouth, Tongue Erosion (Ulceration), Red, Dry Tongue) Tian Hua Fen

Stomach Fire Flaming Zhi Mu

Increase Clearing Heat Engendering Liquid Efficacy
(Swift Digestion, Rapid Hungering, Ren Tongue Rapid Pulse) Tian Hua Fen

Zhi Mu
Qi Aspect Heat Still Exuberant Increase Clearing Heat Strength
Huang Lian
Section 2: Clear Ying Cool Blood Aspect Heat Formulas

Clear Ying Aspect Heat: Qing Ying Tang

Clear Blood Aspect Heat: Xi Jiao Di Huang Tang


Clearing Ying, Cooling Blood Formulas Suit:
Pathogenic Heat Propagating to Ying
Heat Entering Blood Aspect
Pathogenic Heat Entering Ying Aspect
Clinical Manifestations: Body Heat (Severe at Night)
Occasional Delirious Speech
Possible Faint Macules, Papules
Crimson, Dry Tongue …
{ Patterns
Pathogenic Heat Entering Blood Aspect
Clinical Manifestations: Vomiting Blood / Nosebleed
Bloody Stool / Bloody Urine
Purple, Black Macules, Papules
Clouded Spirit, Delirious Speech
Possible Blood Amassment, Mania
Crimson Tongue, Prickles …

Xi Jiao
Clearing Ying, Cooling Blood Formulas Predominantly Use Clearing Ying Cooling Blood Medicinals e.g.
Sheng Di
Common Pairings:
(Jin) Yin Hua
Clearing Qi Herbs e.g. Lian Qiao
Zhu Ye
Pathogenic Heat Entering Ying Often Enters From Qi Aspect: “Entering Ying: Still Can Use Outthrust Heat (to) Transfer (to) Qi”
(《Wai Gan Wen Re Pian》)
(Using These Herbs Can Enable Pathogenic Heat to Transfer to the Qi Aspect and Resolve)

(Jin) Yin Hua

e.g. Qing Ying Tang: Lian Qiao
Zhu Ye
(Mu) Dan Pi
Cooling Blood Dissipating Stasis Herbs e.g.
Chi Shao (Yao)
Pathogenic Heat Entering the Blood Aspect Binds With Blood to Form Blood Stasis
Cool Blood
Pairing With These Herbs Can: Dissipate Stasis
Prevent Blood Heat From Fighting, Binding to Form Stasis

Damaging Blood Cool Blood

“Entering Blood → Fear: Moving Blood Must Directly: Dissipate Blood ” (《Wai Gan Wen Re Pian》)

(Mu) Dan Pi
e.g. Xi Jiao Di Huang Tang: e.g. Chi Shao (Yao)

Qing Ying Tang

Representative Clearing Ying Cooling Blood Formulas:
Xi Jiao Di Huang Tang
 清营汤
*** Qing Ying Tang ***
《Wen Bing Tiao Bian》

Xi Jiao 3 Qian (30~60g), Sheng Di Huang 5 Qian (15g), Xuan Shen 3 Qian (9g), Zhu Ye Xin 1 Qian (3g), Mai Dong 3 Qian (9g),
Dan Shen 2 Qian (6g), Huang Lian 1.5 Qian (5g), Yin Hua 3 Qian (9g), Lian Qiao 2 Qian (6g)

Clear Ying (Aspect) Outthrust Heat Pathogenic Heat Transmitted to Ying (Aspect)
Nourish Yin Quicken Blood
Symptoms: Body Heat (Severe at Night), Spirit Vexation Insomnia,
Occasional Delirious Speech, Eyes Often Want to
(Remain) Open or (Remain) Closed, Thirst / Lack of
Thirst, Possible Faint Maculopapular Eruptions,
Thin, Rapid Pulse, Crimson Dry Tongue
Body Heat Pathogenic Heat Entering,
(Night Severe) — Scorching Ying, Yin
Thirst — Heat Damaging Ying, Yin Xi Jiao 45 : Salty, Cold
Lack of Heat Steaming Ying Yin Clear Heat Resolve Toxin
— Surging
Thirst Up to Mouth Cool Blood Dissipate Stasis
Shen Vexation — Pathogenic Heat Clear Ying
Transmitted to Sheng Di 15 : Sweet, Cold
Insomnia Outthrust Heat
Heat Harassing Ying (Aspect) Clear Ying Cool Blood
Delirious Heart, Spirit (Shen)
— Enrich Yin Engender Fluid
Speech
Xuan Shen 9 Nourish Yin Clear Heat
Crimson, Dry Mai Dong 9 :
Tongue —
Ying Aspect Heat Accumulating
Thin, Rapid
Pulse —

Yin Hua 9 Clear Heat Resolve Toxin

Eyes Remaining — Lian Qiao 6 : Outthrust Heat Convert Qi
Open Fire, Heat Discharging Outward
Eyes Remaining — Yin, Yang Failing
Zhu Ye 3 : Clear Heart Eliminate Vexation
Closed Nourish Yin
Quicken Blood Huang Lian 5 :Clear Heart Resolve Toxin
Faint
Maculopapular — Heat Distressing Blood Movement Dan Shen 6 : Quicken Blood Disperse Stasis
Eruptions
Prevent Heat and Blood Binding
This Formula Treats Pathogenic Heat Propagating Inwards to the Ying Aspect, Damaging Ying, Yin

Pathogenic Heat Transmitted to the Ying, Latent in the Yin Aspect, Entering Night Yang Qi Returns to Ying, Yin, Mixes With Heat : Body Heat
Severe at Night
Ying Qi Connects With Heart, Heat Harasses Heart, Ying : Shen Vexation Insomnia, Occasional Delirious Speech
Pathogenic Qi Deeply Enters Ying Aspect, Steams Ying, Yin, Forcing the Liquid in Blood to Surge up to the Mouth (Thirst Would be Expected,
but Instead Does Not Appear): No Thirst
If Pathogenic Heat First Enters Ying Aspect, Qi Aspect Heat Is Still Unresolved, Scorches, Damages Lung, Stomach Yin, Liquid: Must See
Body Heat, Thirst, Tongue Coating Yellow, Dry
Eyes Frequently Open, Closed: Fire, Heat Wanting to Discharge Outwards, Yin Yang Not Connecting
Faint Maculopapular Eruptions: Heat Damaging Blood Collaterals, Blood Not Flowing Within Meridians, Overflowing Out of Vessels
Crimson Dry Tongue, Rapid Pulse: Heat Damaging Ying, Yin

《Su Wen · Zhi Zhen Yao Da Lun》 “Heat Excess in Interior, Treat Using Salty, Cold, Assist Using Sweet, Bitter”

Treatment Suits: Salty, Cold, Clear Yin, Resolve Toxicity (Main), Assisted By Outthrust Heat Nourish Yin

Bitter, Salty, Cold Shui Niu Jiao: Clear, Resolve Ying Aspect Heat Toxicity
Heat Damaging Ying, Yin; Use Sheng Di Huang: Cool Blood Enrich Yin,
Mai Dong: Clear Heat Nourish Yin, Engender Liquid
Xuan Shen: Enrich Yin, Downbeat Fire, Resolve Toxicity
3 Herbs Used Together: Sweet, Cold, Nourish Yin Preserve Liquid
Assist Jun Herb Clear Ying, Cool Blood, Resolve Toxicity
Jun and Chen Herbs Paired Together: Salty Cold and Sweet Cold Used Together
Clear Ying Heat and Enrich Ying Yin
Dispel Pathogen and Support Right
Warm Pathogen is First Entering Ying Aspect; Use Jin Yin Hua, Lian Qiao, Zhu Ye: Clear Heat Resolve Toxicity
Lightly Clear, Outthrust, Discharge
Enable Ying Aspect Heat to Extend Outwards
Promote Outthrusting Out To Qi Aspect, Resolution
(This is “Entering Ying, Harassing, Can Outthrust Heat, Shift Qi” Usage)
Huang Lian: Bitter, Cold, Clear Heart Resolve Toxicity
Dan Shen: Clear Heat Cool Blood,
Quicken Blood Dissipate Stasis,
Prevent Heat and Blood Binding
Pairing Characteristics: Clear Ying Resolve Toxicity (Focus), Paired With Nourish Yin, Engender Liquid, and “Outthrust Heat, Shift Qi”
Enabling Entering Ying Pathogen (to) Outthrust Out (to) Qi Aspect and Resolve, Multiple Symptoms Heal

Differential Diagnostic Keys:
Commonly Used Formula: Heat Pathogen First Entering Ying Aspect Pattern
Associated Symptoms: Body Heat (More Severe at Night)
Shen Vexation Insomnia
Faint Maculopapular Eruption
Crimson Dry Tongue
Rapid Pulse

Modern Usage: Epidemic Encephalitis B

Epidemic Meningitis
(Heat Entering Ying Aspect Heat Nature Disease Patterns)
Septicemia
Ileotyphus (Intestinal Typhus)…

Important Points: Must Pay Attention to Tongue Diagnosis: “Glossy White Tongue Coating: Cannot Use”
“Glossy White Tongue Coating, Not Only Heat Severe, Dampness Also Severe,
Severe Damp Contraindicates Soft Moistening Herbs”
(to Prevent Thick Sliminess Assisting Dampness Pathogen Lodging)
 - +

Cun Location Large

Huang Lian Prevent Bitter Drying Damaging Yin
Severe Tongue Dryness

Heat Falling Pericardium An Gong Niu Huang Wan

Clear Heart Open Orifices
Orifice Block Clouded Spirit Zhi Bao Dan

Zi Xue (Dan)
Ying Heat Moving Wind ／Ling Yang Jiao
Extinguish Wind Stop Tetany
(Tetany Reversal Convulsions) Gou Teng
Di Long

Zhu Li
Concurrent Heat Phlegm Tian Zhu Hua Clear Heat Flush Phlegm
Chuan Bei Mu
↑ Yin Hua
↑ Lian Qiao
／ Shi Gao
Copious Heat Entering From Qi Aspect
Zhi Mu Increase Clear Heat Resolve Toxin Ability
(Qi Aspect Heat Pathogen Accumulating)
Da Qing Ye
Ban Lan Gen
Guan Zhong

Emphasis on Treating Heat Entering

Xuan Shen Xin
Pericardium, Clouded Spirit Delirious Speech
Lian Zi Xin
Qing Gong Tang Light (Mild) Pattern
Lian Qiao Clear Heart Resolve Toxin
《Wen Bing Tiao Bian》 Xi Jiao Nourish Yin Engender Liquid vs.
Mai Dong
Qing Ying Tang Emphasis on Clearing Qing
Zhu Ye Juan Xin
Aspect Heat
 犀⻆角地⻩黄汤
*** Xi Jiao Di Huang Tang ***
《Bei Ji Qian Jin Yao Fang》

Xi Jiao 1 Liang (30g), Sheng Di Huang 8 Liang (24g), Shao Yao 3 Liang (12g), Mu Dan Pi 2 Liang (6g)

Clear Heat Resolve Toxin 1. Heat Damaging Blood Collaterals

Cool Blood Dissipate Stasis Symptoms: Vomiting Blood, Nosebleed, Blood in the Stool or Urine
2. Blood Amassment, Lodged Stasis
Symptoms: Forgetfulness with Mania, Desire to Wash Mouth but
Not Swallow, Chest Vexation Pain, Feeling of Abdominal
Fullness, Easy to Excrete, Black Stool

3. Heat Harassing Heart Ying

Symptoms: Clouding, Mania, Delirious Speech, Dark Purple Macules,
Crimson Tongue with Prickles

Vomiting Blood — Heat Damaging Blood Collaterals

Nosebleed
Bloody Stool Causing Frenetic Blood Movement Xi Jiao 30 : Salty Cold Clear Ying
— Resolve Toxin
Bloody Urine
Clear Heart Cool Blood
Dark Purple / Heat Entering Clear Heat
Black Macules — Blood Spilling into Flesh Blood Aspect Resolve Toxin
‘ Sheng Di 24 : Sweet Cold Clear Heat
Clouding, Mania, — Heat Harassing Heart, Shen (Spirit) Cool Blood
Delirious Speech Enrich Yin Engender Liquid
Crimson Tongue — Heat at Ying, Blood (Aspects)
With Prickles
Forgetfulness
Mania
Washing Mouth
Unwilling to Swallow
Stasis, Blood Cool Blood Shao Yao 12 Cool Blood Dissipate Stasis
Chest Vexation Pain
Mutually Binding Dissipate Stasis Dan Pi 6 :
Feeling of
Abdominal Fullness
Easy to Excrete
Black Stool
This Formula Pattern is Due to Heat Toxicity Scorching, Flourishing in the Blood Aspect

Heart Regulates Blood as Well as Shen, Heat Enters Blood Aspect:

Heat Harasses Heart Shen: Agitation Harassing, Clouding and Mania
Heat Pathogen Distresses Blood to Move Chaotically, Blood Not Following Meridians, Overflowing Out of Vessels: Vomiting Blood,
Nosebleed, Bloody Stool, Bloody Urine … Bleeding Conditions, Blood Outside Meridians Lodges, Obstructs Inside the Body:
Macular Eruption, Blood Amassment
Blood Aspect Heat Toxicity Damages the Liquid Within Blood, the Scant Liquid Thickens Blood, Movement is Rough, Stagnant, [Blood]
Gradually Accumulates to Form Stasis: Purple Crimson Dry Tongue

If Blood Isn’t Cleared: Blood Doesn’t Calm

“Entering Blood Must Fear Damaging Blood, Moving Blood,
Blood Isn’t Dissipated: Stasis Isn’t Removed ∴ Ye Tian Shi
Should Cool Blood, Dissipate Blood”
Yin Isn’t Enriched: Fire Isn’t Extinguished

Treatment Should Clear Heat Resolve Toxicity, Cool Blood Dissipate Stasis

Bitter, Salty, Cold Xi Jiao: Cool Blood, Clear Heart, Resolve Heat Toxicity,
Enabling Fire to Balance, Heat to Downbear, Toxicity to Resolve, Blood to Calm
Sweet, Bitter, Cold Sheng Di: Cool Blood, Enrich Yin, Engender Liquid,
Assist Xi Jiao to Clear Heat Cool Blood, Stop Bleeding
Recover Lost Yin, Blood

{
Bitter, Slightly Cold Chi Shao + Clear Heat Cool Blood
Acrid, Bitter, Slightly Cold Mu Dan Pi: Quicken Blood Dissipate Stasis
(Transform Macules)

Four Herbs Paired Together: Clear Heat Resolve Toxicity, Cool Blood Dissipate Stasis
Pairing Characteristics: Cool Blood and Quicken Blood Dissipate Stasis Together
Allow Heat to Clear, Blood to Calm Without Blood Damage, Blood Moving
Cool Blood Stop Bleeding Without Cool Latent Lodged Stasis

Xi Jiao Di Huang Tang and Qing Ying Tang Both Mainly Use Shui Niu Jiao and Sheng Di Huang to Treat Heat Entering Ying, Blood Pattern.

Qing Ying Tang (On the Basis of Clear Heat Cool Blood) Adds Yin Hua, Lian Qiao … Lightly Clearing, Outthrusting Medicinals to “Outthrust
Heat Shift Qi”, Suits Pathogen First Entering Ying, Not Yet Moving Blood Pattern

Xi Jiao Di Huang Tang Pairs Chi Shao, Mu Dan Pi to Discharge Heat Dissipate Stasis to “Cool Blood Dissipate Stasis”, Used to Treat Heat
Entering Blood Aspect With Blood Damage, Moving Blood Pattern.

Differential Diagnostic Keys:
Commonly Used Formula: Febrile Diseases Heat Entering Blood Aspect
Associated Symptoms: Any / All Kinds of Bleeding
Purple, Black Macules
Clouded Shen Delirious Speech
Body Heat
Crimson Tongue

Modern Usage: Hepatitis (Symptoms Severe)

Hepatic Coma
Diffuse Intravascular Agglutination
Toxic Uremia (Blood Aspect Heat Flourishing Patterns)
Anaphylactoid Purpura
Acute Leukaemia
Septicemia…

Important Points: This Formula is Cool, Cold, Clearing, Moistening ∴ Contraindicated for: Yang Vacuity Bleeding
Spleen Stomach Vacuity, Weakness
 +

Blood Amassment, Memory Loss Like Mania, Heat Blazing Blood Da Huang Clear Heat Expel Stasis Combined With
Aspect, Pathogenic Heat and Stasis Mutually Binding Huang Qin Cool Blood Dissipate Stasis

Chai Hu
Depression / Anger With Liver Fire Huang Qin Clear, Drain Liver Fire
Zhi Zi

Bai Mao Gen

Heat Distressing Blood Spilling (Bleeding Pattern) Ce Bai Ye Increase Cool Blood Stop Bleeding Efficacy
Xiao Ji …

Xi Jiao Di Huang Tang + Bai Hu Tang +

Sheng Shi Gao Huang Lian Jie Du Tang
Shao Yao
Xiao Sheng Di
Xuan Shen Heat Toxicity Flooding, Qi, Blood Both
Wu Xi Jiao
Qing Wen Bai Du Yin Lian Qiao Blazing
Zhen Chuan Lian Clear Heart Resolve Toxin
Gan Cao
《Yi Zhen Yi De》 Xian Zhu Ye Cool Blood Drain Fire
Dan Pi Use Main Component: Acrid Cold, C;ear
Huang Qin
Zhi Zi Yang Ming Meridian Heat (Main)
Zhi Mu
Jie Geng
Combined with: Drain Fire, Cool Blood
(Clear Qi and Blood)

Wu Xi Jiao Jian Yuan Shen Treat Pathogen Entering Ying Blood,

Zhen Huai Sheng Di Hua Fen Heat Severe Toxicity Strong
Shen Xi Dan Huang Qin Zi Cao Clear Heat Open Orifices
《Wen Re Jing Wei》 Yin Hua Jin Zhi Cool Blood Resolve Toxin Clear Heat Resolve Toxin (Main)
Lian Qiao Shi Chang Pu Combine with: Cool Blood, Open Orifices
Xiang Chi Ban Lan Gen to Resolve Toxin Lighten Spirit
Section 3: Clear Heat Resolve Toxicity Formulas

Huang Lian Jie Du Tang

Liang Ge San
Pu Ji Xiao Du Yin
Xian Fang Huo Ming Yin

Clearing Heat Toxicity Formulas Suit: San Jiao Fire Toxicity Internally Scorching
Upper, Middle Jiao Pathogenic Heat Scorching, Flourishing, Gathering in the Chest, Diaphragm
Upper Jiao Head, Face Wind Heat Epidemic Toxicity: Massive Head Scourge
Sores, Abscesses Swelling, Toxicity
Boils, Sores
Sloughing Flat-Abscesses

Predominant Clinical Manifestations: Vigorous Heat, Vexation Thirst

Agitation, Harassment, Mania, Madness
Possible: Head, Face Inflammation, Swelling
Oral Putrefaction, Throat Pain
Boils, Sores, Furuncles, Swelling
Regional Redness, Swelling, Heat, Pain
Red Tongue, Yellow Coating
Rapid Pulse
Huang Lian (Jin) Yin Hua
e.g. Huang Qin Lian Qiao
Clearing Heat Toxicity Formulas Predominantly Use Clearing Heat Resolving Toxicity Medicinals
Huang Bai Pu Gong Ying
Zhi Zi …
Common Pairings:
Bo He Jiang Can Bai Zhi
Course Wind, Upbear, Dissipate Herbs e.g.
Niu Bang Zi Fang Feng …

Heat Toxicity Depresses, Binds in the Body’s: Upper Region

Exterior
These Herbs Are Used to Resolve, Dissipate (It is Difficult to Resolve Heat Toxicity Using Only Bitter, Cold Herbs)

e.g. Liang Ge San: Bo He Pu Ji Xiao Du Yin: Niu Bang Zi Xian Fang Huo Ming Yin: Fang Feng
Jiang Can Bai Zhi

Da Huang
Drain Heat, Free Stool Herbs e.g.
Mang Xiao
Heat Toxicity Internally Binds in the Middle Jiao is Seen as Constipation
Da Huang
Mang Xiao { Are Used To: Free Stool
Clear Heat
i.e. “Using Precipitation to Clear”

e.g. Liang Ge San: Da Huang

Mang Xiao
 Transform Phlegm, Dissipate Binding Herbs e.g. Ju Hong (Chen Pi)
(Zhe / Chuan) Bei Mu
Course Wind
Jiang Can Can: Transform Phlegm ∴ It Can Also Be Chosen
Sores, Abscesses
Heat Toxicity Congests, Gathers, Effusing As: (Regional Swelling, Hardness)
Massive Head Scourge
Pairing With Transform Phlegm, Dissipate Binding Herbs Can Assist in Acute Dispersal, Dissipation

Ju Hong Chen Pi
e.g. Pu Ji Xiao Du Yin: Jiang Can Xian Fang Huo Ming Yin: Bei Mu

Dang Gui
Quicken Blood, Stop Pain Herbs e.g. Ru Xiang
Mo Yao

Swelling, Pain From Sores and Abscesses is OftenDifficult to Endure

Quicken Blood (To Disperse Swelling)
Pairing Quicken Blood, Stop Pain Herbs Can:
Stop Pain (To Treat the Branch)
Dang Gui Wei
e.g. Xian Fang Huo Ming Yin: Ru Xiang Si Miao Yong An Tang: Dang Gui
Mo Yao

Representative Clearing Heat Toxicity Formulas: Huang Lian Jie Du Tang

Liang Ge San
Pu Ji Xiao Du Yin
Xian Fang Huo Ming Yin
Wu Wei Xiao Du Yin
Si Miao Yong An Tang
 ⻩黄连解毒汤
** Huang Lian Jie Du Tang **
《Wai Tai Mi Yao》

Huang Lian 3 Liang (9g), Huang Qin, Huang Bai Each 2 Liang (Each 6g), Zhi Zi 14 Mei (9g), Split

Drain Fire Resolve Toxin Any Replete Heat Fire Toxin, Triple Jiao Heat Accumulating
Symptoms: Great Heat Vexation and Agitation, Dry Mouth and
Throat, Paraphasia*, Insomnia, Possible Heat Disease
Vomiting Blood, Nosebleed, Possible Heat
Accumulating Macular Eruption, Body Heat Dysentery,
Damp Heat Jaundice, External Medicine Welling or
Flat Abscess Clove Toxin, Reddish Yellow Urine,
Red Tongue, Yellow Coating, Rapid Strong Pulse

Great Heat Fire Toxin Blazing,

—
Vexation Agitation Harassing Heart, Shen
Dry Mouth and
— Heat Scorching Liquid
Throat
Replete Heat Bitter Cold Huang Lian9 :Drain Heart Fire
Reddish Yellow Heat Toxin Lower Fire Toxin (Directly Break)
— Concurrently Clear Middle Jiao
Urine Body Distress Triple Jiao Heat Drain Fire
Accumulating Resolve Toxin Huang Qin 6 : Clear Upper Jiao Fire
Red Tongue
—
Yellow Coating
Fire Toxin Accumulating
Rapid, Strong Internally
—
Pulse
Paraphasia
— Fire Toxin Accumulating Huang Bai 6 : Clear Lower Jiao Fire
Insomnia
Internally, Causing
Vomiting Blood, Frenetic Movement of Zhi Zi 9 : Drain 3 Jiao Fire
Nosebleed, — the Blood
Abduct Fire (to Move) Downwards
Macular Eruption

* A Type of Language Output Error Characterized by the Production of Unintended Syllables, Words, or Phrases During Speech
This Formula’s Pattern Results From Fire Toxicity Flooding / Congesting San Jiao

Fire Toxicity Intensely Flourishes, Internal and External Heat Together, Upwardly Harassing Shen: Vexation Heat, Paraphasia
Blood is Distressed By Heat, Counterflows Upwards Following Fire: Vomiting Blood, Nosebleed
Heat Damages Collateral Vessels, Blood Overflows Into the Flesh: Macular Eruption
Heat Flourishes, Damaging Liquid: Dry Mouth and Throat
Heat Congests in Flesh: Swollen Welling-Abscess, Clove Toxicity
Fire Toxicity Intensely Flourishing: Red Tongue, Yellow Coating, Rapid Strong Pulse

The Above Symptoms are All Signs of Replete Heat Fire Toxicity, Treatment Should Drain Fire Resolve Toxicity

Strongly Bitter, Strongly Cold Huang Lian: Clear, Drain Heart Fire (Main)
Assisted by Draining Middle Jiao Fire
Huang Qin: Clear Upper Jiao Fire
Huang Bai: Drain Lower Jiao Fire
Zhi Zi: Clear, Drain San Jiao Fire
Abduct Fire to Move Downwards
Guide Pathogenic Heat to Exit Via Urine

Four Herbs Paired Together: Bitter, Cold, Straight Downbearing,

San Jiao Fire Pathogen Exits
Heat Toxicity Resolves
∴ Multiple Symptoms Spontaneously Resolve
Differential Diagnostic Keys: Foundational Formula: Bitter Cold Straight Down[bearing], Clear Heat Resolve Toxicity
Associated Symptoms: Copious Heat Vexation, Agitation
Dry Mouth and Throat
Red Tongue Yellow Coating
Rapid Strong Pulse

Modern Usage: Septicemia

Pus Toxemia
Dysentery
Pneumonia
(Heat Toxicity Patterns)
Urinary Tract Infection
Epidemic Meningitis
Encephalitis B
Infectious Inflammation…

Important Points: This Formula is Very Bitter and Very Cold ∴ Chronic or Excessive Consumption Will Easily Damage Spleen Stomach
Not Suitable for Conditions Where Fire Is Not Flourishing
 +

Constipation Da Huang Drain Lower Jiao Replete Heat

Xuan Shen
Vomiting Blood, Nosebleed, Macular Eruption Sheng Di Clear Heat Cool Blood
Dan Pi

Yin Chen
Yellow Eruption (Jaundice) Clear Heat Dispel Dampness Abate Jaundice
Da Huang

Pu Gong Ying
Clove Sores Swelling Toxin Yin Hua Strengthen Clear Heat Resolve Toxin Efficacy
Lian Qiao

Use Clear Heat Resolve Toxin (as in Huang Lian

Jie Du Tang) to Treat San Jiao Heat
Accumulating Pattern
Qing Xin Tang Da Huang
Drain Fire Resolve Toxin
Huang Lian Da Huang is the Main Herb, Combined with Lian
《Jin Gui Yao Lue》 Dry Dampness Discharge Glomus
Huang Qin and Qin: Bitter, Cold, Drain Fire, Transform
Dampness Discharge Heat, “Using Draining to
Replace Clearing”, to Treat Heart, Stomach
Intense Heat Pattern
 凉膈散
*** Liang Ge San ***
《Tai Ping Hui Min He Ji Ju Fang》

Chuan Da Huang, Po Xiao, Gan Cao Mix-Fried, Each 20 Liang (Each 6g), Shan Zhi Zi Ren, Bo He Ye Remove Stalks, Huang Qin Each 10 Liang (Each 3g),
Lian Qiao 2.5 Jin (12g), Zhu Ye 7 Pieces, Mi Small Amount

Drain Fire Free Stool Upper, Middle Jiao Heat Pathogen Blazing
Tonify Spleen Harmonize Ying
Symptoms: Vexation Agitation Thirst, Red Face Parched Lips,
Mouth, Tongue Sores, Chest, Diaphragm Vexing Heat,
Sore Throat, Vomiting Blood, Nosebleed, Constipation,
Reddish Urine, or Impaired Bowel Movement, Red
Tongue, Yellow Coating, Slippery Rapid Pulse or
(Childhood) Acute Wind Fright

Red Face — Lian Qiao 12 : Clear Heat Resolve Toxin

Parched Lips Heat Gathering in
Mouth, Tongue Chest, Diaphragm,
— Fire, Huang Qin 3 : Clear Upper Jiao Heart,
Sores Heat Lung Depressed Heat
Attacking Upwards
Chest, Diaphragm —
Vexing Heat Zhi Zi 3 : Drain Triple Jiao Fire
Throat Pain, Conduct Heat (to) Move
Vomiting Blood, — Downwards
Nosebleed Da Huang 6 Drain Heat Free Stool
‘ Middle, Upper Jiao Mang Xiao 6 :
Vexation Agitation — Heat Scorching Liquid Pathogenic Heat Drain Fire
Thirst Blazing Free Stool
Bo He 3 : Course Wind Dissipate Heat
Constipation — Dryness, Heat Clear Heat Free Throat
Reddish
‘ Urine Internally Binding Diffuse, Dissipate
Impaired Bowel — Fu Qi Inhibited Depressed Heat
Movement
Zhu Ye : Clear Heart Eliminate
Red Tongue Vexation
Yellow Coating —
Pathogenic Heat Conduct Heat to Resolve
Slippery, Rapid — Exuberance Through Urination
Pulse
Gan Cao 3 Sweet, Moderate, Balance
Bai Mi : Herbs
Moderate, Harmonize Da
Huang, Mang Xiao Drastic
Precipitation (Using
Draining to Replace Clearing)
This Pattern Results From Zang Fu Accumulated Heat Collecting in the Chest and Diaphragm ∴ Focus is on Upper, Middle Jiao Patterns

Heat Damages Liquid: Thirst, Dry Throat, Parched Lips

Fire Nature Flames Upwards: Red Face, Red Eyes, Mouth, Tongue Sores, Sore Throat, Expectorating Blood, Nosebleed
Fire Heat Internally Harasses Heart Shen: Unquiet Sleep, Possible Delirious Speech, Mania
Dryness, Heat Internally Bind: Constipation, Reddish Urine
Interior Heat Intensely Flourishing: Red Tongue, Yellow Tongue Coating, Slippery Rapid Pulse

Upper Jiao Intangible Fire Heat Intensely Flourishing

Middle Jiao Dryness, Heat Internally Binding { Only
Only Clearing Upper [Jiao]: Middle Dryness Binding Not Removed
Draining Downward: Upper Jiao Pathogenic Heat Not Resolved

Only By Clearing + Draining Together Can the Formula Strike the Illness Nature ∴ Treatment Uses Clear Heat, Drain Fire, Free Stool Method

Lian Qiao: Light, Clear, Outthrust, Dissipate

Excels at Clearing Heat Resolving Toxicity
Outthrusting, Dissipating Upper Jiao Heat
∴ Heavy Use
Huang Qin: Clear Chest, Diaphragm Depressed Heat
Shan Zhi [Zi]: Free, Drain San Jiao
Direct Fire to Move Downwards
Da Huang + Drain Fire Free Stool
Mang Xiao: Forcefully Flush Middle Jiao Dry Heat, Internal Binding
Bo He: Clear Head, Eyes
Disinhibit Throat
Zhu Ye: Clear Upper Jiao Heat
Gan Cao + Moderate, Harmonize Xiao, Huang’s Forceful Draining Strength
Bai Mi: Engender Liquid Moisten Dryness
Regulate, Harmonize Multiple Herbs

Herbs Paired Together: Drain Fire Free Stool, Clear Upper Discharge Lower
Pairing Characteristics: Clear Upper, Precipitate Lower Together
Precipitate Downwards to Clear, Discharge Chest, Diaphragm Depressed Heat
(ie. Using Precipitation to Substitute for Clearing)

This Formula Has Freeing Fu [Organ] Efficacy, But the Purpose of Treatment is Chest, Diaphragm Vexation Heat, Not Heat Binding
Constipation
∴ If There is Upper, Middle Jiao Pathogen Depression, Engendering Heat and No Constipation, it Can Still Be Used

Differential Diagnostic Keys:
Commonly Used Formula: Upper + Middle Jiao Fire / Heat Flourishing
Associated Symptoms: Copious Heat Vexation, Agitation
Dry Mouth and Throat
Red Tongue Yellow Coating
Rapid Strong Pulse

Modern Usage: Pharyngitis

Stomatitis (Oral Cavity Infection)
Acute Tonsillitis (Upper + Middle Jiao Fire, Heat Patterns)
Biliary Tract Infection
Acute Icteric Hepatitis
 - +
Heat Toxin Accumulating, Congesting, Obstructing Upper
Jiao Shi Gao
Po Xiao Strengthen Clearing Heat Cooling Diaphragm Efficacy
(Vigorous Heat, Thirst, Vexation Agitation, Throat Redness Jie Geng
and Swelling, Stool Not Dry)
 普济消毒饮
*** Pu Ji Xiao Du Yin ***
《Dong Yuan Shi Xiao Fang》

Huang Qin Alcohol Fried, Huang Lian Alcohol Fried, Each 5 Qian (Each 15g), Chen Pi Remove Pith, Gan Cao Use Fresh, Xuan Shen, Chai Hu, Jie Geng Each 2 Qian (Each 6g)
Lian Qiao, Ban Lan Gen, Ma Bo, Niu Bang Zi, Bo He Each 1 Qian (Each 3g), Jiang Can, Sheng Ma Each 7 Qian (Each 6g)

Course Wind Dissipate Pathogen Massive Head Scourge, Wind Heat Epidemic Disease Pathogen,
Clear Heat Resolve Toxin Congesting in Upper Jiao
Symptoms: Presenting in the Head and Face, Cold Aversion Heat
Effusion, Head, Face Red, Swollen, Scorching, Pain,
Inability to Open Eyes, Inhibited Throat, Dry Tongue,
Thirst, Red Tong, Yellow Coating, Rapid Strong Pulse
Cold Aversion External Contraction Wind
— Heat
Heat Effusion ‘ Epidemic Pathogen
Head, Face
Red, Swollen — Huang Lian15 Clear, Discharge Upper Jiao
Huang Qin15 :Heat Toxin
Scorching Pain — Wind Heat Epidemic Toxin Wind Heat Course Wind
Attacking Head, Face Epidemic Pathogen Dissipate Pathogen
Inability to Niu Bang Zi 3 Acrid, Cool, Course, Dissipate
— Congesting in Clear Heat Bo He 3
Open Eyes Head,Face Resolve Toxin Lian Qiao 3 Clear Heat Dissipate Binding
Red Tongue Jiang Can 6 : Clear, Free Throat
Yellow Coating — Heat Toxin Blazing
Rapid, Strong —
Pulse
Xuan Shen 6
Ma Bo 3
Ban Lan G. 3 Clear Heat Resolve Toxin
Jie Geng 6 Clear Throat Disperse Swelling
Gan Cao 6 :
Dry Tongue, — Heat Scorching Liquid
Thirst Chen Pi 6 : Rectify Qi Dissipate Binding
Free Throat
Inhibited Throat Dissipate Binding Course Free Congestion
Inhibited Throat Heat Toxin
— Attacking Stagnation
Upwards
Sheng Ma 6 Acrid, Cool, Outthrust Heat
Chai Hu 6 : Upbear Yang Dissipate Fire
Direct Herbs Upwards
Treat Fire Depression with Effusion
This Formula Regulates Treatment of Massive Head Scourge (Originally Called Da Tou Tian Xing: Large Head Atmosphere Movement):

Resulting From Contracting Wind Heat Epidemic Toxicity Pathogen, Congesting in Upper Jiao, Effusing in the Head, Face

Wind Heat Epidemic Toxicity Upwardly Attacks Head, Face, Qi, Blood Congests, Stagnates: Facial Redness, Swelling, Heat, Pain
Possible Inability to Open Eyes
Warm Toxicity Congests, Stagnates Throat: Throat Redness, Swelling, Pain
Interior Heat Intensely Flourishing, Scorching Liquid: Thirst
Initial Stage Wind Heat Epidemic Toxin Invades Flesh, Exterior, Depresses Wei Yang, Zheng, Pathogen Fight: Cold Aversion Heat Effusion
Interior Heat Intensely Flourishing: Tongue Coating Yellow, Dry, Rapid Strong Pulse

Epidemic Toxicity Should be Cleared, Resolved

Wind Heat Should be Coursed, Dissipated
Upper Illness Location Suits Disinhibition, Abduction
{ Course, Dissipate Upper Jiao Wind Heat
Clear, Resolve Upper Jiao Epidemic Toxicity

∴ Treatment Method Should Resolve Toxicity, Dissipate Pathogen Together (Clear Heat Resolve Toxicity as Focus)

Heavy Use of: Jiu (Alcohol) Lian +

Jiu (Alcohol) Qin:
{ Clear Heat Drain Fire
Dispel Upper Jiao, Head, Face Heat Toxicity

{
Niu Bang Zi
Lian Qiao
Acrid, Cool, Course, Dissipate Heat, Face Wind Heat
Bo He
Jiang Can
Xuan Shen
Ma Bo
Ban Lan Gen

{ Increase Clearing Heat Resolving Toxicity Efficacy

Gan Cao
Jie Geng
{ Clear, Disinhibit Throat
Chen Pi: Rectify Qi Course Congestion to Dissipate Pathogenic Heat Depression, Binding
Sheng Ma
Chai Hu
{ Course, Dissipate Wind Heat
Direct Multiple Herbs to Reach Upwardly to the Head, Face (Fire Depression Region)

Multiple Herbs Paired Together: Clear Heat Resolve Toxicity

Course, Dissipate Wind Heat 

Differential Diagnostic Keys: Commonly Used Formula: ⼤大头瘟 (Da Tou Wen): Massive Head Scourge
Associated Symptoms: Facial Redness, Swelling, Scorching, Pain
Cold Aversion Heat Effusion
Red Tongue White and Yellow Coating
Floating Rapid Pulse

Modern Usage: Cinnabar Toxin

Parotitis (Mumps)
(Wind Heat Pathogen Toxicity Patterns)
Acute Tonsillitis
Lymphadenitis + Lymphatic Vessel Backflow, Blockage
 +

Constipation Binding Jiu Da Huang Drain Heat Free Stool

Paratotis (Parotid Gland Inflammation) Combined with Chuan Lian Zi

Drain Liver Meridian Damp Heat
Orchitis (Testicular Inflammation) Long Dan Cao
 仙⽅方活命饮
*** Xian Fang Huo Ming Yin ***
《Xiao Zhu Fu Ren Liang Fang》

Bai Zhi, Bei Mu, Fang Feng, Chi Shao Yao, Sheng Dang Wei, Gan Cao Jie, Zao Jiao Ci, Chuan Shan Jia Mix-Fried,
Tian Hua Fen, Ru Xiang, Mo Yao Each 1 Qian (Each 3g), Jin Yin Hua, Chen Pi Each 3 Qian (Each 9g)

Clear Heat Resolve Toxin Sores, Swelling Toxin Initial Stage

Disperse Swelling Open Hardness
Symptoms: Redness, Swelling, Scorching, Pain, Possible Body
Quicken Blood Relieve Pain
Heat, Cold Aversion, Thin White or Yellow Tongue Coat,
Rapid Strong Pulse

Yin Hua 9 : Clear Heat Resolve Toxin

Clear Heat Clear Qi Cool Blood
Resolve Toxin
Sores, Swelling Dang Wei 3
— Heat Toxin Congestion, Quicken Blood Quicken Blood Dissipate Stasis
Toxin Chi Shao 3
Accumulating, Qi, Blood Relieve Pain
Ru Xiang 3 Disperse Swelling Relieve Pain
Redness, Swelling, Obstruction, Stagnation
— Mo Yao 3 :
Scorching, Pain
Fang Feng 3 Open the Interstices,
Body Heat Pathogen Depressing Flesh Bai Zhi 3 : Dissipate Pathogen
—
Cold Aversion Wei Qi Inhibited
Sores, Swelling
Bei Mu 3 Clear Heat Transform Phlegm
Initial Stage
Thin White / Yellow Disperse Swelling T. Hua Fen 3 :
— Disperse Swelling Dissipate Binding
Tongue Coating Dissipate Binding
Right Filling Pathogen
Replete
Open Hardness Chen Pi 3 : Rectify Qi Disperse Welling-Abscess
Rapid, Strong
— Outthrust Pus
Pulse
C. Shan Jia 3
: Open Hardness Expel Pus
Zao Jiao Ci 3

Gan Cao 3 : Harmonize Herb Natures

This Formula Regulates Treatment of Sores, Swelling Toxicity (Initial Stage) Belonging to Yang Patterns.
(Yang Pattern Sores Often Form As a Result of Heat Toxicity Congesting, Accumulating, Qi Stagnation, Blood Stasis, Phlegm Binding)

《Ling Shu · Yong Chang Pian》 “Ying, Wei Lodged in Meridians, Vessels, Causes Blood to Choke, Not Move, Lack of Movement Causes Wei
Qi to Not Move; Congesting, Obstructing, Not Achieving Movement, Thus [Creating] Heat”

Large Heat Not Stopped, Heat Flourishes ∴ Flesh Ferments, Flesh Ferments into Pus: Welling-Abscesses
Heat Toxicity Congests, Accumulates, Ying Qi Depresses, Stagnates; Qi Stagnation, Blood Stasis, Accumulating into Shape: Regional
Redness, Swelling, Heat, Pain
Pathogen, Zheng Fighting in Exterior: Body Heat Cold Shivering
Zheng, Pathogen Both Flourishing, Fighting in Meridians: Rapid Strong Pulse

Treatment for Yang Pattern Welling-Abscesses Initial Stage Should Use Clear Heat Resolve Toxicity (Focus)
Paired with Rectify Qi, Quicken Blood,
Disperse Swelling, Dissipate Binding Method

Jin Yin Hua: Nature, Flavour Sweet, Cold, Excels Most at Clearing Heat Resolving Toxicity Healing Sores “Treating Sores Sacred Herb”
Only Using Clear Heat Resolve Toxicity Makes it Difficult for Qi Stagnation, Blood Stasis to Disperse, Swelling Binding to Dissipate ∴
Dang Gui Wei, Chi Shao, Ru Xiang, Mo Yao, Chen Pi: Move Qi Quicken Blood, Free Collaterals, Disperse Swelling Stop Pain
Sores Initial Stage; Pathogen Often Latent in Flesh, Interstices: Using Acrid, Dissipating Bai Zhi, Fang Feng Frees Stagnation and Dissipates
Binding, Allowing Heat Toxicity to Outwardly Outthrust, Resolve
Qi Dynamic Obstruction, Stagnation Can Lead to Liquid Accumulating, Forming Phlegm; Bei Mu, Hua Fen Clear Heat, Transform Phlegm,
Dissipate Binding, Dispersing Pus or Preventing its Formation
Shan Jia, Zao Ci Free, Move Meridians, Collaterals, Outthrust Pus, Hardened Ulceration, Can Enable Formed Pus to Break
Gan Cao Clears Heat Resolves Toxicity, as Well as Regulating, Harmonizing Multiple Herbs
Adding Alcohol to the Decocting Herbs Borrows its Freeing Stasis and Moves Entire Body, Assisting Herb Efficacy to Arrive at Illness Location

Multiple Herbs Paired Together: Clear Heat Resolve Toxicity

Disperse Swelling Break Hardness
Quicken Blood Stop Pain

Pairing Characteristics: Clear Heat Resolve Toxicity, Quicken Blood Transform Stasis, Free Collaterals Break Hardness (Main)
Outthrust Exterior, Move Qi, Transform Phlegm, Dissipate Binding (Assisting)

(Relatively Completely Embodying External Medicine Yang Pattern Welling-Abscess Internal Treatment Dispersing Method)
Previous Generations Referred to This Formula as “Welling-Abscess Sacred Herbs, External Medicine First Formula”, Suitable for Yang Pattern
and Replete Body With Various (Any) Type of Welling-Abscess Swelling Toxicity.

If Used Correctly “Unformed Pus is Dispersed, Already Formed Pus is Broken”

Xian Fang Huo Ming Yin and Pu Ji Xiao Du Yin Are Both Clear Heat Resolve Toxicity Formulas:

Pu Ji Xiao Du Yin Treats Large Head Scourge: Swelling Toxicity Effuses in the Head and Face; it Uses Clear Heat Resolve Toxicity, Course
Wind Dissipate Pathogen Method Assisted by Upbearing Yang Dissipating Fire, Effusing, Dissipating Depressed Heat.

Xian Fang Huo Ming Yin Treats Yang Pattern Swelling Toxicity; Within Clearing Heat Resolving Toxicity, Move Qi Quicken Blood,
Dissipate Binding, Disperse Swelling Medicinals are Used (More Suitable for Initial Stage Welling-Abscesses)

Differential Diagnostic Keys:
Commonly Used Formula: Heat Toxicity Swollen Welling-Abscess
“Sores Department Attacking Toxicity Primary Formula”
(Can Be Used For Any Swelling Abscesses Initial Stage Yang Patterns)
Associated Symptoms: Redness, Swelling, Scorching, Pain
Possible Body Heat Shivering Cold
Rapid Strong Pulse

Modern Usage: Purulent (Suppurative) Inflammation: (Phlegmonous) Cellulitis

Purulent Tonsilitis
Mastitis
(Yang Patterns, Replete Patterns)
Impetigo
Boils
Deep Abscesses

Important Points: This Formula Can Only Be Used For Abscesses Before Ulceration (Cannot Be Used After Ulceration)
This Formula is Cold / Cooling ∴ is Contraindicated for Yin Pattern Abscesses / Sores
Use With Caution for: Spleen Stomach Vacuity
Qi, Blood Insufficiency
 - +

Pu Gong Ying
Lian Qiao
Redness, Swelling, Heat Toxin Severe Increase Clear Heat Resolve Toxin Efficacy
Zi Hua Di Ding
Ye Ju Hua…

Constipation Da Huang Drain Heat Free Stool

Blood Heat Flourishing Dan Pi Cool Blood

Qi Vacuity (Deficiency) Huang Qi Supplement Qi

Section 4: Clear Qi and Blood Formulas
Clearing Both Qi and Blood Formulas Suit: Epidemic Pestilence Heat Toxicity Congesting, Flooding Internally, Externally Pattern
(Qi, Blood Both Blazing)

Predominant Clinical Manifestations: Vigorous Heat (Qi Aspect Heat Flourishing)

Vexation Thirst
Vomiting Blood, Nosebleed (Blood Heat Frenetic Movement)
Maculopapular Eruptions

Shen Clouding (Heat Toxicity Internally Sinking)

Delirious Speech

Composition
Treatment Method { Require:
Combination of Multiple Formulas
Simultaneous Use of Multiple Methods
(In Order to Treat This Critical, Severe Pattern)

{
Shi Gao
Clear Qi Aspect Heat Herbs e.g.
Zhi Mu

Clear Ying, Cool Blood Herbs e.g. Xi Jiao Are Commonly Combined and Paired to Form These Formulas
Sheng Di

Clear Heat Resolve Toxicity Herbs e.g. Huang Lian

Huang Qin

Representative Clearing Qi, Blood Formulas: Qing Wen Bai Du Yin


Section 5: Clear Zang Fu Heat Formulas

Heart: Dao Chi San

Liver: Long Dan Xie Gan Tang

Zuo Jin Wan

Lung: Wei Jing Tang

Xie Bai San

Stomach: Qing Wei San

Yu Nv Zhen

Intestine: Ge Gen Qin Lian Tang

Shao Yao Yang
Bai Tou Weng Tang

Clearing Zang Fu Heat Formulas Suit: Heat Pathogen Unilaterally Flourishing in a Zang or Fu Organ Resulting in a Heat or Fire Pattern
Clinical Manifestations Vary According to Individual Organ System:

Heart Meridian Heat : Heart, Chest Vexation Heat

Thirst, Red Complexion
Mouth, Tongue Sores

Liver, Gallbladder Replete Fire : Rib-Side Distention, Pain

Headache, Red Eyes
Impatience, Agitation, Irascibility

Lung Heat : Coughing, Panting

Expectorating Yellow Phlegm
Red Tongue, Yellow Coating

Heat in Spleen, Stomach : Toothache, Swollen Gums

Mouth Sores, Foul Breath
Vexation Heat, Rapid Hungering

Heat in Intestinal Fu Organs : Dysentery (Red, White)

Foul Diarrhea, Discharge
Rectal Scorching Pain

Clearing Zang Fu Heat Formulas Predominant Use: Clearing Heat Herbs

(Chosen According to the Appropriate Zang, Fu Heat, Fire Pattern)
Common Pairings:

Heart Meridian Heat Flourishing:

Clear Fire, Drain Heart Herbs Predominate (e.g. Zhu Ye, Huang Lian, Zhi Zi, Shi Lian Zi …)
Heart and Small Intestine are Exteriorly-Interiorly Paired ∴
Abducting Heart Fire to Exit Via Urination Herbs are Often Used (e.g. Mu Tong, Chi Qian Zi …)
Heart Regulates Blood Vessels: Heat in the Heart Zang Often Spreads to the Blood Aspect, Easily Damaging Yin Liquid ∴
Nourish Yin Cool Blood Herbs are Often Used (e.g. Sheng Di, Mai Dong, Di Gu Pi …)

e.g. Dao Chi San: Mu Tong, Sheng Di

Liver, Gallbladder Replete Fire:
Clear Liver, Drain Fire Herbs Predominate (e.g. Long Dan Cao, Shan Zhi, Xia Ku Cao …)
Liver Meridian Heat is Often Accompanied By Dampness Pouring Downwards ∴
Clear Heat, Disinhibit Dampness Herbs are Often Used To Allow Liver, Gallbladder Damp Heat to Exit via Urination
e.g. Long Dan Xie Gan Tang: Mu Tong, Ze Xie, Chi Qian Zi (e.g. Mu Tong, Ze Xie, Chi Qian Zi …)

Liver Meridian Depressed Heat Patterns: Clearing, Draining Should be Paired With Effusing, Dissipating ∴
Effusing, Dissipating Depressed Heat Herbs are Used (e.g. Qiang Huo, Fang Feng …)
e.g. Xie Qing Wan: Qiang Huo, Fang Feng

Liver, Gallbladder Replete Fire Easily Damages Yin, Blood

Clearing Liver Draining Fire Herbs Often Have Bitter, Drying Natures, Which Also Easily Damage Yin, Blood ∴
Enriching, Nourishing Yin, Blood Herbs are Used (e.g. Dang Gui, Sheng Di …)
e.g. Long Dan Xie Gan Tang: Dang Gui, Sheng Di Xie Qing Wan: Dang Gui

Lung Fire, Heat Flourishing:

Clear Lung Discharge Heat Herbs Predominate (e.g. Sang Bai Pi, Wei Jing, Huang Qin …)
Latent Heat in Lungs :
Clearing Latent Fire Herbs are Used (e.g. Di Gu Pi …)
e.g. Xie Bai San: Di Gu Pi
Phlegm Heat Stasis Binding in the Lungs Forming Abscesses :
Expel Stasis, Transform Phlegm, Expel Pus Herbs are Used (e.g. Tao Ren, Dong Gau Ren, Yi Yi Ren)
e.g. Wei Jing Tang: Tao Ren, Dong Gua Ren, Yi Yi Ren

Spleen, Stomach Fire, Heat:

Clear Spleen, Stomach Fire, Heat Herbs Predominate (e.g. Shi Gao, Zhi Mu, Huang Lian …)
Spleen, Stomach Heat Easily Leads to Upward Surging :
Treatment Restricted to Clearing Heat, Cooling Can Cause Obstruction ( “Fire Stasis: Effuse” ) ∴
Upbear, Dissipate Stasis Heat Herbs are Used (e.g. Sheng Ma, Huo Xiang, Fang Feng …)
e.g. Qing Wei San: Sheng Ma Qing Huang San: Huo Xiang, Fang Feng
Stomach is a Copious Qi, Copious Blood Fu Organ:
Qi Aspect Heat Flourishing Can Spread to the Blood Aspect Resulting in Blood Heat or Stomach Heat Concurrent With Yin Damage
Cool Blood, Nourish Yin Herbs are Used (e.g. Sheng Di, Shu Di, Mai Dong …)
e.g. Qing Wei San: Sheng Di Yu Nv Jian: Shu Di, Mai Dong
Heat in Intestinal Fu (Organs):
Clear Intestines Resolve Toxicity Herbs Predominate (e.g. Huang Lian, Huang Qin, Huang Bai, Bai Tou Weng …)
Intestinal Heat Easily Leads to Qi-Blood Disharmony, Effusing as Red, White Dysentery, Tenesmus …
“Move Blood: Stool Pus and Blood Spontaneously Heal
Regulate Qi: Rectal Heaviness Spontaneously Heals” (《Su Wen Bing Ji Qi Yi Bao Ming Ji》) ∴
Move Blood, Regulate Qi Herbs are Used (e.g. Dang Gui, Shao Yao, Mu Xiang, Bing Lang …)
e.g. Shao Yao Yang: Dang Gui, Mu Xiang, Bing Lang Huang Qin Tang: Shao Yao

Representative Clearing Zang Fu Heat Formulas: Dao Chi San

Qing Xin Lian Zi Yin

Long Dan Xie Gan Tang

Xie Qing Wan
Zuo Jin Wan

Xie Bai San

Wei Jing Tang

Qing Wei San

Xie Huang San
Yu Nv Jian

Shao Yao Yang

Huang Qin Tang
Bai Tou Weng Tang
 导⾚赤散
** Dao Chi San **
《Xiao Er Yao Zheng Zhen Jue》

Sheng Di Huang, Mu Tong, Sheng Gan Cao Xiao Each Equal Amounts (Each 6g), Zhu Ye Small Amount (Decocted Together)

Clear Heart Cool Blood Heart Meridian Heat Accumulating, Heat Shifted to Small Intestine
Disinhibit Water Free Strangury
Symptoms: Heart, Chest Vexation Heat, Thirst, Red Face, Desire
to Drink Cold Water, Mouth, Tongue Sore, Possible
Heart Heat Descending to Small Intestine, Rough
Reddish Urine with Sharp Pain

Heart, Chest
Vexation Heat —

Thirst, Red Sheng Di 6 : Clear Heart Cool Blood
— Heart Meridian
Complexion Heat Accumulating Mu Tong 6 : Clear Heart Downbear Fire
Heart Meridian Clear Heat
Desire to Drink — Heat Accumulating Cool Blood Disinhibit Water Free Strangury
Cold Liquids
Zhu Ye : Clear Heart Eliminate Vexation
Sores on Mouth — Heart Fire Flaming
and Tongue Upwards

Rough, Reddish — Sheng Gan Clear Heat Resolve Toxin

Urination Heart Heat Moving Down Disinhibit Water Cao Xiao 6 : Relieve Pain in Stem
Sharp, Painful — to Small Intestine Free Strangury
Urination Regulate, Harmonize Herbs
This Formula Pattern is a Result of Heart Meridian Heat Flourishing or Moving to Small Intestine.

Heart Fire Flames Upwards, Following its Meridian Path: Heart, Chest Vexation Heat, Red Complexion, Mouth, Tongue Sores
Fire Heat Internally Scorching, Tin, Liquid Damaged: Thirst, Desire for Cool / Cold Liquids
Heart, Small Intestine are Paired Exterior-Interior Organs, Heart Heat Moving Down to Small Intestine, Secretion, Separation Management
Lost: Rough Reddish Urine, Sharp Pain
Internal Heat: Red Tongue, Rapid Pulse

Heart Fire Flaming Upwards With Yin, Liquid Insufficiency ∴ Treatment Method Does Not Suit Bitter Cold Direct Breaking Instead:
Clear Heart, Nourish Yin Together, Disinhibit Water, Abduct Heat to Move Downwards (Brewing Heat Discharges Via Urination)

Sheng Di Huang: Sweet, Cold, Moistening, Enters Heart, Kidney Channels

Cool Blood Enrich Yin to Curb Heart Fire
Mu Tong: Bitter, Cold, Enters Heart, Small Intestine Meridians
Upwardly Clears Heart Meridian Fire
Downwardly Abducts Small Intestine Heat
Both Herbs Used Together: Enrich Yin, Curb Fire Without Retaining Pathogen,
Disinhibit Water, Free Strangury Without Damaging Yin
Zhu Ye: Sweet, Bland, Clear Heat Eliminate Vexation
Blandly Percolate, Disinhibit Orifices
Abduct Heat Fire to Move Downwards
Sheng Gan Cao Xiao: Clear Heat Resolve Toxicity
Can Directly Arrive at Stem, Stop Pain
Regulate, Harmonize Multiple Herbs
Prevent Sheng Di, Mu Tong Cool, Cold Damaging Stomach
Four Herbs Together: Clear Heat, Disinhibit Water, Nourish Yin

In《Xiao Er Yao Zheng Zhen Jue》, Dao Chi San Treats “Childhood Heart Heat”, Not Yet Described as “Heart Moving Heat to Small
Intestine”
《Qi Xiao Liang Fang》Expanded its Scope to Treat Childhood Rough, Reddish Strangury Pain …
《Yi Zong Jin Jian》“Red Colour Belongs to Heart, Dao Chi: Abduct Heart Meridian Heat to Exit Via Urination … Thus The Name Dao Chi
San”
( ∴ The Theory and Practical Use of This Formula Evolved Gradually)

Regarding the Mechanism For This Pattern, Qian Yi Only Referred to “Heart Heat” or “Heart Qi Heat”: He Did Not Mention Vacuity or
Repletion.
Referring to Vacuous Fire or Replete Fire is Not Suitable:
《Xiao Er Yao Zheng Jue Mai Zheng Zhi Fa》Mentions “Heart Qi Repletion” Pattern, But The Formula Used, “Xie Xin Tang”, Only Uses
Huang Lian (Different From This Formula’s Sheng Di Paired With Mu Tong), Indicating This Formula Does Not Suit Replete Fire Pattern,
In The Third Roll Of That Text, “Internal Eye Patterns” Mentions “Chi: Heart Heat, Dao Chi San Regulates” … “Pale Red: Heart Vacuity Fire,
Sheng Xi San Regulates”, Indicating This Formula Does Not Suit a Vacuous Fire Pattern.
Analyzing the Herbs to Determine or Differentiate the Pattern, This Formula Uses Sheng Di Paired With Mu Tong:
Sweet Cold Paired With Bitter Cold
(Enrich Yin Disinhibit Water as Focus):
Enrich Yin Without Leaving Pathogen Lodged
Disinhibit Water Without Damaging Yin
Drain Fire Without Attacking Stomach
(This Suits Children’s: Tender Yin, Tender Yang
Easily Cold, Easily Hot
Easily Vacuous, Easily Replete
Quick Illness Change, Transformation Characteristics,
As Well As: Treating Repletion Preventing Vacuity,
Treating Vacuity Preventing Repletion Treatment Requirements)
∴《Yi Zong Jin Jian》“Water Vacuous, Fire Not Replete” 5 Word Summary is Relatively Apt.

Differential Diagnostic Keys:
Commonly Used Formula: Heart Meridian Fire Heat Pattern
Foundational Formula: Clear Heat Disinhibit Water Nourish Yin
Associated Symptoms: Heart, Chest Vexation Heat
Thirst
Mouth, Tongue Sores
Possible Reddish, Rough Urination
Red Tongue
Rapid Pulse

Modern Usage: Stomatitis (Oral Cavity Inflammation)

Goose-Mouth Sore* (Heart Meridian Heat)
Infant Night Crying

Acute Urinary Infection (Lower Jiao Damp Heat)

Important Points: Mu Tong is Bitter, Cold, Sheng Di is Yin, Soft, Cold, Cool ∴ Use With Caution for Spleen Stomach Vacuity, Weakness

* Mouth Disease in the Newborn: Ulceration of the Mouth, White Scales all Over the Tongue,. Sore Mouth and Tongue, Possible Vexation and Agitation
 +

Heart Fire Relatively Abundant Huang Lian Clear Heart Drain Fire

Heart Heat Moved to Small Intestine, Che Qian Zi

Increase Clear Heat Free Urination Efficacy
Urinary Block Chi Fu Ling

Yin Vacuity Relatively Strong Mai Dong Increase Clearing Heart Nourishing Yin Efficacy

Bian Xu
Strangury, Obvious Rough Urination Qu Mai Increase Uninhibit Urination Free Strangury Efficacy
Hua Shi
Bai Mao Gen
Blood Strangury Xiao Ji Cool Blood Stop Bleeding
Han Lian Cao

Huang Qin
Mai Men Dong Qi, Yin Insufficiency, Heart Kidney Not
Di Gu Pi Interacting, Vacuous Fire Stirring Internally,
Qing Xin Lian Zi Yin Che Qian Zi Boost Qi, Yin Damp Heat in Bladder
Gan Cao Clear Heart Fire
《Tai Ping Hui Min He Ji Ju Fang》 Addresses Both Excess and Deficiency, Clears
Shi Lian Zi Stop Strangury Turbidity
Bai Fu Ling Heart Heat, Unimpedes Damp Heat, Can
Huang Qi Connect Heart and Kidney, Boost Qi Nourish Yin
Ren Shen
 ⻰龙胆泻肝汤
*** Long Dan Xie Gan Tang ***
《Yi Fang Ji Jie》

Long Dan Cao Alcohol Fried (6g), Chai Hu (6g), Huang Qin Mix-Fried (9g), Zhi Zi Alcohol-Fried (9g), Ze Xie (12g), Che Qian Zi (9g), Mu Tong (6g),
Dang Gui (3g) Alcohol-Washed, Sheng Di Huang (6g), Alcohol-Fried, Gan Cao (6g), Fresh

Drain Liver, Gallbladder Replete Fire Liver, Gallbladder Replete Fire Harassing Upwards
Clear Liver, Gallbladder Damp Heat
Symptoms: Headache, Red Eyes, Costal Pain, Bitter Taste in
Mouth, Hearing Loss, Ear Swelling.

Damp Heat Pouring Downwards

Symptoms: Genital Swelling, Genital Itching, Sinew Wilting,
Genital Dryness, Strangury-Turbidity

Damp Heat Vaginal Discharge

Headache Long Dan 6 : Bitter, Cold

—
Eye Redness Liver, Gallbladder Enter Liver-Gallbladder Meridian
Costal Pain Replete Fire Liver, Gallbladder Drain Liver,
— Following Replete Fire Gallbladder Clear Lower Jiao Damp Heat
Bitter Taste Meridian
Harassing Upwards Harassing Upwards Replete Heat
Hearing Loss Huang Qin 6 Clear Heat Dry Dampness
— Zhi Zi 9 :
Ear Swelling Conduct Heat (to) Move Downwards

Ze Xie 12 Clear Heat Disinhibit Dampness

Che Qian Zi 9 Direct Damp Heat to Exit from Urine
Genital Swelling — Mu Tong 6 :
Genital Itching
Sheng Di 6 : Enrich Yin
Sinew Wilting —
Genital Dryness Liver Meridian Damp Heat Clear Liver, Dang Gui 3 : Nourish Blood
Following Meridian Gallbladder
Strangury - — Pouring Downwards Damp Heat
Turbidity Chai Hu 6 : Course Liver
Damp Heat Three Herbs Used Together:
— Nourish Liver Body,
Vaginal Discharge
Harmonize Liver Function
Gan Cao 6 : Balance, Harmonize Herb Natures
This Formula Treats Pattern Results From Liver, Gallbladder Replete Fire Flaming Upwards /
Liver, Gallbladder Damp Heat Pouring Downwards Along the Meridian(s)

The Liver Meridian Circles the Genitals, Distributes along the Ribs, Connects to the Eye System, Enters The Apex of the Head.
The Gallbladder Channel Begins at the Eye Canthus, Distributes In Front of, Behind, and In the Ear, One Branch Enters the Thigh, Coils
Around the Genitals, While Another Distributes to the Ribs.

Liver, Gallbladder Fire Flaming Upwards Along the Meridians: Head, Ear, Eye Aching, Possible Hearing Loss, Costal Pain, Bitter Taste
Damp Heat Pouring Downwards Along the Meridians: Genital Itching, Swelling, Wilting, Sweating
Fire Flourishing, Damp Heat: Red Tongue, Yellow Slimy Coating

Treatment Suits Clearing, Draining Liver, Gallbladder Replete Fire, Clearing, Disinhibiting Damp Heat.

Long Dan Cao: Strongly Bitter, Strongly Cold,

Can Both Clear Liver, Gallbladder Replete Fire As Well As Disinhibit Liver, Gallbladder Damp Heat
(Drain Fire, Eliminate Dampness)

{ Dry
Bitter, Cold, Drain Fire
Huang Qin
Dampness Clear Heat
Zhi Zi
Increase Long Dan Cao’s Drain Fire Eliminate Dampness Efficacy
Damp Heat’s Main Exit Pathway is to be Disinhibited, Abducted Downwards, to Percolate, Discharge From the Bladder ∴

{
Ze Xie
Discharge Heat Percolate Damp
Mu Tong
Abduct Damp Heat to Exit Via Water Pathway
Che Qian Zi
Liver is the Blood Storage Organ, If Replete Fire Damages it, Yin, Blood Damage Follows
This Formula Uses Multiple Bitter, Drying, Percolating, Disinhibiting, Damaging Yin Herbs ∴
Dang Gui
Sheng Di { Nourish Blood Enrich Yin
Enable to Pathogen to Exit, Yin, Blood Not to be Damaged
Liver Body is Yin, Action is Yang, Its Nature Prefers Coursing, Discharging, Orderly Reaching, and is Averse to Restraint, Depression:
Fire Pathogen Internally Depressed, Liver, Gallbladder Qi Not Soothed, Strongly Bitter, Cold, Downbearing, Discharging Herbs are Used,
∴ Fearing Liver, Gallbladder Qi Restraint, and Fearing Damage to Liver, Gallbladder Engendering, Effusing Dynamic:
Chai Hu: Course Liver, Gallbladder Qi
Direct Multiple Herbs to Liver, Gallbladder Channels
Gan Cao: Regulate, Harmonize Multiple Herbs
Protect Stomach Calm Middle
Pairing Characteristics: Supplementation Within Drainage
Enriching Within Disinhibition
Upbearing Within Downbearing
Dispelling Pathogen Without Damaging Zheng
Draining Fire Without Attacking Stomach
Enabling Fire to Downbear, Heat to Clear
Dampness, Turbidity to Disinhibit
Multiple Symptoms Along the Meridians to Spontaneously Heal

Differential Diagnostic Keys:
Commonly Used Formula: Liver, Gallbladder Replete Fire Flaming Upwards, Damp Heat Downpouring
Associated Symptoms: Bitter Taste
Reddish Urination
Red Tongue, Yellow Coating
Wiry Rapid Strong Pulse

Modern Usage: Intractable Hemilateral Headache

Damp Papules on the Head
High Blood Pressure
Acute Conjunctivitis
Iridocyclitis
Furuncle of the External Auditory Meatus
Rhinitis
Acute Icteric Hepatitis
Acute Cholecystitis (Gallbladder Inflammation)
(Liver Meridian Replete Fire, Damp Heat Patterns)
Urogenital Inflammation
Acute Pyelonephritis
Acute Cystitis (Bladder Inflammation)
Urethritis (Urethral Inflammation)
Vulvitis
Orchiditis (Testicular Inflammation)
Inguinal Lymphadenitis
Acute Pelvic Inflammatory Disease
Shingles (Herpes Zoster)

Important Points: Many of the Herbs are Bitter, Cold, Easily Damage Spleen Stomach ∴ Unsuitable for: Spleen Stomach Vacuity Cold
Yin Vacuity Yang Hyperactivity

 - +

Mu Tong
Liver, Gallbladder Replete Heat Relatively Severe Huang Lian Assist Drain Fire Strength
Che Qian Zi

Huang Qin Hua Shi

Damp Accumulating Heat Small (in Severity) Increase Uninhibit Dampness Efficacy
Sheng Di Yi Yi Ren

Sores / Ulcers on Penis or Lian Qiao

Groin Swelling, Suspended Welling-Abscess or Chai Hu Huang Lian Drain Fire Resolve Toxin
Scrotal Swelling Pain, Copious Redness and Heat Da Huang

Dang Gui
Long Dan Cao
Zhi Zi
Strongly Bitter, Strongly Cooling
Huang Lian
Huang Bai Using Bitter Cold Herbs as Main Function,
Dang Gui Long Hui Wan Huang Qin Combined with Directing Fire Out Via Urination /
Clear Heat Drain Liver
Da Huang Defecation to Drain Liver Gallbladder Replete
《Dan Xi Xin Fa》 Attack Downwards Move Stagnation
Lu Hui Fire
Qing Dai
Clear Liver Drain Heat Stronger than Long Dan
Mu Xiang
Xie Gan Tang, Only Draining, Not Supplementing
She Xiang
Mi
Sheng Jiang
 左⾦金金丸
** Zuo Jin Wan **
《Dan Xi Xin Fa》

Huang Lian 6 Liang (9g), Wu Zhu Yu 1 Liang (1.5g) Cover Water and Boil

Clear, Drain Liver Fire Liver Meridian Effulgent Fire, Liver Fire Invading Stomach
Downbear Counterflow, Relieve Retching
Symptoms: Costal Distending Pain, Clamouring Stomach
(Emptiness and Burning in Stomach Region),
Acid Regurgitation, Stomach Duct Glomus, Belching,
Vomiting, Bitter Taste, Red Tongue, Yellow Coating,
Rapid Wiry Pulse
Costal
Distending Pain —
Red Tongue Liver Meridian Fire Effulgent
Yellow Coating — Qi Depressed, Constrained Liver Meridian Clear, Drain Huang Lian 9: Salty, Cold
Rapid Wiry Fire Effulgent Liver Fire
Pulse —

Bitter Taste — Liver Fire Flaming Upwards

Dry Throat
Wu Zhu Yu1.5:Enter Liver, Stomach Meridian
Acrid, Heat, Course, Disinhibit
1: Downbear Qi Most Quickly
Stomach Glomus,— Harmonize Stomach, Downbear
Belching Counterflow, Relieve Retching
Clamouring Downbear 2: Order(ly) Reach Liver Qi
Stomach — Liver Fire Invading Stomach
Counterflow Prevent Huang Lian’s Bitter Cold Cool
Stomach Losing Harmonious Relieve Retching
Acid Obstruction While Obtaining Liver Qi
Regurgitation — Downbearing
Coursing, Discharging
Vomiting — Small Amount of Wu Zhu Yu Paired With
Large Amount of Huang Lian: Acrid Heat
Nature Curbed By Huang Lian; No
Assisting Heat Disadvantage
3: Prevent Bitter Cold Herbs Being Rejected
(Fan Zuo)
This Formula’s Pattern Results From Liver Depression Transforming Fire,
Horizontal Counterflow Attacking Stomach,
Liver-Stomach Disharmony

Liver Meridian Distributes to the Ribs, Liver Meridian Illness: Costal Pain
Attacking Stomach: Stomach Loses Harmonious Downbearing: Clamouring Stomach, Acid Regurgitation, Retching, Vomiting, Bitter Taste
Liver Meridian Fire Depression: Red Tongue, Yellow Coating, Wiry Rapid Pulse

《Su Wen》“Multiple Counterflows Surging Upwards; All Belong to Fire”,

“Multiple Retching, Acid Regurgitation, Explosive Downpouring Lower Body Distress; All Belong to Heat”

Fire, Heat Suit Clearing, Qi Counterflow Suits Downbearing ∴ Treatment Should Clear, Drain Liver Fire (Focus),
Assisted By Downbear Counterflow Stop Retching

Huang Lian: (Heavy Use) Clear, Drain Liver Fire

Enabling Liver Fire Clearing Spontaneously Stops Horizontal Counterflow Attacking Stomach
Excels at Clearing, Draining Stomach Heat; Stomach Fire Downbears Thus Qi Spontaneously Harmonizes
(One Herb Clears Both Liver and Stomach, Root and Branch)
If Strongly Bitter, Largely Cold is Used Alone For Qi Depression Transforming Fire Pattern, Depression Binding May Not Open, and Middle Yang
May be Damaged ∴
Wu Zhu Yu: (Light Use) Acrid, Hot
Course Liver Resolve Depression to Enable Liver Qi to Orderly Reach, Depression Binding to Achieve Opening
(Opposing Assistant): Curb Huang Lian’s Cold, Enable Draining Fire to Not Obstruct by Cooling
Make Use of Downbearing Qi Function to Harmonize Stomach Downbear Counterflow
Can Direct Huang Lian to Enter Liver Meridian
Both Herbs Together Clear, Drain Liver Fire, Downbear Counterflow Stop Retching

Pairing Characteristics: Acrid Opening, Bitter Downbearing

Liver, Stomach Treated Together
Fire Cleared Without Obstruction From Cooling
Counterflow Downbeared Without Depressing Fire
Relative Opposition, Relative Complementation Enables Liver Fire to Clear, Stomach Qi to Downbear
∴ Multiple Symptoms Spontaneously Heal
This Formula is Also Called Hui Ling Wan, 《Yi Fang Ji Jie》Refers to it as Yu Lian Wan
Zuo Jin Wan and Long Dan Xie Gan Tang Are Both Used for Liver Meridian Replete Fire, Costal Pain, Bitter Taste… Patterns

Zuo Jin Wan is Mainly Used For Liver Meridian Depressed Fire Attacking Stomach Resulting in Retching, Vomiting, Acid Regurgitation …
Downbearing Counterflow Efficacy, But No Clearing, Disinhibiting Damp Heat
Draining Fire Efficacy Relatively Weak

Long Dan Xie Gan Tang is Mainly Used for Liver Meridian Replete Fire Upwardly Attacking: Eye Redness, Hearing Loss, or
Damp Heat Downpouring: Strangury Turbidity, Genital Itching … Symptoms
Clearing, Disinhibiting Damp Heat Efficacy, But No Downbearing Stomach Counterflow
Draining Fire Efficacy Relatively Strong

Differential Diagnostic Keys: Commonly Used Formula: Liver Fire Attacking Stomach
Liver Stomach Disharmony

Associated Symptoms: Retching, Vomiting, Acid Regurgitation

Costal Pain
Bitter Taste
Red Tongue, Yellow Coating
Wiry Rapid Pulse

Modern Usage: Gastritis

Esophagitis (Liver Fire Attacking Stomach Patterns)
Gastric Ulcers
 +

Wu Zei Gu
Acid Regurgitation Severe Curb Acid Relieve Pain
Duan Wa Leng

Costal Pain Severe Si Ni San Increase Course Liver Harmonize Stomach Efficacy

Stomach Duct Glomus, Clamouring Stomach,

Vomiting Clear Water (Stomach Cold Severe)
Huang Lian
Downbear Counterflow Warm Stomach
Fan Zuo Jin Wan Wu Zhu Yu Ratio of Huang Lian to Wu Zhu Yu is Reversed
Clear Liver
(1:6) (Relative to Zuo Jin Wan), Used for Stomach
Cold Attacking Liver Rather than Liver Fire
Attacking Stomach
 苇茎汤
*** Wei Jing Tang ***
《Bei Ji Qian Jin Yao Fang》

Wei Jing Cut, 2 Sheng (60g), 1 Dou of Water, Steam 5 Sheng Off, Remove Sediment, Yi Yi Ren 0.5 Sheng (30g), Gua Ban 0.5 Sheng (30g), Tao Ren 30 Mei (9g)
Clear Lungs Transform Phlegm Lung Welling-Abscess
Expel Stasis Expel Pus
Symptoms: Coughing, Slight Heat, Coughing Up Rotten-Smelling
Phlegm or Pus-Filled Blood, Dull Pain in Chest, Chest
and Costal Encrusted Skin (Dry, Rough, Scaly,
Hardened Skin), Red Tongue, Yellow Slimy Coating,
Slippery Rapid Pulse

Wei Jing 60 : Sweet, Cold, Soft

Coughing — Clear, Outthrust Lung Heat
Slight Heat
Coughing Foul Dispel Phlegm Expel Pus
— Phlegm-Heat Congesting in Lungs
Smelling Phlegm (Treat Lung Abscess
Coughing Pus- Qi, Blood Stasis, Stagnation Required Herb)
— Heat Accumulating Muscle Rotting Lung Abscess Clear Lungs
Filled
‘ Blood Transform Phlegm Dong Gua
Phlegm Heat Clear Heat Transform Phlegm
Dull Pain in Disinhibit Damp
— Internal Binding Expel Pus Ren 30 : Disinhibit Dampness Expel Pus
Chest
Red Tongue Yi Yi Ren 30 : Clear Lungs Expel Pus
Slimy Yellow Coat— Phlegm Heat Mutually Binding Percolate Damp Disinhibit Urine
Slippery Rapid — Direct Phlegm, Stasis, Damp,
Pulse Heat Out from Urine

Tao Ren 9 : Quicken Blood Transform Stasis

Quicken Blood
Encrusted Skin — Internal Stasis Heat Dissipate Binding Disperse
Transform Stasis
Abscess
The Lung Abscesses This Pattern Treats Result From Heat Toxicity Congesting in Lungs, Phlegm, Stasis Mutually Binding

Phlegm Heat Congests Lungs, Qi Loses Clear Downbearing: Coughing, Copious Phlegm
《Nei Jing》“Heat Flourishes: Flesh Ferments, Flesh Fermenting Forms Pus”.
Pathogenic Heat Attacks Lungs, Damaging Blood Vessels, Leading to Heat Congesting, Blood Stasis, If Not Dispersed, Dissipated for a Long
Period of Time, Blood is Damaged, Flesh Ferments: Lung Abscesses
Welling Absces Pus Ulcerates, Streams Out: Coughing, Expectorating Foul Yellow Phlegm, Pus, Blood
Phlegm, Heat, Stasis Blood Mutually Bind in Chest: Chest Dull Pain
Phlegm Heat Internally Flourishing: Red Tongue, Yellow Slimy Coating

Treatment: Clear Lungs Transform Phlegm, Expel Stasis Expel Pus

Wei Jing: Sweet, Cold, Light, Floating, Excels at Clearing Lung Heat
《Ben Jing Feng Yuan》“Specialized in Disinhibiting Orifices,
Excels at Treating Lung Abscesses,
Expectorating Pus, Blood, Foul Phlegm”
Lung Abscess Needed Medicinal
Gua Ban: Clear Heat Transform Phlegm
Disinhibit Dampness Expel Pus
Can Clear Upper, Penetrate Lower
Depuratively Downbear Lung Qi
Combine with Wei Jing to Clear Lungs Diffuse Congestion, Flush Phlegm Expel Pus
Yi Yi Ren: Sweet, Bland, Slightly Cold,
Upwardly Clear Lung Heat and Expels Pus
Downwardly Disinhibits Stomach, Intestines and Percolates Dampness
Tao Ren: Quicken Blood Expel Stasis
Can Assist in Dispersing Abscesses
Four Herbs are Used Together In A Strict Structure: Herb Nature is Balanced, Harmonized, Can Clear Heat Transform Phlegm
Expel Stasis, Expel Pus

This is an Effective Prescription For Treating Lung Abscesses, and Was Held in High Esteem By Historical Doctors

It Can Be Used Regardless of Whether Pus Has or Has Not Yet Been Formed:
If Pus is Unformed, It Can Be Dispersed, Dissipated
If Pus Is Already Formed, Lung Heat Can Be Cleared, Phlegm Stasis Transformed, Liquid Pus Externally Expelled, Abscesses Gradually
Healed
Nowadays, Lu Gen is Often Substituted for Wei Jing
(Using Fresh Jing (Stem) is a Difference in Custom Between Classical and Modern Times)

《Zhang Shi Yi Tong》“Gua Ban: Tian Gua Zi”. Later Doctors Used Dong Gua Zi to Substitute for Gua Ban (Its Efficacy is Similar)

Differential Diagnostic Keys:
Commonly Used Formula: Pulmonary Welling-Abscess (Either Pre- Or Already Formed)
Associated Symptoms: Chest Pain
Coughing
Expectorating Foul-Smelling Phlegm or Pus and Blood
Red Tongue, Yellow Slimy Tongue Coating
Rapid Pulse

Modern Usage: Pulmonary Abscess

Lobar Pneumonia
(Lung Heat, Phlegm, Stasis Mutually Binding Patterns)
Bronchitis
Whooping Cough (Hundred Day Cough)
 +

Jin Yin Hua

Lung Abscess Pus Unformed Increase Clear Heat Resolve Toxin Efficacy
Yu Xing Cao

Jie Geng
Pus Already Formed Increase Transform Phlegm Expel Pus Efficacy
Bei Mu
 泻⽩白散
** Xie Bai San **
《Xiao Er Yao Zheng Zhen Jue》

Di Gu Pi, Sang Bai Pi Each 1 Liang (Each 15g / 30g), Sheng Gan Cao 1 Qian (5g / 3g), Jing Mi 1 Cuo

Drain Lungs Clear Heat Lung Heat Qi Congesting

Calm Panting Relieve Coughing
Symptoms: Coughing or Panting, Skin Steaming Heat, Flourishing
from 3-5pm, Red Tongue, Yellow Coat, Thin Rapid Pulse

Latent Fire in Lungs

Coughing, Panting — Qi Counterflow
Rapid Breathing Not Downbearing Sang B. Pi15 : Clear Lungs Transform Phlegm
Skin Steaming Lung Heat Drain Lungs
— Latent Fire in Lungs Qi Congesting Clear Heat Drain Lungs Calm Panting
Heat
Flourishing From — Depressing, Steaming Skin Yin Aspect Calm Panting Di Gu Pi 15 : Clear Lung Latent Fire
Gradual Damage Relieve Coughing
3 - 5 pm Eliminate Vacuous Heat
Red Tongue
Yellow Coating — Latent Fire, Depressed Heat

Jing Mi Boost Qi Harmonize Middle

Gan Cao 5 : “Banking Up Earth to Engender
Thin, Rapid Pulse — Gradual Damage to Yin Concurrently Attend
to Yin Liquid Metal”
Moderate, Balance Herb Natures
This Formula Treats Lung Latent Fire, Depressed Heat Pattern

Lungs Regulate Qi, Suit Clearing, Depurative Downbearing. Fire Heat Depresses, Binds in Lungs ∴ Qi Counterflow, Does Not Downbear:
Coughing, Panting
Lung Harmonizes With Skin, Hair, Lung Heat Thus Externally Steams in Skin, Hair: Skin Steaming Heat
This Heat is Not Externally Contracted; Instead it Results From Latent Heat Gradually Damaging Yin: Heat More Severe in the Afternoon,
Feels Hot With a Light Touch, Longer Touching as if Not (There / Hot) (This is Different From Yang Ming Steaming Heat Effusion Which
Flourishes More With Greater Pressure)
Heat Pathogen Gradually Damaging Yin: Red Tongue, Yellow Coating, Thin Rapid Pulse

Treatment: Clear, Drain Lung Depressed Heat

Calm Panting Stop Coughing

Sang Bai Pi: Sweet, Cold, Nature Downbearing

Specialized at Entering Lung Meridian,
Clearing, Draining Lung Heat
Calming Panting, Stopping Coughing
Di Gu Pi: Sweet, Cold, Enters Lung Meridian
Can Assist Sang Bai Pi to Clear, Downbear Lung Latent Fire
Jun and Chen Together Clear, Drain Lung Heat, to Enable Metal to Clear, Qi to Depurate (Downbear)
Zhi Gan Cao
Jing Mi { Nourish Stomach Harmonize Middle to Support Lung Qi
Four Herbs Used Together Drain Lungs Clear Heat
Stop Coughing Calm Panting

Pairing Characteristics: Moistening Within Clearing

Supplementing Within Draining
Clear, Outthrust Lung Replete Heat to Treat Branch
Enrich Yin Moisten Lungs to Treat Root
Clear, Drain Lung Latent Fire to Disperse Depressed Heat
Suits Children “Tender Yin” Body (Root, Branches Treated Together)
(Lung is a Delicate Zang, Physiologically Does Not Tolerate Heat, Cold)
Differential Diagnostic Keys: Commonly Used Formula: Lung Heat Coughing
Associated Symptoms: Coughing, Panting, Rapid Breathing
Skin Steaming Heat
Red Tongue, Yellow Coating
Thin Rapid Pulse

Modern Usage: Childhood Measles (Initial Stage)

Pneumonia (Lung Dormant Fire, Depressed Heat Patterns)
Bronchitis

Important Points: The Herbs in This Formula are Neutral, It Excels at Treating Zheng Qi Undamaged, Dormant Fire Not Flourishing.
Unsuitable for: Wind Cold Coughing
Lung Vacuity Coughing
 +

Huang Qin
Lung Heat Relatively Severe Increase Clear, Discharge Lung Heat Efficacy
Zhi Mu …

Gua Lou Pi
Dry heat Coughing Moisten Lungs Relieve Coughing
Chuan Bei Mu…

Yin Chai Hu
Yin Vacuity Tidal Heat Enrich Yin Abate Heat
Bie Jia

Heat Damaging Yin Liquid, Hua Fen

Clear Heat Engender Liquid
Vexation Heat Thirst Lu Gen

Treats Phlegm, Saliva Congesting, Flourishing,

Ting Li Da Zao Xie Fei Tang Ting Li Zi Drain Lungs Move Water Coughing, Panting, Fullness in Chest
《Jin Gui Yao Lue》 Da Zao Descend Qi Calm Panting
Drain Phlegm-Water in Lung System
 清胃散
** Qing Wei San **
《Lan Shi Mi Cang》

Dang Gui Shen, Huang Lian If Not Good, Add 1 Fen, Summer Months Double Amount, Sheng Di Huang Alcohol-Processed, Each 3 Fen (Each 6g),
Mu Dan Pi 5 Fen (9g), Sheng Ma 1 Qian (9g)

Clear Stomach Cool Blood Stomach Accumulated Heat

Symptoms: Toothache Stretching to Head / Brain, Heat Effusion in
Cheeks, Teeth are Averse to Heat, Like Cold, Possible
Gum Ulceration, Possible Bleeding Gaping Gums,
Possible Lips, Tongue, Cheeks Swelling Pain, Mouth
Odour Hot, Foul, Mouth, Tongue Dryness, Red Tongue
Yellow Coating, Slippery Large Rapid Pulse
Toothache
Stretching to Brain —
Teeth Heat Averse, —
Like Cold
Face, Cheeks —
Heat Effusion
Lips, Tongue, Stomach Accumulated Heat Huang Lian 6: Bitter, Cold
Cheeks: Swelling, — Attacking Upwards Along
Pain Meridian Pathway Clear Stomach Drain Fire
Hot, Foul Stomach
— Stomach Sheng Ma 9 : Dissipate Fire Resolve Toxin
Mouth Odour Accumulated Clear
Cool Blood
Heat Effuse
Red Tongue
Yellow Coating —
Sheng Di 6 : Cool Blood Enrich Yin
Slippery, Large,
Rapid Pulse — Mu Dan Pi 9 : Cool Blood Dissipate Stasis

Gum Ulceration — Heat Accumulating, Flesh Rotting

Gaping, Bleeding — Frenetic Blood Heat
Gums
Mouth, Tongue
Dryness — Heat Accumulating, Liquid Damage

Dang Gui 6 : Nourish Blood, Harmonize Blood

Sheng Ma 9 : Direct Herbs to Yang Ming Channel
This Formula Pattern Results From Stomach Accumulated Heat, Attacking Upwards Following the Meridian

Foot Yang Ming Stomach Meridian Passes the Nose, Enters the Upper Teeth
Hand Yang Ming Large Intestine Meridian Passes Through the Cheek, Enters the Lower Teeth
Stomach heat Flourishing, Attacking Upwards Along the Meridian: Toothache Pulling to Headache, Face, Cheek Heat Effusion, Lips,
Tongue, Cheek Swelling, Pain
Stomach Heat Upwardly Surging: Hot, Foul Breath
Stomach is a Copious Qi, Copious Blood Fu Organ, So Stomach Heat Also Results in Blood Aspect Heat, Blood Collateral Damage:
Bleeding Gums, Possibly Ulcerated Gums
Stomach Heat, Liquid Damage: Dry Mouth and Tongue, Red Tongue, Yellow Coating, Slippery Rapid Pulse

Treatment: Clear Stomach Cool Blood

Huang Lian: Bitter, Cold, Drain Fire

Directly Break Stomach Fu Organ Heat
Sheng Ma: Sweet, Acrid, Slightly Cold
Clear Heat Resolve Toxicity to Treat Stomach Fire Toothache
Light, Clearing, Upbearing, dissipating, Outthrusting, Effusing Can Diffuse, Reach Depressed, Obstructing Latent Fire
(Effuse Depressed Fire)
Huang Lian Gains Sheng Ma: Downbearing Gains Upbearing (Draining Fire Without Obstruction From Cooling)
Sheng Ma Gains Huang Lian: Upbearing Gains Downbearing (Dissipate Fire Without Upbearing Flame)
Stomach Heat Flourishing Already Invades Blood Aspect, Damaging Yin, Blood ∴
Sheng Di: Cool Blood Enrich Yin
Dan Pi: Cool Blood Clear Heat
Dang Gui: Nourish Blood, Quicken Blood to Assist Discharging Swelling Stopping Pain
Sheng Ma: Direct Herbs to Meridians

Multiple Herbs Paired Together: Clear Stomach Cool Blood to Allow Upward Flaming Fire to Downbear
Blood Aspect Heat to Eliminate
(Following the Meridians) Externally Effuse Multiple Symptoms
Resolve By Internally Penetrating Heat Toxicity
Differential Diagnostic Keys: Commonly Used Formula: Stomach Fire Toothache
(Suitable for: Stomach Heat Patterns
Blood Heat Fire Depression Patterns)
Associated Symptoms: Toothache (Pulling, Connecting to Headache)
Hot, Foul-Smelling Breath
Red Tongue, Yellow Coating
Slippery Rapid Pulse

Modern Usage: Stomatitis (Oral Cavity Inflammation)

Periodontitis (Stomach Fire Attacking Upwards)
Trigeminal Neuralgia

Important Points: Unsuitable for: Wind Cold Toothache

Kidney Vacuity Fire Flaming
 ⽟玉⼥女女煎
** Yu Nv Jian **
《Jing Yue Quan Shu》

Sheng Shi Gao 3 ~ 5 Qian (15~30g), Shu Di 3~5 Qian or 1 Liang (9~30g), Mai Dong 2 Qian (6g), Zhi Mu, Niu Xi Each 0.5 Qian (Each 5g)

Clear Stomach Enrich Yin Stomach Heat Yin Vacuity

Symptoms: Vexation Heat Dry Thirst, Headache, Toothache,
Bleeding Gums, Shaking Gums, Occasional Dry Stool,
Red Tongue, Yellow Dry Coat, Surging or Slippery Pulse
Signs of Deficiency with Pressure
Vexation Heat — Stomach Heat, Yin Damage
Dry Thirst
Headache, — Stomach Fire Attacking Up
Toothache
Bleeding Gums — Heat Damaging
Blood Collaterals
Red Tongue Shao Yin Insufficiency Clear Stomach Shi Gao 15 : Clear Stomach Heat
—
Yellow Coating Replete Heat Enrich Yin
Yang Ming Excess Shu Di 9 : Enrich Kidney Yin
Surging or —
Slippery Pulse
Shaking Gums —
Kidney Yin Vacuity
Dry Tongue Coat — (Loss of Nourishment)
Pulse Vacuity
With Pressure —

Zhi Mu 5 : Bitter, Cold, Moist

Heat Assist Shi Gao Clear Stomach

Mai Dong 6 : Sweet, Cold, Moist

Occasional Assist Shu Di Enrich Kidney Yin
Constipation — Stomach Heat Intestinal Dryness
Niu Xi 5 : Supplement Liver, Kidney
Quicken Blood
Direct Heat, Blood Downwards
Help Downbear Flaming-Up Fire
 +

Dry Intestine Constipation Da Huang Abduct Heat Downwards

↑ Shi Gao
Thirst for Cool Drinks Xuan Shen Clear Heat Engender Liquid
Hua Fen

Stomach Fire Blazing:

Niu Xi Abduct Blood Heat Downwards
Nosebleeds
 葛根芩连汤
*** Ge Gen (Huang) Qin (Huang) Lian Tang ***
《Shang Han Lun》

Ge Gen 0.5 Jin (15g), Gan Cao Mix-Fried, 2 Liang (6g), Huang Qin 3 Liang (9g), Huang Lian 3 Liang (9g)

Resolve Exterior Clear Interior External Contraction Exterior Pathogen Unresolved,

Heat Pathogen Entering Interior
Symptoms: Body Heat, Foul Diarrhea / Dysentery, Sensation of
Scorching Heat in Rectal Area, Chest, Stomach Duct
Vexation Heat, Dry Mouth With Thirst, Panting,
Sweating, Yellow Tongue Coating, Rapid Pulse

Body Heat, — Unresolved Exterior Heat

Sweating Ge Gen 15 : Resolve Exterior Clear Heat
Chest, Stomach Upbear Yang Relieve Diarrhea
— Heat Harassing Chest, Unresolved
Diaphragm Exterior Resolve Exterior Huang Lian 9: Clear Heart Eliminate Vexation
Vexation Heat
Pathogen
Dry Mouth, Thirst — Heat Pathogen Damaging Liquid Dry Dampness Relieve Diarrhea
Internal Heat
Foul-Smelling Already Clear Interior Huang Qin 9 : Pair with Ge Gen to Clear Upper Jiao
Diarrhea/Dysentery — Heat Damaging Large Intestine Accumulating Heat
Rectal Sensation of — Internal Heat Congesting and Cooperate with Huang Lian to Clear
Intestines Relieve Diarrhea
Scorching / Burning Accumulating

Gan Cao 6 : Sweet, Moderate, Harmonize Middle

Panting — Internal Heat Steaming Upwards
Harmonize Other Herb Natures
This Formula Pattern is Caused By Unresolved Shang Han Pattern, Pathogen Sinking in Yang Ming

Exterior Pattern Unresolved, Interior Heat Already Scorching: Body Heat, Thirst, Chest Oppression, Vexation Heat, Dry Mouth
Interior Heat Steaming Upwards to Lungs: Panting
Steaming Outwards to Flesh: Sweating
Heat Pathogen Internally Distressing, Large Intestine Loses Abduction Regulation: Downward Disinhibition, Foul Turbidity, Rectal
Scorching Heat
Interior Heat Flourishing: Red Tongue Yellow Coating, Rapid Pulse

Exterior Unresolved, Interior Heat Scorching ∴ Treatment: Externally Resolve Flesh, Exterior
Internally Clear Intestinal, Stomach Heat

Ge Gen: Sweet, Acrid, Cool, Enters Spleen, Stomach Meridians

Resolve Exterior Abate Heat
Upbear, Effuse Spleen, Stomach, Clear Yang Qi and Treat Downward Disinhibition (Diarrhea / Dysentery)
Huang Lian
Huang Qin { Thicken
Clear Heat Dry Dampness
Intestines Stop Disinhibition
Gan Cao: Sweet, Moderate, Harmonize Middle
Regulate, Harmonize Multiple Herbs

Four Herbs Used Together, Externally Course, Internally Clear,

Exterior, Interior Treated Together,
Heat, Disinhibition Spontaneously Heal

Original Formula: First Decoct Ge Gen, Afterwards [Decoct] Multiple Herbs, Can Enable “Flesh Resolving Efficacy Superior, Clearing Middle Qi
Sharp” 《Shang Han Lai Su Ji》

While This Formula’s Efficacy Resolves Exterior and Clears Interior, From Herb Pairing the Focus is Seen to Be on Clearing Interior Heat.
Zheng Ru You “Pathogen Sinking in Middle: 17, Lodging in Exterior: 3”

Given Ge Gen Can Clear Heat, Upbear Yang, Stop Disinhibition, Wang Ang Referred to it as “Treating Diarrhea Main Medicinal” ∴
This Formula Can Be Used to Treat Heat Diarrhea, Heat Dysentery Whether or Not There is an Exterior Pattern.
Differential Diagnostic Keys: Commonly Used Formula: Heat Diarrhea, Heat Dysentery
Associated Symptoms: Body Heat Downward Disinhibition (Dysentery)
Yellow Tongue Coating
Rapid Pulse

Modern Usage: Acute Enteritis

Bacterial Dysentery
(Exterior Pattern Unresolved, Internal Heat Flourishing)
Ileotyphus
Gastrointestinal Common Cold

Important Points: Contraindicated for Vacuity Cold Downward Disinhibition (Diarrhea, Dysentery)
 +

Abdominal Pain Bai Shao Emoliate Liver Relieve Pain

Heat Dysentery Mu Xiang

Move Qi, Eliminate Rectal Heaviness
Abdominal Urgency Rectal Heaviness Severe Bing Lang

Concurrent Vomiting Ban Xia Downbear Counterflow Relieve Vomiting

Concurrent Food Stagnation Shan Zha Disperse Food

 芍药汤
*** Shao Yao Tang ***
《Su Wen Bing Ji Yi Bao Ming Ji》

Shao Yao 1 Liang (30g), Dang Gui, Huang Lian Each 0.5 Liang (Each 15g), Bing Lang, Mu Xiang, Gan Cao Fried, Each 3 Qian (Each 6g),
Da Huang 3 Liang (9g), Huang Qin 0.5 Qian (15g), Guan Gui 2.5 Qian (5g)

Clear Heat Dry Dampness Damp Heat Dysentery

Regulate Qi Harmonize Blood
Symptoms: Abdominal Pain, Stool Containing Pus and Blood,
Red, White Mutual Concurrence, Abdominal Urgency
With Rectal Heaviness, Rectal Scorching Heat, Short
Voidings of Reddish Urine, Yellow Slimy Tongue Coat

— Intestinal Collateral Relax Tension Shao Yao 30 : Constrain Yin Harmonize Ying
Abdominal Pain Losing Harmonious Nature Relieve Pain
Relax Tension Relieve Pain
Huang Lian 15 Clear Heat Dry Dampness
Huang Qin 15: Thicken Intestines Stop Diarrhea

Da Huang 9 : Drain Heat Attack Accumulation

Abdominal Urge. Cool Blood Resolve Toxin
—
Rectal Heaviness “Treat the Free by Freeing”
Stool Containing — Damp Heat Epidemic Disease Direct Damp Heat Downwards
Pus and Blood Brewing, Steaming in Intestines
Transforming Dang Gui 15 : Assist Shao Yao to Harmonize,
— Blood Collaterals Damaged Clear Heat Move Blood
Rotting, Pus Damp Heat Resolve Toxin
Red White Mutual Dysentery Regulate Qi Mu Xiang 6 Move Qi Abduct Stagnation
— Bing Lang 6 : Combine with Shao Yao to
Concurrence And Blood
Yellow Tongue Coat — Damp Heat Regulate Qi and Blood
Scorching Rectum — Guan Gui 5 : Acrid, Heat, Warm, Free
Short Voidings of Damp Heat Lower Body Distress Warm Meridians Quicken Blood
Reddish Urine —
Prevent Other Herb Cold From
Trapping Damp Heat
Gan Cao 5 : Harmonize Herb Natures
Combine With Shao Yao to
Relax Tension Relieve Pain
This Formula Pattern Results From Damp Heat Congesting, Stagnating in Intestines, Qi, Blood Losing Regulation

Damp Heat Downpouring in Large Intestine, Attacking, Binding Qi, Blood, Fermenting Into Pus, Blood: Red, White Dysentery
Intestinal Tract Qi Dynamic Stagnation: Abdominal Pain, Interior Urgency With Rectal Heaviness
Damp Heat Internally Brewing: Rectal Burning, Short Reddish Urinary Voidings, Yellow Slimy Tongue Coating, Wiry Rapid Pulse

Treatment: Clear Heat Dry Dampness

Regulate, Harmonize Qi, Blood

Huang Qin Bitter, Cold, Enter Large Intestine Meridian

Huang Lian Clear Heat Dry Dampness Resolve Toxicity to Eliminate Illness Cause
Shao Yao (Heavy Use) Nourish Blood Harmonize Ying
Pair With Dang Gui to Nourish Blood, Quicken Blood “Move Blood Thus Stool Pus Spontaneously Heals”
Treat Damp Heat Pathogen Toxicity Smoking, Scorching Intestinal Collaterals, Damaging Yin, Blood
Mu Xiang Move Qi Abduct Stagnation
Bing Lang “Regulate Qi Thus Rectal Heaviness Spontaneously Eliminates”
Four Herbs Paired Together: Regulate, Harmonize Qi, Blood
Da Huang: Bitter, Cold, Heavy, Downbearing
Pairs With Huang Lian, Huang Qin to Enhance Clear Heat Dry Dampness Efficacy
Pairs With Dang Gui, Shao Yao to Enhance Quicken Blood, Move Qi Efficacy
Drain, Downbear, Free Fu Organ Efficacy Can Free, Abduct Damp Heat Accumulation, Stagnation to Exit Via Defecation
(通因通⽤用 (Tong Yin Tong Yong): “Free Cause, Free Use” Method)
Rou Gui: (Small Amount) Acrid Heat, Warming, Freeing Nature
Assist Dang Gui, Shao Yao Move Blood Harmonize Ying (Assisting Zuo)
Prevent Retching Counterflow (Rejecting Medicinals) (Paradoxical Zuo)
Zhi Gan Cao: Harmonize Middle Regulate Herbs
Pair With Shao Yao to Relax (Moderate) Tension Stop Pain

Multiple Herbs Used Together: Dampness Removed, Heat Cleared

Qi, Blood Regulate, Harmonize
Dysentery Spontaneously Heals

The Intent of This Formula is Not to Stop Dysentery, But Rather To Treat the Cause of the Dysentery
Pairing Characteristics: Qi, Blood Treated Together
Assisted By “Free[ing] Cause, Free[ing] Use”
Cold, Heat Both Used (Emphasis on Cold Treating Heat):
(ie. This Formula is Different From Those Which Only Use Bitter, Cold to Treat Damp Heat Dysentery)

Differential Diagnostic Keys: Commonly Used Formula: Damp Heat Dysentery

Associated Symptoms: Red and White Dysentery
Abdominal Pain, Internal Urgency
Slimy, Slightly Yellow Tongue Coating

Modern Usage: Bacterial Dysentery

Amoebic Dysentery
(Damp Heat Patterns)
Anaphylactic Colitis
Acute Enteritis

Important Points: Contraindicated for: Initial Stage Dysentery (With Exterior Pattern)
 - +

Yellow, Dry Tongue Fur

Rou Gui Wu Mei Avoid Heat, Move Towards Cooling
(Heat Extreme, Damaging Liquid)

Slimy Tongue Fur, Slippery Pulse Shan Zha

Abduct, Disperse
Food Accumulation Shen Qu

Bai Tou Weng

Heat Toxin Severe Increase Resolve Toxin Efficacy
Yin Hua

Dysentery: Copious Red, Less White, or Dan Pi

Cool Blood Stop Bleeding
Only Red (Blood Dysentery) Di Yu

Huang Qin Tang and Shao Yao Tang Are Both

Used to Both Treat Heat Dysentery Abdominal
Pain

Shao Yao Tang’s Clear Heat Dry Dampness,

Huang Qin
Huang Qin Tang Mediate Qi Blood Efficacy Both Strong, is Used
Shao Yao Clear Heat Relieve Dysentery
for Damp Heat Dysentery to Drain Down Pus
《Shang Han Lun》 Gan Cao Harmonize Middle Relieve Pain
and Blood (Abdominal Urgency and Rectal
Da Zao
Heaviness Patients)

Huang Qin Tang’s Clear Heat Dry Dampness,

Mediate Qi Blood Efficacy is Weak, Often Used
for Damp Heat Diarrhea, Impeded Defecation
 ⽩白头翁汤
*** Bai Tou Weng Tang ***
《Shang Han Lun》

Bai Tou Weng 2 Liang (12g), Huang Bai 3 Liang (15g), Huang Lian 3 Liang (6g), Qin Pi 3 Liang (12g)

Clear Heat Resolve Toxin Damp Heat Dysentery

Cool Blood Stop Dysentery
Symptoms: Heat Dysentery Abdominal Pain, Abdominal Urgency
With Rectal Heaviness, Rectal Scorching Heat,
Diarrhea with Pus and Blood, Copious Red Less White,
Thirst with Desire to Drink, Red Tongue, Yellow Coating,
Wiry Rapid Pulse

Heat Toxin Congesting,

Abdominal Pain — Stagnating
Abdominal Urgency— Qi Stagnation, Blockage
Rectal Heaviness
Diarrhea With — Blood Aspect Heat Toxin Bai Tou Clear Heat Resolve Toxin
Pus and Blood Weng 12 : Cool Blood Treat Dysentery
Copious Blood Fuming, Scorching
Less Pus — Intestinal Collaterals Clear Heat
Heat Toxicity Resolve Toxin Huang Lian 6 Clear Heat Dry Dampness
Blood Dysentery Cool Blood Huang Bai 15: Drain Fire Resolve Toxin
Rectal Scorching Heat Toxin
— Lower
Heat Body Distress Stop Dysentery
Qin Pi 12 : Clear Heat Dry Dampness
Thirst With Desire — Heat Accumulating
to Astringe Intestines Stop Dysentery
‘ Drink Liquid Damage
Red Tongue
Yellow Coating —
Wiry, Rapid Heat Accumulating
Pulse —
This Formula Pattern Results From Severe Heat Toxicity Sinking to Blood Aspect,
Downwardly Distressing Large Intestine

Heat Toxicity Smokes, Scorches Intestinal, Stomach Qi, Blood, Transforms Pus, Blood: Dysentery, Pus, Blood (Copious Red, Scant White)
Heat Toxicity Obstructs, Stagnates Qi Dynamic: Abdominal Pain, Interior Urgency Rectal Heaviness
Heat Pathogen Internally Flourishing: Thirst, Desire for Water, Red Tongue, Yellow Coating, Wiry Rapid Pulse

Treatment: Clear Heat Resolve Toxicity

Cool Blood Stop Dysentery
(In Order to Resolve Heat Toxicity, Thus Stopping Dysentery and Eliminating Rectal Heaviness)

Bai Tou Weng: Bitter, Cold, Enters Blood Aspect

Clear Heat Resolve Toxicity
Cool Blood Stop Dysentery
Huang Lian: Bitter, Cold, Drain Fire Resolve Toxicity
Dry Dampness Thicken Intestines
“Treating Dysentery Required Medicinal”
Huang Bai: Clear Lower Jiao Damp Heat
Both Herbs Assist Bai Tou Weng Clear Heat Resolve Toxicity, Especially Dry Dampness Treat Dysentery
Qin Pi: Bitter, Astringing, Cold, Clear Heat Resolve Toxicity
Contract, Astringe, Stop Dysentery

Four Herbs Combined Together: Clear Heat Resolve Toxicity

Cool Blood Stop Dysentery

Bai Tou Weng Tang and Shao Yao Tang Both Treat Dysentery:

Bai You Weng Tang Regulates Treatment of Heat Toxicity Blood Dysentery: Severe Heat Toxicity Sinking to Blood Aspect, Treatment
Involves Clearing Heat Resolving Toxicity, Cooling Blood Stopping Dysentery, Enabling Heat Toxicity to Resolve, Dysentery to Stop, Rectal
Heaviness to Spontaneously Heal.
Shao Yao Tang Treats Red, White Precipitating Dysentery (Damp Heat Dysentery): Qi, Blood Losing Regulation Pattern, so Treatment
Involves Clearing Heat, Drying Dampness and Regulating, Harmonizing Qi, Blood Together, Using “Free Cause Free Use” Method, Enabling
“Moving Blood Thus Stool Pus Spontaneously Heals, Regulating Qi This Rectal Heaviness Spontaneously Eliminates”

Main Difference Between The Formulas: Bai You Weng Tang: Clear Heat Resolve Toxicity + Cool Blood Dry Dampness Stop Dysentery
Shao Yao Tang: Clear Heat Dry Dampness + Regulate, Harmonize Qi, Blood Together
Differential Diagnostic Keys: Commonly Used Formula: Heat Toxicity Dysentery
Associated Symptoms: Dysentery (Copious Red, Scant White)
Abdominal Pain
Interior Urgency, Rectal Heaviness
Red Tongue, Yellow Coating
Wiry Rapid Pulse

Modern Usage: Bacterial Dysentery

(Heat Toxicity Flourishing Patterns)
Amoebic Dysentery
 +

Ge Gen
External Exterior Pathogen
Lian Qiao Outthrust Exterior Resolve Heat
Cold Aversion Heat Effusion
Yin Hua

Mu Xiang
Abdominal Urgency Rectal Heaviness Severe Bing Lang Regulate Qi
Zhi Ke

Chi Shao
Copious Pus, Blood Dan Pi Cool Blood Harmonize Blood
Di Yu

Jiao Shan Zha

Food Stagnation Disperse Food Abduct Stagnation
Zhi Shi

Duck Egg
Amoeba Dysentery Wrapped in Increased Efficacy
Long Yan Flesh
Section 6: Clear Vacuous Heat Formulas

Qing Hao Bie Jia Tang

Dang Gui Liu Huang Tang
Clearing Vacuous Heat Formulas Suit:

Late Stage Heat Diseases Pathogenic Heat Remains Evening Heat, Morning Coolness
Yin, Liquid Already Damaged Red Tongue
Heat Lodged in the Yin Aspect Scant Coating

Liver, Kidney Yin Vacuity Bone Steaming

Tidal Heat

Yin Vacuity Fire Harassing Heat Effusion

Thief Sweating

Clearing Vacuous Heat Formulas Predominant Use: Clearing Vacuous Heat Herbs (e.g. Qing Hao, Di Gu Pi, Qin Jiao,
Yin Chai Hu, Hu Huang Lian ...)
Common Pairings:
Vacuous Heat is Due to Yin Vacuity ∴
Enrich Yin, Clear Heat Herbs are Used (e.g. Sheng Di, Bie Jia, Zhi Mu …)
(To: Enrich Yin, Supplement Vacuity
Clear, Abate Vacuous Heat { Addressing Root And Branches Together

e.g. Qing Hao Bie Jia Tang: Bie Jia, Sheng Di, Zhi Mu Qin Jiao Bie Jia San: Bie Jia, Zhi Mu
Qing Gu San: Bie Jia, Zhi Mu Dang Gui Liu Huang Tang: Sheng Di

Exterior is Vacuity, Severe Thief Sweating:

Secure Exterior Stop Sweating Herbs are Used (e.g. Huang Qi)
e.g. Dang Gui Liu Huang Tang: Huang Qi

Representative Clearing Zang Fu Heat Formulas: Qing Hao Bie Jia Tang
Qing Gu San
Qing Jiao Bie Jia San
 ⻘青蒿鳖甲汤
*** Qing Hao Bie Jia Tang ***
《Wen Bing Tiao Bian》

Qing Hao 2 Qian (6g), Bie Jia 5 Qian (15g), Xi Sheng Di 4 Qian (12g), Zhi Mu 2 Qian (6g), Dan Pi 3 Qian (9g)

Nourish Yin Outthrust Heat Wen Bing Late Stage, Yin Liquid Damaged,
Pathogen Latent in Yin Aspect
Symptoms: Night Heat Morning Cool, Heat Abates Without Sweat,
Red Tongue, Scant Coating, Thin Rapid Pulse

Bie Jia 15 : Salty, Cold

Directly Entering Yin Aspect
Night Heat Enter Collaterals Find Pathogen
— Wen Bing Late Stage
Morning Cool Pathogen Latent in Yin Aspect Enrich Yin Abate Heat

Heat Abates Yin, Liquid Damaged, Pathogen Qing Hao 6 : Aromatic, Cool Outthrust
Without Sweat — Yet to Exit from Exterior Wen Bing Late Stage Nourish Yin
Latent Pathogen, Direct Pathogen to Exit Outwards
Yin Damage Outthrust Heat
Red Tongue
Scant Coating — Sheng Di 12 : Sweet, Cool, Enrich Yin
Yin Deficient Heat Clear Heat Engender Liquid
Thin, Rapid —
Pulse
Zhi Mu 6 : Enrich Yin Downbear Fire
Assist Bie Jia Nourish Yin Abate
Heat

Dan Pi 9 : Pair With Qing Hao to Internally

Clear Blood Aspect Latent Heat
Externally Outthrust Latent Yin
Aspect Pathogen
This Formula is Used to Treat Wen Bing Late Stage, Yin Liquid Damaged, Excess Pathogen Deeply Latent in Yin Aspect.

Wei Yang Qi Circulates in the Exterior During the Day, Enters the Interior at Night.
Yin Aspect Already has Latent Heat, Yang Qi Enters the Yin, Thus Encouraging Pathogenic Heat: Both Yangs Mutually Adding, Yin Not Curbing
Yang: Entering Night Body Heat
In the Morning Wei Qi Circulates in the Exterior, Yang (Qi) Exits Yin (Aspect): Heat Abates, Body Cool
Wen Bing Late Stage; Yin Liquid Already Damaged, Supplemented by Pathogenic Heat Deeply Latent in Yin Aspect; Yin Liquid Further
Damaged, Unable to Make Sweat: Body Heat Abates Without Sweat
Yin Vacuity Heat: Red Tongue, Scant Coating, Thin Rapid Pulse

This is a Yin Vacuity Latent Pathogen Pattern: If Only Enriching Yin is Used; Enriching, Slimy Nature Will Attach to, Lodge Pathogen
If Only Bitter Cold is Used; Transforming Dryness Damaging Yin Will Occur
∴ Nourish Yin, Outthrust Pathogen Must Enter Together

Bie Jia: Salty, Cold, Directly Enters Yin Aspect

Enrich Yin Abate Heat
Enter Collaterals Seek Pathogen
Qing Hao: Bitter, Acrid, Cold, Aromatic Qi Fragrance,
Outthrust, Dissipate Within Clearing
Clear Heat Outthrust Collaterals
Direct Pathogen to Exit Outwards
Both Herbs Paired Together: Enriching Yin Clearing Heat,
Internal Clearing, External Outthrusting
Enables Yin Aspect Latent Heat to Reach Outwardly
Wu Tang: “This Formula First Enters Then Exits: Qing Hao Cannot Directly Enter Yin Aspect; Bie Jia Enables it to Enter
Bie Jia Cannot Exit Yin Aspect Alone; Qing Hao Enables it to Exit.”
Sheng Di Huang: Sweet, Cold
Enrich Yin Cool Blood
Zhi Mu: Bitter, Cold, Moistening Quality
Enrich Yin Downbear Fire
Assist Bie Jia to Nourish Yin, Abate Vacuous Heat
Mu Dan Pi: Acrid, Bitter, Cool Nature
Discharge Latent Fire Within Blood to Assist Qing Hao Outthrust Yin Aspect Latent Heat

Multiple Herbs Used Together: Nourish Yin Outthrust Heat

Pairing Characteristics: Enriching, Clearing Used Together
Root, Branches Considered Together
Outthrusting Within Clearing
Enabling Nourishing Yin Without Lodging Pathogen
Dispelling Pathogen Without Damaging Zheng
Yin Return, Pathogen Exit, Heat Abatement

Differential Diagnostic Keys:
Heat)
Commonly Used Formula: Wen Bing Late Stage; Excess Heat Remaining, Liquid Insufficient (Vacuous
Associated Symptoms: Nighttime Heat, Morning Cool / Cold
Heat Abates Without Sweat
Red Tongue Scant Coating
Thin, Rapid Pulse

Modern Usage: Heat Effusion Without Clear Cause

Low Heat (Effusion) During Recovery From Various Communicable / Infectious Diseases
Chronic Pyelonephritis
Nephrophthisis (Nephrotuberculosis)
(Yin Vacuity Internal Heat / Low Unabating Heat Patterns)

Important Points: Not Suitable For Yin Vacuity Wind Stirring

 - +

Evening Heat, Morning Cold

Sheng Di Tian Hua Fen Clear Heat Engender Liquid Stop Thirst
Sweat Resolving, Thirst

Sha Shen
Lung Yin Vacuity Enrich Yin Moisten Lungs
Mai Dong

Bai Wei
Childhood Summer Month Heat Dispel Summerheat Abate Heat
He Geng
 当归六⻩黄汤
** Dang Gui Liu Huang Tang **
《Lan Shi Mi Cang》

Dang Gui, Sheng Di Huang, Shu Di Huang, Huang Lian, Huang Qin, Huang Bai Each in Equal Amounts (Each 6g), Huang Qi Double (12g)

Nourish Yin Clear Heat Yin Vacuity Fire Effulgence

Secure Exterior Relieve Sweating
Symptoms: Heat Effusion Thief Sweating (Night Sweating),
Red Face Heart Vexation, Dry Mouth Dry Lips,
Constipation, Yellow Urine, Red Tongue, Rapid Pulse

Heat Effusion Yin Vacuity Fire Harassing

—
Thief Sweating Yin Liquid Steaming Out

Red Face — Vacuous Fire Flaming Upwards

Sheng Di 6 Enrich Yin Nourish Blood
Heat Vexation — Vacuous Fire Harassing Heart Enrich Yin Shu Di 6 :
Supplement Liver, Kidney
Yin Vacuity Drain Fire
Dry Mouth Fire Effulgence Secure Exterior
— Fire Damaging Yin, Liquid Huang Qin 6 Clear Heat Drain Fire
Parched Lips Relieve Sweating Huang Lian 9
Consolidate Yin Eliminate Vexation
Huang Bai 6 :
Constipation
—
Yellow Urine
Yin Vacuity Fire
Red Tongue
—
Rapid Pulse
Dang Gui 6 Boost Qi Supplement Blood
Huang Qi 12 :
Assist Main Herbs to Secure Exterior
Relieve Sweating