Excess

Ma Huang Tang / Ephedra Decoction RELEASE EXTERIOR Cold

Functions: Promote Sweating, Release the Exterior, Open Lung Qi, Calm wheezing / Relieve Asthma
Indication: Composition: Grams F(x) of single herb in formula:
Exterior Wind-Cold KING - Promotes sweating, warms yang qi,
Invasion (Shi type) releases exterior, relieves asthma, disperses LU
*no sweating Qi (esp. to LU Channel - very pungent, very hot)

Aversion to wind/cold, Ma Huang + Gui Zhi: Powerful to induce

fever, headache, body aches, Ma Huang
sneezing, chills, aches and
pains, headache, cough,
clear white sputum,
asthma/wheezing,
defensive qi is stagnated by
the cold à no sweating,
closed pores
T: Pale, thin white coat
P: Superficial, tight
*RATIO OF HERBS: Ma
Huang (3) - Gui Zhi (2) -
Zhi Gan Cao (1)
Always have to follow this
ratio
Pathogenesis: wind cold
obstructs the superficial,
the lung qi does not
descend
Only for strong patients!
9
sweating, stop coughing and wheezing, warms
cold, induces perspiration and urination for
edema
Ma Huang substitute: Hou Po + Xing Ren
MINISTER - Helps Ma Huang promote sweating,
expels Wind-Cold (release the exterior)
Gui Zhi 6
Gui Zhi + Zhi Gan Cao: Great for heart yang,
warms the yang for heart disease. Gan Cao makes
the formula last longer in the body
ASSISTANT - Stops wheezing (Ma Huang
disperses, Xing Ren descends – these balance
each other), descends LU Qi, relieves asthma,
expels Wind-Cold
Xing Ren 6
Xing Ren + Ma Huang: Powerful to stop
coughing, panting, wheezing, descends lung qi
and Xing Ren reduces the harshness of Ma
Huang
ENVOY - Harmonizes Ma Huang, Xing Ren;
balance Ma Huang, Gui Zhi (Gui Zhi, protects
Zhi Gan Cao zheng qi)
3
Ma Huang + Zhi Gan Cao: Drain edema in the
upper body, reduces the side effects of Ma Huang

Clinical Applications: Common cold, flu, bronchitis, branchial asthma, pneumonia, rheumatoid arthritis,
urticaria, psoriasis caused by exterior excess syndrome due to wind and cold.
Contraindications: Weak constitution or the elderly, bleeding, already sweating; exterior xu (gui zhi tang)
- Should not be exposed to cold/wind after taking; not for long time use– stop when have begun sweating
(3 days is enough: don’t use to lose weight!) may weaken the qi and yin of the body, not for wind heat,
not for people with thirst or a rapid pulse, if irritability is noticed after taking the decoction, should
reduce the dose. Use with caution in hypertension.
Variations: Da Qing Long Tang, San Ao Tang, Hua Gai San, Ma Huang Jia Zhu Tang, Ma Xing Yi Gan Tang
Da Cheng Qi Tang / Major Order the Qi Decoction PURGING Excess
FORMULA Heat
Functions: Strongly Purges Heat Accumulation
Indication: Indication: Grams F(x) of single herb in formula:
Yang Ming Organ Excess Syndrome KING - Strongly clears heat,
(pi man zao shi) promotes bowel movement.
Da Huang 12 Treats excess/hardness (shi)
Excessive Fire in the Yangming organs: - heat and dry stool takes on
1) Focal distention/stuffiness - pi form, constipation and pain
2) Fullness - man
3) Dryness/heat - zao MINISTER - Relieves
4) Hardness/excessive - shi dryness, softens stool. Treats
dryness (Zao) - dry stool
Severe constipation & gas; fullness of abdomen; pain – that causes parts of the
Mang Xiao 9-12 abdominal wall to become
aversion to touch; epigastrium feels hard upon
palpation; burning diarrhea (excess), *tidal fevers, tense and firm
profuse sweating or slight sweating from the palms
and soles (body fluids are being consumed by heat - Da Huang + Mang Xiao:
not deficiency), cold limbs. evacuates and softens stool

Four Bigs: pulse, fever, sweat, thirst.

ASSISTANT - break up
(Tidal fever: yin xu, damp heat, yang ming organ, congestion and eliminate
terminal stage febrile disease) lumps. Treats focal
Zhi Shi 12 distention (Pi) - a sensation
Heat clumping circumfluence/parasites: green of obstruction, distention,
watery and foul smelling diarrhea with the same and heaviness in the
abdominal signs and symptoms as above. The tongue epigastrium
body and coating are dry and the pulse is slippery and
rapid.
Heat inversion: internal heat excess with fever, cold
extremities, thirst, sweating on the head, constipation,
scanty and dark urine, disorientation, delirious speech,
cracked lips, red tongue, submerged, excessive and ASSISTANT - Hou Po:
forceful pulse promote energy flow, remove
Heat comes from 1. external contracted cold pathogen fullness. Treats fullness (Man)
that has turned into heat, 2. a heat pathogen that enters - distention that is resistant to
the body directly via the nose or mouth, 3. internal palpation.
disturbance of yin and yang organs
Hou Po + Zhi Shi: open and
T: Yellow, thick dry coating Hou Po 24 regulate the qi
P: Strong, deep, excess, full, slippery
*submerged excessive pulse *Taking away the firewood
from under the caldron:
Ratio of herbs remove the material
Da Huang (1) to Hou Po (2) (to Zhi Shi (1)) underneath the fire, and the
fire has nothing to burn so it
*For heat and dry stool, (Xiao Cheng Qi Tang is just for clears the heat
heat and not dry stool), tidal fever, the only one that
treats cold inversion (cold four limbs), the only one
for green foul smelling diarrhea*
Cooking Method: Cook Huo Po and Zhi Shi first, put in Da Huang after water boils (the less time you cook it,
the stronger it is) Mang Xiao is dissolved into the cooked decoction
Modifications: High fever, severe thirst, rapid and forceful pulse (+Zhi Mu, Shi Gao), yin damage (+Sheng Di
Huang, Xuan Shen, Mai Men Dong), blood stasis (+Tao Ren, Chi Shao, Dang Gui)
Cautions and Contraindications: Should not be used in cases of deficient qi and yin, or the stomach and
intestines don't have heat accumulation, old age, weak health, pregnancy
Clinical Applications: Intestinal obstruction, pancreatitis, appendicitis, cholecystitis, postoperative problems,
bacterial dysentery, acute icteric hepatitis, encephalitis, influenza, lobar pneumonia, purulent tonsillitis.
Variations: Xiao Cheng Qi Tang (-Mang Xiao), Tiao Wei Cheng Qi Tang (-Mang Xiao, Hou Po, + Gan Cao)
Comparisons: Da Cheng Qi Tang (strong purgation, cook shorter), Xiao Cheng Qi Tang (mild purgation, weak
clearing heat function), Tiao Wei Cheng Qi Tang (gentle purgation, does not injure the healthy qi, put in Mang
Xiao last)
 Excess
Shao Yao Tang / Peony Decoction CLEAR HEAT IN THE ZANG/FU
Heat
Functions: Regulates and Harmonizes the Qi and Blood, Clears Heat, Dries Dampness, Resolves Toxicity
Indication: Composition: Grams F(x) of single herb in formula:
Dysentery Disorder due to Damp-Heat, Huang Lian 6-9 KING - Clear Damp Heat (Bitter, Cold,
(#1 Sign=tenesmus) Huang Qin 9-12 Can Dry Damp)
1. Damp heat blocks the intestines
causing qi and blood stagnation
2. Qi, blood stagnation due to damp heat
obstruction leading to flesh and Da Huang 6-9 MINISTER - Lead Heat Down
muscle rotten
3. Dysentery and abdominal pain Bai Shao 15-20 MINISTER - Harmonize Blood, (Bai
Dang Gui 6-9 Shao also Relieve Pain), Blood in Stool
Qi and blood are treated simultaneously. So Need to Work on Blood, treats the
With the concurrent method of treating Blood problem
disease with profuse fluid discharge by
increasing fluid discharge. Cold nature
drugs and hot drugs are used together, Mu Xiang * 6 ASSISTANT - Move Qi, Remove
with the focus on treating hot and cold Bing Lang 4.5 Stagnation; Assistant Herbs – Need Qi
drugs. This is different from the common Moving – Use 3g Only for Mu Xiang,
formulas of treating dysentery due to treats the Qi problem
dampness and heat pure bitter and cold
drugs. Mu Xiang stops pain
1. Treating disease with profuse fluid Bing Lang promotes qi movement, guides
discharge by increasing fluid the turbidity downwards
discharge.
Rou Gui 1.5-3 ASSISTANT - Balance cold herbs, help
2. Treating qi/blood disorders
move blood/guides the herbs to the
simultaneously (Shao Yao/Dang Gui
blood level
and Mu Xiang/Bing Lang).
3. An opposing, and corrective assistant -
Rou Gui
4. The king herb is not the same as the
name of the formula (Shao Yao).
Gan Cao 4.5 ENVOY - Relieve Pain with Bai Shao
Incomplete feeling, frequent BM,
cramping, spasm, burning sensation in
anus, tenesmus, difficulty with
defecation, dark scanty urine
Both Pus & Blood (White & Red)

Acute Signs, not Excess

T: Yellow and greasy coating

P: Rapid
Cautions and Contraindications: This formula is the heat clearing and dampness draining formula, it is
contraindicated in cases of dysentery at the early stage with exterior syndrome as well as dysentery due to
asthenic cold. Take the warm strained decoction after meals.
Modifications: In cases of pus in the stool more than blood (add Hou Po, Sha Ren, Che Qian Zi, Ze Xie), in cases
of blood in the stool with more pus (remove Dang Gui and Rou Gui, add Mu Dan Pi, Di Yu, Bai Too Weng), in
cases of abundant heat injuring the fluid (remove Rou Gui, add Wu Mei), food retention with heat (add Bai Too
Weng, Jin Yin Hua).
Clinical Applications: This formula may be used to treat inflammation of the lower digestive tract, including
bacillary or amebic dysentery, acute enteritis, and ulcerative colitis.
 FORMULAS THAT CLEAR HEAT FROM DEFICIENCY

Heat from deficiency occurs in these situations:

1. The final stage of warm heat pathogen disease; the heat has depleted the yin or settled into the deep
yin aspects of the body.
2. Chronic injury to the LV and KD may present with similar symptoms.

The fever pattern:

1. Fever at night that cools by morning - remaining lurking pathogen in the ying level
2. Tidal fever - yangming fu organ excess heat, deep rapid forceful pulse, qi xu fever, yin xu fever
3. Steaming bone disorder - severe yin deficiency
4. Chronic, unremitting, low grade fever - yin xu, lurking pathogen

1. Qing Hao Bie Jia Tang

2. Qin Jiao Bie Jia San
3. Qing Gu San
4. Dang Gui Liu Huang Tang


Comparisons:
Clear heat (deficient heat), steaming bone, night sweating, low grade fever.
1. Qing Hao - enters the shaoyang/liver channel for yin xu heat, disperses pathogen in qi level
2. Mu Dan Pi - clear heat in blood level, blood stasis
3. Di Gu Pi - clear heat and nourish the yin, lurking heat in the lung
4. Zhi Mu - clear deficiency heat in lung, kidney, stomach, nourish fluids; upper, middle, and lower jiao
5. Yin Chai Hu - disperse deficiency heat out
6. Sang Bai Pi - clear lung heat, detox heat, promote urination

Summer Heat Disorder Characteristics

1. Yang pathogens in flaring nature
2. Summer heat is simultaneous presence of dampness
3. Summer heat readily contracted by wind cold (air conditioner, eating cold foods in the summer, not
wearing enough clothes in the summer esp. at night, sleeping with window open)
4. Summer heat prone to impair qi and yin

Summer heat symptoms: heat, high fever, humidity, dampness, urination difficulty, profuse sweating,
injures qi, fatigue, shortness of breath, collapse, thirsty, impaired body fluid.

1. Liu Yi San: clears summerheat, resolves dampness.

2. Xin Jia Xiang Ru Yin: dispels summer heat, releases the exterior
3. Qing Luo Yin: resolves summerheat
4. Qing Shu Yi Qi Tang: clears summer heat, augments the qi, nourishes the yin

1. Exterior summer heat: acrid and cooling - clears and vents

2. Injury to qi and yin: cool and sweet, sour, sweet - nourishes yin, augments qi
3. Injury to heart: protects spirit/shen clear heat through leaching out urination
4. Heat complicated with dampness - eliminate dampness
Yu Ping Feng San / Jade Windscreen Powder ASTRINGING SWEAT XU
Functions: Augment the Qi, Stabilize the Exterior, Stop Sweating
Indication: Composition: Grams F(x) of single herb in formula:
Spontaneous sweating d/t Exterior KING - Tonify Qi, Strengthen Exterior
Deficiency; Likely to get Wind Ma Zhi 60 (highly processed version), focuses on the
Invasion Huang Qi upper jiao

Aversion to drafts, spontaneous MINISTER - Tonify Spleen Qi, focuses on

sweating, recurrent colds, shiny and Bai Zhu 60 the middle jiao
pale complexion.
ASSISTANT - Expel Wind, Moistens
Wei Qi Xu: - Preventative to stop Wind invasion,
Likely to catch cold internal and external wind
Spontaneous sweat b/c wei qi cannot - Stabilizes the exterior without causing the
hold sweat w/in Fang Feng 30 pathogenic influence to linger and
expels the pathogenic influences
Work on SP to T/T food & water to without harming the normal qi.
strengthen Wei Qi Disperses while tonifying

If allergies predominate, see below. Da Zao 1 pc ENVOY - Harmonize, tonify middle jiao
T: Pale with white coating
P: Floating, deficient, soft
None of these herbs stop sweating directly. They Tonify wei Qi to stop
Herbs that have stopping sweating sweating
function: Huang Qi, Bai Zhu, Fu Xiao
Mai, Wu Wei Zi
Cautions and Contraindications: This formula focuses on preventing pathogenic factors from entering the body,
not on dispersing the pathogenic influence from the body.
Modifications: For externally contracted disorders with aversion to wind, sweating, and a moderate pulse add Gui
Zhi. For persistent sweating add Mu Li, Fu Xiao Mai, and Wu Wei Zi. For chronic or allergic rhinitis add Xin Yi
Hua, Cang Er Zi, and Bai Zhi. For bronchitis in children add Shan Yao, Chen Pi, and Da Zao. For night sweats
with qi deficiency in the exterior add Sheng Mai San.
Clinical Applications: Recurrent upper respiratory infections, glomerulonephritis, allergic rhinitis, urticaria and
bronchial asthma.
Dr. Ma: Can be used during allergy remission; must add other things during attacks or during exposure of triggers
(based on previous symptoms); Jie Geng/Zhi Ke; Jing Jie, Etc.
Automatic sweating is day time, worse with exertion – more of Yang Xu
“Don’t lock the robber in your house”
Take this formula a season before
Compare:
Yu Ping Feng San is mainly for prevention and to astringe spontaneous sweating, for ongoing chronic
problems marked by spontaneous sweating together with aversion to wind and recurrent colds.
- Although commonly used for allergies, it isn’t enough. Must add more herbs for the specific
allergic symptoms
- Mold: add herbs for dampness; Cough; Nasal congestion, sneezing: xin yi hua; ear congestion:
chai hu; red watery eyes: bo he, ju hua
Gui Zhi Tang is primarily for releasing the exterior. It is designed for relatively acute conditions with
fever and aversion to cold, where the sweating does not resolve the problem.
FORMULAS FOR REGULATING QI

Qi deficiency, qi sinking, qi stagnation, reversal flow of qi, qi collapse, qi blockage, qi/blood

defiicency, qi deficiency and blood stasis, qi stagnation and blood stasis, failure of qi to control
the blood, collapse of qi due to hemorrhage.

Qi stagnation in the chest: chest and back pain, coughing, shortness of breath. Chen Pi, Hou Po,
Zhi Ban Xia, Cong Bai.
Qi stagnation in the middle jiao: epigastric and abdominal pain and distention, belching, acid
reflex, irregular bowel movements. Chen Pi, Hou Po, Mu Xiang, Sha Ren.
Constraint of the ascent of liver qi: pain and distention in the chest and hypochondria. Xiang Fu,
Qing Pi, Chuan Lian Zi, Yu Jin.
Qi stagnation in the lower burner: painful urinary dysfunction, bulging disorders, irregular
menstruation, dysmenorrhea. Xiang Fu, Chuan Lian Zi, Xiao Hui Xiang, Wu Yao, Chen
Xiang.

Herbs to invigorate the blood: Chuan Xiong, Dang Gui, Yan Hu Suo, E Zhu, San Leng.
Herbs to warm the interior: Rou Gui, Gan Jiang, Gao Liang Jiang, Cao Dou Kou.
Herbs to clear heat from the constraint: Zhi Zi, Mu Dan Pi, Xia Ku Cao.
Herbs to transform phlegm: Zhi Ban Xia, Tian Nan Xing, Gua Lou, Bei Mu.
Herbs to enrich the yin and nourish blood: Gou Qi Zi, Bai Shao

Formulas that direct rebellious qi downward (coughing):

1. Coughing: Ding Chuan Tang (treats internal and external disorders, focusing on
wheezing), Su Zi Jiang Qi Tang (excess and deficiency problem, kidney deficiency,
problems with upward and downward direction, excessive lung qi causing coughing and
wheezing, focuses on wheezing), Xiao Qing Long Tang (phlegm damp retention with
external wind cold invasion, focuses on wheezing), Sang Ju Yin (mild wind heat invasion
causing cough, focuses on coughing), Ma Xing Shi Gan Tang (focuses on coughing along
with wheezing, phlegm heat in the lungs), Ren Shen Bai Du San (wind cold with qi
deficiency), Xie Bai San (lurking heat in the lungs, focuses on coughing), Zhi Gan Cao
Tang (lung atrophy weak lung and heart yin/yang/qi causing irregular pulse).
2. Belching: Xuan Fu Dai Zhe Tang, Ju Pi Zhu Ru Tang, Ding Xiang Shi Di Tang

Formulas that promote the movement of qi:

1. Yue Ju Wan
2. Ban Xia Hou Po Tang
3. Zhi Shi Xie Bai Gui Zhi Tang
4. Hou Po Wen Zhong Tang
5. Tian Tai Wu Yao San

Formulas that direct rebellious qi downward: (relatively acute conditions, no long term usage)
1. Su Zi Jiang Qi Tang
2. Ding Chuan Tang
3. Xuan Fu Dai Zhe Tang
4. Ju Pi Zhu Ru Tang
5. Ding Xiang Shi Di Tang

Herbs to treat rebellious lung qi (coughing and wheezing): Zi Su Zi, Sang Bai Pi, Xiang Bai Pi,
Xing Ren, Hou Po, Qian Hu, Kuan Dong Hua
Herbs to treat rebellious stomach qi (vomiting or belching): Zhi Ban Xia, Xuan Fu Hua, Dai Zhe
Shi, Zhu Ru, Ding Xiang, Shi Di.
Herbs that tonify and augment: Ren Shen, Dang Gui, Zhi Gan Cao, Da Zao
Herbs that warm the kidneys and facilitate its role in grasping the qi or regulating the function of
the penetrating and conception vessels: Dang Gui, Rou Gui, Chen Xiang, Wu Wei Zi
Herbs that stop coughing: Wu Wei Zi, Bai Guo
Xue Fu Zhu Yu Tang / Drive Out Stasis in the REGULATING BLOOD BLOOD
FORMULA STASIS
Mansion of Blood Decoction
Functions: Invigorate the Blood, Dispel Blood Stasis, Spread the Liver Qi, Unblock the Channels
Indication: Composition: Grams F(x) of single herb in formula:

Blood Stasis in Chest
Syndromes: HT Blood Stasis
* Top formula to tx heart diseases.
When there is blood stasis, there is
also qi stagnation. LIV Qi
stagnation à Blood stagnation. Dang Gui
Tao Hong Si Wu Tang + Si Ni San + Jie Geng, Huai Niu Xi
Tao Hong Si Wu Tang – Move Xue
Tao Ren 12 KING - Tao Ren, Hong Hua, Chuan Xiong
MINSITER - Chi Shao, Dang Gui, Sheng Di
Hong Hua 9 Huang, Chuan Niu Xi
Sheng Di 9
- 4 herbs to help bm: Dang Gui; Sheng Di
9 Huang; Zhi Ke; Niu Xi

#1 sx: pain in chest, pain in the Chi Shao 6 - Alternate use of Tao Ren, Hong Hua with
hypochondria, chronic stubborn more tonifying (raw or powder) – long-term
headache with a fixed, piercing use injures blood, and patient becomes
quality, chronic incessant resistant to their action (in raw use for 1
Chuan Xiong 4.5
hiccup, a choking sensation month, pills can go much longer, alternating
when drinking, dry heaves, not so important)
depression or low spirits, a
sensation of warmth in the chest, Si Ni San – Move Qi & Xue, Soothe LIV
palpitations, insomnia, restless
sleep, irritability, extreme mood Chai Hu 3 ASSISTANT - Move LIV qi
swings, evening tidal fever, dark Zhi Ke/Qiao 6 ASSISTANT - Open Chest, descend qi
red tongue, dark spots on the
sides of the tongue, dark or Gan Cao 6 ENVOY
purple lips, dark complexion.
+
T: Dark purple, may have
purple spots Jie Geng 4.5 ASSISTANT -Open LU Qi, Guide herbs up
P: Wiry, tight; or choppy Huai Niu Xi 9 MINISTER - Unblock blood vessels
Modern Research: Improves the high blood lipid, improves blood stasis syndrome in atherosclerosis, reduces the
high concentration of cholesterol, effective in patients with severe craniocerebral injury that is difficult to be
treated by western medicine, promotes the role of angiogenesis, prevents behavior disorder and depression due
to 5-HT decreasing.
Modifications: For headache add Man Jing Zi, Ci Ji Li. For pain in the hypochondria from an enlarged liver add
Dan Shen, Yu Jin, Meng Chong, and Jiu Xiang Chong. For immobile subcostal and abdominal masses add Yu Jin
and Dan Shen. For amenorrhea or dysmenorrhea remove Jie Geng and add Xiang Fu, Yi Mu Cao, and Ze Lian.
For rheumatic valvular heart disease, remove Chuan Niu Xi and Jie Geng and add herbs that support the normal qi
as required. For insomnia or restless sleep add Suan Zao Ren. For qi deficiency add Dang Shen. For yang
deficiency remove Chai Hu and add Zhi Fu Zi and Gui Zhi. For angina pectoris due to coronary artery disease
increase the dosage of Hong Hua, Chuan Xiong, and add Dan Shen.
Zhen Gan Xi Feng Tang / Sedate the LIV & EXTINGUISH INTERNAL WIND
Extinguish Wind Decoction
Functions: Sedates the Liver, Extinguishes Wind, Nourishes the Yin, Anchors the Yang
Indication: Composition: Grams F(x) of single herb in formula:
Liver & Kidney Yin Deficiency, Liver KING - Lead blood downward, Nourish
Yang Rising, Disturbance of Qi & Huai Niu Xi 30 LIV & KD
Blood – Help suppress yang

Prior to stroke attack Long Gu 15 MINISTER - Descend the rebellion,

Mu Li 15 Anchor yang, sedate the liver yang
LIV Qi Stagnation à LIV heat, LIV Dai Zhe Shi 30
yang rising à LIV Wind
As yang qi rises, brings qi & blood ASSISTANT - Nourish Yin,
upwards; with root in yin xu [too much Gui Ban 15 Suppress Yang
yang, too little yin] Tian Men Dong 15 Tonify Nourish Yin
Xuan Shen 15 Yin Clear Heat, Nourish Yin
*Rebellious qi and blood Bai Shao 15 Soften Liver, Nourish Liver
Blood
Dizziness, vertigo, feeling of distention ASSISTANT - Reg. Liver Qi
in the eyes, tinnitus, feverish (can change to something
sensation in the head, headache, Chuan Lian Zi 6 else if no hypochondriac
irritability, flushed face, frequent Reduce
pain)
belching, progressive motor LIV
dysfunction of the body or yang,
ASSISTANT - Move Liver Qi,
development of facial asymmetry that Yin Chen Hao 6 soothe
Clear Heat
occurs over a period of a few hours to qi
a few days, severe dizziness and ASSISTANT - Help
vertigo, sudden loss of consciousness, Mai Ya 6 Digestion, Harmonizing
mental confusion with moments of
clarity, an inability to fully recover
after loss of consciousness.
ENVOY - Harmonize, Helps stomach
Gan Cao 4.5 with mai ya
T: Red, trembling; thin yellow coat
P: Wiry, long, forceful
Syndromes: Liver Wind Due to Liver Yang Rising; Wind Phlegm Disturbing Heart
Clinical Applications: Patients at risk of stroke rather than the sequelae of a stroke, hypertension.
Modifications: For profuse sputum, add Dan Nan Xing. For headache and dizziness add Xia Ku Cao and Ju Hua.
For hypertension add Xia Ku Cao, Gou Teng, Ju Hua. For cerebral vascular disease add Shi Jue Ming, Cang
Zhu, Tao Ren, Chen Pi, Huo Xiang. For coronary artery disease add Chi Shao and Dan Shen.
Cautions and Contraindications: Contains many enriching, cloying, heavy, and sedating substances that can
injure the spleen yang. It should be used with caution in cases of spleen qi deficiency.
Comparisons: Ling Jiao Gou Teng Tang (Both of these formulas treat patterns with liver yang excess and internal
wind. Ling Jiao Gou Teng Tang focuses on clearing heat and extinguishing wind. It is specific for overabundant
heat at the blood level causing liver wind characterized by high fever and spasms. Zhen Gan Xi Feng Tang
focuses on directing rebellious qi and blood downward, extinguishing wind, and anchoring errant yang. It is
specific for liver yang excess that is accompanied by deficiency of liver and kidney yin characterized by
symptoms such as dizziness, syncope, and gushing up of qi and fire).