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AboutChinese MedicineCaution/Notes
| Health Benefits |
| For: Manier's disease |
| Atributes: |
| Constituents: |
| Products (online examples) |
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| Category: Treat Wind Phlegm ⌕ |
| Subcategory: Wind Phlegm Source: Yi Xue Xin Wu |
| Actions: Strengthens the SP, dispels dampness, transforms phlegm, and extinguishes wind [Song]
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| Diagnosis |
| Tongue: white, greasy, sticky Pulse: Slippery, string-taut Other: |
| Patterns: Wind phlegm pushing upward, Phlegm Obstruction[vertigo, headache] |
| Indications: MANIER'S DISEASE, internal WIND PHLEGM, nausea, vomiting, chest stifling sensation, dizziness, vertigo, headache, copious sputum, wiry, slippery [Kim] • vertigo, headache, white greasy tongue coating, slippery pulse[42]
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| Contraindications: Vertigo of hyperactive Yang due to Yin deficiency or dizzy of Qi and Blood deficiency |
| Description |
| Name Variations: Ban Xia Bai Zhu Tian Ma Tang, 半夏白术天麻汤, Pinellia, Atractylodis Macrocephalae, and Gastrodia Decoction, |
| Herb List: Ban Xia(K) • Tian Ma(K) • Bai Zhu(M) • Fu Ling(M) • Ju Hong(A) • Gan Cao(E) |
| Commentary: Includes Er Chen Tang. Important formula for dizziness and vertigo from LV wind. Ju Hong is stronger at transforming phlegm than Chen Pi. |
| Related Formulas: Er Chen Tang (changed Chen Pi into Ju Hong) |
| NCCAOM: There are 7 NCCAOM formulas dealing with phlegm. Since it’s phlegm, most of the pulses are slippery. If there’s heat, it’s rapid. 4/7 are for different types of phlegm causing the Lung to cough. The other 3 are for phlegm in different organs. Of the 4 that are for Lung cough: Qīng Qì Huà Tán Wán is Heat Phlegm with viscous sputum. T: red, yellow sticky coat. Herbs: Ban Xia, Chen Pi, Fu Ling, Xing Ren, Zhi Zi, Dan Nan Xing, Gua Lou Ren, Huang Qi. • Bèi Mǔ Guā Lóu Sǎn is for Dry Phlegm with hard to expectorate sputum T: dry white coat. Herbs: Chuan Bei Mu, Gua Lou, Tian Hua Fen, Fu Ling, Ju Hong, Jie Geng • Sān Zi Yǎng Qīn Tāng is for Cold Phlegm + Food/Qi stagnation with profuse sputum. Too much cold/raw food. Good for geriatric/weak patients. T: white greasy coat. Herbs: Bai Jie Zi, Zi Su Zi, Lai Fu Zi. • Zhǐ Sòu Sǎn is for external wind attacking LU causing cough. Cough that won’t go away after a cold or flu. T: thin white coat. P: floating, slow. Herbs: Zi Wan, Bai Bu, Bai Qian, Jie Geng, Chen Pi, Jing Jie, Gan Cao. • The other three are Èr Chén Tāng for Damp phlegm in Middle Jiao causing nausea/vomiting with white easy to expectorate sputum. T: white greasy coat. No heat signs, only damp. Herbs: Ban Xia, Cheng Pi, Fu Ling, Gan Cao. • Wēn Dǎn Tāng is for Heat Phlegm in GB and ST. Profuse sputum. T: white or yellow coat. More for psychiatric issues like insomnia, anxiety, palpitations, brain-gut axis. Herbs: Ban Xia, Cheng Pi, Fu Ling, Zhu Ru, Zhi Shi, Happy Stomach. • Bàn Xià Bái Zhú Tiān Má Tāng is for Internal Wind phlegm (dizziness, vertigo). Copious sputum. T: white greasy. Herbs: Ban Xia, Fu Ling, Tian Ma, Bai Zhu, Ju Hong, Gan Cao. • Qing Qi Hua Tan Wan and Wen Dan Tang includes the main ingredients in Er Chen Tang (Ban Xia, Cheng Pi, Fu Ling). |
| Herbs |
Cat/Dosage |
Actions |
Attributes |
| Ji Zi Huang • Chicken Egg Yolk • 鸡子黄 ♠ |
Tonify Yin |
Nourish yin • Moisten dryness • Expel wind • Tonify blood |
high in cholesterol |
| E Jiao • Donkey Hide Gelatin • 阿胶 ♠ |
Tonify Blood |
Tonify blood • Stop bleeding • Nourish blood • Nourish yin • Unblock bowels • Moisten dryness |
increase red blood cell count and hemoglobin • increase absorption of calcium and utilization[18] |
| Bai Shao • White Root Peony • 白芍♥ |
Tonify Blood |
Nourish blood • Regulate menses • Soothes liver • Relieve pain • Preserve yin • Reduce spasms • Harmonize Ying and Wei QiDao Di: Zhe Jiang • AKA Shao Yao |
analgesic • antibacterial • anti-inflammatory • hepatoprotective • immune system boost • sedative |
| Sheng Di Huang • Rehmannia • 生地黄♥ |
Clear Heat Cool Blood |
Clear heat • Cools hot blood (nosebleeds, bloody vomit, bloody urine, bloody stool) • Nourish Yin • Clears heart heat/fire • Generate fluidsDao Di: He Nan |
Immunity booster • coagulant • antidiabetic • hepatoprotective • hypotensive • anti-aging • antioxidant • antihistamine • emmenagogue • adrenalcortical |
| Mai Men Dong • Ophiopogon Tuber • 麦门冬♥ |
Tonify Yin |
Nourish Lung yin • Clear Lung heat • Nourish Stomach yin • Generate fluids • Clear Heart • Nourish Heart yin • Reduce irritabilityLilyturf Root |
antibiotic • increase cardiac output • sedative • reduce tachycardia |
| Gui Ban Jiao • Fresh Water Turtle Shell (ventral aspect) • 龟板♥ |
Tonify Yin |
Nourish yin, anchor yang, benefit Kidneys, strengthen bones and sinews, stop bleeding, nourish and blood, tonify heart, stop uterine bleeding [35] |
hepatoprotective • skin burn repair • sore healing • estrogenic |
| Mu Li • Oyster Shell • 牡蛎♣ |
Calm Shen |
Calm Shen • Calm Liver • Anchor yang rising • Neutralize stomach acids • Relieve stomach pain • Soften hardness • Remove nodules • Reduce fluid leakage from deficiency • Disperse stagnation |
alkaline • gastrointestinal |
| Bie Jia • Soft shelled Turtle Shell (dorsal) • 鳖甲♣ |
Tonify Yin |
Nourish yin • Anchor yang • Dissipate nodules • Invigorate blood • Promote menses |
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| Ma Zi Ren ♣ |
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| Wu Wei Zi • Schisandra Fruit • 五味⼦♣ |
Stabilize + Bind |
Generate fluid • Tonify Kidney to grasp Qi • Tonify Lung Qi • Binds essence • Nourish heart • Calm Shen • 5 stops:(sweating, diarrhea, thirst, leukorrhea, spermatorrhea) |
antibiotic, gastrointestinal, hypotensive or hypertensive, immunostimulant, hepatoprotective, CNS stimulant |
| Gan Cao • Licorice Root • 甘草♣ |
Tonify Qi |
Tonify Spleen Qi • Tonify Heart qi • Clear heat • Resolve toxicity • Stop cough • Dispel phlegm • Lubricate lungs • Stop wheezing • Reduce spasm • Relieve pain • Harmonize other herb effects • enters 12 channelsEnters all 12 channels, often serve as envoy in a formula. |
Hypoglycemic • Antiarrhythmic • Hypertensive • Expectorant • Antidiarrheal • Antiulcer • Hepatoprotective • Immunostimulant • Antitussive • Antiviral • Detox • Demulcent • Anti-inflammatory • Laxative • Emmenagogue • Antimicrobial • Spasmolytic • Corticosteroidal |
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| ♠ King/Chief ♥ Minister/Deputy ♣ Assistant ♦ Envoy |
| Directions: |
| Modifications |
For |
| + |
H 31 |
| + Ren Shen + Long Gu |
Spontaneous sweating wiht Qi deficiency 31 |
| + Ren Shen + Fu Shen |
Palpitation with Qi deficiency 31 |
| + Di Gu Pi |
Chronic mild fever 31 |
| Caution |
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ALERT: Contraindications of each herb - use with caution under these conditions:
E Jiao: SP/ST deficiency, phlegm dampness, diarrhea from cloying herbs • concurrent chills and fever[42]
Bai Shao: Deficiency cold • Breast feeding • Pregnancy • Bleeding Disorder • Scheduled Surgery
: Yang deficiency • Blood deficiency • Spleen deficiency • Stomach deficiency • Can be sticky and cloying, careful with digestive disorders • food: onion, garlic, radishes
Mai Men Dong: Diarrhea from middle jiao cold and deficiency • sedatives • cough from wind cold or damp phlegm
Gui Ban Jiao: pregnancy • damp cold • diarrhea
Mu Li: damp heat • constipation
Bie Jia: Pregnancy • Spleen Xu Cold with poor appetite and diarrhea
Wu Wei Zi: exterior pathogen presence, interior excess heat, early stage rash
Gan Cao: High blood pressure • Low potassium • Seaweed • Medications: Gan Cao can interact with various medication. See Pharma Interaction section. |
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