Pain
Dampness in the Exterior Pain: Headache, body pain, muscle pain, joint pain (including rheumatism).1) Dampness in the Exterior Headache. Two patterns, damp-heat syndrome, aversion to cold without sweating, heavy body and headache, dampness in the exterior, suitable for Huo Xiang (Agastache), Xiang Ru (Elsholtzia), Qiang Huo (Notopterygium), Cang Zhu (Atractylodes), Bo He (Mint), Niu Bang Zi (Burdock Seed). If there is no headache, remove Qiang Huo. The formula used is Jiu Wei Qiang Huo Tang for treating exterior dampness: Qiang Huo, Fang Feng (Saposhnikovia), Cang Zhu, Chuan Xiong (Ligusticum), Bai Zhi (Angelica Dahurica), Gan Cao (Licorice), Huang Qin (Scutellaria), Sheng Di Huang (Rehmannia), Xi Xin (Asarum) To release the exterior: Huo Xiang, Bai Dou Kou (White Cardamom), Dan Zhu Ye (Lophatherum); Cang Zhu not only releases the exterior and dispels dampness but also nourishes the liver: contains Vitamin A, treats night blindness. Niu Bang Zi: for throat issues. Add Dan Dou Chi (Fermented Soybean), Shen Qu (Malt): both can relieve food stagnation and dispel dampness.2) Dampness in the Exterior Body pain, muscle pain. Sweating, yet pain remains heavy Three patterns, damp-heat syndrome, aversion to cold with fever, heavy body and joint pain, dampness in the muscles, not relieved by sweating. Suitable for Hua Shi (Talc), Dan Dou Chi, Fu Ling Pi (Poria Skin), Cang Zhu Pi, Huo Xiang Ye, fresh He Ye (Lotus Leaf), Bai Tong Cao (White Herb), Jie Geng (Platycodon). If there is no aversion to cold, remove Cang Zhu Pi. (Strengthens the spleen and dispels dampness) No sweating, summer dampness with slight pain: Twenty-one patterns, damp-heat syndrome, chest fullness with fever, muscle slight pain, always no sweating present. Suitable for Liu Yi San, one tael, with three to four fen of Bo He, steep in water and drink to induce sweating. Ji Su San (Mint) can release the exterior; Bi Yu San (Indigo) can cool the liver; Yi Yuan San (Cinnabar) can clear the heart. If heat is severe, add 3g of Bo He, if dampness is heavy, remove Gan Cao and add 3g of Tong Cao (Tetrapanax), if there is fullness and nausea, add 9g of Sheng Jiang (Ginger), if severe, add 9g of Fu Ling.3) Dampness in the Exterior Joint pain. Residual evil stagnating in the meridians: Nineteen patterns, damp-heat syndrome, over ten days, the major symptoms have receded, only thirst, sweating, and joint pain, residual evil stagnating in the meridians, suitable for Yuan Mi Tang steeped in Cang Zhu, let it sit overnight, remove Cang Zhu and drink the decoction. Rice soup, with heavy oil content, can dissolve the volatile oil of Cang Zhu, dispelling dampness without drying the stomach yin. ‘ For summer dampness bi syndrome, add or subtract Mu Fang Ji Tang to treat it. (“Wen Bing Tiao Bian”) This is the ancestral formula for treating bi syndrome. If wind predominates, it leads to pulling pain (such as pulling pain in the limbs, or wandering pain in the four limbs, known as xing bi), add Gui Zhi (Cinnamon Twig), Sang Ye (Mulberry Leaf). If dampness predominates, it leads to swelling, for swelling add Hua Shi, Bi Xie (Dioscorea), Cang Zhu. If cold predominates, it leads to pain, for pain add Fang Ji (Stephania), Gui Zhi, Jiang Huang (Turmeric), Hai Tong Pi (Erythrina). If there is facial redness and drooling (Ling Shu states: “If the stomach is hot, the fluids will open.”), add Shi Gao (Gypsum), Zhi Mu (Anemarrhena). If there is absolutely no sweating, add Qiang Huo, Cang Zhu, if there is excessive sweating, add Huang Qi (Astragalus), Zhi Gan Cao (Honey-fried Licorice). If phlegm and fluid are present, add Ban Xia (Pinellia), Chen Pi (Tangerine Peel), Guang Pi (Citrus Peel). Due to the inability to include the full text, this is a brief demonstration of the ancestral formula with modifications. Fang Ji 18, Gui Zhi 9, Shi Gao 18, Xing Ren 12, Hua Shi 12, Tong Cao 6, Yi Ren 9. Zhong Jiao Xuan Bi Tang (“Wen Bing Tiao Bian”) Dampness accumulates and steams heat, trapped in the meridians, with chills and heat, bone and joint pain, tongue color gray and stagnant, facial complexion withered yellow, the disease is named damp bi, Xuan Bi Tang is the main treatment. Xuan Bi Tang: Fang Ji 5-15, Yi Yi Ren 20, Xing Ren 10, Hua Shi 15, Wan Can Sha 15, Chi Xiao Dou 15, Zhi Zi 10, Ban Xia 10, Lian Qiao 10,. If pain is severe + Jiang Huang, Hai Tong Pi, if damp-heat is predominant, combine with Er Miao San, Si Gua Luo, Ren Dong Teng, Tu Fu Ling, etc. This formula has more pronounced gastrointestinal symptoms than Mu Fang Ji Tang, hence Shi Gao is not used. This section indicates gray tongue and yellow eyes, indicating heat generated from dampness, chills and heat indicate it is in the meridians; bone and joint pain indicates it is a bi syndrome. If dampness-removing herbs (like San Ren Tang) are used indiscriminately without understanding the meridian pathways, it will be ineffective. Therefore, Fang Ji urgently dispels dampness from the meridians, Xing Ren opens lung qi first, Lian Qiao clears damp-heat from the qi level, Chi Dou clears damp-heat from the blood level, Hua Shi benefits the orifices and clears heat from dampness, Shan Zhi clears the lung and drains dampness from heat, Yi Yi Ren lightly drains and is the main herb for relieving bi, Ban Xia is acrid and neutral and governs cold and heat, Can Sha clears turbidity and opens the qi, if pain is severe, add slices of Jiang Huang and Hai Tong Pi to clear the meridians and relieve pain. Nian Tong Tang (“Lan Shi Mi Cang”) Damp-heat as a disease, heavy shoulders and back, joint pain, chest obstruction. Damp-heat bi syndrome is particularly heavy in internal injury from damp-heat, originating from Dong Yuan Qing Shu Yi Qi Tang. Ren Shen (Ginseng), Ku Shen (Sophora), Sheng Ma (Cimicifuga), Ge Gen (Pueraria), Qiang Huo (Notopterygium), Cang Zhu (Atractylodes), Bai Zhu (Atractylodes), Fang Feng (Saposhnikovia), Ze Xie (Alisma), Dang Gui (Angelica), Zhi Mu (Anemarrhena), Huang Qin (Scutellaria), Yin Chen (Artemisia), Zhi Gan Cao (Honey-fried Licorice). Ku Shen, Cang Zhu, Fang Feng, Zhi Mu, Huang Qin have immunosuppressive effects, Zhi Mu can reduce swelling, Ku Shen is a representative anti-allergic herb for damp-heat that can be combined with Cang Zhu to counteract diarrhea. Dang Gui is the strongest anti-inflammatory herb among blood-activating herbs, such as Si Miao Yong An Tang, Dang Gui Si Ni Tang. It also treats lumbar and shoulder pain with a predominance of heat; Ge Gen Tang is more for cold predominance. Ma Xing Yi Gan Tang Patients experience pain all over, fever, with severe symptoms in the afternoon (if fever is severe in the afternoon, this syndrome should be considered), named wind-damp. This disease is caused by sweating in the wind, or prolonged exposure to cold. It can be treated with Ma Huang, Xing Ren, Yi Yi Ren, Gan Cao Tang. Different from Ma Huang Jia Zhu Tang in that there is fever, severe symptoms in the afternoon, hence Gui Zhi is removed, and Yi Yi Ren is added, Yi Yi Ren dispels Yangming damp-heat, commonly used in warm diseases, such as San Ren Tang, Yi Yi Zhu Ye Tang, the previous formula adds Zhu, dispelling Taiyin cold-damp. This formula can treat EB virus infection, this disease often has greasy tongue and body pain. If not treated in time, it may lead to swelling of the cervical and supraclavicular lymph nodes, as well as infectious mononucleosis; if treatment is poor, later stages may lead to spleen and stomach deficiency, pale complexion, and susceptibility to colds. Ma Xing Yi Gan Tang, Yi Yi Ren needs to be used up to 60-90g, effective against EB virus. Ma Huang 9g, Xing Ren 6g, Yi Yi Ren 90g, Sheng Gan Cao 6g, Sheng Ma 15g, Jiu Huang Qin 9g, Mu Dan Pi 9g, Da Qing Ye 15g (Modified Ma Xing Yi Gan Tang) Huang Qin → lymph node swelling. Fei Er San: Wu Gong 30, Bi Hu 30, Ji Nei Jin 60, Shan Yao 60 Main treatment: recurrent colds in children, weight loss, poor appetite, excessive sweating, accompanied by multiple cervical lymph node swelling. Children who do not respond to Yu Ping Feng San and spleen-strengthening herbs. Greasy tongue uses Yi Yi Ren 60g (Ma Xing Yi Gan Tang) instead of Shan Yao (Yam Pills).4) Wind-damp in the exterior can release the exterior and dispel dampness. Dampness obstructs the exterior: slight sweating; dampness stagnates internally: slight diarrhea.
Heaviness, heavy body, joint movement difficulties
Damp-Heat Spasm Syndrome (“Damp-Heat Disease Chapter”): Damp-heat syndrome, within three to four days, the mouth tastes, limbs are pulled and stiff, severe cases may have opisthotonos, this damp-heat invades the meridians and collaterals. Suitable for Xian Di Long (Earthworm), Qin Jiao (Gentiana), Wei Ling Xian (Clematis), Hua Shi, Cang Er Zi (Xanthium), Si Gua Teng (Luffa), Hai Feng Teng (Cayratia), Jiu Chao Huang Lian (replace Huang Qin with Huang Lian, and add Shao Yao, Gan Cao for better effect) and other flavors. Treats inflammation leading to joint swelling, causing joint movement difficulties. For example, sciatica, in proctology, it can be used to treat lumbar and sacral nerve swelling causing damp-heat constipation; if long-term proliferative inflammatory joint changes occur, it will be ineffective. 1. Neurological diseases: joint movement difficulties. Ankylosing spondylitis, damp-heat type, cannot turn. 2. Immune system diseases: rheumatoid arthritis, joint movement difficulties, heat syndrome. 3. Collateral diseases. Huang Lian changes to Huang Qin, enhancing effects, Shao Yang regulates joint movement. Add Shao Yao to relieve joint stiffness. Regulate immunosuppressants using Di Long, Qin Jiao, Wei Ling Xian, Cang Er Zi, if Si Gua Luo is not available, use Tong Cao, Wang Bu Liu Xing, Mu Tong, etc. Add Lu Lu Tong, Xue Tong. Wei syndrome: damp-heat disease. Yang deficiency or due to heat causing Wei, remove Huang Lian and add Shi Gao and Cang Zhu. Ankylosing Spondylitis more common in males than females, related to androgens. Related to Shao Yang fire. Secondly, it is prone to complications such as iritis. Shao Yang fire. Thirdly, it is prone to complications such as ulcerative colitis. Taiyang and Yangming diseases combined will inevitably lead to diarrhea, Huang Deng Tang. Damp-heat invades the meridians and collaterals (heat type). Ge Gen Tang (cold type). Add Fu Zi, Xi Xin, Di Huang, and can also add Huang Qin, Yi Yi Ren (to relieve muscle spasms). Wei Syndrome Hu Qian Wan, treats Wei syndrome caused by damp-heat. Hu Qian Wan (“Dan Xi Xin Fa”): Gui Ban 120g (wine-fried), Zhi Mu 60g (wine-fried), Shu Di Huang, Chen Pi, Bai Shao each 60g, Suo Yang 45g, Hu Gu 30g (frying), Huang Bai 250g (wine-fried), Gan Jiang 15g Zhi Mu, Huang Bai, Gui Ban, Shu Di regulate hormone secretion. The characteristics of yin deficiency are that the rhythm of hormone secretion is disrupted. Shao Yao is an anti-inflammatory herb, analgesic. Symptomatic herbs. Hu Gu is for strengthening bones. Symptomatic herbs. To treat Wei syndrome, only Yangming is selected with Gan Jiang. If not using Gan Jiang, Shi Gao and Cang Zhu can also be used. Why choose Gan Jiang? Modern pharmacology confirms Gan Jiang promotes hormone release, regulating hormone drugs paired with Gan Jiang enhance the effects of corticosteroids. Damp-heat easily obstructs the spleen and stomach, using Chen Pi to alleviate discomfort caused by Gui Ban, Zhi Mu, etc. Why choose Gui Ban instead of Bie Jia? Gui Ban regulates hormone release, opens the Ren channel. Yue Bi Jia Zhu Tang and Hu Qian Wan can be alternated. Yue Bi Jia Zhu Tang (wind-evil plus one piece of Fu Zi) treats extreme flesh, heat leads to loss of body fluids, pores open, sweating profusely, evil wind qi, weakness in the lower jiao. Treats various muscle atrophy, muscle weakness, multiple sclerosis and other muscle diseases Ma Huang 6 taels, Shi Gao half a jin, Sheng Jiang 2 taels, Gan Cao 2 taels, Bai Zhu 4 taels, Da Zao 15 pieces. Wind-evil plus one piece of Fu Zi. The dosage of Ma Huang is six taels (20-30g), after use, it may cause palpitations; Shi Gao paired with Ma Huang will not easily cause palpitations, the two dosages should be equivalent. After using Shi Gao, patients may experience poor digestive function. There is Bai Zhu. Shi Gao counteracts Ma Huang. Bai Zhu counteracts Shi Gao. Bai Zhu promotes muscle nutritional metabolism. Promotes muscle growth.
Skin Rash—Damp-Heat Stagnation in the Skin
1. Xiao Feng San Wind-damp invades the blood vessels, causing scabies, incessant itching, eczema. Xiao Feng San: Jing Jie 10, Fang Feng 10, Chan Tui 10, Huo Ma Ren 20-30, Ku Shen 3-5, Cang Zhu 10, Niu Bang Zi 15, Xiao Tong Cao 6, Dang Gui 10, Sheng Di 20, Gan Cao 10, Zhi Mu 10, Shi Gao 30 Traditional Chinese Medicine Immunology: Dang Gui has anti-inflammatory properties; Jing Jie, Fang Feng, Chan Tui are immune modulators; Zhi Mu regulates hormone secretion: Ku Shen counters damp-heat allergies, Cang Zhu is an antagonist to the drugs: Shi Gao, Zhi Mu has significant local redness and swelling; Gan Cao has a corticosteroid-like effect, Sheng Di moistens dryness. First, it is necessary to release the exterior: Fang Feng, Chan Tui, Jing Jie, Niu Bang Zi, Wu Gong, Jiang Can. Second, targeting skin rashes, significant redness and swelling Shi Gao, Zhi Mu; For excessive secretion of liquid: Cang Zhu, Ku Shen; For skin flakes: Dang Gui, Sheng Di, Hu Ma Ren, can also use Shao Yao.2. Ma Huang Lian Qiao Chi Xiao Dou Tang Commonly used with Xiao Feng San, damp-heat syndrome often uses Lian Qiao. Such as Ma Huang Lian Qiao Chi Xiao Dou, Gan Lu Xiao Du Dan, Bao He Wan use Lian Qiao. Lian Qiao can clear heat and detoxify, dissipate lumps and reduce swelling, clear the heart and cool the liver, benefit urination, and harmonize the stomach to stop vomiting. Lian Qiao contains Lian Qiao phenol, oleanolic acid (liver protection), rutin, vitamin P (high content, can reduce capillary fragility and permeability, thus Lian Qiao can treat damp-heat entering the blood and prevent bleeding)3. Yi Yi Zhu Ye San Bai Pei (chest and abdomen white rash with a layer of skin, filled with water), that is water accumulation type sweat rash, excessive sweating. Widely used to treat skin water seepage in chickenpox, spring water blisters and itching on hands.4. Yi Yi Bai Du San Yi Yi Ren 90g, Dan Zhu Ye 30g, Bai Dou Kou 6g, Jiu Huang Qin 9g, Da Qing Ye 15g, Bu Guo Zhi 15g, Sheng Gan Cao 6g, Mu Dan Pi 6g. Main treatment: Bai Pei, flat warts, hand water blisters and other viral infections, occurring on the skin surface. Yi Yi Zhu Ye Tang plus Huang Qin, Da Qing Ye, Dan Pi, Bu Guo Zhi becomes the effective formula Yi Yi Bai Du San (Bai Pei, flat warts, etc. viral infections, occurring on the skin surface). If it is not flat warts, Bu Guo Zhi can be omitted.5. Six Meridians Treat Skin Diseases. The internal medicine section has detailed discussions Taiyang: Floating Ma Huang, Jing Jie, Fang Feng Yangming: Big Shi Gao, Zhi Mu, Ge Gen Taiyin/Shaoyin: Mild/Fine (Qiao) Cang Zhu, Ku Shen, Yi Yi Ren, Shou Wu, Sheng Di, Dang Gui Shaoyin: Heavy Fu Zi, Xi Xin, Shu Di Shaoyang/Jueyin: String Chai Hu, Huang Qin, Shao Yao, Wu Mei, Wu Wei Zi
Wind-Damp
Yue Bi Jia Zhu Tang Wind-damp evil wind, the whole body is swollen, pulse is floating, not thirsty, continues to sweat, no major heat, Yue Bi Tang is the main treatment. 【Sweating, no major heat, same as Ma Xing Shi Gan Tang, one formula treats wheezing, one formula treats swelling. Heavy use of Ma Huang, releases the exterior and promotes water. Floating pulse, differentiating Taiyang disease. Evil wind plus Fu Zi, wind-damp plus Zhu】 Ma Huang (six taels) Shi Gao (half a jin) Sheng Jiang (three taels) Gan Cao (two taels) Da Zao (fifteen pieces) Zhu (four taels) Combine the five flavors, boil with six liters of water, first boil Ma Huang, remove the foam, add the other herbs, boil to obtain three liters, divide into three warm doses. For evil wind, add one piece of Pao Fu Zi. For wind-damp, add four taels of Zhu. 【Nephritis and kidney disease】 This formula releases and reduces swelling, then continue with Shen Qi Wan for follow-up, swelling above the waist should be treated with sweating, swelling below the waist should be treated with diuresis. Da Qing Long Tang For patients with overflow of fluids, sweating should be induced, Da Qing Long Tang is the main treatment, Xiao Qing Long Tang is also applicable. Taiyang wind, pulse is floating tight, fever, aversion to cold, body pain, no sweating and irritability, Da Qing Long Tang is the main treatment; if the pulse is weak, sweating and aversion to wind, it should not be taken. Taking it will lead to counterflow, muscle twitching, this is reverse. In cold damage, pulse is floating and slow, body is not painful, but heavy, sometimes light, without Shaoyin syndrome, Da Qing Long Tang induces sweating. 【Dampness is slow】 Ma Huang (remove joints, six taels) Gui Zhi (remove skin, two taels) Gan Cao (fry, two taels) Xing Ren (remove skin tip, forty pieces) Sheng Jiang (cut, three taels) Da Zao (split, ten pieces) Shi Gao (as big as an egg, crushed) First boil Ma Huang, take warm to induce slight sweating. If sweating is excessive, stop after one dose: if taken again, excessive sweating will deplete Yang, leading to deficiency, aversion to wind, irritability, and insomnia. + Commonly add Bai Zhu, Fu Zi, then it is Ma Huang plus Fu Zi Gan Cao Tang. If there is Shaoyin syndrome wanting to sleep, then Fu Zi must be added, otherwise, there will be convulsions and twitching of the body, which is a true Wu Zhu Tang syndrome.
Lung Diseases
Xiao Qing Long Jia Shi Gao Tang– Pulmonary Emphysema Lung distension, cough and shortness of breath, irritability and wheezing, pulse is floating, there is water under the heart, Xiao Qing Long Jia Shi Gao Tang is the main treatment. 【Cold-damp exterior unresolved transforms into heat】. Ma Huang, Shao Yao, Gui Zhi, Xi Xin, Gan Cao, Gan Jiang (each three taels) Wu Wei Zi, Ban Xia (each half sheng) Shi Gao (two taels). Combine the nine flavors, with one dou of water, first boil the wheat until cooked, remove the residue, add the other herbs and boil to obtain three liters, strong people take one liter, weak ones reduce the amount, take three times a day. Yue Bi Jia Ban Xia Tang– Pulmonary Heart Disease Shortness of breath, facial swelling, shoulder breathing, pulse is floating and large, not treated, will worsen. 【Shortness of breath and facial swelling, shoulder breathing, pulse is floating and large indicates lung qi is not descending, and if there is excessive urination, the lower source is more deficient, unable to take in qi】. Shortness of breath and irritability indicates lung distension, wanting to cause wind-damp, inducing sweating will improve. Cough and shortness of breath, this is lung distension, the person wheezes, eyes appear to be in a state of collapse, pulse is floating and large, Yue Bi Jia Ban Xia Tang is the main treatment. Ma Huang (six taels) Shi Gao (half sheng) Sheng Jiang (three taels) Da Zao (fifteen pieces) Gan Cao (two taels) Ban Xia (half sheng) Hou Po Ma Huang Tang– Chronic Bronchitis Cough and pulse is floating, Hou Po Ma Huang Tang is the main treatment. 【High reactivity of the airways: alleviating chronic inflammation during remission】 Hou Po (five taels) Ma Huang (four taels) Shi Gao (as big as an egg) Xing Ren (half sheng) Ban Xia (half sheng) Gan Jiang (two taels) Xi Xin (two taels) Xiao Mai (one sheng) Wu Wei Zi (half sheng) Combine the nine flavors, with one dou and two sheng of water, first boil the wheat until cooked, remove the residue, add the other herbs and boil to obtain three liters, take one liter warm, three times a day.
Summer Dampness Externally Invading (Acute Infectious Disease Precursor Stage)
Xin Jia Xiang Ru Yin (“Jin Gui”) states that Taiyang is obstructed, causing fever and aversion to cold, heavy body and pain, pulse is thin and weak, urination is already, sweating, hands and feet are cold, slight labor leads to heat, mouth opens with dry teeth, if sweating is induced, then aversion to cold is severe, adding warming needles will cause excessive heat, several times down, then it will be severe, can be treated with Dong Yuan Qing Shu Yi Qi Tang. Two to four, hand Taiyin summer warmth, as above symptoms, but sweating does not occur, Xin Jia Xiang Ru Yin is the main treatment. (Warm and cool method) Xiang Ru (two qian) Yin Hua (three qian) Xian Bian Dou Hua (three qian) Chen Pi (two qian) Lian Qiao (two qian) five cups of water, boil to obtain two cups. First take one cup, after sweating stop taking; if no sweating, take the rest until sweating occurs, then stop.I Copyright Statement
- This article is excerpted from Wu Xiongzhi’s lecture on damp-heat diseases, copyright belongs to the relevant rights holder, sharing this article is for the purpose of dissemination and learning exchange. If there is any improper use, please feel free to contact me.