Inheriting the fire of Qi Huang, a public account with substance and warmth.
Ai Yu Xiang Tang
Tai Yang Disease
1. Significance of Tai Yang DiseaseIn the early stages of illness, the body, under the influence of the cerebral cortex, attempts to expel the virus from the upper body surface through sweating. However, due to the limited natural ability, sweating does not occur, leading to congestion in the superficial capillaries or arteries, causing a high temperature to be trapped at the surface and resulting in a series of characteristic symptoms: floating pulse, stiff neck, and aversion to cold. This is the characteristic of Tai Yang disease. When such symptoms appear, it is named Tai Yang disease.
2. Three Major Types of Tai Yang DiseaseWind Stroke: In Tai Yang disease, if there is fever, spontaneous sweating, aversion to wind, and a slow pulse, it belongs to this category.Cold Damage: In Tai Yang disease, regardless of fever, if there is no sweating, body pain, lower back pain, joint pain, and a tight pulse, it belongs to this category.Warm Disease: In Tai Yang disease, if there is fever and thirst, but no aversion to cold, it belongs to this category. 3. Treatment Principles for Tai Yang Disease1. Gui Zhi Decoction Syndrome: Headache, fever, sweating, aversion to wind, and a floating pulse are the correct indications for using this formula. However, it can also be used in the following situations:① Patients who frequently sweat spontaneously; ② Patients without other diseases who occasionally have fever and spontaneous sweating; ③ After Tai Yang disease, if Qi rises; ④ After sweating, vomiting, or purging, if there is still headache or body pain, and the pulse is floating (not resolved externally).Formula: Gui Zhi (Cinnamon Twig) 9g, Shao Yao (Peony) 9g, Zhi Gan Cao (Honey-Fried Licorice) 6g, Sheng Jiang (Fresh Ginger) 9g, Da Zao (Jujube) 4 pieces.Decoct in water and take warm, followed by porridge to induce slight sweating.2. Ma Huang Decoction Syndrome: Headache, fever, body pain, lower back pain, joint pain, aversion to wind, and no sweating with wheezing are the correct indications for using this formula. However, it can also be used in the following situations:① Tai Yang and Yang Ming combined disease with wheezing and chest fullness; ② Tai Yang disease with floating tight pulse, no sweating, fever, and body pain; ③ Tai Yang cold damage with floating tight pulse and no sweating leading to epistaxis; ④ Yang Ming disease with floating pulse, no sweating, and wheezing.Formula: Ma Huang (Ephedra) 9g, Gui Zhi (Cinnamon Twig) 6g, Xing Ren (Apricot Kernel) 9g, Zhi Gan Cao (Honey-Fried Licorice) 6g.Decoct, first boil Ma Huang for 1-2 minutes, remove the foam, then add the remaining herbs and decoct for one cup, take warm, and cover with a cotton blanket to induce slight sweating.3. Ge Gen Decoction Syndrome: Stiffness in the neck and back, fever, no sweating, aversion to wind, and body pain are the correct indications for using this formula. However, it can also be used in cases of diarrhea with fever, no sweating, and aversion to cold.Formula: Ge Gen (Kudzu Root) 12g, Ma Huang (Ephedra) 9g, Gui Zhi (Cinnamon Twig) 6g, Shao Yao (Peony) 6g, Sheng Jiang (Fresh Ginger) 9g, Da Zao (Jujube) 4 pieces, Zhi Gan Cao (Honey-Fried Licorice) 6g.4. Da Qing Long Decoction Syndrome: Fever, aversion to cold, floating tight pulse, body pain, and no sweating with restlessness are the correct indications for using this formula (hereinafter referred to as confirmed syndrome). However, if water qi is trapped at the surface, leading to a slow pulse, heavy body, and occasional lightness, there is also an opportunity to use this formula.Formula: Ma Huang (Ephedra) 18g, Gui Zhi (Cinnamon Twig) 6g, Xing Ren (Apricot Kernel) 6g, Zhi Gan Cao (Honey-Fried Licorice) 6g, Sheng Jiang (Fresh Ginger) 9g, Da Zao (Jujube) 4 pieces, Sheng Shi Gao (Gypsum) 60-120g.5. Xiao Qing Long Decoction Syndrome: If the exterior is unresolved, and there is water qi in the heart area, leading to coughing and wheezing, this is the confirmed syndrome for this formula.Formula: Ma Huang (Ephedra) 9g, Gui Zhi (Cinnamon Twig) 9g, Shao Yao (Peony) 9g, Xi Xin (Asarum) 9g, Gan Jiang (Dried Ginger) 9g, Zhi Gan Cao (Honey-Fried Licorice) 9g, Ban Xia (Pinellia) 15g, Wu Wei Zi (Schisandra) 15g.6. Ma Xing Shi Gan Decoction Syndrome: For those who sweat and wheeze or are thirsty.Formula: Ma Huang (Ephedra) 12g, Xing Ren (Apricot Kernel) 6g, Shi Gao (Gypsum) 60-120g, Zhi Gan Cao (Honey-Fried Licorice) 6g.7. Gui Zhi Ma Huang Half Decoction Syndrome: For those with combined symptoms of Gui Zhi and Ma Huang, this is the confirmed syndrome for this formula. However, if there is fever and aversion to cold like malaria, with a flushed face, no sweating, and body fatigue, this formula can also be used.Formula: Gui Zhi (Cinnamon Twig) 4.5g, Shao Yao (Peony) 3g, Sheng Jiang (Fresh Ginger) 3g, Da Zao (Jujube) 2 pieces, Zhi Gan Cao (Honey-Fried Licorice) 3g, Ma Huang (Ephedra) 3g, Xing Ren (Apricot Kernel) 3g.8. Gui Zhi Two Ma Huang One Decoction Syndrome: For those with more Gui Zhi symptoms and fewer Ma Huang symptoms, and with symptoms resembling malaria that recur daily, this formula can induce slight sweating.Formula: Gui Zhi (Cinnamon Twig) 4.5g, Shao Yao (Peony) 6g, Sheng Jiang (Fresh Ginger) 6g, Da Zao (Jujube) 2 pieces, Zhi Gan Cao (Honey-Fried Licorice) 4.5g, Ma Huang (Ephedra) 3g, Xing Ren (Apricot Kernel) 3g.9. Gui Zhi Two Yue Bi One Decoction Syndrome: Fever, aversion to cold, more heat than cold, and weak pulse are the confirmed syndrome for this formula.Formula: Gui Zhi (Cinnamon Twig) 4.5g, Ma Huang (Ephedra) 3g, Shao Yao (Peony) 3g, Zhi Gan Cao (Honey-Fried Licorice) 3g, Sheng Jiang (Fresh Ginger) 4.5g, Da Zao (Jujube) 2 pieces, Sheng Shi Gao (Gypsum) 60g.10. Regarding the modifications of Gui Zhi DecoctionChanges in the symptoms of the original formula can lead to increases or decreases in the quantity of herbs, all of which belong to this category. Here are some examples:(1) Gui Zhi Jia Gui Decoction Syndrome: This is the original formula of Gui Zhi Decoction, with an increased amount of Gui Zhi, thus the indications for this formula are clear when the symptoms of Gui Zhi Decoction are more severe.(2) Gui Zhi Jia Ge Gen Decoction Syndrome: Since Ge Gen is indicated for stiffness in the neck and back, the indications for this formula should be for Gui Zhi Decoction with stiffness in the neck and back.(3) Gui Zhi Jia Fu Zi Decoction Syndrome: This is the original formula of Gui Zhi Decoction, with the addition of Fu Zi for treating Yin syndromes, used for Gui Zhi Decoction with a Yin syndrome transformation.(4) Gui Zhi Jia Hou Po Xing Zi Decoction Syndrome: For Gui Zhi Decoction with slight wheezing.(5) Gui Zhi Jia Shao Yao, Sheng Jiang, Ren Shen New Additions Decoction: Based on the new additions, this formula should be for Gui Zhi Decoction with a deep, slow pulse, hardness in the heart area, and significant body pain, with severe vomiting.(6) Gui Zhi Qu Shao Yao Decoction Syndrome: For Gui Zhi Decoction with abdominal Qi deficiency and a rapid pulse with chest fullness.(7) Gui Zhi Qu Shao Yao Jia Fu Zi Decoction Syndrome: For Gui Zhi Qu Shao Yao Decoction with further Yin syndrome transformation.(8) Gui Zhi Fu Zi Decoction Syndrome: This is Gui Zhi Qu Shao Yao with an increased amount of Fu Zi, thus treating the above symptoms, and transforming into a more severe Yin deficiency syndrome. The symptoms of body pain and restlessness, with a floating, weak, and rough pulse, are also indicative of a deficiency syndrome, and the relationship between Yin and Yang can be understood.(9) Gui Zhi Qu Shao Yao Jia Fu Ling Bai Zhu Decoction Syndrome: For Gui Zhi Qu Shao Yao Decoction with difficulty in urination.(10) Gui Zhi Qu Shao Yao Jia Shu Qi Long Gu Mu Li Decoction Syndrome: Based on the new additions, this formula should be for Gui Zhi Qu Shao Yao Decoction, with significant movement in the chest and abdomen, and restlessness.(The above are formulas composed of modifications of Gui Zhi Decoction, and the formulas can be sought based on the original formula, thus omitted.)11. Regarding the modifications of Ge Gen Decoction: This formula only has the addition of Ban Xia as follows.Ge Gen Jia Ban Xia Decoction Syndrome: This is the syndrome of Ge Gen Decoction with vomiting. 4. Contraindications for Sweating AgentsIn the following situations, sweating should not be induced:1. Dry throat, do not induce sweating;2. In cases of dysuria, do not induce sweating;3. In cases of sores, although there is body pain, do not induce sweating;4. In cases of epistaxis, do not induce sweating;5. In cases of blood loss, do not induce sweating;6. In cases of excessive sweating, do not induce sweating. 5. Relationship Between Exterior and Interior SyndromesIf Tai Yang disease is not treated or is mismanaged, it can transmit to the interior and cause Yang Ming disease, and there can also be simultaneous occurrence of exterior and interior diseases, known as Tai Yang and Yang Ming combined disease. Regardless of combined or simultaneous diseases, if there are exterior symptoms present, the exterior must be resolved first before attacking the interior; this is the established method. The following formulas are found in this chapter:1. Bai Hu Decoction Syndrome: Great thirst, aversion to heat, not aversion to cold, with a large or floating pulse, and heat accumulation in the interior but not yet solid.Formula: Sheng Shi Gao (Gypsum) 120g, Zhi Mu (Anemarrhena) 18g, Zhi Gan Cao (Honey-Fried Licorice) 6g, Jing Mi (Polished Rice) a pinch.2. Bai Hu Jia Ren Shen Decoction Syndrome: This is the Bai Hu Decoction syndrome with fluid deficiency, and hardness in the heart area.Formula: Add Ren Shen (Ginseng) 9g to the above formula.3. Tiao Wei Cheng Qi Decoction Syndrome: For disharmony in the stomach, hard stools, and urgent symptoms.Formula: Da Huang (Rhubarb) 12g, Zhi Gan Cao (Honey-Fried Licorice) 6g, Mang Xiao (Mirabilite) 15g, take a little with warm water. 6. Relationship Between Exterior and Half-Exterior Half-Interior SyndromesIf Tai Yang disease is not treated or is mismanaged, it can also transmit to half-exterior half-interior and cause Shao Yang disease. Regardless of Tai Yang and Shao Yang combined diseases, it can only be treated with Tai Yang and Shao Yang dual resolution, or treated from Shao Yang, and sweating should not be used to attack the exterior. If there are combined or simultaneous diseases of the three Yangs, it is also advisable to treat from Shao Yang; this is the established method. The following formulas are found in this chapter:1. Xiao Chai Hu Decoction Syndrome: Alternating chills and fever, fullness in the chest and flanks, reluctance to eat, irritability, and preference for vomiting; any one of these four symptoms is sufficient, not all must be present.Formula: Chai Hu (Bupleurum) 24g, Huang Qin (Scutellaria) 12g, Ren Shen (Ginseng) 9g, Zhi Gan Cao (Honey-Fried Licorice) 9g, Sheng Jiang (Fresh Ginger) 9g, Da Zao (Jujube) 4 pieces, Ban Xia (Pinellia) 15g.2. Da Chai Hu Decoction Syndrome: This is for Xiao Chai Hu Decoction syndrome with severe vomiting and abdominal fullness or fullness with severe pain (add Da Huang).Formula: Chai Hu (Bupleurum) 24g, Huang Qin (Scutellaria) 12g, Shao Yao (Peony) 12g, Ban Xia (Pinellia) 15g, Sheng Jiang (Fresh Ginger) 15g, Zhi Shi (Bitter Orange) 12g, Da Zao (Jujube) 5 pieces, Da Huang (Rhubarb) 6g (one formula without Da Huang).3. Chai Hu Jia Mang Xiao Decoction Syndrome: This is for Xiao Chai Hu Decoction syndrome with the addition of Mang Xiao.Formula: Add Mang Xiao (Mirabilite) 6g to Xiao Chai Hu Decoction.4. Chai Hu Jia Long Gu Mu Li Decoction Syndrome: This is for Xiao Chai Hu Decoction syndrome with chest and abdominal agitation, restlessness, and difficulty in urination. This is due to mismanagement of Shao Yang syndrome or burning needles, causing the evil to penetrate into the interior.Formula: Chai Hu (Bupleurum) 12g, Huang Qin (Scutellaria) 4.5g, Sheng Jiang (Fresh Ginger) 4.5g, Ban Xia (Pinellia) 6g, Ren Shen (Ginseng) 4.5g, Da Zao (Jujube) 2 pieces, Gui Zhi (Cinnamon Twig) 4.5g, Fu Ling (Poria) 4.5g, Da Huang (Rhubarb) 6g, Qian Dan (Lead) 4.5g, Long Gu (Dragon Bone) 4.5g, Mu Li (Oyster Shell) 4.5g.5. Chai Hu Gui Zhi Gan Jiang Decoction Syndrome: This is for Xiao Chai Hu Decoction syndrome with thirst but no vomiting, chest and abdominal agitation, and urgent upward movement.Formula: Chai Hu (Bupleurum) 24g, Gui Zhi (Cinnamon Twig) 9g, Gan Jiang (Dried Ginger) 6g, Hua Fen (Flower Pollen) 12g, Huang Qin (Scutellaria) 12g, Mu Li (Oyster Shell) 6g, Zhi Gan Cao (Honey-Fried Licorice) 6g.Chai Hu Gui Zhi Decoction Syndrome: This is a combined syndrome of Xiao Chai Hu Decoction and Gui Zhi Decoction.Formula: Gui Zhi (Cinnamon Twig) 4.5g, Shao Yao (Peony) 4.5g, Sheng Jiang (Fresh Ginger) 4.5g, Da Zao (Jujube) 2 pieces, Chai Hu (Bupleurum) 12g, Huang Qin (Scutellaria) 4.5g, Ren Shen (Ginseng) 4.5g, Ban Xia (Pinellia) 6g, Zhi Gan Cao (Honey-Fried Licorice) 6g. 7. Relationship Between Exterior Symptoms and Stagnation of FluidsTai Yang disease is fundamentally treated with sweating, but if there is stagnation of fluids in the interior, it is necessary to also expel the water; only then can the exterior be resolved, as seen in the previous Xiao Qing Long Decoction syndrome and Gui Zhi Qu Shao Yao Jia Ling Zhu Decoction syndrome, which belong to this category. If water is not expelled, whether sweating or purging, not only will the disease not resolve, but it may also cause various changes due to the agitation of internal water. The following formulas are found in this chapter:1. Ling Gui Zhu Gan Decoction Syndrome: For fullness in the heart area, Qi rising to the chest, dizziness, palpitations, and difficulty in urination or frequent urination.Formula: Fu Ling (Poria) 12g, Gui Zhi (Cinnamon Twig) 9g, Bai Zhu (Atractylodes) 6g, Zhi Gan Cao (Honey-Fried Licorice) 6g.2. Ling Gui Zhu Gan Decoction Syndrome: For palpitations below the navel, agitation rising, and a desire to run.Formula: Fu Ling (Poria) 24g, Gui Zhi (Cinnamon Twig) 12g, Zhi Gan Cao (Honey-Fried Licorice) 6g, Da Zao (Jujube) 5 pieces.3. Ling Gui Jiang Gan Decoction (i.e., Fu Ling Gan Cao Decoction) Syndrome: For palpitations in the heart area, rising agitation, and vomiting.Formula: Fu Ling (Poria) 6g, Gui Zhi (Cinnamon Twig) 6g, Zhi Gan Cao (Honey-Fried Licorice) 3g, Sheng Jiang (Fresh Ginger) 9g.4. Wu Ling San Syndrome: For unresolved exterior, irritability, difficulty in urination, or vomiting after drinking water.Formula: Zhu Ling (Polyporus) 9g, Bai Zhu (Atractylodes) 9g, Fu Ling (Poria) 9g, Ze Xie (Alisma) 15g, Gui Zhi (Cinnamon Twig) 6g.5. Zhen Wu Decoction Syndrome: For palpitations, dizziness, body agitation, a desire to lie down, abdominal pain, difficulty in urination, or diarrhea, or vomiting and coughing.6. Fu Ling Si Ni Decoction Syndrome: For palpitations and irritability, difficulty in urination, body agitation, cold limbs, sweating, or diarrhea.Formula: Fu Ling (Poria) 12g, Ren Shen (Ginseng) 3g, Sheng Fu Zi (Fresh Aconite) 4.5g, Zhi Gan Cao (Honey-Fried Licorice) 6g, Gan Jiang (Dried Ginger) 4.5g. 8. Relationship Between Exterior Symptoms and Cold DeficiencyIndividuals with a history of cold deficiency, when suffering from Tai Yang disease, often present with exterior symptoms that are not adequately prepared, and often exhibit symptoms of Yin and Yang intermingling. Treatment should first support the deficiency, then treat the exterior, but there are also cases where both interior and exterior are treated together. The following formulas are found in this chapter:1. Gui Zhi Gan Cao Decoction Syndrome: The indications for this formula are for palpitations, urgent upward movement, and a desire to press.Formula: Gui Zhi (Cinnamon Twig) 36g, Zhi Gan Cao (Honey-Fried Licorice) 18g.2. Gui Zhi Gan Cao Long Gu Mu Li Decoction Syndrome: For Gui Zhi Gan Cao Decoction syndrome with agitation in the chest and abdomen.Formula: Gui Zhi (Cinnamon Twig) 9g, Zhi Gan Cao (Honey-Fried Licorice) 6g, Mu Li (Oyster Shell) 6g, Long Gu (Dragon Bone) 6g.3. Xiao Jian Zhong Decoction Syndrome: For abdominal tightness (abdominal cramping), abdominal pain, or palpitations and irritability.Formula: Gui Zhi (Cinnamon Twig) 9g, Zhi Gan Cao (Honey-Fried Licorice) 6g, Da Zao (Jujube) 12g, Shao Yao (Peony) 18g, Sheng Jiang (Fresh Ginger) 9g, Yi Tang (Maltose) 60g.4. Shao Yao Gan Cao Decoction Syndrome: For cramping and urgency.Formula: Shao Yao (Peony) 18g, Zhi Gan Cao (Honey-Fried Licorice) 18g.5. Shao Yao Gan Cao Fu Zi Decoction Syndrome: This is for Shao Yao Gan Cao Decoction syndrome with the addition of Fu Zi.Formula: Shao Yao (Peony) 9g, Zhi Gan Cao (Honey-Fried Licorice) 9g, Fu Zi (Aconite) 4.5g.6. Hou Po Sheng Jiang Ban Xia Gan Cao Ren Shen Decoction Syndrome: For fullness in the chest and abdomen with vomiting (Qi fullness and distension).Formula: Hou Po (Magnolia Bark) 24g, Sheng Jiang (Fresh Ginger) 24g, Ban Xia (Pinellia) 15g, Zhi Gan Cao (Honey-Fried Licorice) 6g, Ren Shen (Ginseng) 9g.7. Zhi Gan Cao Decoction Syndrome: For pulse irregularities, palpitations, and Yang deficiency syndrome.Formula: Zhi Gan Cao (Honey-Fried Licorice) 12g, Sheng Jiang (Fresh Ginger) 9g, Ren Shen (Ginseng) 18g, Sheng Di (Rehmannia) 36g, Gui Zhi (Cinnamon Twig) 9g, E Jiao (Donkey-hide Gelatin) 12g, Mai Men Dong (Ophiopogon) 15g, Ma Ren (Sesame Seed) 15g, Da Zao (Jujube) 30 pieces.8. Gan Cao Gan Jiang Decoction Syndrome: For irritability, vomiting, and cold limbs, or excessive salivation, dizziness, and incontinence.Formula: Zhi Gan Cao (Honey-Fried Licorice) 12g, Gan Jiang (Dried Ginger) 9g.9. Si Ni Decoction Syndrome: For cold limbs, diarrhea, aversion to cold, body pain, and a weak pulse.Formula: Zhi Gan Cao (Honey-Fried Licorice) 6g, Gan Jiang (Dried Ginger) 6g, Fu Zi (Aconite) 6g. 9. Relationship Between Exterior Symptoms and Blood StasisIndividuals with latent blood toxicity, due to suffering from Tai Yang disease, often develop blood stasis symptoms. If exterior symptoms are still present, the exterior must be resolved before the blood stasis can be treated. This is also an established method of treatment, as seen in the Tai Yang chapter, with the following formulas:1. Tao Ren Cheng Qi Decoction Syndrome: For urgent lower abdominal distension, with upward agitation like madness, belonging to blood stasis syndrome.Formula: Tao Ren (Peach Kernel) 12g, Da Huang (Rhubarb) 12g, Gui Zhi (Cinnamon Twig) 6g, Zhi Gan Cao (Honey-Fried Licorice) 6g, Mang Xiao (Mirabilite) 6g.2. Di Dang Decoction Syndrome: For chronic blood stasis syndrome, the indications are:① Lower abdominal hardness and fullness, with spontaneous urination, and agitation; ② Forgetfulness, lower abdominal hardness, with easy but dark stools; ③ Rapid pulse, excessive hunger, and no bowel movement.Formula: Water leeches 10, flies 10, Tao Ren (Peach Kernel) 7 (crushed), Da Huang (Rhubarb) 12g.3. Di Dang Pill Syndrome: Same as the decoction, this is a severe case, requiring a slow treatment method.Formula: Water leeches 20, flies 20, Tao Ren (Peach Kernel) 25, Da Huang (Rhubarb) 27g.Divide into four pills, each boiled in one cup of water, and take the residue. 10. Relationship Between Exterior Symptoms and Deficiency HeatDeficiency heat is the opposite of excess heat, indicating that the stomach cavity is empty, without the intention of Yang Ming excess heat, thus it is a Yang syndrome, not a Yin syndrome. This often occurs due to sweating or purging, leading to the release of heat without resolution, resulting in internal fluid deficiency. The following formulas are found in this chapter:1. Zhi Zi Chi Decoction Syndrome: For heart discomfort, irritability, and heat that prevents sleep, or chest fullness, or pain in the heart area.Formula: Zhi Zi (Gardenia) 12g, Xiang Chi (Fragrant Bean) 18g.2. Zhi Zi Gan Cao Chi Decoction Syndrome: This is for Zhi Zi Chi Decoction syndrome with urgent symptoms.Formula: Zhi Zi (Gardenia) 12g, Zhi Gan Cao (Honey-Fried Licorice) 9g, Xiang Chi (Fragrant Bean) 18g.3. Zhi Zi Sheng Jiang Chi Decoction Syndrome: This is for Zhi Zi Chi Decoction syndrome with vomiting.Formula: Zhi Zi (Gardenia) 12g, Sheng Jiang (Fresh Ginger) 24g, Xiang Chi (Fragrant Bean) 18g.4. Zhi Zi Hou Po Decoction Syndrome: For irritability, fullness in the chest and abdomen, and restlessness.Formula: Zhi Zi (Gardenia) 12g, Hou Po (Magnolia Bark) 18g, Zhi Shi (Bitter Orange) 12g.5. Zhi Zi Gan Jiang Decoction Syndrome: For slight heat, irritability, and vomiting, or diarrhea.Formula: Zhi Zi (Gardenia) 12g, Gan Jiang (Dried Ginger) 9g. 11. Relationship Between Exterior Symptoms and DiarrheaIf Tai Yang disease is unresolved, it can lead to internal pressure from the virus, causing diarrhea. There can also be mismanagement leading to heat diarrhea or intestinal deficiency leading to diarrhea, in addition to other types of symptoms. The following formulas are listed below:1. Ge Gen Huang Qin Huang Lian Decoction Syndrome: For fullness in the heart area, rapid pulse, and persistent diarrhea, or wheezing with sweating.Formula: Ge Gen (Kudzu Root) 36g, Huang Qin (Scutellaria) 12g, Huang Lian (Coptis) 12g, Zhi Gan Cao (Honey-Fried Licorice) 9g.2. Gui Zhi Ren Shen Decoction Syndrome: For urgent upward movement, hardness in the heart area, and persistent diarrhea.Formula: Gui Zhi (Cinnamon Twig) 12g, Zhi Gan Cao (Honey-Fried Licorice) 12g, Bai Zhu (Atractylodes) 9g, Ren Shen (Ginseng) 9g, Gan Jiang (Dried Ginger) 9g.3. Huang Qin Decoction Syndrome: For diarrhea with abdominal cramping and hardness in the heart area.Formula: Huang Qin (Scutellaria) 12g, Shao Yao (Peony) 9g, Zhi Gan Cao (Honey-Fried Licorice) 6g, Da Zao (Jujube) 4 pieces.4. Huang Qin Jia Ban Xia Decoction Syndrome: This is for Huang Qin Decoction syndrome with vomiting.Formula: Add Ban Xia (Pinellia) 15g and Sheng Jiang (Fresh Ginger) 9g to the above formula.5. Chi Shi Zhi Yu Yu Liang Decoction Syndrome: This formula is for diarrhea caused by intestinal prolapse.Formula: Chi Shi Zhi (Red Stone Fat) and Yu Yu Liang (Yuyuliang) each 60g. 12. Relationship Between Exterior Symptoms and Chest DistensionIf Tai Yang disease is purged too early, it can lead to chest distension. However, there are also spontaneous chest distension symptoms, so it cannot be generalized. Regardless of whether it is due to mismanagement or spontaneous, if water and heat are trapped in the chest cavity, it is a disease. The severity of the symptoms can be classified into two types: large and small chest distension. The following formulas are listed to show their different treatment methods.1. Da Xian Xiong Decoction Syndrome: For viruses trapped in the chest cavity, fullness and hardness in the heart area, and signs of internal heat.Formula: Da Huang (Rhubarb) 12g, Mang Xiao (Mirabilite) 9g, Gan Sui (Kansui) 1.5g.First, add Da Huang, then Mang Xiao, and finally Gan Sui, to achieve rapid results; do not take again.2. Da Xian Xiong Pill Syndrome: For chest distension, hardness in the heart area, and stiffness in the neck.Formula: Da Huang (Rhubarb) 120g, Mang Xiao (Mirabilite) 60g, Xing Ren (Apricot Kernel) 60g, Ting Li Zi (Descurainia) 60g.Crush into pills, the size of a walnut, take one pill with 1.5g of Gan Sui, half a spoon of honey, and one cup of water, boil to half a cup, take warm; if it does not work, take again, and adjust as needed.3. Shi Zao Decoction Syndrome: For fullness and hardness in the heart area, and chest and abdominal pain.Formula: Yan Hua (Corydalis) 12g, Gan Sui (Kansui) 12g, Da Huang (Rhubarb) 12g.4. Bai San Decoction Syndrome: For toxins trapped in the chest, phlegm and saliva causing pressure.Formula: Jie Geng (Platycodon) 9g, Ba Dou (Croton) 3g, Bei Mu (Fritillaria) 9g.Crush into fine powder. Mix with white drink and take 8g; if it is too much, reduce the amount. If the disease is above the diaphragm, it must be vomited; if below, it must be purged; if there is excessive purging, drink cold water to stop.5. Xiao Xian Xiong Decoction Syndrome: For toxins trapped in the heart area, pain upon pressing.Formula: Huang Lian (Coptis) 6g, Ban Xia (Pinellia) 15g, Guo Lou Ren (Trichosanthes) 21g. 13. Relationship Between Exterior Symptoms and DistensionThis is similar to chest distension, either due to mismanagement of Tai Yang disease or spontaneous symptoms of fullness in the heart area. The following formulas are found in this chapter:1. Da Huang Huang Lian Xie Xin Decoction Syndrome: For fullness in the heart area, pressing causes discomfort.Formula: Da Huang (Rhubarb) 12g, Huang Lian (Coptis) 4.5g.Soak in boiling water, remove the residue, and take warm. This formula can be combined with Huang Qin (Scutellaria) 4.5g, known as Xie Xin Decoction or San Huang Decoction, with similar treatment.2. Fu Zi Xie Xin Decoction Syndrome: For Xie Xin Decoction syndrome with the addition of Fu Zi.Formula: Da Huang (Rhubarb) 12g, Huang Lian (Coptis) 4.5g, Huang Qin (Scutellaria) 4.5g, Fu Zi (Aconite) 4.5g.Soak the three Huang in boiling water, remove the residue, and separately boil Fu Zi to extract the juice, then combine and take warm.3. Ban Xia Xie Xin Decoction Syndrome: For vomiting, fullness in the heart area, and bowel sounds, or diarrhea.Formula: Ban Xia (Pinellia) 18g, Huang Qin (Scutellaria) 12g, Huang Lian (Coptis) 4.5g, Ren Shen (Ginseng) 9g, Da Zao (Jujube) 4 pieces, Gan Jiang (Dried Ginger) 9g, Zhi Gan Cao (Honey-Fried Licorice) 9g.4. Gan Cao Xie Xin Decoction Syndrome: For Ban Xia Xie Xin Decoction syndrome with urgent symptoms.Formula: This is Ban Xia Xie Xin Decoction with the amount of Gan Cao increased to 12g.5. Sheng Jiang Xie Xin Decoction Syndrome: For Ban Xia Xie Xin Decoction syndrome with dry food odor, diarrhea.Formula: This is Ban Xia Xie Xin Decoction with the amount of Gan Jiang reduced to 3g and Sheng Jiang (Fresh Ginger) increased to 12g.6. Xuan Fu Hua Dai Zhe Shi Decoction Syndrome: For fullness in the heart area, with gas not resolving.Formula: Xuan Fu Hua (Inula) 9g, Dai Zhe Shi (Hematite) 6g, Ren Shen (Ginseng) 9g, Ban Xia (Pinellia) 15g, Sheng Jiang (Fresh Ginger) 9g, Da Zao (Jujube) 4 pieces, Zhi Gan Cao (Honey-Fried Licorice) 9g.7. Huang Lian Decoction Syndrome: For irritability, fullness in the heart area, abdominal pain, and a desire to vomit.Formula: Huang Lian (Coptis) 12g, Ban Xia (Pinellia) 15g, Ren Shen (Ginseng) 9g, Gui Zhi (Cinnamon Twig) 9g, Gan Jiang (Dried Ginger) 9g, Da Zao (Jujube) 4 pieces, Zhi Gan Cao (Honey-Fried Licorice) 9g. 14. Relationship Between Exterior Symptoms and Wind DampnessIf the body is weak and Qi is deficient, it can lead to stagnation of water qi at the surface (the result of venous capillary congestion affecting fluid permeability). If a cold is contracted, it can easily lead to symptoms of wind dampness, causing the Gui Zhi syndrome to be inadequately prepared. Due to the weakness of the body, it is a symptom of Yin and Yang intermingling. The previous Gui Zhi Fu Zi Decoction syndrome belongs to this category, and there are two similar formulas in this chapter:Gui Zhi Fu Zi Qu Gui Jia Zhu Decoction Syndrome: For Gui Zhi Fu Zi Decoction syndrome with hard stools, spontaneous urination, and no upward movement.Formula: Bai Zhu (Atractylodes) 12g, Pao Fu Zi (Aconite) 9g, Sheng Jiang (Fresh Ginger) 9g, Zhi Gan Cao (Honey-Fried Licorice) 6g, Da Zao (Jujube) 4 pieces. Decoct in water and take warm; initially, the person may feel numb, but after half a day, take again. After three doses, the person may feel like they are in a state of adventure; do not be alarmed, as this is due to Fu Zi and Zhu moving through the skin, expelling the water qi that has not been cleared.Gan Cao Fu Zi Decoction Syndrome: This formula is composed of Gui Zhi Gan Cao Decoction with the addition of Fu Zi and Bai Zhu, indicated for those with joint pain and discomfort, with pain upon movement, and a desire to avoid clothing, or slight swelling, but must also have symptoms of upward movement and palpitations.Formula: Zhi Gan Cao (Honey-Fried Licorice) 6g, Fu Zi (Aconite) 6g, Bai Zhu (Atractylodes) 6g, Gui Zhi (Cinnamon Twig) 12g.Decoct and take; slight sweating will resolve the symptoms.Note: The above two formulas have very few clinical examples, so there is no reference. However, the Japanese formula Gui Zhi Jia Ling Zhu Fu Zi Decoction is purely derived from Gui Zhi Fu Zi Decoction and these two formulas, so the clinical examples of this formula may have similar therapeutic effects, which can be referenced.
Yang Ming Disease
1. Characteristics of Yang Ming DiseaseThe characteristics of Yang Ming disease can be recognized from both exterior and interior aspects: ① Abdominal symptoms, indicating fullness in the stomach. ② Exterior symptoms, indicating body heat, sweating, and no aversion to cold, but rather aversion to heat. In other words, whenever the stomach is found to be full, or if there is body heat, spontaneous sweating, and no aversion to cold, but rather aversion to heat, it is called Yang Ming disease. 2. Overview of the Pathology of Yang Ming DiseaseUnder the dominant influence of the cerebral cortex, the body gathers the virus in the intestines and stomach, intending to expel it through bowel movements. However, due to the limited natural ability, the interaction between the virus and the body leads to constipation or stagnation, resulting in the fullness of the stomach, which is Yang Ming disease. 3. Three Causes and Two Categories of Yang Ming DiseaseMismanagement or misdiagnosis of Tai Yang and Shao Yang diseases can lead to Yang Ming disease, and there is also a direct Yang Ming disease. Therefore, there are three different causes of Yang Ming disease: Tai Yang Yang Ming, Shao Yang Yang Ming, and Zheng Yang Yang Ming. Regardless of the cause, if the disease occurs initially, if the patient can eat, it is called wind stroke; if the patient cannot eat, it is called cold. This is the two major categories of Yang Ming disease. 4. Treatment Principles for Yang Ming DiseaseBased on the above pathology, the body desires to expel the virus through bowel movements, but the interaction between the virus and the body leads to heat excess and fluid deficiency in the interior. Traditional Chinese medicine uses purgatives to clear heat, preserve fluids, and treat this disease, which aligns with the body’s natural requirements and achieves a comprehensive therapeutic approach. The following formulas are examples:1. Tiao Wei Cheng Qi Decoction Syndrome:(Already mentioned in the Tai Yang chapter, not repeated, please refer to it.)2. Xiao Cheng Qi Decoction Syndrome: This is for fullness and distension in the abdomen, with constipation.Formula: Da Huang (Rhubarb) 18g, Hou Po (Magnolia Bark) 9g, Zhi Shi (Bitter Orange) 9g. Decoct in water and take warm.3. Da Cheng Qi Decoction Syndrome: This is for severe abdominal distension, constipation, or foul-smelling stools.Formula: Da Huang (Rhubarb) 18g, Hou Po (Magnolia Bark) 60g, Zhi Shi (Bitter Orange) 15g, Mang Xiao (Mirabilite) 12g.4. Ma Zi Ren Wan Syndrome: This formula is a moistening laxative, indicated for fluid deficiency leading to constipation.Formula: Ma Zi Ren (Hemp Seed) 180g, Shao Yao (Peony) 60g, Zhi Shi (Bitter Orange) 60g, Hou Po (Magnolia Bark) 60g, Da Huang (Rhubarb) 90g. Mix with honey to form pills, the size of a wutong seed, take ten pills, three times a day, gradually increasing as needed. 5. Clearing Methods for Yang Ming DiseaseYang Ming disease is characterized by the internal accumulation of heat evil, without solid accumulation. It is advisable to treat it with cold and cooling formulas. The following formulas are found in this chapter:1. Hu Tang Syndrome.2. Bai Hu Jia Ren Shen Decoction Syndrome.3. Zhi Zi Chi Decoction Syndrome.All of the above formulas are detailed in the Tai Yang chapter, so they will not be repeated. 6. Blood Stasis Syndrome in Yang Ming DiseaseShould be treated with blood expulsion, and the only formula found in this chapter is Di Dang Decoction. Since it is detailed in the Tai Yang chapter, it will not be repeated. 7. Water Toxicity as a Disease in Yang Ming DiseaseAlthough Yang Ming disease is rooted in heat excess and fluid deficiency, diuretics may sometimes be necessary. The following two formulas are found in this chapter:1. Wu Ling San Syndrome: Already detailed in the Tai Yang chapter, not repeated.2. Zhu Ling Decoction Syndrome: For difficulty in urination, or frequent urination, or purulent blood, or pain in the urinary tract with thirst.Formula: Zhu Ling (Polyporus) 9g, Fu Ling (Poria) 9g, Ze Xie (Alisma) 9g, E Jiao (Donkey-hide Gelatin) 9g, Hua Shi (Talc) 9g. 9. Combined Tai Yang and Yang Ming Disease with Combined Shao Yang and Yang Ming DiseaseIf Tai Yang or Shao Yang transforms into Yang Ming disease, if Tai Yang or Shao Yang symptoms have not resolved, it is still necessary to first resolve the exterior or half-exterior half-interior, and then treat the interior. Therefore, this chapter discusses the formulas of Ma Huang, Gui Zhi, and Xiao Chai Hu, as they have been detailed in the Tai Yang chapter, so they will not be explained further. 10. Changes in Interior SyndromesThe disease transmitted from the exterior to the interior varies according to individual constitution; it may transform into an excess syndrome due to heat or a deficiency syndrome due to cold. Therefore, when treating excess, one must consider deficiency; when treating heat, one must consider cold. The following deficiency and cold formulas are found in this chapter:1. Si Ni Decoction Syndrome: Already detailed in the Tai Yang chapter, briefly mentioned.2. Wu Zhu Yu Decoction Syndrome: Based on the discussion of the composition of the herbs, this formula is indicated for vomiting, fullness in the chest, hardness in the heart area, or headache or abdominal pain.Formula: Wu Zhu Yu (Evodia) 15g, Ren Shen (Ginseng) 9g, Sheng Jiang (Fresh Ginger) 18g, Da Zao (Jujube) 4 pieces.
Shao Yang Disease
1. Characteristics of Shao Yang DiseaseBitter mouth, dry throat, dizziness. 2. Occurrence of Shao Yang DiseaseDue to the transmission of Tai Yang disease or spontaneous occurrences. 3. Two Major Types of Shao Yang Disease1. Shao Yang Wind Stroke: No sound in both ears, red eyes, fullness and irritability in the chest.2. Shao Yang Cold Damage: Thin pulse, headache, and fever. Both types have symptoms of bitter mouth, dry throat, and dizziness. 4. Pathology Overview of Shao Yang DiseaseWhen the body surrounds the virus in the chest and abdomen, it attempts to expel the virus through the functions of various organs in that area, such as the respiratory tract, urinary system, and skin. However, due to limited natural ability, the virus accumulates in that area, leading to inflammatory processes in the organs, resulting in the above-mentioned Shao Yang symptoms. 5. Treatment Principles for Shao Yang DiseaseShao Yang disease is not in the exterior, so sweating should not be induced. Shao Yang disease is also not in the interior, so vomiting and purging should not be used. Shao Yang disease is often heat-related, so warming needles should not be applied. The treatment should focus on clearing heat and harmonizing, while also using diuretics and dispersing herbs to expel the virus through urination and the skin, achieving the body’s therapeutic requirements.However, since Shao Yang disease is located between the exterior and interior, when the disease wants to exit, it tends to lean towards the exterior; when the disease wants to enter, it tends to lean towards the interior. This is why symptoms of Shao Yang are often seen in the Tai Yang and Yang Ming chapters. Due to the many organs located in this area, the range of disease changes is also large. Therefore, the formulas for Shao Yang disease are numerous, and their use is broad. To facilitate discussion, Zhang Zhongjing has compiled them in the following sections: 6. Formulas for Chest and Flank Fullness1. Xiao Chai Hu Decoction.2. Da Chai Hu Decoction.3. Chai Hu Jia Mang Xiao Decoction.4. Chai Hu Jia Long Gu Mu Li Decoction.5. Chai Hu Gui Jiang Decoction.6. Chai Hu Gui Zhi Decoction. 7. Formulas for Hardness in the Heart Area1. Ban Xia Xie Xin Decoction.2. Sheng Jiang Xie Xin Decoction.3. Gan Cao Xie Xin Decoction.4. Xuan Fu Dai Zhe Shi Decoction.5. Huang Lian Decoction.6. Da Huang Huang Lian Xie Xin Decoction. 8. Formulas for Irritability1. Zhi Zi Chi Decoction.2. Zhi Zi Gan Cao Chi Decoction.3. Zhi Zi Sheng Jiang Chi Decoction.4. Zhi Zi Bai Pi Decoction.5. Zhi Zi Hou Po Decoction.6. Zhi Zi Gan Jiang Decoction. 9. Formulas for Diarrhea and Vomiting1. Huang Qin Decoction.2. Huang Qin Jia Ban Xia Sheng Jiang Decoction. 10. Formulas for Chest Distension1. Da Xian Xiong Decoction (Pill).2. Xiao Xian Xiong Decoction.3. Bai San. 11. Formulas for Strengthening and Nourishing Yin
1. Zhi Gan Cao Decoction.2. Shao Yao Gan Cao Decoction.3. Shao Yao Gan Cao Fu Zi Decoction.
Tai Yin Disease
1. Characteristics of Tai Yin DiseaseAbdominal fullness and vomiting, inability to eat, frequent diarrhea, and occasional abdominal pain. 2. Three Yin Diseases Without Differentiating Wind and ColdThree Yin diseases are all rooted in deficiency and cold. When not resolved, they all belong to the category of middle cold. When the cold is removed, heat will return, indicating recovery. Therefore, self-recovery symptoms are particularly indicated by middle wind, and they should not be classified as Yin syndromes based on wind and cold. 3. Pathology Overview of Tai Yin DiseaseDue to the decline of the body’s functions, the interaction with pathogenic viruses leads to gastrointestinal dysfunction, resulting in the unique symptoms of Yin deficiency. 4. Treatment Principles for Tai Yin DiseaseThis syndrome is characterized by gastrointestinal deficiency and excess cold, so warming and tonifying formulas should be used for treatment. However, three Yin diseases often present with combined symptoms, so there are many combined treatment formulas. The following formulas are found in the three Yang chapters:1. Gan Cao Gan Jiang Decoction.2. Si Ni Decoction.3. Wu Zhu Yu Decoction.4. Hou Po Sheng Jiang Ban Xia Gan Cao Ren Shen Decoction.5. Chi Shi Zhi Yu Yu Liang Decoction.6. Li Zhong Decoction (also known as Ren Shen Decoction) and pill formulas: For fullness in the heart area, hardness, vomiting, and diarrhea, or chest tightness.(Note: This formula is discussed in the Tai Yang chapter but was not listed, so it is supplemented here.)Formula: Ren Shen (Ginseng), Gan Jiang (Dried Ginger), Zhi Gan Cao (Honey-Fried Licorice), Bai Zhu (Atractylodes) each 9g. Decoct in water and take warm. It can also be ground into fine powder and made into pills, taken three times a day. However, pill formulas are not as effective as decoctions. 5. Formulas Found in This DiseaseAll are formulas that transition from Tai Yang to Tai Yin, as follows:1. Gui Zhi Jia Shao Yao Decoction Syndrome: This formula is the original formula of Gui Zhi Decoction with increased Shao Yao, thus the indications for this formula are for Gui Zhi Decoction with significant abdominal cramping.Formula: Gui Zhi (Cinnamon Twig) 9g, Shao Yao (Peony) 18g, Zhi Gan Cao (Honey-Fried Licorice) 6g, Sheng Jiang (Fresh Ginger) 9g, Da Zao (Jujube) 4 pieces.2. Gui Zhi Jia Da Huang Decoction Syndrome: This formula is the previous formula with the addition of Da Huang, indicated for Gui Zhi Jia Shao Yao Decoction with constipation or stagnation.Formula: Add Da Huang (Rhubarb) 9g to the previous formula.
Shao Yin Disease
1. Characteristics of Shao Yin DiseaseThin pulse, but a desire to sleep. 2. Pathology Explanation of Shao Yin DiseaseWhen metabolic functions decline to a significant degree, the internal heat and blood are greatly weakened, resulting in a thin pulse, indicating nutritional imbalance, and the cerebral cortex also experiences a sense of inability to maintain, leading to a desire to sleep. 3. Treatment Contraindications for Shao Yin DiseaseShao Yin disease is characterized by Qi deficiency and blood deficiency, which are the root causes of the disease. Sweating, purging, and fire attacks should all be avoided. 4. Two Causes of Death and One Cause of Life in Shao Yin DiseaseIn Shao Yin disease, if Yang is lost, it leads to death; if Yin is lost, it also leads to death, so there are two causes of death. If Yang is excessive and Yin is deficient, it can strengthen water to control fire. This method can be used for Yang syndromes, but in the case of both Yin and Yang deficiency in Shao Yin syndrome, it will instead hasten death. Although Yin is deficient, there is only one method to restore Yang and replenish Yin, so there is only one way to survive. 5. Treatment Principles for Shao Yin DiseaseAlthough Shao Yin disease and Tai Yin disease are both caused by deficiency and cold, the treatment principles differ. Shao Yin disease requires warming and stimulating herbs for treatment, while Tai Yin disease is limited to the gastrointestinal tract. The following formulas are found in this chapter:1. Fu Zi Decoction Syndrome: For aversion to cold, body pain, hardness in the heart area, difficulty in urination, and a thin, weak pulse.Formula: Pao Fu Zi (Aconite) 6g, Fu Ling (Poria) 9g, Ren Shen (Ginseng) 6g, Bai Zhu (Atractylodes) 12g, Shao Yao (Peony) 9g.2. Zhen Wu Decoction Syndrome: This formula has been mentioned previously, so it will not be repeated.3. Tong Mai Si Ni Decoction Syndrome: For severe deficiency and vomiting.Formula: Zhi Gan Cao (Honey-Fried Licorice) 9g, Sheng Fu Zi (Fresh Aconite) 6g, Gan Jiang (Dried Ginger) 12g.4. Bai Tong Decoction Syndrome: For Shao Yin exterior syndrome combined with diarrhea, less urgent than Si Ni Decoction syndrome, with a thin pulse.Formula: Scallion white 4 stalks, Gan Jiang (Dried Ginger) 4.5g, Fu Zi (Aconite) 4.5g.5. Bai Tong Jia Zhu Dan Decoction Syndrome: For Bai Tong Decoction syndrome with severe aversion to cold, dry vomiting, and irritability.Formula: Add Zhu Dan (Pig Gallbladder Juice) 4.5g and human urine 15g to the above formula. Boil the original herbs, remove the residue, and add Zhu Dan and human urine to mix, take warm.6. Tao Hua Decoction Syndrome: For thin pulse, abdominal pain, diarrhea with pus and blood.Formula: Chi Shi Zhi (Red Stone Fat) 24g, Gan Jiang (Dried Ginger) 4.5g, Jing Mi (Polished Rice) 60g.Decoct, and separately adjust Chi Shi Zhi powder 15g, take at once; if one dose cures, do not take more. 6. Treatment Methods for Intermingled Yin and Yang SymptomsWhen Yin and Yang symptoms are simultaneously present, if the interior symptoms of Yin are evident, while the exterior symptoms of Yang are mild, such as body pain and clear diarrhea, it is urgent to rescue the interior, preferably with Si Ni Decoction, which has been explained in the Tai Yang chapter. However, if the exterior symptoms of Yang are prominent while the interior symptoms of Yin are not evident, slight sweating can be induced to allow the disease to resolve from the exterior. The previously mentioned Gui Zhi Jia Fu Zi Decoction syndrome and Gui Zhi Qu Shao Yao Jia Fu Zi Decoction syndrome belong to this category. The following formulas are found in this chapter, but the former belongs to the category of Gui Zhi formulas, while this belongs to the category of Ma Huang formulas, which should not be overlooked.1. Ma Huang Fu Zi Gan Cao Decoction Syndrome: For unresolved exterior, thin pulse, and urgency.Formula: Ma Huang (Ephedra) 12g, Zhi Gan Cao (Honey-Fried Licorice) 12g, Fu Zi (Aconite) 4.5g.2. Ma Huang Fu Zi Xi Xin Decoction Syndrome: For external cold and internal fluid, this is the same as Ma Huang Fu Zi Gan Cao Decoction syndrome, but without urgency, with a deep pulse or cough with phlegm.Formula: Ma Huang (Ephedra) 9g, Fu Zi (Aconite) 4.5g, Xi Xin (Asarum) 9g.