A Practical Guide to the Essentials of Shang Han Lun

A Practical Guide to the Essentials of Shang Han Lun

Tai Yang Disease

The Tai Yang disease is caused by wind, treated primarily with Gui Zhi Tang (Cinnamon Twig Decoction).

For cold damage, use Ma Huang Tang (Ephedra Decoction).

If both wind and cold are present, use a combination of Gui Zhi and Ma Huang in equal parts, known as Gui Zhi Ma Huang Ge Ban Tang (Cinnamon Twig and Ephedra Decoction).

If there is internal heat due to cold damage, use Da Qing Long Tang (Major Blue Dragon Decoction).

If there is internal heat with wind stroke, use Gui Zhi Er Yue Bi Yi Tang (Cinnamon Twig and Two Yao Decoction).

If there is water retention in the upper jiao due to cold damage, use Xiao Qing Long Tang (Minor Blue Dragon Decoction).

If the exterior has resolved but there is internal dryness, use Bai Hu Tang (White Tiger Decoction) or Bai Hu Jia Ren Shen Tang (White Tiger Decoction with Ginseng).

If the exterior has not resolved and there is internal dampness, use Wu Ling San (Five-Ingredient Powder with Poria) or Fu Ling Gan Cao Tang (Poria and Licorice Decoction).

If the exterior has resolved but there is heat binding in the blood level, use Tao He Cheng Qi Tang (Peach Pit Decoction to Order the Qi), Di Dang Tang (Di Dang Decoction), or Wan (Pills).

Tai Yang Bad Disease

Pathway to Yang Ming:

If the exterior cold has not resolved and there is internal heat, use Ma Huang Xing Ren Gan Cao Shi Gao Tang (Ephedra, Apricot Kernel, Licorice, and Gypsum Decoction).

If the exterior has resolved but there is internal dryness, use Ren Shen Shi Gao Tang (Ginseng and Gypsum Decoction).

If the exterior has resolved and there is internal heat, use Tiao Wei Cheng Qi Tang (Regulate the Stomach and Order the Qi Decoction).

Pathway to Tai Yin:

If the exterior has not resolved and there is internal dampness, use Wu Ling San (Five-Ingredient Powder with Poria).

If the exterior has resolved and there is internal Yang deficiency, use Gan Cao Gan Jiang Tang (Licorice and Dried Ginger Decoction).

If the exterior has resolved and there is internal Yin deficiency, use Shao Yao Gan Cao Tang (Peony and Licorice Decoction).

If the exterior has not resolved and there is internal cold urgency, first use Si Ni Tang (Frigid Extremities Decoction), then use Gui Zhi Tang (Cinnamon Twig Decoction).

If the exterior wind has not resolved and there is internal deficiency, use Gui Zhi Jia Shao Yao Sheng Jiang Ren Shen Xin Jia Tang (Cinnamon Twig Decoction with Peony, Fresh Ginger, and Ginseng).

If the exterior has not resolved and there is internal heat, use Ge Gen Huang Qin Huang Lian Tang (Kudzu, Scutellaria, and Coptis Decoction).

If the exterior has not resolved and there is internal cold, use Gui Zhi Qu Shao Yao Tang (Cinnamon Twig Decoction without Peony) or Gui Zhi Qu Shao Yao Jia Fu Zi Tang (Cinnamon Twig Decoction without Peony with Aconite).

If the exterior wind has not resolved and there is slight cough, use Gui Zhi Jia Hou Po Xing Ren Tang (Cinnamon Twig Decoction with Magnolia Bark and Apricot Kernel).

If the exterior has resolved and there is internal dampness, use Gui Zhi Qu Shao Yao Jia Fu Ling Bai Zhu Tang (Cinnamon Twig Decoction without Peony with Poria and Atractylodes).

If the exterior is deficient and the interior is full, use Chao Po Sheng Jiang Gan Cao Ban Xia Ren Shen Tang (Stir-Fried Magnolia Bark, Fresh Ginger, Licorice, Pinellia, and Ginseng Decoction).

If the interior is full and vomiting is appropriate, use Zhi Zi Nong Po Tang (Gardenia and Stir-Fried Magnolia Bark Decoction), Zhi Zi Gan Jiang Tang (Gardenia and Dried Ginger Decoction), Zhi Zi Xiang Chi Tang (Gardenia and Soybean Decoction), Zhi Zi Gan Cao Tang (Gardenia and Licorice Decoction), Zhi Zi Sheng Jiang Tang (Gardenia and Fresh Ginger Decoction), according to the symptoms.

Pathway to Shao Yin:

If there is exterior deficiency with sweating, use Gui Zhi Jia Fu Zi Tang (Cinnamon Twig Decoction with Aconite) (sweating does not stop, aversion to wind, difficulty urinating, limbs are tense and difficult to bend).

If there is internal deficiency with aversion to cold, use Shao Yao Gan Cao Fu Zi Tang (Peony and Licorice Decoction with Aconite).

If there is internal cold with dampness, use Fu Ling Bai Zhu Gui Zhi Gan Cao Tang (Poria, Atractylodes, Cinnamon Twig, and Licorice Decoction).

If there is internal cold with water, use Zhen Wu Tang (True Warrior Decoction).

If there is internal deficiency with Yang collapse, use Gui Zhi Gan Cao Tang (Cinnamon Twig and Licorice Decoction).

If there is internal cold wanting to cause rebellious Qi, use Gui Zhi Jia Gui Tang (Cinnamon Twig Decoction with Cinnamon).

If there is internal deficiency with Yang collapse and agitation, use Gui Zhi Qu Shao Yao Jia Shu Qi Long Gu Mu Li Tang (Cinnamon Twig Decoction without Peony with Dragon Bone and Oyster).

If there is internal deficiency with Yang collapse and restlessness, use Gui Zhi Gan Cao Long Gu Mu Li Tang (Cinnamon Twig and Licorice Decoction with Dragon Bone and Oyster).

If the exterior has resolved and there is internal Yang deficiency, use Fu Ling Si Ni Tang (Poria Frigid Extremities Decoction) or Gan Jiang Fu Zi Tang (Dried Ginger and Aconite Decoction).

Tai Yang Bad Disease with Chest Binding and Distension Syndrome

For severe chest binding syndrome, use Da Xian Xiong Tang (Major Chest-Blocking Decoction) or Da Xian Xiong Wan (Major Chest-Blocking Pills).

For mild cases, use Xiao Xian Xiong Tang (Minor Chest-Blocking Decoction).

For distension syndrome with unresolved exterior and internal deficiency, use Gui Zhi Ren Shen Tang (Cinnamon Twig and Ginseng Decoction).

If the exterior has resolved and there is internal fullness with heat, use Da Huang Huang Lian Xie Xin Tang (Major Yellow and Coptis Decoction to Drain the Heart).

If the exterior has resolved and there is internal fullness with cold, use Fu Zi Xie Xin Tang (Aconite Decoction to Drain the Heart).

If the exterior has resolved and there is internal water, use Shi Zao Tang (Ten Jujube Decoction).

If the exterior has resolved and there is internal cold and heat, use Sheng Jiang Xie Xin Tang (Fresh Ginger Decoction to Drain the Heart) or Gan Cao Xie Xin Tang (Licorice Decoction to Drain the Heart).

If there is internal dampness with slippery stools, use Chi Shi Zhi Yu Yu Liang Tang (Red Stone and Yu Liang Decoction).

If there is internal dampness with water retention, use Wu Ling San (Five-Ingredient Powder with Poria).

If the exterior has resolved and there is internal stagnation, use Xuan Fu Hua Dai Zhe Shi Tang (Xuanfu Flower and Dai Zhe Stone Decoction).

If there is internal cold that can be vomited, use Gua Ti San (Melon Seed Powder).

Yang Ming Disease

Yang Ming disease, if the Tai Yang channel symptoms have not resolved, for wind stroke, still use Gui Zhi Tang (Cinnamon Twig Decoction), for cold damage, still use Ma Huang Tang (Ephedra Decoction).

If the Tai Yang has not resolved and is about to enter Yang Ming, use Gui Zhi Jia Ge Gen Tang (Cinnamon Twig Decoction with Kudzu).

If the Tai Yang has not resolved and has already entered Yang Ming, use Ge Gen Tang (Kudzu Decoction).

If both Yang channels have not resolved and there is internal stagnation, use Ge Gen Jia Ban Xia Tang (Kudzu Decoction with Pinellia), if the exterior has resolved and there is internal heat, use Tiao Wei Cheng Qi Tang (Regulate the Stomach and Order the Qi Decoction).

If the exterior has resolved and there is slight fullness, use Xiao Cheng Qi Tang (Minor Order the Qi Decoction).

If the exterior has resolved and there is significant fullness, use Da Cheng Qi Tang (Major Order the Qi Decoction).

If there is internal fullness and fluid depletion, use Mi Jian Dao Fang (Secretly Boiled Decoction) or Zhu Dan Zhi Fang (Pig Gallbladder Decoction).

If there is internal fullness and spleen contraction, use Ma Ren Wan (Hemp Seed Pill).

If there is internal fullness and blood stasis, use Di Dang Tang (Di Dang Decoction).

Yang Ming Disease Deficiency Syndrome

Yang Ming deficiency syndrome, with internal cold and excess water, use Si Ni Tang (Frigid Extremities Decoction).

If there is internal cold and spleen deficiency, use Wu Zhu Yu Tang (Evodia Decoction).

If there is internal accumulation of dampness, use Wu Ling San (Five-Ingredient Powder with Poria).

If there is internal heat, use Zhi Zi Chi Tang (Gardenia and Soybean Decoction) or Bai Hu Jia Ren Shen Tang (White Tiger Decoction with Ginseng).

If there is internal damp-heat, use Zhu Ling Tang (Polyporus Decoction).

If there is internal dryness heat, use Bai Hu Tang (White Tiger Decoction).

If there is internal heat with blood stasis, use Yin Chen Hao Tang (Artemisia Decoction).

Shao Yang Disease

Shao Yang channel disease is characterized by Qi stagnation, with exterior and interior disharmony, treated with Xiao Chai Hu Tang (Minor Bupleurum Decoction).

If the Tai Yang channel symptoms have not resolved and suddenly enter Shao Yang, use Chai Hu Gui Zhi Tang (Bupleurum and Cinnamon Twig Decoction).

If the Tai Yang disease has not resolved and the exterior is full, use Ma Huang Tang (Ephedra Decoction).

If the Shao Yang disease is present and there is internal deficiency, use Xiao Jian Zhong Tang (Minor Build the Middle Decoction).

If there is diarrhea from the lower body, use Huang Qin Tang (Scutellaria Decoction). If there is vomiting, use Huang Qin Jia Ban Xia Sheng Jiang Tang (Scutellaria Decoction with Pinellia and Fresh Ginger).

If the exterior has not resolved and there is internal fullness, use Da Chai Hu Tang (Major Bupleurum Decoction).

If the exterior has resolved and there is internal heat, use Tiao Wei Cheng Qi Tang (Regulate the Stomach and Order the Qi Decoction).

If a woman has heat entering the blood chamber, use Xiao Chai Hu Tang (Minor Bupleurum Decoction).

Shao Yang Bad Disease

Pathway to Yang Ming: if there is internal deficiency and palpitations, use Xiao Jian Zhong Tang (Minor Build the Middle Decoction).

If there is internal deficiency and palpitations, use Zhi Gan Cao Tang (Honey-Fried Licorice Decoction).

If there is internal deficiency with agitation and confusion, use Chai Hu Jia Long Gu Mu Li Tang (Bupleurum Decoction with Dragon Bone and Oyster).

If the Shao Yang disease has not resolved, still use Xiao Chai Hu Tang (Minor Bupleurum Decoction). If the exterior has not resolved and there is internal fullness, still use Da Chai Hu Tang (Major Bupleurum Decoction).

If the exterior has not resolved and there is internal heat, use Chai Hu Jia Mang Xiao Tang (Bupleurum Decoction with Glauber’s Salt).

Pathway to Tai Yin: if the exterior and interior have not resolved, use Chai Hu Gui Zhi Gan Jiang Tang (Bupleurum, Cinnamon Twig, and Dried Ginger Decoction).

Tai Yin Disease

Tai Yin disease, if the exterior cold has not resolved, still use Gui Zhi Tang (Cinnamon Twig Decoction).

If the exterior has not resolved and there is internal cold urgency, first use Si Ni Tang (Frigid Extremities Decoction), then use Gui Zhi Tang (Cinnamon Twig Decoction). If the exterior has resolved and there is internal cold, use Si Ni Tang (Frigid Extremities Decoction).

If there is internal cold with internal heat, use Huang Lian Tang (Coptis Decoction).

If the exterior has not resolved and there is internal deficiency, use Gui Zhi Jia Shao Yao Tang (Cinnamon Twig Decoction with Peony).

If the exterior has not resolved and there is internal fullness, use Gui Zhi Jia Da Huang Tang (Cinnamon Twig Decoction with Rhubarb).

If the exterior cold is stagnant and internal damp-heat arises, use Yin Chen Hao Tang (Artemisia Decoction).

If the exterior dampness is stagnant and internal blood heat arises, use Ma Huang Lian Qiao Chi Xiao Dou Tang (Ephedra, Lonicera, and Red Bean Decoction).

If there is internal blood heat, use Zhi Zi Bai Pi Tang (Gardenia and Cortex Decoction).

Shao Yin Disease

Shao Yin disease, if both exterior and interior are cold, use Ma Huang Fu Zi Xi Xin Tang (Ephedra, Aconite, and Asarum Decoction) or Ma Huang Fu Zi Gan Cao Tang (Ephedra, Aconite, and Licorice Decoction).

If there is internal cold with excess water, use Si Ni Tang (Frigid Extremities Decoction).

If there is internal cold with spleen deficiency, use Fu Zi Tang (Aconite Decoction).

If there is internal heat rising and throat pain, use Gan Cao Tang (Licorice Decoction) or Jie Geng Tang (Platycodon Decoction).

If there is internal Yin counterflow and throat pain, use Ban Xia San (Pinellia Powder) or Ban Xia Tang (Pinellia Decoction).

If there is throat pain with ulcers and inability to speak, use Ku Jiu Tang (Bitter Wine Decoction).

If there is throat pain with chest fullness and agitation, use Zhu Fu Tang (Pig Skin Decoction).

If there is internal cold with spleen deficiency, use Wu Zhu Yu Tang (Evodia Decoction).

If there is internal cold with water retention, use Zhen Wu Tang (True Warrior Decoction) or Zhu Ling Tang (Polyporus Decoction).

If there is internal heat with stagnation, use Si Ni Tang (Frigid Extremities Decoction).

If there is internal cold with weak pulse, use Tong Mai Si Ni Tang (Open Pulse Frigid Extremities Decoction).

If there is internal cold with no pulse, vomiting and agitation, use Bai Tong Tang (White Open Decoction).

If there is internal cold with diarrhea of pus and blood, use Tao Hua Tang (Peach Blossom Decoction).

If there is internal heat with fluid depletion, use Huang Lian A Jiao Tang (Coptis and Donkey Hide Decoction).

If there is internal heat with water depletion, use Da Cheng Qi Tang (Major Order the Qi Decoction).

Jue Yin Disease

Jue Yin disease, if there is internal cold with vomiting of roundworms, use Wu Mei Wan (Mume Pill).

If there is exterior cold with internal deficiency, use Dang Gui Si Ni Tang (Angelica Frigid Extremities Decoction).

If there is internal accumulation of cold, use Dang Gui Si Ni Jia Wu Zhu Yu Sheng Jiang Tang (Angelica Frigid Extremities Decoction with Evodia and Fresh Ginger).

If there is internal cold that can be vomited, use Gua Ti San (Melon Seed Powder).

If there is internal cold with water, use Fu Ling Gan Cao Tang (Poria and Licorice Decoction).

If there is internal cold with counterflow, use Si Ni Tang (Frigid Extremities Decoction) or Tong Mai Si Ni Tang (Open Pulse Frigid Extremities Decoction).

If there is internal cold with rising heat, use Gan Jiang Huang Lian Huang Qin Ren Shen Tang (Dried Ginger, Coptis, Scutellaria, and Ginseng Decoction).

If there is internal cold with deficiency, use Wu Zhu Yu Tang (Evodia Decoction).

If there is Yang returning and internal heat with diarrhea, use Bai Tou Weng Tang (White-Headed Weng Decoction).

If there is Yang returning and internal heat with dry stools, use Xiao Cheng Qi Tang (Minor Order the Qi Decoction).

If there is Yang returning and internal heat with agitation, use Zhi Zi Chi Tang (Gardenia and Soybean Decoction).

From the disease mechanism, various symptoms can be identified.

Types of disease mechanisms:

Cold damage, wind stroke, heat stagnation, water stagnation, internal dryness, internal dampness, internal cold, internal heat, internal deficiency, internal fullness, heat binding in the blood level, internal Yang deficiency, internal Yin deficiency, internal water.

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Can the formula for treating stomach diseases also treat rheumatoid arthritis? This formula is effective for treating knee joint effusion and rheumatic knee arthritis. Rheumatoid arthritis: Zhu Danxi, Yue Meizhong, and Zhu Jinchong all used the same formula. THE END —▶ CopyrightStatement:1. Source: This article is excerpted from the China Traditional Chinese Medicine Newspaper, page 5,Author/Bao Bingxi.

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