Acupuncture Continuing Education

Harmonizing Organs with Herbs

Course Outline & Sample

Harmonizing Organs

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Outline:

Three Common Communication Disharmonies

 

A. UPPER AND LOWER COMMUNICATION DISHARMONY

1) Heart and Kidney communication
a) Heart and Kidney Yin Deficiency with Heat Signs
b) Heart and Kidney Qi and Yang Deficiency

c) Excess Fire Burns Kidney and Heart Yin

2) Heart and Small Intestine communication


3) Heart and Spleen and Stomach communication

4) Heart and Liver communication

5) Heart, Liver and Lung communication

a) Heart Fire and Liver Wood Burns Metal Lung
b) Heart and Lung Qi and Yang Deficiency

6) Spleen and Stomach communication

7) Kidney and Lung communication
a) Kidney and Lung Qi and Yang Deficiency
b) Kidney and Lung Yin Deficiency with Empty Heat

8) Kidney and Spleen communication

9) Lung and Large Intestine and Spleen communication
a) Lung and Large Intestine Qi and Yang Deficiency
b) Lung and Large Intestine Damp Heat

10) Lung and UB communication
a) Lung and Urinary Bladder Qi and Yang Deficiency
b) Lung and Urinary Bladder Excess

11) Liver and GB communication

12) Liver and UB communication

 

B. LEFT AND RIGHT COMMUNICATION DISHARMONY

1) Liver and Spleen/Stomach communication

2) Liver and Lung communication

 

C. EXTERIOR AND INTERIOR COMMUNICATION DISHARMONY

1) Allergy

2) Ovarian Cyst

3) Common Cold with Spleen or Lung Qi Deficiency
a) Wind-Cold with Spleen or Lung Qi Deficiency
b) Wind-Heat with Spleen or Lung Qi Deficiency

4) Common Cold with Spleen, Lung and Kidney Yang Deficiency
a) Wind-Cold Attack with Spleen, Lung and Kidney Yang Deficiency
b) Wind-Heat Attack with Spleen, Lung and Kidney Yang Deficiency

5) Common Cold with Liver, Spleen and Stomach Qi Stagnation
a) Wind-Cold Attack with Liver, Spleen and Stomach Qi Stagnation
b) Wind-Heat Attack with Liver, Spleen and Stomach Qi Stagnation

6) Common Cold with Dampness in the Middle Jiao
a) Wind-Cold with Dampness in the Middle Jiao
b) Wind-Heat with Dampness in the Middle Jiao

7) Common Cold with Damp Heat in the Middle Jiao
a) Wind-Cold with Damp Heat in the Middle Jiao
b) Wind-Heat with Damp Heat in the Middle Jiao
 

 

Course Excerpt:

 

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GUIDE TO FORMULA USAGE

The following formulas are presented in an expanded form, often with many more herbs than are required for treatment. The formula presentations represent the variety of choices that are appropriate for each condition discussed. Select the herbs, based on the functions and relationships presented in this material, from the formula lists that most suite the exact needs of the specific patient in question.

 

3.0 Upper and Lower Communication Disharmony Patterns

 

3.1 Heart and Kidney Disharmony Patterns
(a) Heart and Kidney Yin deficiency with heat signs

MECHANISM OF INJURY: Excess or deficient Heart fire burns Kidney Yin.

INDICATIONS: Excessive thinking, worrying, dreaming, difficulty falling asleep, forgetfulness, night sweats, hot flashes, steaming bone syndrome, low-grade fever, thirst, dry skin, dryness of the mouth and vagina, amenorrhea, irregular menstruation, diminished sexual energy, premature ejaculation, spermatorrhea, tinnitus, red face, five-palms heat and sweating.

Tongue: red tip with dry coating
Pulse: small and rapid      

TREATMENT PLAN:

Lubricate Heart and Kidney Yin to eliminate heat.

FORMULA:

Modification of Tian Wang Bu Xin Dan, Liu Wei Di Huang Wan, Qing Hao Bie Jia Tang and Qing Gu San

HERB SELECTIONS:
Suan Zao Ren        Semen Zizyphi Spinosae        6-12g
Bai Zi Ren        Semen Biotae Orientalis        6-12g
Yuan Zhi        Radix Polygalae Tenufoliae        6-12g
Wu Wei Zi        Fructus Schizandrae Chinensis    3-9g
Long Yan Rou        Arillus Euphoriae Longanae        6-30g
Fu Shen        Sclerotium Poriae Cocus Pararadicis         12-30g
Sheng Di Huang     Radux Rehmanniae Glutinosae    9-30g
Tian Men Dong    Tuber Asparagi cochinchinensis    6-15g
Mai Men Dong    Tuber Ophiopogonis Japonici        6-12g
Xuan Shen        Radix Scrophulariae Ningpoensis    6-15g
Dan Shen        Radix Salviae Miltiorrhizae        3-12g
Qing Hao        Herba Artemisia Annuae        3-12g
Bie Jia            Carapax Amydae Sinensis        12-60g
Zhi Mu        Rhizoma Anemarrhenae
Asphodeloidis            9-12g
Di Gu Pi        Cortex Lycii Radicis            6-15g
Yin Chai Hu        Stellariae Dichotomae, Herba        6-12g
Huang Bai        Cortex Phellodendri            6-12g
Mu Dan Pi        Cortex Moutan Radicis        6-12g
Ze Xie            Rhizome Alismatis Orientalitis    6-9g
Ren Shen        Radix Ginseng                3-9g
Jie Geng        Radix Platycodi Grandiflori        3-12g
Shan Zhu Yu        Fructus Corni Officinalis        3-12g
Shan Yao        Radix Dioscoreae Oppositae        6-30g
Huang Lian        Gelatinum Corii Asini            3-9g
Lian Zi Xin        Plumula Nelumbinis            3-9g
Long Gu        Os Draconis                9-60g
Mu Li            Concha Ostrae                9-60g
Chai Hu        Radix Bupleuri            3-9g
Bai Shao        Radix Peoniae Lactiflorae        6-15g    
Yu Jin            Tuber Curcumae            6-12g
Rou Gui        Cortex Cinnamomi Cassiae        1-3g


■ Suan Zao Ren, Bai Zi Ren, Fu Xiao Mei, Wu Wei Zi, Yuan Zhi, Long Yan Rou and Fu Shen calm the Heart. Suan Zao Ren, Bai Zhi Ren, Fu Xiao Mei, Long Yan Rou and Wu Wei Zi nourish Heart Yin. Suan Zao Ren nourishes Liver Yin and is used on patients who wake between 1-3 in the morning due to Liver disharmony. Bai Zi Ren works to calm the Heart Yin to aid in difficulty falling in sleep while also moistening the intestines. Fu Xiao Mei calms low-grade Heart and Liver Yin deficiency which manifests as irritability and excessive sweating. Wu Wei Zi is astringent and calms the Heart and Liver, treating low grade irritability. Yuan Zhi expels phlegm from the Heart and opens the orifices to treat dull mind, insomnia and irritability. Long Yan Rou moistens Heart Yin and boosts Heart and Spleen Qi. This herb is mild enough to be used for chronic conditions. Fu Shen drains dampness from the Heart and Spleen.

■ Sheng Di Huang, Mai Men Dong, Tian Men Dong and Xuan Shen lubricate Yin and cool deficient heat. Sheng Di Huang and Xuan Shen cool heat in the blood. Sheng Di Huang strongly nourishes blood and yin. Xuan Shen strongly cools and clears toxic heat in the blood. Mai Men Dong and Tian Men Dong calm Heart fire. Mai Men Dong treats the Heart, Lung and Stomach. Tian Men Dong is cooler than Mai Men Dong and nourishes Kidney Yin.

■ Dan Shen cools heat and promotes blood circulation to cool and clears heat in the Heart pathway.

■ Qing Hao and Bie Jia eliminate hidden heat syndrome. Qing Hao encourages the heat to the surface while Bie Jia clears Yin deficiency empty heat.

■ Zhi Mu, Di Gu Pi and Yin Chai Hu eliminate deficient heat. Zhi Mu cools heat in the Qi level and moistens dryness. Di Gu Pi and Yin Chai Hu eliminate steaming bone syndrome. Di Gu Pi treats surface level heat. Yin Chai Hu clears damp heat in the Middle Jiao to stop diarrhea.  

■ Huang Bai, Mu Dan Pi and Ze Xie sedate heat in the Heart and Kidney. Huang Bai sedates Kidney heat, from both excess and deficiency. It also works to clear damp heat. Mu Dan Pi cools and promotes blood circulation in the Heart. Ze Xie promotes urination to drain fire from the Kidney and Heart.

■ Ren Shen strengthens the Heart and Spleen Qi to open and close the Heart orifice appropriately.

■ Jie Geng opens the Lung and directs other herbs to the Upper Jiao.

■ Shan Zhu Yu and Shan Yao are astringent and stabilize the Kidney and Spleen. Shan Zhu Yu stabilizes the Kidney Qi to assist the movement of Heart Qi downward. Shan Yao strengthens the Spleen Qi to support the Heart.

■ Huang Lian and Lian Zi Xin sedate Heart Fire. Huang Lian is stronger at eliminating Heart fire. Lian Zi Xin is astringent and assists the Kidney to treat spermatorrhea and premature ejaculation.

■ Long Gu and Mu Li are herbs that are heavy in nature and work at rooting the Heart fire to treat Yang rising up. Long Gu is stronger at settling the Heart Yang while Mu Li is stronger at settling Liver Yang.

■ Chai Hu, Bai Shao and Yu Jin regulate Liver Qi to reestablish communication between the Heart and Kidney. Chai Hu spreads and disperses stagnant Qi. Bai Shao stabilizes Liver Qi and Yang and harmonizes the Ying and Wei. Yu Jin cools heat and promotes blood circulation and opens the orifices.

■ Rou Gui guides ministerial fire down and anchors it back to the Kidney.

■ Sheng Di Huang and Shu Di Huang nourish Blood and Yin. Sheng Di Huang cools heat at the Blood level. Shu Di Huang nourishes deficient Blood and Yin.

■ Zhi Mu, Di Gu Pi, Yin Chai Hu and Qin Jiao eliminate empty heat. Zhi Mu nourishes dryness and cools Qi level heat. Di Gu Pi, Yin Chai Hu and Qin Jiao eliminate Kidney Yin deficiency steaming bone syndrome. Di Gu Pi is light in nature which allows it to go to the Lung and treat Lung Yin deficiency cough. Yin Chai Hu treats mild diarrhea from damp heat in the Middle Jiao. Qin Jiao treats Kidney Yin deficiency and Wind Damp Bi pain.

■ Huang Bai is stable and eliminates Kidney Yin deficiency empty heat and Lower Jiao damp heat.

■ Huang Jing, Sheng Shen Zi and Bai Shao nourish the Blood and Jing. Huang Jing nourishes the Yin and Blood. Sang Shen Zi is both sweet and light in nature; its light weight effectively cools the blood while counteracting the side effect of sticky herbs to create dampness in the Middle Jiao. Bai Shao mildly nourishes the Yin and blood and harmonizes the Ying and Wei.

■ Fu Xiao Mai, Suan Zao Ren, Bai Zhi Ren and Long Yan Rou calm the Heart and nourish the Yin. Fu Xiao Mai can stop excessive sweating. Suan Zao Ren nourishes Liver Yin to eliminate deficient heat and stop sweating. It also treats Liver disharmony causing the patient to wake up between 1-3 in the morning. Bai Zhi Ren nourishes Heart Yin and has a very oily quality that moistens the intestines and treats Yin deficiency constipation. Long Yan Rou mildly calms the Heart and its sweet taste nourishes the Spleen Qi.   
 

 

(b) Heart and Kidney Qi and Yang Deficiency

MECHANISM OF INJURY:
Heart and Kidney Qi and Yang are so deficient that they cannot support each other.

INDICATIONS:
Insomnia, shortness of breath, palpitations, cold extremities, fatigue, quiet, forgetfulness, edema, incontinence, clear and scanty urination, lower back pain and weak knees, infertility, tinnitus, deafness, osteoporosis

Tongue: puffy with a bright white tongue coating
Pulse: slippery, weak and deep    

TREATMENT PLAN:

Strengthen Kidney and Heart Qi and Yang.

FORMULA:

Modification of Jin Gui Shen Qi Wan and Bu Zhong Yi Qi Tang


Fu Zi            Rad Lateralis Aconiti Carmichaeli    3-6g. (Boil it at lease one hour)                        
Gui Zhi        Ramulus Cinnamomi Cassiae            3-12g
Shan Zhu Yu        Fructus corni Officinalis            6-15g        
Shan Yao        Radix Dioscoreae Oppositae            6-30g
Shu Di Huang        Radix Rehmanniae Glutinosae Conquitae    6-30g
Mu Dan Pi        Cortex Moutan Radicis            6-12g
Ze Xie            Rhizome Alismatis Orientalitis        6-9g
Fu Ling        Sclerotium Poriae Cocoa            9-30g
Xu Duan        Radix Dipsaci Asperi                6-12g
Bai Ji Tian        Radix Morindae Officinalis            6-12g
Yin Yang Huo        Herba Epimedii                6-12g
Tu Si Zi         Semen Cuscutae Chinensis            6-30g
Chi Shao        Radix Paeoniae Rubrae            3-12g
Huang Qi        Radix Astragali Membranaceus        3-15g
Dang Shen        Radix Codonopsitis Pilosulae            3-12g
Bai Zhu        Radix Codonopsitis Pilosulae            3-12g
Bai Dou Kou        Fructus Amomi Kravanh            3-9g
Sha Ren        Fructus Amomie                3-6g
Ban Xia        Rhizoma Pinelliae Ternatae            3-9g
Yi Yi Ren        Semen Coicis Lachryma-Jobi            6-30g
Bai Bian Dou        Semen Dolichoris Lablab            3-30g

 

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Fu Zi, Gui Zhi, Shan Zhu Yu, Shan Yao, Shu Di Huang, Mu Dan Pi, Ze Xie and Fu Ling:
This group of herbs rebalances the ascending and descending functions of organs

■ Fu Zi warms and stabilizes the Kidney and Heart Yang (boil for a minimum of 1 hour to reduce toxicity).

■ Gui Zhi or Rou Gui are used to warm the Kidney Yang.  Gui Zhi tends to guide other herb to the surface and through the channels. Rou Gui leads the fire down and stabilizes the Kidney Yang. As a pair, the herbs warm the channels and harmonize the ascending and descending function of Qi.

■ Shan Zhu Yu and Ze Xie work to strengthen the Kidney’s ascending function and diuretic descending function. Shan Zhu Yu strengthens and astringes the Kidney. Ze Xie eliminates Kidney heat and promotes urination to reduce edema.

■ Shan Yao and Fu Ling strengthen Spleen Qi. Shan Yao has an astringent quality to strengthen the Spleen Qi’s ascending function. Fu Ling promotes urination to leach out dampness. As a pair, the herbs work to balance the Spleen’s ascending and descending qualities. Shan Yao lifts the Spleen Qi up while Fu Ling drains downward.

■ Shu Di Huang strengthens the Liver Blood and Kidney Jing and descends the Qi of these two organs.  Mu Dan Pi promotes Blood circulation to nourish and disperse stagnation and cool the Blood.

 


Xu Duan, Bai Ji Tian, Yin Yang Huo, Tu Si Zi and Chi Shao:
This group of herbs works to warm the Kidney Yang to eliminate deficiency syndromes.

■ Xu Duan promotes blood circulation, allowing Liver Qi to ascend.

■ Bai Ji Tian and Yin Yang Huo warm the Kidney Yang and expel wind-damp bi pain. Bai Ji Tian warms the interior. In comparison, Yin Yang Huo works to warm the exterior. Together, the herbs warm both the interior and exterior

■ Tu Si Zi nourishes Kidney Yang and Yin to treat deficiency symptoms.

■ Chi Shao cools heat in the blood while promoting blood circulation. This herb’s cool temperature works to balance the warm herbs in this formula.

 


Huang Qi, Dang Shen, Bai Zhu, Sha Ren, Bai Dou Kou, Ban Xia,  Yi Yi Ren and Bai Bian Dou:
The herbs in this group work to strengthen Spleen Qi to assist Kidney Yang function.

■ Huang Qi and Dang Shen strengthen Spleen and Kidney Qi to lift it up and allow it to become centered. Huang Qi lifts the Spleen and Kidney Qi up. It also mildly promotes urination. Dang Shen strengthens the Middle Jiao to help the Spleen Qi ascend.

■ Bai Zhu, Sha Ren, Bai Dou Kou and Ban Xia are warm herbs that dry dampness in the Middle Jiao. Bai Zhu warms and dries dampness in the Spleen to strengthen the Spleen Qi and allow it to ascend. Sha Ren and Bai Dou Kou are aromatic and warm and dry dampness in the Spleen and Middle Jiao. They tend to ascend and float to the surface. Sha Ren tends to work in the interior and descends to the Middle and Lower Jiao. Bai Dou Kou ascends to the Upper and Middle Jiaos and floats to the surface to treat the early stages of damp attack.  

■ Ban Xia strongly dries phlegm and dampness in the body and descends Stomach Qi.

■ Yi Yi Ren and Bai Bian Dou mildly drain damp to dry the Middle Jiao and benefit the Spleen. This comforts the Spleen and allows it to become warm and dry. Yi Yi Ren is stronger at draining dampness than Bai Bian Dou. Bai Bian Dou tends to move interiorly to treat the Spleen and Middle Jiao. Together, these herbs balance the warming nature of the other herbs with a slightly cooling temperature. Yi Yi Ren is slightly cold and Bai Bian Dou is cooling. (Note: Bai Bian Dou is also noted in some texts as being neutral or slightly warm. Regardless, the cooling nature of Bai Bian Dou refers to it’s ability to clear Summer heat and eliminate toxins.) The warming and ascending nature of the other herbs combined with the cooling and downward draining properties of Yi Yi Ren and Bai Bian Dou create a harmonious balance of function.

 

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(c) Excess Heart Fire Burns Kidney and Heart Yin

MECHANISM OF INJURY: Excess fire in the Heart burns out Heart and Kidney Yin.

INDICATIONS: excessive thinking, worrying, dreaming, difficulty falling asleep, forgetfulness, night sweats, hot flashes, premature ejaculation, spermatorrhea, red face, five-palms heat and sweat

Tongue: tongue with a red tip and dry coating
Pulse: small and rapid      

TREATMENT PLAN:
Sedate Heart Fire and Nourish Heart and Kidney Yin

FORMULA:
Modification of  Zhu Sha An Shen Wan, Tian Wang Bu Xin Dan and Liu Wei Di Huang Wan

Suan Zao Ren            Semen Zizyphi Spinosae        3-12g
Bai Zi Ren            Semen Biotae Orientalis        3-12g
Yuan Zhi            Radix Polygalae Tenufoliae        3-12g
Wu Wei Zi            Fructus Schizandrae Chinensis    3-9g
Fu Xiao Mai            Semen Tritici Aestivi Levis        6-30g
Fu Shen            Sclerotium Poriae Cocus Pararadicis  -Part Around Root             3-15g
Sheng Di Huang         Radix Rehmanniae Glutinosae    3-30g
Tian Men Dong        Tuber Asparagi cochinchinensis    3-12g
Mai Men Dong        Tuber Ophiopogonis Japonici        3-12g
Xuan Shen            Radix scrophulariae Ningpoensis    3-12g
Dan Shen            Radix Salviae Miltiorrhizae        3-12g
Ren Shen            Radix Ginseng                3-12g
Jie Geng            Radix Platycodi Grandiflori        3-12g
Shan Zhu Yu            Fructus corni Officinalis        3-12g
Shan Yao            Radix Dioscoreae Oppositae        3-30g
Mu Dan Pi            Gelatinum Corii Asini            3-12g
Ze Xie                Rhizome Alismatis Orientalitis    3-9g
Huang Lian            Rhizome Alismatis Orientalitis    3-9g
Lian Zi Xin            Plumula Nelumbinis            3-12g
Long Gu            Os Draconis                10-30g
Mu Li                Concha Ostrae                10-30g
Chai Hu            Radix Bupleuri            3-6g
Rou Gui            Cortex Cinnamomi Cassiae        1-3g
Gan Cao            Radix Glycyrrhizae Uralensis        1-3g


■ Suan Zao Ren, Bai Zhi Ren, Fu Xiao Mei, Wu Wei Zi, Yuan Zhi and Fu Shen calm the Heart. Suan Zao Ren, Bai Zhi Ren, Fu Xiao Mei and Wu Wei Zi nourish Heart Yin. Suan Zao Ren nourishes Liver Yin and is used to treat Liver disharmony causing the patient to wake between 1-3 in the morning. Bai Zhi Ren nourishes Heart Yin to treat difficulty falling asleep and moisten the intestine. Fu Xiao Xiao treats Heart and Liver Yin deficiency which manifests as irritability and excessive sweating. Wu Wei Zi is astringent in quality and treats irritability due to Heart and Liver Yin deficiency. Yuan Zhi expels Heart phlegm and opens the orifices to treat dull dreams, insomnia and irritability. Fu Shen drains dampness from the Heart and Spleen to treat dull damp mind and dreams.

■ Sheng Di Huang, Mai Men Dong, Tian Men Dong and Xuan Shen lubricate Yin and cool deficient heat. Sheng Di Huang and Xuan Shen cool heat in the blood. Sheng Di Huang is the strongest at nourishing Blood and Yin in this group. Xuan Shen is stronger at cooling and clearing toxic heat in the blood. Mai Men Dong and Tian Men Dong calm Heart fire. Mai Men Dong treats the Heart, Lung and Stomach. Tian Men Dong is cooler and is more appropriate to treat Kidney Yin.

■ Dan Shen cools heat and promotes blood circulation to cool and clear heat in the pathway of Heart.

■ Ren Shen strengthens the Heart and Spleen Qi and allow the Heart orifice to open and close appropriately.

■ Jie Geng opens the Lung and directs other herbs to the Upper Jiao.

■ Shan Zhu Yu and Shan Yao are astringent and stabilize the Kidney and Spleen. Shan Zhu Yu stabilizes the Kidney Qi to assist the downward movement of Heart Qi. Shan Yao strengthens the Spleen Qi to support the Heart.

■ Mu Dan Pi and Ze Xie sedate Heart and Kidney heat. Mu Dan Pi is cooling and promotes blood circulation in the Heart. Ze Xie promotes urination to drain heat from the Kidney and Heart.

■ Huang Lian and Lian Zi Xin sedate Heart Fire. Huang Lian is stronger at eliminating Heart fire. Lian Zi Xin astringes the Kidney to treat spermatorrhea and premature ejaculation.

■ Long Gu and Mu Li’s heavy nature settle Heart fire down. This allows for the treatment of Heart Yang rising up without intense fire or heat. Long Gu settles the Heart Yang while Mu Li settles Liver Yang.

■ Chai Hu regulates Liver Qi and allows it to spread and ascend to balance the movement of Qi between the Upper and Lower Jiao.

■ Rou Gui guides ministerial fire back down to the Kidneys.

■ Gan Cao harmonizes the ingredients of the formula.

 

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3.2 Heart and Small Intestine Disharmony Patterns

MECHANISM OF INJURY: Heart fire burns out the Small intestine.

INDICATIONS: Insomnia, mouth ulcers, scanty and burning urination

Tongue: red tip
Pulse: rapid, wiry and slippery

TREATMENT PLAN:
Eliminate Heart Fire due to excess or deficiency and clear and guide damp heat out of the body

FORMULA:
Modification of Dai Chi San, Zang Ye Tang, Suan Zao Ren Tang, Bai Hu Tang and Yin Chen Hao Tang


Sheng Di Huang     Radux Rehmanniae Glutinosae    6-30g
Mu Tong        Caulis Mutong                3-9g
Dan Zhu Ye        Herba Lophatheri Gracilis        3-15g
Fu Shen        Sclerotium Poriae Cocus Pararadicis-Part Around Root    3-30g    
Deng Xin Cao        Medulla Junci Effusi            3-6g
Hou Po        Succinum                3-9g
Huang Bai        Cortex Phellodendri            3-12g
Huang Qin        Radix Scutellariae Baicalensis     3-15g
Huang Lian        Gelatinum Corii Asini            3-9g
Zhi Zi            Fructus Gardeniae Jasminoidis    3-12g
Yin Chen Hao        Herba Artemisiae Yinchenhao    9-30g
Bai Tou Weng     Radix Pulsatillae Chinensis        6-15g
Shi Gao        Gypsum                3-30g
Zhi Mu        Rhizoma Anemarrhenae Asphodeloidis    3-12g
Mu Dan Pi        Cortex Moutan Radicis        3-12g
Xuan Shen        Radix scrophulariae Ningpoensis    3-12g
Suan Zao Ren        Semen Zizyphi Spinosae        3-9g
Bai Zhi Ren        Semen Biotae Orientalis        3-9g
Yuan Zhi        Radix Polygalae Tenufoliae        3-12g
Pei Lan        Herba Eupatorii Fortunei        3-12g
Chen Pi        Pericarpium Citri Reticulatae        3-6g
Hou Po        Cortex Magnoliae Officinalis        3-9g
Yi Yi Ren        Semen Coicis Lachryma-Jobi        9-30g
Gan Cao        Radix Glycyrrhizae Uralensis        3-6g

■ Sheng Di Huang cools heat in the Heart blood to treat ulcers and scanty, burning urination.

■ Mu Tong and Dan Zhu Ye, Deng Xin Cao, Fu Shen, Hou Po promote urination to drain the fire. Mu Tong is the strongest at promoting urination and is used in the classic formula Dao Chi San to drain Heart fire that has burned the Small Intestine. Dan Zhu Ye sedates Heart fire. Deng Xin Cao mildly promotes urination and treats irritability. Because of its mild nature, this herb is especially appropriate for children. As a group, Mu Tong, Deng Xin Cao and Dan Zhu Ye treat three levels to clear dampness and heat. Mu Tong treats the deepest level. Deng Xin Cao travels to the surface and treats the superficial level, and Dan Zhu Yu treats the middle level. Fu Shen calms the Heart. Hou Po promotes blood circulation.

■ Huang Bai, Huang Qin, Huang Lian and Zhi Zi eliminate damp heat toxins. Huang Bai is more effective at clearing Lower Jiao damp heat and Kidney empty heat. Huang Qin treats Middle Jiao and Gall Bladder damp heat. Huang Lian eliminates Heart fire and Zhi Zi clears fire from the San Jiao and treats damp heat and Heart fire irritability. Though it is the mildest in this group at clearing heat, it has the added function of guiding the other herbs through the San Jiao.

■ Yin Chen Hao and Bai Tou Weng clear damp heat in the Middle Jiao. Yin Chen Hao clears Liver and Gall Bladder damp heat. Bai Tou Weng eliminates damp heat in the Middle Jiao.

■ Shi Gao, Zhi Mu, Mu Dan Pi and Xuan Shen cools heat from the Qi and Blood levels. Shi Gao is the strongest at clearing Stomach Qi level heat with mouth ulcers. Zhi Mu cools Stomach Qi and Blood level heat and moistens dryness. Mu Dan Pi and Xuan Shen cool heat in the Blood. Mu Dan Pi has a mild effect at promoting blood circulation. Xuan Shen lubricates dry mouth and clears heat toxins.

■ Suan Zao Ren, Bai Zhi Ren and Yuan Zhi calm the Heart fire. Suan Zao Ren nourishes Heart and Liver Yin to eliminate empty heat. It also calms Liver fire. Bai Zhi Ren is used to calm Heart fire and moisten the Heart Yin and intestines. Yuan Zhi clears hot phlegm to open the Heart pathway to calm the mind.

■ Pei Lan, Chen Pi, Hou Po and Yi Yi Ren regulate Qi and damp Middle Jiao to treat mouth ulcers. Pei Lan’s aromatic quality clears dampness in the Middle Jiao to clear mouth ulcers due to stagnation. Chen Pi and Hou Po regulate Qi and dry dampness. Chen Pi is mild and is used to regulate and dry dampness in the Middle Jiao. It is often used to treat the Lung and Stomach. Hou Po has a stronger function to break down and sedate phlegm and Qi stagnation. Yi Yi Ren mildly drains dampness and has an added anti-fungal function.

■  Gan Cao harmonizes the herbs in the formula and clears heat.

 

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