Chinese Medicine Pediatrics & GYN

Acupuncture Continuing Education Online

Online Course Material Samples

 

 

This anytime online course presents Chinese Medicine pediatric and gynecologic case histories. Learn treatments for life-threatening illnesses to newborn babies and for complications after labor and delivery. Learn special treatments for  irregular menstruation, infectious diseases and many other chronic gynecological and pediatric conditions. Download the course, complete the online quiz and receive immediate acupuncture license credit. There is no time limit and no extra charge to re-take quizzes as needed (unlimited).

 

Course Material Samples:

Newborn with Middle Jiao Damp-Heat.
An eight-day-old newborn boy presented with a low-grade fever, no appetite, and a red face. It was reported that he was crying incessantly and that he had not produced a bowel movement in some time. He had a strong reaction to anyone touching his abdomen and there was a purple coloring to the blood vessel on his index finger.

Diagnosis: Damp-Heat in the Middle Jiao.
Treatment Plan: Clear Damp-Heat from the Middle Jiao.
Formula: Tiao Wei Cheng Qi Tang modification.

Da Huang (Radix Et Rhizoma Rhei) 1g
Da Huang purges, clears Heat-Toxin and promotes circulation of the Blood.
Jin Yin Hua (Flos Lonicerae Japonicae) 6g
Huang Lian (Rhizoma Coptis) 1g
Jin Yin Hua and Huang Lian treat Damp-Heat from the Middle Jiao. Jin Yin Hua is milder and lighter, tending to rise to the surface level to release Wind-Heat. Huang Lian drains Fire and Toxicity, and eliminates Heart-Fire.
Lian Qiao (Fructus Forsythia Suspensa) 3g
Lian Qiao releases Wind-Heat, clears Heat-Toxins and disperses clumps.
Mu Dan Pi (Cortex Moutan Radicis) 3g
Mu Dan Pi cools Heat in the Blood and promotes circulation.
Sheng Di Huang (Radix Rehmanniae Glutinosae) 3g
Sheng Di Huang cools Blood Heat and nourishes the Yin, Blood, and Jing.
Gan Cao (Radix Glycyrrhizae Uralensis) 1g
Gan Cao harmonizes the ingredients in the formula. It also moderates spasms and pain while clearing Heat and Fire-Toxin.

Preparation and resolution:
Using one cup of water to start, this formula was boiled down to 1/4 cup. He was first given 1/8 cup, and three hours later another 1/8 cup. After the herbs were administered and took effect, the baby had black diarrhea, his fever disappeared, and his appetite became strong again.

Newborn with congenital Kidney Deficiency and Spleen Qi vacuity.
A one-month-old boy presented with a yellow face, emaciation, cold hands and feet, and a low appetite. He cried with a weak voice.

Diagnosis: Spleen and Kidney Yang deficiency.
Treatment Plan: Strengthen the Spleen and Stomach to rescue the Kidney.
Formula: Si Jun Zi Tang and Bao He Wan modification.

Dang Shen (Radix Codonopsis Pilosulae) 5g
Bai Zhu (Rhizoma Atractylodis Macrocephalae) 3g
Dang Shen and Bai Zhu benefit the Spleen. Dang Shen strengthens the Spleen while Bai Zhu dries the Spleen environment thereby strengthening the Spleen Qi.
Shen Qu (Massa Fermentata) 3g
Gu Ya (Setaria Fructus Germinatus) 3g
Shen Qu and Gu Ya reduce Food Stagnation and stimulate the appetite. Shen Qu penetrates blockages to strongly eliminate Food Stagnation, while Gu Ya smooths the Liver Qi.

Preparation and Resolution:
Starting with one cup of water, this formula was boiled down to 1/8 cup. He was given a drop each time every two to three hours for one day. Afterwards, he had a stronger appetite, warmer hands and feet, and was no longer crying.

Pediatrics: Wind-Cold attack.
A two-year-old girl suffered from cough, tidal fever, poor appetite, excessive sweating, and nasal obstruction. She clung to her mother’s chest and had a reddish coloration to the blood vessel on her index finger.

Diagnosis: Wind-Cold attack.
Treatment Plan: Warm the channels and expel Wind-Cold.
Formula: Gui Zhi Tang modification.

Gui Zhi (Ramulus Cinnamomi Cassiae) 3g
Bai Shao (Radix Paeoniae Lactiflorae) 3g
Gui Zhi and Bai Shao are paired, creating the base of Ghi Zhi Tang. Gui Zhi is spicy, warming the channels and releasing Wind-Cold and Phlegm. Bai Shao stabilizes the Yang, harmonizes Ying and Wei, and balances Gui Zhi’s tendency to push too much to the surface.
Da Zao (Fructus Zizyphi Jujubae) 3g
Da Zao has a sweet flavor that harmonizes the actions of Gui Zhi, balancing the formula while nourishing the Blood and Jing.

Preparation and Resolution:
Using one cup of water, this formula was boiled down to ½ cup. She was administered ¼ cup two times per day. The next day, her fever broke and her temperature went back to normal. She continued taking two more bags over the course of two days. After finishing these two bags of herbs, she recovered completely.

 

 

 

Gynecology Samples from the Course Material

73. Menorrhagia and fainting.
A forty-year-old woman was under excessive stress and often felt angry. After not having a period for five months, her menses suddenly came with an extremely heavy flow with many clots. She suffered fainting spells and coldness of her entire body. She exhibited a pale face and she tended to let her mouth hang open. She had a pale tongue and her pulses were empty and weak.

Diagnosis: Qi and Yang prolapse due to extreme Blood deficiency.
Treatment Plan: To raise the Spleen Qi and Kidney Yang and nourish the Blood.
Formula: Bu Zhong Yi Qi Tang modification.

Acupuncture treatment:
CV 17 was stimulated until her Spirit returned.

Herbal treatment:
Huang Qi (Radix Astragalus Membranaceus) 30g
Dang Shen (Radix Codonopsis Pilosulae) 30g
Huang Qi and Dang Shen strengthen Qi. Huang Qi powerfully raises the Spleen Qi to stop bleeding. It also wakes the Spirit. Dang Shen is more effective in strengthening the Spleen and Middle Jiao Qi, helping the Spleen to control the Blood.
Bai Zhu (Rhizoma Atractylodis Macrocephalae) 30g
Bai Zhu warms and dries the Dampness in the Spleen to strengthen the Spleen Qi.
Pao Jiang (Rhizoma Zingiberis Officinalis Praeparata) 12g
Rou Gui (Cortex Cinnamomi Cassiae) 3g
Pao Jiang and Rou Gui warm the Kidney and Spleen Yang. Pao Jiang warms the Spleen and Kidney to stop diarrhea. Rou Gui guides the Fire back the Kidney and warms the channels.
Bai Shao (Radix Paeoniae Lactiflorae) 12g
Shu Di Huang (Radix Rehmanniae Glutinosae Conquitae) 15g
Bai Shao and Shu Di Huang nourish the Blood. Bai Shao smooths the Liver and harmonizes the Ying and Wei. Shu Di Huang is dense and deeply nourishing to the Blood, Jing and Yin.
Shan Zhu Yu (Fructus Corni Officinalis) 12g
Shan Zhu Yu nourishes the Yin, retains the essence, assits the Yang, stabilizes the menses, and is astringent to stop the leakage of the Kidney and Spleen.
Zhi Gan Cao (Honey-Fried Radix Glycyrrhizae Uralensis) 9g
Zhi Gan Cao harmonizes the ingredients of formula and strengthens the Spleen.

Preparation and Resolution:
After being needled with strong stimulation at CV 17, she was more awake. She took one bag of herbs in ½ a day, and her energy gradually improved. Her tongue and face had better color and the menstrual flow had decreased. She continued five bags for five days, and her bleeding fully stopped. She was then given Bu Zhong Yi Qi Tang and Xiao Yao San for later care.

 

74. Amenorrhea caused by Qi and Blood Stasis (misdiagnosed and prescribed astringent herbs).
A thirty-four-year old female had no menstruation for two months. She was working hard in the cold weather, and developed chills and fever. She suddenly began bleeding excessively and passing clots. After she fainted a few times, she was given an herbal formula to stop bleeding. The flow slowed, but she still complained of lower abdominal pain, low appetite, chills, and fever. Her fever rose at night when she suffered from delirium. Her lower abdomen was painful to the touch, her tongue was reddish-purple, and she had a wiry, deep pulse in the Liver position.

Diagnosis: Qi and Blood Stagnation with Heat in the Blood.
Treatment plan: Break up the Blood Stasis and cool Heat at the Blood level.
Formula: Tao Hong Si Wu Tang modification.

Tao Ren (Semen Persicae) 12g
Hong Hua (Flos Carthami Tinctorii) 6g
Tao Ren and Hong Hua break up congealed Blood and promote Blood circulation. Tao Ren moistens Dryness and maintains a presence in the Blood longer. Hong Hua moves and breaks up Blood Stasis.
Dang Gui Wei (Radix Angelicae Sinensis) 15g
Chuan Xiong (Radix Ligustici Chuanxiong) 10g
Chi Shao (Radix Paeoniae Rubrae) 12g
All the herbs above promote Blood circulation. Dang Gui Wei nourishes the Blood. Chuan Xiong moves the Qi of the Blood and flows to the surface. Chi Shao cools the Heat in the Blood.
San Leng (Rhizoma Sparganii Stoloniferi) 6g
E Zhu (Rhizoma Curcuma Ezhu) 6g
San Leng and E Zhu break up masses. San Leng breaks up the Qi of Blood. E Zhu breaks up the Blood of Blood.
Mu Dan Pi (Cortex Moutan Radicis) 12g
Zhi Zi (Fructus Gardeniae Jasminoidis) 6g
Mu Dan Pi and Zhi Zi cool the Heat in the Blood. Mu Dan Pi promotes Blood circulation. Zhi Zi clears San Jiao Damp-Heat and eliminates irritability caused by Heart Fire.
Wu Ling Zhi (Excrementum Trogopterori seu Pteromi) 9g
Pu Huang (Pollen Typhae) 12g
Wu Ling Zhi and Pu Huang stop bleeding and promote Blood circulation and stop pain. Wu Ling Zhi breaks up congealed Blood. Pu Huang promotes healing.
Xiang Fu (Rhizoma Cyperi Rotundi) 12g
Xiang Fu promotes Blood and Qi circulation to promote menstruation and stop pain.
Sheng Di Huang (Radix Rehmanniae Glutinosae) 12g
Sheng Di Huang nourishes the Blood, Jing and Yin and cools the Heat in the Blood.
Gan Cao (Radix Glycyrrhizae Uralensis) 3g
Gan Cao harmonizes the ingredients of the formula.

Preparation and Resolution:
After she took one bag of this herbal tea in the morning, she bled out two bowel movement-sized blood clots and her bleeding slowed down. Her fever dropped to normal and she was no longer irritable. She continued two bags for two more days, and she passed a few more small blood clots. By third day, her symptoms were completely gone.

75. A heavy dosage of Huang Qi saves the life of a woman with a hemorrhage at the end of her labor.
A twenty-year-old female at the end of labor started having excessive bleeding that wouldn’t stop. She had cold hands and feet, a pale face, and no strength. Her tongue was pale, and she had an extremely empty pulse.

Diagnosis: Qi devastated due the hemorrhage.
Treatment plan: Rescue the Qi and Yang, and raise the Spleen Qi to stop bleeding.

Formula: Huang Qi alone.
Huang Qi (Radix Astragalus Membranaceus) 300g
Huang Qi lifts the Spleen Qi to stop bleeding and assist the Yang.

Preparation and Resolution:
Using five bowls of water, the Huang Qi was boiled on a strong fire down to one bowl. She was instructed to sip as much as she could, and after one hour, her hemorrhage had slowed about 60% and her face was less pale. After she was given 300 more grams of Huang Qi prepared the same way, her bleeding had almost stopped. For continued care, she was given Shi Quan Da Bu Tang for ten days.

76. Excessive anger leading to heavy menstrual bleeding subsequently leaking the Qi.
A thirty-year-old female had a terrible argument with her husband and after four months, she had yet to menstruate. Her menstruation came with a heavy flow with about twenty plum-sized blood clots, vertigo, and lightheadedness with a feeling as if she would faint. She had a pale face and tongue, and a wiry and empty Liver pulse.

Diagnosis: Qi and Blood Stasis with Qi and Blood deficiency.
Treatment plan: Strengthen the Spleen Qi, circulate the Liver Qi, and nourish and invigorate the Blood.

Formula: Dang Gui Bu Xue Tang modification.
Huang Qi (Radix Astragalus Membranaceus) 180g
Dang Gui (Radix Angelicae Sinensis) 30g
Huang Qi and Dang Gui are the main herbs from Dang Gui Bu Xue Tang. These herbs strengthen the Qi to create Blood. Huang Qi lifts the Spleen Qi to stop excessive bleeding and strengthens both the Qi and the Yang. Dang Gui nourishes the Blood and promotes circulation to break up the clots.
Bai Shao (Radix Paeoniae Lactiflorae) 12g
Tian Ma (Rhizoma Gastrodiae Elatae) 12g
Bai Shao and Tian Ma calm the Liver. Bai Shao stabilizes the Liver Yang and harmonizes the Ying and Wei. Tian Ma stops vertigo caused by Wind.
Gan Cao (Radix Glycyrrhizae Uralensis) 3g
Gan Cao harmonizes the action of the ingredients in the formula.

Preparation and Resolution:
Using five bowls water the herbs were boiled down to two bowls in about ½ hour. She was instructed to sip the two bowls of tea within three hours, after which her vertigo and fainting feeling had improved by 90%. After that, she took three bags of herbs over the course of three days and her vertigo and bleeding stopped completely. She was then given a Si Ni San and Si Wu Tang modification for continuing care.

84. Restless fetus and threatened miscarriage due to deficient Spleen Qi.
A thirty-four-year-old female was five months pregnant and the fetus was restless. She was experiencing fatigue and slight spotting with loose stool three to four times per day. After using cooling herbs, she experienced increased diarrhea, heavier spotting, and an actual worsening of the fetus’ restlessness. Her tongue was scalloped and she has a slippery Liver pulse with weak Spleen and Stomach pulses.

Diagnosis: Spleen Qi deficiency.
Treatment Plan: Strengthen and raise the Spleen Qi.

Formula: Bu Zhong Yi Qi Tang modification.
Huang Qi (Radix Astragalus Membranaceus) 15g
Huang Qi raises the Spleen Qi up to stop bleeding.
Dang Shen (Radix Codonopsis Pilosulae) 15g
Fu Ling (Sclerotium Poriae Cocos) 15g
Bai Zhu (Rhizoma Atractylodis Macrocephalae) 15g
Zhi Gan Cao (Honey-Fried Radix Glycyrrhizae Uralensis) 9g
This is Si Jun Zi Tang to benefit the Spleen Qi. Dang Shen strengthens the Spleen Qi. Bai Zhu dries the Dampness in the Middle Jiao. Fu Ling drains the Dampness from the Middle Jiao. Zhi Gan Cao has a sweet taste to harmonize the ingredients of the formula and strengthen the Spleen Qi.
Bai Shao (Radix Paeoniae Lactiflorae) 12g
Wu Wei Zi (Fructus Schisandrae Chinensis) 9
Bai Shao and Wu Wei Zi calm the Liver to stabilize the fetus. Bai Shao stabilizes the Liver Yang and harmonizes the Ying and Wei. Wu Wei Zi calms the Heart and astringes the Kidney and Spleen.
Rou Gui (Cortex Cinnamomi Cassiae) 3g
Pao Jiang (Toasted Rhizoma Zingberis Officinalis Recens) 15g
Rou Gui and Pao Jiang warm and dry the Spleen and Kidney. Rou Gui guides the Kidney Fire back to its source and warms the channels. Pao Jiang remains active longer to dry Dampness in the Middle Jiao.
Sha Ren (Fructus Amomi) 6g
Huo Xiang (Herba Agastaches seu Pogostemi) 12g
Sha Ren and Huo Xiang aromatically transform Dampness in the Middle Jiao. Sha Ren calms the fetus and descends the Stomach Qi downward. Huo Xiang tends to flow to the surface level, releasing the surface of the body.
Du Zhong (Cortex Eucommiae Ulmoidis) 12g
Du Zhong calms the fetus and strengthens the Kidney and Liver.
Sheng Ma (Rhizoma Cimicifugae) 6g
Sheng Ma lifts the Qi up to assist Huang Qi to stop bleeding and stabilize the fetus.

Resolution:
After she took one bag, the fetus was calmed and the spotting stopped. Her loose stools decreased in frequency, occurring twice instead of three to four times per day. After continuing the same formula for two weeks, the diarrhea and spotting resolved, the fetus remained calm, and she reported that she was feeling much stronger.

85. Slippery and rapid Liver and Kidney pulses are a sign of pregnancy.
A thirty-year-old female is four months pregnant. Because she was misdiagnosed with late menstruation, she had been using a formula to break up Blood Stasis for ten days. She then experienced a dropping feeling in her uterus, dizziness, and low appetite. Her tongue was scalloped and her Kidney and Liver pulses were slippery and rapid.

Diagnosis: Spleen and Kidney Qi deficiency.
Treatment Plan: To strengthen the Spleen and Kidney Qi.

Formula: Bu Zhong Yi Qi Tang modification
Huang Qi (Radix Astragalus Membranaceus) 15g
Dang Shen (Radix Codonopsis Pilosulae) 12g
Huang Qi and Dang Shen strengthen the Spleen Qi. Huang Qi raises the Spleen Qi and Dang Shen strengthens the Middle Jiao.
Fu Ling (Sclerotium Poriae Cocos) 15g
Bai Zhu (Rhizoma Atractylodis Macrocephalae) 15g
Fu Ling drains Dampness and Bai Zhu dries Dampness to concurrently benefit the Spleen Qi.
Sheng Ma (Rhizoma Cimicifugae) 6g
Chai Hu (Radix Bupleuri) 3g
Sheng Ma and Chai Hu both raise the Spleen Qi. While Sheng Ma is stronger at raising the Qi, Chai Hu also spreads the Liver Qi.
Shu Di Huang (Radix Rehmanniae Glutinosae Conquitae) 15g
Shu Di Huang nourishes the Blood, Jing and Yin.
Du Zhong (Cortex Eucommiae Ulmoidis) 12g
Du Zhong strengthens the Liver and Kidney and expels Wind-Damp-Bi pain.
Da Zao (Fructus Zizyphi Jujubae) 12g
Da Zao nourishes the Blood and Jing and has a sweet taste to harmonize the extreme pushing character of the other ingredients.
Zhi Gan Cao (Honey-Fried Radix Glycyrrhizae Uralensis) 6g
Zhi Gan Cao strengthens the Qi and harmonizes the ingredients of the formula.

Resolution:
After she took one bag, the dizziness and dropping feeling in her lower abdomen stopped. She continued taking the same formula for one week and went on to have a smooth labor, delivering a healthy baby girl.

 

 

 

86. Prolapsed uterus after labor.
A forty-year-old female had to push extremely hard during her labor. Her uterus remained prolapsed for two weeks afterwards. Although she had had no pain or itching, she was feeling fatigued. Her tongue was scalloped and pale, and her complexion was also pallid. Her pulse was weak and floating in the Lung and Spleen positions, while empty in the Liver.

Diagnosis: Spleen and Kidney Qi deficiency.
Treatment Plan: Strengthen raise the Spleen and Kidney Qi.

Formula: Bu Zhong Yi Qi Tang and Shi Quan Da Bu Tang modification.
Huang Qi (Radix Astragalus Membranaceus) 15g
Huang Qi raises the Spleen and Kidney Qi to rectify the prolapse.
Dang Shen (Radix Codonopsis Pilosulae) 12g
Bai Zhu (Rhizoma Atractylodis Macrocephalae) 12g
Fu Ling (Sclerotium Poriae Cocos) 12g
Zhi Gan Cao (Honey-Fried Radix Glycyrrhizae Uralensis) 6g
This is Si Jun Zi Tang to support the Spleen and assist the Huang Qi in lifting the uterus. Dang Shen strengthens the Spleen Qi. Bai Zhu dries and Fu Ling drains the Dampness to increase the efficiency of the Spleen Qi.
Dang Gui (Radix Angelicae Sinensis) 12g
Bai Shao (Radix Paeoniae Lactiflorae) 12g
Shu Di Huang (Radix Rehmanniae Glutinosae Conquitae) 15g
All the herbs above nourish the Blood. Dang Gui promotes circulation. Bai Shao smooths and stabilizes the Liver Yang and harmonizes the Ying and Wei. Shu Di Huang nourishes the Yin, Blood and Jing.
Sheng Ma (Rhizoma Cimicifugae) 3g
Chai Hu (Radix Bupleuri) 6g
Sheng Ma and Chai Hu both raise the Qi. Sheng Ma has a stronger ascending action, while Chai Hu spreads the Liver Qi as well.
Shan Zhu Yu (Fructus Corni Officinalis) 12g
Wu Bei Zi (Galla Rhus Chinensis) 12g
Shan Zhu Yu and Wu Bei Zi both astringe the Kidney. Shan Zhu Yu nourishes the Kidney and Liver. Wu Bei Zi is a stronger astringent.
Sheng Jiang (Rhizoma Zingberis Officinalis Recens) 12g
Sheng Jiang is acrid and warm to encourage the ingredients to flow. It also warms and descends the Stomach Qi.

Resolution:
After she took seven bags for seven days, her uterus returned to its proper position. The color in her face returned and the marks on her tongue disappeared.

90. Frequent Miscarriage.
A twenty-year-old female was three months pregnant. She previously had four miscarriages in one year. Her tongue was slightly scalloped and her pulses were weak and deep in the Liver and Kidney positions.

Diagnosis: Kidney and Liver deficiency.
Treatment Plan: Strengthen Kidney and Liver Qi and tonify the Jing.

Formula: Liu Wei Di Huang Wan and Si Jun Zi Tang modification.
Shu Di Huang (Radix Rehmanniae Glutinosae Conquitae) 15g
Shan Yao (Radix Dioscoreae Oppositae) 15g
Shan Zhu Yu (Fructus Corni Officinalis) 12g
All the herbs are ingredients in Liu Wei Di Huang Wan, which were chosen to nourish the Kidney, Spleen and Liver. Shu Di Huang nourishes the Blood, Jing and Yin. Shan Yao also astringes the Spleen, which helps to hold the pregnancy. Shan Zhu Yu astringes the Kidney and nourishes the Kidney and Liver Yin.
Dang Shen (Radix Codonopsis Pilosulae) 12g
Fu Ling (Sclerotium Poriae Cocos) 12g
Bai Zhu (Rhizoma Atractylodis Macrocephalae) 15g
Zhi Gan Cao (Honey-Fried Radix Glycyrrhizae Uralensis) 6 g
This is Si Jun Zi Tang to strengthen the Spleen Qi. Dang Shen strengthens the Spleen Qi. Fu Ling drains and Bai Zhu dries the Spleen and the Middle Jiao. Zhi Gan Cao harmonizes the action of ingredients.
Sha Ren (Fructus Amomi) 12g
Sha Ren warms and regulates the Middle Jiao.
Du Zhong (Cortex Eucommiae Ulmoidis) 12g
Du Zhong warms and strengthens the Kidney and Liver and calms the fetus.
Ze Xie (Rhizoma Alismatis Orientalis) 6g
Ze Xie promotes urination and sedates Kidney Fire.

Resolution:
She took the herbal tea twice per day throughout her pregnancy until her due date, subsequently giving birth to a healthy boy.

Skin Treament Examples from the Course Materials

92. Yin boils with the primary strategy being to strengthen the Yang.
A twenty-eight-year old man had a boil on his back that was one foot long and 10 inches wide. The edge of the boil was unclear and had been light in color for a few months. He was suffering from pain and fatigue and had tried using red flower tincture topically without effect. His tongue was scalloped and his pulses were weak and rapid in the Liver and Kidney.

Diagnosis: Yin boil.
Treatment Plan: Warm and encourage the Yang Qi to express the boil.

Formula: Yang He Tang and Shi Quan Da Bu Tang modification.
Dang Shen (Radix Codonopsis Pilosulae) 12g
Bai Zhu (Rhizoma Atractylodis Macrocephalae) 12g
Fu Ling (Sclerotium Poriae Cocos) 15g
Gan Cao (Radix Glycyrrhizae Uralensis) 6g
These four herbs create Si Jun Zi Tang and they work together to strengthen the Spleen Qi. Dang Shen strengthens the Spleen Qi. Bai Zhu warms and dries the Dampness, Fu Ling promotes urination to drain the Dampness, and Gan Cao harmonizes the action of ingredients.
Huang Qi (Radix Astragalus Membranaceus) 15g
Huang Qi raises the Spleen Qi and brings the boil to the surface.
Chen Pi (Pericarpium Citri Reticulatae) 6g
Chen Pi regulates the Qi and dries Dampness.
Shu Di Huang (Radix Rehmanniae Glutinosae Conquitae) 15g
Dang Gui (Radix Angelicae Sinensis) 12g
Chuan Xiong (Radix Ligustici Chuanxiong) 9g
Bai Shao (Radix Paeoniae Lactiflorae) 12g
All the herbs above constitute Si Wu Tang to nourish the Blood. Shu Di Huang is strong and remains in the Blood longer to nourish the Yin and Jing. Dang Gui promotes circulation of the Blood. Chuan Xiong promotes Qi flow in the Blood. Bai Shao stabilizes the Liver Yang and harmonizes the Yin and Wei.
Gan Jiang (Rhizoma Zingiberis Officinalis) 15g
Bai Zhi (Radix Angelicae Dahuricae) 10g
Gan Jiang and Bai Zhi warm the body internally and encourage the Yin boil to the surface. Gan Jiang warms the Kidney and Spleen Yang. Bai Zhi is stronger at encouraging the boil to the surface and drying the Phlegm.
Ru Xiang (Gummi Olibanum) 6g
Mo Yao (Commiphora Myrrha) 6g
Wang Bu Liu Xing (Semen Vaccariae Segetalis) 12g
All the herbs above promote Blood circulation and stop pain. Ru Xiang and Mo Yao stop bleeding. Ru Xiang is a stronger Blood mover. Mo Yao is stable and remains in the Blood longer. Wang Bu Liu Xing breaks through masses.
Jin Yin Hua (Flos Lonicerae Japonicae) 15g
Lian Qiao (Fructus Forsythia Suspensa) 15g
Jin Yin Hua and Lian Qiao clear Heat-Toxin and release the surface. Jin Yin Hua tends to be stronger at releasing the surface. Lian Qian clears Phlegm-Heat nodules.

Resolution:
After he took ten bags over ten days, his fatigue was about 90% improved. His boil slowly grew red and swollen. He continued five more bags over five days, after which his boil was fully raised and red. It was lanced and many cups of pus drained out. After this, he had a big feeling of release. He was then given a modification of Si Jun Zi Tang and Wu Wei Xiao Du Yin for one month, at which time he had fully recovered.

94. Excess Yang boil.
A thirty-year-old female had a hard boil on her lower right leg in the Stomach 36 region that was the size of a teacup. She was crying constantly due to the severe pain from the boil. Her tongue was red and her Stomach pulse was full and strong.

Diagnosis: Excess Yang boil.
Treatment plan: Eliminate the Damp-Heat-Toxin and Yang Ming excess.

Topically: Qing Dai
First, the boil was cut open, and dark blood and pus was drained from it. It was kept open, and Qing Dai was mixed with water to form a paste that was then applied topically.

Internal Formula: Wu Wei Xiao Du Yin and Tiao Wei Cheng Qi Tang modification
Jin Yin Hua (Flos Lonicerae Japonicae) 15g
Lian Qiao (Fructus Forsythia Suspensa) 12g
Huang Lian (Rhizoma Coptidis) 10g
Pu Gong Ying (Herba Taraxaci Mongolici cum Radice) 15g
Zi Hua Di Ding (Herba Violae cum Radice) 15g
All the herbs above eliminate Heat-Toxin. While Jin Yin Hua and Lian Qiao both act on the surface, Jin Yin Hua flows faster than Lian Qiao. However, Lian Qiao also dissolves nodules from Phlegm-Heat. Huang Lian’s greater density allows it to penetrate more deeply to clear Damp-Heat-Toxins. When compared with Jin Yin Hua and Lian Qiao, Pu Gong Ying and Zi Huang Di Ding go into the deeper levels. Pu Gong Ying dissolves Hot Phlegm nodules and Zi Hua Di Ding clears Heat in the Blood.
Sheng Di Huang (Radix Rehmanniae Glutinosae) 30g
Sheng Di Huang cools Heat in the Blood and nourishes the Blood, Yin and Jing.
Tian Hua Fen (Radix Trichosanthis Kirilowii) 12g
Tian Hua Fen clears Heat-Toxins, nourishes fluids, and dissolves Hot Phlegm nodules.
Fu Ling (Sclerotium Poriae Cocos) 15g
Fu Ling promotes urination and balances the water in the body.
Chi Shao (Radix Paeoniae Rubrae) 12g
Hong Hua (Flos Carthami Tinctorii) 3g
Ru Xiang (Gummi Olibanum) 6g
All the herbs above promote circulation of the Blood. Chi Shao cools the Heat in the Blood. Hong Hua breaks up Blood Stasis. Ru Xiang stops bleeding and penetrates through the Qi and Blood Stagnation.
Fang Feng (Radix Ledebouriella Divaricata) 6g
Fang Feng relieves the surface and encourages the pus to the surface.
Da Huang (Radix Et Rhizoma Rhei) 15g
Mang Xiao (Mirabilitum) 9g
Da Huang and Mang Xiao purge the bowel movement and eliminate Yang Ming excess. Da Huang is stronger at purging and clearing the Heat-Toxin and at promoting Blood circulation. Mang Xiao dissolve hardened dry stool.
Gan Cao (Radix Glycyrrhizae Uralensis) 6g
Gan Cao harmonizes the ingredients of the formula.

Resolution:
After she took one bag, she had diarrhea three times and her right lower leg swelling and pain reduced by 60%. When she continued with one bag the next day, she had diarrhea four more times and her boil drained dark blood without pus. Her acute pain and swelling was gone. After she continued taking the above formula without Da Huang and Mang Xiao for nine days, she recovered.