Herbal Formulas: Wind Cold Review (Ma Huang Tang)

Herbal Review Overview

• The review includes formulas from Ma Huang Tang to Bai He Gu Jin Tang (1-84).
• The review covers single herbs, formulas, case studies, and drug-herb interactions.
  • 30 questions for single herbs
  • 30 questions for formulas
  • 10 case studies
  • 5 questions for drug-herb interactions

Formulas that Release Exterior Wind Cold

• General symptoms include fever/chills (chills worse), no sweating, body aches, headache, cough, sneezing, and congestion.
  • Pale red tongue with a thin white coat (normal)
  • Floating/tight pulse

Ma Huang Tang (Ephedra Decoction)

• Follows the Shang Han Lun Pattern: Tai Yang Cold Damage.
• Key symptoms include wheezing and no sweating.
• Ma Huang stands out as the key herb.

Gui Zhi Tang (Cinnamon Twig Decoction)

• Follows the Shang Han Lun Pattern: Tai Yang Wind Strike, due to underlying qi deficiency combined with Wind Cold
• Harmonizes ying and wei (nutritive and defensive qi).
• Key symptoms are mild sweating that doesn't relieve symptoms, and a moderate pulse.
• Bai Shao and Da Zao benefit the nutritive/ying qi.
• Gui Zhi and Sheng Jiang benefit the wei/protective qi.

Ge Gen Tang (Kudzu Decoction)

• Key symptom is a stiff neck/upper back.

Xiao Qing Long Tang (Minor Bluegreen Dragon Decoction)

• Key symptom is stringy sputum that is difficult to expectorate.
• Xi Xin warms the lung, releases the exterior, warms yang in the chest, and warms the lungs.
• Gan Jiang warms the lungs and dries fluids.

Formulas that Release Exterior Wind-Heat

• Includes symptoms of wind-heat, fever worse than chills, sweating, sore throat, rashes, and red eyes.

Sang Ju Yin (Mulberry Leaf and Crysanthemum Drink)

• Best for mild wind-heat invasion with cough.
• Sang Ye moistens the lung and treats dry cough.
• Ju Hua benefits the eyes.

Yin Qiao San (Honeysuckle and Forsythia Decoction)

• Best for more severe wind-heat invasion with sore throat.
• Jin Yin Hua and Lian Qiao relieve heat toxicity and specialize in sore throat.
• Niu Bang Zi specializes in sore throat and moistens intestines.
• Common herbs shared with Sang Ju Yin: Bo He, Lu Gen, Lian Qiao, and Jie Geng.
  • Jie Geng guides to the lung/chest/throat.

Chai Ge Jie Ji Tang (Bupleurum and Kudzu Decoction to Release the Muscle Layer)

• Follows a pattern: Wind-Cold moving into the interior.
• Key symptoms: fever increasing while chills decrease, irritability, insomnia, orbital eye pain, floating and forceful/flooding/surging pulse.

Formulas that Release the Exterior with Head and Neck Symptoms

• Chuan Xiong Cha Tiao San (Ligusticum Chuanxiong Powder to be Taken with Green Tea) has a key symptom of headache.
• Cang Er Zi Wan (Xanthium Powder) has key symptoms of sinus headache, frontal headache, facial pain, and purulent discharge from the nose.
• Cang Er Zi Wan contains Cang Er Zi, Bai Zhi, and Xin Yi Hua, which open the nasal orifices.

Formulas that Release Exterior Disorders with Interior Deficiency

• Ren Shen Bai Du San (Ginseng Powder to Overcome Pathogenic Influences)
  • It follows the pattern of Wind Cold Damp with underlying qi xu, and includes body aches, weakness, and tiredness.
  • Du Huo and Qiang Huo specialize in lower and upper body bi syndrome, respectively.
• Jing Fang Bai Du San (Schizonepeta and Ledebouriella Powder to Overcome Pathogenic Influences)
  • It follows the same pattern as above, without the underlying qi xu.
• Jing Jie and Fang Feng are slightly warm and can be used for wind-heat or wind-cold
  • They both specialize in venting rashes
  • Jing Jie can be charred to stop bleeding.

Jia Jian Wei Rui Tang (Modified Solomon's Seal Decoction)

• Is for Wind heat attack with underlying yin xu.
  • The Chief ingredient is Yu Zhu which tonifies yin.
  • Other ingredients include Cong Bai, Dan Dou Chi, Bo He and Jie Geng.

Formulas that Release the Exterior and Clear the Interior

• Ge Gen Huang Lian Huang Qin Tang (Kudzu, Coptis and Scutellaria Decoction)
  • Is for Wind Heat moving into the interior.
  • Key symptoms include 4 Bigs (Big Fever, Big thirst, Big sweat, Big Pulse (forceful)), dysentery, foul smelling diarrhea, and burning anus.

Formulas that Clear Qi Level Heat

• Bai Hu Tang (White Tiger Decoction)
  • Is a representative formula for internal/qi level heat.
  • Key symptoms include the 4 Bigs.
• Bai Hu Jia Ren Shen Tang (White Tiger plus Ginseng Decoction)
  • Is used when Qi is becoming damaged.
• Zhu Ye Shi Gao Tang (Lophatherus and Gypsum Decoction)
  • Is used when heat is lingering in the Lung and Stomach channels.
  • Key symptoms include more dryness and deficiency.
• Zhi Zi Chi Tang (Gardenia and Prepared Soybean Decoction)
  • Is used when heat is lingering in the chest and affects shen, causing insomnia, irritability, and delirium.
  • Zhi Zi (Drain fire) clears heat in all 3 jiaos.
  • Dan Dou Chi releases exterior wind heat and calms shen.

Formulas that Clear Nutritive-level and Cool the Blood

• A standout tongue for both of these formulas is scarlet or crimson.
• Qing Ying Tang (Clear the Nutritive Level Decoction)
  • Is used for heat in the Ying/Nutritive level.
  • Key symptoms include high fever (worse at night), thirst, restlessness, general redness or erythema, T-Peeled coating, and a thin and rapid pulse.
• Xi Jiao Di Huang Tang (Rhinoceros Horn and Rehmannia Decoction)
  • Is used for heat in the Xue/Blood level.
  • Key symptoms include high fever, thirst, delirium, convulsions, red, raised rash, bleeding(nose bleed, blood in stool, vomiting blood).
  • Contains Sheng di huang and Mu Dan Pi, which Cools blood and moves blood. - Shu di is warm and sweet which tonifies blood, essence and fluids. - Sheng di is cold, bitter, and sweet which tonifies blood, essence and Cools the blood.

Formulas that Clear Heat and Resolve Toxicity

• Huang Lian Jie Du Tang (Coptis Decoction to Relieve Toxicity)
  • The formula contains 4 Big Herbs
    • Huang Qin clears heat and dries damp; calms fetus
    • Huang Lian clears heat and dries damp; clears heart heat
    • Huang Bai (Cl heat, Dry Damp): LJ; Leucorrhea, UTI
    • Zhi Zi clears heat, damp-heat, and blood
  • The formula pattern is Damp-heat in all 3 jiaos
  • Key symptoms include a red tongue with a greasy yellow coating
• Xie Xin Tang (Drain the Epigastrium Decoction)
  • The formula pattern is Damp heat with interior clumping
  • Key symptoms are constipation with vomiting (bloody), hematemesis
• Pu Ji Xiao Du Yin (Universal Benefit Drink to Eliminate Toxin)
  • The formula pattern is Febrile disorder due to heat toxin in the head and neck like, Tonsillitis, Ear infection, Mumps, etc.
  • The formula contains Ban Lan Gen, which is an antiviral

Formulas that Treat External Abscesses and Sores

• Wu Wei Xiao Du Yin (Five Ingredient Decoction to Eliminate Toxin)
  • Key Symptom: Boils and carbuncles, abscesses

Formulas that Clear Heat from the Organs

• The general symptoms of organ heat: 4 bigs
• Ma Xing Shi Gan Tang (Ephedra, Apricot Kernel, Gypsum and Licorice Decoction)
  • The formula pattern is Lung Heat
  • Key symptoms include SOB, chest pain, forceful cough, and flaring of nostrils
• Xie Bai San (Drain the White Powder)
  • The formula pattern is Constrained heat in lungs consuming lung yin
  • Key symptoms include DRY throat, nose, mouth, and cough with T-Peeled coating and thin pulse
  • Sang Bai Pi clears lung heat, promote urination, and lower blood pressure
  • Di Gu Pi clears excess lung heat
• Other single herbs that clear lung heat
  • Lu Gen clears lung heat, alleviate thirst, and generate fluids
  • Tian Hua Fens actions are the same as Lu Gen
• Qing Wei San (Clear the Stomach Powder)
  • The formula pattern is Stomach Fire
  • Key Symptoms: ravenous appetite, bad breath, belching, swollen gums and toothache
  • Huang Lian: clears heat from MJ
• Yu Nu Jian (Jade Woman Decoction)
  • The formula pattern is Stomach Fire damaging stomach and kidney yin
  • Key symptoms include Loose teeth
  • Shi Gao clears stomach heat and is good for gum/tooth infections, can be used topically for burns, ulcerations
• Dao Chi San (Guide Out the Red Decoction)
  • The formula pattern is Heat in the Heart and SI channels
  • The key symptoms include Insomnia, irritability, palpitations, and burning urination
  • It contains:
    • Mu Tong promotes urination and treats hot bi syndrome
    • Dan Zhu Ye clears heart heat and promotes urination

Long Dan Xie Gan Tang (Clear the Gallbladder and Drain Fire Decoction)

• Pattern: Clear heat/damp heat in Liv and GB
• Key Symptoms: Hypochondriac pain(burning) or fullness, swollen, red, burning, itchy eyes with yellow discharge, bitter taste, scanty, dark , burning urination, discharge, sores around genitals, tinnitus, anger, irritability, red face, HA; T-Red, greasy yellow coating; P-slippery or forceful and rapid; wiry
• Long Dan Cao: Similar to above formula
• Sheng di huang and Dang Gui moderate effects of cold, bitter, drying herbs
• Single Herbs that clear Liver Heat-Xia Ku Cao actions include clear liver heat, treat red, burning eyes, lower blood pressure and is good for swollen neck lumps
• Jue Ming Zi moisten intestines and lower cholesterol

Shao Yao Tang (Peony Decoction)

• Key Symptom: Diarrhea with Equal blood and pus

Bao Tou Weng Tang (Pulsatilla Decoction)

• Key Symptom: Diarrhea with More blood than pus### Bai Tou Weng (Heat Toxicity): Similar to formula Formulas that Purge Heat Accumulation

Da Cheng Qi Tang (Major Order the Qi Decoction)

• Pattern: Yang Ming Bowel Disease (LI and ST heat)
• Key Symptoms: Fever, sweating, thirst, constipation, abdominal distention/fullness, pain worse with pressure, T-Red with thick yellow coating; Pulse-forceful or rapid
• Da Huang (Purgative) is caution with pregnancy, breastfeeding, deficiency, and menses
• Mang Xiao is Salty-softens hardness
• Zhi Shi or Zhi Ke regulates qi
• Hou Po transforms dampness

Xiao Cheng Qi Tang (Minor Order the Qi Decoction)

• Removes the Mang Xiao from Da Cheng Qi Tang
• Key Symptoms: Pain not worse with pressure

Tiao Wei Cheng Qi Tang (Regulate the Stomach and Order the Qi Decoction)

• Just Da Huang, Mang Xiao, and Gan Cao
• Key Symptoms: No distension, no fullness Formulas That Simultaneously Attack and Tonify

Zeng Ye Cheng Qi Tang (Increase the Fluids and Order the Qi Decoction)

• Pattern: Yang Ming heat drying out the fluids leading to severe constipation Formulas that Warm the Yang and Purge

Da Huang Fu Zi Tang (Rhubarb and Prepared Aconite Accessory Root Decoction)

• Pattern: Excess cold related constipation Formulas that Moisten the Intestines and Unblock the Bowels

Run Chang Wan (Moisten the Intestines Pill)

• Presentation: constipation with dry, hard stool after an acute fluid loss (i.e. hemorrhage, excessive sweating, child birth)

Ma Zi Ren Wan (Hemp Seed Pill)

• Pattern: Dry constipation due to heat in the Stomach and Intestines

Ji Chuan Jian (Benefit the River Decoction)

• Pattern: Yang Deficiency Related Constipation-Cold, low back pain, low libido, fatigue or erectile dysfunction
• Rou Cong Rong (Ton Yang)-Moistening intestines
• Gan Sui actions include Incompatible with Gan Cao
• Yu Li Ren promotes urination

Formulas that Harmonize Lesser Yang Disorders

Xiao Chai Hu Tang (Minor Bupleurum Decoction)

• Pattern: Shao Yang Disorder
• Key Symptoms: Acute or sickness; Alt fever or chills; hypochondriac pain, bitter taste, Nausea or wiry pulse
• Chai Hu is Representative for shao yang disorder
• Huang Qin is often paired with chai hu
• Ren Shen ton qi

Da Chai Hu Tang (Major Bupleurum Decoction):

• Pattern: Concurrent shao yang & Yang Ming
• Symptoms include constipation, abdominal distension/pain, vomiting

Hao Qin Qing Dan Tang (Sweet Wormwood and Scutellaria Decoction to Clear the Gallbladder)

• Pattern: Damp-Heat or Phlegm Heat in the Shao Yang

Chai Hu Jia Long Gu Mu Li Tang (Bupleurum plus Dragon Bone and Oyster Shell Decoction)

• Pattern: Pathogen in all 3 yang meridians Tai Yang, Shao Yang or Yang Ming
• Symptoms: Alt fever or chills; chest w/ abdominal distension/pain; vomiting; urinary difficulty; anxiety or delirium
• Contains Long Gu and Mu Li

Yi Guan Jian (Linking Decoction:)

• Liver Qi stagnation Key sign - LVKD yin xu, wiry pulse, PMS plus LiWaiDiHuang notes

Er Zhi Wan “Two Solstice Pill”

• Ingred - No zhen zi & Mon Ha -
• Liver & Kidney yin xuc
• Key simton - Premature grey hair, less dry compared to other tone formulas

Si Ni San

true hear, false cold , Liver qi stag -raynauds Key point: Cold extrem & heat in chest

Xiao Yao San

• Liver QI stag
• Fatigue, lose stools, irreg period, wiry pulse irritability Ingredients - chai hu, dang gui , white shar , Bo he, Fu ling

Harm stomach & intestine

-Ban Xia Xie Xin Tang

Is xiao chai hung BUT substituted the herbs

Treats Excess/deficient

• Cold & heat sign key sogn Fullness in medius zone

Qing hao bie Jia tang

Kye syymptom night time fever

Formulas that warm channel

Dang

D/on Gwai ZhiTang Key - Blood Xu - cold head pale tired pale tongue

Lee Hong Wang

Based on Si jun ze Tang Remove Fu Ling add

Fu Zi Li shong wang

Is Le shong with added Fu

Wu Shou Yu Dong -

Cold in liver & stomach, vertex vomiting after eating fullness better with warmth

shao Jiang zong dan

Is D/ion Gwiazhi Tang plus Yi Tang - Yi to gif qi

• Pattern: Spleen/stomach(MJ) def cold
• intermittent Pain in MD

Da Jianton Zong Tang

def gold becomes external excess gold

• Pain cannot be touched

Si nu Tang

Syan collapse or Shane Yin fold

• Symptoms- very cold, curled up in fetal position, covered in blankets, cold oily sweat, extreme fatigue, cold extremities tonify Qi ( 4 gentlemen DECON)
• spleen qi def
• Key Symptoms: low

Zi Tang-

To is Long Spring qi, primal source Qi generating fluids Mutually antagonistic with

Tonify the blood

Shi Who Dong

Kye signs Pale skin dry eyes floaties

Ingredients: Tonify

• sweet & and helps with premature gray hair
• • Comapred Shen Di:

Form to Tonifiy blodo Tang Qui

• 2 gnd, dan Qui tonify Hot Huang Qui
• Blood Xu with Het

shao

Made tonifying & Dan call

Ba Chen

Tonifiy Blood

All inclu Tonify DECON

Plus Huang Qiu added

Pi tang -

Sp Qi & Hre Lose insomnia

Heart intermitent Pulses

Sheng dry , dry throat

Lew Day Huang

• Liv & KT Yin, key- low black, scanty dark urination, dray eyes red burning, floaters, Night sweet, five

Di huang

Use CARE

Shi Zhi buy huan

Extreme Het including steam bone

zout Quich Wan

LIV kidney Yin Xd essence deb Premature ageing ,developmental delayed