CHIOU ZAO.pdf

(FALL DRYNESS DISEASE) CHIOU ZAO  ChiouZaois an external infectious febrile disease caused by heat and dryness pathogens. The characteristics of this disease are the patient has body fluid deficiency & dryness symptoms (dry throat, dry nose, cough with scanty sputum and dry skin) at the in...

(FALL DRYNESS DISEASE) CHIOU ZAO  ChiouZaois an external infectious febrile disease caused by heat and dryness pathogens. The characteristics of this disease are the patient has body fluid deficiency & dryness symptoms (dry throat, dry nose, cough with scanty sputum and dry skin) at the initial Wei stage. It happens mostly in Fall season.  Dryness is a very strong yang factor, and mostly affects lung organ. Even though it is a yang factor, but it dose not transmit very deep and not serious. The duration is short and easy to treat & recovery well.  In western medicine, these diseases are diagnosed as “URI”, “Acute Bronchitis” in Fall. Introduction:  1.Very seasonal: only happen in Fall season  2.Clinical Pattern:  Initial stage: exterior symptoms (Wei stage) and combine with dryness symptoms (dry mouth, nose, throat and lips)  Main Organ affected: Lung.  3.Very superficial, most cases show Lung and Stomach Yin damage, very rare transmission to Lower Jiao, and most cases have good prognosis Key Diagnosis Points: A.Wei System  SX: fever, mild aversion to wind, headache, some perspiration, cough, scanty sputum, dry mouth, dry throat, thirst, red tongue, white coat, and gigantic rapid pulse.   TX : dispel dryness factor from exterior and moisten the lung by pungent sweet cold herbs   RX:  Sang Xing Tang (Mulberry Leaf and Apricot Kernel Decoction) A. Wei System  1.Sang Ye (Folium Mori)  2.Xing Ren (Semen Armeniacae Amarum)  3.Sha Shen (Radix Glehniae)  4.Zhe BeiMu ( Bulbus Fritillariae Thunberigi)  5.Dan Dou Chi (Semen Sojae)  6.Zhi Zi(Fructus Gardeniae)  7.Li Pi (Pear Skin) Sang Xing Tang (Mulberry Leaf and Apricot Kernel Decoction) B.Qi System  SX: tinnitus, red eyes, gingival swelling, sore throat, thin dry yellow coat, rapid pulse.   TX: dispel dryness factor from upper warmer  RX:  Qiao He Tang (Forsythia and MenthaDecoction)  1.Dryness affecting The Sensory Organs Qiao He Tang (Forsythia and MenthaDecoction)  1. Lian Qiao ( Fructus Forsythiae )  2. Bo He ( HerbaMenthae)  3. ZhiZi(Fructus Gardeniae)  4. JieGeng (Radix Platycodi)  5. Gan Cao (Radix Glycyrrhizae )  6. Liu Dou Ye (Green Been’sskin)  SX:fever, dry cough without sputum, dyspnea, dry throat, dry nose, dry teeth, chest fullness, chest pain, fidget, thirst, thin dry white or thin dry yellow coating, and red tongue tip & sides .  TX: dispel dryness-heat from the lung, nourish lung yin, and moisten the lung   RX:  Qing Zao Jiu Fei Tang (Eliminate Dryness and Rescue the Lungs Decoction) 2. Dryness -Heat affecting The Lung  1.Shi Gao (Gypsum Fibrosum)  2.Sang Ye (Folium Mori)  3.Ren Shen (Radix Ginseng)  4.Hu Ma Ren (Semen Sesame)  5.E Jiao (Gelatin Nigri)  6.Mai Men Dong (Radix Ophiopogonis)  7.Xing Ren (Semen Armeniacae Amarum)  8.Pi Pa Ye (Folium Erybotryae)  9.Gan Cao (Radix Glycyrrhizae ) Qing ZaoJiu Fei Tang (Eliminate Dryness and Rescue the Lungs Decoction)  SX: dry cough with throat itching, cough bloody sputum due to excessive cough, chest pain, burning sensation at lower abdomen, watery diarrhea, red tongue, thin yellow dry coating, and rapid pulse.  TX : dispel heat, stop bleeding, moisten the lung, and dispel heat from intestine  RX:  E Jiao Huang Qin Tang (Gelatin Nigriand Scutellaria Decoction) 3.Lung Dryness and Heat in Intestine, Cough with Bloody Sputum due to Damage Lung Collaterals  1.E Jiao (Gelatin Nigri)  2.Huang Qin (Radix Scutellariae)  3.Xing Ren (semen Armeniacae Amarum)  4.Sang Bai Pi (Cortex Mori Radicis)  5.Bai Shao (Radix PaeoniaeAlba)  6.Che Qian Cao ( HerbaPlantaginis )  7.Gan Cao (Radix Glycyrrhizae ) E Jiao Huang Qin Tang (Gelatin Nigriand Scutellaria Decoction)  SX: Low grade fever, continue dry cough, dry mouth and tongue, thirst, red tongue body, scanty coating, threadypulse.   TX: nourish Lung and Stomach yin  RX:  Sha Shen Mai Men Dong Tang (Glehniaand Ophiopogonis Decoction) 4. Damage of Lung and Stomach Yin  1. Sha Shen (Radix AdenophoraeseuGlehniae)  2. Mai Men Dong (Tuber Ophiopogonisjaponici)  3. Yu Zhu ( Rhizoma Polygonati Odorati)  4. Sang Ye (Folium Mori Albae)  5. Tian Hua Fen (Radix TrichosanthisKirilowii)  6. Bai Bian Dou (Semen Dolichoris )  7. Gan Cao (Radix Glycyrrhizae Uralensis Sha Shen Mai Men Dong Tang (Glehnia and Ophiopogonis Decoction)  SX: cough with copious sputum, chest fullness, abdominal distention, and constipation .  TX: descending lung Qi, moisten intestine, and relieve constipation  RX:  Wu Ren JuPi Tang (Five Seeds and Citrus Decoction)  aka (Wu Ren Wan —Five-Seed Pill) 5. Lung Dryness and Constipation  1.Xing Ren (Semen PruniArmeniacae)  2.Song ZiRen (Semen Pini)  3.Yu Li Ren (Semen Pruni)  4.Tao Ren (Semen Persicae)  5.Bai ZiRen (Semen BiotaeOrientalis )  6.Chen Pi (Pericarpium CitriReticulatae Wu Ren JuPi Tang (Five Seeds and Citrus Decoction)  SX: constipation, dry mouth, dry lips, fever, delirium, dry black coat, deep threadypulse.   TX: nourish yin and relieve constipation  RX: Tiao Wei Cheng Qi Tang (Regulate the Stomach and Order the Qi Decoction) 6. Excessive Fu and Yin Damage  1.Da Huang ( Rhizoma et Radix Rhei)  2.Mang Xiao (Mirabilitum )  3.Zhi Gan Cao (Radix Glycyrrhizae )  4.Sheng Di Huang (Radix Rehmanniae) (fresh): added to nourish yin  5.He Shou Wu (Radix PolygoniMultiflori) (fresh): added to nourish yin  6.Shi Hu (Rhizoma Dendrobii) (fresh): added to nourish yin Tiao Wei Cheng Qi Tang (Regulate the Stomach and Order the Qi Decoction) C. Exuberance of dryness-heat at Qi and XueSystem  SX: Fever, thirst, fidget, irritability, sometimes hematemisis, epistaxis, deep red tongue, yellow coating.  TX: dispel heat from both Qi and Xuestages  RX:  Yu Nu Jian (Modified Jade Woman Decoction) C. Exuberance of dryness -heat at Qi and XueSystem  1.Shi Gao: remove heat  2.Sheng Di Huang : cool blood  3.Zhi Mu : remove heat from qi stage  4.Mai Men Dong: nourish yin and protect body fluid  5.Niu Xi : (kidney tonic) conduct heat downward  6.Xuan Shen: (cold, salty) detoxify heat and separate heat from blood Yu Nu Jian Modification (Modified Jade Woman Decoction)