Ma Huang Tang

• Patients with debility 
• Copious urination
• Those prone to bleeding (especially nosebleeds)
• Should not be used in cases of HTN

Gui Zhi Tang

• Exterior cold and interior heat (characterized by fever and thirst or sore throat and rapid pulse)
• Careful with summer or hot weather
• May result in nosebleeds
• If incorrectly Rx'd or if dosage too strong, can lead to profuse sweating, high fever, severe thirst (4 Bigs) + palpitations and irritability
• Bai Hu Jia Ren Shen Tang should be Rx'd to cope with side effects

Ge Ge Teng

None noted

Ren Shen Bai Du San

Chai Ge Jie Ji Tang

Yin Qiao San

• CI's in cases with Damp-Heat

Sang Ju Yin

None noted

Bai Hu Tang

• Fever due to Spleen and Stomach deficiency characterized by fever, spontaneous sweating, extreme fatigue, aversion to wind, and a deficient, floating pulse. 

  
  

  Should also be avoided in cases of true cold and false heat characterized y fever with a desire for warmth, thirst with no desire to drink, agitated movement of the limbs in an otherwise subdued patient, and a flooding but weak pulse. 

  
  

  Use of this formula should immediately stop if signs of headache, stiffness of the neck, icy-cold limbs, subjective sensations of cold, or impairment of mental faculties occur.

Ma Xing Shi Gan Tang

• CI'd for wheezing doe to cold
• Not for cases where pathogenic influence lingers due to normal Qi deficiency

Huang Lian Jie Du Tang

• Very bitter and cold, should only be Rx'd in cases of excess for patients of robust constitution.
• SInce it can easily injure the yin, it should not be taken long-term.
• For conditions of heat in nutritive or blood levels, it may easily injure the yin.

Long Dan Xie Gan Tang

• Can harm the Spleen, not to be taken long-term or in large dosages, nor in cases with Sp Xu or injury to the fluids. 

Qing Hao Bei Jia Tang

• CI'd for early stage of warm-febrile disease when the pathogenic influence is still in the Qi level
• No for cases with spasms or convulsions

Da Cheng Qi Tang

• May cause vomiting or severe diarrhea
• For weak patients, it should be used only when absolutely necessary, and then only with the addition of tonic herbs. 
• NOT FOR PREGNANCY

Xiao Cheng Qi Tang

None noted

Tiao Wei Cheng Qi Tang

None noted

Xiao Chai Hu Tang

• Ascending action can injure the Qi and cause headache, dizziness, and bleeding of the gums if taken long-term.
• CI: Not for patients with Xs above and XU below, Lv Fire, or bleeding of gums.
• Caution: with Ascendant Lv Yang, HTN, or vomiting of blood due to Yin Xu.
• Patients with relatively weak normal qi may experience fever and chills because the pathogenci influence is vented from Shaoyang stage via the Taiyang.

Xiao Yao San

None noted

Si Ni San

None noted

Ban Xia Xie Xin Tang

None noted

Wu Ling San

• Sp or Kd Qi Xu the dosage and duration must be carefully limited.
• Overdose may include dizziness, vertigo, bland taste, and reduced appetite.
• With deficiency, formulas is often combined with others that tonify and nourish the Sp and St to prevent injury to the normal qi.
• For urinary difficulty with Yin Xu, this formula should be modified to protect the yin from further injury.

Zhu Ling San

None noted

Wu Pi San

• Sp tonifying herbs  should be added for cases with severe Sp Xu

Ping Wei San

• Formula contains warm, drying herbs which easily injure the yin and the blood, and should therefore only be used with significant modification for patients with Yin or Blood Xu.
• CAUTION IN PREGNANCY

Huo Xiang Zheng Qi Tang

• Because it contains warming and drying herbs, it should not be used without significant modification in cases of Wind-Heat or Fire due to Xu 

Ba Zheng San

• Long-term use may cause weakness, light-headedness, palpitations, and loss of appetite.
• It should not be used without significant modification in treating conditions of cold from Xu or during pregnancy.

Du Huo Ji Sheng Tang

None noted

Zhen Wu Tang

None noted

Li Zhong Wan

• Contains ingredients that are warm and dry, therefore should not be used for externally-contracted conditions with fever or yin deficiency (heat signs).
• For sudden turmoil disorder, it should be discontinued once the vomiting and diarrhea have stopped.

Si Ni Tang

• CI for cases with true heat and false cold characterized by cold extremities, thirst with desire to drink cool beverages, dark urine, and red tongue with yellow coat.

Da Jian Zhong Tang

• CI for cases with internal clumping, Damp-Heat, or Yin or Blood Deficiency 

Wu Zhu Yu Tang

• For particularly severe vomiting, it is easier to keep down if taken cool.
• Patients may experience transitory sensation of discomfort in the chest, dizziness, and a worsening of the headache after taking the decoction. These Sx will disappear once the formula begins to work (~30 mins). Patient should rest after ingestion to minimize side effects.
• CI in cases with vomiting or acid regurgitation due to heat.

Si Jun Zi Tang

• Overuse of formula may result in dry mouth, thirst, and irritability. 
• It should not be used without modification in cases with high fever, heat from deficiency, or a combination of irritability, thirst, and constipation.

Bu Zhong Yi Qi Tang

• CI'd for fever due to heat from Yin Deficiency.
• Formula is not indicated in all instances of prolapse, but only those due to Qi Xu.

Sheng Mai San

None noted

Si Wu Tang

• Use for chronic conditions which are not too severe.
• It should not be used to treat acute, severe blood loss or other problems of Blood Xu which include severe weakness and labored breathing. Dang Gui Bu Xue Tang should be used instead.
• If used in treating patients with Sp Yang Xu with poor appetite and loose stools, it should be modified to include herbs which strengthen MJ.

Gui Pi Tang

None noted

Shi Quan Da Bu Tang

None noted

Liu Wei Di Huang Wan

• This formula still has cloying properties and should be used with caution in cases of:
  • Indigestion
  • Diarrhea due to Sp Xu
  • White greasy tongue coating

Jin Gui Shen Qi Wan

• CI'd in cases of Yin Deficiency with a dry mouth and throat and red tongue with little coating.

Yue Ju Wan

• Unless modified, this formula is contraindicated in cases of stagnation due to deficiency.

Ban Xia Hou Po Tang

• Contraindicated in patients presenting with a flushed face, a bitter taste in the mouth, and a red tongue with scanty coating.

Su Zi Jiang Qi Tang

• Inappropriate for treating Lung and Kidney deficiency in the absence of an externally-contracted pathogenic influence, and in cases of wheezing and a productive cough due to heat in the Lungs.

Ding Chuan Tang

• Inappropriate in cases of externally-contracted wind-cold which present with an absence of sweating and internal phlegm-heat.
• Also inappropriate in cases of chronic asthma with qi deficiency and a frail pulse.

Ju Pi Zhu Ru Tang

• Contraindicated in cases of heat from excess or cold from deficiency.

Tao He Cheng Qi Tang

• Contraindicated during pregnancy.
• If there are still exterior symptoms, the exterior should first be released before using this formula.

Xue Fu Zhu Yu Tang

• Because the actions of this formula in invigorating the blood and dispelling blood stasis are very strong, it is contraindicated during pregnancy and in most cases which involve excessive menstrual bleeding. 
• 
  
• It is also CI'd in cases with bleeding diathesis or any active hemorrhagic disorder.

Wen Jing Tang

• CI'd in cases with abdominal masses due to blood stasis from excess.

Gui Zhi Fu Ling Wan

• Extreme caution during pregnancy or post partum, and only when there is a confirmed diagnosis of blood stasis producing the pattern.

Yu Ping Feng San

None Noted

Si Shen Wan

• Without modification, this formula should not be used if there is accumulation or stagnation in the Stomach or Intestines.

Gu Jing Wan

None Noted

Suan Zao Ren Tang

None Noted

Tian Wang Bu Xin Dan

• Because this formula contains toxic substances, it should not be taken long-term. 
• Note that some of the prepared formulations do not contain Zhu Sha.

Gan Mai Da Zao Tang

None noted

Xiao Feng San

• Because this formula is primarily dispersing in nature, it should not be used in cases with marked qi or blood deficiency.

Xiao Huo Lou Dan

• Because this formula is quite harsh, it should only be prescribed for individuals with a relatively strong constitution.
• It is contraindicated for patients with yin deficiency, or during pregnancy.

Tian Ma Gou Teng Yin

None Noted

Er Chen Tang

• The improper use of formula can lead to excessive thirst and a dry throat. 
• Unless modified, it is CI'd for cases with cough associated with Lung Yin Xu

Wen Dan Tang

None noted

Bei Mu Gua Lou San

• Contraindicated for cough due to yin deficiency

Zhi Sou San

• This formula has a tendency to dry and should therefore not be used in treating coughs associated with yin deficiency. 
• 
  
• It was designed for treating wind-cold and should not be used without modification in treating coughs due to heat in the Lungs.

Ban Xia Bai Zhu Tian Ma Tang

• Contraindicated for vertigo from either ascendant Liver yang or blood deficiency.

Bao He Wan

• Unless modified, this formula is CI'd in cases with Spleen deficiency.