• Faint & Thready Pulse
• Vague Consciousness
• Listless & Lethargic State

Heart & Kidney Yang XU with

Internal Vigorous Cold

Aversion to Cold

Sleeping with Knees Drawn Up

 Cold Extremities

Diarrhea w/ Undigested Food

Thrist w/ Desire for Warm Beverages

Si Ni Tang

Zhi Gan Cao 6g

Gan Jiang 6g

Sheng Fu Zi 9g

Restore Yang & Rescue Extreme Devastation

Augment the Qi & Generate Fluids

Internal Vigorous Cold

w/ Copious Sweating

Si Ni Jia Ren Shen Tang

Si Ni Tang + Ren Shen 6g

Severe Heart & Kidney Yang XU

w/Internal Vigorous Cold

Diarrhea w/ Undigested Food

Almost Imperceptible Pulse

NO Aversion to cold

Unfixed/moving Flush on Pale Face

Tong Mai Si Ni Tang

Zhi Gan Cao 6g

**Sheng Fu Zi 12g

**Gan Jiang 12g

Extreme Heart & Kidney Yang XU

w/ Internal Vigorous Cold

DIARRHEA & VOMITING has STOPPED!

Frigid Extremities

Sweating

Faint/Imperceptible Pulse

Tong Mai Si Ni Jia Zhu Dan Zhi Tang

Tong Mai Si Ni Tang + Zhu Dan Zhi (1 spoon)

Severe Heart & Kidney Yang XU 

w/ Internal Vigorous Cold

& Vigorous Yin expelling Yang ↑

Constant Diarrhea/Heaves

Unfixed/Moving Flush on Face

Irritability

Frigid Extremities

Imperceptible Pulse

Bai Tong Tang

Cong Bai 4 pieces

Sheng Fu Zi 9g

Gan Jiang 6g

Yang XU with Cold-Dampness =

Body Ache

Body Ache

Aversion to Cold on Back

Joint Pain

Deep Pulse

Fu Zi Tang

Fu Zi 12g

Fu Ling 9g

Ren Shen 9g

Bai Zhu 12g

Shao Yao 9g

Yang XU w/ H2O Retention

Tai Yang Disease w/ diaphoresis = no fever relief

Palpitations

Dizziness/Vertigo

Edema in Limbs

No Thirst

Zhen Wu Tang

Fu Ling 12g

Shao Yao 9g

Sheng Jiang 9g

Bai Zhu 9g

Fu Zi 9g

Yin XU w/ Vigorous Heat

Irritability & INSOMNIA

Dry Mouth & Throat

T: Red (no coat)

P: Deep/Thready/Rapid 

Huang Lian E Jiao Tang

Huang Lian 9g

Huang Qin 6g

Shao Yao 6g

Ji Zi Huang (2 pieces)

E Jiao 9g

Water & Heat Clumping in the UB

w/ Injury to Kidney Yin

Difficult Urination

Thirst w/ Desire

Fever

Zhu Ling Tang

Zhu Ling 9g

Fu Ling 9g

Ze Xie 9g

E Jiao 9g

Hua Shi 9g

Tai Yang + Shao Yin Disorder

HA/Body Ache

Cold Hands & Feet

Weak Voice or Cough/Wheezing

Fatigue

Ma Huang Xi Xin Fu Zi Tang

Ma Huang 6g

Xi Xin 3g

Fu Zi 6g

Outline of 

Jue Yin Channel Disorder

• Wasting & Thirsting
• Rebellious Qi Rushing ↑
• Epigastric Pain
• Heart Burn
• Hunger w/ No Desire

Roundworm Causing Frigid Extremities

Hui Jui Syndrome = Round Worm

Intermittent Irritability and Epigastric Pain

Hunger w/ NO desire

Chronic Diarrhea/Dysentary

Heart Burn

Wu Mei Wan

Wu Mei 15g

Xi Xin 3g

Gan Jiang 6g

Huang Lian 9g

Dang Gui 9g

Fu Zi 6g

Shu Jiao 3g

Gui Zhi 9g

Ren Shen 9g

Huang Bai 9g

Vomiting & Diarrhea due to

Heat Above & Cold Below

Immediate Vomiting after Eating

No Heart Burn!

Borborygmous

Irritability

Gan Jiang Huang Qin Huang Lian

Ren Shen Tang

(All 9g!)

Liver Channel attacked by cold w/

turbid-Yin invading the Stomach =

↑ Cold Rebellion

Jue Yin HA

Dry Heaves

Spitting Clear Saliva

Wu Zhu Yu Tang (A)

Wu Zhu Yu 3g

Ren Shen 6g

Sheng Jiang 18g

Da Zao 6g

Blood XU w/ Cold Coagulation

HA/Aversion to Cold

Pain in extremities

Irregular Menses/Dysmenorrhea

***FORMULA "DREGDES the CHANNELS"***

Dang Gui Si Ni Tang

If there is vomiting, as well, use...

Dang Gui Si Ni Jia Wu Zhu Yu

Sheng Jiang Tang

Damp-Heat Accumulation causing 

Intestinal Collateral Injury

& Liver Qi Stagnation

Dysentary w/ pus in stool

Burning Sensation around Anus

Dark/Scanty Urine

Bai Tou Weng Tang

Bai Tou Weng 15g

Huang Bai 12g

Huang Lian 6g

Qin Pi 12g

***Relieves Toxicity***

Liver Qi Stagnation causing Yang Constraint & Over-Controlling the Spleen

SLIGHTLY cold hands & feet

Oppression & fullness in Chest

WIRY Pulse

Si Ni San

Zhi Gan Cao 6g

Zhi SHi 6g

Chai Hu 6g

Shao yao 9g

Concept of Wen Bing

• Exogenous Febrile Disease

• marked by...High Fever!

Characteristics of

Wen Bing

Exterior Attack (Wind-Heat/Summer-Heat/Damp-Heat/Dry-Heat)

Quickly Occur & Fiercely Progress

Heat easily causes Blood Movement & Injury to Yin

Wen Bing vs. Shang Hun Lun

*Wen Bing = MORE fever than Chills

                                (Attack by Warm Heat)

*Shan Hun Lun = More Chills than Fever

                                                (Wind Cold Attack)

Wind Heat Pathogen

#1- Initially attacks UJ (Lung & Wei)

#2- Easy to transform dryness & injure yin

#3- Rapidly progresses & changes

Summer Heat Pathogen

#1- Invades Yang Ming (primarily)

#2-Easily injures FLUIDS & QI  

#3- No Chills!

Damp Heat Pathogen

#1- Middle Jiao (region majorly affected)

#2- ALWAYS causes Qi stagnation & Yang Constraint

#3- Chronic & Slowly Progresses

Dry Heat Pathogen

#1- Region Majorly Affected: Lung

#2- S+S: dry cough w/ scanty or no sputum

#3- Always leads to Fluid injury & Dryness

Characteristics of the

Wei Level

Exterior Syndrome (More fever than Chills)

T: Red Tip & Sides

P: Superficial & Rapid

Qi Level

NO CHILLS!! 

High Fever (Day & Night)

Severe Thirst

T: Red w/ Yellow Coat  

P: Rapid 

Ying Level

24 Hour Fever

(increases @ night)

Irritabilty/Insomnia/Delerium (mild)

Indistinct Macula & Eruptions

T: Deep Red/Crimson

P: Rapid

Blood Level

Bleeding from Various Orifices

(nose, throat, skin, stool, urine)

Convulsions/Unconsciousness

Severe Irritability & Delerium

T: Deep Red w/ Prickles

P: THREADY & rapid

Wind Heat in the Wei Level

More Fever than Chills

Sore Throat

Cough

Yin Qiao San

Jin Yin Hua 30g

Lian Qiao 30g

Bo He 9g

Jie Geng 6g

Lu Gen 15g

Gan Cao 6g

Niu Bang Zi 18g

Jing Jie 12g

Dan Dou Chi 15g

Dan Zhu Ye 12g

Mild Pattern of Wind Heat in the Wei

*More Lung Symptoms than Wei

Chief Complaint = Cough

Mild Fever & Chills

Sang Ju Yin

Sang Ye 9g

Ju Hua 3g

Lian Qiao 6g

Bo He 3g

Jie Geng 6g

Lu Gen 6g

Gan Cao 3g

Zing Ren 6g

Summer-Heat with

Cold-Damp in Wei Level

Chills & Fever

Body Ache/Chest Oppression

Sweat (more Summer Heat) OR No Sweat (more Cold-Damp)

T: thin & greasy 

P: Soggy/Rapid

Xin Jia Xiang Ru Yin

Damp-Heat in Wei Level

(MORE DAMP THAN HEAT)

Excess Tidal Fever

Heavy HA/Body

Weak & Fatigued Limbs

No Thirst

San Ren Tang

Dry Heat in Wei Level

Fever w/ Slight Chills

Slight Sweating

**Dry Cough w/ Scanty Sputum**

Thirst/Dry Throat & Nose

Sang Xing Tang

**Key S+S = DRY!!**

Warm Toxicity in Wei Level

(Similar to Erysipleas/Mumps)

Skin Infection w/ chills & fever

Red Swollen Face or Head

Pu Ji Xiao Du Yin

(for severe infection!)

Evil Heat Constraint in the Lung

High Fever

Severe Thirst & Irritability

Cough & Wheeze w/ Sticky Yellow Sputum

Profuse Sweating

T: Red w/ Yellow Coat

P: Slippery & Rapid OR Flooding & Rapid

Ma Xing Shi Gan Tang

Ma Huang 9g

Xing Ren 9g

Zhi Gan Cao 6g

Shi Gao 45g

***Ratio of Ma Huang to Shi Gao is 1:5***

Heat Disturbing the Chest & Diaphragm

Mild Pattern (only slight fever)

Irritability/Insomnia/Restlessness

*Heat ONLY above Diaphragm*

Zhi Zi Chi Tang

Zhi Zi 6g

Dan Dou Chi 18g

Heat Disturbing the Chest & Diaphragm

Severe Syndrome (high fever)

CONSTIPATION

Burning Sensation in Chest & Diaphragm

Liang Ge San

Vigorous Heat in the Lung & Stomach

Similar to Yang Ming Jing (4 Bigs)

w/ Desire for a lot of Cold Water

Pulse is NOT WEAK!

Bai Hu Tang

Shi Gao 30g

Zhi Mu 15g

Jing Mi 15g

Gan Cao 9g

***Must Generate Body Fluids***

add Ren Shen 

Yang Ming Fu Excess

Oppression

Fullness

Dryness

Excess

w/ NO Righteous Qi XU

Da Cheng Qi Tang

Da Huang 18g (cook @ end)

Mang Xiao 9g

Hou Po 9g

Zhi Shi 9g

Yang Ming Fu Excess

Main Symptom = Oppression & Fullness

Mild or No Dryness

Less Severe Disease

Xiao Cheng Qi Tang

Da Huang 15g

Hou Po 6g

Zhi Shi 3g

Yang Ming Fu Excess

Stomach Heat Accumulation

w/ MORE Dryness

No Obvious Oppression & Fullness

Tiao Wei Cheng Qi Tang

Da Huang 9g

Mang Xiao 15g

Sheng Gan Cao 6g

***Mildest of all 3 Formulas***

Yang Ming Fu Syndrome w/

Phlegm Heat Obstructing the Lung

Tidal Fever w/ Constipation

Wheezing & SOB

Yellow & Sticky Sputum

T: Yellow Greasy Tongue Coat

Xuan Bai Cheng Qi Tang

"Facilitate the Lung Qi" Cheng Qi Tang

Yang Ming Fu Syndrome

w/ Vigorous Heat in the Smaill Intestine

Constipation & Difficult Urination

P: Deep & Rapid

but wiry & forceful on ® 3rd Position

Dao Chi Cheng Qi Tang

"Guide the SI Fire Downward" Cheng Qi Tang

Yang Ming Fu Syndrome w/

Yin & Fluids XU

Fluid Injury resulting in...

Constipation

Zeng Ye Cheng Qi Tang

"Increase the Fluid" Cheng Qi Tang

Lubricate Intestines & Purge! (Severe Fluids Injury)

Hu Wei Cheng Qi Tang

"Protect the Stomach" Cheng Qi Tang"

More Nourishing Yin Herbs to protect St Yin

Yang Ming Fu Syndrome w/ 

Qi & Yin Injury

Body Fever

Dry Mouth & Throat

Fatigue & SOB

T: yellow or dry black coat

Xin Jia Huang Long Tang

Treats 3 Types of XU:

Blood/Qi/Yin

Damp-Heat Lingering

in all 3 Jiaos

Alternating Chills & Fever

Chest Oppression

Abdominal Distention

Scanty Dark Urine

T: greasy

Huang Lian Wen Dan Tang

Damp-Heat Constraint in the 

Gall Bladder

More Heat than Dampness

More Severe Fever/Slight Chills (alternating)

Bitter Taste in the Mouth

Hao Qin Qing Dan Tang

Damp Heat Obstruction in the MJ

Body Fever

Irritability

Thirst w/ No Desire

Fatigued Limbs with Soreness

Gan Lu Xiao Du Dan

(transform turbidity/leach out damp/clear heat/relieve toxicity)

Damp Heat Obstruction in the LJ

Urinary Issue w/ Edema

Distention of Head

Thirst w/ No desire

Fu Ling Pi Tang

If unconsious use first aid pills in addition...

Su He Xiang Wan (for Cold)

An Ging Niu Hunag Wan (for Heat)

Key Symptom of Ying Level Heat

HIGH FEVER THAT WORSENS @ NIGHT!

irritability & restlessness

sometimes delerium

Heat Injuring the Ying-Yin Pattern

High Fever (worse @ night)

Indistinct Macula & Eruptions

Slight Thirst

Qing Ying Tang

Heat Closing the Orfices

False Cold w/ True Heat

Unsciousness & Delerium

OR

Coma w/ Delerium

Qing Gong Tang

"Clear the Palace Decoction"

Blood-Heat Causing Bleeding

(Excess Type)

Chief Complaint = BLEEDING

Body fever

Severe Irritability

Xi Jiao Di Huang Tang

Blood Heat Causing Movement of Wind

Marked by... Spasms & Convulsions!

Strong Fever

Dizziness

HA

T: Red w/ Dry Yellow Coat

Ling Jiao Gou Teng Tang

Yin XU causing Movement of Wind

Fever

Dry Tongue/Teeth appear Black

Shivering

Severe Palpitations

Slow Convulsions

San Jia Fu Mai Tang

(3 Shells all Nourish Yin)