6 Clear the deficient heat 清虚热
— Later stage of febrile diseases: evil lingers, yin damage
— LV and KI yin deficiency: steaming sensation of bone, tidal fever, or long lasted fever
Herbs & formulas:
— Nourish yin and clear heat: Biejia, Zhimu, Shengdi
Dang Gui Liu Huang Tang
— clear or disperse lingered heat: Jinghao, Qinjiu, Chaihu, Digupi
Qing Hao Bie Jia Tang, Qin Jiao Bie Jia San, Qing Gu San
Qing Hao Bie Jia Tang
青蒿鳖甲汤
Functions: nourish Yin and clear Heat
Indications: pathogenic factor lingered in yin phase and damages the yin in the later stage of febrile disease, manifested as: body temperature increases at night and reduces in the morning, no sweat (no fluids left to produce sweat), T- red with scanty coat, P- thin rapid
Analysis of formula:
Bie Jia — nourish yin and clear heat, “enter meridians and find out evil out ”
Qing Hao – fragrant, dispersing heat in meridians and leading evil out
Sheng Di Huang — sweet, cold, nourish yin
Zhi Mu — bitter cold, clear heat
Mu Dan Pi – clear heat in blood level and in yin
Composition:
Bie Jia (carapax amydae sinensis)…15g
Qing Hao (herba artemisiae annuae)…6g [add near end]
Sheng Di Huang (radix rehmanniae glutinosae)…12g
Zhi Mu (radix anemarrhenae asphodeloidis)…6g
Mu Dan Pi (cortex moutan radicis)…9g
Method Used: decoction
Question:
Why are Beijia and Qinghuo used together?
Qin Jiao Bie Jia San
秦艽鳖甲散
Functions: enriches Yin, nourishes blood, clears Heat, relieve steaming bone
Indications: Wind – consumption disease, caused by exterior wind entering the interior and damaging yin and blood (due to wrong treatment), manifested as:
Steaming sensation in the bone, night sweats, emaciation, red-lip, cheeks, and fever in the afternoon, cough, tiredness, 5 center heat sensation, P- thin rapid.
Analysis of formula:
Zhi Bie Jia + Zhi Mu – nourish yin and clear heat
Dang Gui – nourish and invigorate blood
Qin Jiao + Chai Hu – disperse wind out of the body
Di Gu Pi + Qing Hao – clear heat inside, and relieve bone hot sensation
Wu Mei – astringe skin to stop sweating
Composition:
Zhi Bie Jia (honey fried carapax amydae sinensis)…30g
Zhi Mu (radix anemarrhenae asphodeloidis)…15g
Dang Gui (radix angelicae sinensis)…15g
Qin Jiao (radix gentianae qinjiao)…15g
Chai Hu (radix bupleuri)…30g
Di Gu Pi (cortex lycii radicis)…30g
Qing Hao … 5 pieces
Wu Mei … 1 piece
Method Used: decoction
Question:
What are Qinjiao and Chaihu used for?
Qing Gu San
清骨散*
Functions: clears deficiency heat, relieves steaming bone
Indications: heat due to yin deficiency, manifested as:
afternoon tidal fever or night fever, fereish sensation in the bone, irritability, night sweating, red tongue with little coating, thin and rapid pulse
Analysis of formula:
Yin Chai Hu – sweet, mild cold, clear heat which causes hot sensation in the bone
Hu Huang Lian + Zhi Mu + Di Gu Pi – enter yin, clear heat in it
Qing Hao + Qin Jiao – bitter, pungent, cold / bitter, pungent, mild cold, clear deficiency heat
Zhi Bie Jia — nourish yin and suppress floating yang, guide others into yin
Gan Cao — harmonize
Composition:
Yin Chai Hu (radix stellariae dichotomae)…4.5g
Hu Huang Lian (rhizoma picrorhizae)…3g
Zhi Mu (radix anemarrhenae asphodeloidis)…3g
Di Gu Pi (cortex lycii radicis)…3g
Qing Hao (herba artemisiae annuae)…3g
Qin Jiao (radix gentianae qinjiao)…3g
Zhi Bie Jia (honey fried carapax amydae sinensis)…3g
Gan Cao (radix glycyrrhizae yralensis)…1.5g
Method Used: decoction
Dang Gui Liu Huang Tang
当归六黄汤
Functions: nourish Yin, clears Heat, stabilize exterior, stop night sweating
Indications: Fire due to KI Yin deficiency, manifested by:
fever, night sweats, red face in the afternoon, anxiety, irritability, dry lips, mouth, and throat, dry stool, dark scanty urine, T- red dry, P- thin rapid.
Functions: nourish Yin, clear Heat, stabilize exterior, stop night sweating
Indications: Fire due to KI Yin deficiency, manifested by:
fever, night sweats, red face in the afternoon, anxiety, irritability, dry lips, mouth, and throat, dry stool, dark scanty urine, T- red dry, P- thin rapid.
Analysis of formula:
Dang Gui + Sheng Di Huang + Shu Di Huang – nourish yin and blood → clear heat
Huang Lian + Huang Qin + Huang Bai – put out (clear) heat → relieve anxiety
Huang Qi – strengthens the exterior and check sweating
Composition:
Dang Gui (radix angelicae sinensis)…15g
Sheng Di Huang (radix rehmanniae glutinosae)…15g
Shu Di Huang (radix rehmanniae glutinosae conquitae)…15g
Huang Lian (rhizoma coptidis)…15g
Huang Qin (radix scutellariae)…15g
Huang Bai (cortex phellodendri)…15g
Huang Qi (radix astragali membranacei)…30g
Method Used: decoction
7 Clear the summer-heat (4)
Summer heat
— qi and fluid damage
— damp
— external wind/cold
Category:
— clear summer heat
— Clear summer heat and relieve the exterior
— clear summer heat and dissolve damp
— clear summer heat and invigorate qi
Treatment: clearing summer heat + dissolving damp
— more summer heat: avoid using too many warm and dry herbs
— more damp: avoid using too many sweet and cold herbs
Summer heat & damp
Liu Yi San
六一散
Functions: clears summer-heat, resolves damp
Indications: summer heat and damp attacking, manifested by:
Fever, irritability, unsmooth urination, or diarrhea
Analysis of formula:
Hua Shi – cold, sweet, bland, clear heat, promotes urination, let damp heat in Triple Jiao go away with urine
Gan Cao – clear heat and combine with Huashi (cold / sweet) to nourish body fluid
Composition: 6 : 1
Hua Shi (talcum)…6 parts
Gan Cao (radix glycyrrhizae uralensis)…1 part
Method Used: decoction, or powder
Summer heat & qi deficiency
Qing Shu Yi Qi Tang
清暑益气汤
Functions: clears summer-heat, strengthens Qi, nourishes Yin, generates fluids
Indications: summer-heat damaging qi and fluid, manifested as:
fever, copious sweating, irritability, thirst, dark scanty urine, fatigue, shortness of breath, P- rapid deficient.
Analysis of formula:
Xi Yang Shen – generate qi and fluid
nourish yin and clear heat — Shi Hu + Mai Men Dong
Xi Gua Pi – clear summer heat — Lian Geng
Dan Zhu Ye + Zhi Mu – clear heat, relieve irritability — Huang Lian
Gan Cao + Geng Mi – tonify qi and benefit ST
Composition:
Xi Yang Shen (radix panacis quinquefolii)…4.5-6g
Xi Gua Pi (pericarpium citrulli vulgaris)…24-30g
Lian Geng (ramulus nelumbinis nuciferae)…12-15g
Shi Hu (herba dendrobii)…12-15g**
Mai Men Dong (tuber ophiopogonis japonici)…6-9g
Dan Zhu Ye (herba lphatheri gracilis)…4.5-6g
(radix anemarrhenae asphodeloidis)…4.5-6g
Gan Cao (radix glycyrrhizae uralensis)…2-3g
Geng Mi (non-glutinous rice)…12-15g
Huang Lian (rhizoma coptidis)…2-3g
Method Used: decoction
Note: If less fever and more fluid damage, remove Huang Lian
Summer heat & exterial cold
Xin Jia Xiang Ru Yin
新加香薷饮
Functions: releases summer-heat and external cold, clear heat and resolve damp
Indications: early stage summer-heat with concurrent Wind/Cold, manifested as:
fever and chills without sweating, headache, thirst, red face, tightness in chest, T- white greasy coat, P- floating rapid
Analysis of formula:
Xiang Ru – aromatic, warm, pungent, induce sweating and relieve the exterior, clear summer heat and resolve damp
Bai Bian Dou + Jin Yin Hua + Lian Qiao — pungent, cool, aromatic, dispersing summer heat in the upper jiao
Hou Po — pungent, warm, remove damp
Composition:
Xiang Ru (herba elsholtiziae seu moslae)…6g
Bai Bian Dou (semen dolichoris lablab)…9g
Jin Yin Hua (flos lonicerae japonicae)…9g
Lian Qiao (fructus forsythiae suspensae)…6g
Hou Po (cortex magnoliae officinalis)…6g
Method Used: decoction
Notes:
1) “pungent warm” + “pungent cool”
2) Sweating: remove Xiangru;
3) No tightness in chest and greasy coating: remove Houpo
Summer heat
Qing Luo Yin
清络饮
Functions: releases summer-heat
Indications: summer-heat staying qi level and damaging LU, manifested as:
fever, mild thirst, unclear head and vision with light headedness, slight distension of the head, pink tongue with thin white coat.
Analysis of formula:
Xian Jin Yin Hua – pungent, aromatic, clear summer heat
Xian Bian Dou Hua – aromatic, clear summer heat
Xi Gua Shuang — clear summer heat
Si Gua Luo – clear LU heat
Xian He Ye – disperse and clear summer heat
Xian Dan Zhu Ye Xin – clear heat and promote urination
Composition:
Xian Jin Yin Hua (flos lonecerae japonicae recens)…6g
Xian Bian Dou Hua (flos dolichoris lablab recens)…6g
Xi Gua Shuang (mirabilitum praeparata citrulli)…6g
Si Gua Luo (pericarpium luffae acutangulae)…6g
Xian He Ye (folium nelumbinis nuciferae recens)…6g
Xian Dan Zhu Ye (herba lophatheri gracilis recens)…6g
Method Used: decoction