Chapter 1: Release to Exterior Herbs

1A: Wind Cold

1)release excess WC(w/o sweating); disperse cold: Ma Huang Tang 2)disperse LU qi; wheezing & asthma (San Ao Tang-cold asthma); (Ma Xing Shi Gan Tang-ext WC, LU heat); (Ding Chuan Tang -phlegm heat asthma): (Xiao Qing Long Tang -ext WC int fluid accum) 3)promote urination, reduce edema - Yue Bi Jia Zhu Tang 4)disperse cold, inc circulation - yin carbuncles Yang He Tang, Bi syndrome Ma Xing Yi Gan Tang. Caution: HTN, palpitation, pregnancy 1)release deficient and excess WC (w/sweating) Ma Huang Tang 2)harmonize Ying & Wei (+ bai shao) Gui Zhi Tang 3)warm & unblock channel (gen) WDC Bi syndrome in upper limbs, shoulder (Huang Qi Gui Zhi Wu Wu Tang- warm channels); (Wen Jing Tang- cold ut); (Guizhi Fuling Wan- masses) *guizhi for superficial cold; rougui for internal cold 4)warm HT Yang (ascends) (Zhi Shi Xiebai Guizhi Tang - chest Bi), (Zhi Gan Cao Tang palpitations, irregular pulse) 5)assist qi transformation, reduces edema (Wu Ling San-edema), (Ling Gui Zhu Gan Tang phlegm, fluid) Caution: preg, excessive menses, heat signs

1B: Wind Heat

1)disperse WH, clears head and eyes, strongly benefits throat - red eyes,fever, cough; (Chuan Xiong Cha Tiao San HA), (Sang Ju Yin -dry painful throat), 2)vent wind rash vents measles 3)spreads LV Qi: flank pressure, emo unstability, gyn problems- Xiao Yao San 4)transforms Damp Turbidity -prevents heat stroke leading to nausea, lethargy, heaviness

Ma huang
herba ephedrae acrid, warm; LU, BL 3-9 gm short term use

sympathomimetic: antiasthmatic, diuretic, diaphoretic; antiviral, antiinflammatory

Bo he
herba mentha peppermint acrid,aromatic,cool LU, LV 3-6gm cook last

Gui zhi
ramulus cinnamomi aka cassia twig acrid, warm,sweet HT 3-9 gm

abx, vasodilation, diuretic, diaphoretic, antipyretic, analgesic

Sang ye
folium mori mulberry leaf sweet,bitter,cold LU, LV 4.5-15gm

clear heat, benefits eyes and head

1)disperse WH - w/ fever, HA; (Sang Ju Yin cough) 2)clears LU heat, moistens dryness (Sang Xing Tang dry throat, cough), (Qing Zao Jiu Fei Tang -dry heat cough) 3) Subdues LV yang, clears LV, benefits eyes, HTN, HA, dizziness, blurry vision, red, swollen, dry eyes (Ling Jiao Gou Teng Tang -LV yang rising) 4)cools blood, stops bleeding - hematemesis, epistaxis

Xiang ru
herba elsholtziae aromatic madder acrid, aromatic,sl warm; LU ,ST 3-9 gm

diaphoretics

1)release excess WC, txf Summer Damp, harmonize MJ (Xiang Ru Yin- diarrhea) 2)promote urination, reduce edema -dysuria **aka 'summertime Ma Huang' 1)release excess WC;disperse cold - fever, no sweat, chills, vomiting, chest fullness, HA( Xing Su San -cool dry cough); (Xiang Su San -WC, qi yu) 2)promote mov't of SP/ST Qi, calm fetus- (Huo Xiang Zheng Qi San-WC, summer damp);(Ban Xia Hou Po Tang -plumpit qi) 3)alleviate seafood/spoiled poisoning - pain, N/V/D **geng (stem): opens chest, relax diaphragm, calms fetus Caution:ext def w/ sweating, DH 1)release mild WC - combine w/ da zao to harmonize ying and Wei 2)warms MJ, alleviates vomiting/morning sickness - (Xiao Ban Xia Tang- nausea and cold ST), (Ju Pi Zhu Ru Tang -heat in ST) 3)reduce toxicity of herbs (ie ban xia, tian nan xing), seafood poisoning 4)disperse cold, stop cough (mild) Er Chen Tang **sheng jiang pi: promote urination, reduce edema 1)release early stage WC (Jia Jian Wei Rui Tang - yin xu, WC) 2)disperse cold (internal); unblock yang - abd pain, distention, nasal congestion, (Tong Qiao Huo Xue Tang -blood yu in head) 3)relieve toxicity, disperse clumps, aids lactation (external poultice) 1)release exterior WC and WH-(Jing Fang Bai Du San- WC),(Yin Qiao San-WH) 2)vents rashes, alleviates itching (Xiao Feng San -eczema) 3)stops bleeding and vaginal discharge (Wan Dai Tang -vaginal discharge), (Huai Hua San -bloody stool, ut bleeding) Caution: LV wind, open sores 1)release exterior WC and WH Jing Fang Bai Du San 2)expels WD, alleviates pain for Bi syndrome (Juan Bi Tang- WCD); (Du Huo Ji Sheng Tang chronic Bi); (Xiao Feng San itching) 3)expels LV wind - tetanus, trembling, migraines (Yu Zheng San- tetanus) 4)expel intestinal wind - bloody stool, IBS (Tong Xie Yao Fang -LVSP) *moistening, protects from drying herbs; soothes SP heat

Ju hua
flos chrysanthemi chrysanthemum flower acrid,sweet,bitter,sl cold LU, LV 4.5-15 gm

1)Disperses WH (Huang) Sang Ju Yin, Ju Hua Cha Tiao San 2) **Subdues LV yang , benefits eyes (Bai & Huang) - LV fire, red, swollen, dry eyes w/ dizziness, HA, HTN Qi Ju Di Huang Tang; Ling Jiao Gou Teng Tang 3)clears heat, relieve toxicity (mild) - boils, carbuncles, sores; acne Ju Hua Gan Cao Tang **stronger action on LV than Sang ye

vasodilator, abx

Zi su ye
folium perillae perrila leaf acrid,aromatic,warm; LU, SP 3-9 gm short cook time

Man jing zi
fructus viticis vitex seed bitter,acrid,cool BL,LV,ST 6-12 gm

1)disperse WH Taiyang HA, dizziness, swollen gums; (Jia Wei Xiang Su Wan -WC w/ qi yu) 2)clears head, benefits eyes -excessive tearing,red painful eyes from allergies 3)expels wind, stops pain: Bi syndrome (mild effect) -stiff, numb, cramping; Qiang Huo Sheng Shi Tang 1)disperse early WH, loss of voice, sore throat, fever (laryngitis, pharyngitis) 2)vent wind rashes, measles, relieves itching Xiao Feng San *itching: +jingjie, baijili, fangfeng **venting: +niubangzi, gegen, bohe 3)clears eyes, removes superficial visual obstruction -red swollen, painful, blurry 4)extinguish internal LV wind, stops spasms - tetanus, convulsions Caution: may cause difficult labor or drowsiness 1)disperse WH, benefits eyes red swollen painful Shen Xiao San 2)clears heat, stops bleeding (mild) - bloody stools, hemmorhoids

Sheng jiang
rhizoma zingiberis fresh ginger acrid, warm LU, SP, ST 3-9 gm

Chan tui
periostracum cicadae cicada molting sweet, salty, sl cold LU,LV 3-12 gm

CNS suppress ant

Cong bai
bulbus allii fistulosi scallion bulb acrid,warm LU,ST 2-5 bulbs add at end

Mu zei
herba equiseti hiemalis scouring rush Sweet,bitter,neutral LV,LU 3-9 gm

Jing jie
herba schizoneptetae neutral LU, LV 3-9 gm short cook time

Niu bang zi
fructus arctii burdock seed acrid,bitter,cold LU, ST 3-9 gm

Fang feng
radix saposhnikoviae ledebourielle root sweet,warm; ascends BL, LV,SP 3-9 gm treats 4 types of wind

Sheng ma
rhizoma cimicifuga bugbane Sweet,acrid,cool LI,LU,SP,ST 1.5-9gm

benefits throat; relieve toxicity

itching

1)disperse WH, benefits throat (better than Bo he) sore red swollen throat, cough, fever Yin Qiao San, Niu Bang Zi Tang 2)Clears heat, relieves toxicity - purulent infections Pu Ji Xiao Du Yin 3) vent rashes and measles - maculopapular rash Zhu Ye Liu Bang Tang, Tou Zhen Tang Caution: not for open sores

1)release exterior, vents measles - sore throat, Sheng Ma Ge Gen Tang 2)clears heat, relieves toxicity in upper body, mouth, throat; toothache, red swollen painful gums (Goes to YM) Qing Wei San; (Pu Ji Xiao Du Yin -mumps) 3)raises SP, guides upward - SOB, fatigue, organ prolapse Bu Zhong Yi Qi Tang

Gao ben
rhizoma ligustici straw weed acrid, warm LV, BL 3-9 gm

1)release WC - Taiyang-occiput and Jueyin-vertex HA 2)dispels DC, alleviates pain - (Qiang Huo Sheng Shi Tang- DC Bi syndrome) caution: HA from Xue xu or yin xu

Dan dou chi

semen sojae praepartum prepared black soybean Acrid,sweet,slightly bitter, cold or warm LU,ST 6-15 gm

1)release exterior WH or WC; *cook w/ huoxiang or peilan; Yin Qiao San 2)eliminates irritability - restlessness,insomnia, stifling sensation in chest following febrile ds Zhi Zi Chi Tang **not related to HT or LV conditions **can treat internal and external heat simultaneously 1)release muscles, reduce fever ext ds lodged in mm - upper back, esp neck stiffness, HA (Ge Gen Tang -WC shi); (Gui Zhi Jia Ge Gen Tang -WC xu) 2)nourish fluids, alleviates thirst w/ febrile dz - xiao ke, yin xu 3) vents measles incomplete expression; Sheng Ma Ge Gen Tang 4)Ascends SP yang, alleviates diarrhea (Qi Wei Bai Zhu San -SP Xu diarrhea); (Ge Gen Qin Lian Tang -damp heat diarrhea) 1)treats SHAOYANG SYNDROME, reduces fever (9-12g) - Alternating chills/fever, bitter taste, flank pain, irritability, vomitting, stifling sensation in chest, fever from WH Xiao Chai Hu Tang; 2)spreads LV Qi, relieves constraint (6-9g) -LV Qi stag w/ dizziness, vertigo, chest pain; guide herb for Shaoyang HA, disharmony b/t LV and SP; Xiao Yao San, Chai Hu Shu Gan San 3)Raise SP yang, organ prolapse-3-6gm) Bu Zhong Yi Qi Tang Caution: LV yang rising, yin xu

Qiang huo
Relieve HA and bi syndrome
rhizoma/radix notopterygium acrid,warm,bitter, aromatic; KI, BL 6-15 gm

Raise SP Yang

1)expels Wind; dispels Damp Cold*, alleviates acute pain and Taiyang HAJing Fang Bai Du San, Qiang Huo Sheng Shi Tang 2)unblock painful obstruction, alleviates chronic pain (Juan Bi Tang - WDC Bi in upper back and limbs) *best in WC category

Ge gen
radix puerariae kudzu root Sweet,acrid,cool SP,ST 10-20 gm

coronary art dilator, antiplatelet, anti-HTN, antipyretic, antidiabetic, antispasm, antialcoholic

Bai zhi
radix angelicae acrid, warm; LU, ST 3-9 gm

1)expels Wind, opens nasal passages Cang Er Zi Tang; alleviates pain, (Chuan Xiong Cha Tiao San- Yangming HA) 2)Reduce swelling, expel pus, aid milk lactation - Xia Ru Yong Quan San 3)Dries Dampness, alleviates discharge- (Bai Du San- leukorrhea, DC in LJ) Caution: excessive pus drainage

Chai hu
radix bupleurii Bitter,acrid,cool GB,LV,PC,SJ 3-12 gm

analgesic, antipyretic, sedative, antiinflammatory, hepatoprotective, cholagogic, antihyperlipid emic, immunostimul ant, abx

Xi xin
chinese wild ginger acrid, warm, slightly

toxic aristocolic acid

LU, KI, HT (use <3g)

1)releases WC, disperse cold, alleviate pain - Shaoyin HA, toothache, (Ma Huang Fu Zi Xi Xin Tang -Cold w/dampness or yang xu), Chuan Xiong Cha Tiao San, (Du Huo Ji Sheng Tang- WDC Bi syndrome) 2)warms the LU, transforms phlegm (no heat) Xiao Qing Long Tang 3)unblocks nasal orifices (Tong Guan San -nasal spray) 1)expel WC, opens nasal passages - (Cang Er Zi Tang or Pe Min Kan Wan- sinus HA; nasal congestion and discharge); loss of smell **crush before decocting 1)expels WC, opens nasal passages (Cang Er Zi Tang, Pe Min Kan Wan) *more severe congestion, use for one month then take break 2)disperse wind dampness-WD Bi syndrome 3)disperse wind-damp, relieve skin itching caution: bitter and drying, yin xu

Fu ping
herba spirodelae duckweed acrid cold LU, BL 3-10g

1) releases exterior, induce diaphoresis 2)vents rashes and stops itching 3)eliminates water and reduces swelling/edema

flos magnoliae acrid,warm LU, ST 3-9 gm

Cang er zi
fructus xanthii xanthium seed acrid, bitter, warm, slightly toxic LU 3-9 gm

Nasal passages

Xin yi hua