Formulas That Regulate Qi

Course: Formulas 2 Date: March 10, 2010 Class #: 9 Blue boxes are from Yip book Formulas that Regulate Qi

Two basic flavors of non-regulated Qi. 1) Deficiency, 2) Movement problems. Movement problems can be: 1) Reversal or rebellion of qi and 2) Stagnation of qi.

Qi Stagnation

Yue Ju Wan Functions: Stagnation of Qi, Blood, Phlegm, Fire,  Move Qi Damp, Food  Relieve stagnation Treats the 6 Stagnations Indications: - thus, too general and not commonly  Stagnation of Qi, blood, fire, damp, food, phlegm! used (according to Dr. Ma – no structure, too general)

Herb Function in Formula Qi Yu is typically seen 1st, which can Xiang fu Move qi (qi yu) lead to other stagnations Chuan xiong Move blood Fullness of chest or abdomen, nausea, Zhi zi Drain fire vomit, indigestion, acid reflux, etc. Cang zhu Dry damp Shen qu Resolve food Dr. Ma: No phlegm herb? After moving qi and treating other stagnations, the phlegm will be resolved. Add herbs to Fullness, bloating in chest, acid reflux, n/v, poor digestion. tonify slightly.

Jin Ling Zi San Functions:  Move qi Liver Qi Yu with Heat  Soothe liver  Move blood Emotional root  Qi yu  causes heat. Irritability, bitter taste, hypochondriac  Relieve pain pain, hernial pain, or menstrual pain Indications: that is aggravated by eating hot  Liver qi yu + heat food/drinks. T: red, yellow coat P: wiry, rapid Herb Function in Formula Jin ling zi Soothe liver qi and drain fire (aka, chuan lian zi) Yan hu suo Move qi and blood, relieve pain

Seldom give just these 2 herbs. Chuan lian zi is bitter and cold.

www.CatsTCMNotes.com Page 1 of 6 Disclaimer: This is not an official AOMA document, is intended for reference only and is not a replacement for your own class notes. This document is available for your use As Is and may contain errors and omissions. Cat Calhoun retains full copyright ownership, rights and protection in all material contained herein. You may use this document for your own purposes and distribute it to other people provided you 1) do not charge for it and 2) attribute it as having been generated by Cat Calhoun and disclose that it available free of charge on CatsTCMNotes.com. © 2010 Catherine (Cat) Calhoun Ban Xia Hou Po Tang Functions:  Move qi Plum-Pit Qi due to Liver Qi Yu with Phlegm  Disperse stagnation  Descend rebellious qi Liver Qi Yu for a while 1st before plum  Transform phlegm pit qi (mei he qi) develops; must have hx of emotional issues. Indications: Sensation of something caught in throat  Liver qi yu + phlegm that can neither be swallowed nor ejected. Invisible/insubstantial. Men/women - pressure, stress, fullness Herb Function in Formula of chest/hypochondria, stifling Ban xia Transform phlegm sensation. Disperse stagnation Cough, nausea, vomiting; stagnation affects water metabolism (LU & ST) Descend rebellious qi Hou po Descend qi T: Moist or greasy, white Relieve fullness P: Wiry, slow or wiry, slippery Fu ling Leach out dampness Si Qi Tang = Ban Xia Huo Po Tang Sheng jiang Harmonize stomach Zi su ye Open lung qi Soothe liver

Plum pit Qi. Cause is invisible phlegm – can’t expel or swallow it, but still feel that something is stuck in the throat. Western docs might write these patients off as psychosomatic, but it’s Qi stagnation affecting Lung and Stomach. Invisible phlegm is generated from. . . somewhere, likely candidate is Stomach.

Ban xia also harmonizes stomach. It’s very dry, so dries damp and disperses stagnation this way. Fu ling works on the MJ, the root of the phlegm/damp problem, also helps transform phlegm. Sheng jiang can also relieve nausea and disperse stagnation. Zi su ye can warm the stomach, regulate LV and LU qi. Also promotes movement of spleen and stomach qi.

If discomfort in neck, always evaluate, treat Liver function!! Neijing says the Liver Shu Point is in the neck. Cat Sidebar question: So, does throat chakra type problems (i.e., biting back what you want to and need to say) connect to Liver Qi stagnation?

www.CatsTCMNotes.com Page 2 of 6 Disclaimer: This is not an official AOMA document, is intended for reference only and is not a replacement for your own class notes. This document is available for your use As Is and may contain errors and omissions. Cat Calhoun retains full copyright ownership, rights and protection in all material contained herein. You may use this document for your own purposes and distribute it to other people provided you 1) do not charge for it and 2) attribute it as having been generated by Cat Calhoun and disclose that it available free of charge on CatsTCMNotes.com. © 2010 Catherine (Cat) Calhoun Zhi Shi Xie Bai Gui Zhi Tang Functions:  Unblock yang and disperse stagnation Chest Bi due to chest Yang Xu with Phlegm and Qi Yu in chest Indications:  Chest bi due to chest yang xu, phlegm, qi yu Difficulty breathing, sob  coughing and wheezing,

Herb Function in Formula Chest yang qi cannot transform  phlegm Zhi shi Descend qi and stagnation Relieve fullness Chest pain can refer to back; back pain only Xie bai Unblock yang Pain: compressive, suffocating, and/or Open chest very sharp and stabbing Equates to angina, may have s.o.b.; pale, Gui zhi Unblock yang purple, puffy face, heart problems Disperse cold Descend rebellious qi T: Swollen, white, greasy Gua lou Resolve phlegm stagnation P: Wiry, deep, tight Hou po Descend qi Zhi shi and hou po are also in Da Cheng Qi Tang, which also treats fullness (in lower part of body) – here, fullness in Chest yang is not strong enough to transform, leading to phlegm chest, but zhi shi and hou po are a good and stagnation. Could be heart related. Can also be related to back combination for fullness anywhere. (heart pain can refer here), arm, toothache, other locations. SOB, stuck feeling and distended feeling in diaphragm area. Could be a spasm of aortic artery.

Gua Lou Xie Bai Bai Jiu Tang Bai Jiu is hard liquor. Opens up the Yang qi.

Gua Lou Xie Bai Ban Xia Tang (not discussed in class, but discussed by Yip below)

Gua Lou Xie Bai Ban Xia Tang P293 + Xue Fu Zhu Yu Tang P 314 Phlegm Intermingled With Stasis Gua Lou Xie Bai Ban Xia Tang or Use Er Chen Tang to modify = Pt in later stage of Phlegm Sx’s or Bld Stasis - p8 Gua Lou heart disease (Xue Stasis) + high cholesterol (Chen pi, ban xia, fu ling, gan Xie Bai (phlegm) blocking meridians  Ht Attack; - cao) Ban Xia Phlegm and Bld Stasis Block Meridian Cause Bai Jiu Ht Attack = Phlegm Stasis Pt with later stage arthritis or In channels/collaterals; numbness, tingling pain, joint pain in later stage – if Xue Fu Zhu Yu Tang = puffy joints w/pain numbness and local swelling – Chi Shao; sheng di huang; dang Chronic; Later stage arthritis - Heaviness not as effective if only move gui; chuan xiong; tao ren; hong w/tingling pain stasis – can try resolve phlegm hua; chai hu; gan cao; zhi shi; T: Purplish w/ thick white coat - swollen to increase effectiveness chuan niu xi; jie geng P: Choppy & soggy; maybe just slippery

www.CatsTCMNotes.com Page 3 of 6 Disclaimer: This is not an official AOMA document, is intended for reference only and is not a replacement for your own class notes. This document is available for your use As Is and may contain errors and omissions. Cat Calhoun retains full copyright ownership, rights and protection in all material contained herein. You may use this document for your own purposes and distribute it to other people provided you 1) do not charge for it and 2) attribute it as having been generated by Cat Calhoun and disclose that it available free of charge on CatsTCMNotes.com. © 2010 Catherine (Cat) Calhoun Ju He Wan Functions:  Move qi Hernia due to Cold-Damp, (Qi, Xue Yu)  Relieve pain  Soften hardness LIV Channel  Disperse yu Pain – Qi & Xue Yu Indications: Swollen testicles/orchitis, bearing down  Hernia due to cold damp sensation, pain and coldness of the lower abdomen – chronic problems.

Herb Function in Formula Hernial disorder d/t D-C invading LIV Ch. The Ju he Disperses yu expression of the disorder is in the KD (testicles regarded as the ‘external Kidneys’), but Relieves pain (because seed unblocks pathogenesis occurs in the LIV Ch. hardness) Dr. Ma: to treat hernia/shan disorder, Chuan lian zi Move qi must treat the qi Mu xiang Relieve pain Tao ren Move blood Yan hu suo Move blood Relieve pain Rou gui Warm liver, kidney and disperse cold Mu tong Unblock blood vessels Relieve damp Hou po Descend qi Dry damp Zhi shi Move qi Hai zao Soften hardness Kun bu Disperse yu Hai dai

We don’t treat hernia much – in western countries usually gets surgery. Liver channel goes around the external genitals. Usually treat the liver channel. This specifically is a cold/damp problem in the channel as well as qi/blood yu. Expel the cold, move qi and blood. Warming helps the qi/blood circulation where cold stagnates it by contracting the channels.

www.CatsTCMNotes.com Page 4 of 6 Disclaimer: This is not an official AOMA document, is intended for reference only and is not a replacement for your own class notes. This document is available for your use As Is and may contain errors and omissions. Cat Calhoun retains full copyright ownership, rights and protection in all material contained herein. You may use this document for your own purposes and distribute it to other people provided you 1) do not charge for it and 2) attribute it as having been generated by Cat Calhoun and disclose that it available free of charge on CatsTCMNotes.com. © 2010 Catherine (Cat) Calhoun Tian Tai Wu Yao San Functions:  Move qi, soothe liver, disperse cold and relieve pain Indications: Hernia Due to Cold Accumulation  Cold accumulations and qi stagnation and Qi Yu  Hernia Small Intestine Lower abdominal pain, testicular pain, Herb Function in Formula bearing down sensation Wu yao Moves qi, soothes liver, disperses cold All hernias belong to LIV Channel and and relieves pain must tx Qi Yu. Mu xiang Move qi and disperse cold/damp Xiao hui xiang For women, can also use similar herbs to tx LIV Channel problems Qing pi (breast cysts, etc.): qing pi, chuan Gao liang jiang lian zi, mu xiang, xiang fu; dan gui, Bing lang Moves qi and resolves hardness gou qi zi [to tonify], and add Chuan lian zi Move qi phlegm herbs. Qi Yu will primarily be seen; not much cold-damp. (Ba dou)

Never cook ba dou in formula – it’s a hot herb that helps reduce cold nature of chuan lian zi. Also helps move qi. Ideally, you should dry fry chuan lian zi with ba dou and then remove the ba dou. All that said, basically no one does this.

Nuan Gan Jian Functions:  Warm liver/kidney Cold in Liver & Kidney, Qi Yu  Move qi and relieve pain Tonify w/ warm herbs – all warm except Indications: fu ling, chen xiang  Hernai due to deficient cold in the liver and kidney Hernia & abdominal (lower) pain; cold pain in Liver/KD Channels; cold Herb Function in Formula stagnation [cold from Xu of KD, LIV cuses Qi Yu] Dang gui Warm and tonify liver and kidney Gou qi zi Do not use if scrotum is red or swollen Pure excess (ex. outside - swim in cold) Rou gui Warm kidney, disperse cold sudden inguinal contraction, muscle Xiao hui xiang contraction/ cramping; hernial pain, Wu yao Move qi and relieve pain testicular pain Chen xiang Similar to Cold In SI - Cold Obstructs Qi Fu ling Drain damp & Blood Sheng jiang Disperse cold Can also use for lower abdominal pain P: Deep, wiry, tight T: Pale, moist Dr. Ma: Can add gan jiang, fu zi, wu zhu yu for more cold pain. Gan jiang and wu zhu yu to warm meridians and further dispel cold Bai shao and yan hu suo for cramping pain

www.CatsTCMNotes.com Page 5 of 6 Disclaimer: This is not an official AOMA document, is intended for reference only and is not a replacement for your own class notes. This document is available for your use As Is and may contain errors and omissions. Cat Calhoun retains full copyright ownership, rights and protection in all material contained herein. You may use this document for your own purposes and distribute it to other people provided you 1) do not charge for it and 2) attribute it as having been generated by Cat Calhoun and disclose that it available free of charge on CatsTCMNotes.com. © 2010 Catherine (Cat) Calhoun Hou Po Wen Zhong Tang Functions:  Warm the middle Cold & Damp injuring SP & ST  Move qi - Stickiness of Damp and Stagnation of Cold  Dry damp Good formula for common problems  Relieve fullness *Avoid cold, greasy, esp. cold & greasy Indications: foods! Avoid cold drinks; sitting on cold places; and all of the above, esp. when  Cold/damp injuring the spleen and stomach on menstrual cycle.

Fullness, bloating, distension, or pain in Herb Function in Formula abdomen, heaviness of four limbs [yang Hou po Move qi qi cannot circulate to limbs d/t cold-damp Relieve fullness blockage], no appetite, low energy, fatigue, pain is worse with cold or after Cao dou kou Warm the middle food/alcohol. Disperse damp and cold Over time, will lead to SP Xu: easy to Chen pi Move qi have diarrhea Mu xiang - Tx: Clear Cold & Damp, Move Qi Gan jiang Warm spleen and stomach (*contains 4 herbs from Xiang Sha Liu Sheng jiang Jun Zi Tang) Fu ling Tonify spleen T: Greasy Gan cao After remove C-D, add herbs to tonify SP/ST; may also add herbs to help fullness: shan zha, shen qu, etc. Cold foods and fluids (or even herbs) can cause this with During recovery, avoid rich foods. overconsumption. Poor appetite, fatigue because cold evil constrains the yang qi so that yang qi cannot reach the 4 limbs. Includes cold watermelon in the summertime!

Note the presence of chen pi, sheng jiang, fu ling, and gan cao – four herbs from Xiang sha li jun zi tang.

Functions:  Indications: 

Herb Function in Formula

www.CatsTCMNotes.com Page 6 of 6 Disclaimer: This is not an official AOMA document, is intended for reference only and is not a replacement for your own class notes. This document is available for your use As Is and may contain errors and omissions. Cat Calhoun retains full copyright ownership, rights and protection in all material contained herein. You may use this document for your own purposes and distribute it to other people provided you 1) do not charge for it and 2) attribute it as having been generated by Cat Calhoun and disclose that it available free of charge on CatsTCMNotes.com. © 2010 Catherine (Cat) Calhoun