Basic Internal Medicine Disease + common TCM pattern + Associated formula Internal Medicine ANSWER KEY Internal medicine disease TCM pattern Associated formula Common cold Wind-cold Jing fang bai du san Wind-heat Yin qiao san Summer-dampness Xin jia xiang ru yin + Deficient qi Yu ping feng san Ren shen bai du san + Deficient yin Jia jian wei rui tang Cold wrapping heat Ma xing shi gan tang Jiu wei qiang huo tang Cough Wind-cold Xing su san Ma huang tang Zhi sou san Wind-heat Sang ju yin Dryness attacking Sang xing tang Qing zao jiu fei tang Phlegm damp obstructing Er chen tang + San zi yang qin tang Phlegm heat accumulation Qing qi hua tan tang Lung phlegm heat (qi level heat Xiao xian xiong tang with phlegm) Gu tan wan Liver fire attacking Xie bai san Deficient Lung qi Bu fei tang Deficient Lung yin Bai he gu jin tang Qing zao jiu fei tang Bei mu gua lou san Asthma-attack stage Asthma cold syndrome Xiao qing long tang Su zi jiang qi tang Asthma heat syndrome Ding chuang tang Asthma remission stage Lung qi deficiency Yu ping feng san Spleen deficiency Liu jun zi tang (Si jun zi tang + er chen tang) Kidney deficiency Jin gui shen qi wan Dyspnea Wind-cold Ma huang tang Xiao xing long tang Exterior cold, interior heat Ma xing shi gan tang Phlegm heat Sang bai pi tang (Ma xing shi gan tang + Gua lou, Huang qin, Sang bai pi, Di gu pi, Zhi shi, Dan nan xing, Chuan bei mu, Lu gen) Phlegm damp Er chen tang + San zi yang qin tang Liver qi attacking Lung Long dan xie gan tang Lung qi/yin deficiency Bu fei tang Sheng mai san Spleen/Lung deficiency Bu zhong yi qi tang Kidney deficiency Jing gui shen qi wan Exhaustion of Lung/Kidney yang Zhen wu tang Ling gui zhu gan tang Ling gan wu wei jiang xin tang

Spontaneous sweating Lung qi deficiency Yu ping feng san Mu li san Disharmony between ying and wei Gui zhi tang qi Deficiency of yang Sheng mai san Stagnation of pathogenic heat Long dan xie gan tang Night sweating Deficeincy of heart blood Gui pi tang Deficincy of Lung and Kidney yin Mu li san Palpitations Qi and blood deficiency Zhi gan cao tang Heart blood deficiency Gui pi tang Hyperactive fire due to yin Tian wang bu xin dan deficiency Heart yang deficiency Gui zhi gan cao long gu mu li tang Excessive fluid in the heart Ling gui zhu gan tang Heart blood stagnation Tao ren hong hua jian Pectoral pain and stuffiness Heart blood stagnation Xue fu zhu yu tang Phlegm stagnation Zhi shi xie bai gui zhi tang Yin cold stagnation Zhi shi xie bai gui zhi tang Ling gui zhu gan tang Heart and Kidney yin deficiency Zuo gui wan Tian wang bu xin dan Qi and yin deficiency Sheng mai san Yang deficiency You gui wan Si ni tang Shen fu tang (Ren shen + Fu zi) Syncope/Fainting Rebellious qi surging upward Wu mo yin zi Qi deficiency Shen fu tang Liver yang rising/Liver fire Tian ma gou teng yin Zhen gan xi feng tang Blood deficiency Gui pi tang Ba zhen tang Blood stasis with hyperactive qi Tong yu jian Phlegm misting the orifices Dao tan tang Indigestion Bao he wan Apoplexy/Wind stroke Wind stirring due to yin deficiency Tian ma gout eng yin Zhen gan xi feng tang Liver excess Ling jiao gou teng tang Phlegm obstruction Su he xiang Floating yang with exhausted yin Shen fu tang+ Sheng mai san Apoplexy/Wind stroke sequilla Qi deficiency and obstructed Bu yang huan wu tang channels Hyperactive Liver yang Zhen gan xi feng tang Dysphagia Wind phlegm Jie yu dan Kidney deficiency Di huang yin zi Facial Palsy Wind phlegm in collaterals Qian zheng san Convulsive disease EPI cold Qiang huo sheng shi tang

EPI heat, with injured body fluids Zeng ye cheng qi tang

Deficiency of yin and blood Si wu tang Da ding feng zhu

Headache EPI wind-cold Chuan xiong cha tiao EPI wind-heat Yin qiao san Sang ju yin EPI wind-damp Qiang hui sheng shi tang Blood stasis Tao hong si wu tang Tong qiao huo xue tang Phlegm stagnation Ban xia bau zhu tian ma tang Liver yang rising Tian ma gou teng yin Kidney deficiency You gui wan Jin gui shen qi wan Zuo gui wan Liu we di huang wan Qi ju di huang wan Da bu yuan jian Blood deficiency Si wu tang Ba zhen tang Shi quan da bu tang Vertigo Qi and blood deficiency Gui pi tang Kidney essence deficiency You gui wan Hyperactive liver yang Tian ma gout eng yin Zhen gan xi feng tang Stagnation of phlegm in middle Ban xia bai zhu tian ma tang jiao Insomnia Liver fire Long dan xie gan tang Phlegm heat disturbing upwards Wen dan tang Yin deficiency fire Tian wang bu xin dang Heart and Spleen deficiency Gui pi tang Heart/Gall bladder qi deficiency Suan zao ren tang An shen ding shi wan Heart qi stagnation Ban xia hou pou tang Yue ju wan Si ni san Heart blood stasis Xue fu zhu yu tang Depression Liver qi stagnation Yue ju wan Xiao yao san Fire + qi stagnation Dan zhi xiao yao san Qi/phlegm stagnation Ban xia hou po tang Wen dan tang Heart qi and blood deficiency Gan mai da zao tang Heart/Spleen deficiency Gui pi tang Yin deficiency fire Zi shui qing gan ying Mania/Manic depression Phlegm/qi stagnation Shun qi dao tang tang Heart/Spleen deficiency Yang xin tang Phlegm fire stirring upwards Sheng tie luo yin Yin deficiency with excessive fire Er yin jian Epilepsy Obstruction by wind-phlegm Ding xian wan Phlegm fire Long dan xie gan tang

Heart/Kidney deficiency Gan mai da zao tang Liu jun zi tang Da bu yuan jian

Stomach/epigastric pain Cold attacking Stomach Hui xiang zheng qi san Liang fu wan (Gao liang jaing + Xiang fu) Heat in Liver/Stomach Zuo jin wan Dan zhi xiao yao san Hua gan jian Food stagnation Bao he wan Liver qi attacking stomach Chai hu shu gan san Blood stasis Shi xiao san Stomach heat Ban xia xie xin tang Stomach yin deficiency Yu nu jian Stomach/Spleen yang deficiency Xiao jian zhong tang cold Da jian zhong tang Vomiting EPI wind-cold Huo xiang zheng qi san Food retention Bao he wan Phlegm fluid retention Ling gui zhu gan tang Xiao ban xia tang Liver qi attacking stomach Ban xia hou po tang+ Zui jin wan Long dan xie gan tang + Tiao we cheng qi tang Spleen/stomach yang deficiency Li zhong wan cold Ping wei san Stomach yin deficiency Mai men dong tang Yu nu jian Hiccups Cold retention in stomach Ding xiang shi di tang Stomach fire rising Zhu ye shi gao tang Qi stagnation Xue fu zhu yu tang Wu mo yin zi Spleen/Stomach yang deficiency Li zhong wan Stomach yin deficiency Yi we tang Diarrhea EPI-cold Huo xiang zheng qi san Damp heat accumulation Ge gen qin lian tang Bai tou weng tang Foot stagnation Bao he wan Zhi shi dao zhi wan Liver qi attacking spleen Tong xie yao fang Spleen/Stomach deficiency Shen ling bai zhu san Kidney yang deficiency Si shen wan Zhen ren yang zang tang Dysentery Damp heat Shao yao tang Epidemic toxic heat Bai tou weng tang Cold damp Wei ling tang Yin deficiency Zhu che wan Deficient cold Zhen ren yang zong tang Recurrent Lian li tang (si jun zi tang + bai shao, huang lian, gan jiang) Constipation Heat dry Ma zi ren wan Acute heat in Yangming Da cheng qi tang Qi stagnation Ma zi ren wan + Yue ju wan Qi deficiency Huang qi tang Blood deficiency Run chan wan Kidney yang deficiency cold Ji chuan jian Parasitic syndrome Ascariasis Wu mei wan Taeniasis -Bing lang+Nan gua zi+ Mang xiao+ Shi liu pi Spleen disharmony + Huang bing jiang fan wan Ancylostomiasis Qi/blood deficiency Ba zhen tang Abdominal pain External cold attack Liang fu wan (Xiang fu + Gao liang jian) Damp-heat pathogen Da cheng qi tang Shao yao tang Bia tou weng tang Food stagnation Bao he wan Zhi shi dao zhi wan Qi stagnation/blood stasis Chai hu shu gan san Xiao yao san Tao he cheng qi tang Shao fu zhu yu tang Deficiency cold Xiao jian zhong tang Hypochondriac pain Liver qi stagnation Chai hu shu gan san Blood stasis Xuan fu hua tang Damp heat Liver/Gall bladder Long dan xie gan tang Liver yin deficiency Yi guan jian Xiao yao san Jaundice (yang type) Damp /Heat +++ Yin chen hao tang Damp +++/Heat Gan lu xiao du dan Jaundice (yin type) Spleen yang disfunction + cold Yin chen zhu fu tang damp pathogen Jaundice (acute attack) Attack of heart and blood by toxic Xi jiao san heat Abdominal mass Liver qi stagnation Xiao yao san Indigestion and obstruction of Ping wei san + Bao he wan phlegm Qi and blood stagnation Shi xiao san Blood stasis Gui zhi fu ling wan Ge xia zhu yu tang Zheng qi deficiency with blood Ba zhen tang + Hua ji wan stasis Bleeding disorders -nose bleeds EPI heat Sang ju yin Excessive stomach heat Yu nu jian + da ji, xiao ji, ou jie Flaming Liver fire Long dan xie gan tang + bai mao gen, pu huang, da ji , xiao ji, ou jie Qi and blood deficiency Gui pi tang + xian he cao, e jiao, qin cao gen -bleeding gums Excessive fire in stomach channel Qing wei san +bai mao gen, dai ji, ou jie

-hemoptysis Dry heat impairing Lungs Sang xing tang Qing zao jiu fei tang +bai mao gen, qian cao gen, xian he cao, sa qi, bai ji

Liver fire invading Lungs Xie bai san Ke xue fang + Sheng di huang, bai mao gen, da ji, xiao ji, han lian cao Lung yin deficiency Bai he gu jin tang + Bai ji, ou jie, bai mao gen, qian cao gen -hematemesis Heat in stomach/intestines Shi hi san + Xie xin tang Liver fire invading Stomach Long dan xie gan tang Qi deficiency Gui pi tang -hematochezia Damp heat in the intestines Er miao san Deficiency cold in the Stomach Huang tu tang Bu zhong yi qi tang Li zhong wan -hematuria Excessive heat in Lower jiao Xiao ji yin zi Yin deficiency fire Zhi bai di huang wan Spleen not holding blood Gui pi tang + xiao ji, bai ji NO BAI MAO GEN it cools blood! Unconsolidated Kidney qi Jin gui shen qi wan Edema Feng shui – acute edema attacking Fang ji huang qi tang Yang type especially the face + EPI cold- dampness EPI dampness +heat Long dan xie gan tang Ma huang lia qiao chi xiao du tang Spleen yang disturbed by damp Wei ling tang Wu pi san Damp heat in San jiao Long dan xie gan tang Ting li da zao tang Shu zao yin zi Edema Spleen yang deficiency Shi pi san Yin type Shen ling bai zhu san Ling gui zhu gan tang Kidney deficiency Zhen wu tang Ji sheng shen qi wan Stranguria (Lin syndrome) Heat Lin Ba zheng san Long dan xie gan tang Dao chi san Huang lian jie du tang Zhu ling tang Stone Lin Shi wei san Blood Lin + blood stasis Xiao ji yin zi + Dao chi san Blood Lin + blood deficiency Zhi bai di huang wan Milky Lin + heat Cheng shi bi xie yin Milky Lin + kidney deficiency Bei xie fen qing yin

Qi stagnation + stranguria Chen xiang san

Qi deficiency + stranguria Bu zhong yi qi tang

Kidney/Spleen deficiency + Wu bi shan yao wan stranguria Ischuria (urinary retention – Damp heat in the Bladder Ba zheng san Long bi) Excessive heat in the Lungs Qin fei yin Liver qi stagnation Chen xiang san Urethra obstruction Dai di dang wan Spleen qi sinking Bu zhong yi qi tang + Chun zhe tang Kidney yang deficiency Ji sheng shen qi wan Lumbago Cold damp Gan jiang ling zhu tang + Rou gui, Niu xi Wu ji san Damp-heat San miao wan Blood stasis Shen tong zhu yu tang Kidney yang deficiency You gui wan Kidney yin deficiency Zuo gui wan Da bu yin wan Waisting and Thirsting/ Lung heat and body fluid Xiao ke fang consumptive thirst (Xiao ke) deficiency Stomach heat + yin deficiency Yu nu jian Kidney yin deficiency Liu wei di huang wan Kidney yin and yang deficiency Jin gui shen qi wan Seminal emission Heart/Kidney yin deficient heat Da bu yin wan Huang lian qing xin yin Down flow of damp heat Bei xie fen qing yin Heart/Spleen impairment Bu zhong yi qi tang Kidney deficiency Iu wei di huang wan Zuo gui wan You gui wan Impediment Syndrome Xing bi (wandering pain) Xiao huo luo dan (Bi zheng) Fang feng tang Tong bi (fixed sharp pain) Huang qi gui zhi wu wu tang Wu tou tang Zhuo bi (sore, painful and heavy) Yi yi ren tang Re bi (pain with heat+ dampness) Bai hu jia gui zhi tang + Ren dong teng, lian qiao, huang bai, wei ling xian, fang ji, shang zhi Wang bi (persistent pain) + Kidney Du huo ji sheng tang deficiency/blood stasis/cold- dampness Atrophy (Wei zheng) Lung heat injury body fluid Qing zao jiu fei tang Damp heat invading Jia wei er miao san Spleen/Stomach deficiency Shen ling bai zhu san Liu jun zi tang Bu zhong yi qi tang Liver/Kidney deficiency Liu di huang wan