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Development of TCM Internal Medicine

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... abdominal pain and diarrhea due to cold from yang def. Impotence Clear vaginal ... diarrhea Rou Gui Ba Ji Tian Male impotence or female ... – PowerPoint PPT presentation

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Title: Development of TCM Internal Medicine


1
Herbs that warm the interior and expel cold

Interior cold symptoms aversion to cold, cold limbs, pale complexion, profuse and clear urine, pale tongue, and submerged and thin pulse Interior cold symptoms aversion to cold, cold limbs, pale complexion, profuse and clear urine, pale tongue, and submerged and thin pulse

Warm meridian stop pain Zhi Cao Wu Rou Gui Wu Zhu Yu Hua Jiao Xiao Hui Xiang Bi Ba
Warm the middle Jiao Gan Jiang Gao Liang Jiang Ding Xiang Hu Jiao
Zhi Fu Zi Zhi chuan Wu

Contraindications Contraindications
Pregenancy Pregenancy
2
Herbs that stop bleeding
Part One Warm meridian stop pain Zhi Cao
Wu ??? Rou Gui ?? Wu Zhu Yu ??? Hua Jiao
?? Xiao Hui Xiang ??? Bi Ba ??
3
Zhi Cao Wu ???
4
Zhi Cao Wu ??? (hot)
Pharmaceutical Name Aconiti Kusnezoffii Radix preparata
Actions 1. Disperses cold, scours out wind
Actions Overcomes dampness
Actions 1. Stops pain
Actions
Indications (Excess ) Cold damp painful obstruction
Indications (Excess ) Hemiplegia from wind-stroke
Indications (Excess ) Headache
Indications (Excess ) Cold pain in the abdomen
Dosage 1.5 3 g
Cook
Toxic Sym. toxin
5
Zhi Cao Wu ??? (hot)
Contraindications Hot disease
Combinations Combinations Combinations
Indications Formular
Sheng Nan Xing ??? Gan Jiang ?? Chi Shao ?? Bai Zhi ?? Rou Gui ?? Cold-damp painful obstruction
6
Rou Gui ??
7
Rou Gui ?? ( hot )
Pharmaceutical Name Cinnamomi Cortex
Actions 1. Fortifies the Kidney spleen yang, warms the heart yang fortifies the yang
Actions 1. Disperses deep cold, warms the channels, unblocks the channels and vessels, and alleviates pain
Actions 3. Leads the fire back to its source
Actions 3. Encourages the generation of Qi blood
Indications (Excess def. ) Insufficiency of kidney yang
Indications (Excess def. ) Amenorrhea or dysmenorrhea due to cold
Indications (Excess def. ) Cold-damp painful obstruction
Indications (Excess def. )
Dosage 1.5 4.5 g
Cook
Toxic Sym. Overdosage (18g per day or higher) dysuria, red colored urine, burning urination, a sensation of heat in the chest, thirst for cold beverages, dry, swollen eyes, and constipation
8
Rou Gui ?? ( hot )
Contraindications Fire from yin def. escessive heat
Combinations Combinations Combinations
Indications Formular
Zhi Fu Zi ??? Shu Di Huang ??? Kidney Yang def. Jin Gui Shen qi Wan ?????
Zhi Fu Zi ??? Bai Zhu ?? Spleen kidney Yang def.
Dang Gui ?? Chuan Xiong ?? Dysmenorrhea or amenorrhea
Wu Zhu Yu ??? Xiao Hui Xiang ??? Cold bulging discorders
Huang Bai?? Zhi Mu ?? Urinary discomfort and urinary retention due to kidney yang def.
Ai Ye ?? Dang Gui ?? Cramps due to cold
9
Wu Zhu Yu ???
10
Wu Zhu Yu ??? ( Hot )
Pharmaceutical Name Evodiae Fructus
Actions 1. Warms the middle, disperses cold, promotes the movement of qi, and alleviates pain
Actions 2. Redirects rebellious qi downward stops vomiting
Actions 2. Warms the spleen
Actions 3. Leads the fire downward
Indications ( Excess ) Epigastric pain , vomiting due to cold
Indications ( Excess ) Dysmenorrhea due to cold
Indications ( Excess ) Diarrhea due to spleen yang def.
Dosage 1.5 4.5 g
Cook
Toxic Sym. Slightly toxin
11
Wu Zhu Yu ??? ( Hot )
Contraindications Yin def. type heat
Combinations Combinations Combinations
Indications Formular
Ren Shen ?? Sheng Jiang ?? Epigastric pain, vomiting due to middle jiao def. Wu Zhu Yu Tang ????
Ai Ye ?? Xiang Fu ?? Dysmenorrhea due to cold in the Womb Wen Jing Tang ???
Wu Yao ?? Xiao Hui Xiang ??? Cold bulging disorders
Gan Jiang ?? Ban Xia ?? Abdominal pain, vomiting and acid regurgitation due to cold
Huang Lian ?? Vomiting, epigastric pain acid regurgitation due to disharmony between liver St. Zuo Jin Wan ???
12
Hua Jiao ??
13
Hua Jiao ??( Hot )
Pharmaceutical Name Zanthoxyli Pericarpium
Actions 1. Warms the middle burner, disperses cold, and alleviates pain
Actions 2. Kills parasites and alleviates abdominal pain
Actions
Indications ( Excess ) Cold and pain in the abdomen
Indications ( Excess ) Vomiting diarrhea
Indications ( Excess ) Abdominal pain due to roundworms
Indications ( Excess ) External wash for pruritus due to eczema
Dosage 3 6g
Cook
Toxic Sym. Nausea, vomiting, dry mouth, and dizziness
14
Hua Jiao ?? ( Hot )
Contraindications Blazing fire due to yin def.
Combinations Combinations Combinations
Indications Formular
Zhi Fu Zi ??? Cold dampness in either the middle or lower burner
Gan Jiang ?? Ren Shen ?? Epigastric abdominla pain with strong sensation of cold Da Jian Zhong Tang ????
Cang Zhu ?? Chen Pi ?? Mu Xiang ?? Cold-dampness induced diarrhea
Wu Mei ?? Abdominal pain and vomiting due to roundworms Wu Mei Wan ???

15
Xiao Hui Xiang ???
16
Xiao Hui Xiang ??? ( warm)
Pharmaceutical Name Foeniculi Fructus
Actions 1. Disperses cold, warms the liver kidney
Actions 1. Stops pain
Actions 2. Regulates the qi and harmonizes the stomach
Actions
Indications ( Excess ) Liver Qi stag.
Indications ( Excess ) Abdominal pain due to cold
Indications ( Excess ) Vomiting reduced appetite, indigestion
Indications ( Excess )
Dosage 3-9 g
Cook
Toxic Sym. Allergic reactions
17
Xiao Hui Xiang ??? ( warm)
Contraindications Blazing from yin def.
Combinations Combinations Combinations
Indications Formular
Rou Gui ?? Wu Yao ?? Abdominal pain that is aggravated by cold Tian Tai Wu Yao San ?????
Zhi Zi ?? Huang Qin ?? Bulging disorders that have transformed into heat
Bu Gu Zhi ??? Kidney yang def.
Gan Jiang ?? Mu Xiang ?? Vomiting reduced appetite due to Stomach cold
Gui Zhi ?? Gao Liang Jiang ??? Yan Hu Suo ??? Spasmodic epigastric pain due to spleen def. with Qi blood stag. Ping Wei San ???
18
Bi Ba ??
19
Bi Ba ?? ( hot )
Pharmaceutical Name Piperis Longi Fructus
Actions 1. Warms the middle, disperses cold from the stomach and Intestine
Actions 1. Alleviates pain
Actions 2. Applied as a powder for toothache
Actions
Indications ( Excess ) Nausea, vomiting, belching, acid regurgiation, loss of appetite, and abdominal pain due to cold
Indications ( Excess ) diarrhea due to cold
Indications ( Excess ) Toothache
Indications ( Excess )
Dosage 1.5 4.5 g
Cook
Toxic Sym.
20
Bi Ba ?? ( hot )
Contraindications Yin def. heat
Combinations Combinations Combinations
Indications Formular
Gao Liang Jiang ??? Pao Jiang ?? Diarrhea due to cold
Dang Shen ?? Bai Zhu ?? Spleen St. weakness
He Zi ?? Rou Gui ?? Chronic diarrhea due to cold from deficiency
21
Herbs that stop bleeding
Part Two Warm Middle burner Gan Jiang
?? Gao Liang Jiang ??? Ding Xiang ?? Hu Jiao ??
22
Gan Jiang ??
23
Gan Jiang ?? ( hot )
Pharmaceutical Name Zingiberis Rhizoma
Actions 1. Warms the middle expels cold
Actions 2. Rescues devastated yang expels interior cold
Actions 2. Warms the lung transforms thin mucus
Actions 3. Warms the channels stops bleeding
Indications ( Excess ) Cold attacking Sp. St.
Indications ( Excess ) Devastated yang with very weak pulse cold limbs
Indications ( Excess ) Lung cold with thin watery sputum
Indications ( Excess ) Uterine bleeding due to cold
Dosage 3 9 g
Cook
Toxic Sym. None noted
24
Gan Jiang ??( hot )
Contraindications Internal heat from yin def.
Combinations Combinations Combinations
Indications Formular
Ren Shen ?? Spleen yang def. Li Zhong Wan ???
Zhi Fu Zi ??? Kidney yang def.
Huang Lian ?? Epigastric pain distention, dysenteric disorder indefinable epigastric discomfort
Gan Cao ?? Epigastric pain vomiting due to cold
Fu Ling ?? Bai Zhu ?? Cold dampness in middle jiao
Wu Wei Zi ??? Xi Xin ?? Cough wheezing due to cold congested fluids
25
Gao Liang Jiang ???
26
Gao Liang Jiang ??? ( Hot )
Pharmaceutical Name Alpiniae officinarum rhizoma
Actions 1. Warms the middle alleviates pain
Actions
Actions
Actions
Indications ( Excess ) Epigastric abdominal pain
Indications ( Excess ) Vomiting, hiccough, or diarrhea due to cold in the middle burner
Indications ( Excess )
Indications ( Excess )
Dosage 3 9 g
Cook
Toxic Sym. Note noted
27
Gao Liang Jiang ??? ( Hot )
Contraindications Heat from yin def.
Combinations Combinations Combinations
Indications Formular
Pao Jiang ?? Pain vomiting due to cold
Rou Gui ?? Cold induced sudden turmoil discorder
Xiang Fu ?? Cold-induced epigastric pain Liang Fu Wan ???
Ban Xia ?? Sheng Jiang ?? Rebellious Qi with vomiting clear fluid
Dang Shen ?? Fu Ling ?? Hiccough due to St. def.
28
Ding Xiang ??
29
Ding Xiang ?? (warm)
Pharmaceutical Name Caryophylli Flos
Actions 1. Warms the middle burner directs rebellious qi downward
Actions 2. Warms the kidneys aids the yang
Actions
Indications ( Excess Def. ) Vomiting, hiccough, abdominal pain and diarrhea due to cold from yang def.
Indications ( Excess Def. ) Impotence
Indications ( Excess Def. ) Clear vaginal discharge due to yang def.
Indications ( Excess Def. )
Indications ( Excess Def. )
Dosage 1 3g
Cook
Toxic sym. Overdosage nausea, vomiting, diarrhea, upper gastrointestinal hemorrhage
30
Ding Xiang ?? (warm)
Contraindications Internal heat
Combinations Combinations Combinations
Indications Formular
Ren Shen ?? Shi Di ?? Hiccough due to cold from def. Ren Shen Shi Di San ?????
Sha Ren ?? Bai Zhu ?? Vomiting, diarrhea
Rou Gui ?? Ba Ji Tian ??? Male impotence or female discharge due to kid. Yang def.
Shu Di Huang ??? E Jiao ?? Ai Ye ?? Persistence uterine bleeding with an ice-cold sensation in the lower burner
31
Hu Jiao ??
32
Hu Jiao ?? ( Hot )
Pharmaceutical Name Piperis Fructus
Actions 1. Warms the middle disperses cold
Actions
Actions
Indications (Excess) Vomiting, diarrhea abdominal pain due to cold
Indications (Excess)
Indications (Excess)
Indications (Excess)
Dosage 1.5 3 g in decoction (crush before using) 0.5 1 g in pills and powders
Cook
Toxic Sym. None noted
33
Hu Jiao ?? ( Hot )
Contraindications Pregnancy
Indications Formular
Gao Liang Jiang ??? Vomiting, diarrhea, and abdominal pain
Sheng Jiang ?? Ban Xia ?? Severe vomiting dut to cold in the middle jiao
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