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Development of TCM Internal Medicine

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Title: Development of TCM Internal Medicine


1
Herbs that drain dampness

Drain Dampness Drain Dampness
Main Action Promote water metabolism leach out dampness Indication Edema, painful urinary dribbling, damp-warmth, damp sores, jaundice Main Action Promote water metabolism leach out dampness Indication Edema, painful urinary dribbling, damp-warmth, damp sores, jaundice
Middle Jiao Fu Ling, Yi Yi Ren, Tong cao,
Lower Jiao Zhu Ling, Ze Xie, Che Qian Zi, Hua Shi, Bian Xu, Bi Xie, Dong Kui Guo, Fang Ji, Di Fu Zi
Heart Small intestine Meridian Mu Tong, Deng Xin Cao, Chi Xiao Dou
Jaundice Yin Chen, Jin Qian Cao, Hai Jin Sha
Bloody stony urine Qu Mai, Shi Wei
Abscess Dong Gua Zi, Dong Gua Pi
2
Herbs that drain dampness
Part One Agents which enter the Middle
Jiao Fu Ling ?? Yi Yi Ren ??? Tong Cao ??
3
Fu Ling ??
4
Fu Ling ?? (neutral)
Pharmaceutical Name Poria
Actions Promote urination leads out dampness
Actions Strengthen the Spleen Harmonizes middle Jiao
Actions Strengthen the Spleen transform phlegm
Actions Quiets the heart calms the spirit
Indications ( Excess Def. ) Scanty urine due to damp heat
Indications ( Excess Def. ) Edema
Indications ( Excess Def. ) Loss of appetite, diarrhea,
Indications ( Excess Def. ) Spleen Def. with thin mucus
Indications ( Excess Def. ) Palpitations insomnia
Dosage 9 15 g
Cook
Toxic sym. Allergic reactions
5
Contraindications Yin Def.
Combinations Combinations Combinations
Indications Formular
Gui Zhi ?? Bai Zhu ?? Edema Ling Gui Zhu Gan Tang ?????
Che Qian Zi ??? Urinary dysfunction
Ren Shen ?? Bai Zhu ?? Spleen Qi def. Si Jun Zi Tang ????
Mu Xiang?? Diarrhea due to dampness
Ban Xi ?? Phlegm
Bai Zhu ?? Fu Zi ?? Edema due to Spleen Yang def. Zhen Wu Tang ???
6
Yi Yi Ren ???
7
Yi Yi Ren ??? (slightly cold)
Pharmaceutical Name Coicis Semen
Actions Strengthen the spleen drains dampness
Actions Facilitates the resolution of dampness eliminates painful obstruction
Actions Clears heat expel pus
Actions Clears damp-heat
Indications ( Excess def. ) Edema
Indications ( Excess def. ) Painful urinary dribbling
Indications ( Excess def. ) Diarrhea due to Sp. Def.
Indications ( Excess def. ) Wind damp painful obstruction
Indications ( Excess def. ) Lung or intestine abscess
Dosage 9 30 g
Cook
Toxic Sym.
8
Contraindications None noted
Combinations Combinations Combinations
Indications Formular
???Chi Xiao Dou ?? Mu Tong Fever with scanty, dark urine
?? Fu Ling ?? Bai Zhu Diarrhea due to spleen def. Shen Ling Bai Zhu San ?????
Ma Huang ?? Xing Ren ?? Body ache due to wind-dampness .
Lu Gen ?? Dong Gua Zi ??? Tao Ren ?? Lung abscess Wei Jing Tang ???
Bai Jiang Cao ??? Mu Dan Pi ??? Intestine abscess
Cang Zhu ?? Huang Bai ?? Niu Xi ?? Atrophy weakness of the lower extremities dui to Damp heat
9
Herbs that drain dampness
Part Two Agents which enter the Lower
Jiao Zhu Ling ?? Ze Xie ?? Che Qian Zi
??? Hua Shi ?? Bian Xu ?? Bi Xie ??
Dong Kui Guo ??? Fang Ji ?? Di Fu Zi ???
10
Zhu Ling ??
11
Zhu Ling ?? (slightly cool)
Pharmaceutical Name Polyporus
Actions Promotes urination
Actions Leaches out dampness
Actions
Actions
Indications ( Excess ) Scanty urine or turbid painful urinary dribbling
Indications ( Excess ) Edema
Indications ( Excess ) Vaginal discharge
Indications ( Excess ) Diarrhea or jaundice
Dosage 6 12 g
Cook
Toxic Sym.
12
Contraindications
Combinations Combinations Combinations
Indications Formular
Fu Ling ?? Diarrhea, edema, urinary disorder Wu Ling San ???
Da Fu Pi ??? Abdominal distention, Edema
Mu Tong Hua Shi Painful urinary dribbling, bloody urine with heat sym. Zhu ling Tang ???
13
Ze Xie ??
14
Ze Xie ?? (Cold)
Pharmaceutical Name Alismatis Rhizoma
Actions Promotes urination
Actions Leads out dampness
Actions Drains damp-heat from lower burner
Actions Drain def. kidney fire
Indications (Excess def. ) Painful urinary dribbling
Indications (Excess def. ) Edema
Indications (Excess def. ) Dizziness due to dampness
Indications (Excess def. ) Tinnitus
Indications (Excess def. )
Dosage 4.5 - 9 g
Cook
Toxic Sym. HEMATURIA OR ACIDOSIS
15
Contraindications Sunken middle jiao Qi
Combinations Combinations Combinations
Indications Formular
Mu Tong ?? Painful urinary dribbling
Sha Ren ?? Urinary discomfort
Zhu Ling ?? Fu Ling ?? Drain dampness
Bai Zhu ?? Vertigo Ze Xie Tang ???
16
Che Qian Zi ???
17
Che Qian Zi ??? ( Cold )
Pharmaceutical Name Plantaginis Semen
Actions Promotes urination
Actions Clears damp-heat
Actions Promote urination to solidify the stool
Actions Clears/brighten the eyes
Actions Expel phlegm stops cough
Indications (Excess ) Painful urinary dribbling
Indications (Excess ) Edema
Indications (Excess ) Diarrhea due to summer heat
Indications (Excess ) Red painful eye due to liver fire
Indications (Excess )
Dosage 9 -15 g
Cook
Toxic Sym. No side effects within the normal dosage
18
Contraindications Pregnancy
Contraindications Kidney essence def.
Combinations Combinations Combinations
Indications Formular
Mu Tong ?? Zhi Zi ?? Hua Shi ?? Damp heat in lower Jiao ( painful urinary dribbling ) Ba Zheng San ???
Bai Zhu ?? Fu Ling ?? Ze Xie ?? Diarrhea due to summer heat
Ju Hua ?? Long Dan Cao ??? Huang Qin ?? Red swollen eyes
Shan Yao ?? Huang Bai ?? Chronic vaginal discharge
Shu Di Huang ?? Gou Qi Zi ??? Tu Si Zi ??? Failing vision due to liver kidney def.
19
Hua Shi ??
20
Hua Shi ?? (Cold)
Pharmaceutical Name Talcum
Actions Clears heat drains dampness
Actions Clears summer heat through urine
Actions Absorbs dampness
Indications (Excess) Hot painful urinary dribbling
Indications (Excess) Summer heat
Indications (Excess) Damp skin lesions eczema, damp sores, and prickly heat
Indications (Excess) Diarrhea due to damp-heat
Dosage 9 -15 g
Cook
Toxic Sym.
21
Contraindications Spleen def.
Contraindications Pregnancy
Combinations Combinations Combinations
Indications Formular
Mu Tong ?? Zhi Zi ?? Hot painful urinary dribbling Ba Zheng San ???
Hai Jin Sha ??? Shi Wei ?? Stony painful urinary dribbling
Fu Ling Yi YI Ren Damp-heat diarrhea
Gan Cao Summer heat fever, irritability, thirst, and painful urinary dribbling Liu Yi San ???
Huang Bai ?? Duan Shi Gao ??? Eczema or other damp skin lesions
22
Bian Xu ??
23
Bian Xu ?? (slightly cold )
Pharmaceutical Name Polygoni avicularis Herba
Actions Clears damp-heat from the bladder
Actions Promotes urination unblocks painful urinary dribbling
Actions Expels parasites and stops itching
Indications (Excess) Painful urinary dribbling
Indications (Excess) Painful bloody urinary dribbling
Indications (Excess) Damp skin lesions with itching
Indications (Excess)
Dosage 9 -15 g
Cook
Toxic Sym. None noted
24
Contraindications
Combinations Combinations Combinations
Indications Formular
Mu Tong ?? Zhi Zi ?? Hot painful urinary dribbling Ba Zheng San ???
Xiao Ji ?? Bai Mao Gen ??? Bloody urinary dribbling
Jin Qian Cao??? Hai Jin Sha ??? Stony painful urinary dribbling
Di Fu Zi ??? external wash for genital itching
Bai Bu ?? Bing Lang ?? External wash for pinworm
25
Bi Xie ??
26
Bi Xie ? (neutral )
Pharmaceutical Name Dioscoreae hypoglaucae rhizoma
Actions Separates the pure from the turbid
Actions Expels wind-dampness, relaxes the sinews, unblocks the collaterals
Actions Clears damp-heat from the skin
Indications (Excess) Cloudy urine
Indications (Excess) Vaginal discharge
Indications (Excess) Painful obstruction due to wind dampness
Indications (Excess) Damp-heat skin lesion
Dosage 9 -15 g
Cook
Toxic Sym. None noted
27
Bi Xie ? (neutral )
Contraindications
Combinations Combinations Combinations
Indications Formular
Yi Zhi Ren ??? Shi Chang Pu ??? Urine like rice porridge
Wei Ling Xian ??? Painful obstruction
Gui Zhi ?? Fu Zi ?? Painful obstruction due to cold dampness
Qin Jiao?? Yi Yi Ren??? Painful obstruction due to damp heat
Huang Bai ?? Yi Yi Ren ??? Damp-heat skin lesions
28
Dong Kui Guo ???
29
Dong Kui Guo ??? (cold)
Pharmaceutical Name Malvae Fructus
Actions Promotes urination Unblocks painful urinary dribbling
Actions Benefits the breasts
Actions Moistens the intestines unblocks the bowels
Indications (Excess) Stony painful urinary dribbling
Indications (Excess) Edema
Indications (Excess) Insufficient lactation
Indications (Excess) Constipation due to lack of fluids
Dosage 3 -9 g
Cook
Toxic Sym. In high doses(50g) have led to double vision, mild excitation, viual hallucinations and delirious speech
30
Dong Kui Guo ???
Contraindications Spleen def. caused loose stools
Contraindications Pregnancy
Combinations Combinations Combinations
Indications Formular
Che Qian Zi ??? Mu Tong ?? Painful urinary dribbling
Fu Ling ?? Edema
Jin Qian Cao ??? Ji Nei Jin ??? Shi Wei ?? Urinary tract stones San Jin Tang ???
Sha Ren?? Insufficient lactation and swollen, painful breasts due to Qi Stag
Wang Bu Liu Xing ???? Insufficient lactation and swollen, painful breasts due to blood stasis
Huo Ma Ren ??? Constipation
31
Fang Ji ??
32
Fang Ji ?? (cold)
Pharmaceutical Name Stephaniae tetrandrae radix
Actions Promotes urination reduces edema
Actions Expels wind-dampness alleviates pain
Actions
Indications (Excess) Edema in the lower body
Indications (Excess) Red swollen hot painful joints
Indications (Excess)
Indications (Excess)
Dosage 4.5 9 g
Cook
Toxic Sym. Over dosage (30-100g) vomiting, tremor, ataxia, hypertonicity, Death from respiratory failure
33
Fang Ji ?? (cold)
Contraindications Sp. St. def.
Contraindications Kidney disease
Combinations Combinations Combinations
Indications Formular
Fu Ling ?? Gui Zhi ?? Edema in constitutionally weak patient
Huang Qi ?? Bai Zhu ?? Edema due to exterior def. Fang Ji Huang Qi Tang ?????
Ze Lan ?? Edema due to blood stasis
34
Di Fu zi ???
35
De Fu Zi ??? (cold)
Pharmaceutical Name Kochiae Fructus
Actions Clears damp-heat promotes urination
Actions Expel dampness stops itching
Actions
Indications (Excess) Painful urinary dribbling
Indications (Excess) Eczema scabies
Indications (Excess)
Indications (Excess)
Dosage 9 -15 g
Cook
Toxic Sym. Allergic reactions
36
De Fu Zi ??? (cold)
Contraindications
Combinations Combinations Combinations
Indications Formular
Zhu Ling ?? Tong Cao ?? Qu Mai ?? Urinary discomfort due to damp-heat in the bladder
Ku Shen ?? Itchiness and irritation skin
She Chuan Zi ??? External wash for itchy skin
Bai Xian Pi ??? Eczema itchy skin
37
Herbs that drain dampness
Part Three Agents which enter the heart small
intestine meridian Mu Tong ?? Deng Xin Cao
??? Chi Xiao Dou ???
38
Mu Tong ??
39
Mu Tong ?? (slightly cold)
Pharmaceutical Name Akebiae Caulis
Actions Promotes urination unblocks painful urinary dribbling
Actions Promotes urination drains heat from the heart
Actions Promotes lactation unblock the blood vessels
Actions
Indications ( Excess ) Painful urinary dribbling
Indications ( Excess ) Irritability with scanty urine
Indications ( Excess ) Insufficient lactation
Indications ( Excess )
Dosage 3 -6 g
Cook
Toxic sym. Very low toxicity if taken orally
40
Mu Tong ?? (slightly cold)
Contraindications Kidney failure disease
Contraindications Pregnant women
Combinations Combinations Combinations
Indications Formular
Che qian Zi ??? Zhi zi?? Hua Shi?? Painful urinary dribbling due to damp heat in bladder Ba Zheng San ???
Hai Jin Sha ??? Stony urinary dribbling
Zhu Ling ?? Fu Ling ?? Edema
Deng Xin Cao ??? Heart fire
Huang Qi ?? Dang Gui?? Insufficient lactation
41
Deng Xin Cao ???
42
Deng Xin Cao ??? (slightly cold)
Pharmaceutical Name Junci Medulla
Actions Promotes urination unblocks painful urinary dribbling
Actions Clears the heart directs fire downward
Actions
Actions
Indications ( Excess ) Hot painful urinary dribbling
Indications ( Excess ) Irritability with scanty urine
Indications ( Excess )
Indications ( Excess )
Dosage 1.5 4.5 g
Cook
Toxic sym. None noted
43
Deng Xin Cao ??? (slightly cold)
Contraindications
Combinations Combinations Combinations
Indications Formular
Dan Zhu Ye ??? Che Qian Cao ??? Hot painful urinary dribbling
Hua Shi ?? Irritability
Che Qian Cao ??? Bai Mao Gen ??? Edema due to nephritis
Fu Ling ?? Zhu Sha ?? Suan Zao Ren??? Irritability, insomnia
44
Chi Xiao Dou ???
45
Chi Xiao Dou ??? (neutral)
Pharmaceutical Name Phaseoli Semen
Actions Promotes urination reduces edema
Actions Facilitates the resolution of dampness heat
Actions Disperses blood stasis
Actions
Indications ( Excess ) Urinary difficulty
Indications ( Excess ) Edema
Indications ( Excess ) Mild damp heat jaundice
Indications ( Excess ) Sores, carbuncles and furuncles ( external wash)
Dosage 9 30 g
Cook
Toxic sym. Overdosage can induce miscarriage
46
Chi Xiao Dou ??? (neutral)
Contraindications
Combinations Combinations Combinations
Indications Formular
Ma Huang ?? Lian Qiao ?? Sang Bai Pi ??? Mild jaundice
Jing Jie ?? Itchy wind rash
47
Herbs that drain dampness
Part Four Agents which treat the jaundice
Yin Chen ?? Hai Jing Sha ??? Jing Qian Cao
???
48
Yin Chen ??
49
Yin Chen ?? (slightly cold)
Pharmaceutical Name Artemisiae scopariae herba
Actions Clears heat, resolves dampness, and reduce jaundice
Actions Clears heat facilitates the resolution of dampness
Actions
Actions
Indications ( Excess ) Jaundice
Indications ( Excess ) Damp sores
Indications ( Excess ) Wind rashes
Indications ( Excess ) Other skin disease as external wash
Dosage 9 30 g
Cook
Toxic sym. Headache, dizziness, numbness and tremor of the upper extremities
50
Yin Chen ?? (slightly cole)
Contraindications
Combinations Combinations Combinations
Indications Formular
Da Huang ?? Zhi Zi?? Jaundice Yin Chen Hao Tang ????
Fu Ling ?? Ze Xie ?? Gui zhi ?? Jaundice with urinary dysfunction
Gan Jiang?? Zhi fu Zi??? Damp-cold type jaundice
Chai Hu?? Yu Jin?? Hepatitis
51
Herbs that drain dampness
Part Five Agents which treat bloody stony
urine Qu Mai ?? Shi Wei ??
52
Qu Mai ??
53
Qu Mai ?? ( cold)
Pharmaceutical Name Dianthi herba
Actions Clears damp-heat
Actions Promotes urination unblocks painful urinary dribbling
Actions Breaks up blood stasis
Actions
Indications ( Excess ) Painful bloody urinary dribbling
Indications ( Excess ) Amenorrhea due to blood stasis
Indications ( Excess )
Dosage 9 15 g
Cook
Toxic sym.
54
Qu Mai ?? ( cold)
Contraindications Pregnant women
Combinations Combinations Combinations
Indications Formular
Bian Xu ?? Painful urinary dribbling
Hai jing Sha ??? Stony urinary
Bai Mao Gen ??? Xiao Ji ?? Blood in the urine
Dan Shen ?? Chi Shao ?? Amenorrhea due to blood stasis
55
Shi Wei ??
56
Shi Wei ?? ( slightly cold)
Pharmaceutical Name Dianthi herba
Actions Clears damp-heat unblocks painful urinary dribbling
Actions Clears heat stops bleeding
Actions Clears the lungs, expel phlegm, and stops cough
Actions
Indications ( Excess ) Stony or painful bloody urinary dribbling
Indications ( Excess ) Vomiting blood, uterine bleeding
Indications ( Excess ) Lung heat cough and wheezing
Dosage 6 9g
Cook
Toxic sym.
57
Shi Wei ?? ( slightly cold)
Contraindications
Combinations Combinations Combinations
Indications Formular
Qu Mai ?? Hua Shi ?? Painful urinary dribbling
Pu Huang ?? Zhi zi ?? Blood in the urine with stabbing pain
Che Qian Zi??? Ze Xie ?? Edema
Di Yu?? Coughing of blood
58
Herbs that drain dampness
Part Six Agents which treat the abscess Dong
Gua Zi ??? Dong Gua Pi ???
59
Dong Gua Zi ???
60
Dong Gua Zi ??? (cold)
Pharmaceutical Name Benincasae Semen
Actions Clears heat, expel phlegm, and promotes the discharge of pus
Actions Clears heat and drains dampness
Actions
Actions
Indications ( Excess ) Lung or intestine abscess
Indications ( Excess ) Damp-heat vaginal discharge
Indications ( Excess )
Dosage 9 15 g
Cook
Toxic sym. None noted
61
Dong Gua Zi ??? (cold)
Contraindications
Combinations Combinations Combinations
Indications Formular
Jie Geng ?? Yu Xing Cao ??? Jin Yin Hua ??? Lung abscess caused by hot phlegm
Yi Yi Ren ??? Lu Gen ?? Lung abscess caused by heat toxin Wei Jing Tang ???
Da Huang ?? Mu Dan Pi ??? Intestine abscess
Huang Bai ?? Bi xie ? Damp-heat vaginal discharge
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