Treats Phlegm

Ch 16 Formulas that Treat Phlegm

Er Chen Tang Two-Cured Decoction

d

a c e

f

g

Actions: Dries dampness, transforms phlegm, regulates the qi, and harmonizes the middle burner. Chief

(a) Ban Xia

Dries dampness, expels phlegm, and causes the rebellious Stomach qi to descend.

Deputy

(b) Ju Hong or (c) Chen Pi (d) Fu Ling

Assistant

(e) Zhi Gan Cao

Tonify the Spleen.

Envoy

(f) Sheng Jiang

Reinforces the action of Ban Xia in controlling nausea.

(g) Wu Mei

Counterbalances the dispersing tendencies of the chief herbs and prevents the dissipation of Lung qi.

The fragrance revives the Spleen and facilitates the flow of qi in the middle burner. Supports the action of the chief herbs by leaching out dampness from the middle burner and strengthening the Spleen.

Indications: Coughing with copious, white sputum that is easily expectorated, focal distention and a stifling sensation in the chest and diaphragm, palpitations, nausea or vomiting, dizziness, a swollen tongue with a white, thick, greasy coating, and a slippery pulse.

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Ch 16 Formulas that Treat Phlegm

Xiang Fu Xuan Fu Hua Tang Cyperus and Inula Decoction

b

c

d

a

f

g

e

Actions: Strengthens the Spleen, dispels dampness, spreads the Liver qi, and unblocks the channels. Chief

(a) Xiang Fu (b) Xuan Fu Hua

Unblock the Liver channel and drive out congested fluids from the hypochondria.

Deputy

(c) Su Zi

Directs the Liver qi downward and expels phlegm.

(d) Chen Pi (e) Ban Xia Assistant

(f) Fu Ling (g) Yi Yi Ren

Dry dampness and revive the Spleen.

Leaches out dampness. Strengthens the Spleen’s transportive function.

Indications: Hypochondriac pain with or without coughing, either afternoon fevers without chills or alternating chills and fever, a thickly-coated tongue with swollen edges, and a wiry pulse, esp. in the middle position.

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Ch 16 Formulas that Treat Phlegm

Wen Dan Tang Warm the Gallbladder Decoction b

a

c

e

d

f

g

Actions: Regulates the qi, transforms phlegm, clears the Gallbladder, and harmonizes the Stomach. Chief

(a) Zhu Ru

Deputy

(b) Zhi Shi

Clears heat and phlegm from the Gallbladder and Stomach. Also reverses the rebellious flow of qi. Assists the chief ingredient in reversing the flow of rebellious qi, and is also particularly effective in treating focal distention.

Assistant

(c) Ban Xia (d) Chen Pi

Dries dampness and expels phlegm while regulating the qi and harmonizing its circulation in the Stomach.

(e) Fu Ling (f) Gan Cao Envoy

(g) Sheng Jiang

Strengthens the Spleen, leaches out dampness and harmonizes the functions of the middle burner. Regulate the relationship between the Gallbladder and Stomach and assist the other herbs in stopping vomiting, is particularly astute.

Indications: Dizziness, vertigo, nausea or vomiting, insomnia, palpitations, anxiety, indeterminate gnawing hunger, or seizures accompanied by copious sputum, focal distention of the chest, a bitter taste in the mouth, slight thirst, a greasy, yellow tongue coating, and a rapid pulse that is either slippery or wiry.

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Ch 16 Formulas that Treat Phlegm

Qing Qi Hua Tan Wan Clear the Qi and Transform Phlegm Pill

c

a

b

g

e

d

h f

Actions: Clears heat, transforms phlegm, directs rebellious qi downward, and stops coughing. Chief

(a) Dan Nan Xing

Used for treating blockage caused by a combination of fire and phlegm. Work together to drain Lung fire while transforming and clearing phlegm-heat.

Deputy

(b) Huang Qin (c) Gua Lou Ren

Assistant

(d) Zhi Shi (e) Chen Pi

Regulates the qi, dispels the focal distention, and dissipates the clumps of phlegm.

(f) Fu Ling (g) Ban Xia

Address the source of phlegm (the Spleen)

(h) Xing Ren

Facilitates the flow of qi in the receptacle of phlegm (the Lungs)

Indications: Coughing of yellow, viscous sputum that is difficult to expectorate, focal distention and a feeling of fullness in the chest and diaphragm, nausea, a red tongue with a greasy, yellow coating, and a slippery, rapid pulse. In severe cases, there may also be difficulty in breathing.

For ICAOM students use only

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Ch 16 Formulas that Treat Phlegm

Xiao Xian Xiong Tang Minor Sinking Into the Chest Decoction

a

b c

Actions: Clears heat, transforms phlegm, expands the chest, and dissipates clumps. Chief

(a) Gua Lou

Deputy

(b) Huang Lian

Assistant

(c) Jiang Ban Xia

Expands the chest, dissipates clumps, clears heat, and dispels phlegm. Helps the chief herb clear heat from the upper and middle burners. Directs rebellious qi downward, harmonizes the Stomach, transforms phlegm, eliminates focal distention, and dissipates clumps.

Indications: Focal distention (with or without nodules) in the chest and epigastrium that are painful when pressed, coughing up yellow and viscous sputum, constipation, a bitter taste in the mouth, a yellow, greasy tongue coating, and a slippery pulse that is either floating or rapid.

For ICAOM students use only

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Ch 16 Formulas that Treat Phlegm

Bei Mu Gua Lou San Fritillaria and Trichosanthes Fruit Powder c b a

e d

f

Actions: Moistens the Lungs, clears heat, regulates the qi, and transforms phlegm. Chief

(a) Bei Mu

Moistens the Lungs, clears heat, transforms phlegm, and stops coughing.

Deputy

(b) Gua Lou

Clears Heat, Moistens dryness, regulates the qi, and expels phlegm in order to remove the obstruction from the chest and diaphragm.

Assistant

(c) Tian Hua Fen

Clears heat, generates fluids, and transforms phlegm. Strengthens the Spleen.

(d) Fu Ling (e) Ju Hong

Regulates the qi, and addresses the xu and yu of Spleen qi.

(f) Jie Geng

Encourages the proper flow of Lung qi and treats problems of the throat.

Indications: Cough with deep-seated sputum that is difficult to expectorate, wheezing, a dry and sore throat, a red and dry tongue with little coating, and a rapid and thin but strong pulse.

For ICAOM students use only

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Ch 16 Formulas that Treat Phlegm

Xiao Luo Wan Reduce Scrofula Pill

b

a

c

Actions: Clears heat and transforms phlegm to soften and dissipate nodules. (a) Bei Mu (b) Mu Li (c) Xuan Shen

Clears heat and dissipates the nodules due to phlegm. Softens and dissipates hard masses or nodules. Treats fire from xu and is quite useful in treating problems of the throat and neck due to fire.

Indications: Nodules on the neck that are firm and rubbery in consistency accompanied by a dry mouth and throat, a red tongue, and a rapid pulse that is slippery and/or wiry.

For ICAOM students use only

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Ch 16 Formulas that Treat Phlegm

Hai Zao Yu Hu Tang Sargassum Decoction for the Jade Flask

b

c

d

a

e

f

i

g h j

k

Actions: Transforms phlegm, softens hard masses, reduces and dissipates goiter. Chief Deputy Assistant

Envoy

(a) Hai Zao (b) Kun Bu (c) Zhe Bei Mu (d) Ban Xia (e) Du Huo

(Salty substances) effectively soften and dissolve masses. Clears heat and dissipates nodules. Expel phlegm

(f) Chuan Xiong (g) Dang Gui

Invigorate the xue and relieve stasis.

(h) Chen Pi (i) Qing Pi

Promote the movement of qi and relieve constraint.

(j) Lian Qiao

Clear heat from qi yu, xue yu, and accumulation of phlegm.

(k) Gan Cao

Harmonizes the actions of the other herbs and relieves toxicity.

Indications: Masses in the center of the neck which are rock-like in hardness, immobile, cause no change in the color of the skin, and do not ulcerate. The tongue has a thin, greasy coating, and the pulse is wiry and slippery.

For ICAOM students use only

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Ch 16 Formulas that Treat Phlegm

Ling Gui Zhu Gan Tang Poria, Cinnamon Twig, Atractylodis Macrocephalae, and Licorice Decoction

b a

c

d

Actions: Warms and transforms phlegm and congested fluids, strengthens the Spleen, and resolves dampness. Chief

(a) Fu Ling

Strengthens the Spleen and leaches out dampness.

Deputy

(b) Gui Zhi

Warms the Yang and improves the transforming power of the qi, which resolves the congested fluids.

Assistant

(c) Bai Zhu

Strengthens the transformative and transportive functions of the Spleen, and dries dampness.

Envoy

(d) Zhi Gan Cao

Augments the qi of the middle burner.

Indications: Fullness in the chest and hypochondria, palpitations, shortness of breath, coughing up clear and watery sputum, and dizziness or vertigo. The tongue is pale and swollen with a white and slippery or greasy coating, and the pulse is usually slippery and either wiry or soggy.

For ICAOM students use only

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Ch 16 Formulas that Treat Phlegm

Ling Gan Wu Wei Jiang Xin Tang Poria, Licorice, Schisandra, Ginger, and Asarum Decoction

e

c

a

d

b

Actions: Warms the Lungs and transforms congested fluids. Chief

(a) Gan Jiang

Warms the Lungs, disperses cold, and transforms the congested fluids.

Deputy

(b) Xi Xin (c) Fu Ling

Strongly assist the chief herb, the former focuses on warming and dispersing cold in the Lungs to transform the congested fluids, while the latter strengthens the Spleen and leaches out dampness.

Assistant

(d) Wu Wei Zi

Restrains the leakage of Lung qi and prevents its depletion by the dispersing actions of the other herbs.

Envoy

(e) Gan Cao

Harmonizes the middle burner and the actions of the other herbs in the formula.

Indications: Coughing with profuse sputum that is thin, watery, and white accompanied by a feeling of discomfort in the chest and diaphragm, a white, slippery tongue coating, and a wiry, slippery pulse.

For ICAOM students use only

www.orientalmedicine.edu

Ch 16 Formulas that Treat Phlegm

San Zi Yang Qin Tang Three-Seed Decoction to Nourish One’s Parents

a

b

c

Actions: Directs the qi downward, relaxes the diaphragm, transforms phlegm, and reduces food yu. (a) Bai Jie Zi

Warms and disseminates the Lung qi, reduces phlegm, and relaxes the diaphragm.

(b) Su Zi

Directs the Lung qi downward and thereby stops the coughing and wheezing.

(c) Lai Fu Zi

Very effective in reducing food yu, and in directing qi downward and transforming phlegm.

Indications: Coughing and wheezing, copious sputum, focal distention in the chest, loss of appetite digestive difficulties, a white, greasy tongue coating, and a slippery pulse.

For ICAOM students use only

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Ch 16 Formulas that Treat Phlegm

Zhi Sou San Stop Coughing Powder

f

a

d

c

e

b g Actions: Stops coughing, transforms phlegm, disperses the exterior, and disseminates the Lung Qi. Chief

(a) Zi Wan (b) Bai Qian (c) Bai Bu

Effective in stopping coughs and transforming phlegm, both in acute and chronic disorders.

Deputy

(d) Jie Geng (e) Chen Pi

Encourages the proper dissemination and descent of the Lung qi, and help the chief herbs stop the coughing.

Assistant

(f) Jing Jie

Gives the formula a slight, exterior-releasing action, which helps eliminate the lingering pathogenic influence.

Envoy

(g) Gan Cao

Harmonizes the actions of the other herbs and effective in treating throat disorders.

Indications: Coughing with or without slight chills and fever, an itchy throat, a thin, white tongue coating, and a moderate, floating pulse.

For ICAOM students use only

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Ch 16 Formulas that Treat Phlegm

Ban Xia Bai Zhu Tian Ma Tang Pinellia, Atractylodis Macrocephalae, and Gastrodia Decoction

b

a

e

c

d

h

f

g

Actions: Strengthens the spleen, dispels dampness, transforms phlegm, and extinguishes wind. Chief

Deputy Assistant

(a) Ban Xia

Dries dampness, transforms phlegm, and directs rebellious qi downward to treat the nausea and vomiting.

(b) Tian Ma

Transforms phlegm, extinguishes wind, and is particularly effective in treating h/a, dizziness, and vertigo.

(c) Bai Zhu (d) Fu Ling

Strengthens the Spleen and dries dampness. Strengthens the spleen and leaches out dampness.

(e) Chen Pi

Regulates the qi and transforms phlegm.

(f) Sheng Jiang (g) Da Zao Envoy

(h) Gan Cao

Harmonizes the Stomach and Spleen Harmonizes the actions of the other herbs and mildly regulates the functions of the middle burner

Indications: Dizziness or vertigo (possibly severe), h/a, a stifling sensation in the chest, nausea or vomiting, copious sputum, a white, greasy tongue coating, and a wiry, slippery pulse.

For ICAOM students use only

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Ch 16 Formulas that Treat Phlegm

Ding Xian Wan (Arrest Seizures Pill)

f

b

c

a

d m e

h

k g

p

i

n

j

l o

Zhu Li (not shown) (a) Dan Nan Xing (b) Chuan Bei Mu

Causes the qi to descend. For Clearing and transforming phlegm-heat. (CBM – prevents the dry properties of the other herbs from injuring the yin)

(c) Ban Xia, (d) Fu Ling (e) Chen Pi, Ginger Juice

Dry dampness and transform phlegm while strengthening the Spleen and regulating the flow of Stomach qi.

(f) Tian ma, (g) Quan Xie (h) Jiang Can

Very effective in extinguishing wind and stopping spasms.

(i) Mai Men dong (j) Dan Shen Fu Shen (not shown) (k) Hu Po, (l) Zhu Sha (m) Shi Chang Pu (n) Yuan Zhi (o) Gan Cao (p) Deng Xin Cao

Clear heat from the Heart. Calms the spirit. (DS – unbinds the constrained qi in the chest, which aids in resolving accumulation of phlegm) Sedate the Heart. Calms the spirit. Facilitates the flow of Heart qi and expels phlegm, transforms turbid phlegm and opens the sensory orifices. Harmonizes the disparate actions of the other herbs and helps meld them into a balanced formula for scouring out phlegm and extinguishing wind.

Actions: Scours out phlegm, opens the sensory orifices, and extinguishes wind. Indications: Recurrent vertigo, weakness, and a stifling sensation in the chest followed by a sudden loss or clouding of consciousness together with falling down, upward-rolling of the eyes, deviation of the mouth, spitting up of mucus with a loud, raspy sound, and in severe cases, tonic-clonic convulsions, sudden shrieking, or incontinence of the bowels or urine. The tongue coating is white and greasy, and the pulse is usually wiry and slippery. For ICAOM students use only

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Ch 16 Formulas that Treat Phlegm

Gua Di San Melon Pedicle Powder

a b

Actions: Discharges phlegm or food stagnation through vomiting. Gua Di (not shown)

Induces vomiting to eliminate the phlegm or stagnate food.

(a) Chi Xiao Dou

Expels dampness and eliminates the irritability and fullness.

(b) Dan Dou Chi

Light, clear nature that unbinds the constraint in the chest and helps resolve problems in that area.

Indications: Firm areas of focal distention in the chest, vexation, difficult breathing due to a sensation of qi rushing into the throat, and a slightly floating pulse at the distal position.

For ICAOM students use only

www.orientalmedicine.edu