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Exit Exam Formulas
Exit Exam Formulas
Exit Exam Formulas
Gui Zhi 9 With Bai Shao tonifies MJ. Promote sweating, harmonise ying and wei. Promotes wei qi, releases
the exterior, releases the muscles
Wind cold
Da Cheng Qi Tang
Purge heat accumulation
Da Huang 12 Excess heat. Purging. With Zhi Shi for food and qi stagnation with distension and constipation
Mang Xiao 9 Salty. Softens hardness. Good for dryness. Purges, eliminates stagnation
Zhi Shi 12-15 Distension, oppression. Focal distension. Unblocks the bowels
Zhi Hou Po 24 Food stagnation, descends rebellious qi, phlegm, damp and wheezing
Gone into YangMing Fu. Pi (oppression), Man (fullness), Zao (dryness) – all heat in LI. Shi (Excess) – heat and
accumulation. Not during pregnancy. Stop once bowel movement.
Downward draining
Associated formulas: Xiao Cheng Qi Tang (lighter, milder). Tiao Wei Cheng Qi Tang (if patient is deficient)
Ma Zi Ren Wan
Moisten intestines unblock bowels
Huang Qin 9 Internal heat. Upper jiao. Calms ascending LIV yang
Zhi Ban Xia 24 Direct downward. Stops nausea. Harmonise ST and stops vomiting, transforms phlegm,
Sheng Jiang 9 Harmonise middle, release the exterior, stops vomiting and cough
Ren Shen 9 Qi tonifying – yuan, SP, ST, LU, HT
Zhi Gan Cao 9 Harmonise. Tonify qi. With Ren Shen for palpitations and anxiety
Da Zao 12pc Strengthen SP, tonify qi
Chest and hypochondriac fullness, stiffness and fullness below the ribs. Alternating fever and chills – fighting
pathogen. Vomiting, lack of desire or inability to eat – qi stagnation
Caution: ascending liver yang. Not for excess above, deficiency below
Si Ni San
Chai Hu 9-12 Chai Hu + Zhi Shi. Regulate LIV qi, reduce fever, phlegm, disperse wind heat
Zhi Shi or Zhi Ke 9-12 Cold. Descending. Moves qi. Unblocks bowels to relieve stagnation in MJ and help SP with T&T
Bai Shao 12-24 Chai Hu + Bai Shao. Softens LIV. Nourish LIV yin. Relax muscle with Gan Cao. With Chai Hu for
flank pain
Zhi Gan Cao 9 Bai Shao + Gan Cao (Shao Yao Gan Cao Tang). Tonify SP, Relax muscles with Bai Shao and
moderate abdominal pain
Release exterior, regulate LIV and SP, relieve stagnation, spread LIV qi, eliminate interior heat. Pain, sensitive, cold
hands, anxiety, muscles spasms. Chai Hu presentation. Qi stuck – can’t get to the extremities. Not for long term
use if deficient
Xiao Yao San
Harmonise liver and spleen
stops vomiting
Gan Jiang 9 Warms the middle, expels cold, warms LU, transforms thin mucus
Huang Qin 9 Clears heat, dries damp, drains fire, detoxifies
Huang Lian 3 Clears heat, dries damp, drains fire, resolves fire toxicity, drains ST fire
Ren Shen 9 Tonifies SP, ST, LU qi, tonifies qi in deficiency patients with exterior conditions
Da Zao 12p
Zhi Gan Cao 9
Focal Distension (“pi”) below the Heart. Warm tonifying herbs to preserve function of the stomach with cool,
draining herbs to clear heat. Redirect rebellious qi and disperse clumping
Epigastric fullness, discomfort, soft to touch, vomiting, diarrhoea, borborygmus, irritable, insomnia
Xiao Chai Hu Tang – replace Gan Jiang with Sheng Jiang and Chai Hu with Huang Lian
Clear qi level heat Bai Hu Tang
Shi Gao 48 Cold. Clears internal heat. Vents pathogen. Releases heat from constraint of muscle layer.
Generates fluids
Zhi Mu 18 Clears ST heat. Moistens/nourishes yin, generates fluids
Zhi Gan Cao 6 Protect ST from cold properties and protect the fluids. Tonify SP, augment qi
Jing Mi 9 Protect ST from cold properties and protect the fluids
“4 Bigs” Irritability, thirst, desire to drink. Aversion to heat, profuse sweating. Severe thirst. Large, flooding pulse
Long Dan Xie Gan Tang
Long Dan Cao 3-9 Cold. Bitter. Excess heat LV and GB
Ze Xie 6-12 Promote urination, clears damp heat
Huang Qin 6-12 Clear heat Shaoyang
Chai Hu 3-9 Disperses heat due to LIV/GB qi stagnation
Zhi Zi 6-12 Cooling. Drain damp
Sheng Di 9-15 Cooling. Protects fluids. Nourishes fluids
Mu Tong 3-6 Cooling. Drain damp
Herbs that clear heat from the organs
Dang Gui 3-12 Warm. Tonifies. Protects blood. Protect against cool of other herbs
Heat clearing
Ren Shen 9
Bai Shao 9
Gui Zhi 9
Xi Xin (sub Ji 6
Interior warming
Xue Teng)
Da Zao 25pc
Zhi Gan Cao 6 Tonify qi. Strengthen SP, harmonise MJ. With Gan Cao for vomiting and epigastric pain
(Mu Tong) 6
Warm channel, disperse cold, nourish blood, unlock blood vessels. Cold pathogen in channels & collaterals
blocking qi/blood. Cold hands and feet due to blood xu. No warmth nourishment of yang qi, pale tongue.
Li Zhong Wan
Gan Jiang 9 Very warming. Warms MJ eliminates interior cold
Ren Shen 9 Tonifying qi. Strengthen SP. Reinforce yang, strongly tonifies yuan qi, harmonises MJ. With Bai
Zhu for T&T of SP
Bai Zhu 9 Tonify qi. Strengthen SP, dries damp
Zhi Gan Cao 9 Tonify qi. Strengthen SP, harmonise MJ. With Gan Cao for vomiting and epigastric pain
W Common formula to treat deficient cold in MJ. Warms MJ and strengthens SP. SP yang xu, abdo distension and
a
r fullness (better with warmth and pressure), vomiting, loose stools, pale blood, aversion to cold, no thirst, cold
m extremities, bleeding due to MJ yang xu, sloshing, pulsations above diaphragm
Si Jun Zi Tang replace Gan Jiang with Fu Ling
t
h Xiao Jian Zhong Tang
e Yi Tang 18-30 Tonifies SP and MJ qi, alleviates pain, disperses cold
With Gui Zhi warms and tonifies the MJ
m
i Gui Zhi 9 Warms MJ, disperses cold, releases the exterior, adjusts the yin and the wei
d With Bai Shao, harmonises the ying and the wei
d Bai Shao 18 Harmonises, protects yin, nourishes blood, softens LIV, alleviates pain. With Gan Cao treats
l spasmodic pain
e
Zhi Gan Cao 6
, Sheng Jiang 9 Release exterior, disperse cold, warm the MJ
d Da Zao 12p Strengthen SP, tonify qi, protect and harmonise MJ
i
s Deficiency cold. Modification of Gui Zhi Tang. MJ deficiency. Cold. T&T
p Very popular formula for abdominal pain. Chronic abdo pain better with pressure and warmth, feverishness,
e irritability, tight muscles, weakness. There should be no signs of heat or yin xu.
l
c
o
l
d
Da Chai Hu Tang
Chai Hu * 24 * = Xiao Chai Hu Tang
Release exterior, purge interior
Si Jun Zi Tang
Ren Shen 3-9 Tonifies qi and strengthens SP and ST
With Bai Zhu, T&T functions of SP
Bai Zhu 6-9 Strengthen SP, dries damp. With Fu Ling and Zhi Gan Cao for SP and ST qi xu
Fu Ling 6-9 Dries damp, strengthens SP,
Zhi Gan Cao 3-6 Harmonises, warms, strengthens MJ, moderates draining of Fu Ling
Tonifying SP and improving T&T while draining damp. Low appetite, loose stool, weak limbs, pallid complexion, soft
voice, pale tongue, deficiency pulse. Li Zhong Wan plus Gan Jiang, minus Fu Ling. Building block for many formulas. Not
for heat, qi stag, high fever, fluid deficiency, irritability, constipation
Liu Jun Zi Tang
Si Jun Zi Tan +
Chen Pi 3-6 Move qi, dry damp, tonify SP
Ban Xia 3-9 Dries damp, resolves phlegm, harmonises ST, stops vomiting
Spleen deficiency + Phlegm. Nausea, vomiting, Chest oppression, coughing of mucus. SJZT symptoms
Xiang Sha Liu Jun Zi Tang
Liu Jun Zi Tang +
Sha Ren 2-4 Aromatically dries damp, stops vomiting, moves qi, warms and strengthens SP and ST, warms
middle, stops diarrhoea
Mu Xiang 2 Moves qi, stops pain, strengthens SP, dispels heat and damp
Spleen deficiency + damp cold. Low appetite, bloating, abdominal pain, vomiting, diarrhoea
Shen Ling Bai Zhu San
F Si Jun Zi Tang +
o Shan Yao Tonify SP
r Chao Bian Dou Tonify SP. Stop diarrhoea
m
Lian Zi Tonify SP. Stop diarrhoea
u
l Yi Yi Ren Strengthen SP, drains damp
a Sha Ren Promote movement of qi. Transforms damp.
s Jie Geng Ascending. Alleviate diarrhoea. Assists LU qi. Guides herbs to lungs (child of SP)
Spleen deficiency + Damp type diarrhoea
t
h Bu Zhong Yi Qi Tang
a Huang Qi 12 Lifting in nature. Strongly tonifies qi SP and LU. Stop sweating. With Ren Shen for qi xu
t Ren Shen 9 Strongly tonifies qi, reinforces yang, harmonises MJ
Bai Zhu 9 Strengthens SP, dries damp.
t Zhi Gan Cao 3 Tonifies SP. Harmonises formula
o Dang Gui 6 Tonifies the qi of blood, invigorates and harmonises blood
n Chen Pi 6 Regulates qi, tonifies SP, raises qi
i Sheng Ma 3 Lifting in nature. Raises yang, guides herb upwards
f Chai Hu 3 Lifting in nature, raises yang qi, relieves stagnation
y Lift qi and drain turbid yin. Dizziness, tinnitus, SOB, wea voice, shiny pale face, loose stool, pale tongue, frail pulse, SP/ST
qi xu. Can’t raise clear yang. Qi xu fever, spont. sweating, sinking of MJ qi, prolapse, haemorrhoid, uterine bleeding. SJZT
– – Fu Ling. No for fever from yin xu
T
o
n
i
f
y
q
i
Sheng Mai San
Tonify qi and yin
Ren Shen 9 Strongly tonifies yuan qi. Generates fluids with Mai Men Dong
Mai Men Dong 9 Directly nourishes LU and ST. clears heat from the heart.
Wu Wei Zi 3 Astringent. Restrains leakage of LU qi. Tonifies KD to restrain fluids
Severe damage to Qi and body fluids. Very useful in clinic. Originally for lurking heat in the LU. Cough without much
sputum, SOB, spont sweating, dry mouth, pale, dry tongue, rapid thin deficient pulse. Not for high fever or if still
external pathogen
Si Wu Tang
Shu Di 9-21 Tonify yin aspect of blood. With Bai Shao, nourishes LIV blood
Bai Shao 9-15 Tonify yin aspect of blood, calm LIV yang, alleviate pain
Dang Gui 9-12 Tonify yang or qi aspect of blood. Move blood
Tonify blood
Yin Yang Huo 9-15 Warm KD yang. Tonify KD essence. Also nourish KD yin. Holds ascending fire
Bai Ji Tian 9 Warm KD yang. Tonify KD essence
Huang Bai 4.5-9 Drain ascendant fire. Counterbalance hot qualities of other herbs. Particularly Xian Mao. Moistens
and nourishes blood and regulates Chong and Ren.
Zhi Mu 4.5-9
Dang Gui 9
Kidney Yin and Yang deficiency. Flaring of Ming Men Fire. Menopause of Chong and Ren channels. Hot flush, sweating,
irregular menstruation, hypertension, urinary frequency, depression, fatigue, irritability, insomnia, palpitations
Huang Qi 60 Tonify exterior aspect SP and ST, strengthen wei qi. Tonify LU to stop sweating
Bai Zhu 60 Assist Huang qi to strengthen SP, strengthen earth to generate metal
Stabilise and bind
Ban Xia Descends rebellious qi, drains damp, assists Chai Hu and Huang Qin
Mu Li Heavy. Settles and calm the spirit
Ren Shen
Da Huang Drains heat YangMing
Sheng Jiang
Da Zao
Problems affecting Three Yang Channels (TY, YM, SY). Not always all three. XCHT presentation with strong
emotional. (XCHT – Gan Cao). Strong formula for robust people. Sometimes Da Huang taken out because too
strong. Chest fullness, irritability, delirious speech, heavy body, tai yang, easily started, can’t rotate
Regulate
Sheng Jiang 6
E Jiao 6 Yin and blood tonic. (Non animal substitute potentially Gou Qi Zi)
Ban Xia 6
Chong & Ren deficient Cold, Blood Stasis. Commonly used. Warm the blood, move the blood, nourish yin. Goes to
the stomach. Chong and ST have a connection. Not for abdo masses due to blood stasis from excess. Mild,
persistent uterine bleeding, irregular menstruation, dark blood, extended flow, bleeding between periods, cold
and pain in lower abdo, infertility.
Gui Zhi Fu Ling Wan
Gui Zhi 9-12 Warms. Can balance formula according to hot or cold
Fu Ling 9-12
Shao Yao 9-15 Adaptogenic.
Mu Dan Pi 9-12 Moves blood, cools
Tao Ren 9-12 Moves blood
Abdominal Masses. Number 1 for cysts, masses, fibroids. Moves blood but also deals with fluids. Resistance,
tenderness in lower abdomen on palpation, mass soft, moveable, painful to touch, heat plus cold signs, blood
stasis signs. Caution during pregnancy.
w
i
n
d
Tian Ma Gou Teng Yin
Tian Ma 9 Descending
Chuan Niu Xi 12 Move blood and nourish KID
Pacify and extinguish internal wind
Dryness injury to fluids. Lung and ST fluids depleted. Warm heat attack when LU and ST already deficient. Hacking,
dry cough, scanty sputum, fever, dry throat, thirst. Not for excess heat
Bai He Gu Jin Tang
Bai He 4.5 Calming. Vegetarian hot and sour soup for insomnia
Enrich yin and
5)
Hou Po jiang chao 90 (9-12) Regulate qi. Moves qi, warming. When prepared with ginger – directs qi downwards
stomach
Chen Pi 60 (9-12) Regulate qi and harmonise ST. Assists Hou Po in descending qi and eliminating distension
Zhi Gan Cao 30 (3-6) Tonify SP, augment qi, harmonise other herbs
Ginger, dates Mildly harmonise SP and ST
Damp stagnating in MJ. Key symptom: Thick, white, greasy tongue coat. Cold damp/phlegm. Guide out obstruction
and open the qi dynamic. Dries damp, moves SP qi, harmonises ST. Distension, fullness, no appetite, heavy limbs,
fatigue, loose stools N/V. Not yin/blood xu.
Er Miao San
Expel damp
Huang Bai chao 9-12 Bitter, cooling, eliminates heat form LJ and dries dampness
Clear heat
Cang Zhu Zhi 6-9 Bitter, warm, focus on MJ. Addresses damp at its root. Dries damp to free up the SP and
warms SP to promote T&T
LJ Damp Heat. Pain in extremities, lower back, leg atrophy, red hot, swollen painful feet or knees. Add to other
formulas: Sheng Mai San/SJZT: qi xu. SWT: blood xu. Not for LU heat or LIV/KD xu. Si Miao San: add Yi Yi Ren and
Niu Xi. Atrophy, severe weakness, painful feet
Wu Ling San
Promote urination
Ze Xie 15 Leach damp and promote urination. Cooling to clear heat from constraint
Fu Ling 9 Assists eliminate damp. Tonifies SP
Zhu Ling 9 Assists eliminate damp. Tonifies SP
Bai Zhu 9 Assists SP T&T
Gui Zhi (or Rou 6 Warms Mingmen fire to assist KD and BL to transform fluids. Expel cold pathogens from the
Gui) surface
Strengthen SP, warms yang. Promotes water metabolism for excess damp and regulates qi. Headache, fever,
irritability, strong thirst, vomiting fluids, oedema, diarrhoea, SOB, cough, urinary difficulty
Er Chen Tang
Dry damp, transform
Formulas that dispel
Ban Xia 15 Drains damp, expels phlegm, descends ST qi, reduces distention, thirst w/o desire to drink
Chen Pi 15 Regulate qi, revives SP, activates MH, dries damp
Fu Ling 9 Drain fluids, strengthen SP
phlegm
phlegm
Bao He Wan
Shan Zha 9 meat, fats. Even just as tea alone
Redcue food stagnation