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II. Cheng Qi Tang Formulas These formulas mostly originate from the Shang Han Lun; the representative formula, Da Cheng Qi Tang, is composed of Da Huang, Mang Xiao, Zhi Shi, and Hou Po, used to treat Yangming腑 syndromes characterized by fullness, discomfort, dryness, and hardness. From a modern medical perspective, this formula, with appropriate adjustments, can treat all acute abdominal conditions, including appendicitis, intestinal obstruction, cholecystitis, pancreatitis, and more. Removing Mang Xiao from Da Cheng Qi Tang forms Xiao Cheng Qi Tang (from the Shang Han Lun), used to treat chest and abdominal fullness, with a yellowish, old tongue coating and a slippery, rapid pulse. Removing Zhi Shi and Hou Po from this formula and adding Gan Cao forms Tiao Wei Cheng Qi Tang (from the Shang Han Lun), used to treat abdominal pain that is resistant to pressure, with a yellowish, old tongue coating and a slippery, rapid pulse. Removing Mang Xiao from this formula and adding Qiang Huo forms San Hua Tang (from Living Methods Essentials), used to treat stroke, with bowel movements blocked in the diaphragm. Removing Zhi Shi and Hou Po from this formula and adding Lian Qiao, Huang Qin, Mint, and Shan Zhi forms Liang Ge San (from the Bureau’s Formula), used to treat lung and stomach heat, with symptoms such as chest and diaphragm heat, dry stools, coughing up blood, sores on the tongue, yellow tongue coating, and a rapid pulse. Removing Zhi Shi, Hou Po, and Gan Cao from this formula and adding Gan Sui forms Da Lie Xiong Tang (from the Shang Han Lun), used to treat large chest congestion, with symptoms such as fullness and pain from the heart down to the lower abdomen, impossible to approach, and hard stools. Practical Internal Medicine Integrating Chinese and Western Medicine
Dryness and constipation, dry mouth, and a slight feeling of heat. Adding Da Lie Xiong Tang with Platycodon, Almond, and honey as pills forms Da Lie Xiong Wan (from the Shang Han Lun), treated similarly to Da Lie Xiong Tang, though its effects are milder, suitable for cases where the onset of the condition is slower. Adding Tao Ren and Gui Zhi to Tiao Wei Cheng Qi Tang forms Tao Ren (Nucleus) Cheng Qi Tang, used to treat bladder congestion, with symptoms such as sudden fullness in the lower abdomen, a person acting wildly, spontaneous urination, and bloody stools.
III. Xie Xin Tang Formulas
Xie Xin Tang originates from Jin Kui Yao Lü, composed of Da Huang, Huang Lian, and Huang Qin, used to treat various lesions caused by excessive internal fire, such as high fever, constipation, red urine, a yellow, thick, greasy tongue coating, a rapid pulse, heat in the chest, jaundice, vomiting blood, nosebleeds, and boils and abscesses. From a modern medical perspective, this formula is suitable for various infections, treatment of boils and ulcers, sepsis, cholecystitis, pancreatitis, pelvic inflammatory disease, dysentery, and is also suitable for aplastic anemia, leukemia, thrombocytopenic purpura, as well as hypertension, gastric ulcers, chronic gastritis, and other conditions. In recent years, reports from various regions indicate that this formula is particularly effective for upper digestive tract bleeding. Adding Zhi Ke and Mu Xiang to this formula forms Dan Dao Pai Shi Tang No. 2 (Dalian Medical College), used to treat gallstones and cholecystitis. Adding Zhi Shi, Bai Zhu, Ling Qiong, and Ze Xie forms Zhi Shi Dao Chi Tang (Li Dongyuan), used to treat damp-heat blockage in the gastrointestinal tract, with symptoms such as red and white diarrhea. Adding Fuzi to this formula forms Fuzi Xie Xin Tang (from the Shang Han Lun), used to treat chest fullness and discomfort, chills and sweating. Removing Da Huang from this formula and adding Dang Shen, Gan Jiang, Ban Xia, Da Zao, and Gan Cao forms Ban Xia Xie Xin Tang (from the Shang Han Lun), used to treat cold and heat accumulating in the gastrointestinal tract, with clinical symptoms such as chest fullness and discomfort, nausea and vomiting, intestinal rumbling and diarrhea. Increasing the dosage of Gan Cao in Ban Xia Xie Xin Tang forms Gan Cao Xie Xin Tang (from the Shang Han Lun), used to treat vomiting and chest fullness, intestinal rumbling and diarrhea, poor appetite, and restlessness. Reducing the dosage of Gan Jiang and adding Ginger forms Ginger Xie Xin Tang (from the Shang Han Lun), used to treat vomiting and chest fullness, intestinal rumbling and diarrhea, and a feeling of choking while eating. Removing Da Huang from Xie Xin Tang and adding Gegen and Gan Cao forms Gegen Huang Qin Huang Lian Tang (from the Shang Han Lun), used to treat sweating and wheezing, with body heat and diarrhea. Removing Da Huang from Xie Xin Tang and adding Huang Bai and Zhizi forms Huang Lian Jie Du Tang (from the Outer Hospital Secret Records), used to treat heat toxicity, such as boils, ulcers, scarlet fever, and all cases where heat accumulates and causes toxicity. In recent years, Japanese scholars have reported that this formula is highly effective in treating senile dementia. Removing Da Huang from Xie Xin Tang and adding Huang Bai, Xiang Chi, Zhizi, Ma Huang, and raw gypsum forms Gypsum Tang (from the Outer Hospital Secret Records), used to treat exterior symptoms turning inward and heating up, with symptoms such as headache without sweating, fever and chills, thirst and a flushed face, and restlessness. Removing Da Huang from Xie Xin Tang and adding Ban Lan Gen, Yuan Shen, Niu La Zi, Ma Bo, Lian Qiao, Chen Pi, Gan Cao, Jiang Chang, Chai Hu, Mint, Jue Jing, Sheng Ma, and others forms Pu Ji Xiao Du Yin, used to treat malaria, parotitis, and other cases where heat toxins accumulate in the head and face—known to be particularly effective against epidemic parotitis.
Section Four: Si Jun Zi and Si Wu Tang
This group of formulas refers to a series of formulas derived from the Si Jun Zi Tang and Si Wu Tang, adjusted and modified as needed. Both formulas originated from the He Ji Ju Fang, with Si Jun Zi tonifying qi and Si Wu Tang nourishing blood and regulating blood—both are essential formulas for strengthening the body and reinforcing the foundation. Sometimes, these two formulas are used alone, forming a series of qi-tonifying and blood-nourishing agents; other times, they are combined to create formulas that tonify both qi and blood. In summary, these formulas are an important series in traditional Chinese medicine for strengthening the body and reinforcing the foundation.
I. Si Jun Zi Tang Formulas
Si Jun Zi Tang is a famous formula from the Bureau’s Formula, used to treat spleen and stomach qi deficiency, with clinical manifestations such as pale complexion, poor appetite, fatigue, and a feeling of lacking energy. This formula serves as a foundational treatment for traditional Chinese medicine for treating cold-deficiency syndromes of the spleen and stomach. From a Western medical perspective, this formula, with appropriate adjustments, can treat all chronic gastrointestinal disorders—including ulcers, atrophic gastritis, colitis, chronic dysentery, and more—but it can also treat anemia, neurasthenia, hair loss, and other conditions related to overall bodily dysfunction. Si Jun Zi Tang, with added Ban Xia and Chen Pi, forms Liu Jun Zi Tang (from Medical Correct Transmission), used to treat spleen and stomach cold deficiency, with chest and diaphragm fullness. Si Jun Zi Tang, with added Chen Pi, forms Yi Gong San (from Children’s Medicine Direct Test), used to treat spleen and stomach cold deficiency, with a lack of appetite. Si Jun Zi Tang, with added Chen Pi, Ban Xia, Mu Xiang, and Sha Ren, forms Xiang Sha Liu Jun Zi Tang (from the Bureau’s Formula), used to treat spleen and stomach weakness, with abdominal pain. Si Jun Zi Tang, with added Bian Dou, Huang Qi, Chen Pi, and Chai Hu, forms Liu Shen San (from the He Ji Ju Formula), used to treat spleen and stomach qi deficiency, dampness in the middle burner, with clinical symptoms such as pale complexion, poor appetite, fatigue, a feeling of lacking energy, abdominal fullness, intestinal rumbling and diarrhea. Si Jun Zi Tang, with added Dang Gui, Yuan Rou, Mu Xiang, Yuan Zhi, and Suo Zao Ren, forms Shen Ling Bai Zhu San (from the He Ji Ju Formula), used to treat spleen and stomach qi deficiency, dampness in the middle burner, with clinical symptoms such as pale complexion, poor appetite, fatigue, a feeling of lacking energy, palpitations, forgetfulness, insomnia, and frequent dreams. Removing Ling Qiong from Si Jun Zi Tang and adding Dang Gui, Huang Qi, Chen Pi, Sheng Ma, and Chai Hu forms Bu Zhong Yi Qi Tang (from the Spleen and Stomach Discussion), used to treat insufficient middle qi, with symptoms such as pale complexion...
Ling Qiong, poor appetite, fatigue, a feeling of lacking energy, or accompanied by spontaneous sweating, thirst and a preference for warm drinks, headache and fear of cold, a weak, large pulse; or accompanied by vomiting blood, nosebleeds, bloody stools, or blood in the urine. Bu Zhong Yi Qi Tang, removing Dang Gui and adding Mu Xiang, replacing Bai Zhu with Cang Zhu, forms Tiao Zhong Yi Qi Tang (from the Spleen and Stomach Discussion), used to treat insufficient middle qi, dampness in the spleen and stomach, and a feeling of fullness and fatigue due to stagnant qi. Bu Zhong Yi Qi Tang, with added Mai Dong, Cang Zhu, Huang Bai, and fried Shen Qu, forms Huang Qi Ren Shen Tang (from the Spleen and Stomach Discussion), used to treat summer heat, when the body is overly exposed to heat, and when heat damages vital qi, causing fatigue, sluggishness, fever, loss of appetite, and excessive sweating. Bu Zhong Yi Qi Tang, removing Sheng Ma and adding Ban Xia, Qiang Huo, Du Huo, Bai Shao, Fang Feng, Ling Qiong, Ze Xie, and others, forms Sheng Yang Yi Wei Tang (from the Lan Shi Secret Archives), used to treat spleen and stomach qi deficiency, with abdominal discomfort and pain in the limbs. Adding Musk, Chen Sha, Yam, and Jue Jing to Gui Zhi Tang forms Miao Xiang San (from the He Ji Ju Formula), used to treat heart qi deficiency, unstable willpower, palpitations and fear, and unpredictable mood swings. Adding Mai Dong and Wu Wei Zi to Gui Zhi Tang forms a formula effective for treating low blood pressure.
II. Si Wu Tang Formulas
Si Wu Tang is a famous formula from the Bureau’s Formula, composed of Dang Gui, Bai Shao, Chuan Xiong, and Shu Di, used to treat blood deficiency and imbalance in the Chong and Ren meridians. Clinically, this formula is often used to treat women’s menstrual irregularities, abdominal pain in the navel, menorrhagia and metrorrhagia, blood clots and masses, pale complexion, pale tongue coating, and a deep, fine pulse. From a Western medical perspective, this formula has a wide range of clinical applications—it can be used for menstrual irregularities, uterine fibroids, ovarian cysts, old ectopic pregnancies, and is also useful for treating liver diseases, coronary heart disease, skin conditions, and trauma. Adding A Jiao, Ai Ye, and Gan Cao to Si Wu Tang forms Jiao Ai Tang, used to treat maternal and fetal hemorrhages. Adding Tao Ren and Hong Hua, replacing Bai Shao with Red Bai Shao, forms Tao Hong Si Wu Tang (from Medical Canon Golden Mirror), used to treat blood deficiency and blood stasis, widely applicable for trauma, obstetric and gynecological masses, menstrual disorders, amenorrhea, dysmenorrhea, retained placentas, incomplete expulsion of the placenta, and prolonged lochia. Adding Zhimu and Huang Bai to Si Wu Tang forms Zhimu Huang Bai Tang (from Diagnosis and Pulse Treatment), used to treat blood deficiency combined with yin deficiency and fire excess; this formula uses honey as a pill, forming Kan Li Wan, with effects similar to herbal decoctions, though the medicinal effect is slower. Adding Ai Ye and Xiang Fu to Si Wu Tang forms A Ye Fu Nuan Gong Wan (from Direct Guidance), used to treat blood deficiency combined with cold uterus, long-term infertility. Adding Da Huang, Mang Xiao, and Gan Cao to Si Wu Tang forms Yu Zhu San, used to treat amenorrhea and abdominal pain with resistance to pressure, with six strong pulses. Si Wu Tang...
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Input: Tang qu shu di, bai shao, named Fushou San (from "Shi Ben Fang"), treats women's blood deficiency-induced colds, fetal movement with bleeding, and fetal death in the womb. Adding Si Wu Tang with Si Jun Zi Tang results in the name Ba Zhen Tang (from "Dan Xi Xin Fa"), which treats both qi and blood deficiency and dual deficiency of ying and wei; further adding Huang Qi and Rou Gui gives rise to Shi Quan Da Bu Tang (from "Ju Fang"), which provides a stronger effect in replenishing both qi and blood.
Adding Si Wu Tang with Tao Ren, Hong Hua, Niu Xi, Chai Hu, Zhi Ke, Jie Jing, and Gan Cao creates Xue Fu Zhu Yu Tang (from "Yi Lin Gai Cuo"), primarily treating upper-jiao blood stasis, characterized by symptoms such as headache, chest tightness, heat in the chest, irritability, palpitations, insomnia, and hiccups with dry vomiting. This formula is widely used today, and Western medical diagnoses like migraine, dizziness, headaches, tinnitus, and coronary heart disease can all benefit from its treatment. It can also be used to treat neurasthenia, pelvic inflammatory disease, and fever of unknown cause. Adding Tao Ren, Hong Hua, Yuan Hu, Wu Ling Zhi, Gan Cao, Wu Ya, Zhi Ke, Dan Pi, and Xiang Fu creates Ge Xia Zhu Yu Tang (from "Yi Lin Gai Cuo"), which treats blood stasis under the diaphragm, causing masses in the flank area that are persistent and unrelenting. Adding Pu Huang, Wu Ling Zhi, Yuan Hu, Mo Yao, Gan Jiang, Rou Gui, and Xiao Hui Qian creates Shao Fu Zhu Yu Tang (from "Yi Lin Gai Cuo"), which treats blood stasis in the lower abdomen, causing abdominal pain during menstruation. Removing Sheng Di and Dang Gui from Si Wu Tang and adding Tao Ren, Hong Hua, Mo Yao, Wu Ling Zhi, Gan Cao, Di Long, Qin Tiao, Xiang Fu creates Shen Tong Zhu Yu Tang (from "Yi Lin Gai Cuo"), which treats qi and blood stagnation, accompanied by intermittent pain and generalized body aches. Removing Sheng Di from Si Wu Tang and adding Tao Ren, Hong Hua, Di Long, Huang Qi creates Bao Yang Huan Wu Tang (from "Yi Lin Gai Cuo"), which treats facial asymmetry, hemiplegia, drooling at the corners of the mouth, and slurred speech. Removing Sheng Di and Dang Gui from Si Wu Tang and adding Hong Hua, Jiang Xiang, Dan Shen creates Sheng Hua Tang (from "Fu Qing Zhu", which treats postpartum coldness and blood stasis due to internal obstruction, often seen in postpartum women in Jiangnan). Removing Sheng Di from Si Wu Tang and adding Dang Shen, Mai Dong, Gui Zhi, A Jiao, Dan Pi, Sheng Jiang, Ban Xia, and Gan Cao creates Wen Jing Tang (from "Jin Kui Yao Lü"), which treats deficiency of Chong and Ren, blood stasis, and clinical symptoms such as menstrual irregularities, delayed periods, or prolonged menstrual cycles, along with cold pain in the lower abdomen and difficulty conceiving despite long-term attempts. Additionally, it can treat fever that occurs in the evening, hot palms, and dry lips and mouth.
Section 5: The Six-Flavor Rehmannia Decoction Series
First came the Shen Qi Wan, originating from "Jin Kui Yao Lü," composed of Sheng Di, Shan Ju Yu, Shan Yao, Dan Pi, Fu Ling, Ze Xie, Fu Zi, and Gui Zhi—this was the Six-Flavor Rehmannia Decoction with added Fu Gui. During the Five Dynasties period, the renowned pediatrician Qian Yi removed the Gui and Fu from this formula and renamed it the Six-Flavor Rehmannia Decoction, then modified it based on the original formula.
Chinese-Western Integrated Practical Internal Medicine
Through these modifications, a series of formulas emerged, each focusing primarily on tonifying the kidneys.
I. Formulas Based on the Six-Flavor Rehmannia Decoction
This chapter is prepared for online research and reading; for external materials, please align with original publications and the review process.