Introduction to Formulas
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Review of Treatment Principles
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1 Theory (pattern) -> (treatment) Strategy -> Formulas -> Substances
2 Root (Normal Qi imbalance/Etiology/Primary Underlying Disorder/Internal) and Branch/Manifestation (Pathogenic Qi/Symptoms/Secondary Complication/External)
Rules of treatment:
1. Acute condition treat Branch
2. Chronic condition treat Root
3. In practice both at same time
3. Choice of herbs with properties opposite of true disease even if apparently similar to prevalent symptoms
4. Different treatments for same diseases and same treatment for different diseases
5. Treatment based on patient's and surroundings' environment
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Categorization of Formulas
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18 Categories (based on Wang's original 22)
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1. Release Exterior
2. Clear Heat
3. Drain Downward
4. Harmonize
5. Treat (Moisten) Dryness
6. Expel Dampness
7. Warm Interior cold
8. Tonify
9. Regulate the Qi
10. Invigorate the Blood
11. Stop Bleeding
12. Stabilize and Bind
13. Calm the Spirit
14. Expel Wind
15. Open the Orifices
16. Treat phlegm
17. Reduce Food Stagnation
18. Expel Parasites
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Principles of Formula Writing
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Hierarchy
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1. King/Principal/Chief
Primary herbal treatment on condition
Exerts the major effect against on condition
Can never be left out of formula
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2. Minister/Associate/Deputy
Aid king herb in treating main condition
Directly address a secondary condition
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3. Adjuvant/Assistant
Reinforce the action of the king or minister herbs
Reduce toxicity of king and/or minister
Oppose the king in treating serious illness
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4. Guide/Conductor/Envoy/Messenger
Direct action of formula to channel or area
Harmonize formula
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Modifications
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1. Change dosage of herbs in formula
2. Add or remove herbs to change scope of indications
3. Change method of preparation
4. Total change of action through herbal additions and subtractions
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