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Herbs and Formulas that Drain Downward
Purgatives
da huang - Radix et Rhizoma Rhei
Bitter, cold
SP, ST, LI, LR, HT
Purge accumulations downward
Purge fire
Clear heat, eliminate toxins
Move blood, remove stasis
Clear damp-heat, promote urination
5-10g
mang xiao - Natrii Sulfas
Salty, bitter, cold
LU, ST, LI
Purge excess, soften hardness
Clear heat, sedate fire
10-15g
fan xie ye - Folium Sennae
Sweet, bitter, cold
LI
Purge downward, clear heat
1.5 - 3g
lu hui - Aloe
Bitter, cold
LR, LI
Purge downward
Clear LR fire
Kill parasites
0.6 - 1.5g
Moist Laxatives
huo ma ren - Fructus Cannabis
Sweet, neutral
SP, ST, LI
Lubricate intestines
Moisten dryness
10-15g
yu li ren - semen pruni
Acrid, Bitter, Sweet, Neutral
SP, LI, SI
Moisten intestines, relieve constipation
Regulate water, reduce swelling
5-10g
Hash Expellants
gan sui - Radix Euphorbiae Kansui
Bitter, sweet, cold
LU, KI, LI
Purge downward, eliminate water accumulation
Eliminate phlegm
0.5-1.0g
da ji - Radix Euphorbiae seu Knoxiae
Bitter, acrid, cold
SP, KI, LI
Purge downward, eliminate water accumulation
Reduce swelling, disperse nodules
1.5-3g
yuan hua - Flos Genkwa
Acrid, bitter, warm
LU, KI, LI
Purge downward, eliminate water accumulation
Eliminate phlegm, relieve cough
Kill parasites, drain abscesses
Stop pain
1.5-3g
Formulas that Purge Heat Accumulation
Da Cheng Qi Tang - Major Order the Qi Decoction
Chief: (12) Da Huang - cleanse heat from ST, Intestines, purge downward
Deputy: (9-12) Mang Xiao - soften stool
Assistant: (12-15) Zhi Shi - dissipate clumps and distention
Assistant: (24) Huo Po - relieve qi fullness
Excess heat causing constipation
Purge heat accumulation
Xiao Cheng Qi Tang - Minor Order the Qi Decoction
= Da Cheng Qi Tang - Mang Xiao
Chief: (12) Da Huang - cleanse heat from ST, Intestines, purge downward
Deputy: (6) Huo Po - relieve qi fullness
Deputy: (6-9) Zhi Shi - dissipate clumps and distention
Moderate purge of clumped heat
constipation, abdominal pain not worse with pressure, dirty tongue
Tiao Wei Cheng Qi Tang - Regulate the Stomach and Order the Qi Decoction
Chief: (12) Da Huang - cleanse heat from ST, Intestines, purge downward
Deputy: (6) Gan Cao - harmonize ST
Assistant: (9-12) Mang Xiao - soften stool
Mild constipation, no distention
Also, nosebleed, swollen gums/throat from heat in ST/Intestines
Formulas that Moisten the Intestines and Unblock Bowels
Ma Zi Ren Wan - Hemp Seed Pill
Chief: (500-600) Huo Ma Ren - moisten intestines, unblock bowels
Deputy: (150-250) Xing Ren - direct qi down, unblock bowels
Deputy: (150-250) Bai Shao Yao - nourish yin, harmonize interior
Assistant: (150-250) Zhi Shi - break up accumulation
Assistant: (150-250) Huo Po - remove distention
Assistant: (300-500) Da Huang - purgative
Honey - added to make pills and as mild laxative
Constipation from deficiency heat
Moisten intestines
Drain Heat
Promote Movement of Qi
Unblock Bowels
Run Chang Wan - Moisten the Intestines Pill from Master Shen‘s Book
Chief: (15) Huo Ma Ren - moisten intestines, unblock bowels
Chief: (9) Tao Ren - moisten intestines, unblock bowels
Deputy: (9) Dang Gui - nourish blood, moisten intestines
Assistant: (30) Sheng Di Huang - nourish yin
Assistant: (9) Zhi Ke - laxative and protectant
Constipation from desiccated (dry) Intestines (blood/yin/fluid def.)
Moisten intestines, unblock bowels (mild)
Ji Chuan Jian - Benefit the River [Flow] Decoction
Chief: (6-9) Rou Cong Rong - warm and tonify KI yang, moisten intestines, unblock bowels
Deputy: (9-15) Dang Gui - nourish and harmonize blood, moisten intestines
Deputy: (6) Niu Xi - strengthen lower back and KI, direct to lower jiao
Assistant: (4.5) Ze Xie - drain turbid down from KI
Envoy: (3) Zhi Ke - relax intestines, direct qi down
Envoy: (1.5-4) Sheng Ma - raise clear yang to push down turbid yin
Constipation from KI yang and Qi or Blood/Fluid def.
Warm kidneys
Moisten Intestines, unblock bowels
Formulas that Warm Yang and Guide Out Accumulation
Da Huang Fu Zi Tang - Rhubarb and Prepared Aconite Decoction
Chief: (6-12) Fu Zi - warm yang, dispel cold
Deputy: (9) Da Huang - purge accumulation
Assistant: (6) Xi Xin - expel cold, disperse accumulation
Constipation from Cold accumulation
Warm interior, disperse cold
Unblock bowel, alleviate pain
Formulas that Drive out Excess Water
Shi Zao Tang - Ten-Jujube Decoction
Gan Sui - expel fluid and damp from channels
Jing Da Ji - drain damp from organs
Yuan Hua - eliminate fluid from chest and hypochondria region
(10 p) Da Zao - tonify Qi, harmonize ST
Congested fluids in the chest and hypochondriac region causing cough, SOB and pain
Purge and drive out congested fluids
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