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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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