Source: Book to Safeguard Life Arranged According to Pattern (1108)
Category: Formulas that Release the Exterior
Pattern: One to two day old Wind-Cold disorder
Key Symptoms: Headache, neck pain, upper and lower back pain
Tongue: Thin white coat
Pulse: Floating
Ingredients
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Cong Bai
| 9-12g | |
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Pinyin: Cong Bai
Chinese: 葱白
Pharmaceutical: Bulbus Allii
English: Spring Onion / Green Onion / Scallion / Fistular Onion Stalk |
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Tastes: Pungent, warm
Meridians Entered: Lung and Stomach |
Actions & Indications:
- Releases the exterior and induces sweating
Wind-Cold especially very early stages
- Disperses Cold and unblocks Yang
Abdominal pain due to blockage of Yang Qi by Cold
Nasal congestion and pain due to blockage of Yang Qi by Cold
- Relieves toxicity and disperses clumps
Toxic sores and abscesses (topical)
- Kills parasites
Abdominal pain due to Intestinal parasites
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Standard Dosage: 3-10g in decoction.
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Dan Dou Chi
| 12-30g | |
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Pinyin: Dan Dou Chi
Chinese: 淡豆豉
Pharmaceutical: Semen Sojae Preparatum
Taxonomy: Glycine max
English: Fermented Soybean |
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Tastes: Pungent, bitter and cool
Meridians Entered: Lung and Stomach |
Actions & Indications:
- Releases the Exterior
Wind-Cold or Wind-Heat
Yin Deficiency with superimposed Exterior disorders
- Eliminates irritability, harmonizes the Middle Jiao and relieves stuffy sensations in the chest
Irritability, restlessness, insomnia, stifling sensations in the chest and insomnia following a febrile disease
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Standard Dosage: 10-15g in decoction.
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Ma Huang
| 6-9g | |
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Pinyin: Ma Huang
Chinese: 麻黄
Pharmaceutical: Herba Ephedrae
Taxonomy: Ephedra sinica seu intermedia seu equisetina
English: Ephedra Stem / Joint Pine / Joint Fir / Mormon Tea / Brigham Tea |
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Tastes: Pungent, slightly bitter, warm
Meridians Entered: Lung and Bladder |
Actions & Indications:
- Induces sweating and releases the Exterior
Taiyang Stage Wind-Cold Invasion of the Lung, with anhidrosis, chills, fever, headache and a tight, floating pulse
- Disseminates and facilitates Lung Qi, calms wheezing and stops coughing
Wind-Cold Obstructs Lung Qi
- Promotes urination and reduces oedema
Externally generated oedema
- Warms and disperses Cold pathogens
Wind-Cold Bi
Cold extremities (Reynaud's disease)
- Breaks up concretions, firmness, accumulations and gatherings (Shen Nong Ben Cao Jing)
Yin sores that are firm, deeply rooted and without a head
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Standard Dosage: 1.5-9g in decoction to release the exterior, and 10-15g for the treatment of oedema. Maximum dose is 20g. Toxic dose is considered to be 30-45g but side effects and risks are possible at any dosage.
Cautions: It is prohibited to be used for patients with deficient dyspnea without blockage of the lung qi and should be used with caution for patients with hypertension and insomnia because ephedrine can stimulate central nervous system and raise blood pressure. The Shang Han Lun recommends removing the nodes and decocting Ma Huang first, scooping the foam from the top of the decoction. It has been argued this is to reduce the "vexing" effects although the efficacy of this is debated and rarely done today.
It should not be used in conjunction with MAOIs, central nervous system stimulants, alkaloids ergotamines and xanthines enhancing their effects by acting as a receptor level agonist.
In the UK the maximum daily dose permitted without prescription is 1.8g daily in three 0.6g doses. This makes it difficult to achieve a pharmacologically active effect and must be complemented with other herbs that release the exterior and expel Wind-Cold such as Gui Zhi, Jing Jie, Fang Feng and Zi Su Ye.
Huang Hua Zi (Sida cordifolia), more common in Ayurveda where it is known as Bala बला, also contains ephedrine at lower concentrations and has no legal restrictions placed on it by the UK MHRA. It is considered more cooling, Heat clearing and Damp draining without Exterior Releasing properties in Chinese medicine so best used as a substitute in Warm Diseases, especially Damp-Warm Disease, or supplemented with increased warm Exterior Releasing herbs like those described above. |
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Ge Gen
| 6-12g | | |
Pinyin: Ge Gen
Chinese: 葛根
Pharmaceutical: Radix Puerariae
Taxonomy: Pueraria lobata
English: Kudzu Vine Root |
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Tastes: Sweet, pungent, cool
Meridians Entered: Lung, Spleen and Stomach |
Actions & Indications:
- Discharges Exterior conditions and releases the muscles, especially of the neck and upper back
Wind-Heat or Wind-Cold lodged in the muscles of the upper back and neck
- Relieves Heat and generates fluids (relieves thirst)
Thirst due to Stomach Heat or Wind-Heat or Wasting and Thirsting
- Vents and discharges measles
Measles with incomplete expression of the rash
- Raises Spleen Yang and stops diarrhoea
Diarrhoea or dysentery due to Heat
Diarrhoea due to Spleen Deficiency (with appropriate herbs)
- Lowers blood pressure
Hypertension symptoms such as headache, dizziness, tinnitus or paresthesia
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Standard Dosage: 3-10g in decoction.
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Subsitutions:
In the UK Ma Huang is limited to a maximum single dose of 0.6g or a maximum daily dose of 1.8g. It may be complemented with other warm exterior releasing herbs such as Gui Zhi, Jing Jie, Fang Feng, Qiang Huo or Zi Su Ye.
Preparation: Decoction.
Actions: Unblocks the Yang Qi in the Exterior, expels Wind-Cold and induces sweating
Research Links:
Reference Notes: (click to display)
Most formulas are found in Scheid, Bensky, Ellis & Barolet (2009): Chinese Herbal Medicine: Formulas & Strategies and Chen & Chen (2015) Chinese Herbal Formulas and Applications. Others are from translations of primary sources. It is recommended that the original material is cross-referenced for mistakes and additional information.
Substitutions have been taken from Ken Lloyd & Prof. Leung (2004): Mayway UK Substitution List or the above publications and are intended as suggestions to help navigate the tight restrictions in the UK quickly. More applicable substitutions may be appropriate in specific situations.
Individual herb information has initially been sourced from TCM Wiki and American Dragon for basic data and then updated manually with my own notes.
These pages are intended to assist clinicians and are not intended for self-diagnosis or treatment for which a qualified professional should be consulted.