Development of TCM Internal Medicine

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Herbs that open the orifices
To open up the sensory orifices and awaken the spirit patient becomes delirious or even comatose, also treating turbid phlegm veling the sensory orifices To open up the sensory orifices and awaken the spirit patient becomes delirious or even comatose, also treating turbid phlegm veling the sensory orifices

Hot closed disorders Niu Huang, bing pian,
Cold closed disorders su he xiang, she xiang, shi chang pu
Contraindications Contraindications
pregnancy pregnancy

Herbs that extinguish wind stop tremors
Treat wind in the interior headache, dizziness, vertigo, blurred vision, tinnitus Treat wind in the interior headache, dizziness, vertigo, blurred vision, tinnitus

Substances that extinguish wind and stop tremors gou teng, tian ma, ci ji li, shi jue ming, di long, dai zhe shi, ling yang jiao, bai jiang can, quan xie, wu gong
Contraindications Contraindications

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Herbs that open the orifices
Aromatic substances that open the orifices
Niu Huang ?? ----------------------------------
-------------- she xiang ??, su he xiang
???, bing pian ??, shi chang pu ???
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Niu Huang ??
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Niu Huang ?? ( cool )
Pharmaceutical Name Bovis Calculus
Actions 1. Clears the heart, opens the orifices, awakens the spirit, and disloges phlegm
Actions 2. Clears the liver, resolves toxicity, extinguishes wind, and stops tremors
Actions 2. Drains heat and resolves fire toxicity
Actions
Indications ( Excess) Delirium or coma due to warm-heat
Indications ( Excess) Spasms, tremors, or convulsions with high fever
Indications ( Excess) Sores, carbuncles, boils, and a wide variety of hot swelling
Indications ( Excess)
Dosage 0.2- 0.5 g
Cook
Toxic Sym. Overdosage can cause diarrhea, and in severe case, low blood pressure
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Niu Huang ?? ( cool )
Contraindications Pregnancy
Combinations Combinations Combinations
Indications Formular
Huang Lian ?? Zhi Zi ?? Zhu Sha ?? Delirium and irritability due to blazing heat affecting the pericardium Niu Huang Qing Xin Wan ?????
Ru Xiang ?? Mo Yao ?? Abscess scrofula
Zhen Zhu ?? Yuan Zhi ?? DanNan Xing ??? Grand mal seizures
Qian Xie ?? Dan Nan Xing ??? Convulsions and impaired consciousness
Jin Yin Hua ??? Gan Cao ?? Sores, carbuncles, and boils

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She Xiang ?? ( warm )
Aromatic
Pharmaceutical Name Moschus
Actions 1.Vigorously opens the orifices, revives the spirit, and unblocks closed disorders
Actions 2. Invigorates the blood, dissipates clumps, reduces swelling and alleviate pain
Actions 3. Hastens delivery and facilitates the downward passage of stillborns
Indications ( excess ) Treating variety of problems that impair the consciousness, irrespective of whether it is associated with heat or cold
Indications ( excess ) Blood stasis including fixed palpable masses, toxin sores, and carbuncles
Indications ( excess ) Used in cases where the dead fetus or placenta fails to descend
Dosage 0.03 0.1 g
Cook
Toxic Sym. Ingestion of musk can cause ulceration and erosion of the oral and pharyngeal mucosa, nausea, vomiting, abdominal pain
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Shu He Xiang ??? ( warm )
Pharmaceutical Name Styrax
Actions 1. Opens the orifices and penetrates through turbidity to awaken the spirit
Actions 2. Opens up areas of constraint and clears away filth
Actions
Indications ( excess ) Closed disorder, phlegm collapse and epidemic toxic disease
Indications ( excess ) Stifling sensations, cold, fullness, and pain in the chest and abdomen
Indications ( excess ) Coronary artery disease and biliary colic
Indications ( excess )
Indications ( excess )
Dosage 0.3 1 g
Cook
Toxic Sym. None noted
Contrainications Pregnancy
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Bing Pian ?? ( Mildly Cold )
Pharmaceutical Name Borneolum
Actions 1. Opens the orifices, awakens the spirit, and unblocks closed disorders
Actions 2. Clears heat, drains fire, resolves toxicity, clears the eyes, removes superficial visual obstructions, and stops pain
Actions 3. Clears heat, alleviates pain, dissipates nodules, and alleviates itching
Indications ( escess ) Impaired consciousness, various types of fainting convulsions
Indications ( escess ) For heat leading to headache, red swollen eyes, and sores in the mouth
Indications ( escess ) Pain and swelling of the throat, skin disease,
Dosage 0.01 0.3 g
Cook
Toxic Sym. Allergic reaction burning sensation and pruritus, urticaria
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Shi Chang Pu ??? ( warm )
Aromatic
Pharmaceutical Name Acori tatarinowii Rhizoma
Actions 1. Opens the orifices, dislodges phlegm, removes filth, and quiets the spirit
Actions 2. Transforms turbid dampness, awakens the spleen, and promotes movement of qi
Actions 3. Promtes blood flow and reduces swelling
Indications ( def. ) Deafness, dizziness, dizziness, forgetfullness, a dulled sensorium, as well as seizures or stupor
Indications ( def. ) Chest and epigastric fullness and abdominal distention and pain due to dampnesss turbidity obstructing the milld Jiao
Indications ( def. ) Topically for wind-cold-damp painful obstruction, trauma, and sores
Dosage 3 9 g
Toxic Sym. B-Asarone carcinogenic, mutagenic, and chromosome damaging properties
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Herbs that extinguish wind stop tremors
Substances that extinguish wind and stop
tremors gou teng ??, tian ma ??, ci ji li
???, shi jue ming ???, di long ??, dai zhe shi
???, ---------------------------------------------
--------- ling yang jiao ???, bai jiang can
???, quan xie ??, wu gong ??
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Gou Teng ??
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Gou Teng ?? (slightly cold )
Pharmaceutical Name Uncariae Ramulus cum uncis
Actions 1. Extinguishes wind alleviates spasms
Actions 1. Drains liver heat pacifies liver yang
Actions 2. Releases the exterior
Actions
Indications ( Exc. def. ) Patterns of liver heat with internal stirring of liver wind tremors, seizures and eclampsia
Indications ( Exc. def. ) Liver fire ascendant liver yang patterns
Indications ( Exc. def. ) Exterior wind-heat fever, headache, red eyes
Dosage 6 15 g
Cook
Toxic Sym. None noted
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Gou Teng ??(slightly cold )
Contraindications Uwe with caustion in the absence of wind-heat
Combinations Combinations Combinations
Indications Formular
Tian Ma ?? Quan Xie ?? Convulsion
Shi Jue Ming ??? Eclampsia due to liver wind
Tian Zhu Huang ??? Huang Lian ?? Chan Tui ?? Seizures
Tian Ma ?? Ju Hua ?? Shi Jue Ming ??? Dizziness vertigo deu to liver wind Tian Ma Gou Teng Yin ?????
Xia Ku Cao ??? Long Dan Cao ??? Headache dizziness due to liver fire
Bo He ?? Chan Tui ?? Wind heat disease
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Tian Ma ??
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Tian Ma ?? ( Neutral )
Pharmaceutical Name Gastrodiae Rhizoma
Actions 1. Calms the liver, extingishes wind, and controls spasms and tremors
Actions 2. Extingishes wind alleviates pain
Actions 2. Disperses painful obstruction
Actions
Indications ( Exs. Def. ) Very important herb to treat internal stirring of liver wind headache, dizziness
Indications ( Exs. Def. ) Headache, dizziness, and migraine headache due to wind-phlegm
Indications ( Exs. Def. ) Wind-damp painful obstruction
Dosage 3 9 g
Cook
Toxic Sym. In very high dosage 80g flushed hot sensation , generalize weakness, headache
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Tian Ma ?? ( Neutral )
Contraindications None
Combinations Combinations Combinations
Indications Formular
Gou Teng ?? Calm the liver extinguish wind Tian Ma Gou Teng Yin ?????
Sang Zhi ?? Di Long ?? Wind-stroke
Quan Xie ?? Wu Gong ?? Shi Chang Pu ??? Childhood convulsions
Ban Xia ?? Bai Zhu ?? Chen Pi ?? Headache dizziness from wind-phlegm
Chuan Xiong ?? Migraines
Qin Jiao ?? Qiang Huo ?? Sang Zhi ?? Wind-damp painful obstruction
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Ci Ji Li ???
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Ci Ji Li ???( Neutral )
Pharmaceutical Name Tribuli Fructus
Actions 1. Calms the liver anchors the yang
Actions 2. Dreges the liver Qi to smooth its flow while dispersing constraint and clumbing
Actions 2. Dispels wind-heat brightens the eyes
Actions 3. Dispels wind stops itching
Indications ( Exc. def.) Headache, vertigo due to liver yang
Indications ( Exc. def.) Irregular menstruation, insufficient lactation from liver Qi Stag.
Indications ( Exc. def.) Red painful swollen eyes
Indications ( Exc. def.) Any kind of skin lesion
Dosage 6 15 g
Cook
Toxic Sym. Over dosage may cause general weakness, dizziness, nausea
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Ci Ji Li ???( Neutral )
Contraindications Pregnancy or blood def.
Combinations Combinations Combinations
Indications Formular
Bai Shao ?? Ju Hua ?? Dizziness unclear vision due to liver yang ascendant
Gou Teng ?? Niu Xi ?? Zhen Zhu Mu ??? Dizziness vertigo from hypertension
Chai Hu ?? Qing Pi ?? Xiang Fu ?? Pain distention in chest rib-area
Ju Hua ?? Jue ming Zi ??? Pain, red swelling eyes
Chan Tui ?? Fang Feng ?? Itchy skin due to wind heat

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Shi Jue Ming ???
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Shi Jue Ming ???(cold )
Pharmaceutical Name Haliotidis Concha
Actions 1. Drains liver fire anchors sedates the liver yang
Actions 2. Improves the vision causes superficial visual obstruction to recede
Actions 2. Increased gastric acidity
Actions
Indications ( Exc. def. ) Headache, dizziness red eyes due to liver fire
Indications ( Exc. def. ) Photophobia,pterygium or other superficial visual obstruction
Indications ( Exc. def. ) Gastric acidity
Indications ( Exc. def. )
Dosage 15 30 g
Cook
Toxic Sym. None noted
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Shi Jue Ming ???(cold )
Contraindications cold from Sp. Yang def.
Combinations Combinations Combinations
Indications Formular
Bai Shao ?? Sheng Di ?? Mu Li ?? Liver yang rising
Xia Ku Cao ??? HuangQi ?? Ju Hua ?? Liver fire with heat signs, dizziness
Ju Hua ?? Xia Ku Cao ??? Jue Ming Zi??? Eye redness, swelling, pain due to liver fire
Shu Di ?? Shan Zhu Yu ??? Impaired vision due to kidney yin def.
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Di Long ??
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Di Long ?? ( cold )
Pharmaceutical Name Pheretime
Actions 1. Drains heat, settles convulsions, extinguishes wind, stops spasms
Actions 2. Clears heat unblocks promotes movement in the channels collaterals
Actions 3. Clears heat calms wheezing
Actions 3. Clears heat promotes urination
Actions 3. Hypertention
Indications ( Exc def. ) High fever leading to oncoherent speech, convulsions seizures
Indications ( Exc def. ) Swollen painful joints with reduced range of motion
Indications ( Exc def. ) Wheezing
Indications ( Exc def. ) Hot painful urination
Dosage 4.5- 15 g
Cook
Toxic Sym. Over dosage headache, dizziness, palpitations, dyspnea
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Di Long ?? ( cold )
Contraindications Weak spleen stomach
Indications Formular
Gou Teng ?? Bai Jiang Can ??? Childhood adult convulsions seizures
Fang Ji ?? Qin Jiao ?? Ren Dong Teng ??? Hot painful obstruction
Quan Xie ?? Chi Shao ?? Niu Xi ?? Hemiplegia
Ma Huang ?? Xing Ren ?? Wheezing
Che Qian Zi ??? Mu Tong ?? Painful urinary dribbling
Huang Qin ?? Xia Ku Cao??? Shi Jue Ming ??? hypertention
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Dai Zhe Shi ???
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Dai Zhe Shi ??? ( cold )
Pharmaceutical Name Haematitum
Actions 1. Sedates anchors the liver yang clears liver fire
Actions 2. Strongly directs rebellious qi downward
Actions 3. Cools blood stops bleeding
Actions
Indications (Exs. Def. ) Dizziness headache, vertigo due to liver yang
Indications (Exs. Def. ) Belching, vomiting, hiccough
Indications (Exs. Def. ) Vomiting of blood and nosebleeds
Indications (Exs. Def. )
Dosage 9 30 g in decoctions ( crushed ) 1 3 g in pills powders
Cook
Toxic Sym. Long-term administration over 20 days bleeding of the gingiva and thrombopenic purpura
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Dai Zhe Shi ??? ( cold )
Contraindications pregency
Indications Formular
Niu Xi ?? Long Gu ?? Mu Li ?? Dizziness due to liver yang rising
Zhen Zhu Mu ??? Ci Shi ?? Hypertention due to liver yang or liver fire
Ban Xia ?? Xuan Fu Hua ??? Vomiting, hiccough
Zi Shi Ying ??? Chi Shi Zhi??? Continuous uterine bleeding

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Ling Yang Jiao ???( cold )
Pharmaceutical Name Saigae tataricae Cornu
Actions 1. Drains liver heat, calms the liver, extinguishes wind controls spasms convulsions
Actions 2. Calms the liver anchors the yang
Actions 2. Clears the liver improves the vision
Actions 3. Drains heat resolves fire toxicity
Actions 4. Clears damp-heat
Indications (Exc. Def. ) Childhood convulsion seizures
Indications (Exc. Def. ) Dizziness vertigo
Indications (Exc. Def. ) Swollen eyes, or photophobia due to blazing liver fire
Indications (Exc. Def. ) Wind-damp-heat painful obstruction
Dosage 1-3 g decocted by itself for at leat 2 hours or 0.3-0.6 g ground into a powder
Cook
Toxic Sym. Allergic reactions erythema, somnolence, tachypnae
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Bai Jiang Can ???( neutral )
Pharmaceutical Name Bombyx batryticatus
Actions 1. Extinguishes wind stops spasms and convulsion
Actions 2. Dispels wind, disperses wind-heat, and stops itching pain
Actions 2. Transforms phlegm, softens what is hard, dissipates nodules
Actions 2. Expels wind stops itching
Indications (Exc. Def. ) Childhood convulsions or facial paralysis
Indications (Exc. Def. ) Headache, red eyes, sore swollen throat due to wind-heat
Indications (Exc. Def. ) Phlegm nodules
Dosage 3 9 g in decoction 1 1.5 g in powder
Cook
Toxic Sym. None noted
Contraindications None noted
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Quan Xi ?? ( neutral )
Toxin
Pharmaceutical Name Scorpio
Actions 1. Extinguishes wind stops tremors convulsions
Actions 2. Tracks down wind, unblocks the collaterals, and stops pain
Actions 3. Attacks and resolves fire toxicity
Actions
Indications (Excess ) Spasms, acute or chronic childhood convulsion
Indications (Excess ) Stubborn headaches painful obstruction
Indications (Excess ) Toxic sores
Dosage 2 4.5 g in decoctions 0.6-1 g in powder
Cook
Toxic Sym. Itching of the abal and genital areas, urinary pain obstruction, headache, dizziness
Contraindications Pregnancy or blood def.
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Wu Gong ?? ( Warm )
Toxin
Pharmaceutical Name Scolopendra
Actions 1. Extinguishes wind stops spasms convulsion
Actions 2. Attacks toxin and dissipates noduls
Actions 3. Unblocks the collaterals stops pain
Actions
Indications (Excess) Acute chronic childhood convulsion
Indications (Excess) Sores, carbuncles, and neck lumps, snakebite
Indications (Excess) Stubbern headache
Dosage 1-3 g in decoctions 0.6-1 g in powder
Cook
Toxic Sym. Nausea, vomiting, headache, dizziness
Contraindications Pregnancy or blood def.