TCM: Guide to Formulas and Syndromes
by Dan Schalm R.Ac, R.TCMP
The outline of TCM formulas and TCM syndromes below was designed to
help students study for licensing exams in Traditional Chinese
Medicine.
Reports back to me indicated that this was a valuable
study tool, so I am posting it here for anyone to use. The content
is based on the book 'Advanced textbook on Traditional Chinese
Medicine and Pharmacology' published by New World Press. It still
remains a valuable reference to me.
After each herb (most of them) there is a number which refers to
the name of the formula as translated to English. Unfortunately,
those formulas, except the most popular ones like "Six Gentlemen
Decoction" are known to practitioners and students mostly by their
pinyin name, such as Liu Wei Di Huang Wan. However, the number was
placed so that students can refer to the actual name translation if
they wanted. The purpose of this outline was to translate the
formulas into a name that was easily recognized and condense the
book into an outline form.
1. COMMON COLD SYNDROME
A. Cold due to Wind-Cold
a) Cold due to external Wind Cold
Treatment Principle: Relieve exterior, promote LG dispersive function & eliminate Cold.
TCM Herbal Formula: [290] Cong Shi Tang (mild case); [197] (severe case)
B. Cold due to Wind-Heat
a) Cold due to Wind-Heat
Treatment Principle: Relieve exterior, disperse Heat & disperse Wind.
TCM Herbal Formula: [287] Yin Qiao San
b) Cold due to Summer-Heat
Treatment Principle: Relieve exterior, disperse Heat & eliminate dampness.
TCM Herbal Formula: [311] Jiao Wei Xiang Ru Xin
c) Cold due to Autumn Dry-Heat
Treatment Principle: Relieve exterior, disperse Heat & moisten.
TCM Herbal Formula: [256] San Xin Tang
C. Cold due to Weak Resistance
a) Cold due to Qi deficiency
Treatment Principle: Benefit Qi & relieve exterior syndrome.
TCM Herbal Formula: [189] Shen Su Yin; [73] Yu Ping Feng San (with spontaneous
sweating or as preventative with chronic qi deficiency)
b) Cold due to Yang deficiency
Treatment Principle: Assist Yang and relieve exterior syndrome.
TCM Herbal Formula: [192] Sheng Fu Jiu Ni Tang
c) Cold due to Blood deficiency
Treatment Principle: Nourish Blood & relieve exterior syndrome.
TCM Herbal Formula: [291] Cong Bai Qi Wei Yin; [327] (both Qi & Blood deficiency)
d) Cold due to Yin deficiency
Treatment Principle: Nourish Yin & relieve exterior syndrome.
TCM Herbal Formula: [114] Yu Zu Tang
TOP
2. COUGH SYNDROME
A. Cough Due to External Invasion
a) Cough due to Wind-Cold
Treatment Principle: To disperse Wind-Cold and release circulation of LU Qi.
TCM Herbal Formula: [145] Xin Su San; or if there is internal Heat; [272] Ma Xing Shi
Gan Tang; [23] Da Qin Long Tang
b) Cough due to Wind-Heat
Treatment Principle: To eliminate Wind, disperse Heat, promote the LU dispersive function and
resolve phlegm.
TCM Herbal Formula: [257] Sang Ju Yin
c) Cough due to dry-Heat
Treatment Principle: To disperse heat in LU, moisten dryness & check cough.
TCM Herbal Formula: [256] San Xin Tang
B. Due to Internal Damage
a) Attack of LU by phlegm damp
Treatment Principle: Invigorate SP, dry dampness, resolve phlegm & check cough.
TCM Herbal Formula: [3] Er Chen Tang
b) Invasion of LU by LV Fire
Treatment Principle: Disperse LV Heat, reduce Fire, moisten LU & resolve phlegm.
TCM Herbal Formula: [321] Dai Ha San
c) Cough due to LU Yin deficiency
Treatment Principle: Nourish Yin, disperse LU Heat, resolve phlegm & check cough.
TCM Herbal Formula: [150] Sha Sheng Mei Dong Tang
TOP
3. ASTHMA SYNDROME
A. Acute Phase
a) Asthma due to Cold phlegm
Treatment Principle: Warm LU, disperse Cold, dispel & warm phlegm & ease throat.
TCM Herbal Formula: [249] She Gang Ma Huang Tang; [33] Xiao Qing Long Tang
b) Asthma due to Heat phlegm
Treatment Principle: Promote LU dispersive function, disperse Heat, resolve phlegm, send
unhealthy Qi downward.
TCM Herbal Formula: [296] Xiao Ban Xia Tang
B. Remission Stage
a) LU deficiency
Treatment Principle: Invigorate LU & consolidate defensive Qi.
TCM Herbal Formula: [73] Yu Ping Feng San (with no asthmatic signs); [230] Gui Zhi
Huang Qi Tang (with some asthmatic signs)
b) SP deficiency
Treatment Principle: Invigorate SP & resolve phlegm.
TCM Herbal Formula: [55] Liu Jun Zi Tang; [190] Shen Ling Bai Zhu San (if with
dampness)
c) KD deficiency
Treatment Principle: Invigorate KD & improve reception of Qi.
TCM Herbal Formula: [182] Jin Gui Shen Qi Wan (KD Yang def.); [206] Ji Sheng Shen Qi
Wan (with mild edema in lower legs or dysuria); or with Yin deficiency [10]
Qi Wei Du Qi Wan; [141] Mei Wei Di Huang Wan
TOP
4. RETENTION OF PHLEGM & FLUID
SYNDROME
A. Excess TCM syndromes
a) Retention in Intestines & ST
Treatment Principle: Eliminate retained fluid with purgatives.
TCM Herbal Formula: [86] Gan Sui Ban Xia Tang (without Heat; VERY STRONG); [31] Ji
Jiao Li Huang Wan (with Heat; VERY STRONG)
b) Retention in the hypochondrium
Treatment Principle: Eliminate retained fluid with purgatives.
TCM Herbal Formula: [7] Shi Zao Tang (VERY STRONG)
c) Retention in chest (LU)
Treatment Principle: Warm LU & resolve phlegm.
TCM Herbal Formula: [33] Xiao Qing Long Tang (with external Cold)
d) Fluid retention in the four extremities
Treatment Principle: Resolve fluid by warming and dispersing.
TCM Herbal Formula: [33] Xiao Qing Long Tang (with external Cold)
B. Deficiency TCM syndromes
a) Deficient SP & ST Yang
Treatment Principle: Warm SP & resolve retained fluid.
TCM Herbal Formula: [170] Ling Gui Zhu Gan Tang
b) Deficient KD Yang
Treatment Principle: Warm KD & resolved retained fluid.
TCM Herbal Formula: [182] Jing Gui Shen Qi Wan
Notes:
5. SPONTANEOUS SWEATING
AND NIGHT SWEATING SYNDROME
a) Weakness of the LU & body surface
Treatment Principle: Replenish Qi and consolidate the body surface.
TCM Herbal Formula: [73] Yu Ping Feng San
b) Disharmony between nutrient Qi & defensive Qi
Treatment Principle: Harmonize nutrient Qi & defensive Qi.
TCM Herbal Formula: [224] Gui Zhi Tang
c) Deficiency of Yin & hyperactivity of Fire
Treatment Principle: Nourish Yin & subdue Fire.
TCM Herbal Formula: [129] Dang Gui Liu Huang Wan
d) Hyperactivity of pathogenic Heat
Treatment Principle: Disperse Heat in the LV, harmonize the nutrient Qi and, if necessary,
resolve dampness.
TCM Herbal Formula: [78] Long Dan Xie Gan Tang
TOP
a) Timidity due to HT & GB deficiency
Treatment Principle: Relieve timidity, nourish HT &calm mind.
TCM Herbal Formula: [128] An Sheng Ding Zhi Wan (Short term only)
b) Deficiency of Blood in HT
Treatment Principle: Replenish Blood, nourish HT, benefit Qi, calm mind.
TCM Herbal Formula: [110] Gui Pi Tang
c) Deficiency of Yin and hyperactivity of Fire
Treatment Principle: Replenish Yin, clear Fire, nourish HT & calm mind.
TCM Herbal Formula: [39] Tian Wan Bu Xin Dan; [134] Zhu Sha An Shen Wan (Short
term only); [181] Zhi Bai Di Huang Wan (Yin def with Heat)
d) Deficiency of HT Yang
Treatment Principle: Warm & replenish HT Yang, calm mind & relieve palpitation.
TCM Herbal Formula: [225] Gui Zhi Gan Cao Long Gu Mu Li Tang (Short term only)
e) Attack of HT by retained fluid (Yang def.)
Treatment Principle: Invigorate HT Yang, produce Qi & resolve fluid.
TCM Herbal Formula: [170] Ling Gui Zhu Gan Tang; [223] Zhen Wu Tang (KD
deficiency)
f) Stagnation of Blood in HT
Treatment Principle: Activate Blood circulation, remove Blood stasis, regulate Qi & reopen the
collaterals.
TCM Herbal Formula: [233] Tao Ren Hong Hua Jie
TOP
7. CHEST BI-TCM SYNDROME
A. Excess TCM syndromes
a) Stagnation of Blood in HT
Treatment Principle: Activate blood circulation, remove blood stasis in the vessels and
relieve pain.
TCM Herbal Formula: [135] Xue Fu Zhu Yu Tang
b) Retention of turbid phlegm
Treatment Principle: Invigorate Yang and eliminate turbid phlegm.
TCM Herbal Formula: [236] Gua Lou Xie Bai Ban Xia Tang
c) Stagnation of Yin Cold
Treatment Principle: Invigorate Yang with acrid, warm drugs and disperse Cold.
TCM Herbal Formula: [237] Gua Lou Xie Bai Bai Jiu Tang; [143] Guang Xin Su He Wan
(For emergency Tx.)
B. Deficiency TCM syndromes
a) Cardiac and renal Yin deficiency
Treatment Principle: Nourish Yin and benefit KD, nourish HT & calm mind.
TCM Herbal Formula: [80] Zou Gui Yin
b) Deficiency of both Qi and Yin
Treatment Principle: Benefit Qi and nourish Yin.
TCM Herbal Formula: [96] Sheng Mai San + (11) Ren Shen Yan Rong Tang
c) Deficiency of HT Yang Qi
Treatment Principle: Benefit Qi and warm Yang.
TCM Herbal Formula: [188] Shen Fu Tang
TOP
8. INSOMNIA SYNDROME
A. Excess TCM syndromes
a) LV Qi stagnation turning into Fire
Treatment Principle: Soothe LV, disperse H & calm mind.
TCM Herbal Formula: [78] Long Dan Xie Gan Tang
b) Internal disturbance of phlegm Heat
Treatment Principle: Resolve phlegm, disburse H, harmonize MJ and calm mind.
TCM Herbal Formula: [302] Wen Dan Tang
B. Deficiency TCM syndromes
a) Hyperactivity of Fire due to Yin deficiency
Treatment Principle: Replenish Yin, reduce Fire, nourish HT and calm mind.
TCM Herbal Formula: [261] Lian E Jiao Tang, [134] Zhu Sha An Shen Wan. Also [181]
Zhi Bai Di Huang Wan if KD Yin deficiency H.
b) Cardiac & Splenic deficiency
Treatment Principle: Fortify HT & SP, and produce Qi & Blood.
TCM Herbal Formula: [110] Gui Pi Tang
c) Qi deficiency of HT & GB
Treatment Principle: Benefit Qi, soothe HT, calm mind and tranquilize emotions.
TCM Herbal Formula: [128] An Sheng Di Zhi Wan
TOP
9. STAGNATION TCM SYNDROME
A. Excess TCM syndromes
a) Stagnation of LV Qi
Treatment Principle: Soothe Liver, regulate Qi and relieve stagnation.
TCM Herbal Formula: [239] Chai Hu Shu Gan San. Add Bai Zhu, Sha Ren, Fu Ling, Shen Qu &
Shan Zha if SP weakness w. lassitude & loose stools. Add Shan Zha, Mai Ya & Shen
Qu for poor appetite. Add Chen Pi & Yu Jin for pain (Qing Pi & Yan Hu Suo if
pain is severe). Add Yu Jin, Dan Shen, Yan Hu Suo & Dang Gui if chronic turning
into Blood stasis. Xiao Yao Wan if deficiency. Or if with heat combine
Xiao Yao Wan with Mu Dan Pi & Zhi Zi (or also add Long Dan Cao if
severe).
b) Qi stagnation turning into Fire
Treatment Principle: Disperse Heat in LV, reduce Fire, relieve stagnation and harmonize ST.
TCM Herbal Formula: [63] Dan Zhi Xiao Yao Wan + [81] Zuo Jin Wan
c) Stagnation of Qi complicated by phlegm retention
Treatment Principle: To resolve phlegm, benefit Qi and relieve stagnation.
TCM Herbal Formula: [107] Ban Xia Huo Po Tang or modification of [239] Chai Hu Shu Gan
San
B. Deficiency TCM syndromes
a) Damage of mind due to melancholia
Treatment Principle: Nourish HT and calm mind.
TCM Herbal Formula: [84] Gan Mai Da Zao Tang + Suan Zao Ren, Fu Shen, Bai Zhi Ren & He
Hua Huo. May also use Xiao Yao Wan
b) Deficient HT & SP
Treatment Principle: Invigorate the SP, nourish HT and replenish Qi & Blood.
TCM Herbal Formula: [110] Gui Pi Tang
c) Deficiency of Yin and hyperactivity of fire
Treatment Principle: Nourish Yin, disperse H, soothe HT and calm mind.
TCM Herbal Formula: [303] Zi Shui Qing Gan Yin
TOP
10. MANIC DEPRESSIVE TCM SYNDROME
A. Depressive State
a) Stagnation of phlegm Qi
Treatment Principle: Regulate Qi, relieve stagnation, resolve phlegm & restore consciousness.
TCM Herbal Formula: [214] Shun Qi Dao Tang Tang
b) Heart & Spleen deficiency
Treatment Principle: Invigorate SP, nourish HT, replenish Qi & calm mind.
TCM Herbal Formula: [208] Yan Xin Tang
B. Manic State
a) Upward disturbance of phlegm-fire
Treatment Principle: Soothe HT, eliminate phlegm, reduce fire and disperse Heat in LV.
TCM Herbal Formula: [97] Shen Tie Luo Yin (short term use only)
b) Consumption of Yin by hyperactive fire
Treatment Principle: Nourish Yin, reduce fire, calm mind & stabilize emotions.
TCM Herbal Formula: [4] Er Yin Tang
TOP
11. EPIGASTRIC PAIN SYNDROME
A. Excess TCM syndromes
a) Attack of Stomach by pathogenic Cold
Treatment Principle: Warm ST, disperse Cold, circulate Qi & relieve pain.
TCM Herbal Formula: [151] Liang Fu Wan (careful bcz. can dry blood)
b) Food retention
Treatment Principle: Promote digestion, eliminate stagnation, harmonize ST & relieve pain.
TCM Herbal Formula: [216] Bao He Wan (also may use Bao Ji Wan)
c) Attack of Stomach by Liver Qi
Treatment Principle: Soothe LV, regulate Qi, harmonize ST & ease the MJ.
TCM Herbal Formula: [239] Chai Hu Shu Gan San
d) Retention of Heat in Liver & Stomach
Treatment Principle: Disperse Heat in LV, reduce Fire, harmonize ST & relieve pain.
TCM Herbal Formula: [59] Hua Gan Jie
B. Deficiency TCM syndromes
a) Yin Deficiency
Treatment Principle: Nourish Yin, benefit ST & relieve pain.
TCM Herbal Formula: [207] Yan Wei Tang [122] Shao Yao Gan Cao Tang
b) Deficiency Cold in Spleen & Stomach
Treatment Principle: Warm MJ, invigorate SP & relieve pain.
TCM Herbal Formula: [267] Huang Qi Jian Zhong Tang
c) Blood stagnation
Treatment Principle: Activate Blood circulation, remove Blood stasis, regulate Qi & relieve
pain.
TCM Herbal Formula: [98] Shi Xiao San + [62] Dan Shen Yin. Also applicable [381]
Ge Xia Zhu Yu Tang
TOP
12. VOMITING SYNDROME
A. Excess TCM syndromes
a) Attack of Stomach by external pathogenic factors
Treatment Principle: Eliminate external pathogen, relieve exterior syndrome & resolve the
turbid with aromatic drugs.
TCM Herbal Formula: [322] Huo Xiang Zheng Qi San
b) Retention of food
Treatment Principle: Improve digestion, relieve stagnation, harmonize ST & conduct unhealthy
Qi down.
TCM Herbal Formula: [216] Bao He Wan
c) Internal retention of phlegm-fluid
Treatment Principle: Warm & resolve phlegm-fluid, harmonize ST & conduct unhealthy Qi
downward.
TCM Herbal Formula: [32] Xiao Ban Xia Tang & [170] Ling Gui Zhu Gan Tang or in
case of heat [302] Wen Dan Tang
d) Attack of Stomach by Liver Qi
Treatment Principle: Soothe LV, harmonize ST & conduct unhealthy Qi downward.
TCM Herbal Formula: [107] Ban Xia Hou Po Tang & [81] Zuo Jin Wan
B. Deficiency TCM syndromes
a) Stagnant deficiency-cold in the Spleen & Stomach
Treatment Principle: Warm MJ, invigorate SP, harmonize ST & conduct unhealthy Qi downward.
TCM Herbal Formula: [258] Li Zhong Wan
b) Deficiency of Stomach Yin
Treatment Principle: Nourish ST Yin, conduct unhealthy Qi downward & check vomiting.
TCM Herbal Formula: [140] Mai Men Dong Tang
TOP
13. DIARRHEA SYNDROME
A. Acute Diarrhea
a) Cold Dampness or Wind Cold
Treatment Principle: Relieve diarrhea, disperse cold, resolve turbid Qi with aromatic herbs.
TCM Herbal Formula: [322] Huo Xiang Zheng Qi
b) Damp Heat or Summer Heat
Treatment Principle:. Clear heat & resolve dampness.
TCM Herbal Formula: [293] Ge Gen Qin Lian Tang
c) Retention of food in the ST & intestines
Treatment Principle: Promote digestion and relieve stagnation.
TCM Herbal Formula: [216] Bao He Wan
B. Chronic Diarrhea
a) Invasion of Spleen by Liver Qi
Treatment Principle:Restarain LV & invigorate SP.
TCM Herbal Formula: [301] Tong Xie Yao Fang
b) Weak Spleen & Stomach
Treatment Principle: Invigorate SP & smooth flow of Qi.
TCM Herbal Formula: [190] Shen Ling Bai Zhu San [91] Fu Zi Ling Zhong Tang
c) Deficiency of Kidney Yang
Treatment Principle: Warm KD, invigorate SP, promote astringency & stop diarrhea.
TCM Herbal Formula: [94] Si Shen Wan
d) Fluid retention in the intestines
Treatment Principle: Invigorate SP, eliminate dampness & stop diarrhea by promoting diuresis.
TCM Herbal Formula: [170] Ling Gui Zhu Dan Tang
e) Stagnant blood in the intestinal vessels
Treatment Principle: Remove blood stasis, smooth vessels, harmonize nutrient Qi & relieve
pain.
TCM Herbal Formula: [68] Shao Fu Zhu Yu Tang
TOP
14. ABDOMINAL PAIN SYNDROME
a) Pain due to Cold
Treatment Principle: Warm MJ, disperse cold, regulate Qi & relieve pain.
TCM Herbal Formula: [151] Liang Fu Wan [74] Tian Xiang Zhen Qi San
b) Pain due to Heat
Treatment Principle: To dissipate heat & promote urination.
TCM Herbal Formula: [26] Da Cheng Qi Tang (Better to use milder forms.
TCM Herbal Formula: Xiao Cheng Qi Tang [excess]; Tiao wei Cheng Qi Tang
[excess/deficiency])
c) Pain caused by deficiency
Treatment Principle: Replenish relative organs with sweet warming herbs, benefit Qi & disperse
cold.
TCM Herbal Formula: [34] Xiao Jian Zhong Tang
d) Pain caused by excesses:
i) Stagnation of Qi & Blood
Treatment Principle: Soothe LV, relieve stagnation, regulate Qi & stop pain where Qi has
stagnated; activate blood circulation, remove blood stasis, nourish nutrient Qi
and relieve pain in cases where blood stasis is more pronounced than Qi
stagnation.
TCM Herbal Formula: [239] Chai Hu Shu Gan San [68] Shao Fu Zu Yu Tang
ii) Retention of food
Treatment Principle: Promote digestion and relieve stagnation.
TCM Herbal Formula: [216] Bao He Wan or (Bao Ji Wan)
TOP
15. CONSTIPATION SYNDROME
A. Excess
a) Constipation due to Heat
Treatment Principle: Disperse heat & moisten intestines.
TCM Herbal Formula: [271] Ma Zi Ren Wan (or Xiao Cheng Qi Tang)
b) Constipation due to stagnant Qi
Treatment Principle: Circulate Qi & remove stagnation.
TCM Herbal Formula: [57] Liu Mo Tang
B. Deficiency
a) Qi deficiency
Treatment Principle: Replenish Qi & moisten intestines.
TCM Herbal Formula: [266] Huang Qi Tang
b) Blood deficiency
Treatment Principle: Nourish blood & moisten dryness.
TCM Herbal Formula: [242] Ren Chang Wan
c) Yang deficiency
Treatment Principle: Warm Yang & relieve constipation.
TCM Herbal Formula: [205] Ji Chuan Jian
TOP
16. HYPOCHONDRIAC PAIN SYNDROME
a) Liver Qi stagnation
Treatment Principle: Soothe LV & regulate Qi.
TCM Herbal Formula: [239] Chai Hu Shu Gan San
b) Blood stagnation
Treatment Principle: Activate blood circulation, remove stasis, circulate Qi & remove
obstruction of meridians.
TCM Herbal Formula: [276] Xuan Fu Hua Tang
c) Damp-Heat of the Liver & Gall Bladder
Treatment Principle: Dissipate heat & eliminate damp.
TCM Herbal Formula: [78] Long Dan She Gan Tang (use with Ying Chen Hao Tang or
Ying Chen Wu Tang if juandice present with damp)
d) Liver Yin deficiency
Treatment Principle: Nourish LV Yin & relieve pain.
TCM Herbal Formula: [1] Yi Guan Jian
e) Wood overpowering Earth
Treatment Principle: Nourish Qi, invigorate SP, replenish blood & reinforce LV Yin.
TCM Herbal Formula: [91] Si Jun Zi Tang
TOP
17. JAUNDICE SYNDROME
A. Yang-Type Jaundice
a) Heat more severe than damp
Treatment Principle: Dissipate heat, eliminate damp & relieve constipation.
TCM Herbal Formula: [200] Yin Chen Hao Tang (Add Zhu Ling, Hua Shi, Fuling in cases of
'mandarine orange' colour bcz increases diuresis. Add Huang Qin, Huang Bai if
bright colour w. high fever.)
b) Damp more sever than Heat
Treatment Principle: Eliminate damp, soothe turbid Qi & disperse heat.
TCM Herbal Formula: [198] Yin Chen Wu Ling San
c) Obstruction of biliary tract
Soothe LV & GB, disperse heat & relieve stagnation.
TCM Herbal Formula: [28] Da Cheng Qi Tang
B. Yin-Type Jaundice
a) Cold-dampness stagnation
Treatment Principle: Invigorate SP, harmonize ST, disperse cold & resolve damp.
TCM Herbal Formula: [199] Yin Chen Zhu Fu Tang
b) Splenic hypofunction & Blood deficiency
Treatment Principle: Invigorate SP, warm MJ, replenish Qi & blood.
TCM Herbal Formula: [34] Xiao Jian Zhong Tang
c) Blood stagnation
Treatment Principle: Activate blood circulation, remove stasis, soothe LV & relieve jaundice.
TCM Herbal Formula: [325] Bie Jia Jian Wan
C. Acute Jaundice (Requires immediate hospitalization)
a) Hyperactive toxic Heat
Treatment Principle: Disperse Heat, eliminate toxins, reduce fire & relieve juandice.
TCM Herbal Formula: [200] Wu Wei Xiao Du Yin
b) Deep penetration of toxic Heat
Treatment Principle: Dissipate heat, eliminate toxins, cool blood & rescue Yin.
TCM Herbal Formula: [307] Xi Jiao San
TOP
18. HEADACHE SYNDROME
A. External Pathogenic Factors
a) Wind Cold headache
Treatment Principle: Eliminate wind & disperse cold.
TCM Herbal Formula: [29] Chuan Xiong Cha Tiao San
b) Wind Heat headache
Treatment Principle: Eliminate wind & disperse heat.
TCM Herbal Formula: [120] Xiong Zhi Shi Gao Tang
c) Wind Damp headache
Treatment Principle: Eliminate wind & damp.
TCM Herbal Formula: [175] Huo Shen Shi Tang
B. Internal Disorders
a) Hyperactive Liver Yang
Treatment Principle: Calm LV & suppress Yang.
TCM Herbal Formula: [40] Tian Ma Guo Teng Yin [78] Long Dan Xie Gan Tang (if with
LV fire)
b) Renal deficiency
Treatment Principle: Replenish Yin & nourish KD.
TCM Herbal Formula: [21] Da Bu Yuan Jiang
c) Qi deficiency
Treatment Principle: Replenish Qi.
TCM Herbal Formula: [215] Bu Zhong Yi Qi Tang
d) Blood deficiency
Treatment Principle: Nourish Blood.
TCM Herbal Formula: [112] Jia Wei Si Wu Tang
e) Retention of turbid phlegm
Treatment Principle: Resolve phlegm & regulate SP.
TCM Herbal Formula: [106] Ban Xia Bai Zhu Tian Ma Tang
f) Stagnation of Blood
Treatment Principle: Activate blood circulation & remove stasis.
TCM Herbal Formula: [253] Tong Qiao Huo xue Tang
TOP
19. VERTIGO SYNDROME
a) Hyperactivity of Liver Yang
Treatment Principle: Calm LV & suppress Yang, & disperse fire and eliminate wind.
TCM Herbal Formula: [40] Tian Ma Gou Teng Yin
b) Qi & Blood deficiency
Treatment Principle: Replenish Qi & Blood, invigorate SP & ST.
TCM Herbal Formula: [110] Gui Pi Tang or if severe, Ba Zhen Tang
c) Kidney deficiency
Treatment Principle: Replenish KD Yin or nourish KD Yang.
TCM Herbal Formula: [79] Zuo Gui Wan or Da Bu yuang Jiang or Liu Wei Di Huang
Wan in cases of Yin deficiency; Use [82] You Gui Wan for Yang
deficiency
d) Retention of Phlegm-Dampness in Middle Jiao
Treatment Principle: Dry damp, eliminate phlegm, invigorate SP, harmonize ST.
TCM Herbal Formula: [106] Ban Xia Bai Zhu Tian Ma Tang
TOP
20. APOPLEXY SYNDROME
A. Attack On The Meridians
a) Emptiness of the meridians & collaterals & invasion of pathogenic wind
Treatment Principle: Eliminate wind, remove obstructions from the meridians, nourish blood &
harmonize nutrient & defensive Qi.
TCM Herbal Formula: [27] Da Qin Jiao Tang (add Qian Zheng San for deviation of the
mouth & eyes)
b) Deficient Liver & Kidney Yin with upward movement of Liver wind & Yang
Treatment Principle: Nourish Yin, suppress Yang & tranquilize LV wind.
TCM Herbal Formula: [40] Tian Ma Gou Teng Yin and [328] Zhen Gan Xie Feng Tang
B. Attack On Zhang-Fu organs
a) Excess TCM syndromes:
i) Yang-type excess TCM syndrome
Treatment Principle: Restore consciousness with acrid & cool herbs, dissipate heat in Liver &
suppress wind.
TCM Herbal Formula: [124] An Bong Niu Hong Wan and [127] Zhi Bao Dan
ii) Yin-type excess TCM syndrome
Treatment Principle: Restore consciousness with acrid & warm herbs, eliminate phlegm & calm
wind.
TCM Herbal Formula: [143] Su He Xing Wan
b) Exhaustion TCM syndromes:
Treatment Principle: Replenish Qi, restore Yang, promate resistance & prevent exhaustion.
TCM Herbal Formula: [188] Shen Fu Tang or Du Shen Tang
C. Sequelae
a) Hemiplegia:
i) Deficient Qi & stagnant Blood in the meridians
Treatment Principle: Replenish Qi, activate blood circulation & remove obstructions of the
meridians.
TCM Herbal Formula: [156] Bu Yan Huang Wu Tang (important formula)
ii) Increase in Liver Yang & stagnant Blood in the meridians
Treatment Principle: Suppress LV Yang, calm wind, remove obstructions in meridians.
TCM Herbal Formula: [328] Zhen Gan Xi Feng Tang or [40] Tian Ma Guo Tang Yin
b) Dysphasia:
i) Wind-phlegm blocking the meridians
Treatment Principle: Eliminate wind & phlegm, remove obstructions.
TCM Herbal Formula: [312] Jie Yu Dan
ii) Deficiency of Kidneys and essence
Treatment Principle: Nourish KD Yin & relieve aphonia.
TCM Herbal Formula: [118] Di Huang Yin Zi
iii) Contortions of facial muscles
Treatment Principle: Eliminate wind, resolve phlegm, activate blood circulation & remove
meridian obstruction.
TCM Herbal Formula: [202] Qian Zheng San
TOP
21. GOITER SYNDROME
a) Stagnant Qi & Phlegm
Treatment Principle: Regulate Qi, relieve stagnation, resolve phlegm & get rid of the goiter.
TCM Herbal Formula: [95] Si Hai Shu Yu Wan
b) Stagnant Phlegm & Blood
Treatment Principle: Regulate Qi, activate Blood circulation, resolve phlegm & remove goiter.
TCM Herbal Formula: [241] Hai Zao Yu Hu Tang
c) Hyperactive Liver Fire
Treatment Principle: Disperse LV Fire & get rid of mass.
TCM Herbal Formula: [269] Zhi Zi Qin Gan Tang plus [324] Zao Yao San
d) Deficiency of Heart & Liver Yin
Treatment Principle: Nourish Yin & essence, soothe heart, calm mind and nourish LV.
TCM Herbal Formula: [39] Tian Wan Bu Xing Dan
TOP
22. EDEMA SYNDROME
A. Yang-Type Edema
a) Invasion of wind & overflow of water
Treatment Principle: Disperse wind, dissipate Heat, promote disbersion & circulate water.
TCM Herbal Formula: [295] Yue Pi Jia Zhu Tang
b) Retained water and dampness
Treatment Principle: Invigorate SP, dry dampness, invigorate Yang & promote diuresis.
TCM Herbal Formula: [51] Wu Ling San and [50] Wu Pi Ying
c) Excess damp-heat
Treatment Principle: To disperse heat & eliminate damp both inside and outside the body.
TCM Herbal Formula: [309] Shu Zao Yin Zi
B. Yin-Type Edema
a) Spleen Yang deficiency
Treatment Principle: Warm & invigorate SP Yang, promote diuresis & dry dampness.
TCM Herbal Formula: [180] Shi Pi Yin for severe cases (for milder cases use Ling Gui
Zhu Tang or Shen Ling Bai Zhu San in cases of deficiency)
b) Kidney Yang deficiency
Treatment Principle: Warm KD, assist Yang, promote Qi & circulate water.
TCM Herbal Formula: [223] Zhen Wu Tang
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23. STRANGURIA SYNDROME
a) Stranguria due to urolithiasis
Treatment Principle: Disperse heat, eliminate damp, relieve stranguria & dispel stones.
TCM Herbal Formula: [76] Shi Wei San (+Ba Zheng San if with heat) May add Jie Nei
Jing, Hai Jing Sha, Jin Qian Cao or Che Qian Cao.
b) Stranguria due to Qi disorders
Treatment Principle: Promote smooth circulation of Qi in cases of stagnant LV Qi, replenish
the MJ & benefit Qi in cases of MJ deficiency.
TCM Herbal Formula: [149] Chen Xiang San for excess & [154] Bu Zhong Yi Qi Tang
for deficiency
c) Stranguria with hematuria
Treatment Principle: Dissipate Heat, eliminate damp, cool blood & check bleeding in excess
TCM syndromes OR nourish Yin, disperse heat reinforce resistence & check bleeding in
cases of deficiency.
TCM Herbal Formula: [38] Xiao Ji Yin Zi for excess & [181] Zhi Bai Di Huang Wan
for deficiency. Tian Qi Feng can also be taken for bleeding.
d) Stranguria with chyluria
Treatment Principle: Clear damp-heat & divide the clear & turbid Qi in excess
TCM syndromes OR
replenish KD & promote astringency in cases of deficiency.
TCM Herbal Formula: [305] (Cheng Shi) Bei Xie Feng Qin Yin or (Lieu Wei Di Huang Wan
or Zhi Bai Di Huang Wan for KD Yin def.)
e) Stranguria caused by strain
Treatment Principle: Invigorate SP & replenish KD.
TCM Herbal Formula: [41] Wu Bi Shan Yao Wan
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24. RETENTION OF URINE SYNDROME
a) Damp Heat in the Urinary Bladder
Treatment Principle: Disperse Heat, eliminate damp & promote diuresis.
TCM Herbal Formula: [12] Ba Zheng San
b) Excess Heat in Lungs
Treatment Principle: Disperse Heat in LU & regulate water passage.
TCM Herbal Formula: [280] Qing Fei Yin
c) Stagnant Liver Qi
Treatment Principle: Regulate Qi & promote diuresis.
TCM Herbal Formula: [149] Chen Xiang San
d) Blockage of urinary tract
Treatment Principle: Remove blood stagnation, disperse stagnation & regulate water passage.
TCM Herbal Formula: [99] Dai Di Dang Wan (Shi Wei San better if due to stones)
e) Deficient Qi of Middle Jiao
Treatment Principle: Send clear Qi upward & turbid Qi downward, produce Qi & circulate water.
TCM Herbal Formula: [154] Bu Zhong Yi Qi Tang & [194] Chun Ze Tang
f) Deficient Kidney Yang
Treatment Principle: Warm Yang, replenish Qi, reinforce KD & promote diuresis.
TCM Herbal Formula: [206] Ji Sheng Shen Qi Wan
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25. LUMBAGO SYNDROME
a) Cold Damp lumbago
Treatment Principle: External attack: dredge & warm the meridians. Internal strain or injury:
Nourish Yin/Yang, generate Qi & Blood.
TCM Herbal Formula: [85] Gan Jiang Ling Tu Tang or Shen Zao Tang (Wu Ji San
if cold damp predominant.)
b) Damp Heat Lumbago
Treatment Principle: Clear damp heat, relax tendons and relieve pain.
TCM Herbal Formula: [111] Jia Wei Er Miao San
c) Renal Deficiency
Treatment Principle: Replenish KD, tonify Yin or Yang
TCM Herbal Formula: [82] You Gui Wan if Yang deficient [72] Zuo Gui Wan if Yin
deficient. If KD Qi deficient, use Qing E Wan
d) Blood Stasis
Treatment Principle: Promote Qi & Blood
TCM Herbal Formula: [162] Shen Tong Zhu Yu Tang
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26. DIABETES SYNDROME
A. Upper Type
Treatment Principle: Disperse heat, moisten LU, produce body fluid and relieve thirst.
TCM Herbal Formula: [244] Xiao Ke Fang
B. Middle Type
Treatment Principle: Disperse heat in ST, reduce fire, nourish Yin and produce fluids.
TCM Herbal Formula: [71] Yu Nu Jian
C. Lower Type
a)Yin Deficiency
Treatment Principle: Nourish Yin & strengthen KD.
TCM Herbal Formula: [56] Liu Wei Di Huang Wan
b) Yin and Yang deficiency
Treatment Principle: Warm Yang, nourish KD & promote astringency.
TCM Herbal Formula: [182] Shen Qi Wan
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27. SPERMATORRHEA SYNDROME
a) Deficient Yin & hyperactive fire
Treatment Principle: Nourish Yin, disperse fire, calm mind & consolidate essence.
TCM Herbal Formula: [181] Zhi Bai Di huang Wang or [14] Sang Cai Feng Xi Dan
b) Renal deficiency with impaired storage function
Treatment Principle: Replenish KD & nourish essence.
Rx. [82] You Gui Wan for Yang deficiency or [56] Liu Wei Di Huang
Wan for Yin deficiency
c) Retained Damp Heat
Treatment Principle: Dissipate heat & relieve damp.
TCM Herbal Formula: [305] Cheng Shi Bi Xie Feng Qing Yin
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28. TINNITUS AND DEAFNESS SYNDROME
A. Excess
a) Hyperactive Liver and Gall Bladder fire
Treatment Principle: disperse heat.
TCM Herbal Formula: [78] Long Dan Xie Gan Tang
b) Retained phlegm heat
Treatment Principle: Relieve phlegm, dissipate heat, harmonize ST & send turbid Qi downward
TCM Herbal Formula: [264] Wen Dan Tang
B. Deficiency
a) Defdicient Kidney essence.
Treatment Principle: Replenish KD & benefit essence
TCM Herbal Formula: [123] Zuo Ci Wan
b) Failure of clear Qi to ascend
Treatment Principle: Replenish Qi & send clear Qi upward
TCM Herbal Formula: [245] Yi Qi Chong Ming Tang (or Bu Zhong Yi Qi Tang if
prolapse.)
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29. BI TCM SYNDROME
A. Wind-Cold-Damp Type
a) Wandering Bi
Treatment Principle: Eliminate wind, remove obstructions from meridians, disperse cold & damp.
TCM Herbal Formula: [139] Fang Feng Tang
b) Painful Bi
Treatment Principle: Disperse cold, relieve pain, eliminate wind & remove damp.
TCM Herbal Formula: [64] Wu Tou Tang (be careful bcz. toxic)
c) Fixed Bi Damp
Treatment Principle: Eliminate damp, remove obstructions from meridians, dispel wind &
disperse cold.
TCM Herbal Formula: [319] Yi Yi Ren Tang (add Bi Xia, Jian Huang, Mu Tong if with
sweating; Hai Tong Pi, Xi Qian Cao if with numbness; Lu Lu Tong, Yu Jin, Yan Huo
Sou for pain; Wu Shao She, Bai Hua She with pain and wind.)
B. Heat type
a) Heat type
Treatment Principle: Disperse heat, remove obstructions from meridians, eliminate wind & damp.
TCM Herbal Formula: [104] Bai hu (Jia) Gui Zhi Tang
C. Deficiency Type
a) Blood stasis
Treatment Principle: Promote Blood circulation & resolve stasis.
TCM Herbal Formula: Tao Hong Yin
b) Qi & Blood deficiency
Treatment Principle: Dispel WCD, reinforce Qi & Blood and tonify LV & KD.
TCM Herbal Formula: Du Huo Ji Sheng Tang (add Zou Gui Wan if Yin deficiency
predominant; Zhi Bai Di Huang Wan if Yin deficiency with fire; Jin Gui
Shen Qi Wan if KD Yang deficiency.)
c) Zhang Fu organs
Treatment Principle: Reinforce HT, promote Blood circulation, dispel pathogen.
TCM Herbal Formula: Du Hu Jie Sheng Tang + Zhi Gan Cao Tang
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30. WEI TCM SYNDROME
A. Excess
a) Consumption of Fluid due to Pulmonary Heat
Treatment Principle: Disperse Heat, moisten dryness, nourish the LU & produce body fluids.
TCM Herbal Formula: [285] Jiu Fei Tang
b) Invasion by Damp Heat
Treatment Principle: Disperse Heat & eliminate damp.
TCM Herbal Formula: [111] Jia Wei Er Miao San (+ Bi Xie; Yi Yi Ren; Niu Xie; Huang
Lian for painful urination); (+ Bai Zhu; Fu Ling; Huang Qin for Middle Jiao
Heat); (Huo Xiang; Xiang Ru for Summer Wind Heat)
B. Deficiency
a) Splenic and Gastric deficiency
Treatment Principle: Invigorate Spleen and benefit Qi
TCM Herbal Formula: [190] Sheng Ming Bai Zhu San
b) Hepatic and Renal Deficiency
Treatment Principle: Replenish LV & KD, nourish Yin & disperse Heat
TCM Herbal Formula: [171] Hu Qian Wan (use Bu Gu Zi instead of Tiger Bone)
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31. Consumptive Diseases
A. Deficient Qi
a) Deficient Lung Qi
Treatment Principle: Replenish LU & benefit Qi.
TCM Herbal Formula: [158] Bu Fei Tang
b) Deficient Spleen Qi.
Treatment Principle: Invigorate SP & benefit Qi
TCM Herbal Formula: [190] Shen Ling Bai Zhu San (Or Shen Qi Wan for KD Qi;
Qi Fu Yin for HT Qi)
B. Deficient Blood
a) Deficient Heart Blood.
Treatment Principle: Nourish Blood and calm the mind
TCM Herbal Formula: [208] Yang Xin Tang
b) Deficient Liver Blood.
Treatment Principle: Nourish LV Blood, activate Blood circulation and remove blood statsis if
stagnant
TCM Herbal Formula: [93] Si Wu Tang
C. Deficient Yang
a) Deficient Heart Yang
Treatment Principle: Warm and invigorate Heart Yang
TCM Herbal Formula: [228] Gui Zhi Gan Cao Tang
b) Deficient Spleen Yang
Treatment Principle: Warm Middle Jiao and invigorate Spleen
TCM Herbal Formula: [163] Fu Zi Li Zhong Tang (or Li Zhong Tang if not severe)
c) Deficient Kidney Yang
Treatment Principle: Warm KD Yang & nourish essence & Blood.
Rx. [82] You Gui Wan
D. Deficient Yin
a) Deficient Lung Yin.
Treatment Principle: Nourish Yin & moisten LU
TCM Herbal Formula: [116] Bai He Gu Jin Tang
b) Deficient Heart Yin
Treatment Principle: Nourish Yin & replenish HT
TCM Herbal Formula: [39] Tian Huan Bu Xin Dan
c) Deficient Stomach Yin
Treatment Principle: Nourish Yin & harmonize ST
TCM Herbal Formula: [246] Yi Wei Tang
Deficient Liver Yin
Treatment Principle: Nourish LV yin
TCM Herbal Formula: [157] Bu Gan Tang or [93] Si Wu Tang
Deficient Kidney Yin
Treatment Principle: Nourish KD yin
TCM Herbal Formula: [79] Zuo Gui Wan
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