HT+-+Tao+Ren+&+Da+Huang

== The Combination to treat the failure of the heart to predominate the blood and vessels due to blood stasis in the heart: Tao Ren & Da Huang ==

=Tao Ren (Persicae Semen, Rosaceae, Prunus persica, P. davidiana; Peach Kernel)=

** Category: **

 * **Regulate the Blood**

** Properties: **

 * **Bitter, Sweet, Neutral**
 * **Heart, Large Intestine, Liver, Lung**
 * **Invigorates Blood**
 * **Dispels stasis**
 * **Moistens the intestines**
 * **Stops Cough and Wheezing**

=Da Huang (Rhei Radix et Rhizoma, Polyonaceae, Rheum plamatum, R. tangutium, R. officinale: Rhubarb root and rhizome)=

** Category: **

 * **Downward Draining Purgative**

** Properties: **

 * **Bitter, cold**
 * **Heart, Large Intestine, Liver, Stomach**
 * **Purges clumped heat in the intestines**
 * **Cools the blood**
 * **Removes blood stasis**
 * **Stops Bleeding (charred)**
 * 3-15g for strong purgation

==** The Combination of Tao Ren & Da Huang ** ==

** Function: **

 * **Cool the blood**
 * **Move down from the Heart/upper Jiao to the Large Intestine/lower jiao**
 * **Remove blood stasis**
 * **Purge the intestines**

** Combining Principals: **

 * According the Mov't of Qi
 * Downward
 * According to Zang Fu Attribution
 * Heart, Large Intestine, Liver
 * According to Organ Preference
 * According to 5e relationship
 * Control fire from overacting on Metal
 * According to Qi, Blood, Body Fluid & Essence
 * According to Body constitution of Patient
 * Nature of Disease
 * Location of Disease (int/ext; multiple organs involved)
 * <span style="margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0.5em; padding-bottom: 0px; padding-left: 3em; padding-right: 0px; padding-top: 0px;">Complexity of Disease
 * <span style="margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0.5em; padding-bottom: 0px; padding-left: 3em; padding-right: 0px; padding-top: 0px;">Various organs
 * <span style="margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0.5em; padding-bottom: 0px; padding-left: 3em; padding-right: 0px; padding-top: 0px;">Different pathologies at same time
 * <span style="margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0.5em; padding-bottom: 0px; padding-left: 3em; padding-right: 0px; padding-top: 0px;">Minimize side effects
 * <span style="margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0.5em; padding-bottom: 0px; padding-left: 3em; padding-right: 0px; padding-top: 0px;">Encourage patients to take herbs

<span style="font-size: 1.3em; margin: 0px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 5px;">** Formulas: **

 * **Di Dang Tang ("Appropriate Decoction" Zhang Zhong Jing: Shang Han Lun)**
 * **Category: Break up Blood Stasis**
 * **Firmness and distention in the lower abdomen**
 * **smooth urination**
 * **Manic behavior**
 * **Forgetfulness**
 * **Black stools that are easy to expel**
 * **Pulse: Submerged, slow-irregular**
 * **Delayed Menstration or amenorrhea**
 * **Treats jaundice**
 * Blood build up in the Lower jiao caused by clumping of heat and blood
 * Heat causes the blood to become thick and slowing it flow causing blood stasis
 * Firmness and distention in the lower abdomen
 * Stasis and blood level (not the qi) so the urination is NOT impeded and Stools are easy to expel
 * Heart organ governs the generation of blood and harbors the Shen.
 * Static heat below flushes up to harass the Shen giving manic behavior
 * Blood stasis impeding the production of new blood gives forgetfulness
 * Submerged Pulse: interior problem
 * Slow-irregular pulse reflects blood stasis
 * Jaundice is a sign of damp heat that may occur when yangming excess yeat (as opposed to Taiyang cold that has transformed into heat) is the root cause of the problem
 * Severe stasis and is progressing
 * purgation is no longer appropriate
 * Must use stasis breaking substances
 * Chief:
 * Shui Zhi: Salty, bitter, neutral and slightly toxic, enters the Liver and expels noxious/static blood. Penetrates blood without damaging the qi
 * Meng Chong: Slighly bitter and also enters the Liver breaks up stasis even stronger. Together they amplify synergyistically
 * Deputies:
 * Da Huang: Synergistically with Chiefs and opens the bowels to create a route for the heat to leave the body
 * Tao Ren: Synergy with Chief
 * **Tao He Cheng Qi Tang (Shang Han Lun)**
 * Category:
 * Invigorate Blood and Dispel blood stasis
 * Indications
 * Acute Lower abdominal pain
 * Smooth urination
 * Night fevers
 * Delirious speech
 * irritable
 * Restless
 * thrist
 * Pulse: Submerged, full or choppy
 * Dysmenorrhea or amenorrhea
 * Pathology
 * Blood build up in the lower jiao due to accumulation of blood stasis and heat
 * Attributed to transmission of an EPI into the lower jiao
 * Does NOT disrupt the transformation of Bladder qi, so urination is normal
 * Heat at blood level gives night fever
 * Heart and Blood connection yields unclear Shen with rising heat. Abnormal and chaotic shen
 * Chief:
 * Tao Ren: Break up and eliminate blood stasis
 * Da Huang: Attacks and purges accumulation and cleanses pathogenic heat by attacking the blood and guiding it out the body. Thus the heat has nothing to hang on to and is easily washed away
 * Deputy:
 * Gui Zhi: Warm sinews, unblock the vessels, dispel retained blood fromt he lower burner effectvly unblocks the circulation of blood in vessels...Assisting Tao Ren in breaking up and eliminating blood stasis
 * Assistants:
 * Mang Xiao: Softens harness and dispells accumulation. Assists Da Huang to remuve the stool, drain heat, and eliminate blood stasis
 * Zhi Gan Cao (also Envoy): Protect and calm the the stomach and middle burner. Moderates the harsh properties of the other ingredients
 * **Da Huang Zhe Chong Wan (Rhubarb and Ground Beetle Pill, Essentials from the Golden Cabinet)**
 * Category:
 * Invigorate the blood and dispel blood stasis
 * **Ingredients:**
 * Shu Da Huang, Tu Bie Chong, Tao Ren, Gan qi (Toxicodendri Resina), Qi Cao (Holotrichia), Shui Zhi, Meng Chong, Huang Qin, Xing Ren, Sheng Di Huang, Shao Yao, Gan Cao
 * Indications:
 * Emaciation
 * Abdominal fullness
 * Loss of appetite, rough dry, scaly skin
 * Dark, dull appearance of the eyes,
 * amenorrhea,
 * tidal fever
 * "Five consumptions" from Suwen CH 23: Long term gazing damages the blood, Long term sitting damages the qi, long term sitting damages the flesh, long term standing damages the bones, long term walking damages the sinews.
 * Result is damage to the circulation of Ying and wei qi in the channels with accumulation of dry blood in the interior
 * **Da Huang Mu Dan Tang**
 * **Category:**
 * **Treat Internal abscesses**
 * Action
 * Drain heat and breaks up blood stasis, disperse clumping and reduces swelling
 * Indications:
 * Lower abdominal distention and pain (usually on the right)
 * Tender, guarding
 * Tongue: Thin, yellow, greasy
 * Pulse: slippery and rapid
 * Pain in groin relieved by flexing the hip and knee (often right) and increases with extending
 * Might be mass in the lower right quadrant
 * Irregular, intermittant fever followed by chills
 * Early stage of clumping of heat and blood
 * Often accompanied by poor eating habits: binging, or over eating ingeneral, greasy, rich, raw, cold foods give stagnation in the stomach and large intestines
 * Often accompanied by poor eating habits: binging, or over eating ingeneral, greasy, rich, raw, cold foods give stagnation in the stomach and large intestines