LU+-+Ma+Huang+&+Xi+Xin+&+Gan+Jiang+&+Ban+Xia

= The Combination to treat the failure of the Lung to disperse and descend its qi due to cold and phlegm or harmful fluid in the Lung: Ma Huang, Xi Xin, Gan Jiang, and Ban Xia =

= = ==**Ma Huang ( Ephedrae Herba, Ephedracea, Ephedra sinica, Intermidia, equisetina; Ephedra stem)** ==



**Category:**

 * Warm Release the Exterior

**Properties:**

 * Acrid, Slightly bitter (bitter not prominent), warm
 * Lung, Bladder
 * Induces sweating
 * Calms wheezing
 * Promotes urination
 * CONTRA: b/c strong diaphoretic use small dose, not for the debilitated or with spontaneous sweating from exterior deficiency, night sweats, or yin deficiency or with Kidney failing to accept qi

**Notes:**

 * "After using any medicine with ephedra one must avoid drafts for one day: - Li Shi Zhen
 * "Problem of red eyes arising from Ma Huang can be avoided by using Huang Qin (scutellariae radix) in combination

// Dr Liu says: //


 * preparation of Ma Huang
 * Never use alone
 * Always check constitution of patient (LV yang rising, High Blood Pressure, Palpitation, etc.)
 * <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;">Cut out nodes
 * <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;">cook seperately and remove foam
 * <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;">smash internodes and only use fiber ("Ma Rong")
 * <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;">Combine w/ Gan Cao


 * <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;">SHL 35 is first mention of Ma Huang
 * Goal is to recover normal qi distribution....use only just enough
 * <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;">Combo Ma Huang with Xing ren it goes to Large Intestine
 * <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;">Combo Ma Huang with Shi Gao goes to Bladder
 * <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;">Use to tx obstruction of qi leading to wheeze
 * <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;">MUST differentiate rebelling lung qi and Lung qi obstruction, heat lodged in the Lung, and, Lung qi Deficiency! Different Tx!
 * <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;">Tx: EPI, Skin issue, Lung probs
 * <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;">Broad scope of function! NOT just for sweating, open pores.
 * <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;">Limited sweating function without Gui Zhi that provides source of sweat from the blood/muscle layer

<span style="display: block; 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;">

__ Xi Xin (Asari Herba, Aristolochiaceae, Asarum heterotropoides, A. mandshuricum, A. Sieboldii; Chinese Wild Ginger) __


__ ﻿ __

__ Category: __

 * <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;">Warm Release Exterior

Properties:
= = =__ Gan Jiang (Zingiberis Rhizoma, Zingiberaceae, Zingiber officinalis: dried ginger rhizome) __=
 * <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;">Acrid
 * <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;">Warm
 * <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;">Lung, Heart, Kidney
 * <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;">Powerfully aromatic
 * <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;">Warm and Piercing
 * <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;">Disperses cold from both Taiyang and Shaoyin
 * <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;">Opens Orifices,
 * <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;">Relieves pain
 * <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;">Reaches the Head, Lungs, Bones, Joints to disperse Wind, Cold, Damp, and Phlegm
 * <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;">TOXIC if uncooked



Category:

 * <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;">Warm interior and expel cold

Properties:

 * <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;">Acrid, HOT
 * <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;">Heart, Lung, Spleen, Stomach
 * <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;">Warms the spleen
 * <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;">Transforms thin mucus
 * <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;">Unblocks the channels
 * <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;">Revives the Yang

Category:

 * <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;">Warm herbs that transform cold phlegm

Properties:

 * <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;">Acrid, warm, toxic
 * <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;">Lung, Spleen, Stomach
 * <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;">Acrid for opening,
 * <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;">Slippery for directing rebellious qi down
 * <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;">Bitter for drying
 * <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;">Best for thin phlegm or damp
 * <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;">Descends rebellious ST qi

=__ Combining Principals of Ma Huang, Xi Xin, Gan Jiang, and Ban Xia __=


 * <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;">Treats cough due to retention of Cold Phlegm
 * <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;">If Cold is from the outside then Ma Huang is enough but since cold is in the Lung need Xi Xin to disperse Lung qi,
 * <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;">BUT Xi Xin can resolve phlegm so need Ban Xia
 * <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;">Gan Jiang is for warming the lung (ban xia too)
 * ALL acrid
 * copious sputum
 * cold phlegm
 * One source is preexisting condition cause SP/ST disharmony...Spleen generate phlegm becomes lurking phlegm in "diaphram", Lung contains that is exacerbated by wind cold invasion and phlegm moves up
 * Other source is Newly contracted wind cold prevents Lung D/D fxn and fluids can't be distributed then build up of harmful fluid w/o D/D of Lung.
 * thin mucus in lung
 * Ban Xia helps spleen
 * Gan Jiang warms middle
 * ?Can This combo treat Bi synd? The Wind cold damp in joints. Here are two Yin pathogens (cold and phlegm) then cause qi stagnation give pain. Yes can treat bi syndrome because can disperse wind cold and move qi (fang feng Tang)
 * Phlegm here can't be ignored by treating root of dispersing wind cold. Some effect but will plateau treatment.
 * Two groups:
 * Ma Huang &Xi Xin: Disperse qi
 * Gan Jiang & Ban Xia: Warm spleen, Gan jiang necessary to strongly disperse yin pathogens. Need two strong herbs for 2 yin pathogens...might need Fu Zi. "Like morning fog that needs the sun to disperse."
 * Treat

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

==<span style="font-size: 1.3em; margin: 0px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 5px;"> Combining Principals: ==
 * <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;">According the Mov't of Qi
 * <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;">According to Zang Fu Attribution
 * <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;">According to Organ Preference
 * <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;">According to 5e relationship
 * <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;">According to Qi, Blood, Body Fluid & Essence
 * <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;">According to Body constitution of Patient
 * <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;">Nature 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;">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;"> Indications: ==

==<span style="font-size: 1.3em; margin: 0px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 5px;"> Formulas: ==
 * <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;">Xiao Qing Long Tang (key formula)
 * SHL 39 & 40
 * Ma Huang, Gui Zhi, Bai Shao, Wu Wei Zi, Gan Jiang, Xi Xin, Ban Xia, Zhi Gan Cao
 * chronic water metabolism with exterior wind cold invasion
 * Astringent: Wu Wei Zi balances all the acrid herbs. Can't have all qi move out. Limit dispersal and recover normal d/d fxn of Lung. "Universe is like a bellow...in and out. Can't just use Chai hu, need Bai Shao: SHL 318-Si Ni San is first formula to recognize qi for liver. Don't move qi in only one direction UNLESS it is an emergency (like bowel obstruction)
 * Dose:
 * Ma Huang 10-12g
 * Xi Xin no more than 3g/day in bulk
 * Gan Jiang 15-20g
 * Ban xia 15g
 * <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;">She Gan Ma Huang Tang
 * <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;">Hou Po Ma Huang Tang
 * <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;">Hou Po Ma Huang Tang

==<span style="font-size: 1.3em; margin: 0px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 5px;"> // Dr Liu's Notes: // ==