Zhuye Shigao Tang – Nan Kaiyang

Zhuye Shigao Tang – Nan KaiyangAuthor: Nan Kaiyang  Editor: Gu Yuxi Translator: Gu YuxiOriginal Text:Article 397: After Shanghan (febrile disease) resolves, if there's emaciation, shortness of breath, and qi adverse flow causing nausea/vomiting, Zhuye Shigao Tang (Bamboo Leaf Gypsum Decoction) is indicated.Pattern Differentiation:After a Shanghan illness, the body experiences deficiency of both qi and yin, with residual heat not yet cleared. Both fluids and qi are injured, failing to nourish the body. Due to insufficient middle qi, there is shortness…

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Huanglian Tang – Nan Kaiyang

Huanglian Tang – Nan KaiyangAuthor: Nan Kaiyang  Editor: Gu Yuxi Translator: Gu YuxiOriginal Text:Article 173:For Shaoyang disease, if there is heat in the chest, evil qi in the stomach, abdominal pain, and desire to vomit, Huang Lian Tang is the primary treatment.I. Identification of Disease Location:This condition is characterized by upper-jiao heat, obstructed qi movement in the middle-jiao, and lower-jiao cold, resulting in a combination of heat and cold lodged in the stomach. It presents as upper heat and lower…

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Gegen Huangqin Huanglian Tang – Nan Kaiyang

Gegen Huangqin Huanglian Tang – Nan KaiyangAuthor: Nan Kaiyang  Editor: Gu Yuxi Translator: Gu YuxiOriginal Text:"Shanghan Lun" Article 34: In Taiyang disease, if it presents with Guizhi syndrome, but the physician mistakenly administers a purgative, and the diarrhea subsequently becomes uncontrollable, and the pulse is rapid, it indicates that the exterior has not resolved. If there is wheezing and sweating, Gegen Qinlian Tang is the primary treatment.Pathogenesis:This Taiyang disease originally involves external pathogenic heat. Due to the physician's erroneous purgation,…

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Mahuang Lianyao Chixiaodou Tang – Nan Kaiyang

Mahuang Lianyao Chixiaodou Tang – Nan KaiyangAuthor: Nan Kaiyang  Editor: Gu Yuxi Translator: Gu YuxiOriginal Text:Shanghan Lun 262: When cold damage accumulates heat internally, the body will certainly turn yellow; Ma Huang Lian Qiao Chi Xiao Dou Tang (Ephedra, Forsythia, and Red Bean Decoction) is indicated.Pathogenesis:Damp-heat is on the exterior, obstructing the striae and cutis.Herbal Pairings:Ma Huang (Ephedra) & Xing Ren (Apricot Kernel): One disperses, one descends; this allows lung qi to disperse, regulating and unblocking the water passages to…

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Zhizi Bopi Tang – Nan Kaiyang

Zhizi Bopi Tang – Nan KaiyangAuthor: Nan Kaiyang  Editor: Gu Yuxi Translator: Gu YuxiOriginal Text:Shanghan Lun261:For typhoid with body yellowness and fever, Zhizi Bopi Tang (Cape Jasmine and Phellodendron Bark Decoction) is indicated.Jinzha Gouxuan states: "Prime Minister Fire is dragon fire; it cannot be suppressed by dampness. It should be subdued by following its nature. Only substances like Phellodendron can bring it down." Cape Jasmine primarily targets the upper body, Phellodendron the lower, and Licorice the middle jiao. Cape Jasmine clears…

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Yinchenhao Tang – Nan Kaiyang

Yinchenhao Tang - Nan KaiyangAuthor: Nan Kaiyang  Editor: Gu Yuxi Translator: Gu YuxiOriginal Text:Shanghan Lun260:For typhoid of seven or eight days, with body yellowness resembling an orange color, unfavorable urination, and slight abdominal fullness, Yinchenhao Tang (Artemisia Capillaris Decoction) is indicated.Pathogenesis:Dampness and heat are intertwined and obstructed, leading to impaired qi transformation, improper distribution of fluids, stagnation of qi in the middle jiao, and dysfunction of qi transformation in the Sanjiao (triple warmer).Clause:Clause 236 of Shanghan Lun  addresses the symptoms…

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Guizhi Gancao Tang – Nan Kaiyang

Guizhi Gancao Tang – Nan KaiyangAuthor: Nan Kaiyang  Editor: Gu Yuxi Translator: Gu YuxiOriginal Text:Clause 64 of Shanghan Lun : If there is excessive sweating, the person clasps their hands over their heart; with palpitations below the heart, and a desire for pressure, Guizhi Gancao Tang (Cinnamon Twig and Licorice Decoction) is indicated.Interpretation:This clause doesn't mention exterior Taiyang syndrome; it only describes the effects of excessive sweating. When there's too much sweating, the fluids in the intestines and stomach become deficient.…

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Maxingshigan Tang – Nan Kaiyang

Maxingshigan Tang - Nan KaiyangAuthor: Nan Kaiyang  Editor: Gu Yuxi Translator: Gu YuxiOriginal Text:Clause 63 of Shanghan Lun : After sweating, Guizhi Tang (Cinnamon Twig Decoction) should not be administered again; if there is sweating with wheezing and no significant fever, Maxingshigan Tang (Ephedra, Apricot Kernel, Gypsum, and Licorice Decoction) is indicated.Interpretation:"Sweating with wheezing and no significant fever" — this "heat" differs from the "heaviness and fever" syndrome of Taiyang wind-stroke.Modern medicine defines the fever in wind-stroke as an interplay…

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Xuanfu Daizheshi Tang – Nan Kaiyang

Xuanfu Daizheshi Tang - Nan KaiyangAuthor: Nan Kaiyang  Editor: Gu Yuxi Translator: Gu YuxiOriginal Text:Clause 161 of Shanghan Lun : For cold damage after sweating, or vomiting, or purging, upon resolution, if there is epigastric glomus and hardness, and persistent belching; Xuanfu Daizheshi Tang (Inula and Hematite Decoction) is indicated.Pathogenesis:Stomach deficiency with phlegm obstruction and rebellious qi, where liver qi ascends and invades.Location of Disease:The middle jiao (stomach system) and the lower jiao (liver system).A large dose of Hematite (Daizheshi)…

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Zhigancao Tang TCM Medical Record

Zhigancao Tang TCM Medical RecordAuthor: Nan Kaiyang  Editor: Gu Yuxi Translator: Gu YuxiTCM Medical Record:24-year-old male, chief complaint: palpitations for three years, particularly noticeable at night. Western medical examination revealed mild myocardial ischemia. Recently, palpitations have worsened, severely affecting sleep. Tongue presentation: pale red tongue with white, slippery coating, prominent teeth marks, suggestive of water retention affecting the heart. Poor physical strength, easily fatigued. Six-channel differentiation: heart yang deficiency, water qi assailing the heart. Initially, Fuling Gancao Tang (Poria and…

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