HERB FORMULAS

ZHENG YIN LI LAO TANG JIA WEI- 愸阴悝劳湯加味 - MODIFIED RESCUE YIN MANAGE EXHAUSTION DECOCTION

English: Modified Rescue Yin Manage Exhaustion Decoction
Also Known As:

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Rx. Ginseng Ren Shen 9g Tonifies Lung Qi, generates Body Fluids and stops thirst.
With Wu Wei Zi and Mai Men Dong, for Qi and Yin Deficiency with shortness of breath and spontaneous sweat (usually secondary to injury from Heat).
Rx. Ophiopogonis Mai Men Dong 9g Moistens the Lungs, nourishes Yin and stops cough.
With Ren Shen and Wu Wei Zi, for profuse sweating, wheezing, increased Heart rate and exhaustion due to severe Deficiency of the Heart and Lungs.
With Sheng Di Huang, for hematemesis or epistaxis due to Yin Deficiency with Excess Heat.
Fr. Schisandrae Wu Wei Zi 6g Astringes leakage of Lung Qi, stops cough, tonifies Qi, tonifies the Kidneys, astringes sweat and generates fluids.
Rx. Angelicae Sinensis Dang Gui 6g Tonifies, invigorates and harmonizes the Blood, stops cough and treats dyspnea.
With Bai Shao, regulates and harmonizes Qi and Blood for Blood Deficiency Heat.
With Bai Shao, for Blood Deficiency Heat.
Rx. Paeoniae Alba Bai Shao 6g Nourishes the Blood, astringes Yin, calms Liver Yang and Liver Wind and alleviates pain.
With Sheng Di Huang and E Jiao, for Internal Stirring of Liver Wind, as in the aftermath of a febrile disease.
Rx. Rehmanniae Sheng Di Huang 9g Clears Heat, cools the Blood, nourishes Yin and generates fluids.
With E Jiao, for coughing, hematemesis, epistaxis, and uterine hemorrhage due to Heat from Deficiency.
Cx. Moutan Mu Dan Pi 6g Clears Heat, cools and harmonizes the Blood, clears Deficiency Fire, invigorates the Blood and dispels Blood Stasis.
With Sheng Di Huang, for Ying and Xue Stage Heat with epistaxis and hemoptysis and Kidney Yin Deficiency with steaming bones.
Sm. Coicis Yi Yi Ren 12g Strengthens the Spleen, resolves Dampness and clears Heat.
Sm. Nelumbinis Lian Zi 6g Tonifies the Spleen and Kidneys and astringes Jing.
Per. Citri Reticulatae Chen Pi 6g Regulates and descends Qi, adjusts the Middle, relieves the diaphragm, dries Dampness and transforms Phlegm.
Hb. Agrimoniae Xian He Cao 9g Astringes leakage of Blood, stops bleeding and tonifies Qi and Blood.
With E Jiao, for hemoptysis due to Lung Yin Deficiency.
Rz. Bletillae Bai Ji 9g Astringes the leakage of Blood, stops bleeding, nourishes the Lungs and resolves Phlegm.
With E Jiao, for hemoptysis due to Lung Yin Deficiency.
With Ce Bai Ye, for hematemesis.
Cacumen Platycladi Ce Bai Ye 9g Cools the Blood, stops bleeding, stops cough and asthma and expels Phlegm.
With Sheng Di Huang, for All types of bleeding due to Heat in the Blood.
With Bai Shao, for profuse menstrual bleeding.
Colla Corii Asini E Jiao 9g Nourishes the Blood, stops bleeding, nourishes and moistens Yin and moistens the Lungs and Large Intestine.
Rx. Glycyrrhizae Gan Cao 3g Tonifies the Spleen, augments Qi, moistens the Lungs, resolves Phlegm, stops cough, clears Heat, moderates and harmonizes the harsh properties of other herbs and guides the herbs to all twelve channels.

FORMULA ACTIONS

  • Tonifies Qi
  • Nourishes Yin
  • Clears Heat
  • Cools the Blood
  • Stops bleeding

SYNDROMES

  • Lung and Kidney Qi and Yin Deficiency

CLINICAL MANIFESTATIONS

  • Unproductive cough
  • Scanty, sticky phlegm or
  • Sometimes blood-streaked sputum
  • Chronic wheezing which is severe and may be constant
  • Wheezing may be worse at night
  • Wheezing and panting which is worse on exertion
  • The patient may develop a barrel chest and a thick neck
  • Tightness and fullness in the chest
  • Shortness of breath (difficult to inhale)
  • Dyspnea exacerbated by exertion
  • Asthma (inhalation difficult)
  • Soft, weak voice
  • Spontaneous perspiration
  • Aversion to Wind
  • Emaciated body
  • Exhausted Shen
  • Dispirited
  • Limbs cold
  • Face blue-green-colored
  • Maybe superficial edema of limbs and body
  • Maybe dysuria
  • Maybe stress incontinence on coughing
  • Dry mouth
  • Dry throat
  • Warm, dry skin
  • Chronic sore throat
  • Low back and knees sore and weak
  • "Steaming Bone" tidal fever
  • Fine sole Heat
  • Tinnitus
  • Night sweats
  • Malar flush
  • Maybe hoarse voice
  • Aversion to Heat
  • Finger clubbing
  • Large, red skin reaction to needles or pressure
  • Maybe kyphosis of the upper back
  • Maybe pain in shin, foot, and heel
  • Sterility
  • Spermatorrhea
  • Patients who used steroids as children may be small in stature
  • T: Red and dry or Pale, moist and swollen
  • C: None or Mirrored or White
  • P: Thready and rapid, may be fuller if on steroids or Deep and thready or Weak

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For persistent hemoptysis: For hemoptysis with afternoon or bone-steaming fever:
+ Yunan White Powder (patent medicine)
Yun Nan Bai Yao
+ 12g Cx. Lycii Di Gu Pi
or + 9g Rx. Cynanchi Bai Wei
+ 3g Rx. Notoginseng San Qi + 15g Hb. Artemisiae Annuae Qing Hao
For hemoptysis with severe night sweats:
+ 30g Concha Ostreae Mu Li For hemoptysis with significant facial flushing:
+ 12g Sm. Tritici Levis Fu Xiao Mai + 12g Rz. Anemarrhenae Zhi Mu
+ 9g Rx. Ephedrae Ma Huang Gen
    12g Cx. Phellodendri Huang Bai