Linda Boggie, DVM, CVA (IVAS)

History lesson

Legend has it the emperor Shen Nong

(3737-3697 BCE) was fascinated with plants
and studied their medicinal properties
Self-experimentation in a manner of
speaking

Tasting, feeling, physical and, in some cases

mental effects

Shen Nong Ben Cao Jing (Classic Materia

Medica)
Included approximately 360 medicinals
Plants, minerals and animal substances
Over 5000 years ago! (5700 or so)

Huang Di

The Yellow Emperor

Said to have lived circa 2700 BCE

Huang Di Nei Jing Su Wen Ling Shu

Credited to Huang Di but actually a compilation from many

authors

Encompasses the developing knowledge of Chinese

medical philosophy

Yin and Yang, Naturalism and Daoism reflected

Describing processes of nature and applying to human
Living in balance

First written copy is attributed to Warring States period

(475-221 BCE)
First written copy in survival from Han Dynasty (206
BCE- 220 CE)
This book in turn influenced Chinese Herbal medicine

Zhang Zhong Jing

Han Dynasty Chinese physician

Witnessed many deaths caused by infectious diseases
Wrote the Shang Han Za Bing Lun
Discussion of Cold-Induced Disorders and
Miscellaneous Diseases

Later divided into two foundational herbal texts

Shang Han Lun, Treatise on Febrile Diseases caused by
Cold
Jin Gui Yao Lue, Essentials from the Golden Cabinet

Hua tuo

Famous physician, also circa 200 CE

Best known for his Hua-tuo-jia-ji points
effective for relieving pain
First used pain relieving decoctions

Song Dynasty (970-1279 CE)

1200 CE, narcotic teas were developed
Minor surgical procedures

Close to 1000 plants, minerals, and animal

substances were documented as to medicinal
qualities and effects

Jin-Yuan period
1127-1368

Northern tribes took control of part or all of China from

Song Dynasty
First Jin then Mongolians who established the Yuan Dynasty

Changes in Chinese culture

Development of neo-Confucianism by Zhu Xi (1120-1200)
Incorporated Naturalistic and Daoist philosophies into the
rigid Confucius doctrine

Zhang Yuansu wrote Zhenzhu Nang, A Bag of Pearls

zhenzhu = pearl; nan = bag

Zhengzhu Nang

A double meaning
Fundamental contents of the book are valuable - like a
pearl
Book itself is entirely expendable: it is a bag, not a
permanent repository, such as a golden chamber
(jingui, as in the title Jin Gui Yao Lue).

Title also indicates that one must rely on oneself

Training, experience, self-cultivation, and intuition
that goes into becoming a medical practitioner
Not to follow some dogmatic system that is going to
eventually change anyway

Zhang Yuansu and

Zhenzhu Nang

Presented ideas about disease causation

Incorporated medicinal materials into the five element
framework (wuxing)

The organizing principle of Chinese medicine at the time

Defined the association of herb tastes and their effect on the

different organs
Concept of herbs entering into and influencing the channels
Channel attributions were an effort to link the physiological
effects of herbs with the concept-originally depicted in the
Neijing Suwen: pathogens influencing channels
Linked the actions of herbs with the effects induced by
acupuncture

Unified the theories of disease causation and treatment and the

practices of herbal medicine and acupuncture

Zhang Yuansu

"The method of appropriately using herbs in accordance

with the symptom and sign presentation of the patient
entails determining substances with the correct qi, taste,
yin and yang, and thick and thin properties as well as the
pathogenic factor involved and the channel it has
entered."

Li Dong Yuan
Famous Student

Li Shi Zhen

Famous herbalist of 16th century

Stated that Zhang's book contributed much to the
spread of medical principles
Ben Cao Gang Mu, Grand Materia Medica; 1596
Described 1,892 Chinese herbs and 11,096 Chinese
herbal formulas
Additionally published in many other countries
allowing dissemination of Chinese herbal medicine
knowledge

Decline of Chinese medicine

1700s Protestant missionaries introduced Western

medicine into China
During the colonial period of Chinas history
Western medical practice became more popular and
both Chinese herbal medicine and acupuncture were
forced underground

Chinese Veterinary Herbal

Medicine

Developed alongside the human field

Sun Yang (later called Bo Le) and Wang
Liang
The fathers of Chinese veterinary
medicine
Spring and Autumn Period (770-476
BCE)

Established the principles of diagnosis in

animals, theories of internal and external
disorders, treatment methods and
classification of medicinal substances

Sui Dynasty (581-618 CE)

Veterinary medicine began to branch out and develop

into areas of specialty
Chi Ma Niu To Lu ching
Various treatises on the Treatment of Horses, Cattle, Camels
and Donkeys

Liao ma Fang
Prescriptions for Horses

Bo Le Zhi Ma Za Bing Jing

Treatise on Treatment for Sick Horses by Bo Le

Note absence of specialty in canine or feline practice

Tang Dynasty (618-907 CE)

Rapid advancements in veterinary medicine

Horses were a prized possession

Indicating wealth and status

Military requirements for healthy horses also stimulated
veterinary development

Comprehensive veterinary education system was

established
Xin Xiu Ben Cao, Newly Revised Materia Medica
Published by government in 659 CE

Described 844 Chinese herbal medicines

Chinas earliest pharmacopeia for human and veterinary
medicine

Ming Dynasty (1368-1644 CE)

Li Shi Zhens Ben Cao Gang Mu

Yuan Heng Liao Ma Ji Fu Niu Tuo Jing, Yuan-Hengs
Therapeutic Treatise of Horses
Two brothers, Yu Ben-Yuan and Yu Ben-Heng
Representative work of the knowledge and treatment
of equine diseases using acupuncture and herbal
medicine
Many texts were published concerning the treatment
of veterinary agricultural species

Decline and Rebirth

1840-1949: China was a semi-colonial semi-feudal society

After introduction of western medicine in 1700s traditional
Chinese medical practices fell into decline

During this period acupuncture and Chinese herbal

medicine suffered greatly
Acupuncture was banned from the Imperial College
1949 Cultural Revolution
The rebirth of Traditional Chinese Medicine

1956 governmental policy on teaching and improvement

of Traditional Chinese Veterinary Medicine

Herbal and Food Energetics

Herbs are concentrated food

Energetics and properties apply to both
Use of both is in accordance with the philosophical
medical principles ingrained in the Chinese culture
Naturalism, Daoism, Confucianism

A proper Chinese Medical Diagnosis is crucial!

Acupuncture is forgiving
Foods not as forgiving but a bit
Herbs you gotta know!

Your diagnosis determines treatment strategy!

Treatment Strategies

Sweating
pathogen has invaded the superficial layers of body
In patients that dont sweat a mild increase in panting and
heat intolerance is observed
Weak patients combine with tonification

Vomiting
Strong patients with acute presentation of food stagnation
or toxins in upper half of body
Modern emetics are stronger than traditional herbs

Draining downward or Purging

Strong treatment method; use with caution
Toxins or accumulations in the lower half of the body
Weak patients must balance with tonification

Treatment Strategies

Harmonizing
Attack and tonify simultaneously
Complicated cases with conflicting clinical signs
Hot and cold
Different parts of the body are affected, such as Spleen
and Liver
Shaoyang disorders
Disharmonies of Blood and Qi

Will often be employed in our patients

Treatment Strategies

Warming
Warms the channel, Organ or specific body part affected
Discern if there is Cold due to Cold invasion or lack of Yang

Clearing
Formulas are cooling
Clear heat and purge fire toxins from all three levels of the body
Weak patients also tonified

Reducing

Eliminate stagnation and transform phlegm

Dissolves nodules and hardenings
Works gradually
Chronic conditions with stubborn accumulations

Treatment Strategies

Tonifying
Replenishes deficiencies of the Fundamental
Substances Qi, Xue, Jin-ye, Jing, Yin and Yang
Deficient patients with concurrent excess pathogenic
processes must be treated with tonification as well as
other clearing, draining or reducing strategies
They should ever be treated with tonification alone
you will feed the guest in your house.

Patients with Bi and Wei syndromes more than one

of these strategies be employed
In fact this can be said of any chronic condition

Classification of Chinese
Herbs and Foods

Temperature
Taste
Direction
Channel influence

Herbs are chosen based on these inherent properties

which can address the characteristics of the imbalance
Toxicity is also considered

If there is an herb needed that has potential toxicity other

herbs are included to offset toxic aspect and/ or have
similar action allowing a lower dosage
Fu Zi, Aconite

Temperature

Herbal medicine is a heteropathic therapy

If something is cold you warm it up
If something is hot you cool it down

Same applies to food therapy

Cucumber vs. Hot pepper
Avocado vs. lemon

Temperature or energetic gradient is also on the Yin/

Yang continuum
Cold and cooling are Yin
Hot and warming are Yang

Five
Energies

TCVM Actions

Physiologic Effects

Examples

Cold

Purge Heat and Fire

Cool Blood

Anti-inflammatory
Anti-spasmodic, sedative

Coptis Huang lian

Lycium bark Di gu pi
Gardenia fruit Zhi zi

Cooling

Relieves Heat
Resolves Toxin

Reduces fevers, detoxifies

Lowers blood pressure
Soothes nerves

Bupluerum Chai hu
Morus Sang ye
Pueraria root Ge gen

Neutral

Mediates Cold, Cool,

Hot and Warm herbs

Gentle effects, regulates

Glycyrrhiza Gan cao

Jujube Da zao

Warming

Warms the Interior

Disperses Cold

Promotes circulation
Alleviates chills

Ledebouriella Fang feng

Cinnamon twig Gui zhi
Angelica root Du huo
Eucommia bark Du zhong

Hot

Tonifies Yang Qi
Activates the Channels

Improves Organ functions

Stimulates and strengthens

Zingiberis Gan jiang

Cinnamon bark Rou gui
Aconite Fu zi

Five Flavors

Sensation perceived by Chinese healers and scholars

Combined with clinical results
Taste reflects biochemical components of herbs (foods)
Hawthorne berry, Shan zha, sour taste
High percentage of acids including flavonoids

Coptis, Huang lian, bitter!!!!

High percentage of berberine an isoquinolone alkaloid
with antibacterial effect

Sixth category not often discussed Bland

Little to know distinct flavor

Six
Flavors
Acrid or
Pungent

Sweet

Sour

TCVM Actions

Physiologic Effects

Examples

Activate Qi and Blood

Diaphoretic

Stimulate blood circulation

Distribute energy from the
interior to the surface
Can induce sweating to
remove pathogenic Qi

Ephedra Ma huang
Vladimiria Chuan mu xiang
Zingiberis Sheng jiang
White
Pale
Cloves, garlic, fennel,
Lungs
chives, ginger, nutmeg,
Metal
radish, pepper, wine

Tonify
Nourish
Harmonize soothe
and regulate
Tend to moisten, calm
and cool

Tonify deficiency
Soothe acute diseases
Regulate internal organ
functions

Ginseng Ren shen

Glycyrrhiza Gan cao
Astragalus Huang qi
Rehmannia Shu di huang

Astringe
Stabilize and Bind
Prevent fluid loss

Apple, banana, corn, egg,

carrot, yam, sugar, wine
Maintain integrity of
respiratory and digestive
tracts
Contracts flaccid tissues
Stop abnormal secretions or
discharges
Promote digestion
Stimulate enzyme secretion
and liver function
Alter blood conditions

Schisandra Wu wei zi
Mume fruit Wu mei
Hawthorne fruit Shan zha
Apricot, grape, mango,
peach, pineapple, plum,
vinegar, tomato

Other
qualities

Yellow
Brown
Spleen
Earth

Green
Yellow-green
Liver
Wood

Bitter

Salty

Bland

Many have antiviral,

antibacterial, anti-inflammatory
Clear Heat toxins
and antipyretic properties
Eliminates Damp-Heat Detoxify
Purges intestines
Enhance secretion of bile
through the liver
Promote gastric secretion of HCl
Anti-cholesterolemic actions

Soften hardness
Dissolve stagnation
Purges accumulations
by sinking Qi
downwards
Purge intestines

Diuretic effect

Diuretic properties
Softens hard masses and resolves
bumps
Relieves constipation through
purgation
Helps maintain fluid balance

Treat edema and dysuria

Coptis Huang lian

Rhubarb Da huang
Gentiana Long dan
Asparagus, celery,
coffee, porcine and
ovine bile

Mirabilite Mang xiao

Sargassum Hai zao
Oyster shell Mu li
Abalone, barley, clam,
crab, duck, ham, kelp,
pork kidney, oyster,
mussel, human milk
Poria Fu ling
Polyporus Zhu ling
Talcum Hua shi
Jobs tears, button
mushrooms

Red
Heart
Fire

Black
Dark
Kidney
Water

Direction

How or where an herb will send its energy within the

body
Think of eating wasabi..
Now, think of eating an avocado.
Now, think of drinking peppermint tea.
Herbs have the same variety of actions
Bupleurum, Chai hu, raises Qi head, chest, upper limbs
Rhubarba, Da huang, purges pathogens via stool or urine
Ephedra, Ma huang, outward directing make you sweat
or consolidate the exterior
Schisandra, Wu wei zi, inward directing protect Zang
and Fu or conserve Essence

Channel Entered

Guides the formula to a specific channel or Organ

Some will help to clear obstructions from channels
Cinnamon, Gui zhi
Earthworm, Di long
Herbal formulas for Bi syndromes contain channel
clearing herbs as well as those with affinity for
Bladder and Kidney channels
Herbal formulas for Wei syndromes contain herbs to
nourish Qi, Yin, Yang, Xue as needed

Composition of Chinese
Herbal Formulas

Built using a metaphorical hierarchy based on a

model discussed in the Nei Jing Su Wen
Construct a balanced formula to address the pattern
and minimize side effects from any individual herbal
component
There are four components in a formula:

the chief herb (or emperor)

the deputy herb (minister)
the assistant herb
the envoy

Composition and purpose

Chief herb addresses the main pattern imbalance

Essential to the herbal formula

Deputy herb aids the chief in the principle imbalance

Also serves to address any secondary issues

Assistant herb has multiple duties

Reinforces chief and deputy by addressing contributing
issues to pathology
Also often offset any toxic properties of the chief or deputy
In large complex formulas may have opposite effect of the chief
To provide balance to the formula

The envoy herb delivers the action of the formula to a

specific area of the body, channel, or organ
Also often harmonizes the entire formula

Complex, chronic vs.

Simple and acute

Patient with a complex problem may require a very

complex formula
A Chief with a number of ministers and assistants

Superficial or acute imbalance generally only requires a

simple formula
A chief with a few deputies

It is possible, sometimes necessary to modify

Chief is almost never changed
Assistants or minor deputies can be changed

Sometimes the addition of another herb to address the

pathology is done
Corydalis, Yan hu suo, very good for pain

Formulas for Bi Syndrome

Primarily classic formulas

Reference to herbal formulas created by Dr. Steve
Marsden for veterinary species

To choose the correct formula means to have the

correct TCM/ TCVM diagnosis
A patient with a Kidney Qi and Yin deficiency pattern
will be made worse with a formula that is warming!

Shen tong zhu yu tong

Tao Ren
Hong Hua
Chuan Xiong
Qiang Huo
Dang Gui
Mu Xiang
Niu Xi
Qin Jiao

Persica
Carthamus
Ligusticum
Notoptergium
Angelica
Sausserea
Achyranthes
Gentiana

Relieve pain, activate Blood

Nourish and move Blood

Relieve pain, move Qi
Strengthen bones, limbs
Clear Wind-Damp,
Nourish Yin
Di Long
Earthworm
Move channels,
Clear Wind-Damp
Mo Yao
Myrrh
Move Blood, Qi;
Resolve stagnation
*Caution pregnant animals, can cause abortion

Du huo ji sheng tang

Kidney Qi Def, Liver Blood Def

Du huo
Sang ji sheng
Fang feng
Qin jiao
Niu xi
Fu ling
Xi xin
Du zhong
Rou gui
Chuan xiong
Dang gui
Bai shao yao
Sheng di huang
Ren shen
Gan cao

Angelica
Clear Wind-Damp
Loranthus
Warm interior, Dispel Cold
Siler
Gentiana
Achyranthes root
Clear Wind-Cold
Poria
Clear Wind-Damp
Asarum
Eucommia bark
Tonify Kidney Yang
Cinnamonn bark
Ligusticum
Angelica
Nourish and Move Blood
White peony
Resolve Stagnation
Rehmannia
LIV/KI Qi Def,
Ginseng
Tonify Qi
Blood Def
Aversion to Cold
Licorice
Harmonizer

Supple Spine

Du huo
Sang ji sheng
Fang feng
Qin jiao
Fu ling
Xian Mao
Du zhong
Rou gui
Chuan Niu Xi

Angelica
Loranthus
Siler
Gentiana
Poria
Circuligo
Eucommia bark
Cinnamonn bark
Cyathula Root

Chuan xiong
Bai shao yao
Shu di huang
Ren shen
Gan cao

Ligusticum
White peony
Rehmannia
Ginseng
Licorice

Clear Wind-Damp
Warm interior, Dispel Cold
Clear Wind-Cold
Clear Wind-Damp
stronger strengthening bone
Tonify Kidney Yang

Stronger blood mover &

nourishes tendons and ligaments
Nourish and Move Blood
Resolve Stagnation
more warming, Blood nourish
Tonify Qi
Harmonizer

Xiao huo luo dan Quick River

Cao Wu

Aconite

Warm Channels,
dispel Wind-Cold-Damp

Jiang Huang
Turmeric
Chuan
Wu
Aconite
Tian Nan Xing Arisaema

Di Long
Mo Yao

Lumbricus
Myrrh

Ru Xiang

Olibanum

Transforms phlegm,
Resolve stagnation
Activate the Channel
Resolve stagnation,
relieve pain

(Boswelia)
Caution: Aconite is toxic!
Use short period - 2 months

Qi and Blood Obstruction

Also wind-stroke with
numbness and pain

Yi Yi Ren Free the Sinews

Du huang
Huo
Ma
Gui zhi

Angelica
Ephedra
Cinnamon

Dispel WC from exterior

Drain damp through urine

Gui zhi also opens channels in extremities

Dang gui
Bai shao
Cang zhu
Yi yi ren
Zhi gan cao
Sheng jiang

Angelica
Peony
Atractylodes
Coix
Glycyrrhiza
Zingiberis

Activate Blood
Relieve Pain
Drain Damp
Harmonize
Harmonize

Using Du Huo brings formula to back and neck as well

Gui Zhi maintains effectiveness in peripheral channels
Can add Sang Zhi, Morus twig to help smaller joints, esp. FL

Benefit Hips and Knees

Xiao Chai Hu Jia Qin Jiao Tang
Chai Hu
Ren Shen
Qin Jiao

Bupleurum root
Relieves LIV Qi Stag, raises Qi
Ginseng root
Tonifies primary Qi: SP/ LU/ HT
Large-leaf gentian root Dispels WD, relaxes sinews
drains DH, clears deficient Heat
Huang Qin Scuttelaria
clears DH, relieves toxicity
Fa Ban Xia Pinellia root, treated
dries D, resolves Phlegm, LU Qi,
Reb. ST Qi
Gan Cao
Licorice root
harmonizer, stops spasms & pain
Gan Jiang Dried ginger root
warms middle, dispels cold
Hong Zao Red jujube fruit
harmonizer, tonifies SP/ST

XCHT: Opens TH longitudinal circulation and expels pathogenic

factors to exterior
Qin Jiao further enhances distribution to joints, esp Hip and Stifle (GB
Affinity)

Bupleurum and Kudzu Clearing Formula

Jia Wei Chai Ge Jie Ji Tang
Chai Hu
Du Huo
Huang Qin
Ge Gen
Bai Shao Yao
Qiang Huo
Hong Zao
Sheng Shi Gao
Bai Zhi
Jie Geng
Gan Jiang
Gan Cao

Bupleurum root
Angelica pubescens
Scuttelaria
Kudzu root
White peony root
Notopterygium root
Red jujube
Gypsum
Angelica root
Platycodon
Dried ginger
Licorice

Relieves LIV Qi Stagnation, raises Qi

Clear Wind-Damp
clears DH, relieves toxicity
disperses WH, dispels pathogens from muscles
tonifies Blood, Yin; moves LIV Qi, nourishes LIV
expels WCD, unblocks channel osbtruction
harmonizer, tonifies SP/ST
clears H from Wei level and Yangming channel
expels W and WC, releases exterior, alleviates pain
opens Lung, resolves phlegm, guides other herbs
warms middle, dispels cold
harmonizer, stops spasms and pain

Main thrust is to expel pathogenic factors from the different Yang levels
Chai Hu Shaoyang;
Shi Gao and Bai Zhi Yangming;
Ge Gen and Qiang Huo Taiyang
Bai Shao, Hong Zao, Gan Cao, Gan Jiang nourish and protect inner

Sublime Joint Formula

Xian Fang Huo Ming Yin

Chuan Bei Mu
Dang Gui Wei
Bai Zhi
Fang Feng
Mo Yao
Ru Xiang
Chi Shao
Gua lou
Zao Jiao Ci
Jin Yin Hua
Chen Pi
Gan Cao

Fritillary bulb
resolves phlegm,
Angelica root tail
tonifies and moves Blood, alleviates pain
Pungent Angelica
expels W, WC, rel. exterior
Siler
alleviate pain
Myrrh
Invigorate blood, break blood stasis, move Qi,
Frankincense (Boswelia)
reduce swelling, generate flesh
Red Peony
clears heat, cools blood, dispels blood stasis
Trichosanthes root
clears heat, resolves phlegm
Gleditsia spine
eliminates toxicity, drains pus, activates blood
circulation, reduces swelling
Honeysuckle
clears heat, relieves toxicity, disperses WH
Tangerine peel
regulates Qi, harmonizes middle, dries D
Licorice
harmonizer, nourishes Spleen

Chronic accumulation of Damp, Heat and Phlegm with significant Blood Stasis
Hemorrhagic disorders, chronic lameness, osteoarthritis with heat and swelling,
poorly healing wounds and even inflamed tumors.
Contraindicated in Qi deficient, Yin or Blood deficiency

Herbal Formula: Bai hu si miao tang

Zhi mu
Shi gao
Hai tong pi
Gui zhi
Cang zhu
Huang bai
Yi yi ren
Niu xi

Anemarrhena
Gypsum
Erythrina
Cinnamon twig
Atracylodes
Phellodendron
Coix
Achyranthes

Clear Heat
Clear Wind-Cold-Damp

Clear Damp
Clear Heat

Last four herbs are Si miao tang

Infectious arthritis, rheumatoid arthritis, immune-mediated
arthritis

Single Herbs
Yan hu suo : corydalis tuber
Blood Invigorating
Promotes movement of Qi
Alleviates pain all kinds

Jie geng : platycodon root

Phlegm Resolving
Opens lung, resolves phlegm
Directs other herbs to upper jiao

Respiratory Disease
According to Chinese Physiology

Chinese Correspondences
The Lung is the Canopy
It covers and protects

Lung Hand Tai Yin channel

Connected to Leg Tai Yin channel - Spleen
Paired with Large Intestine Hand Yang Ming
Autumn
Metal

Chinese Physiology
The Lung is the Canopy
It covers and protects

Most exterior of all Zang Fu

First interface with the environment Breathing
Extracts Qing Qi (O2) from air
Utilized in production of Ying Qi which circulates in blood
vessels to nourish all organs and tissues

Lung Qi Infuses the Ying Qi into the blood vessels

Qi moves the Blood as Blood nourishes Qi
LU 9 : Hui-Influential point for Vessels

Descends and Disseminates Qi and Fluids

First Organ exposed to airborne pathogens!

Lung Physiology
Wei Qi
Strong affiliation with Wei QI
Immune system humoral and cell- mediated
IgA, Alveolar macrophages (Giant cell capsules)

Instinctive body mechanisms for survival

Microvilli anatomical defense system!
Regulation of opening and closing of pores
Thermoregulation
Protection from External Physical Environment

Shivering when cold

Allows us to live harmoniously in our physical environment

Wei Qi travels under surface of the skin cuo li

Wei Qi travels internally as well mucous membranes
of gastrointestinal system (GALT.)
Association with Large Intestine

Lung Physiology
Fluids
Descends Fluids
Moistens the skin and tissues
Suppleness of skin, integrity
Suppleness of fascia to some extent
Liver Blood is most important but Lung fluids supplement

Serosal and mucosal surfaces of internal organs

Fluids descend to Kidney

Turbid excreted as urine
Pure replenish Kidney Yin
Kidney Yin balances Heart Fire

Action of Kidney Yang on Kidney Yin creates Kidney Qi and

steams fluids back up to the Lung

Lung and Kidney important role in circulation of fluids

Lung Physiology
Extension of Spleen
Lung is Hand channel of Tai Yin
Spleen is Foot channel of Tai Yin
They are two aspects of the same channel

Lung Primary channel begins in the area between the

Stomach and Spleen
Spleen supports the Lung
Ascends the Gu Qi to the Lung where this combines with
Qing Qi to form the Wei Qi and Ying Qi

Both the Spleen and the Lung are crucial to the

manufacture and circulation of Qi in the channels
In part this is our energy ATP production
Both the Lung and the Spleen are important in Ying Qi
Manufacture and Circulation

Physiology in summary
Lung affects all movements of Qi
Ascending, Descending, In and Out

Most external Organ thus affected most by EPF

Harmonizes flow of Blood due to flow of Qi
Opens and regulates water channels LU 7
LU Qi descends the fluids; Received by KI Qi

Connected with skin, body hair

Pores opening and closing, sweating, skin resistance

Open into nose and connects with throat

Connects with Large Intestine

Pathophysiology

Disharmony reflected in:

Water or fluid regulation
Air movement
Qi movement
Diseases of nose, throat and large intestine
Closely related Organs
Spleen Qi and Phlegm relation
Kidney Qi and Fluid relation

Acute versus Chronic

Rebellious Lung Qi
Coughing!
In acute infections should be viewed as normal body
response to invading pathogen
Viruses, bacteria, foreign bodies, pollen

Production of mucous
As the normal movement of Qi and Wei Qi is disturbed so
is the movement of fluids
Fluids accumulate in nasal and bronchial passageways
To some extent also a normal body response to help move
insulting organisms/ pathogenic factors out of the body
Sweating
Another normal mechanism of the body to rid an EPF
In acute conditions a good thing! Bodys normal response

Acute Respiratory
Generally think URI
Wind-Cold
Acute onset, sneezing,
nasal congestion clear
Muscle aches, chills
Aversion to Wind and Cold
Pale tongue or normal, thin
white coat
Pulse superficial and tight

Exterior Excess Cold or

Lung Wind-Cold

Typical cold

Wind Heat
Acute onset
Sneezing, nasal obstruction
with think yellow mucous
Sore throat
Fever more than chills,
thirst
Avoids wind and cold
Tongue +/- red, thin yellow
coating
Pulse superficial and rapid

Exterior Heat Excess

Lung Wind Heat

Treatment with AP and Chinese Herbs

Acute Wind Cold
Dispel Wind-Cold

LU 7, LI 4 Expel Exterior
Wind (cold and heat)
BL 12 Feng men
BL 13 Fei Shu

Aches in upper body

GB 20 Feng chi

Additional Points

GV 14 Expels Ext. Wind

BL 10 Wind, aches
LI 20 local, nasal
CV 22 local, throat

Herbs
Ge gen wan
Pungent Warm Exterior
Relieving
Ge gen, Ma huang, Gui zhi,
Bai shao yao, Sheng jiang,
Da zao, Zhi gan cao
Taiyang stage - aches

Xiao Qing Long wan

Minor Blue Dragon
Pungent Warm Exterior
Relieving
Ma huang, Gui zhi, Bai
shao yao, Gan jiang, Xi xen,
Wu wei zi, Ban xia, Zhi gan
cao
Pre-existing SP Qi Def

Acute Wind-Heat
Dispel Exterior Wind Heat
GV 14 also relaxes neck,
tonifies Wei Qi
LI 4 Tonifies Wei Qi
TH 5 Tonifies Wei Qi
LI 11 clears Wind-Heat

Sore throat:
LU 10 removes LU Heat
LU 11, expels LU Heat
SI 17 local point, expels
Heat or Damp of the throat

Additional Points:
GB 20 clears Heat and Wind
in upper body
BL 12, BL 13

Herbals
Yin Qiao Jie Du Pian
Lonicera, Forsythia Resolve
Toxin tablet
Dispels W. clears Heat,
resolves toxin, benefits the
throat, relieves thirst, diffuses
LU Qi
Within first 12-24 hours
Not appropriate if EPF in lung

Fang Feng Tong Sheng Wan

Ledebouriella Opened by the
Sage Decoction
Dispels W, Clears H, resolves
Toxins, frees the stool
Tai Yang and Yangming stages

Chronic or Recurring URI

Underlying Deficiency of either Qi (Yang) or Yin
Chronic Deficiency Yang
Interior Cold Def
Easy to catch colds and
flus
Overweight, lethargic
cats
Qi def plus Cold
T: pale, flabby, moist
P: slow, weak

Can include the

chronic rhinitis/
sinusitis cats

Chronic Yin Deficiency

Interior Heat Def

Frequent colds with Heat

symptoms
Herpes Virus cats; FeLV,
FIV cats
With stress develop URI
usually with heat

Nasal discharges with

heat yellowish
Tired, restless, feverish,
sore throat or dry cough
T: red, no coating
P: rapid and weak,
sometimes floating

Chronic Recurring URI or rhinitis/

sinusitis
Address Acute Pattern
Wind Cold
Wind Heat

Local points for Sinuses

LI 20
Bi tong
Yin tang
BL 2

Phlegm will be underlying

SPLEEN

Phlegm Cold in Lung

Transform Phlegm-Cold:

BL 13 dispels WC in LU
LU 5 disperses LU Phlegm Hot or Cold
ST 40, LI 4

Tonify LU and SP: LU 9, SP 3, SP 6

Herbal
San Zi Yang Qin Tang

Three seeds to nourish ones parents

Cold Phlegm transforming
Bai jie zi White mustard seed
Warms lungs, eliminates phlegm,
promotes movement of Qi

Zi su zi Perilla seed

Descends rebellious Lung Qi, stops

coughing and wheezing, resolves phlegm

Lai fu zi Radish seed

Improves digestion, relieves food

stagnation, descends rebellious LU Qi,
resolves phlegm

Chronic rhinitis Heat pattern

Phlegm Heat in Lung
Transform Phlegm-Heat:

LI 4 Clears Wind- Heat,

tonifies Wei Qi
LU 5, ST 40 Phlegm, Hot or
Cold
GB 20 for Heat especially in
upper body
BL 13

Tonify SP: SP 3, SP 6, SP 9
TH 5 clears heat
LU 6 Disperses Phlegm-Heat

Cang er zi
External Wind Expelling
Nasal congestion w/ thick nasal
discharge
Cang er zi Xanthium fruit
Pungent, bitter, warm: Opens
nasal passages, expels W-D,
relieves pain

Xin yi Magnolia flower

Pungent, warm: Expels W-C,
opens nasal passages

Bai zhi Angelica root

Pungent, warm: Expels W-C
releases exterior, alleviates pain

Bo he Peppermint
Pungent, cool: Disperses W-H,
releases exterior, clears head,
moves Liver Qi

Chronic rhinitis
May need to support Spleen
Si jun zi tang Four Gentlemen
Ren shen, Bai zhu, Fu ling, Zhi gan cao

If Yin deficiency is prevalent or Yin is damaged

Zuo gui wan
Liu wei di huang wan
Mai men dong tang

Both contain Shu di huang

which can be too much for
patients with SP Qi
Deficiency

Mai men dong nourishes LU and ST Yin;

Contains Ren shen, Da zao, Gan cao that help support SP

Lower Airway disease

Chronic coughing, bronchitis, asthma
Because Lungs are Exterior can have direct invasion
of Lungs leading to deeper problems
Affecting bronchi and lung tissue
Wind-Heat, Wind-Cold and Wind-Dryness

Can also have the transference of an EPF that was

affecting only the nose and upper passageways travel
deeper as Wei Qi is weakened
Bordetella turning into chronic bronchitis or pneumonia

Again will have some mixed patterns

Excess symptoms but underlying Deficiencies
Deficiency in Lung, Spleen, Kidney

Deeper invasion
Same patterns as with URI but now
Lung Organ affected
Wind Cold Cough
External invasion of Wind
and Cold
Cough, laryngeal,
pharyngeal irritation
Acute Onset Exterior
Cough
Chills
T: thin white coating
P: superficial and tight

Wind Heat Cough

Invasion of Wind-Heat
Transformation of WindCold to Wind-Heat
Acute onset
Cough
Heat signs
Fever, sore throat, thick
yellow sputum

T: red, thin dry white or

yellow coating
P: rapid; superficial

Chronic Coughing Patterns

Deficiency of Lung Qi

Weakened by antibiotic or steroid use

May also be associated with Kidney Qi Deficiency

Decreased ability of LU to descend Qi
Decreased ability of KI to Grasp descending Lung Qi

LU Qi deficiency signs

Weak cough, chronic; weak voice

Gets cold easily
Short breath
Clear diluted sputum
Edema in forelimbs

Weakness in hindlimbs
Cool in lower back and extremities
Incontinence
Edema in hindlimbs

KI Qi Deficiency Signs

Chronic Coughing
Lung Qi Deficiency combined with Yin Deficiency
Yin Deficiency of Kidney or Lung or Both

Signs of Qi Deficiency
Signs of Yin Deficiency

Chronic weak cough, dry

Tires easily
Back soreness Kidney
Frequent urination, scanty
Tongue:

Pale, thin, white coating Qi Deficiency

Red, dry, no coating Yin Deficiency

Pulse

Weak, deep Qi deficiency

Thin, rapid Heat from Yin Deficiency

Chronic Coughing Patterns

Phlegm cough say hello to Spleen
Chinese saying: Phlegm produced by Spleen but held by Lung
Can be a cold or heat pattern differentiate based on pulse
and tongue
General signs

Rattling Cough
Heaviness in chest
Decreased appetite - phlegm
Difficulty breathing

Sputum
White cold pattern
Yellow, green colors of heat

T: pale, thick white coat Cold; red w/ yellow Heat

P: Slippery, Full; tight Cold, rapid Heat

Chronic Coughing
Again address Heat or Cold symptomatology
For Cold signs: LU 7, LI 4, BL 13, BL 12
CV 22 for cough

For Excess Heat signs: GV 14, LI 4,LI 11, LU 7, TH 5,

GB 20
LU 10 Clears LU Heat
CV 22 for cough

Address Phlegm if present

Transform Phlegm: LU 9, ST 40; LU 5

Benefit Spleen SP 6, SP 9, SP 3

If heat or damage to Yin KI3, KI 6, BL 23, LU 5

Underlying Deficiency with Chronic

Cough
Lung Deficiency

Benefit Qi and circulation: ST 36, CV 17

Tonify Lung, Kidney;

LU 7, LU 9, BL 13,
LU 5 clears LU Heat and Benefits LU Yin
KI 3, BL 23, BL 26

Herbals
Bu Fei Tang Benefit Lung Decoction
LU Qi deficiency without Heat signs

Huang Qi, Ren Shen Huge Qi tonics for Spleen

Shu Di Huang, Wu Wei Zi nourish and astringe Yin

Lung and Kidney Qi Def

Ren Shen Yang Ying Tang
Ginseng and Walnut
Decoction
Coughing or wheezing due to
def of Lung and Kidney with
slight cold signs
Ren Shen - ginseng
Hu tao ren juglans (walnut)
Sheng jiang fresh ginger
Da zao Chinese plum

Su Zi Jiang Qi Tang
Perilla Fruit Decoction for
Directing Qi Downward
Lung Phlegm Damp with
underlying Kidney Qi Def
causing wheezing with
profuse Phlegm
Zhi gan can Fried Licorice
Ban Xia Pinellia
Zi Su Zi Perilla seed
Dang Gui Angelica
Hou Po Magnolia
Qian Hu Hogfennel root
Rou Gui Cinnamon
Sheng Jiang Fresh ginger
Zi Su Ye Perilla leaf
Da Zao Chinese Date

Chronic Cough with Qi and Yin

Deficiency
Same point to nourish and circulate Qi
Benefit Yin and Clear Heat gently
KI 3, KI 6, BL 23, CV 4, SP 6 Benefit Yin

LU 10 clears LU Heat,
LU 5 Clears Yin Def heat, LU 6 cool LU Heat
Circulate Yin Fluids LU 7, KI 6 (Ren Mai)

Lung Qi and Yin Deficiency

Ren Shen Huang Qi San
Ginseng and Astragalus
Powder
Lung Yin Deficiency with false
heat and Spleen Qi Deficiency
causing cough with scanty
sputum and fatigue
Ren shen, Huang Qi, Fu Ling
Jie geng, Ban xia
Nourish and move Qi
Drain or transform Damp

Sheng di huang, Di gu pi, Tian

men dong, Chi shao yao,
Zhi mu, Qin jiao, Sang Bai Pi
Nourish Yin and clear false
heat

Chai hu, Gan cao

Bai He Gu Jin Tang

Lily Bulb Decoction to

Preserve Metal
Bai he, Mai men dong, Sheng
di huang, Shu di huang, Xuan
shen, Bai shao yao

All nourish Yin, clear false heat

Xuan shen (scrophularia) also
softens hard masses
Bai shao yao also moves Liver
Qi

Bei mu, Jie geng

Transform phlegm

Dang gui, Gan cao

Asthma
Wheezing
Difficulty breathing
Acute attacks but there is a general underlying
deficiency

Lung Qi Deficiency
Kidney Qi Deficiency
Spleen Qi Deficiency
Yin Deficiency

Acute triggers can include

EPF - Wind Cold, Wind Heat
Emotional stress
Direct effect on Lung, Kidney
Stress effect on Liver which disturbs normal movement of Qi

Lung Qi Deficiency
Overwork
Chronic exposure to
irritants
Smoke, pollen

Emotional factors
Chronic disease
History of chronic URI

Treatment with antibiotics

and steroids further weaken
the Qi

Bu Fei San

Weak cough, Non- to

slightly productive
Worse with movement
Spontaneous sweating
Dry coat hair breaks
Clear nasal discharge if any
Weak voice
Avoids cold and wind
Lassitude and weakness
T: pale, thin white coat,
superficial cracks
P: thin, weak and deep

Kidney Deficiency Asthma

Overwork, poor
lifestyle, stressful
Chronic disease
Age
Over time Kidney Qi is
damaged or depleted

Chronic asthma,
lethargy
Back problems +/ Weakness Qi Def
If signs of Cold Yang
def as well

Urinary problems
Incontinence, slow
urination

Ren Shen Yang Ying Tang

Jin Gui Shen Qi Wan

Tongue: pale, moist,

swollen
Pulse: weak, thready

Lung and Spleen Qi Deficiency

Chronic illnesses, improper lifestyle
Raw foods; processed foods
Emotions

Weak cough, tired, weak voice, spontaneous sweating

Poor appetite, loose stools,
Worse with movement
Hair breaks easily (LU) and falls out (SP)

T: pale, superficial cracks, moist, may be wide

P: weak, deep, thin, may be slippery

Su Zi Jiang Qi Tang
Support Kidney and thus support Spleen

Lung Yin Deficiency

Prolonged fever or illness
Excessive sexual activity
Mismanagement of diet or
work
Emotional

Ren Shen Huang Qi San

Bai He Gu Jin Tang

Weak, DRY cough

Prevalent at NIGHT
Spontaneous sweating at
NIGHT
Avoids Heat
Thirst for small amounts of
water
Dry mouth, nose, skin, hair
Sticky, crusty nasal
discharge
T: red, no coat, small and
dry
P: thin, rapid, superficial or
floating

Bai He Gu Jing Tang

Lily Bulb Decoction to Consolidate the Metal

Sheng Di Huang
Shu Di Huang
Mai Dong
Bai He
Zhe Bei Mu
Xuan Shen
Dang Gui
Bai Shao
Jie Geng
Gan Cao

Rehmannia
Rehmannia, prepared
Ophiopogon
Lily Bulb
Fritillaria
Scrophularia
Angelica
White Peony
Platycodon
Glycyrrhiza

Nourish Yin
Clear Deficiency Fire
Nourish Yin, moisten Lung
Dissolve Phlegm, stop coughing
Cool Blood, clear deficiency fire
Nourish Yin
Tonify Blood
Smooths the Lung Qi, dissolves phlegm
Harmonizes

Treats Lung and Kidney Yin Deficiency

Kidneys and Lungs both important in production and
circulation of Qi and Yin
Evaluate in any Wei Syndrome patient

Additional Considerations
Sometimes Liver will be involved
Personality
Secondary
Treat what you see.

LIV 2, LIV 3 if Liver involved

BL 17 Empirical point based on anatomy
Ge Shu Diaphragm Shu : Relaxes diaphragm
Huge structures pass through the diaphragm
Aorta, vena cava, vagosympathetic trunk

Also Influential point for Blood so helpful if signs

of Blood def

If Phlegm is significant address Spleen

Six GentlePets (Liu Jun Zi Tang)
Bai Zhu
Angelica root
Fu Ling
Poria
Si Jun Zi Tang
Ren Shen
Ginseng root
Gan Cao
Licorice root
Ban Xia
Pinellia
Er Chen Tang
Chen Pi
Tangerine peel

Herbs for Common Digestive

Imbalances

Spleen and Stomach

Stomach receives the food and is the ripening
and rotting vat
It likes to be warm and moist
A good cauldron

Gu Qi that is present in the food and drink

ingested is released and is transformed into
useful substances for the body
Qi, the thin fluids, (Jin), and the thick fluids, (Ye)
The Stomach is said to be the source of all fluids
the Jin and the Ye, with assistance from the
Spleen

Spleen
Further Transformation and Transportation of the Qi taken
from ingested material
Chinese scholars considered the pancreas to be part of the
spleen;
describing it anatomically as being 3 cun wide, 5 cun long and
containing an additional 0.5 jin [approximately 250gm] of
tissue spreading around it.
D. Kendall, Dao of Chinese Medicine, p.46

Also responsible for transporting the clear fluids or essence

of the food and drink ingested upwards to the Lungs
The Spleen prefers to remain dry
Balancing the Stomachs need for moisture

Spleen and Stomach

Vital to the balance and harmony of the fluids
in the body
The Spleen is often involved with the
pathologic production of fluids
when transformation of moisture in the food to
the Jin-Ye is incomplete and an unusable form of
Yin is produced called Dampness

Clinical signs
Spleen chief source of nourishment for the body
Responsible for maintaining the flesh and bulk of the
body, including limb musculature
With dysfunction atrophy, muscle loss

Spleen opens to the mouth

Pathology may be reflected with changes in the mouth.

Accumulation of Dampness due to dysfunction of the

Spleen is reflected by a thick coating on the tongue and
a wide tongue
Inflammation of the gums is seen with excessive heat
and dryness in the Stomach

Injuries to Spleen/ Stomach

Spleen is prone to damage by excess dampness
Environment
Diet
High in sugars and short-chained carbohydrates, raw

Stomach is prone to damage by heat and dryness

Excess heat in the body, as with a fever
Ingested food is too hot
Spicy (jalapeo or habaero peppers)
Energetically, such as lamb or dry food

Formulas to discuss
Acute disruption of Stomach function
Spleen Qi Deficiency Formulas
Formulas to address more significant
Dampness
Formulas to address the Liver

Huo Xiang Zheng Qi Wan

Agastache Pills
Huo xiang

Agastache

Bai zhu
Hou po
Jie geng
Chen pi
Ban xia

Atractylodes
Magnolia
Platycodon
Citrus
Pinellia

Da fu pi
Bai zhi
Zi su ye
Fu ling
Da zao
Gan jiang

Areca
Angelica
Perilla
Poria
Jujube
Ginger

Transforms Damp, regulates middle, stops

vomiting, exterior patterns!
Tonifies SP Qi, Dries Damp
Directs rebellious Qi , Transforms Damp
Resolves Phlegm, ventilates Lung
Regulates Qi, Dries Damp, Resolves Phlegm,
Dries Damp, Resolves Phlegm, Harmonizes
ST, Qi
Directs rebellious Qi , Dries Damp
Expels WC, Expels Dampness
Expels WC, moves Qi in middle burner
Dries Damp, Tonifies SP
Tonifies SP, Harmonize formula
Warms middle, dispels Cold

Expels WC, releases exterior; transforms Damp, moves Qi, harmonizes middle burner
Synergistic effect of Huo xiang and Zi su ye against aerobic bacteria (salmonella)

Huo Xiang Zheng Qi Wan

Acute invasions of external pathogenic factors
including modern day viruses and bacteria.

Developed to use against Wind-Cold-Damp invasions that

led to acute gastroenteritis complaints, (diarrhea,
indigestion, and nausea) commonly producing high fevers
Modern day applications include food poisoning,
indigestion, hematemesis, hematochezia as well as acute or
chronic refractory diarrhea
High concentration of aromatic herbs
biomedical effect of killing microbes, regulating peristalsis and
relaxing spasticity, improving mucosal blood flow and enhancing
absorption and digestive power

Protect the Middle

Follows the classical formulation closely
Da Huang, rhubarba, is substituted for Da fu
pi, areca, as the FDA discourages its use
Gan cao, licorice, replaces Da Zao and Gan
Jiang as a harmonizer and contributing a bit to
Spleen tonification

Tonification for Spleen Qi Deficiency

Si Jun Zi Tang (Four Gentlemen)

Ren shen
Ginseng
Tonify Qi
Bai zhu
Atractylodes Strengthen SP
Fu ling
Poria
Strengthen SP, drain Damp
Gan cao
Licorice
Harmonize, tonify Qi

A base formula
Nourishes the Spleen function Qi and Blood
Ginseng a powerful adaptogen augments function of any organ
system
Lassitude, lethargy, diarrhea, decreased appetite, abdominal
bloating
Chronic gastritis, dysentery, peptic ulcer, anemia

Liu Jun Zi Tang

Six GentlePets

Ren Shen
Bai Zhu
Fu Ling
Gan Cao
Chen Pi
Ban Xia

Ginseng
Atractylodes
Poria
Licorice
Tangerine peel
Pinellia

9g
9g
9g
6g
9g
12g

Si Jun Zi Tang

From Er Chen Tang

Ban Xia and Chen Pi has a profound effect in directing this formula
more towards the resolution of Dampness that is affecting the
digestive function
Phlegm-Dampness affecting the appetite and stomach function
with clinical signs of decreased appetite, nausea, vomiting, fullness
in chest and epigastrium. Loose stools may also be seen.
Chronic gastroenteritis, peptic ulcer, sour regurgitation, indigestion,
chronic bronchitis

Bu Zhong Yi Qi Tang
Tonify the Middle and Augment the Qi Decoction
Lift the Qi - Kan
Huang Qi
Ren Shen
Bai Zhu
Zhi Gan Cao
Dang Gui
Chen Pi
Chai Hu
Sheng Ma

Astragalus
Ginseng
Atractylodes
Glycyrrhiza
Angelica
Tangerine peel
Bupluerum
Cimicifuga

Tonifies Zhong Qi, ascends Yang Qi, strengthen Wei Qi

Strengthen Spleen
Benefit Qi
Tonify middle jiao
Tonifies and invigorates Blood
Regulates Qi and harmonizes Stomach
Ascend Yang Qi
Lift prolapsed organs

This formula Tonifies Zhong Qi, or middle Qi, as well as raising the Qi
Huang Qi, astragalus, further boosts the immune system function and Wei
Qi production.
Dang Gui, angelica, helps to nourish Liver Blood that has suffered due to
the suboptimal Spleen function

Bu Zhong Yi Qi Tang
Stimulate the production and circulation of Qi, including Wei Qi
Effective formula not only for digestive issues
Also where digestive dysfunction extends to other body processes

Shortness of breath, weak voice, lassitude

Prolonged diarrhea, prolapse of organs, fecal or urinary incontinence
Chronic uterine bleeding
Anxiety or emotional disorders
Immune deficiency

Ginseng, Astragalus and Licorice are all powerful adaptogens

Account for its ability to treat seemingly opposite conditions
Fatigue and insomnia
Diarrhea and constipation
Low blood pressure and hypertension

Reduces smooth muscle spasticity thus being useful in cases of diarrhea or

constipation where this is an underlying cause
Contraindication: low grade fevers due to Yin deficiency

Herbs for Dampness

Wei Ling Tang Spleen Support
Combination of two classic formulas
Ping Wei San (Calm the Stomach Powder)
Cang zhu
Atracylodes
Transforms D, Strengthens SP
Hou po
Magnolia bark Move Qi, dispel damp, Relieve food stag.
(bloating)
Chen pi
Citrus
Regulates Qi, Transform Phlegm
Gan cao
Licorice
Tonifies SP, Harmonize
Sheng jiang Ginger
Harmonize SP/ST, warming
Da zao
Jujube
Harmonize SP/ST

Dampness Drying, Stomach Harmonizing category

Dries Damp, strengthens Spleen, Regulates Qi movement in middle jiao
Dampness obstructs Qi movement of SP/ST - Abdominal distension, fullness
Decreased appetite, nausea, vomiting
Belching, sour regurgitation
Heaviness in body, loose stools
Gastroenteritis and hepatitis

Wu Ling San

Fu Ling
Zhu Ling
Ze Xie
Bai Zhu
Gui Zhi

Poria
Polyporous
Alisma
Atracylodes
Cinnamon twig

Tonifies SP, Drains Damp

Promotes urination, eliminates Dampness
Promote urination, eliminate Damp
Tonifies SP, Dries Damp
Expels WC, warm channels, warms Yang

Downward Dampness Draining category

Induces diuresis, warms the Yang, tonifies Spleen and strengthens the
transformational function of Qi
Safe and effective herbal diuretic
Supports Spleen and elimination of dampness from the urinary system

Acute gastroenteritis, acute and chronic nephritis, CRF

CHF
Ascites from liver cirrhosis, retention of urine and Menieres syndrome

Wei Ling Tang

Cang zhu
Hou po
Chen pi
Gan cao
Sheng jiang
Da zao
Fu Ling
Zhu Ling
Ze Xie
Bai Zhu
Gui Zhi

Atracylodes
Magnolia bark
Citrus
Licorice
Ginger
Jujube
Poria
Polyporous
Alisma
Atracylodes
Cinnamon twig

Ping Wei San

Downward Dampness Draining category

Dispels Damp, regulates Qi in the middle
burner, strengthens the Spleen and
harmonizes the Stomach

Wu Ling San

Chronic gastritis, enteritis, cardiac and

nephritic edema and retention of urine

Kan - Spleen Support

Tong Cao for Zhu Ling
Gan Jiang and Rou Gui replace Sheng Jiang and Gui Zhi
- formula is more warming and more supportive of SP
Ratio is also different to support diuretic function
Hepatic Lipidosis cats, chronic pancreatitis, colitis, IBD

Xiao Yao San

Happy Wanderer

Chai hu
Bupleurum
Dang gui
Angelica
Bai zhu
Atractylodes
Bai shao yao Paeonia
Blood
Fu ling
Poria
Sheng jiang Ginger
Gan cao
Glycyrrhiza
Bo he
Menthe

Relieves LIV Qi Stagnation

Tonifies and Moves Blood
Tonifies SP Qi, Dries Damp
Moves Liver Qi, Stops pain, Nourishes

Tonifies SP, Drains Damp

Warms middle burner
Tonifies Spleen, Harmonizer
Moves Liver Qi

Soothes the Liver, dispels Liver stasis, harmonizes LIV and SP,
Moves Qi, invigorates Blood, Tonifies SP Qi, tonifies Blood, and
regulates menses
Irritable bowel, gastrointestinal neuroses, irritability, depression
and estrogen imbalance, hepatitis, microvascular portosystemic
shunts, skin conditions

Clinical Cases

Rexa Fischer
30 June 2008
8 year, GSD, SF
Hx: arthritis since 4 yr
Rads in 2004:
Signif hip osteoarthritis
LS sclerosis and spondylosis
Spondylosis L5L6,T8T9,T9,T10
Tried homeopathics-no help
Presented on Devils claw
mixture

Rexa Fischer

Hair coat dry and dull, more caudally

Appetite and water okay better in pm
Limited ROM both hips - 45
Severe atrophy both HL
Owner now noticing weakness in FL
BSP: tense in thoracic area, BL 18,19, BL23,24 tender
and deficient; weak in LS
Tongue: pinkish grey (lovely), slightly dry
Pulses: deep, slow, thin, left pulse almost impossible
to find

TCM Diagnosis?
Excess or Deficiency?
Interior or Exterior?
Heat or Cold?
Fundamental
Substances?
Organs?

Deficiency
Interior Chronic
No clear signs, tendency
to cool
Qi and Blood Def
Jing Deficiency
Qi stagnation
Kidney, Spleen, Lung

Rexa Fischer
Working diagnosis
Bony Bi with secondary Wei Syndrome
Kidney Qi and Jing Deficiency
Lung and Spleen Qi Deficiency

AP: BL60/KI3, Ancestral Sinew treatment releasing iliopsoas and

diaphragm muscles, BL 26, 23, jian jiao-b, GB 30r, SI9r, LI10L,
SP4L
Herbal?
Du huo ji sheng tang

Rexa, 1 week later

Relaxed after tx; slept well, walking better, even
wanted to play with her ball!
BSP: tight knot in BL17 region, weak BL 20,21; tight in
LS region
Pulses: still weak but more rounded, slightly tight
Tongue: wide, pale pink, lavender in center
AP: BL 60/KI3b,LIV3L, Ancestral Sinews-iliopsoas and
diaphragm muscles, Weigen, BL 26, GV5
Continue Du huo ji sheng tang

Rexa, 20 Feb 2 weeks later

Was sore after last treatment

Pulses: better, still tight but not as turgid
Tongue: pinkish lavender, still flabby and moist
AP: continued with similar points
Herbal change: added Yan hu suo (corydalis) to Du huo ji
sheng tang

7 March

Continues to improve slowly, more strength, playing more

T: pale pink, thin white coat, little spongy
P: blood side weaker, Qi side soft and narrow
Began using Si jun zi tang plus the Du huo ji sheng tang with
Yan hu suo combination

Rexa, 26 March
Doing well, going upstairs easily now, stands more
square, playing more and more
P: Qi side better, Blood side still weak
T: warm, pink, not as spongy
Began using Shi quan da bu tang (kind of)
Si jun zi tang (50g) + Si wu tang(50g) + Huang Qi(10g)

Continue with Du huo ji sheng tang + Yan hu suo

Doing SUPER!

Luna Rinck
5 year old, spayed female cat
6 months previous diagnosed
with Chronic Bronchitis
Long history (2 yr) digestive
complaints
Treated with
metoclopramide,
prednisone
Fine now as long as eats
Hills D/D
Overweight cat, fleshy
Bumpy fat deposits along
sterilization scar
Always a bit eater, water
normal
Sneezes; Nasal discharge
sticky, yellow, greenish
Coughs occasionally cant
see discharge swallows

Def or excess?
Def
Spleen/ Stomach
Really fine?

SP Qi def
Phlegm
ST heat?
Phlegm-Heat
Rebellious LU Qi

 Sensitive to laryngeal
palpation
Symptoms worse with damp
Stools dont know, goes
outsidebut when defecates
inside are dry, small
Resentful to palpation of
hypochondriac region
Generally friendly but did try
to have another cat at home
- became very irritable
Tongue:
pale, thick white coat, dry

Pulse: right side very weak;

left slightly thin
BSP: BL 18, 20 sensitive, BL
24, 25 deficient

Luna

Qi Stagnation
Damp Spleen
Deficient fluids or Heat
Hello Liver

Liver
Def Qi or Blood, Phlegm
Heat or Blood Def
Qi, Yin/Blood/Fluid Def
LIV, SP, Qi Shu, LI

Luna

TCM diagnosis?
Predominant signs Qi def SP and Lung
Signs of stagnation LIV
Signs of Heat chronic heat consumes fluids
Lung-Phlegm Damp, beginning Heat signs
Sp Qi Deficiency underlying cause
Liver Qi stagnation
SP 3, BL 13, ST 36
Herbal Treatment:
Si Jun Zi Ke Li Four Gentlemen
LIV 13, BL 18
San Zi Yang Qin - Three Seeds
Yin tang, Bi tong
Nourishing Parents

Stuffie Schmidt
DSH, CM 23 April 1991
First seen 3 Nov 2006 (16 years
old)
Chronic problem with GI
On Metacam for pain, 10
drops/day and Zymoral

Vomits occasionally
Increased thirst
Sensitive to diet change
Stools thin, often little balls
Pain in hypochondriac region
T: pale, moist
P: slippery, wiry
BSP: BL 18-21, 23

Chronic Excess or Deficiency?

Interior Problem
Deficiency

Rebellious ST Qi
Excess? ST Fire?
SP Qi Deficiency
SP Qi Deficiency with Qi
Stagnation
LIV Qi Stagnation
Qi Deficiency
Qi Deficiency, Dampness
LIV, GB, SP , ST, KI

Spleen Qi Deficiency, Liver Qi Stagnation

AP: LIV 13b, BL 17+1, SP 9r

Herbal: Xiao yao san

Stuffie progress
15 Nov (2 weeks)

Normal stool
Eating canned food well, not eating as much grass
Still some pain in hypochondriac
Metacam 6 drops daily
T: pale pink better, moist, slimy
P: tight, thin, rapid, slippery on right
BSP: BL 18,19,23
AP: LIV 13b, LIV 3r, LI 4l, CV 12, GV 3, 7, SP 9l

6 Dec (3 weeks)

Normal stool, no Metacam, no vomiting

Attitude much better more social, not as grouchy
85% better
Maintain Xiao yao san and Zymoral

Stuffie, 2 and 3 months later

2 Jan more problems with defecation slightly painful and
would cry after defecating
Slightly tense in abdomen, stools sometimes hard, sometimes soft and
smelly
Stool had 2 colors, twisted?
T: pale pink, moist
P: right turgid, left weaker
BSP: BL 18-20, weak BL 23
AP: Dai mai: GB 41r,BL 17, GB 26b, LIV 13b, CV 6
Added Wu Ren Wan(5 Seed Pill) to lubricate Large Intestine

2 Feb 07
No vomiting, normal stool
No strong smell
Maintained on Xiao Yao San and Si Jun Zi Tang

Herbal References
Kan Essentials Handbook for Veterinarians
Steve Marsden; describes certain formulas he has modified from classics

Chinese Herbal Patent Medicines

Jake Fratkin; gives brief description of many classic patented formulas. These
are some of the oldest and most commonly used formulas.

The Chinese Herbalists Handbook

Dagmar Ehling
Organizes herbal formulas according to TCM diagnosis, great and easy reference
once you are accomplished at reaching a TCM diagnosis

Pocket Handbook of Chinese Herbal Medicine: ISBN-13: 978-0-9679935-3-9

Zong Lan Xu
Lists 300 individual herbs quick and efficient materia medica

Pocket Handbook of Chinese Herbal Prescriptions: ISBN: 0-9679935-2-0

Zong Lan Xu
Lists 350 common herbal formulas

Really want to learn need to take a course

CIVT distance learning course offered by IVAS
Chi Institute On line
Hands on course best working on a course to offer here in the Netherlands!