Da Huang Mu Dan Pi Wan (Rhubarb and Moutan Combination)

Clinical Usages

• Breaks up heat, moves blood stagnation and reduces swelling, release through the bowels - appendicitis, lower abdominal distension with pain, intestinal abscesses, hemorrhoids.
• Post surgical infections, particularly in the colon and/or lower warmer.
• Pelvic inflammatory disease.
• Groin pain relieved by flexing hip and without urinary difficulty (but with symptoms similar to a UTI).

Clinical Categorization

• Drain Downward
• Purge Heat Accumulation

Cautions

• Pregnancy

• Avoid during pregnancy.
• As this formula will cause looser stools use with caution in deficient and/or elderly patients.
• Used for general appendicitis - avoid in infant appendicitis, or appendicitis with necrosis, peritonitis and/or parasites.

Qing Shu Yi Qi Tang Wan (Clear Summer Heat and Augment the Qi)

Clinical Usages

• Please note that there are two formulas with the same name but slightly different compositions.  One is from Wang's Wen Re Jing Wei and tonifies the yin more strongly, the other (which is the one discussed here) is from Li's Pi Wei Lun (Discussion of the Spleen and Stomach) and tonifies the spleen more strongly.  Both have similar usages but are not directly interchangeable.  
• Clears summerheat and dries dampness - summer colds and flus, heatstroke - fever, fatigue, excessive sweating with loose stools and heaviness in the body.
• Along with respiratory infections in the right cases certain types of asthma may be appropriate for this formula.
• Dampheat related inflammatory condtions such as Colitis are approprirate with the right underlying factors.
• Chronic Fatigue Syndrome with symptoms of spleen deficiency and heat.
• Wtih the right underlying factors the range of perimenopausal symptoms may be appropriate - low libido, fatigue, water retention, fibroids, heavy cycles.  Where this appear with spleen qi deficiency signs and kidney weakness, this formula may be appropriate.

Clinical Categorization

• Clear Heat
• Relieve Summerheat

Xian Fang Huo Ming Yin Wan (Immortals Formula For Sustaining Life)

Clinical Usages

• Generally for short-term use with early stage heat toxins - sores, carbuncles, boils, styes, acne.  Swollen and painful skin lesions with other heat signs (chills/fever). 
• Breast abscesses, mastitis.
• Uses for rheumatoid arthritis and/or psoriasis with the right underlying diagnosis.
• Internal abscesses from blood stasis.

Clinical Categorization

• Clear Heat
• Clear Heat and Relieve Toxicity

Cautions

• Generally not for long-term use.
• Use with caution with spleen qi deficiency.
• Avoid with yin fire.