Prescriptions for Calming Endogenous Wind
Lingjiao Gouteng Tang
(Decoction of Antelop's Horn and Uncaria Stem)
Source: Chongding Tongsu Shanghan Lun (Re vised Edition of Popular Treatise on Exogenous Febrile Diseases ).
Ingredients:
No. 1 Lingyangjiaopian ( Cornu Saigae Tataricae ) [presently replaced by Shanyangjiao (horn of goat)j4.5 g;
No. 2 Gouteng (Ramulus Uncariae cum Uncis ) ( to be decocted later) 9 g;
No. 3 Juhua (Flos Chrysanthemi) 9 g;
No. 4 Sangye (Folium Mori) 6 g;
No. 5 Xianshengdihuang (Radix Rehmanniae) 15 g
No. 6 Baishaoyao (Radix Paeoniae Alba ) 9 g;
No. 7 Chuanbeimu (Bulbus Fritillariae Cirrhosae) 12 g;
No. 8 Xianzhuru ( Caulis Bambusae in Taenis ) (fresh) 15 g;
No.9 Fushenmu (Radix Pini Sclerotium Poriae ) 9 g;
No. 10 Shenggancao (Radix Glycyrrhizae Recens ) 2.4 g.
Administrations: Decoct No. 1 and No. 8 first, then decoct the rest in their decoction for oral application.
Actions : Removing heat from the liver and subduing endogenous wind, increasing body fluid and activating muscles and tendons.
Clinical Application: This recipe is indicated for wind due to excessive heat, marked by unrelieved high fever, irritability, tic of hands and feet, deep-red and dry tongue, or parched and prickled tongue, taut and rapid pulse. It is applicable to headache, vertigo and convulsion caused by eclampsia gravidarum, epidemic encephalitis B and hypertension, and others, which are concomitant with high fever, taut and rapid pulse and ascribed to excessive heat in the liver meridian. In case of excessive heat with coma, use Zixue (Powder) and Angong Niuhuang Wan simultaneously to induce resuscitation. In case of severe convulsion, add Quanxie (Scorpio), Chantui (Periostracure Cicadae ) and Wugong ( Scolopendra ) to enhance the effect of subduing endogenous wind and relieving convulsion.
Elucidation: The syndrome arises when heat invades jueyin and causes excessive heat in the liver meridian and extreme heat producing wind. Simultaneously pathogenic heat scorches body fluid, resulting in producing phlegm and disturbing the mind. These should be treated by eliminating heat from the liver meridian and subduing endogenous wind, increasing body fluid and activating muscles and tendons. The first two ingredients function as monarch drugs with the effect of removing heat from the liver and subduing endogenous wind, clearing away heat and relieving convulsion. No. 3 and No. 4 are pungent and cool in nature and used as minister drugs to promote the effect of the monarch drugs. No. 5, No. 6 and No. 10, sour and sweet in nature, bear the function of nourishing yin and increasing body fluid, nourishing the liver and activating tendons. No. 7 and No. 8 are capable of clearing away heat and eliminating phlegm, while No. 9 checking hyperfunction of the liver and tranquilizing mind. These six ingredients play the part of adjuvant drugs. No. 10 also serves as guiding drug, which mediates the properties of other drugs.
Cautions: This recipe is contraindicated for hyperactivity of endogenous wind due to yin deficiency at the late stage of febrile diseases.
Zhengan Xifeng Tang
(Decoction for Tranquilizing Liver.wind)
Source: Yixue Zhongzhong Canxi Lu (Discourse on Integrated Traditional Chinese and Western Medicine).
Ingredients:
No. 1 Huainiuxi (RadixAchyranthis Bidentatae) 30 g;
No. 2 Daizheshi (Ochra Haematitum) 30 g;
No. 3 Longgu (Os Draconis) 15 g;
No. 4 Muli (Concha Ostreae) 15 g;
No. 5 Guiban (Plastrum Testudinis) 15 g;
No. 6 Baishaoyao (Radix Paeoniae Alba) 15 g;
No. 7 Xuanshen (Radix Scrophulariae) 15 g;
No. 8 Tianmendong (Radix Asparagi ) 15 g;
No. 9 Chuanlianzi (Fructus Meliae Toosendan ) 6 g;
No. 10 Shengmaiya( Fructus Hordei Germinatus ) 6 g;
No. 11 Yinchen ( Herba Artemisiae Capillaris ) 6 g;
No. 12 Gancao (Radix Glycyrrhizae ) 4.5 g.
Administration: Decoct the above drugs in water for oral application.
Actions: Tranquilizing the liver, calming endogenous wind, nourishing yin and suppressing hyperactive yang.
Clinical Application: This recipe is indicated for apoplectic stroke (apoplexy due to endogenous wind) marked by vertigo, ocular distension, tinnitus, pain and
feverish sensation in the head, restlessness, flushed face,or frequent belching, or gradually-limited movement of limbs, wry mouth; or falling down from faint in serious cases, loss of consciousness, coming around when moved;or failing to recover after awake, taut and forceful pulse. It is applicable to hypertension and vascular headache, and others that pertain to yin deficiency of the liver and kidney and hyperactivity of the liver-yang. In case of extreme heat in the heart, add Shengshigao (Gypsum Fibrosum) to clear away heat. In case of excessive phlegm, add
Danxing (Arisaema cum Bile) to clear away heat and eliminate phlegm. In case of feeble chi pulse when pressed, add Shudihuang (Radix Rehmanniae Praeparatae) and Shanzhuyu ( Fructus Corni ) to reinforce the liver and kidney.
Elucidation: The syndrome is caused by yin deficiency of the liver and kidney, hyperactivity of the liveryang and disturbance of qi and blood circulation causing
blood to flow upward. It should be treated by expelling endogenous wind from the liver, nourishing yin and suppressing hyperactive yang, and causing blood to flow
downward. With a large dosage No. 1 functions as monarch drug to lead blood downward and nourish the liver and kidney. No. 2, No. 3 and No. 4 are capable of descending qi, suppressing hyperactive yang and expelling endogenous wind and used as minister drugs. No. 5, No. 6, No. 7 and No. 8 possess the effect of nourishing yin and clearing away heat so as to suppress the hyperactive yang,while No. 9, No. 10 and No. 11 bear the action of clearing away heat from the liver and regulating liver-qi, the seven drugs serving as adjuvant drugs. Used as guiding drug, No. 12 can mediate drug properties on the one hand, and regulate the stomach on the other when in compatibility with No. 10 so as to prevent mineral or stone drugs from impairing the stomach. This recipe aims primarily to cause blood to circulate downward and suppress the hyperactive yang, and simultaneously to reinforce the liver and kidney and disperse the stagnated liver-qi.
