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Title
Xiao Qing Long Tang (Minor Bluegreen Dragon Decoction)
Writer
Acuworld
View
788
Date
2020-07-15 09:05:42
Xiao Qing Long Tang
(Minor Bluegreen Dragon Decoction
)
The name of this formula is thought to be derived from chinese folk religion. The wood spirit from the east, known as the bluegreen dragon, is present in the billowing ocean waves and is reonsible for generating clouds, and for stimulating them to produce rain. This formula tranforms congested fluids and expels pathogenic influences like the dragon which manifests in the power of the waves.
Source
:
Discussion of cold-induces Disorders (Shang Han Lun)
Herba Ephedrae (Ma Huang)
Ramulus Cinnamomi Cassiae (Gui Zhi)
Rhizoma Zingiberis Officinalis (Gan Jiang)
Herba cum Radice Asari (Xi Xin)
Fructus Schisandrae Chinensis (Wu Wei Zi)
Radix Paeoniae Lactiflorae (Bai Shao)
Rhizoma Pinelliae Ternatae (Ban Xia)
Honey-fried Radix Glycyrrhizae Uralensis (Zhi Gan Cao)
9g
9g
9g
9g
9g
9g
9g
9g
Preparation:
Decoction to be taken hot. Today the dosage of Rhizoma Zingiberis Officinalis (Gan Jiang) adn Herba cum Radice Asari (Xi Xin) is reduced to 3g because of the very hot nature of these herbs. Availabel in prepared form.
Actions:
Releases the exterior
Transforms congested fluids
Warms the Lungs
Directs rebellious qi downward
Indications:
Fever and chills (chills predominant) without sweating, coughing, wheezing, sputum that is copious, white, stringy, and difficult to expectorate, a stifling sensation in the chest, a generalized sensation of heaviness and body aches, no particular thirst, a moist tongue coating, and a floating edema or considerable difficulty in breathing when lying down.
Patient with chronic water metabolism problems and congested fluids usually have weak Lungs and Spleen. When they contract external wind-cold, the fluids and the cold are locked in battle, causing the interstices and pores to close. This results in fever and chills witout weating. The Lungs control the qi and the exterior and facillitate the flow in the water pathways. When the Lung qi is contrained by wind-cold, the qi mechanism is further impeded, and congested fluids accumulate in the epigastric region and attack the Lungs from below. This process leads to coughing and wheezing(with copious, white, stringy sputum that is difficult to expectorate), a stifling sensation in the chest, a generalized sensation of heaviness and body aches, and in very severe cases, difficulty in breathing whilte lying down. Fluids enterning the superficial levels of the body can cause floating edema. The absence of thirst and the moist tongue coating indicate a surfeit of fluids. The floating nature of the pulse indicates an exterior conditions, whilte tigheness reflects cold.
Analysis of Formula:
The efficacy of this formula is attributed to its ability to simultaneously release wind-cold from the exterior and transform congested fluids in the interior.
< Chief Herbs >
Herba Ephedrae (Ma Huang):
releases the exterior, arrests wheezing, and moves water by facilitating the flow of Lung qi.
Ramulus Cinnamomi Cassiae (Gui Zhi):
works with Herba Ephedra (Ma Huang) to release the exterior.
< Deputy Herbs >
Rhizoma Zingiberis Officinalis (Gan Jiang), Herba cum Radice Asari(Xi Xin):
warm the interior, transform congested fluids, and help the chief herbs release the exteior.
Rhizoma Zingiberis Officinalis (Gan Jiang):
particularly effective in warming the Spleen, the deficiency of which is the primary cause of congested fluids.
Herba cum Radice (Xi Xin):
also stops the coughing by facilitating the flow of qi throughout the body.
< Assistant Herbs >
Fructus Schisandrae Chinensis (Wu Wei Zi):
prevents the leakage of Lung qi
Radix Paeoniae Lactiflorae (Bai Shao):
nourishes the blood and nutritive qi
Rhizoma Pinelliae Ternatae (Ban Xia):
transform congested fluids and harmonizes the Stomach
< Envoy Herbs >
Honey-fried Radix Glycyrrhizae Uralensis (Zhi Gan Cao):
augments the qi and harmonizes the interaction of acrid and sour herbs
Commentary
:
This formula is basically a combination of two formulas that release the exterior, Ephedra Decoction (Ma Huang Tang) and Cinnamon Twig Decoction (Gui Zhi Tang), together with Poria, Licorice, Schisandra, Ginger, and Asarum Decoction (Ling Gan Wu Wei Jiang Xin Tang). It acts to warm the interior and transform congested fluids, and is most often used for acute attacks of wind-cold in cases with chronic congested fluids or Spleen deficiency.
Biomedially-defined disorders:
acute bronchitis, acute exacerbation of chronic bronchitis, bronchial asthma, and influenza
Cautions & Contraindications:
This formula should not be used long-term, nor for conditions with heat, coughing of blood, or coughing due to yin deficiency. Use with caution in cases with hypertension. In such cases, honey-fried Herba Ephedrae (Zhi Ma Huang) is often substituted for HErba Ephedrae (Ma Huang).
Modifications:
Severe exterior cold disorders
: increase the dosage of Herba Ephedrae (Ma Huang) and Ramulus Cinnamomi Cassiae (Gui Zhi)
Marked congestion, copious sputum, difficulty in breathing while lying down, a slippery and wet tongue coating, and a wiry and tight or wiry and slippery pulse
: increase the dosage of Herba cum Radice Asari (Xi Xin) and Rhizoma Pinelliae Ternatae (Ban Xia), and add Rhizoma Zingiberis Officinalis Recens (Sheng Jiang)
Pronounced nasal congestion, runny nose, and headache
: substitute Rhizoma Zingiberis Officinalis Recens(Sheng Jiang) for Rhizoma Zingiberis Officinalis (Gan Jiang), substitute Radix Paeoniae Rubrae (Chi Shao) for Radix Paeoniae Lactiflorae (Bai Shao), and add Radix Ledebouriellae Divaricatae (Fang Feng) and Herba seu Flos Schizonepetae Tenuifoliae (Jing Jie)
Reference: Formulas & Strategies, Dan Bensky and Randall Barolet, Eastland Press, 1990. p. 38-39
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