Aidus & E-Fong Herbal Solution
Herbal Formula for Relieving Exterior-Pungent Warm
       
                                

1.2. Herbal Formula  for Relieving Exterior-with Pungent Warm

Pungent warm relieving exterior formulae are indicated to the exterior syndromes attacked by exogenous wind and cold.
If the patient is physically strong, and the exogenous evil is comparatively heavy, the defense yang will fight against the
cold evils in skin and meridians, which is marked by exterior excessive symptoms such as chill, fever, headache, pain of
body, absence of sweat thin and white coating, and floating tight pulse. Clinically, the conditions of diseases can be
divided into lightness and heaviness, however, they all should be treated by diaphoretic therapy with pungent warm
herbs. At the beginning of exterior cold syndromes with lighter symptoms such as slight chill, absence of sweat, and litter
floating pulse, it should be chiefly treated with herbs of activating yang to induce perspiration such as Chong Bai (spring
onion stalk) and Dan Dou Chi (preserved soybean); For the heavier syndromes, Zi Su Ye (perilla leaf) and JIng Jie
(schizonepeta) can be selected to induce perspiration for relieving the exterior; For the heavy syndrome of exterior
excess due to cold attack, manifested by heavier chill, absence of sweat and floating tight pulse, Ma Huang (ephedra)
and Gui Zhi (cassia twig) can be chosen simultaneously to induce perspiration drastically. If accompanying dampness
evil with symptoms of heaviness of head and ache of limbs, it should be chiefly treated with herbs of dispelling cold and
removing dampness, such as Qain Huo (notopterygium root), Du Huo (pubescent angelica root) and Fang Feng
(ledebouriella root). If suffering from cold in summer, accompanying vomiting and diarrhea, Xiang Ru (elscholtzia),
Guang Huo Xiang (agastache) and Pei Lan (eupatorium) can be selected as the main herbs to dispel cold and to induce
perspiration, eliminate summer heat and resolve dampness. If the patient is diathetically deficient with insufficiency of
defense yang, attacked heavily by wind evil which leads to disharmony between the nutrient and defensive qi, it will
forms the exterior deficient syndrome characterized by fever, sweating, aversion to wind and floating loose pulse. In this
case it should be treated by relieving muscles and exterior, harmonizing the nutrient and defensive qi, such as formulae
composed of cassia twig, white peony root and so on.
Owing to the changes of syndromes and the variaties of secondary evils, there usually appear the corresponding
subordinate symptoms and accompanied symptoms, which should be treated by proper adjuvant and dispatcher herbs.
When the cold evil attacks the Urinary Bladder Meridian of Foot Taiyang, which leads to restraint of defense-yang and
stagnation of qi and blood with headache and stiff neck. For the lighter, headache will disappear following with the
elimination of exterior cold. But, for the heavier, according to the different parts of headache, different herbs such as Xi
Xin (asarum root), Chuang Xiong (chuanxiong rhizome), Bai Zhi (dahurian notopterygium) and Qiang Huo ( ligusticum)
can be selected to expel cold and wind and assuage pain. As for the neck, Ge Gen (pueraria) should be chosen. Attack
of wind and cold on the exterior with closure of the pore of sweat duct and failure of the lung in dispersing and
depurative descending will bring about asthma and cough with expectoration. If asthma is heavy, Ku Xin Ren (bitter
apricot kernel), Zi Su Zi (perilla fruit) and Xuan Fu Hua (inula flower) can be chosen to lower qi and relieve asthma; If
cough is heavy, Zi Yuan (tatarian aster root), Kuan Dong Hua (coltsfoot flower) and Bai Qian (wi1low leaf
swallowwort rhizome) can be selected to disperse the lung for relieving cough; If expectoration is abundant, Zhi Ban Xia
(pinellia tuber), Chen Pi (tangerine peel),Fu Ling ( poria), Jie Geng (platycodon root) and Zhi Qiao (bitter orange) can
be added to resolve phlegm and activate qi; For the internal fluid retention, Gan Jiang (dry ginger),Zhi Ban Xia (pinellia
tube), Xi Xin (asarum root) and Wu Wei Zi (schisandra fruit) should be used to warm the lung and resolve fluid
retention; For fidget due to the restrained defense yang transforming into the interior heat, Shi Gao (gypsum) and Huang
Qin (scutellaria root) should be cooperated to clear away the interior heat. If it is accompanied by stagnation of the liver
and stomach qi, Xiang Fu (nutgrass flatsedge rhizome) and Chen Pi (tangerine peel) can be chosen to regulate qi for
harmonizing the middle. If the patient has constitutional tendency of qi deficiency, Dang Shen (pilose asiabell root) and
Huang Qi (astragalus root) is used to replenish qi for relieving the exterior; If the patient is liable to yang deficiency, then
adding Zhi Fu Zi (prepared aconite root) and Rou Gui (cinnamon bark) to replenish yang for relieving the exterior. The
representative formulae are Ma Huang Tang (Ephedra Decoction), Xiao Qin Long Tang (Minor Blue Dragon
Decoction), Jiu Wei Qiang Huo Tang (Modified Notopterygium Decoction), Xiang Su San (Cyperus and Perilla
Powder) and Gui Zhi Tang (Cassia Twig Decoction).