TRADITIONAL INTERNAL MEDICINE – DISEASES & FORMULAS

Acute, Epidemic and Infectious Diseases

Due to the fact that the TCM system of Acute and Infectious Diseases (Wen-Re Bing) is so well organised, we will give special attention here. TCM regards acute diseases as an attack from an external pathogen, usually Heat or Cold, which is moved into the body by Wind; therefore, Wind-Heat or Wind-Cold. In the beginning, the surface of the body is attacked, there is an aversion to Wind and Cold or Heat. The body surface aches, there maybe mild fever and chills, and light sweating. The Throat will be itchy and the pulse is superficial (felt on the surface but not down deep).
As the pathogen penetrates, symptoms are more severe. Sore Throat, Cough, Headache and Fever. This is seen in Colds, Flus, and the beginning stages of Upper Respiratory Tract Infections. If the pathogen penetrates deeper, High Fever, Convulsions, Bleeding and Rashes may occur. At this stage, the pathogen has penetrated the Blood level. This may be seen in Pneumonia, Measles, Meningitis etc.


Cold, Influenza, Acute Fever, Beginning of Infectious Diseases

Because the beginning of External Diseases is initiated by Wind, these are classed as Acute Wind diseases in TCM and is divided into 2 broad categories, Wind-Heat and Wind-Cold. Both types may have fever, headache, body aches, sore throat etc. Differentiation:

1. Wind-Cold: aversion to cold (prefers warmth), runny nose with clear mucus, pale face, clear urine
2. Wind-Heat: aversion to heat, yellow mucus, red, swollen, sore throat, higher fever, red face, fast pulse, irritable or restless, high colored urine.

In all Traditions, acute diseases are “thrown off” by sweat-promoting medicines. Any method that promotes sweating is useful at the beginning of an acute disease.


TCM Classification

To Prevent Infection

Yu Ping Feng San

1. “Prevent Common Cold Tea” (Yu Fang Gan Mao Cha):
Isatis Ban Lan Gen, Isatis Da Qing Ye, Wild Chrysanthemum (Ye Ju Hua), Honeysuckle (Jin Yin Hua)


To Treat Infection

Simples

Compounds

Acute Heat (Wind-Heat)
1. Elder flower, Peppermint
2. Yarrow, Elder flower, Peppermint

Infusion of Seven Flowers
Syrup of Lemon
Syrup of Sorrel

Tincture of Camomile
Sudorific Vinegar
Elixir of Camphor
Powder of Crabs Claw (Countess of Kents Powder)
Powder Against Toxicity and Venom (Wecker)
The Emperor’s Powder Against the Plague
The Red Hungarian Powder
Confection of Hyacinth
Troches of Camphor (Nicholas)
Electuary of Prunes (Diaprunis lenitiva) (Nicholas)
Electuary of Scordium (Diascordium)
Orvietan Antidote
Elixir of Camphor
Oil of Water Lily
Oil of Rose
Oil of Violet

Sitopaladi Powder (Ayurveda)
Influenza Pills (Lo gyon ril bu) (Tibetan)
Norbu 7 Decoction (Norbu bdun thang) (Tibetan)
Notopterygium 29 Pills (Spru nag nyer dgu) (Tibetan)

Acute Cold (Wind-Cold)
1. Long Pepper powder with Honey and Ginger juice
2. Pepper (5 grams) boil in 4 cups water to 1 cup. Take one quarter to half cup twice daily. (Siddha)
3. Decoction of fresh Ginger and Spring Onion
4. Trikatu: equal parts of Long Pepper, Black Pepper and Ginger powder
5. Ginger, Cinnamon, Lemongrass
6. Ginger, Cardamon, Clove
7. Fresh Ginger, Holy Basil, Lemongrass (Ayurveda)
8. Bath of Mint and sweat after

Decoction of Bistort
Tincture of Sage
Candied Garlic root
Electuary of Eggs (Electuarium de Ovo) (Maximilian)
Electuary of Nuts
Electuary Against Poison of Frankfurt
Electuary of Juniper berries
Bezoardic Powder of Deer horn
Mithridate
Theriac of Andromachus (Venice Theriac)

Influenza Pills (Lo gyon ril bu) (Tibetan)
Inula 4 Decoction (Ma nu bzhi thang) (Tibetan)
Eight-Limbed Electuary (Ayurveda)
Red Pony (Rta zi dmar po) (Tibetan)

Wind Heat
Fever, headache, cough, sore throat, yellow phlegm, dark urine, red tongue with a yellow coat.
1. Chrysanthemum (Ju Hua), Peppermint (Bo He)
2. Honeysuckle flower (Jin Yin Hua), Chrysanthemum flower (Ju Hua), Jasmine flower (Mo Li Hua)
3. Isatis (Ban Lan Gen), Scutellaria Huang Qin, Licorice
4. Mulberry leaf (Sang Ye), Chrysanthemum Ju Hua, fresh Pear peel. This is good for Heat-type Common Cold with dry cough.
Yin Qiao Jie Du Pian
Fang Feng Tong Sheng San
Niu Huang Jie Du Pian
Pu Ji Xiao Du Yin
Sang Ju Yin

Exterior Wind Heat with Internal Heat
Fang Feng Tong Sheng San

Wind Cold
Mild Fever, runny or congested nose with clear Phlegm, body aches, headache, feeling colds
1. Fresh Ginger, Spring Onion, Brown Sugar as an infusion
2. Notopterygium Qiang Hao, Angelica dahurica Bai Zhi, Scutellaria Huang Qin. This is called Common Cold Tea (Gan Mao Cha)
3. Schizonepeta Jing Jie, Perilla Zi Su Ye, fresh Ginger, Brown Sugar and Green Tea. This is called Five Spirits Tea (Wu Shen Cha)
4. Astragalus Huang Qi, Perilla Zi Su Ye, fresh Ginger (good for Wind-Cold with Deficiency)
Cong Chi Tang
Bai Du San
Ge Gen Tang
Gui Zhi Tang
Ma Huang Tang
Jing Fang Bai Du San
Xiao Qing Long Tang

Exterior Wind Cold with Interior Heat
Da Qiang Huo Tang
Da Qing Long Tang
Ma Xing Shi Gan Tang
Shi Gao Tang

Half Interior-Half Exterior
Xiao Chai Hu Tang

Deficiency
Qi
Yu Ping Feng San
Ren Shen Bai Du San
Zai Zao San
Yang
Ma Huang Fu Zi Gan Cao Tang
Ma Huang Fu Zi Xi Xin Tang


Clear Heat from the Qi Level
Bai Hu Tang
Bai Hu Jia Ren Shen Tang
Zhi Zi Gan Cao Chi Tang

Clear Heat from the Blood and Nutritive Level
Xi Jiao Di Huang Tang
Qing Ying Tang


Simples



Acute Gastroenteritis

TCM Classification

Early Stage
Da Qing Long Tang (exterior Cold, Interior Heat)
Yin Qiao San (Heat and Toxin)

Heat and Damp
Abdominal pain and Cramps, foul-smelling Diarrhea, red tongue with yellow coating
Bai Tou Weng Tang
Lian Po Yin
Po Chai Pills

Damp Heat with Deficiency
Fullness in the Stomach, nausea, diarrhea, greasy yellow tongue coat, wiry and rapid pulse.
Bai Zhu Shao Yao San
Ban Xia Xie Xin Tang

Liver Heat
Dizziness, constipation, dark urine, red tongue with yellow coat, big and forceful pulse
Dang Gui Long Hui Wan

Cold / Damp Blocking Stomach
Epigastric fullness, poor appetite, nausea, vomiting, diarrhea, greasy white tongue coat, slippery or soggy pulse
Bu Huan Jin Zheng Qi San
Li Zhong Wan (Cold)
Fu Zi Li Zhong Wan (Cold)
Ping Wei San (Damp)
Huo Xiang Zheng Qi Shui (Damp)


To Protect the Heart in Fever

Common to both Western and Chinese Medicine is the concept of the Heart being attacked by Epidemic Poison, as well as other types of Poison if they penetrate deeply into the body. This may lead to high fever, delirium, loss of consciousness and other serious symptoms.

Therefore, it was common to use medicines to protect the Heart in Fevers. Sometimes small silk bags with precious stones were worn over the Heart.

Saffron
Bone of a Stags Heart
Red Coral
Amber
Unicorn (Narwhal) horn
Silver

Armenian (Red) Earth
Burnt Deer horn
Pearl
Hyacinth (Zircon)
Rhinoceros Horn
Gold

1. Armenian (Red) Earth, Dragons Blood (3 oz. ea.), best Cinnamon (4 oz.), powder and use. (Physical Rarities, Williams, 1656)

Powder for Mortal Poison
Cooling Powder of Gems
Electuary of Eggs
The Goa Stone
Confection of Hyacinth (Confectio de Hyacintho)

An Gong Niu Huang Wan
(High Fever from Heat and Toxin causing Delirium)

Zi Xue Dan
(High Fever with convulsions or unconsciousness)


Special Formulas

PLAGUE WATER
    Rosemary
    Celandine
    Sage
    Balm
    Mugwort
    Rue
    Wormwood
    Scabious
    Dragons
    Pimpernel
    Angelica
    Betony                     equal parts
Put in a large pot, cover with White wine, leaves for 3 days then distil.
At the first signs of infection give 10 spoonfuls blood-warm, fasting one hour after and walking if possible. Taken before sleep is good too.
This, and many similar, were regarded as useful if taken as early as possible after infection.

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