Symptoms

Tongue

Pulse

Tx Principle

Syndrome

Formula

Paroxysmal vomiting w/ aversion to cold, chills, fever, HA, chest tightness

and epigastrium fullness, diarrhea after or during vomit possible, loss of
appetite, general aches and pain. ST flu/spoiled food: vomit 1st day,
diarrhea 2nd
(aka: sudden turmoil, travelers diarrhea)
Acute nausea and vomit of gastric juices/undigested food that alleviates
painful abdominal distention and bloating, epigastrum painful to touch, loss
of appetite, aversion to food, sticky/smelly stools

White,
slimy
coat
(yellow
w/ heat)
Thick,
greasy,
maybe
yellow

Floating,
soft,
soggy

Release ext WC,

resolve
dampness,
harmonize ST,
stop vomit
Purge
accumulations,
descend ST qi,
top vomit

External WC
invasion

Huo Xiang Zheng Qi

Tang

Food Stagnation

Bao He Wan

Slippery,
wiry

Food stagnation w/ stagnant heat

Food Stagnation
w/heat

Zhi Shi Dao Zhi Wan

Accumulations in bowels w/focal distension, abdominal fullness and hardness w/o dryness

Food Stagnation
w/accumulations
Phlegm-fluid
retention

Xiao Cheng Qi Tang

LV overacting on ST

Chai Hu Shu Gan San

LV overacting on ST
w/ phlegm causing
rebellion
LV overacting on ST
w/ ST heat
SP qi deficiency

Ban Xia Hou Po San

SP qi deficiency w/xu
cold
ST yin xu

Fu Zi Li Zhong Wan

Vomit of clear fluid, fullness and distension of epigastrium, lack of

appetite, borborygmus/ water sounds in abdomen, chest oppression/sense of
suffocation, heaviness of body, dizziness, palpitations, Menieres syndrome

Pale,
swollen
w/ thick,
sticky
coat

Slippery,
soggy

Acute/recurrent vomiting, bitter or sour taste, acid regurgitation, belching,

hypochondriac distension/pain, chest oppression, stressful life or
emotionally stressed

Red w/
thin,
white
coat

Wiry

w/ qi stagnation and phlegm

w/ ST heat

Nausea, vomit after a little food intake/with food smells or dry heaving on
empty stomach , common during early pregnancy, little or no appetite

Slightly
red or
pale w/
white
coat

Weak,
thready

w/ xu cold in MJ

Chronic, long history of repeating vomiting of minimal fluid or dry

heaving, chemo-therapy or steroids for nausea, long time alcoholic, hunger
w/o desire to eat, discomfort in epigastrium, dry mouth/throat

Red w/
little coat

Thready,
rapid

Warm middle,
resolve phlegm
fluid, harmonize
& tonify ST,
descend qi, stop
vomit
Soothe LV,
harmonize ST,
descend qi, stop
vomit

Tonify SP,
resolve damp,
harmonize ST,
stop vomit

1. Ling Gui Zhu Gan

San
2.Xiao Ban Xia Tang

Zuo Jin Wan

Xiang Sha Liu Jun Zi
Tang

Mai Men Dong Tang

Descend
Qi

Ban xia
Shi di
Dai zhe shi
Chen xiang
Xuan fu hua
Ding xiang
Wu zhu yu

--vomit, dry damp, ^ phlegm

--hiccups
--strong: rebelling ST/LU qi, floating yang
--qi, warm middle, vomit
--vomit (wrap in cheese cloth)

Release
Exterior

Zi su ye
Sheng jiang
Resolve
dampness/
phlegm

Strengthen
SP/ST &
Resolve
Damp

Clear Heat

Bai zhu
Bai bian dou
Sha ren

Huo xiang

Warm
Middle
Burner
(MJ)

Bai dou kou

Pei lan
Hou po
Cang zhu
Huang qi

--SP qi/SP, dry damp

--SP, dry damp, dry summer damp
--middle burner qi mvmt, ^damp, warm MJ,
stop vomit, morn sick, prevents cloying
--MJ qi mvmt, ^damp, summer damp
--aromatic ^damp, summer damp
--dry damp, move qi, stagnation
--revive SP, dry damp, release ext
--SP qi

Lu gen
Huang qin
Huang lian

--ST heat, vomit, generate fluids

--clear heat, dry damp
--drain ST fire, dry damp

Nourish ST
Yin

Harmonize
Middle

Ban xia
Zhu ru
Chen pi
Wu zhu yu
Ding xiang
Gao liang jiang
Xiao hui xiang
Sheng jiang
Gan cao
Da zao
Sheng jiang
Mai men dong
Sha shen
Shi hu

--ext WC/summer damp, ^ damp,

vomit
--diaphoretic WC, diaph.
congestion, harm. Digestion
(morning sick)
--warm/harm, vomit, mild
diaphr:WC
--heat, ^ damp, vomit
--SP/ST qi, ^ phlegm, dry damp,
prevents cloying
--warm SP/LV, constrained LV qi,
rebel qi, vomit, diarrhea
--warm, qi down, hiccups,pain
--warm middle, allev pain
--warm int, req qi, harm ST
--tonify SP, harm Rx
--in combo these herbs harm Rx,
MJ, nutritive & defensive qi
--nourish ST yin