dui yao for ch.8

Dui-Yao Chapter 8 – Herb Pairings that Harmonizing Exterior & Interior and Regulating Qi & Blood Copyright by Dr. Eric Hsiao

1

Bai Shao

Sour, bittier, cool (LV,SP)

Gui Zhi

Acrid, sweet, warm (HT,LU,BL)

Nourish Blood and regulates menses Adjust the nutritive and protective qi level

Calms and curbs Liver Yang, nourishes LV yin (blood) and alleviates pain

Warm channel and disperse cold

Preserve the yin , adjusts the nutritive and protective levels

Unblock the yang and transforms the qi

Warm and facilitate the flow in the blood vessels

Commonly Used Dosage

6-10g 6-10g

Combined Properties:

Bai Shao is bitter, cold and sour with the ability to astringe and assist yin, while Gui Zhi is acrid, sweet and warm with the ability to scatter/move and assist yang. When combined together, these herbs harmonize yin and yang, Qi and Blood, as well as “Ying” and “Wei”. Also, they drain without damaging yin and constrain yin without retaining “evils”. They harmonize the vessels, relieve tension and stop pain as well as support ST Yin and SP Yang while regulating the SP and ST.

Major indications

1. Chills and fever, slight sweating, headache, thin white tongue coating, slow and superficial pulse due to Wind-Cold deficiency type.

2. Spontaneous and/or night sweats accompanied by aversion to Wind and Cold and frequent catching of colds due to disharmony between Ying Qi and Wei Qi(Ying and Wei Disharmony).

3. Chest pain due to Heart Yang Deficiency (disharmony between the Qi and Blood). 4. Abdominal pain due to Deficiency Cold (disharmony between the Qi and Blood). 5. Pain and/or numbness of the limbs due to disharmony between the Qi and Blood. 6. Morning sickness with aversion to cold, no appetite, nausea and a weak pulse on 3rd

position (Chi Mai).

Comments:

1. In cases of cold limbs due to cold accumulation, Fu Zi can be added to increase the efficacy.

2. It’s could used to treat vasculitis.

Resource

Shan Han Lun-Gui Zhi Tang


2

Chai Hu

Bittier, acrid, cool (GB,LV,PC,SJ)

Bai Shao

Sour, bittier, cool (LV,SP)

Resolve Shao Yang (lesser yang) disorders and reduce fever

Nourish Blood and regulates menses

Spread Liver qi and relieves constraint Calms and curbs Liver Yang, nourishes LV yin (blood) and alleviates pain

Raise the yang qi in patterns of SP or ST deficiency

Preserve the yin , adjusts the nutritive and protective levels


6g-10g 10g-15g

Combined Properties:

Bai Shao, sour and astringent, helping to secure Yin; Chai Hu, acrid and dissipating, helping to sooth qi and support Yang.

Combining these two ingredients can drain the LV without damaging Yin, nourishes the LV without causing LV Qi Stagnation.

These two herbs directed towards the Shao Yang Channel; regulate the SP & LV and stops pain.

Harmonize the interior and exterior as well as constrain yin and raise yang.

Major indications

1. Alternative chills and fever, due to LV Qi stagnation and disharmony between Qi and Blood.

2. Vertigo, unclear vision, chest/lateral costal oppression, pain and distention due to LV Qi Stagnation or disharmony between exterior and interior.

3. Irregular Menstruation, dysmenorrhea, pre-menstruation syndrome, hepatitis, cholecystitis, intercostals neuritis due to LV Qi Stagnation or disharmony between exterior and interior.

Comments:

This combination is effective in treating liver and digestive problems caused by LV Qi Stagnation, or LV & Middle Jiao disharmony such as sub-acute or chronic hepatitis, hepatomegaly, cholecystitis, enteritis and colitis.

Chai Hu in small doses (3g-6g), it raises Yang Qi; in an average doses (8g-12g), moves the LV, sooth the Qi.

This pair is especially beneficial for Shao Yang Syndrome. You can add Shi Shao to increase the treatment efficacy.

Resource- Shan Han Lun “Xiao Yao San”


3

Chai Hu

Bittier, acrid, cool (GB,LV,PC,SJ)

Huang Qin

Bittier, cold (GB,LI,LU,ST)

Resolve Shao Yang (lesser yang) disorders and reduce fever

Clears heat and drains fire, especially for upper burner

Spread Liver qi and relieves constraint Clears heat and drain dampness

Raise the yang qi in patterns of SP or ST deficiency

Clears heat and calms the fetus

Clears heat and stops bleeding

Sedated ascendant LV yang


6g-10g 6g-10g

Combined Properties

Chai Hu, dispel exterior pathogen in Shao Yang Syndrome; Huang Qin, drain interior pathogen in Shao Yang Syndrome.

Combining these two ingredients can raise the yang, drain fire, harmonize the interior & exterior, sooth at LV & GB and clear the heat at Shao Yang channel.

Major indications

1. Alternating chills and fever, bitter taste in the mouth, dry throat, dizziness, nausea and lack of appetite due to Shao-Yang syndrome.

2. Alternating chills and fever due to Malaria. 3. LV Qi stagnation transforming into fire.

Comments:

The pair, specifically treat digestive diseases (liver, gallbladder, stomach, pancreas...), could be included acute or chronic hepatitis, biliary cholecystitis and so on, especial present at Shao Yang stage.

Resource: Shan Han Lun “Xiao Chai Hu Tang”


4

Ban Xia

Acrid, warm, toxic (LU, SP, ST)

Huang Qin

Bittier, cold (GB,LI,LU,ST)

Dries dampness, transforms phlegm and descends rebellious qi

Clears heat and drains fire, especially for upper burner

Dissipates nodules and reduces distension Clears heat and drain dampness

Harmonizes Middle Jiao and stops vomiting Clears heat and calms the fetus

Clears heat and stops bleeding

Sedated ascendant LV yang


6g-10g 6g-10g

Combined properties:

Ban Xia is warm, acrid with descend properties; Huang Qin is bitter, cold with drain properties.

When combined, they dispel “Pi Syndrome”, clear heat, drain fire, harmonize ST, and stop vomiting.

Major indications

1. “Pi syndrome” (distention and fullness in the ST and diaphragm) due to mixed heat & cold or damp heat accumulation.

2. Gastric acid reflex disease.

Resource: Shan Han Lun “Ban Xia Xie Xin Tang”

Commonly used herbal formula for Gastroentertis, could be included gastritis, colitis.

dui yao for ch.8

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