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Neijing
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Knowledge baseFormulas

Goiter #1

Medicinals
10

Composition

  • Zhi ZiFr. Gardeniae3–12 g

    Clears Heat, reduces Fire, eliminates irritability, drains Damp-Heat, Cools Blood and relieves toxicity.

    resolves Qi Level constraint leading to Heat and Heat in the Blood, treats irregular menstruation, headache, red eyes, and thirst due to Liver Qi Heat from constraint and dysmenorrhea, headache, dry, scratchy eyes and intercostal pain due to Liver Blood Deficiency.
    • Bai Shao, Chai Hu
    Mu DAn Pi,* for irritability and a short temper.
  • Chai HuRx. Bupleuri3–12 g

    Spreads Liver Qi, relieves Stagnation, raises Yang Qi and resolves Phlegm and congestion.

    • Bai Shao
    for Liver Blood Deficiency with Liver Qi Stagnation and vertigo, dizziness, thoracic and costal pain, and menstrual irregularity due to Liver Qi Stagnation.
    • Bai Shao, Dang Gui
    Chuan Xiong,* harmonizes the Blood for irregular menstruation.
  • Bai ShaoRx. Paeoniae Alba6–30 g

    Nourishes Blood, astringes Yin, calms Liver Yang and alleviates pain.

    for flank pain due to Liver Qi Stagnation.
    nourishes Yin and Blood.
  • Fu LingPoria9–18 g

    Promotes urination, resolves Dampness, strengthens the Spleen and transforms Phlegm.

  • Dang GuiRx. Angelicae Sinensis3–15 g

    Tonifies Blood, invigorates and harmonizes Blood, unblocks bowels reduces swelling and expels pus.

    • Bai Shao
    regulates and harmonizes Qi and Blood and treats Blood Deficiency Heat.
    for dysmenorrhea from Liver Qi Stagnation and Blood Deficiency.
    for diarrhea during pregnancy with mild abdominal pain.
    harmonizes, nourishes and invigorates the Blood, disperses Blood Stasis and treats abdominal pain
    • Mu Dan Pi, Zhi Zi, Chai Hu
    Bai Shao, for early menstruation, bloating during menstruation, and irritability due to Qi* Stagnation with Heat.
  • Chuan XiongRx. Chuanxiong3–6 g

    Activates Blood and regulates Qi.

    for Blood Deficiency causing menstrual problems including dysmenorrhea, scanty menses, and amenorrhea and Wind-Damp Invasion blocking the Blood vessels causing pain, numbness, and paralysis.
  • Mu Dan PiCx. Moutan5–12 g

    Clears Heat., cools the Blood activates Blood, dispels Blood Stasis, clears Liver Fire, drains pus and reduces swelling.

    • Zhi Zi, Chai Hu
    Bai Shao, for Fire from constraint leading to Liver Fire.
  • Niu Bang ZiFr. Arctii3–12 g

    Disperses Wind-Heat, benefits the throat and relieves toxicity.

  • Hai ZaoHb. Sargassii4.5–15 g

    Clears Heat, resolves Phlegm and softens Phlegm nodules.

  • Huang Yao ZiRz. Dioscoreae Bulbiferae3–15 g

    Dissipates nodules and reduces masses.

Actions

  • Stimulates the movement of the Blood
  • Removes Blood Stasis
  • Reduces Heat within the Blood level
  • Promotes the movement of Qi
  • Eliminates Heat
  • Eliminates Fire from the Liver
  • Brings about the resolution of Phlegm
  • Disperses nodular masses

Patterns treated

Liver Fire accompanied by Phlegm Heat

Manifestations

  • A throat lump, small to medium in size, that is fairly soft and slippery to the touch
  • A restless feeling
  • Difficulty sleeping
  • A sensation of thirst
  • A sensation of Heat in the body
  • A tendency toward irritability
  • Redness of the eyes
  • A reddened facial complexion
  • A bitter taste experienced in the mouth
  • Trembling of the hands
Tongue body
Red in color, including a red tip and edges
Coating
A coating that is both dry and yellow in color
Pulse
A pulse with a wiry quality

Indications

Thyroid enlargement (goiter)