1. Wen Bing 2

2. Wen Bing Treatment
Principles
Etiology
Pathology
Pathogen vs. Vital qi

3. Treatment methods 1. Release Wei syndrome and disperse exterior
Binning of Wen Bing
Pathogen in Wei Stage
Diaphoresis, release exterior, vent rashes

4. 1-1 expel wind and disperse heat
Release Wei syndrome and disperse exterior – cont’d
1-1 expel wind and disperse heat
Beginning of Wind warmth, wind heat in LU and Wei stage
Sx: Fever, slightly aversion to wind cold, no sweating or little sweating, slightly thirst, or with cough, sore throat, thin white coating, red tongue tip and edge, floating rapid pulse.
Rx: Sang Ju Yin (w/cough), Yin Qiao San (w/o cough)

5. 1-2 Disperse exterior cold, eliminate interior Summer dampness
Release Wei syndrome and disperse exterior – cont’d
1-2 Disperse exterior cold, eliminate interior Summer dampness
Summer dampness
Sx: Aversion to cold, fever, headache, soreness in body, no sweating, thirst, restlessness
Rx: Xin Jia Xiang Ru Yin

6. 1-3 Disperse exterior damp
Release Wei syndrome and disperse exterior – cont’d
1-3 Disperse exterior damp
Damp Warmth in Wei stage
Sx: Aversion to cold, slightly fever, heaviness in head and body, little sweating, oppressed chest and epigastria, white greasy coating, slow soft pulse
Rx: Huo Pu Xia Ling Tang

7. 1-4 Disperse exterior and moisten dryness
Release Wei syndrome and disperse exterior – cont’d
1-4 Disperse exterior and moisten dryness
Beginning of Autumn dryness
Sx: Fever, cough with little phlegm, dry throat, sore throat, dry nose, headache, thin white lack of moisten coating, red tongue tip and edge
Rx: Sang Xing Tang

8. 2. Clear heat in Qi stage
Unshaped pathogenic heat

9. 2-1 slight clear and disperse Qi syndrome
Clear heat in the Qi stage – cont’d
2-1 slight clear and disperse Qi syndrome
Qi stage heat with slight heat obstructing the diaphragm
Sx: Fever, slightly thirst, restlessness, thin yellow coating, rapid pulse
Rx: Zhi Zi Chi Tang

10. 2-2 Use acrid cold to Clear Qi heat stage
Clear heat in the Qi stage – cont’d
2-2 Use acrid cold to Clear Qi heat stage
Equates to Yangming qi stage
Sx: 4 Bigs - Strong fever, sweating, restlessness, thirst desire for cold water, dry yellow coating, flooding rapid pulse
Rx: Bai Hu Tang

11. 2-3 Clear heat and purge fire
Clear heat in the Qi stage – cont’d
2-3 Clear heat and purge fire
Pathogenic heat accumulation which transforms into fire
Sx: Fever, bitter taste, thirst, restlessness, concentrated urine, red tongue with yellow coating, rapid pulse
Rx: Huang Qin Tang

12. 3. Harmonize exterior and interior
Harmonize, soothe, eliminate pathogen in half exterior and interior
Shaoyang, San Jiao, Mo Yuan
Mo Yuan is also called the membrane source. Equates to the Shaoyang stage in the Six Channel Theory. The Wei level is the exterior, the Qi level is interior, but is the most external layer of the internal zones. When a pathogen is trying to gain entry to the Ying level it has to pass through the membrane source, the Mo Yuan.

13. Harmonize exterior and interior – cont’d
3-1 Clear Shaoyang
Pathogen is in Shaoyang, there is Stomach dysfunction
Rx: Chills and fever alternative, bitter taste, rib pain, thirst, concentrated urine, distention in epigastria, nausea, red tongue with yellow greasy coating, wiry rapid pulse
Sx: Hao Qin Qing Dan Tang

14. 3-2 Separately elimination through 3 Jiao
Harmonize exterior and interior – cont’d
3-2 Separately elimination through 3 Jiao
San Jiao heat and Phlegm damp
Sx: Alternate chills and fever, epigastria and abdominal bloating, concentrated urine, greasy coating
Rx: Wen Dan Tang

15. Harmonize exterior and interior – cont’d
3-3 Open Mu Yuan
Pathogen stays in Mu Yuan. This is an early stage of damp warmth or damp heat
Sx: More chills than fever, bloating, severe heaviness in body, white greasy coating like chalk powder. Deep red or purple red tongue
Rx: Da Yuan Yin

16. 4. Eliminate Damp and Clear Heat
Eliminate damp, clear heat – cont’d
4. Eliminate Damp and Clear Heat
Focus on eliminate damp
Damp heat
Aromatic to resolve, bitter to dry, bland to drain

17. 4-1 Disperse qi and resolve damp
Eliminate damp, clear heat – cont’d
4-1 Disperse qi and resolve damp
Beginning of damp warmth
Sx: Hiding fever that is more severe in afternoon, can’t be solved after sweating, slight aversion to cold, epigastria distention, concentrated urine, white greasy coating, slow soft pulse
Rx: San Ren Tang

18. 4-2 Dry damp and clear heat
Eliminate damp, clear heat – cont’d
4-2 Dry damp and clear heat
Damp-heat in Middle Jiao
Sx: Fever which is not resolved after sweating, thirst without desire to drink, bloating, restlessness, nausea, loose stools, concentrated urine, yellow greasy coating
Rx: Wang’s Lian Po Yin

19. 4-3 Drain damp Eliminate damp, clear heat – cont’d
Damp heat in Lower Jiao
Sx: Vomiting, dizzy, little or no urine, thirst but drinks very little, white greasy coating
Fu Ling Pi Tang
Fu Ling Pi
Yi Yi Ren
Zhu Ling
Da Fu Pi
Tong Cao
Dan Zhu Ye

20. 4-4 Warm to resolve dampness
Eliminate damp, clear heat – cont’d
4-4 Warm to resolve dampness
Dampness obstructing Middle Jiao
Add earth, Dig ditch, Air through, aromatic to resolve

21. 5. Purge down to eliminate pathogen
Shaped pathogen
Heat, damp, blood stasis

22. 5-1 Purge Fu Organ to drain heat
Purge downward to eliminate pathogen – cont’d
5-1 Purge Fu Organ to drain heat
Heat and turbid combination in Yangming channel
Sx: Tidal fever, delirium, abdominal fullness, hardness, impalpable, constipation, dark yellow coating, deep excess pulse
Rx: Tiao Wei Cheng Qi Tang Da Cheng Qi Tang

23. 5-2 Eliminate damp and purge
Purge downward to eliminate pathogen – cont’d
5-2 Eliminate damp and purge
Damp heat with turbidity
Sx: Fever, bloating, nausea, loose stools, yellowish red color stools, yellow turbid coating, slippery rapid pulse
Rx: Zhi Shi Dao Zhi Tang
Zhi Shi
Da Huang
Shan Zha
Bing Lang
Hou Po
Huang Lian
Shen Qu
Zi Cao
Mu Tong
Lian Qiao
Gan Cao

24. 5-3 Promote fluid to purge
Purge downward to eliminate pathogen – cont’d
5-3 Promote fluid to purge
Intestinal dryness
Sx: Fever, constipation, dry lips, dry red tongue with little coating
Rx: Zeng Ye Cheng Qi Tang

25. 5-4 Purge and break blood stagnation
Purge downward to eliminate pathogen – cont’d
5-4 Purge and break blood stagnation
Combination of heat and blood stasis
Sx: Fever, lower abdominal pain with hardness, normal urine, constipation, mania, purplish tongue, deep excess pulse
Rx: Tao He Cheng Qi Tang

26. 6. Clear Ying Stage and Cool Blood
Clear Ying, cool blood – cont’d
6. Clear Ying Stage and Cool Blood
Pathogen in Ying Stage and Blood Stage

27. 6-1 Clear Ying Stage Heat Pathogenic heat starts to enter Ying stage
Clear Ying, cool blood – cont’d
6-1 Clear Ying Stage Heat
Pathogenic heat starts to enter Ying stage
Sx: Fever more severe at night, restlessness, delirium, scattered macula, deep red tongue
Rx: Qing Ying Tang

28. 6-2 Cool blood and release stasis
Clear Ying, cool blood – cont’d
6-2 Cool blood and release stasis
Heat in blood plus stasis
Sx: Fever, restlessness, mania, delirium, macula, blood in urine and stools, vomiting blood, nasal bleeding, dark purple or crimson tongue
Rx: Xi Jiao Di Huang Tang

29. 6-3 Clear heat from Qi and Ying (Blood) Stages
Clear Ying, cool blood – cont’d
6-3 Clear heat from Qi and Ying (Blood) Stages
Heat in Qi, Ying/ Blood stages
Sx: Strong fever, thirst, restlessness, coma, delirium, pain in bones like patient has taken a beating, macula, blood in stools, urine and vomit, nasal bleeding, dry yellow or dark black coating, crimson tongue
Rx’s:
Yu Nu Jian
Bai Hu Tang+ Xi Jiao, Xuan Shen
Qing Wen Bai Du Yin

30. 7. Open orifice and extinguish Wind
Shen disorder

31. 7-1 Clear Heart and Open Orifice
Open orifices and extinguish wind (Shen disorder) – cont’d
7-1 Clear Heart and Open Orifice
Heart heat with Shen disorder
Sx: Fever, dizzy, delirium, deep red tongue, thin rapid pulse
Rx’s:
An Gong Niu Huang Wan
Zhi Bao Dan
Zi Xue Dan

32. 7-2 Eliminate Phlegm to open orifice
Open orifices and extinguish wind (Shen disorder) – cont’d
7-2 Eliminate Phlegm to open orifice
Damp covers orifice
Sx: Fever, dizziness, unconsciousness, delirium, red tongue with white greasy or yellow greasy coating, soft rapid pulse
Chang Pu Yu Jin Tang
Shi Chang Pu
Yu Jin
Zhi ZI
Lian Qiao
Ju Hua
Hua Shi
Zhu Ye
Mu Dan Pi
Niu Bang Zi
Zhu Li
Jiang Zhi

33. 7-3 Cool Liver to extinguish Wind
Open orifices and extinguish wind (Shen disorder) – cont’d
7-3 Cool Liver to extinguish Wind
Liver Heat generating inner wind
Sx: Fever, cold limbs, convulsions, opisthotonos, coma, red tongue yellow coating, wiry rapid pulse
Rx: Ling Jiao Gou Teng Tang

34. 7-4 Nourish Yin to extinguish Wind
Open orifices and extinguish wind (Shen disorder) – cont’d
7-4 Nourish Yin to extinguish Wind
Late stage of Wen Bing, yin damage leading to empty heat and deficient wind
Sx: Low degree fever, fever in five centers (five palm heat), red cheeks (malar flush), finger spasms, fatigue, dry deep red tongue, weak thin pulse
Rx: Da Ding Feng Zhu

35. 8. Nourish Yin and promote fluid
Nourish Yin and promote fluids – cont’d
8. Nourish Yin and promote fluid
Later stage of Wen Bing, yin damage

36. 8-1 Nourish LU and ST LU ST yin fluid damage
Nourish Yin and promote fluids – cont’d
8-1 Nourish LU and ST
LU ST yin fluid damage
Sx: Dry throat, non-productive dry cough, nausea, poor appetite, red tongue without coating
Rx: Sha Shen Mai Men Dong Tang

37. 8-2 Promote fluid to moisten Intestines
Nourish Yin and promote fluids – cont’d
8-2 Promote fluid to moisten Intestines
Later stage of Wen Bing, yin damage, dryness in Intestines
Sx: Constipation, dry throat and mouth, dry red tongue
Rx: Zeng Ye Tang

38. 8-3 Tonify True Yin essence
Nourish Yin and promote fluids – cont’d
8-3 Tonify True Yin essence
Later stage of Wen Bing, Liv and Ki yin damage
Sx: Low degree fever, red complexion, more hot in palms than the back of hand, dry mouth and throat, fatigue, sleepiness, dry deep red tongue, lack of coating, weak thin pulse
Rx: Jia Jian Fu Mai Tang
Zhi Gan Cao
Sheng Di
Bai Shao
Mai Dong
E Jiao
Hu Ma Ren,

39. 9. Rescue Prolapsed
Prolapsed/collapse of Yin or Yang

40. 9-1 Tonify qi and consolidate Yin
Rescue prolapse/collapse of Yin/Yang – cont’d
9-1 Tonify qi and consolidate Yin
Qi and yin severe damage, prolapsed
Sx: Fever suddenly decreased, heavy sweating, wheezing, fatigue, scattered large pulse, lack of tongue coating
Rx: Sheng Mai San

41. 9-2 Rescue Prolapsed Yang
Rescue prolapse/collapse of Yin/Yang – cont’d
9-2 Rescue Prolapsed Yang
Yang qi sudden prolapsed
Sx: Cold limbs, heavy sweating, fatigue, pale face, pale watery tongue, feeble pulse
Rx: Shen Fu Long Mu Tang Modifications:
Shen Fu Tang
Mu Li
Long Gu

42. 10. External Methods
Bath
Emema
Liniment
Nasal Method