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In "Li Dongyuan's Formula Structure - An Open Secret" we look at how Li Dongyuan used a module-like system of constructing many of his formulas, using couplets and triplets of different classes of herbs to achieve a wide variety of effects.
The famous Shang Han Lun expert Liu Duzhou loved Li Dongyuan's formulas, and we employ many case histories from Liu to flesh out the contemporary clinical use of formulas such as:
(a) Sheng Yang Yi Wei Tang
(b) Yi Qi Cong Ming Tang
(c) Yuan Ming Nei Zhang Sheng Ma Tang
(d) Bu Zhong Yi Qi Tang
(e) Tiao Zhong Yi Qi Tang
(f) Wen Wei Tang
(g) Li Dongyuan's original Ban Xia Bai Zhu Tian Ma Tang
We dissect each of the above to show the same basic structural pattern that underlies the design of each, and that can be used in our own practice to design prescriptions for an individual patient. To help this, Li Dongyuan's formula modifications are also covered, and his use of acrid and bitter herbs in combination.
We also look at "yin fire" -- both the phenomenon itself and the history that led to Li Dongyuan's development of the concept. Then we describe in detail the variety of ways that the different categories of "internal heat" are dealt with, from "leading fire back to the source" to "lifting yang to eliminate heat" to the use of wind-herbs to disperse fire in various channels.
I. Who Was Li Dongyuan? a) Li’s extant medical texts b) Li’s teacher: Zhang Yuansu c) Li’s Formula Carved in Stone
30 min - 45 minII. Middle Jiao as Pivot a) Liu Duzhou’s Rule of Thumb for Employing Li Dongyuan’s Formulas b) Li Dongyuan’s use of Huang Qi (Astragalus)
45 min - 1.5 hrsIII. The Structure of Important Li Dongyuan Formulas a) Sheng Yang Yi Wei Tang b) Yi Qi Cong Ming Tang c) Yuan Ming Nei Zhang Sheng Ma Tang d) Bu Zhong Yi Qi Tang e) Tiao Zhong Yi Qi Tang f) Wen Wei Tang g) Ban Xia Bai Zhu Tian Ma Tang
1.5 hrs - 1.75 hrsIV. Formula Modification Guidelines
1.75 hrs - 2.25 hrsV. External Exposure versus Internal Damage a) the importance of Li Dongyuan’s personal experience of siege and epidemics b) Nei Shang (Internal Damage): when Shang Han Lun no longer worked c) The Play of Extremes: Yin Fire
2.25 hrs - 2.5 hrsVI. Heat from Internal Damage a) excess versus deficiency b) heat from different deficiencies: i) heat due to blood deficiency ii) yang deficiency heat iii) qi deficient heat
2.5 hrs - 2.75 hrsVII. Lifting to Eliminate Fire a) Bu Pi Wei Xie Xin Huo Sheng Yang Tang (Tonify Spleen-Stomach and Drain Heart Fire to Lift Yang Decoction) b) Sheng Yang San Huo Tang (Lift Yang to Disperse Fire Decoction) c) Huo Yu Tang (Heat Constraint Decoction)
2.75 hrs - 3 hrsVIII. Conclusion a) Generations of Development: i) Luo Tianyi ii) Wang Haogu
Li Dongyuan's Formula Structure - An Open Secret
About Steven Clavey
Steve Clavey studied classical Chinese language in Taiwan, and learned Chinese medicine in Taiwan and the PROC in the 70s and 80s. He has been practicing Chinese herbal medicine in Melbourne Australia for over 30 years. He is the author of Fluid Physiology and Pathology in Traditional Chinese Medicine and the co-author (with Dan Bensky and Erich Stoeger) of Chinese Herbal Medicine: Materia Medica 3rd Edition. Steve is also an editor of The Lantern, an international hard-copy journal of Chinese medicine, with three issues each year.
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