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Characteristics of Shi Wen (damp-warm diseases)?
- more prevalent in summer & early autumn
- attack MJ, Sp & St
- easily constrain clear Yang & obstruct Qi circulation
- change slowly & progress prolonged
- difficult to treat
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Contraction of Shi Wen?
- not seasonal (has to be wet!!)
- newly contracted
- more prevalent in late summer & early autumn
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Onset of Shi Wen?
- late summer / early autumn
- slow
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Pathogenic factor of Shi Wen?
damp-heat
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Transmission of Shi Wen?
- early stage: Wei/Qi level pattern
- Bai Pei
- slow & protracted
- prolonged
- lingering in Qi level
- latter stage: may be bloody stools
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Treatment of Shi Wen?
- clear heat, remove dampness
- distinguish degree of damp & heat
- exogenous damp: expel through route of entry
- internal damp: UJ by transformation; MJ by drying; LJ by diuresis
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Contraindications at initial stage?
- NO diaphoresis
- NO purgation
- NO nourishing
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Wei/Qi combined pattern
(more damp than heat)
Huo Po Xia Ling Tang
- Herbs:
- Xing Ren
- Huo Xiang
- Ban Xia
- Chi Ling
- Sheng Yi Ren
- Kou Ren
- Zhu Ling
- Ze Xie
- Dan Dou Chi
- Hou Po
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Modifications of "more heat than damp" pattern?
Huo Po Xia Ling Tang ...
- + Qian Hu, Pi Pa Ye, Je Geng (damp constrained in Lu)
- + Cang Zhu, Pei Lan (heavy body & limbs)
- + Ge Gen, Fang Feng (severe aversion to cold, sweating)
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Wei/Qi combined pattern
(more heat than damp)
San Ren Tang
- Herbs:
- Xing Ren
- Kou Ren
- Yi Ren,
- Hou Po
- Ban Xia
- Tong Cao
- Hua Shi
- Zhu Ye
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Modifications of "more heat than damp" pattern?
San Ren Tang ...
- + Huang Lian, Huang Qin, Shi Gao (heat toxin)
- + Cao Kou Ren (severe dampness)
- + Jing Jie, Fang Feng (persistent dampness)
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