Gan jiang huang qin huang lian ren shen tang
gan jiang 9 huang qin 9 huang lian 9 ren shen 9
Line 359 In cold damage originally there was spontaneous cold diarrhea, yet the physician used vomiting and precipitation so there is repelling cold. After further adverse treatment through vomiting and precipitation, if there is immediate vomiting after food enters the mouth, gan jiang huang qin huang lian ren shen tang governs.
In cold damage originally there was spontaneous cold diarrhea,
This must be a tai yang wind cold pattern. Tai yang opens and then yang ming closes. The rising and growing of the yang qi is needed internally to warm the organs such as the spleen.
In a tai yang wind cold pattern the yang fails to descend then cold diarrhea occurs.
In tai yang and yang ming combined disease, there will be spontaneous diarrhea, and therefore ge gen tang governs.
If the wind cold tai yang pattern is unresolved, the pattern can change to yang ming and gives rise to diarrhea, dual tai yang and yang ming.
yet the physician used vomiting and precipitation so there is repelling cold.
Vomiting causes a loss of fluids and this weakens the shao yin heart yang and the jue yin blood level. The shao yin then fails to pivot and the exchange between fire and water fails. Yin and yang separate. With yang in the upper and yin below. Yang will continue to rise and yin will continue to sink.
Precipitation, a downward purging of the yang ming bowel causes the fluids on the surface to be pulled inwards. These fluids can be warm because in a tai yang cold strike pattern there can be a high fever. These warm fluids accumulate in the stomach.
After further adverse treatment through vomiting and precipitation, if there is immediate vomiting after food enters the mouth, gan jiang huang qin huang lian ren shen tang governs.
Vomiting after eating indicates heat in the stomach.
Gan jiang warms the cold and dries damp in the yang ming intestines. Gan jiang brings yang to the earth to warm the fluids. It also prevents excessive cooling from huang qin aand huang lian.
Huang qin is a shao yang herb. It clears liver and gall bladder damp and heat that flares up to the upper burner. It also clears san jiao damp heat through its bitter drying taste and cold cooling nature. It also cools the jue yin blood level.
Huang lian is bitter and cold to clear yang ming heat, it clears excessive damp heat in the intestines, resolves toxins, and dries damp.
Ren shen tonifies but also moistens. The tonifying restores normal function while the moistening prevents excessive drying from huang qin and huang lian.
The yin fluids from ren shen moderate excessive movement by anchoring yang within yin. It raises the original qi and gathering qi. It strengthens righteous qi, righteous qi is also called true qi and is a combination of original qi and gathering qi. All are dependent on the qi of shao yin and tai yin. Which in turn are dependent on the jue yin and shao yang for the ministerial fire in all three burners.