Mu fang ji qu shi gao jia fu ling mang xiao tang
ren shen 12 fang ji 9 gui zhi 6 fu ling 12 mang xiao 12
Propping rheum in the diaphragm can manifest with panting, fullness, glomus and hardening below the heart, a soot-black facial complexion, and sunken tight pulses. This can last for dozens of days and it cannot be resolved by ejection or purgation. Mu fang ji tang is indicated. The deficiency pattern will resolve immediately, and the excess pattern will resume in three days; however, application of the same prescription will not be effective. Mu fang ji qu shi gao jia fu ling mang xiao tang is then recommended.
This is a modification of mu fang ji tang. The shi gao is taken out and fu ling and mang xiao is added. Once the heat is cleared the tai yang yang ming pattern will resolve. If it does not clear in the interior it is recommended to add fu ling and mang xiao. This will clear out the yang ming heat and damp to help restore function.
Ren shen, Ginseng radix is sweet tonifying and nourishing of the spleen, lungs, heart, and kidney. It nourishes yin fluids and therefore is the foremost qi and yin tonic.
The yin fluids from ren shen moderate excessive movement by anchoring yang with yin. It raises the original qi and gathering qi. It strengthens righteous qi and 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.
Ren shen tonifies qi and yin of the lungs and heart. The tonification of qi will strengthen the heartbeat, while the tonification of yin will nourish the blood and clear deficient heat.
Fang ji, Stephaniae radix is pungent dispersing of the lung, spleen, bladder and kidney. It is bitter draining of fluids in the lung, spleen, bladder and kidney.
Fang ji is pungent and neutral. It eliminates dampness while also clearing accumulated heat due to stagnation.
Gui zhi, Cinnamomi cassiae ramulus is pungent sweet and warm dispersing of the imperial and ministerial fire. It warms and tonifies the shao yin and jue yin. In doing so it warms and tonifies the whole body.
Fu ling, Poria is sweet and neutral. It drains fluids but is not bitter. Fu ling is tonifying the stomach domain, spleen, kidney and bladder to move excess fluids. It moves more than it tonifies.
Fu ling drains fluids through the tai yang bladder and restores the water metabolism. The movement of fluids is the start of movement for blood. By moving water we move blood. Dampness is a form of yin and we move the yin with the fu ling to restore the transformation and transport aspect of tai yin. Tai yin is also the post heaven source of clear qi and yin and blood.
Fu ling assists fang ji in clearing dampness out through the urine.
Mang xiao, Natrii sulfas is salty softening of hardness in the stomach domain. Mang xiao is bitter draining of stool and heat in the stomach domain.
Salty and cold it clears heat and purges excess from yang ming while moistening dryness and softening hardness.