Exogenous Pathogen Formulas
Pattern Identification: Pathogen dispelling, the general therapeutic principle governing the use of the TMC formulas listed here, relies on a strategy of offense, whereby therapy is directed toward virtual expulsion of the pathogen. In cases where the pathogen has lodged in the more superficial aspects of the body (that is, when prominent symptoms appear in those aspects of the body most immediately in contact with the environment), the method of choice for dispelling that pathogen is exterior resolution. Diaphoresis is generally the focus of exterior resolution, and is often the term chosen to refer to that method.
Exogenous wind, the pathogen most commonly involved in cases addressd by these formulas, has two symptom patterns: patterns of heat and patterns of cold. Pathogens manifesting in partterns of cold are dispelled by resolving the exterior with warm, pungent substances. Pathogens manifesting in patterns of heat are dispelled by resolving the exterior with cold, pungent substances.
The nature of the patient, as well as of the pathogen, must always be considered when determining treatment. In times of exogenous pathogen penetration, when signs of repletion are often more apparent, careful attention must be paid to any signs of overall depletion, as such signs might indicate the need for inclusion of supplements into the therapeutic program. Particular attenion is needed to the yin depletion patient, for whom diaphoresis is contraindicated unless accompanied by yin enrichment.
Cough is a symptom that oftern accompanies contraction of exogenous wind (both heat and cold), and therefore lung agents are oftern included in exterior-reesolving formulas. For example Sang Ju Gan Mao Pian contains the lung diffuser Jie Geng ( Radix Platycodi), and should be considered when slight cough is present.
Formulas such as Yin Qiao Jie Du Pian, Ling Yang Shang Feng Ling and Xi Ling Jie Du Pian are structured to deal with more pronounced aspects of heat, and contain such heat clearers and toxin resolvents as Jin Yin Hua (Flos Lonicerae), Lian Qiao (Fructus Frosyhiae Suspensae), and Shan Zhi Zi (Frucuts Gardeniae Jasminoidis) to achieve that end.
For the resolution of exogenous wind-cold Chuan Xiong Cha Tiao Wan can be applied when headache is prominent in wind-cold contraction.
Bi Yuan Wan, Bi Yan Pian,> and Bi Min Gan Wan address exterior patterns where the prominent symptoms include sinusitis and rhinitis.
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