Herb Formulas Notebook

San Jia Fu Mai Tang

Three Shell Decoction to Restore the Pulse

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Source: Systematic Differentiation of Warm Pathogen Diseases (1798)
Author: Wu Tang / Ju-Tong

Category: Formulas that Expel Wind

Pattern: Late stage Warm Pathogen Disorder (Wen Bing) where the Yin has been injured.

Key Symptoms: Severe palpitations, Heart pain
Secondary Symptoms: Fever, flushed face, hot palms and soles, dry throat, dizziness, tinnitus, spasms, quivering fingers, impaired consciousness, stiffness of the tongue, blackish teeth and cracked lips

Tongue: Deep red
Pulse: Thin, rapid and irregular

Zhi Gan Cao 18g
Sheng Di Huang 18g
Bai Shao 18g
Mai Men Dong 15g
Huo Ma Ren 9g
E Jiao 9g
Mu Li 9g
Bie Jia 24g
Gui Ban 30g

In the UK all three shells must be substituted due to the laws on using animal products. Some common substitutions include:
Mu Li == Bai Shao + Xuan Shen + Wu Wei Zi
Bie Jia == Qing Hao + Sheng Di Huang
Gui Ban == Nu Zhen Zi + Mo Han Lian

Preparation: Decoction.

Actions: Nourishes the Yin, restores the pulse, clears Heat, anchors the Yang, extinguishes Wind

Contraindications: Should not be used during pregnancy without removing Gui Ban and Bie Jia (not a problem in the UK as they must be replaced anyway). Caution in patients with diarrhoea due to Spleen Yang or Stomach Qi deficiency.

Research Links:
Science Direct
Google Scholar
Journal of Chinese Medicine
American Dragon

Reference Notes: (click to display)

These pages are intended to assist clinicians and are not intended for self-diagnosis or treatment for which a qualified professional should be consulted.