Formula Database


Tong Guan San

(Open the Gate Powder)

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Source: Important Formulas Worth a Thousand Gold Pieces (650)
Author: Sun Si-Miao

Category: Formulas that Open the Sensory Orifices

Pattern: Abundant Phlegm blocking the Qi and causing collapse

Key Symptoms: Sudden collapse, loss of consciousness, clenched jaw, extreme difficulty in breathing, pale ashen complexion, obstruction by abundant phlegm, spittle and foaming


Ingredients
Zhu Ya Zao/Zao Jiao
Xi Xin

Subsitutions:
Both ingredients may be hard to obtain in the UK. The RCHM enacted a voluntary ban on Xi Xin although it is still legal to purchase. Zao Jiao was listed in some suppliers catalogues at last check (2017) although it seems unlikely any modern practitioner is going to use 500g when this is the only formula I have seen it used in to date. Whether two alternatives such as Bai Zhi and Shi Chang Pu will have the same effect will have to be seen.



Preparation: Equal proportions are ground into powder and blown into the nose. only a very small amount should be used.

Actions: Unblocks the gate (jaw) and opens the sensory orifices

Contraindications: Pregnancy, loss of consciousness due to abandonment disorders or hypertensive crisis, cerebral haemorrhage, or traumatic cranial injuries.



Notes:
This is intended for temporary emergency use only. Once consciousness is restored or sneezing induced it should be discontinued.


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.