Author: Zhang Zhong-Jing, 張仲景
Year: c. 220
Source: Discussion of Cold Damage (Shang Han Lun, 傷寒論)
Category: Formulas that Stabilise and Bind
Pattern: Chronic diarrhoea causing a leaky, abandoned condition
Key Symptoms: Chronic diarrhoea or dysentery
Secondary Symptoms: Reduced or difficult urination
Ingredients
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Chi Shi Zhi
| 12g | |
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Pinyin: Chi Shi Zhi
Chinese: 赤石脂
Pharmaceutical: Halloysitum Rubrum
English: Red Kaolin / Red Halloysite |
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Tastes: Sweet, astringent, warm
Meridians Entered: Large Intestine and Stomach |
Actions & Indications:
- Astringes the Intestines and stops diarrhoea
Chronic diarrhoea, often accompanied by undigested food, due to Deficiency Cold
Chronic dysenteric disorders with mucus and Blood in the stool
Prolapsed rectum
- Contains the Blood and stops bleeding
Bleeding from Deficiency Cold in the Lower Jiao with uterine bleeding, excessive menstruation, hemafecia and bleeding prolapsed rectum
Bleeding due to trauma (topical)
- Promotes healing of wounds topically (generates flesh)
Wounds
Chronic non-healing ulcers, weeping sores
- Aids fasting
Mentioned in the Shen Nong Ben Cao Jing as part of the superior class of minerals which can, with protracted taking, replenish the marrow, boost the qi, and make one fat and strong, free from hunger, and the body light while prolonging life. This may suggest it was part of supplementing the diet when engaging in an "avoiding grain" (Bigu 辟穀) fasting regime to cultivate life (Yangsheng 養生). It is also said to nourish the five Zang, especially the Heart which is associated with red.
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Standard Dosage: 10-20g in decoction.
Cautions: It is contraindicated in cases of diarrhea or dysentery of damp-heat type. Use with caution for pregnant women. It is incompatible to Guan Gui (Rou Gui).
Eating clay long-term can cause low levels of potassium and iron, intestinal blockage, poisoning from trace heavy metals, muscle weakness, skin sores and difficulty breathing.
Mineral products are prohibited from use in the UK under the Medicines Act 1968 ch. 67 which restricts herbalists to the use of plant products only. It is generally substituted with He Zi and Jin Guan Hua. It may still be used topically. |
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Yu Yu Liang
| 12g | | |
Pinyin: Yu Yu Liang
Chinese: 禹余粮
Pharmaceutical: Limonitum
Taxonomy: FeO(OH)⋅nH2O
English: Limonite / Hydrated Ferric Oxide |
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Tastes: Sweet, astringent, neutral
Meridians Entered: Stomach |
Actions & Indications:
- Astringes the Intestines and stops diarrhoea
Chronic diarrhoea or dysentery disorders
Instability of the Lower Jiao with diarrhoea to the point of incontinence
Spleen and Kidney Yang Deficiencies diarrhoea especially in the elderly
- Restrains leakage of Body Fluids and inhibits and stops bleeding
Incessant vaginal discharge
Unrelenting uterine bleeding
- Aids fasting
Mentioned in the Shen Nong Ben Cao Jing as part of the superior class of minerals which can, after sublimation, make one free from hunger, make the body light and
prolong life. This may suggest it was part of supplementing the diet when engaging in an "avoiding grain" (Bigu 辟穀) fasting regime to cultivate life (Yangsheng 養生). Unusually, a second entry for Tai Yi Yu Yu Liang (太一禹馀粮, "Supreme Unity of Yu's Surplus Provisions"), possibly the sublimated version, is given, whose effects with prolonged taking are to resist cold and summerheat, prevent hunger and make one an immortal with a body so light it is able to fly a thousand li.
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Standard Dosage: 10-20g in decoction.
Cautions: Use with caution for pregnant women.
Mineral products are prohibited from use in the UK under the Medicines Act 1968 ch. 67 which restricts herbalists to the use of plant products only. |
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Subsitutions:
In the UK both substances need to be substituted. Suggestions include:
Chi Shi Zhi == He Zi + Ji Guan Hua
Yu Yu Liang == Wu Wei Zi
Preparation: Decoction.
Actions: Binds the intestines and stops diarrhoea.
Contraindications: Blood stasis due to Cold characterised by discharge of blood and pus.
Notes:
One liang is taken as 3g in modern sources but in Eastern Han times it was equivalent to 13.875g. This means that the dosages in classical formulae could have been more than 4x what is given today making them far higher than recommended safe dosages today but prompts consideration of what an effective dose may be (He, 2013).
Research Links:
Reference Notes: (click to display)
Most formulas are found in Scheid, Bensky, Ellis & Barolet (2009): Chinese Herbal Medicine: Formulas & Strategies and Chen & Chen (2015) Chinese Herbal Formulas and Applications. Others are from translations of primary sources. It is recommended that the original material is cross-referenced for mistakes and additional information.
Substitutions have been taken from Ken Lloyd & Prof. Leung (2004): Mayway UK Substitution List or the above publications and are intended as suggestions to help navigate the tight restrictions in the UK quickly. More applicable substitutions may be appropriate in specific situations.
Individual herb information has initially been sourced from TCM Wiki and American Dragon for basic data and then updated manually with my own notes.
These pages are intended to assist clinicians and are not intended for self-diagnosis or treatment for which a qualified professional should be consulted.