Herb Formulas Notebook

Ban Xia Hou Po Tang

Pinellia and Magnolia Bark Decoction


Author: Zhang Zhong-Jing, 張仲景

Year: c. 220

Source: Essentials from the Golden Cabinet (Jin Gui Yao Lue, 金匱要略)


Category: Formulas that Regulate Qi

Pattern: Plum pit Qi; clumping of Qi and Phlegm with rebellious Lung and Stomach Qi due to Liver Qi Stagnation from emotional constraint; Phlegm in Taiyin due to harm from the Seven Emotions.

Key Symptoms: Feeling of something caught in the throat that can be neither swallowed not ejected, stifling sensation in the chest and hypochondria, epigastric fullness, symptoms worsen when under stress
Secondary Symptoms: Breathing difficulty, palpitations, anxiety, irritability, chest pain, nausea, vomiting, dry throat, hiccup, belching, abdominal distention

Tongue: Wet body with thin white coat
Pulse: Wiry and slow, or wiry and slippery
Abdomen: Epigastric focal distention, splashing sound in the epigastrium, palpable pulsations in epigastrium, slight distention in lower abdomen though abdomen generally feels soft


Ingredients

Zhi Ban Xia 9-12g
Hou Po 9g
Fu Ling 12g
Zi Su Ye 9-15g
Sheng Jiang 4sl


Preparation: Decoction.


Actions: Promotes movement of Qi, dissipates clumps, directs rebellious Qi downwards, transforms Phlegm

Contraindications: Fire from excess or deficiency with a flushed face, bitter taste and red tongue



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).

---------------------------------------

Ploberger (2017), in Westliche und traditionell chinesische Heilkräuter, offers the following alternative using western herbs:

Herba Hyperici(St. John's Wort)4g(Emperor)
Folium Melissae(Melissa leaf)5g(Minister)
Herba Menthae(Peppermint)3g(Minister)
Fructus Coriandri(Coriander seed)4g(No role given)
Rhizoma Zingiberis recens(Fresh ginger)2g(Assistant)
Pericarpium Citri ret. vir.(Unripe orange peel)5g(Minister)
Lichen Islandicus(Iceland moss)2g(Envoy)



Research Links:



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.