Author: Qingdao Taixi Hospital, 引青島台西醫院
Year: 1978
Source: New Acute Abdomen (Xin Ji Fu Zheng Xue, 新急腹症學)
Category: Formulas that Expel Parasites
Pattern: Parasitic infestations
Key Symptoms: Severe abdominal pain and a mass in the abdomen (usually the right upper quadrant).
Ingredients
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Mu Xiang
| 9g | |
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Pinyin: Mu Xiang
Chinese: 木香
Pharmaceutical: Radix Aucklandiae
English: Costus Root |
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Tastes: Pungent, bitter, warm
Meridians Entered: Spleen, Stomach, Large Intestine and Gall Bladder |
Actions & Indications:
- Promotes the movement of Qi and alleviates pain
Spleen/Stomach Qi Stagnation with anorexia, a feeling of food sitting in the Stomach, epigastric or abdominal pain or distention, nausea and vomiting
Liver or Gallbladder Qi Stagnation with flank pain, distention or soreness
Relieves the symptoms of Gu Sydnrome while suppressing parasites (Fruehauf, 1998)
Chronic inflammatory disease (Fruehauf, 2015)
- Adjusts and regulates stagnant Qi in the Intestines
Intestinal Qi Stagnation with diarrhoea or dysenteric disorders, abdominal pain and tenesmus
- Strengthens the Spleen and prevents Stagnation
Stagnation from tonic herbs, especially when the transportive and transformative functions of the Spleen are weak
- Dispels Damp-Heat and harmonizes the Liver and Spleen
Disharmony of the Liver and Spleen with hypochondriac pain and distention, a bitter taste in the mouth, a yellow tongue coat and possibly jaundice
- Aids fasting
Mentioned in the Shen Nong Ben Cao Jing as part of the superior class of herbs which can, with protracted taking, prevent oppressive Ghost Dreams whether sleeping during the day or the night. 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).
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Standard Dosage: 3-10g in decoction.
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Zhi Ke
| 6g | |
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Pinyin: Zhi Ke
Chinese: 枳壳
Pharmaceutical: Fructus Aurantii
Taxonomy: Citrus aurantium
English: Seville Orange / Bitter Orange / Sour Orange |
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Tastes: Bitter, pungent, sore and slightly cold
Meridians Entered: Spleen and Stomach |
Actions & Indications:
- Promotes the movement of Qi, reduces distention and pressure and resolves hardenings
Qi Stagnation and accumulation (especially in weak or deficient patients)
- Removes stagnated food
Food Stagnation
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Standard Dosage: 3-10g in decoction.
Cautions: Used with caution for pregnant women. |
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Bing Lang
| 30g | |
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Pinyin: Bing Lang
Chinese: 槟榔
Pharmaceutical: Semen Arecae
Taxonomy: Areca catechu
English: Betel Nut |
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Tastes: Bitter, pungent, warm
Meridians Entered: Stomach and Large Intestine |
Actions & Indications:
- Kills Parasites and expels Demons
Kills a wide variety of Intestinal parasites including fasciolopsis, pinworms, roundworms and Blood flukes Best for tapeworms
Drains downward to expel the bodies of dead parasites
Gu Sydnrome (Fruehauf, 1998)
Chronic inflammatory disease (Fruehauf, 2015)
- Regulates Qi, reduces accumulations, drains downward and unblocks the bowels
Food Stagnation and Qi Stagnation with abdominal distention, constipation or tenesmus
- Promotes urination
Damp leg Qi and oedema due to Excess
- Treats malarial disorders
Malarial disorders
- Relieves nausea
Nausea
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Standard Dosage: 3-10g in decoction.
Cautions: It is contraindicated for loose stool due to spleen insufficiency or qi sinking. Use with caution for pregnant women.
This herb is prohibited from use in the UK under the banned and restricted herbal ingredients list issued by the MHRA and so is generally substituted with Zhi Shi and Yi Li Ren, or Fei Zi and Yu Li Ren for expelling parasites. |
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Ku Lian Gen Pi
| 15g | |
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Pinyin: Ku Lian Pi
Chinese: 苦楝皮
Pharmaceutical: Cortex Meliae azedarach
English: Chinaberry Bark |
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Tastes: Bitter, cold, toxic
Meridians Entered: Liver, Spleen and Stomach |
Actions & Indications:
- Kills parasites
Roundworms, hookworms, pinworms and vaginal trichomonas infections This is strong and effective and can be used by itself
- Treats tinea topically
As a wash or a powder made into a thick paste with vinegar for tinea
- Treats trichomonas
Externally as a wash or douche for trichomonas vaginitis
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Standard Dosage: 4.5-9g in decoction or externally as a wash.
Cautions: Do not take in an excessive dose or long because of its toxicity. Decoct it long on a slow fire because the curative ingredients are difficult in dissolving. |
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Shi Jun Zi
| 15g | | |
Pinyin: Shi Jun Zi
Chinese: 使君子
Pharmaceutical: Fructus Quisqualis
Taxonomy: Quisqualis indica
English: Rangoon Creeper Fruit |
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Tastes: Sweet, warm
Meridians Entered: Spleen and Stomach |
Actions & Indications:
- Kills parasites
Roundworms and pinworms (can be used alone)
- Strengthens the Spleen, dissolves accumulations and improves digestion
Childhood nutritional impairment, abdominal distention, poor appetite, or a weak constitution
- Expels Gu Parasites
Chronic inflammatory disease (Fruehauf, 2015)
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Standard Dosage: 9-12g smashed in decoction, 6-9g chewed. Take 1-1.5 pieces of the seeds per year of age. Daily dosage should not exceed 20 pieces.
Cautions: Large dosage or taking with hot tea can cause hiccup, vertigo, vomiting and diarrhea. Therefore it should not be taken with hot tea. |
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Subsitutions:
In the UK Bing Lang must be substituted with Zhi Shi and Fei Zi.
Ku Lian Gen Pi and Shi Jun Zi may be difficult to obtain.
Preparation: Decoction.
Actions: Promotes the movement of Qi, dissipates clumps, expels parasites, alleviates pain
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.