Author: Sun Si Miao, 孫思邈
Year: 650
Source: Important Formulas Worth a Thousand Gold Pieces (Bei Ji Qian Jin Yao Fang, 備急千金要方)
Category: Formulas that Calm the Spirit
Pattern: Heart Qi deficiency and constraint caused by Phlegm turbidity
Key Symptoms: Palpitations, forgetfulness, dizziness, anxiety, confusion, inability to concentrate
Secondary Symptoms: Disorientation, apprehension, worry, incessant laughter and glee, nearsightedness
Tongue: Pale body with white coat
Pulse: Deep, tight, without force
Ingredients
|
Ren Shen
| 9g | |
|
Pinyin: Ren Shen
Chinese: 人參
Pharmaceutical: Radix Panax ginseng
Taxonomy: Panax ginseng
English: Ginseng Root |
|
Tastes: Sweet, slightly warm
Meridians Entered: Spleen, Lung and Heart |
Actions & Indications:
- Powerfully tonifies Yuan Qi
Extreme collapse of Qi or abandoned conditions that manifest in shallow breathing, shortness of breath, cold limbs, profuse sweating and an almost imperceptible pulse (after blood loss, overly profuse sweating or other problems related to severe fluid loss - it can be used alone in these emergencies)
Collapse of Yang
Collapse of Yin
- Tonifies Spleen and Stomach Qi
Lethargy, anorexia, chest and abdominal distention, chronic diarrhoea and, in severe cases, prolapse of the Stomach, uterus or rectum
- Tonifies Lung Qi
Lung Qi Deficiency with wheezing, shortness of breath and labored breathing on exertion
- Generates Body Fluids and stops thirst
Wasting and thirsting disorder (消渴 Xiao Ke) and high fevers with profuse sweating which injures Qi and fluids
- Tonifies Heart Qi and calms the Spirit
Heart Qi and Blood Deficiency with palpitations, anxiety, insomnia, forgetfulness and restlessness
- Treats impotence
With Kidney Yang tonics for impotence
- Tonifies Qi in Deficiency patients with Exterior conditions
Exterior disorder with Interior Deficiency
- Aids fasting
Mentioned in the Shen Nong Ben Cao Jing as part of the superior class of herbs which can, with protracted taking, 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).
|
Standard Dosage: 5-10g in decoction, 10-30g for exhaustion syndrome due to Qi deficiency.
Cautions: Antagonizing to Li Lu; the warm nature of sun-dried raw Ren Shen is weaker than that of Hong Shen. |
|
|
Fu Ling
| 9g | |
|
Pinyin: Fu Ling
Chinese: 茯苓
Pharmaceutical: Poria
Taxonomy: Poria cocos syn. Wolfiporia extensa
English: China-Root / Hoelen / Tuckahoe / Indian Bread |
|
Tastes: Sweet, bland, neutral
Meridians Entered: Heart, Spleen, and Kidney |
Actions & Indications:
- Strengthens the Spleen and harmonizes the Middle Jiao
Spleen Deficiency Dampness with anorexia, diarrhoea and epigastric distention
- Strengthens the Spleen
Phlegm Dampness due to Spleen Deficiency with thin mucus in which Phlegm moves upward manifesting as palpitations, headache, dizziness and a thick, greasy tongue coat
- Promotes urination and leaches out Dampness
Urinary difficulty, diarrhoea or oedema due to Stagnation of Fluids or Dampness
- Quiets the Heart, calms the Spirit and soothes the nerves
Palpitations, insomnia or forgetfulness due to either Spleen and Heart Insufficiency or Internal Obstruction of Turbid Phlegm
- Aids fasting
Mentioned in the Shen Nong Ben Cao Jing as part of the superior class of herbs which can, with protracted taking, quiet the Hun, nourish the Shen, make one free from hunger 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).
|
Standard Dosage: 9-15g in decoction.
Cautions: It is contraindicated for spermatorrhea due to deficiency-cold. |
|
|
Shi Chang Pu
| 6g | |
|
Pinyin: Shi Chang Pu
Chinese: 石菖蒲
Pharmaceutical: Rhizoma Acori tatarinowii seu graminei
Taxonomy: Acorus tatarinowii seu gramineus
English: Grass-leaf Sweet Flag Rhizome |
|
Tastes: Pungent, bitter, warm
Meridians Entered: Heart, Spleen and Stomach |
Actions & Indications:
- Opens the Orifices, vaporizes Phlegm, removes filth, calms the Spirit and disperses Wind
Phlegm-Dampness Veiling and Blocking the Sensory Orifices with deafness, dizziness, forgetfulness, dulled senses, and seizures or stupor
Wind-Phlegm with seizures or stupor
- Transforms turbid Dampness, harmonizes the Middle Jiao, awakens the Spleen and promotes the movement of Qi
Dampness Distressing the Spleen and Stomach with chest and epigastric fullness and abdominal fullness and pain due to Dampness and Turbidity Obstructing the Middle Jiao
- Promotes Blood flow, reduces swelling and alleviates Wind-Damp Bi and sores (internally and topically)
Wind-Cold-Damp Bi Sores (internally and topically)
Trauma
- Benefits the throat
Hoarse voice due to laryngitis or inflammation of the vocal cords
- Kills Parasites and expels Demons
Gu Sydnrome (Fruehauf, 1998)
Chronic inflammatory disease (Fruehauf, 2015)
- Aids fasting
Mentioned in the Shen Nong Ben Cao Jing as part of the superior class of herbs which can, with protracted taking, make the body light, improve memory, prevent confusion 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).
|
Standard Dosage: 5-10g in decoction.
Cautions: Avoid high doses for long periods due to β-asarone content (see below). |
|
|
Yuan Zhi
| 6g | | |
Pinyin: Yuan Zhi
Chinese: 遠志
Pharmaceutical: Radix Polygalae
Taxonomy: Polygala tenuifolia
English: Chinese Senega / Thin-Leaf Milkwort |
|
Tastes: Bitter, pungent, slightly warm
Meridians Entered: Liver, Kidney and Lung |
Actions & Indications:
- Calms the Spirit, sedates the Heart and clears the channel joining the Heart and Kidney
Insomnia, palpitations with anxiety, restlessness, and disorientation.
Most effective for excessive brooding or pent-up emotions
Lack of communication between the Heart and Kidneys
- Expels Phlegm, opens the Orifices, clears the Lungs and stops coughing
Phlegm Blocking the Heart Orifices with emotions and mental disorientation, spasms or seizures
Phlegm Obstructing the Lungs with copious sputum, especially when it is difficult to expectorate
Angina pectoris
- Reduces abscesses and dissipates swellings
Boils, abscesses, sores, and swollen, painful breasts (powdered and applied topically or taken with wine)
- Aids fasting
Mentioned in the Shen Nong Ben Cao Jing as part of the superior class of herbs which can, with protracted taking, make the body light, and prevent forgetfulness. 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).
|
Standard Dosage: 3-9g in decoction.
Cautions: It should be used with cautions for excess fire or phlegm-heat because of its warm nature. It should be used with cautions for gastritis and duodenal ulcer because it will stimulate the stomach and intestine. Unprepared will irritate the stomach mucosa causing nausea and vomiting so is usually prepared with Gan Cao (Zhi Yuan Zhi) or honey (Mi Zhi Yuan Zhi) |
|
Preparation: Ground into powder and formed into pills with honey to take in 6g doses. Presently usually prepared as a decoction.
Actions: Tonifies the Heart, strengthens the resolve, calms the Shen
Contraindications: Blood or Yin deficiency without the presence of Phlegm-Dampness
Notes:
Can also be used to treat insomnia if herbs like Dang Gui, Suan Zao Ren and Bai Zi Ren are added.
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.