Herb Formulas Notebook

Hou Po San Wu Tang

Magnolia Bark Three Substance 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 Drain Downward

Pattern: Qi stagnation causing constipation

Key Symptoms: Constipation, unrelenting pain and fullness in the epigastrium and abdomen

Abdomen: Painful and full in the epigastrium and abdomen


Ingredients

Hou Po 24g
Zhi Shi 12-15g
Da Huang 12g


Preparation: Decoction.


Actions: Drains Qi downward, unblocks the bowels



Notes:
This is essentially Xiao Cheng Qi Tang but with the dosage of Hou Po quadrupled and Zhi Shi increased slightly.

It is suggested that here constipation is due to obstruction of Qi, whereas in Xiao Cheng Qi Tang the obstruction of Qi is secondary to Heat clumping in the intestines.

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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).



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These pages are intended to assist clinicians and are not intended for self-diagnosis or treatment for which a qualified professional should be consulted.