Source: Comprehensive Medicine According to Master Han (1522)
Category: Formulas that Calm the Spirit
Pattern: Heart and Kidneys not communicating
Key Symptoms: Irritability, restlessness, severe continuous palpitations, coolness of the lower limbs, great difficulty in falling asleep
Ingredients
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Huang Lian
| 5g | |
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Pinyin: Huang Lian
Chinese: 黄连
Pharmaceutical: Rhizoma Coptidis
Taxonomy: Coptidis chinensis
English: Coptis Rhizome / Goldthread Rhizome |
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Tastes: Bitter, cold
Meridians Entered: Heart, Stomach, Large Intestine and Liver |
Actions & Indications:
- Clears Heat and drains Dampness
Damp-Heat in the Stomach or Intestines with diarrhoea or dysenteric disorder
Stomach Heat with vomiting and/or acid regurgitation
- Drains Fire and resolves Fire toxicity
Heat with Blazing Fire (Toxic Heat) with high fever. irritability, disorientation, delirium, a red tongue and a rapid, full pulse
Heat from Excess with toxicity: painful, red eyes and a sore throat
Boils, carbuncles and abscesses (Chuang Yung)
- Clears Heat and stops bleeding
Blood Heat with epistaxis, hematuria, hemafecia and hemoptysis
- Clears Heat topically
Infected wounds, red and painful eyes, ulcerations of the tongue and mouth (topical)
- Clears Heart Fire (sedative)
Heart Fire
Lack of communication between the Heart and Kidneys
- Drains Stomach Fire
Stomach Fire
- Aids fasting
Mentioned in the Shen Nong Ben Cao Jing as part of the superior class of herbs which can, with protracted taking, improve memory. 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: 2-10g in decoction.
Cautions: It is contraindicated for deficiency-cold syndrome. Because its taste is extremly bitter and dryness, overdosage and long-time taking will impair spleen and stomach, yin and fluids. |
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Rou Gui
| 0.5g | | |
Pinyin: Rou Gui
Chinese: 肉桂
Pharmaceutical: Cortex Cinnamomi
Taxonomy: Cinnamomum cassia
English: Cinnamon Bark |
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Tastes: Pungent, sweet, hot
Meridians Entered: Kidney, Spleen, Heart and Liver |
Actions & Indications:
- Warms the Kidneys, Spleen and Heart and strengthens Yang and Ming Men Fire
Kidney Yang Deficiency and Deficiency of Ming-Men Fire with aversion to Cold, cold limbs, weak back, impotence and urinary frequency
Spleen and Kidney Yang Deficiency with abdominal pain and Cold, reduced appetite and diarrhoea
Kidney Unable to Grasp Qi
Heart Yang Deficiency, particularly with chest Bi
- Disperses deep Cold, warms the channels, unblocks the channels and vessels and alleviates pain
Deep Cold causing Qi Stagnation or Blood Stasis with Cold in the Blood causing amenorrhea or dysmenorrhea, Cold-Damp Bi, Yin-type boils (chronic sores that are usually concave and ooze a clear fluid) and sores or abscesses that do not heal
It enters the Blood aspect and, in small amounts, enhances the Blood moving action of other substances
- Leads the Fire back to its source
Upward Floating of Deficient Yang (False Heat, True Cold or Heat Above and Cold Below) with flushed face, wheezing, severe sweating (the sweat pours out like oil), weak and cold lower extremities and a deficient and rootless pulse
Any condition with Heat in the Upper body (dry mouth, sore throat, or teeth which is worse at night) and Cold in the Lower body (Lower back pain, cold lower extremities, diarrhoea and weakness in the proximal portion of the pulse)
- Assists in the generation of Qi and Blood
Chronic Qi and Blood Deficiency (auxiliary)
- Aids fasting
Mentioned in the Shen Nong Ben Cao Jing as part of the superior class of herbs which can, with protracted taking, enable one to communicate with spirits, 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).
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Standard Dosage: 1-5g in decoction. It should be decocted later.
Cautions: It is contraindicated for syndrome of yin deficiency with fire effulgent, haemorrhage due to blood heat and pregnant women. It is incompatible with Chi Shi Zhi (nineteen incompatibilities). |
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Preparation: Ground and formed into pills with honey, but can also be prepared as a decoction with the dosages above.
Actions: Reestablishes harmonious communication between the Heart and Kidneys
Notes:
Liu Lihong (2019, Classical Chinese Medicine, p. 384) describes how this formula's name is based around the I Ching hexagram Tai ䷊ as it encourages the Yang to descend and facilities the intermingling of Qi.
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.