Source: Differential Diagnosis in Traditional Chinese Medicine (1984)
Category: Formulas that Expel Dampness
Pattern: Painful urinary dribbling due to Damp-Heat Lin (stones) in the Lower Jiao
Key Symptoms: Urgent burning and painful urination, anuria or oligouria
Ingredients
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Guang Jin Qian Cao
| 60g | |
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Pinyin: Guang Jin Qian Cao
Chinese: 广金钱草
Pharmaceutical: Herba Desmodii Styracifolii
English: Cliffside Gold Coin Grass / Snowbell Leaf Tick Clover / Desmodium |
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Tastes: Sweet, bland, cool
Meridians Entered: Liver, Kidney and Bladder |
Actions & Indications:
- Clears Heat, promotes urination, unblocks painful urinary dysfunction and expels stones
Urinary tract infection, urinary tract stones
Gallbladder stones
Oedema caused by nephritis
Jaundice, acute icteric hepatitis
Infantile malnutrition
Carbuncles
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Standard Dosage: 15-30g in decoction.
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Jin Sha Teng
| 30g | |
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Pinyin: Hai Jin Sha
Chinese: 海金沙
Pharmaceutical: Spora Lygodii
English: Japanese Climbing Fern Spore |
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Tastes: Sweet, bland and cold
Meridians Entered: Bladder and Small Intestine |
Actions & Indications:
- Clears Heat, promotes urination, unblocks painful urinary dysfunction and expels stones
Damp-Heat Painful Urinary Dysfunction of any type, especially Stone Lin or Blood Lin
Can be used for biliary stones
- Eliminates Damp-Heat, reduces oedema and decreases jaundice
Swelling and fullness due to Spleen Dampness and Damp-Heat jaundice
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Standard Dosage: 6-15g in decoction.
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Ji Nei Jin
| 9g | |
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Pinyin: Ji Nei Jin
Chinese: 鸡内金
Pharmaceutical: Endothelium Corneum Gigeriae Galli
English: Chicken Gizzard |
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Tastes: Sweet, bland
Meridians Entered: Spleen, Stomach, Small Intestine and Bladder |
Actions & Indications:
- Strongly reduces Food Stagnation and improves the Spleen's transportive function
Food Accumulation in the digestive tract
Food Stagnation due to Spleen Deficiency
Childhood nutritional impairment
- Astringes Jing and urine and stops enuresis
Spermatorrhea, enuresis and urinary frequency
- Transforms hardness and dissolves stones
Urinary or biliary stones
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Standard Dosage: 3-10g in decoction.
Cautions: Animal products are prohibited from use in the UK under the Medicines Act 1968 ch. 67 which restricts herbalists to the use of plant products only. It is generally substituted with Shan Yao and Mai Ya. |
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Dong Kui Guo
| 12g | |
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Pinyin: Dong Kui Guo
Chinese: 冬葵果
Pharmaceutical: Fructus Malvae
Taxonomy: Malva verticillata
English: Musk Mallow Seeds / Abutilon Seeds |
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Tastes: Sweet
Meridians Entered: Bladder, Large Intestine and Small Intestine |
Actions & Indications:
- Clears Heat, promotes urination and reduces swelling
Urinary retention, oedema, thirst
Urinary tract infection
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Standard Dosage: 3-9g in decoction.
Cautions: Use with caution in those with loose stools from Spleen Deficiency and during Pregnancy. |
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Shi Wei
| 9g | |
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Pinyin: Shi Wei
Chinese: 石韋
Pharmaceutical: Folium Pyrrosiae
Taxonomy: Pyrrosia lingua
English: Tongue Fern Leaf |
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Tastes: Sweet and bitter, slightly cold
Meridians Entered: Lung and Bladder |
Actions & Indications:
- Clears Damp-Heat, unblocks painful urinary dysfunction and clears stones
Damp-Heat painful urinary dysfunction, Stone Lin and Blood Lin
- Clears Heat and stops bleeding (Cools the Blood)
Blood Heat bleeding (hematemesis, uterine bleeding, Blood Lin)
- Clears the Lungs, expels Phlegm and stops coughing
Lung Heat coughs and wheezing
- Clears the Lungs, expels Phlegm and stops coughing
Lung Heat coughs and wheezing
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Standard Dosage: 6-12g in decoction.
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Qu Mai
| 12g | | |
Pinyin: Qu Mai
Chinese: 瞿麦
Pharmaceutical: Herba Dianthi
Taxonomy: Dianthus superbus
English: Fringed Pink Dianthus |
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Tastes: Bitter, cold
Meridians Entered: Heart, Small Intestine and Bladder |
Actions & Indications:
- Drains Damp-Heat from the Urinary Bladder, promotes urination and unblocks painful urinary dysfunction
Damp-Heat Painful Urinary Dysfunction, especially Blood Lin
- Breaks up Blood Stasis, invigorates Blood circulation and regulates menstruation
Amenorrhea due to Blood Stasis (auxiliary)
- Unblocks the bowels
Constipation
- Purges Heart and Small Intestine Fire
Heart Fire leading to Small Intestine Excess Heat
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Standard Dosage: 9-15g in decoction.
Cautions: It is cold and descending in property and can cause abortion, so it is contraindicated for pregnant women. |
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Subsitutions:
In the UK Ji Nei Jin must be substituted. Standard substitutions would be Shan Yao and Mai Ya. Since food stagnation is not in the pattern then Mai Ya can probably be substituted for another herb that will secure the essence or dissolve stones.
Preparation: Decoction.
Actions: Promotes urination and expels stones
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.