Author: Yan Yong-He, 嚴用和
Year: 1253
Source: Formulas to Aid the Living (Ji Sheng Fang, 濟生方)
Category: Formulas that Regulate Qi
Pattern: Constraint and clumping of Liver Qi
Key Symptoms: Wheezing and laboured breathing, irritable stifling sensation in the chest and diaphragm, epigastric focal distention and fullness, loss of appetite
Tongue: Often has white coat
Pulse: Wiry
Ingredients
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Ren Shen
| 3-6g | |
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Pinyin: Ren Shen
Chinese: 人參
Pharmaceutical: Radix Panax ginseng
Taxonomy: Panax ginseng
English: Ginseng Root |
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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).
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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. |
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Bing Lang
| 9g | |
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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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Chen Xiang
| 3-6g | |
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Pinyin: Chen Xiang
Chinese: 沉香
Pharmaceutical: Lignum Aquilariae Resinatum
Taxonomy: Aquilaria agallocha seu sinensis seu malaccensis
English: Agarwood / Aloeswood / Eaglewood |
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Tastes: Pungent, bitter, warm
Meridians Entered: Spleen, Stomach and Kidney |
Actions & Indications:
- Promotes movement of Qi and alleviates pain
Qi Stagnation, with distention, pain or a feeling of pressure in the epigastric or abdominal region Especially useful for Deficiency Cold or Blood Stagnation
- Descends Qi, regulates the Middle, dispels Cold, warms the Spleen and Stomach and stops vomiting
Rebellious Qi wheezing from either Excess or Deficiency Vomiting, belching or hiccup due to Spleen and Stomach Deficiency Cold
- Warms the Kidneys and aids the Kidneys in grasping Qi
Asthma and wheezing due to Kidneys Unable to Grasp Qi
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Standard Dosage: 1-3g in decoction.
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Wu Yao
| 6-9g | | |
Pinyin: Wu Yao
Chinese: 烏藥
Pharmaceutical: Radix Linderae
English: Lindera Root |
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Tastes: Pungent, warm
Meridians Entered: Lung, Spleen, Liver, Kidney and Gallbladder |
Actions & Indications:
- Promotes the movement of Qi and alleviates pain
Cold and Qi Stagnation with a stifling sensation in the chest, flank pain, epigastric and abdominal pain.
- Warms the Kidneys and disperses Cold
Urinary frequency or incontinence due to Kidney Yang Deficiency or Urinary Bladder Deficiency Cold
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Standard Dosage: 3-10g in decoction.
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Subsitutions:
In UK Bing Lang must be replaced. Zhi Shi and Yu Li Ren are the standard replacements but unless constipation is a symptom the latter seems inappropriate. Zhi Shi will still direct the Qi downward and if a second herb is needed maybe Gua Lou to open the chest and dissipate accumulation.
Preparation: Decoction.
Actions: Promotes movement of Qi, directs rebellious Qi downwards, expands the chest, dissipates clumping
Contraindications: Long term, significant deficiency of normal 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.