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 Calm the Spirit
Pattern: Deficiency overwork and irritability
Key Symptoms: Insomnia despite fatigue and exhaustion, irritability, impatience, discomfort in chest that is difficult to describe
Secondary Symptoms: Palpitations, anxiety, hot flushes, night sweats, dizziness, vertigo, dry throat and mouth
Tongue: Dry body, red tip, scanty coating
Pulse: Thin, rapid, forceless
Abdomen: Weak abdominal wall, palpable periumbilical pulsations
Ingredients
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Suan Zao Ren
| 12-18g | |
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Pinyin: Suan Zao Ren
Chinese: 酸枣仁
Pharmaceutical: Semen Ziziphi spinosae
Taxonomy: Ziziphus jujuba var. spinosa
English: Spiny Date Seed / Sour Jujube Seed |
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Tastes: Sweet, sour, neutral
Meridians Entered: Heart, Liver and Gallbladder |
Actions & Indications:
- Nourishes Heart Yin, tonifies Liver Blood and calms the Spirit
Irritability, insomnia, palpitations and anxiety due to Liver Blood Deficiency or Heart Yin Deficiency with Deficiency Fire Rising
- Astringes sweat and generates fluids
Abnormal sweating, either spontaneous sweating or night sweats
- Expels Dampness from the Channels and disperses Evil Binding Qi from the Heart
Mentioned in the Shen Nong Ben Cao Jing as part of the superior class of woods that "treats Heart and abdominal cold and heat and evil binding qi, aching pain in the limbs, and Damp Bi."
- Aids fasting
Mentioned in the Shen Nong Ben Cao Jing as a herb which can, with protracted taking, "quiet the five
viscera, 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: 9-15g in decoction.
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Fu Ling
| 6g | |
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Pinyin: Fu Ling
Chinese: 茯苓
Pharmaceutical: Poria
Taxonomy: Poria cocos syn. Wolfiporia extensa
English: China-Root / Hoelen / Tuckahoe / Indian Bread |
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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).
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Standard Dosage: 9-15g in decoction.
Cautions: It is contraindicated for spermatorrhea due to deficiency-cold. |
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Zhi Mu
| 6g | |
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Pinyin: Zhi Mu
Chinese: 知母
Pharmaceutical: Rhizoma Anemarrhenae
Taxonomy: Anemarrhena asphodeloides
English: Anemarrhena Rhizome |
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Tastes: Bitter, sweet, cold
Meridians Entered: Lung, Stomach and Kidney |
Actions & Indications:
- Clears Heat and drains Fire (Clears Heat from the Qi Stage, from the Lungs and from the Stomach)
Heat in the Qi Stage with high fever, irritability, restlessness, thirst and a rapid, flooding pulse.
Lung Heat and Dryness with cough and expectoration of thick, yellow Phlegm
Yang Ming Heat
Stomach Heat
- Nourishes Yin and moistens Dryness
Lung and Kidney Yin Deficiency with night sweats, steaming bone disorder, irritability, afternoon or low grade fever, Five Sole Heat and bleeding gums
(Stomach Yin Deficiency)
Kidney Heat with spermatorrhea, nocturnal emissions and an abnormally elevated sex drive
- Generates Fluids, clears Deficiency Fire and quenches thirst
Oral ulcers and inflammation, steaming bones and Xiao Ke (diabetes) due to Yin Deficiency
- Ameliorates the Dryness of tonifying or warming herbs
For use with herbs such as Rx. Astragali Huang Qi, Ram. Cinnamomi Gui Zhi, Rx. Aconiti Lateralis Preparata Zhi Fu Zi when there is concern that these herbs may be too drying
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Standard Dosage: 5-15g in decoction.
Cautions: It is not suitable for deficiency cold syndrome. Being cold and moist in property, it is prohibited to be used for those who have a spleen-deficiency diarrhea. |
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Chuan Xiong
| 6g | |
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Pinyin: Chuan Xiong
Chinese: 川芎
Pharmaceutical: Rhizoma Ligusticum
Taxonomy: Ligusticum chuanxiong syn. striatum syn. wallichii
English: Sichuan Lovage root / Cnidium root |
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Tastes: Pungent, warm
Meridians Entered: Liver and Pericardium |
Actions & Indications:
- Invigorates the Blood and promotes the movement of Qi
Blood Stasis, especially in gynecology with dysmenorrhea, amenorrhea, difficult labor or retained lochia
Qi and Blood Stagnation with pain and soreness in the chest, flanks and hypochondria
- Expels Wind and alleviates pain
Externally contracted Wind with headache, dizziness or painful obstruction (Bi Syndrome) - especially useful for headaches due to Wind-Heat, Wind-Cold or Blood Deficiency (depending on the combination)
Wind skin disorders
- Relieves the symptoms of Gu Syndrome while suppressing parasites (Fruehauf, 1998)
Chronic inflammatory disease (Fruehauf, 2015)
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Standard Dosage: 3-10g in decoction.
Cautions: It is contraindicated for headache due to Liver Yang rising or Yin deficiency with effulgent Fire because of its warm and dry properties.
Use with caution during pregnancy or in those who bruise or bleed easily.
May have synergistic effects in those taking anticoagulant drugs. |
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Gan Cao
| 3g | | |
Pinyin: Gan Cao
Chinese: 甘草
Pharmaceutical: Radix Glycyrrhizae
Taxonomy: Glycyrrhiza uralensis seu glabra seu inflata
English: Liquorice Root |
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Tastes: Sweet, slightly cold
Meridians Entered: Heart, Lung and Spleen (and all 12 meridians) |
Actions & Indications:
- Tonifies the Spleen and augments Qi
Spleen Qi Deficiency with shortness of breath, lassitude and loose stools
Qi and Blood Deficiency with an irregular pulse and/or palpitations
Heart Qi Deficiency or Heart Yang Deficiency
- Moistens the Lungs, resolves Phlegm and stops coughing
Lung Heat or Cold
Productive or non-productive coughing
- Moderates spasms and alleviates pain
Painful muscle spasms of the abdomen and legs
- Clears Heat and relieves Fire Toxicity
Raw for Toxic Heat with sore throat or carbuncles and sores (Chuang Yung)
- Antidote for many toxic substances (internal and topical)
Poisoning
Bites (after washing the wound, chew Gan Cao and apply a thick layer on the bite wound, changing whenever it dries out; Bao Xiang-Ao, 1846, New Compilation of Proven Formulas)
- Moderates and harmonizes the harsh properties of other herbs and guides the herbs to all twelve channels
Often added in small doses to harmonise formulas
- Tonifies the Qi while suppressing Parasites
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 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: Typically 1.5-9g in decoction. Large doses can be up 30g.
Cautions: It is contraindicated for combining with Hai Zao, Da Ji, Gan Sui and Yuan Hua because of "eighteen antagonisms". It is also contraindicated in cases of dampness obstruction in middle energizer and edema because it can help dampness obstruct qi, and it is prohibited from long-term usage in large dosage (more than 20g/day) and should be avoided or used with extreme caution in patients with high blood pressure because it may raise aldosterone levels in the blood causing retention of sodium.
The NHS recommends avoiding during pregnancy. |
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Preparation: Decoction.
Actions: Nourishes the Blood, calms the Shen, clears Heat, eliminates irritability
Contraindications: Loose stools
Notes:
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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Ploberger (2017), in Westliche und traditionell chinesische Heilkräuter, offers the following alternative using western herbs:
| Herba Passiflorae | (Passion Flower) | 5g | (Emperor) |
| Flos Crategi | (Hawthorn flower) | 7g | (Minister) |
| Fructus Rubi fructiosi | (Unripe Raspberry) | 3g | (Minister) |
| Herba Millefolii | (Yarrow) | 4g | (Minister) |
| Rhizoma Valerianae | (Valerian root) | 5g | (Minister) |
| Folium Rosmarini | (Rosemary) | 4g | (Assistant) |
| Radix Glycyrrhizae | (Licorice root) | 2g | (Assistant) |
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.