Author: Tai Yi Ju (Imperial Medical Bureau), 太醫局
Year: 1107
Source: Formulary of the Pharmacy Service for Benefiting the People of the Taiping Era (Tai Ping Hui Min He Ji Ju Fang, 太平惠民和劑局方)
Category: Formulas that Clear Heat
Pattern: Disharmony of the Liver and Spleen
Key Symptoms: Epigastric pain, acid reflux, abdominal pain and diarrhoea.
Secondary Symptoms: Dysenteric disorders.
Ingredients
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Huang Lian
| | | (Chao)
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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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Wu Zhu Yu
| | | (Chao)
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Pinyin: Wu Zhu Yu
Chinese: 吴茱萸
Pharmaceutical: Fructus Evodiae
Taxonomy: Evodia rutaecarpa
English: Evodia Fruit |
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Tastes: Pungent, bitter, hot, mildly toxic
Meridians Entered: Liver, Spleen, Stomach and Kidney |
Actions & Indications:
- Warms the Middle Jiao, disperses Cold, promotes the movement of Qi (relieves Stagnation in the Liver channel) and alleviates pain
Stomach or Liver Channel Cold or Phlegm, with headache, epigastric pain with nausea, drooling, reduced taste, a pale tongue with a wiry or weak pulse
Cold bulging disorders in the area traversed by the Liver channel and dysmenorrhea
Disharmony between the Liver and Stomach
- Spreads the Liver, descends rebellious Qi and stops vomiting
Acid regurgitation and vomiting - can be used for either Hot or Cold disorders depending on the other herbs with which it is combined
- Warms the Spleen, stops diarrhoea and expels Damp-Cold
Diarrhoea from Spleen and Kidney Yang Deficiency
Damp-Cold Leg Qi
- Leads Fire downward
Mouth and tongue sores (grind into a powder, mix with vinegar and place on the soles of the feet)
- Kills the Three Worms
Said in the Shen Nong Ben Cao Jing that it kills the Three Worms. These may refer to difficult to treat metabolic disorders caused by overindulgence and should be accompanied by fasting, meditation and exercise regimes.
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Standard Dosage: 1.5-4.5g in decoction.
Cautions: It is not suitable to be taken in large dosage for a long time, and contraindicated for yin deficiency with internal heat. |
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Bai Shao
| | | (Chao) |
Pinyin: Bai Shao
Chinese: 白芍
Pharmaceutical: Radix Paeoniae Alba
Taxonomy: Paeonia lactiflora
English: White Peony Root |
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Tastes: Bitter, sour, sweet, slightly cold
Meridians Entered: Spleen and Liver |
Actions & Indications:
- Nourishes the Blood and regulates menstruation
Liver Blood Deficiency with menstrual dysfunction, vaginal discharge and uterine bleeding accompanied by a pale face, a lusterless complexion and dull, lusterless nails
Anemia
Breast distention and premenstrual syndrome
- Astringes Yin and adjusts the Ying and Wei
Yin Deficiency sweating Sweating due to Yin Collapse
Disharmony between the Liver and Spleen
Disharmony between the Ying and Wei with non-productive sweating
- Calms Liver Yang and Liver Wind and alleviates pain
Liver Qi Stagnation with Liver Yang Rising
Liver Wind with Yin and Blood Deficiency
Bi syndrome due to Blood Deficiency with pain and spasms
- Softens the Liver and relieves pain
Diarrhoea, borborygmus and abdominal pain
Dysenteric disorders with tenesmus
- Tonifies the Blood while suppressing Parasites
Gu Sydnrome (Fruehauf, 1998)
Chronic inflammatory disease (Fruehauf, 2015)
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Standard Dosage: 10-30g in decoction.
Cautions: Caution with anticoagulants as it may slow clotting time. May also slow the absorption of phenytoin. |
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Preparation: Grind equal amounts of each herb into a powder and form into pills with flour.
Actions: Spreads the Liver Qi and Harmonises the Spleen.
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.