Source: Effective Formulas from Generations of Physicians (1345)
Category: Formulas that Drain Downward
Pattern: Constipation due to Dessicated Intestines
Key Symptoms: Constipation with dry stools that are difficult to pass
Tongue: Dry
Pulse: Thin and rough
Ingredients
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Tao Ren
| 30g | | (dry fried)
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Pinyin: Tao Ren
Chinese: 桃仁
Pharmaceutical: Semen Persicae
Taxonomy: Prunus persica
English: Peach Seed |
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Tastes: Bitter, sweet, neutral, lightly toxic
Meridians Entered: Heart, Liver, Lung and Large Intestine |
Actions & Indications:
- Breaks up Blood Stasis and invigorates Blood circulation
Menstrual disorders, abdominal pain, traumatic injury, flank pain, Lung abscess and Intestinal abscess with fixed abdominal masses associated with Blood Stasis
- Moistens the Intestines and unblocks the bowels
Constipation due to dry Intestines
- Drains abscesses
Lung and Intestinal abscesses
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Standard Dosage: 5-10g in decoction.
Cautions: Prohibited for pregnant women. Use with cautions for loose stool. Not overuse because of its toxicity. |
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Xing Ren
| 30g | | (dry fried)
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Pinyin: Xing Ren
Chinese: 杏仁
Pharmaceutical: Semen armeniacae
Taxonomy: Prunus armeniaca seu mandshurica seu sibirica
English: Bitter Apricot Kernel |
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Tastes: Bitter, slightly warm, slightly toxic
Meridians Entered: Lung and Large Intestine |
Actions & Indications:
- Stops coughing and calms wheezing
Coughs due to either Heat or Cold (depending on combination) Wind-Dry coughs (especially useful)
- Moistens the Intestines and unblocks the bowels
Constipation
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Standard Dosage: 3-10g in decoction.
Cautions: It should not be overused for its slight toxicity. It should be used with cautions for infants and patients with diarrhea. |
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Bai Zi Ren
| 15g | |
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Pinyin: Bai Zi Ren
Chinese: 柏子仁
Pharmaceutical: Semen Platycladi
English: Arborvitae Seed / Biota Seed |
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Tastes: Sweet, neutral
Meridians Entered: Liver and Large Intestine |
Actions & Indications:
- Nourishes the Heart and calms the Spirit
Heart Blood and Yin Deficiency with palpitations and anxiety
Night terrors in children (can be used alone)
- Moistens the Intestines and unblocks the bowels
Constipation in the elderly, debilitated or postpartum women due to Blood and Yin Deficiency
- Astringes Yin Deficiency sweat
Night sweats due to Yin Deficiency
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Standard Dosage: 10-20g in decoction.
Cautions: It should be used with cautions for patients with loose stool or profuse phlegm. |
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Song Zi Ren
| 3.8g | |
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Pinyin: Song Zi Ren
Chinese: 松子仁
Pharmaceutical: Semen Pinus
English: Pine Nut |
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Tastes: Sweet, warm
Meridians Entered: Liver, Lung and Large Intestine |
Actions: Moisten the lung and lubricate the intestine. |
Indications:
Cough due to lung dryness, chronic constipation |
Standard Dosage: 10-15g in decoction.
Cautions: It is contraindicated in case of damp phlegm. |
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Yu Li Ren
| 3g | | (dry fried)
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Pinyin: Yu Li Ren
Chinese: 郁李仁
Pharmaceutical: Semen Pruni
Taxonomy: Prunus humilis seu japonica seu pedunculata seu elata
English: Bush Cherry Pit |
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Tastes: Bitter, pungent, mild
Meridians Entered: Large Intestine, Spleen and Small Intestine |
Actions & Indications:
- Moistens the Intestines and unblocks the bowels
Constipation due to Qi Stagnation in the Intestines
- Promotes urination and reduces oedema
Edema with difficult urination and constipation Leg Qi
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Standard Dosage: 6-12g in decoction.
Cautions: It is a much harsher hern than Ma Zi Ren producing a stronger laxative effect which may be accompanied by pain before passing. |
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Chen Pi
| 120g | | |
Pinyin: Chen Pi
Chinese: 陈皮
Pharmaceutical: Pericarpium Citri Reticulatae
Taxonomy: Citrus spp.
English: Aged Tangerine Peel |
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Tastes: Pungent, bitter, warm
Meridians Entered: Spleen and Lung |
Actions & Indications:
- Regulates Qi, adjusts the Middle and relieves the diaphragm
Spleen/Stomach Qi Stagnation with epigastric or abdominal distention, fullness, bloating, belching, nausea and vomiting
Relieves the symptoms of Gu Sydnrome while suppressing parasites (Fruehauf, 1998)
Chronic inflammatory disease (Fruehauf, 2015)
- Dries Dampness and transforms Phlegm
Phlegm-Damp Obstructs the Lung with coughing, a stifling sensation in the chest and/or diaphragm and copious, viscous sputum
Turbid Damp Obstructs the Middle with a stifling sensation in the chest, abdominal distention, anorexia, fatigue, loose stools and a thick, greasy tongue coat
- Helps prevent Stagnation from tonic herbs
Tonic herbs causing Stagnation
- Descends Qi
Qi Rebellion
- Aids fasting
Mentioned in the Shen Nong Ben Cao Jing as part of the superior class of herbs which can, with protracted taking, remove foul breath, precipitate the Qi, and enable one to
communicate with spirits. 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: 3-10g in decoction.
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Preparation: Originally the seeds are crushed into a paste and mixed with a powder from dried Chen Pi and formed into small pills with honey. Dosage was 50 with rice gruel on an empty stomach.
At present all ingredients are ground into powder and formed into pills with honey with 12g taken with warm water on an empty stomach.
Actions: Moistens the Intestines, unblocks movement of the stools
Contraindications: Caution during pregnancy due to the Blood moving effects of Tao Ren and the laxative effect of Yu Li Ren.
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.