Author: Zhu Dan-Xi, 朱丹溪
Year: 1732
Source: Essential Teachings of Dan-Xi (Dan Xi Xin Fa, 丹溪心法)
Category: Formulas that Regulate Qi
Pattern: Qi constraint that may involve Dampness, Phlegm, Fire, Blood stasis or food stagnation
Key Symptoms: Focal distention, stifling sensation in the chest and abdomen, reduced appetite
Secondary Symptoms: Fixed pain in the hypochondria, belching, vomiting, acid reflux, mild coughing with copious sputum, indigestion
Tongue: Greasy coating
Pulse: Varies but not deficient or soft
Abdomen: Focal distention in the epigastrium
Ingredients
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Cang Zhu
| 6-12g | |
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Pinyin: Cang Zhu
Chinese: 蒼朮
Pharmaceutical: Rhizoma Atractylodes
Taxonomy: Atractylodes lancea seu chinensis seu japonica
English: Black Atractylodes / Gray Atractylodes / Sword-like Atractylodes root |
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Tastes: Pungent, bitter, warm
Meridians Entered: Spleen, Lung and Liver |
Actions & Indications:
- Strongly dries Dampness and tonifies the Spleen
Dampness Obstructing the Middle Jiao and blocking transformative and transportive functions of the Spleen with anorexia, diarrhoea, epigastric distention and pressure, fatigue, nausea and vomiting and a thick, greasy tongue coat
- Induces sweating and expels Wind-Dampness
Wind-Cold Dampness and Wind-Dampness with chills and fever, headache, body aches and nasal congestion
Painful extremities due to Wind-Damp Bi
- Clears Dampness from the Lower Jiao
Damp-Heat Pouring Downward with Leg Qi, some forms of atrophy disorders, vaginal discharge, swollen, sore joints
- Improves vision
Night blindness and diminished vision with a rough sensation in the eyes
- Repels Ghosts
"Strange diseases 奇病" that involve seeing ghosts
- 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, prolong life and make one free from hunger. 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.
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Chuan Xiong
| 6-12g | |
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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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Xiang Fu
| 6-12g | |
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Pinyin: Xiang Fu
Chinese: 香附
Pharmaceutical: Rhizoma Cyperi
English: Nut-Grass Rhizome |
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Tastes: Pungent, slightly bitter and sweet, bland
Meridians Entered: Liver and Triple Energizer |
Actions & Indications:
- Spreads and regulates Liver Qi
Liver Qi Stagnation with hypochondriac pain and epigastric distention
Disharmony between the Liver and Spleen
- Regulates menstruation and alleviates pain
Gynecological disorders due to Liver Qi Stagnation with dysmenorrhea or irregular menstruation
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Standard Dosage: 6-10g in decoction.
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Zhi Zi
| 6-12g | |
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Pinyin: Zhi Zi
Chinese: 栀子
Pharmaceutical: Fructus Gardeniae
Taxonomy: Gardenia jasminoides
English: Gardenia Fruit |
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Tastes: Bitter and cold
Meridians Entered: Heart, Liver, Stomach and Lung |
Actions & Indications:
- Clears Heat, reduces Fire and eliminates irritability in the San Jiao
Excess Heat in the Heart, Stomach and Liver with high fever, irritability, restlessness, a stifling sensation in the chest, insomnia or delirious speech, eye problems, anger, jaundice
- Clears Heat and resolves Dampness (Drains Damp-Heat)
Damp-Heat in the Lower Jiao with painful urinary dysfunction (Lin Syndrome)
Damp-Heat in the Liver/Gallbladder with jaundice
Damp-Heat in the San Jiao
Damp-Heat in the Gallbladder and San Jiao channels of the face affecting the nose and eyes or causing sores in the mouth or facial region
- Cools the Blood and relieves toxicity (stops bleeding by astringing)
Heat in the Blood with epistaxis, hematemesis, hemafecia or hematuria (partially charred)
- Reduces swelling and invigorates the Blood
Blood Stagnation due to trauma (topical)
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Standard Dosage: 5-15g in decoction.
Cautions: Being strongly bitter in flavor and cold in nature, it is not good for deficiency-cold syndrome because it can easily impair spleen and stomach. It is contraindicated in case of loose stool due to spleen deficiency. |
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Shen Qu
| 6-12g | | |
Pinyin: Shen Qu
Chinese: 神曲
Pharmaceutical: Massa Fermentata
English: Medicated Leaven |
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Tastes: Sweet, pungent, warm
Meridians Entered: Spleen and Stomach |
Actions & Indications:
- Reduces Food Stagnation, promotes digestion and harmonizes the Stomach
Food Stagnation or accumulation due Stomach Cold with epigastric fullness or distention, lack of appetite, borborygmus and diarrhoea
- Moves Qi
Qi Stagnation
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Standard Dosage: 6-15g in decoction.
Cautions: Contains gluten so not advised in people with gluten sensitivity or coeliac disease. Also contraindicated in cases of acid reflux, deficient Spleen Yin and excessive Stomach Fire. Caution also advised in pregnancy. |
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Preparation: Decoction.
Actions: Promotes movement of Qi, releases constraint
Contraindications: Stagnation or constraint due to deficiency
Notes:
Not so much a ready-made prescription but a core formula around which to add or take away ingredients, increase or reduce dosages, and modify according to the presentation.
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.