Herb Formulas Notebook

Ma Zi Ren Wan

Hemp Seed Pill

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Source: Discussion of Cold Damage (c. 220)
Author: Zhang Ji / Zhong-Jing

Category: Formulas that Drain Downward

Pattern: Heat drying the Stomach and Intestines

Key Symptoms: Constipation with hard stool that is difficult to expel
Secondary Symptoms: Normal or frequent urination

Tongue: Dry and thin with yellow coat
Pulse: Submerged, rapid or floating, choppy
Abdomen: Palpable hard stool in bowels, soft abdominal wall

Huo Ma Ren 30g
Xing Ren 15g
Bai Shao 15g
Zhi Shi 10g
Hou Po 15g
Da Huang 20g

Preparation: Decoction.

Actions: Moistens the intestines, drains Heat, promotes the movement of Qi, unblocks the bowels

Contraindications: Pregnancy, habitual use, or in very weak patients without modification

Ploberger (2017), in Westliche und traditionell chinesische Heilkräuter, offers the following alternative using western herbs:

Radix Althaeae(Marshmallow)8g(Emperor)
Folium Malvae(Mallow)8g(Minister)
Folium seu Flos Tussilaginis(Coltsfoot)5g(Minister)
Herba Stellaria media(Chickweed)5g(Minister)
Radix Paeoniae alba(White Peony)6g(Minister)
Pericarpium Citri ret.(Orange peel)5g(Assistant)
Radix et Rhizoma Rhei(Rhubarb root)3g(Assistant & Envoy)

Coltsfoot is no longer used due to its pyrrolizidine alkaloid content. Clonal breeds with no detectable levels have been developed in Austria and Germany but it may have to removed or substituted in countries like the UK where supply chains are not regulated.

Research Links:
Science Direct
Google Scholar
Journal of Chinese Medicine
American Dragon

Reference Notes: (click to display)

These pages are intended to assist clinicians and are not intended for self-diagnosis or treatment for which a qualified professional should be consulted.