Herb Formulas Notebook


San Jia Fu Mai Tang

Three Shell Decoction to Restore the Pulse

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Source: Systematic Differentiation of Warm Pathogen Diseases (1798)
Author: Wu Tang / Ju-Tong



Category: Formulas that Expel Wind

Pattern: Late stage Warm Pathogen Disorder (Wen Bing) where the Yin has been injured.

Key Symptoms: Severe palpitations, Heart pain
Secondary Symptoms: Fever, flushed face, hot palms and soles, dry throat, dizziness, tinnitus, spasms, quivering fingers, impaired consciousness, stiffness of the tongue, blackish teeth and cracked lips

Tongue: Deep red
Pulse: Thin, rapid and irregular



Ingredients
Zhi Gan Cao 18g
Sheng Di Huang 18g
Bai Shao 18g
Mai Men Dong 15g
Huo Ma Ren 9g
E Jiao 9g
Mu Li 9g
Bie Jia 24g
Gui Ban 30g

Subsitutions:
In the UK all three shells must be substituted due to the laws on using animal products. Some common substitutions include:
Mu Li == Bai Shao + Xuan Shen + Wu Wei Zi
Bie Jia == Qing Hao + Sheng Di Huang
Gui Ban == Nu Zhen Zi + Mo Han Lian



Preparation: Decoction.

Actions: Nourishes the Yin, restores the pulse, clears Heat, anchors the Yang, extinguishes Wind

Contraindications: Should not be used during pregnancy without removing Gui Ban and Bie Jia (not a problem in the UK as they must be replaced anyway). Caution in patients with diarrhoea due to Spleen Yang or Stomach Qi deficiency.



Research Links:
Pubmed
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.