Author: Fu Qing-Zhu, 傅青主
Year: 1826
Source: Fu Qing-Zhu's Women's Disorders (Fu Qing-Zhu Nu Ke, 傅青主女科)
Category: Formulas that Stabilise and Bind
Pattern: Damp-Heat in the Ren Mai due to Spleen and Kidney deficiency
Key Symptoms: Long-term, unremitting vaginal discharge that is yellowish-white in colour, viscous and fishy smelling.
Secondary Symptoms: Pale yellow complexion, dizziness, a sensation of heaviness in the head, reduced appetite, occasional loose stools, delayed menstruation with pale blood
Tongue: Pale with a thin white coat
Pulse: Soft, slippery, maybe submerged
Ingredients
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Shan Yao
| 30g | | (dry fried)
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Pinyin: Shan Yao
Chinese: 山药
Pharmaceutical: Rhizoma Dioscoreae
Taxonomy: Dioscorea polystachya syn. batatas
English: Chinese Yam / Shu Yu |
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Tastes: Sweet, neutral
Meridians Entered: Spleen, Lung and Kidney |
Actions & Indications:
- Tonifies the Spleen, nourishes Stomach Yin and stops diarrhoea
Spleen or Stomach Deficiency with diarrhoea, fatigue, spontaneous sweating and anorexia
- Tonifies Lung Qi and nourishes Lung Yin
Lung Qi and/or Yin Deficiency with chronic cough
- Tonifies Kidney Yin and astringes Jing
Kidney Qi Deficiency with spermatorrhea, urinary frequency and vaginal discharge
消渴 Xiao Ke due to Qi and Yin Deficiency
- Aids fasting
Mentioned in the Shen Nong Ben Cao Jing as part of the superior class of herbs which can, with protracted taking, sharpen the ears and eyes, make the body light, make one free from hunger and prolong life. 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). Despite being a starchy vegetable, this may still have been an appropriate addition to a ketogenic diet as the starches are mostly resistant and many of its other compounds have been shown to have blood glucose reducing effects, making it a potential important source of this essential nutrient group while engaging in a low carbohydrate diet.
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Standard Dosage: 5-30g in decoction. Very large doses, up to 500g have been used in trials for diabetes management.
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Qian Shi
| 30g | | (dry fried)
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Pinyin: Qian Shi
Chinese: 芡实
Pharmaceutical: Semen Euryales
Taxonomy: Euryalis ferocis
English: Fox Nut / Gorgon Nut / Makhana |
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Tastes: Sweet, astringent, neutral
Meridians Entered: Spleen, and Kidney |
Actions & Indications:
- Strengthens the Spleen and stops diarrhoea
Chronic diarrhoea due to Spleen Deficiency (especially useful for children) Chronic diarrhoea due to Internal Accumulation of Damp (weak transportation)
- Stabilizes the Kidneys and astringes Jing
Kidney Qi Deficiency with nocturnal emission, premature ejaculation, spermatorrhea and urinary incontinence or frequency
- Expels Dampness and stops discharge
Vaginal discharge due to either Deficiency or Damp-Heat
- 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 and free from hunger, and slow ageing to make one an immortal. 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: 10-15g in decoction.
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Huang Bai
| 6g | |
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Pinyin: Huang Bai
Chinese: 黄柏
Pharmaceutical: Cortex Phellodendri
Taxonomy: Phellodendron amurense seu chinense
English: Amur Corktree Bark |
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Tastes: Bitter, cold
Meridians Entered: Liver, Gallbladder, Large Intestine, Kidney and Bladder |
Actions & Indications:
- Drains Damp-Heat especially from the Lower Jiao
Thick, yellow vaginal discharge, foul smelling diarrhoea or dysenteric disorder
Damp-Heat in the Lower Jiao
Hot Leg Qi with red, swollen, painful knees, legs or feet
Damp-Heat jaundice
- Drains Kidney Fire (False Heat, Deficiency Heat)
Kidney Yin Deficiency with Empty Fire Rising (steaming bone disorder, night sweats, afternoon fevers and sweating, occasionally with nocturnal emissions and spermatorrhea)
- Drains Fire and relieves Fire toxicity
Toxic sores and Damp-skin lesions (internally and topically)
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Standard Dosage: 6-10g in decoction.
Cautions: It is contraindicated for deficiency-cold syndrome. Overdosage and long-time taking will impair spleen and stomach. |
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Che Qian Zi
| 3g | |
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Pinyin: Che Qian Zi
Chinese: 車前子
Pharmaceutical: Semen Plantaginis
Taxonomy: Plantago asiatica
English: Plantago Seeds / Plantain Seeds / Psyllium Seeds |
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Tastes: Sweet, slightly cold
Meridians Entered: Kidney, Bladder, Liver and Lung |
Actions & Indications:
- Promotes urination and clears Damp-Heat
Damp-Heat, generally Damp-Heat in the Lower Jiao with oedema, painful urinary dysfunction
- Promotes urination to solidify the stool
Diarrhoea due to Damp-Heat
Summerheat with Dampness
- Clears Liver Heat and clears the eyes
Eye problems due to Liver and Kidney Yin Deficiency with dry eyes and diminished visual acuity
Heat in the Liver Channel with red, painful, swollen eyes and sensitivity to light
Hypertension, high blood sugar, diabetes, obesity and hyperlipidemia (Chen et al., 2022; Zhu et al., 2024)
- Clears the Lungs, expels Phlegm and stops coughing
Lung Heat induced cough with yellow copious Phlegm
- 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 and slow ageing. 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: 9-15g in decoction.
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Bai Guo
| 10pc | | |
Pinyin: Bai Guo
Chinese: 白果
Pharmaceutical: Semen Ginkgonis Bilobae
Taxonomy: Ginkgo biloba
English: Ginkgo Seed |
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Tastes: Sweet, bitter, astringent, neutral, slightly toxic
Meridians Entered: Lung and Kidney |
Actions & Indications:
- Astringes Lung, expels Phlegm and stops wheezing
Phlegm in the Lungs with wheezing and coughing (especially useful for chronic coughs or those with copious Phlegm)
Lung Heat asthma
- Stabilizes the Lower Jiao, eliminates Dampness, stops discharge and astringes the urine
Lower Jiao Deficiency with vaginal discharge and turbid urine (used for both Deficiency and Damp-Heat)
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Standard Dosage: 5-10g in decoction.
Cautions: It is contraindicated for raw use because this unprocessed herb is toxic. Overdose of stir-baked herb can also induce neurotoxic and cyanotic effects, especially for infants. Being astringe property, it should be used with cautions for cough and dyspnea with thick phlegm and difficult in spitting out.
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Preparation: Decoction.
Actions: Strengthens the Spleen, dried Dampness, clears Heat, stops vaginal discharge
Contraindications: Any cases that do not match this description, either without Damp-Heat or with severe Damp-Heat
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.