Author: Zhang Zhong-Jing, 張仲景
Year: c. 220
Source: Discussion of Cold Damage (Shang Han Lun, 傷寒論)
Category: Formulas that Harmonise
Pattern: Jueyin Stomach Heat with Cold in the Intestines and long-standing Spleen deficiency Cold, Cold rejection (Han Ge)
Key Symptoms: Vomiting immediately after eating, diarrhoea
Secondary Symptoms: Diarrhoea need not always be present and this formula can also be used where vomiting is not helped by formulas based on Mu Xiang, Sha Ren, Chen Pi and Ban Xia (Ke Qin, in Scheid et al. 2009, 133)
Ingredients
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Gan Jiang
| 9g | |
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Pinyin: Gan Jiang
Chinese: 干姜
Pharmaceutical: Rhizoma Zingiberis
Taxonomy: Zingiber officinale
English: Dried Ginger |
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Tastes: Pungent, hot
Meridians Entered: Spleen, Stomach, Kidney, Heart and Lung |
Actions & Indications:
- Warms the Middle and expels Cold
External Cold affecting the Spleen and Stomach Spleen and Stomach Yang Deficiencies
- Dispels Wind-Dampness seeping into the Lower Jiao
Lower Jiao Wind-Cold-Damp Bi
- Rescues Devastated Yang and expels Interior Cold
Devastated Yang with a very weak pulse and cold limbs
- Warms the Lungs and transforms thin mucus
Lung Cold with expectoration of thin, watery or white sputum
- Warms the channels (unblocks the pulse) and stops bleeding
Haemorrhage due to Deficiency Cold, especially uterine bleeding (only if the bleeding is chronic and pale in colour with cold limbs, ashen white face and a soggy thin pulse)
- Aids fasting
Mentioned in the Shen Nong Ben Cao Jing as part of the middle class of herbs which can, with protracted taking, remove foul smell and enable one to communicate withe Spirit Light (Shen Ming 神明). 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.
Cautions: It is contraindicated for yin deficiency with internal heat and haemorrhage due to blood heat. |
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Huang Qin
| 9g | |
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Pinyin: Huang Qin
Chinese: 黄芩
Pharmaceutical: Radix Scutellariae baicalensis
Taxonomy: Scutellaria baicalensis
English: Baical Skullcap Root |
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Tastes: Bitter, cold
Meridians Entered: Lung, Stomach, Gallbladder, Large Intestine and Bladder |
Actions & Indications:
- Clears Heat and dries Dampness
Damp-Heat in the Stomach or Intestines with diarrhoea or dysenteric disorder
Damp-Warmth with fever, a stifling sensation in the chest and thirst with no desire to drink
Damp-Heat in the Lower Jiao with painful urinary dysfunction
Damp-Heat jaundice (auxiliary), infectious hepatitis
- Drains Fire and detoxifies
Heat and Fire especially in the Upper Jiao (Lung) with high fever, irritability, thirst, cough and expectoration of thick, yellow sputum
Upper respiratory tract infection
Hot sores and swellings (topical or internal)
- Cools the Blood and stops bleeding
Xue Stage Heat or Blood Heat causing bleeding with epistaxis, hemoptysis, hematemesis and hemafecia
- Clears Heat and calms the fetus
Fetal restlessness due to Heat
- Calms ascending Liver Yang
Liver Yang Rising with headache, irritability, red eyes, flushed face and bitter taste
Hypertension (high blood pressure)
Gallbladder Heat
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Standard Dosage: 5-15g in decoction.
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Huang Lian
| 3-9g | |
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Pinyin: Huang Lian
Chinese: 黄连
Pharmaceutical: Rhizoma Coptidis
Taxonomy: Coptidis chinensis
English: Coptis Rhizome / Goldthread Rhizome |
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Tastes: Bitter, cold
Meridians Entered: Heart, Stomach, Large Intestine and Liver |
Actions & Indications:
- Clears Heat and drains Dampness
Damp-Heat in the Stomach or Intestines with diarrhoea or dysenteric disorder
Stomach Heat with vomiting and/or acid regurgitation
- Drains Fire and resolves Fire toxicity
Heat with Blazing Fire (Toxic Heat) with high fever. irritability, disorientation, delirium, a red tongue and a rapid, full pulse
Heat from Excess with toxicity: painful, red eyes and a sore throat
Boils, carbuncles and abscesses (Chuang Yung)
- Clears Heat and stops bleeding
Blood Heat with epistaxis, hematuria, hemafecia and hemoptysis
- Clears Heat topically
Infected wounds, red and painful eyes, ulcerations of the tongue and mouth (topical)
- Clears Heart Fire (sedative)
Heart Fire
Lack of communication between the Heart and Kidneys
- Drains Stomach Fire
Stomach Fire
- Aids fasting
Mentioned in the Shen Nong Ben Cao Jing as part of the superior class of herbs which can, with protracted taking, improve memory. 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: 2-10g in decoction.
Cautions: It is contraindicated for deficiency-cold syndrome. Because its taste is extremly bitter and dryness, overdosage and long-time taking will impair spleen and stomach, yin and fluids. |
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Ren Shen
| 9g | | |
Pinyin: Ren Shen
Chinese: 人參
Pharmaceutical: Radix Panax ginseng
Taxonomy: Panax ginseng
English: Ginseng Root |
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Tastes: Sweet, slightly warm
Meridians Entered: Spleen, Lung and Heart |
Actions & Indications:
- Powerfully tonifies Yuan Qi
Extreme collapse of Qi or abandoned conditions that manifest in shallow breathing, shortness of breath, cold limbs, profuse sweating and an almost imperceptible pulse (after blood loss, overly profuse sweating or other problems related to severe fluid loss - it can be used alone in these emergencies)
Collapse of Yang
Collapse of Yin
- Tonifies Spleen and Stomach Qi
Lethargy, anorexia, chest and abdominal distention, chronic diarrhoea and, in severe cases, prolapse of the Stomach, uterus or rectum
- Tonifies Lung Qi
Lung Qi Deficiency with wheezing, shortness of breath and labored breathing on exertion
- Generates Body Fluids and stops thirst
Wasting and thirsting disorder (消渴 Xiao Ke) and high fevers with profuse sweating which injures Qi and fluids
- Tonifies Heart Qi and calms the Spirit
Heart Qi and Blood Deficiency with palpitations, anxiety, insomnia, forgetfulness and restlessness
- Treats impotence
With Kidney Yang tonics for impotence
- Tonifies Qi in Deficiency patients with Exterior conditions
Exterior disorder with Interior Deficiency
- 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 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).
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Standard Dosage: 5-10g in decoction, 10-30g for exhaustion syndrome due to Qi deficiency.
Cautions: Antagonizing to Li Lu; the warm nature of sun-dried raw Ren Shen is weaker than that of Hong Shen. |
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Preparation: Decoction.
Actions: Unblocks the Qi dynamic with acrid herbs, directs downwards with bitter herbs, regulates and tonifies the Spleen and Stomach
Notes:
Cold rejection is when a person with long-standing Cold-type diarrhoea is mistakenly purged and contracts a Cold Damage disorder, exacerbating the Cold below which rejects the descent of Heat from above leading to an increase in diarrhoea accompanied by vomiting immediately after eating.
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One liang is taken as 3g in modern sources but in Eastern Han times it was equivalent to 13.875g. This means that the dosages in classical formulae could have been more than 4x what is given today making them far higher than recommended safe dosages today but prompts consideration of what an effective dose may be (He, 2013).
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.