Author: Zhang Zhong-Jing, 張仲景
Year: c. 220
Source: Essentials from the Golden Cabinet (Jin Gui Yao Lue, 金匱要略)
Category: Formulas that Treat Abscesses and Sores
Pattern: Intestinal abscess with pus due to Cold-Dampness and stasis of Blood, or Damp-Heat constraint steaming the fluids causing long term Blood stasis
Key Symptoms: Distention of the abdomen with dry scaly skin, tightness and a mass-like appearance but soft on palpation
Pulse: Rapid but without fever
Ingredients
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Yi Yi Ren
| 24-30g | |
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Pinyin: Yi Yi Ren
Chinese: 薏苡仁
Pharmaceutical: Semen Coicis
Taxonomy: Coix lacryma-jobi
English: Job's Tears / Chinese Pearl Barley |
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Tastes: Sweet, Bland, Slightly Cold
Meridians Entered: Spleen, Stomach and Lung |
Actions & Indications:
- Strengthens the Spleen and resolves Dampness
Dampness Stagnation or Spleen Deficiency Dampness with diarrhoea, leg Qi, painful urinary dribbling
Damp-Warmth (treats root and manifestations)
- Expels Wind-Dampness and relieves pain
Wind-Damp Bi (increases joint mobility and decreases spasms in chronic cases) for stiffness of the muscles, severe arthralgia and joint immobility
- Clears Heat and expels pus
Soft, pustulated carbuncles, Lung and Intestinal abscess
- Clears Damp-Heat
Any Damp-Heat condition at any level with a greasy, white tongue coat and digestive problems
- 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 boost the Qi. 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). At ~70% carbohydrates (Zhu, 2017), this would represent one important source of of this nutrient class which could be had in the amounts that could be foraged, as opposed to farmed, to maintain this kind of diet long term. Its root is also suggested to expel the Three Worms.
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Standard Dosage: 9-30g in decoction.
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Zhi Fu Zi
| 6-9g | |
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Pinyin: Fu Zi
Chinese: 附子
Pharmaceutical: Radix Aconiti Lateralis Praeparata
Taxonomy: Aconitum carmichaeli
English: Wolf's-bane Root / Monkshood Root / Aconite Root |
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Tastes: Pungent, sweet, hot, toxic
Meridians Entered: Heart, Kidney and Spleen |
Actions & Indications:
- Restores Devastated Yang and rescues from rebellion
Devastated Yang with diarrhoea containing undigested food, chills, cold extremities and a faint almost imperceptible pulse (often as a result of severe vomiting, diarrhoea or sweating)
- Warms Ming Men Fire and assists Heart, Kidney and Spleen Yang
Heart Yang Deficiency
Spleen Yang Deficiency
Kidney Yang Deficiency
- Disperses Cold and Dampness, warms the channels and stops pain
Wind-Damp-Cold Bi
Cold blocking the organs, channels, bones and Blood vessels
Yin flat abscesses
Gu Parasites /
chronic inflammatory disease (Fruehauf, 2015)
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Standard Dosage: 3-15g in decoction. Fire Spirit practitioners prescribe doses of 60-200g per day (Fruehauf, 2009).
Cautions: It is contraindicated for heat syndrome, yin-deficiency leading to hyperactivity of yang and the pregnant because of its pungent, hot, dry and drastic properties. It must be soaked and decocted for about half and hour to one hour until numbing taste disappears for oral use. Over-dosage and incorrect processing must be avoided.
This herb is prohibited from use in the UK under the banned and restricted herbal ingredients list issued by the MHRA. It is generally substituted with various Yang tonics depending on the presentation although none can imitate its powerful cardiovascular effects making them ineffective substitutes for rescuing devastated Yang. External use is permitted at 1.3% or below. |
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Bai Jiang Cao
| 15-18g | | |
Pinyin: Bai Jiang Cao
Chinese: 敗醬草
Pharmaceutical: Herba Patriniae
English: Patrinia / Thiapsi |
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Tastes: Bitter, pungent, slightly cold
Meridians Entered: Large Intestine, Stomach and Liver |
Actions & Indications:
- Clears Heat, resolves toxicity, expels pus, eliminates Phlegm and reduces abscesses (internal and topical)
Fire toxicity disorders such as Intestinal abscess, furuncles, carbuncles, erysipelas
Fire Toxin sores and swellings (Chuang Yung)
- Invigorates the Blood, dispels Blood Stasis, resolves bruises and stops pain
Heat induced Blood Stagnation with pain and obstruction especially in the abdomen and chest Postpartum pain and post operative pain
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Standard Dosage: 6-15g in decoction.
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Subsitutions:
In the UK Fu Zi must be substituted, usually with Gan Jiang and Rou Gui.
Su Bai Jiang is often dispensed instead of Bai Jiang Cao in modern practice.
Preparation: The source text advises grinding the ingredients into a powder and preparing as a draft by decocting a spoonful with 2 cups of water until half has evaporated. Administration is supposed to increase urination. At present it usually prepared as a decoction.
Actions: Expels pus, reduces abscesses, warms the Yang, disperses clumping
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.