Author: Qian Yi, 錢乙
Year: 1119
Source: Craft of Medicines and Patterns for Children (Xiao Er Yao Zheng Zhen Jue, 小兒藥證真訣)
Category: Formulas that Tonify Yin
Pattern: Lung Yin deficiency with vigorous Heat
Key Symptoms: Cough and wheezing with dry parched throat, scanty or blood streaked sputum
Tongue: Red body with little coating
Pulse: Floating, thin and rapid
Ingredients
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E Jiao
| 9g | |
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Pinyin: E Jiao
Chinese: 阿胶
Pharmaceutical: Colla Corii Asini
English: Donkey-Hide Gelatin / Ass-Hide Glue |
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Tastes: Sweet, neutral
Meridians Entered: Lung, Liver, Kidney and Heart |
Actions & Indications:
- Tonifies the Blood
Blood Deficiency with dizziness, sallow or pale complexion and palpitations
- Nourishes the Blood and stops bleeding
Any kind of bleeding, especially consumptive disorders with hemoptysis, hemafecia, menorrhagia or metrorrhagia
- Nourishes and moistens Yin
Yin Deficiency with irritability and insomnia in the aftermath of a Warm febrile disease
- Moistens the Lungs and Large Intestine
Dry Lung coughs due to Yin Deficiency or consumption
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Standard Dosage: 5-10g in decoction.
Cautions: It should be used with cautions for spleen and stomach deficiency, poor appetite, loose stool due to spleen deficiency because it is greasy and will produce indigestion.
Animal products are prohibited from use in the UK under the Medicines Act 1968 ch. 67 which restricts herbalists to the use of plant products only. It may be substituted with a variety of Blood and Yin tonics depending on the formula, or gelatin from other animal sources such as pigs or cows included as dietary advice, provided it is not supplied by the herbalist as part of the prescription. |
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Ma Dou Ling
| 6g | |
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Pinyin: Ma Dou Ling
Chinese: 馬兜鈴
Pharmaceutical: Fructus Aristolochiae
Taxonomy: Aristolochia contorta
English: Dutchman's Pipe Fruit / Aristolochia Fruit / Birthwort Fruit |
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Tastes: Bitter, slightly pungent, cold
Meridians Entered: Lung and Large Intestine |
Actions & Indications:
- Clears the Lungs, transforms Phlegm, stops coughing and calms wheezing
Cough or wheezing due to Lung Heat with rebellious Qi
Lung Deficiency Heat
Lung Deficiency chronic asthma
- Clears and drains Large Intestine Heat and reduces swelling and pain
Large Intestine Heat with swelling and pain in and around the anus
Bleeding hemorrhoids and fistula
- Lowers Blood pressure
Hypertension due to Liver Yang Rising
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Standard Dosage: 3-10g in decoction.
Cautions: Being bitter and cold, it should be used with cautions for cough and dyspnea due to cold deficiency or diarrhea due to spleen deficiency. Proper dose should be used to prevent vomiting.
This herb is prohibited from use in the UK under the banned and restricted herbal ingredients list issued by the MHRA because it contains toxic aristolochic acid. |
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Xing Ren
| 6g | | (dry fried)
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Pinyin: Xing Ren
Chinese: 杏仁
Pharmaceutical: Semen armeniacae
Taxonomy: Prunus armeniaca seu mandshurica seu sibirica
English: Bitter Apricot Kernel |
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Tastes: Bitter, slightly warm, slightly toxic
Meridians Entered: Lung and Large Intestine |
Actions & Indications:
- Stops coughing and calms wheezing
Coughs due to either Heat or Cold (depending on combination) Wind-Dry coughs (especially useful)
- Moistens the Intestines and unblocks the bowels
Constipation
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Standard Dosage: 3-10g in decoction.
Cautions: It should not be overused for its slight toxicity. It should be used with cautions for infants and patients with diarrhea. |
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Niu Bang Zi
| 3g | | (dry fried)
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Pinyin: Niu Bang Zi
Chinese: 牛蒡子
Pharmaceutical: Fructus Arctii
Taxonomy: Arctium lappa
English: Burdock Seed |
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Tastes: Pungent, bitter, cold
Meridians Entered: Lung and Stomach |
Actions & Indications:
- Disperses Wind-Heat and benefits the throat
Wind-Heat with fever, cough and sore throat
- Relieves Toxicity and vents rashes
Carbuncles, red swellings, early-stage measles, mumps, erythema, acute febrile maculo-papular rashes
Incomplete expression of rashes
Pruritic rashes due to Wind-Heat
- Moistens the Intestines
Wind-Heat toxins where there is also Internal Heat causing constipation
Constipation associated with other forms of toxicity such as acne
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Standard Dosage: 6-12g in decoction.
Cautions: It is not suitable for deficiency-cold loose stool because of its cold property and the action of lubricating the intestines. |
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Nuo Mi
| 6g | | (dry fried)
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Pinyin: Nuo Mi
Chinese: 糯米
Pharmaceutical: Semen Oryzae Glutinosae
English: Glutinous Rice |
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Tastes: Sweet, warm
Meridians Entered: Spleen, Stomach and Lung |
Actions & Indications:
- Augments the Spleen and Stomach and Tonifies Qi
Diabetes Spontaneous perspiration Diarrhoea
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Standard Dosage: 30-60g in decoction.
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Zhi Gan Cao
| 3g | | |
Pinyin: Gan Cao
Chinese: 甘草
Pharmaceutical: Radix Glycyrrhizae
Taxonomy: Glycyrrhiza uralensis seu glabra seu inflata
English: Liquorice Root |
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Tastes: Sweet, slightly cold
Meridians Entered: Heart, Lung and Spleen (and all 12 meridians) |
Actions & Indications:
- Tonifies the Spleen and augments Qi
Spleen Qi Deficiency with shortness of breath, lassitude and loose stools
Qi and Blood Deficiency with an irregular pulse and/or palpitations
Heart Qi Deficiency or Heart Yang Deficiency
- Moistens the Lungs, resolves Phlegm and stops coughing
Lung Heat or Cold
Productive or non-productive coughing
- Moderates spasms and alleviates pain
Painful muscle spasms of the abdomen and legs
- Clears Heat and relieves Fire Toxicity
Raw for Toxic Heat with sore throat or carbuncles and sores (Chuang Yung)
- Antidote for many toxic substances (internal and topical)
Poisoning
Bites (after washing the wound, chew Gan Cao and apply a thick layer on the bite wound, changing whenever it dries out; Bao Xiang-Ao, 1846, New Compilation of Proven Formulas)
- Moderates and harmonizes the harsh properties of other herbs and guides the herbs to all twelve channels
Often added in small doses to harmonise formulas
- Tonifies the Qi while suppressing Parasites
Gu Sydnrome (Fruehauf, 1998)
Chronic inflammatory disease (Fruehauf, 2015)
- 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: Typically 1.5-9g in decoction. Large doses can be up 30g.
Cautions: It is contraindicated for combining with Hai Zao, Da Ji, Gan Sui and Yuan Hua because of "eighteen antagonisms". It is also contraindicated in cases of dampness obstruction in middle energizer and edema because it can help dampness obstruct qi, and it is prohibited from long-term usage in large dosage (more than 20g/day) and should be avoided or used with extreme caution in patients with high blood pressure because it may raise aldosterone levels in the blood causing retention of sodium.
The NHS recommends avoiding during pregnancy. |
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Subsitutions:
In UK E Jiao must be substituted for Gou Qi Zi and Han Lian Cao.
Preparation: Decoction.
Actions: Nourishes the Yin, Tonifies the Lungs, controls coughing, stops bleeding
Contraindications: Lung deficiency without Heat, Cold in the Exterior, or internal Phlegm
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.