Author: Zhu Dan-Xi, 朱丹溪
Year: 1732
Source: Essential Teachings of Dan-Xi (Dan Xi Xin Fa, 丹溪心法)
Category: Formulas that Harmonise
Pattern: Deficient Spleen with overcontrolling Liver
Key Symptoms: Recurrent problems of borborygmus, abdominal pain, diarrhoea with pain accompanying each urge to have a bowel movement that is relieved upon completion
Tongue: Thin, white coat
Pulse: Wiry, thin
Ingredients
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Bai Zhu
| 9-12g | | (dry fried)
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Pinyin: Bai Zhu
Chinese: 白朮
Pharmaceutical: Rhizoma Atractylodes macrocephalae
Taxonomy: Atractylodes macrocephala
English: Largehead Atracylodes Rhizome |
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Tastes: Sweet, bitter, warm
Meridians Entered: Spleen and Stomach |
Actions & Indications:
- Tonifies the Spleen and augments Qi
Spleen and Stomach Deficiency with diarrhoea, fatigue, a sallow complexion and lack of appetite
Spleen Yang failure to rise
- Dries Dampness and promotes water metabolism
Spleen Damp or accumulation of fluids affecting the digestion
Edema and reduced urination due to Spleen Deficiency (failure to transform and transport)
Tan Yin, masses, swelling
Auxiliary for Damp painful obstruction
- Stabilizes the Exterior and stops sweating
Qi Deficiency with spontaneous sweating (Wei Qi Deficiency)
With appropriate herbs, other types of sweating
- Calms the fetus
Restless fetus disorder due to Spleen Qi Deficiency
With appropriate herbs, other types of Restless Fetus Disorder
- 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, prolong life and make one free from hunger. 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: 6-12g in decoction.
Cautions: Use with cautions in cases of yin deficiency with fluid injury by dryness-heat pathogen. |
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Bai Shao
| 6-24g | | (dry fried)
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Pinyin: Bai Shao
Chinese: 白芍
Pharmaceutical: Radix Paeoniae Alba
Taxonomy: Paeonia lactiflora
English: White Peony Root |
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Tastes: Bitter, sour, sweet, slightly cold
Meridians Entered: Spleen and Liver |
Actions & Indications:
- Nourishes the Blood and regulates menstruation
Liver Blood Deficiency with menstrual dysfunction, vaginal discharge and uterine bleeding accompanied by a pale face, a lusterless complexion and dull, lusterless nails
Anemia
Breast distention and premenstrual syndrome
- Astringes Yin and adjusts the Ying and Wei
Yin Deficiency sweating Sweating due to Yin Collapse
Disharmony between the Liver and Spleen
Disharmony between the Ying and Wei with non-productive sweating
- Calms Liver Yang and Liver Wind and alleviates pain
Liver Qi Stagnation with Liver Yang Rising
Liver Wind with Yin and Blood Deficiency
Bi syndrome due to Blood Deficiency with pain and spasms
- Softens the Liver and relieves pain
Diarrhoea, borborygmus and abdominal pain
Dysenteric disorders with tenesmus
- Eliminates Evil Qi, breaks up Blood Stasis, disperses accumulations and fortifies Qi
The Shen Nong Ben Cao Jing places this in the middle class of herbs and says that "It mainly treats Evil Qi and abdominal pain, eliminates blood impediment, breaks hard gatherings and cold and heat mounting conglomeration, relieves pain, disinhibits urination, and boosts the qi.
- Tonifies the Blood while suppressing Parasites
Gu Sydnrome (Fruehauf, 1998)
Chronic inflammatory disease (Fruehauf, 2015)
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Standard Dosage: 10-30g in decoction.
Cautions: Caution with anticoagulants as it may slow clotting time. May also slow the absorption of phenytoin. |
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Chen Pi
| 4.5-9g | | (dry fried)
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Pinyin: Chen Pi
Chinese: 陈皮
Pharmaceutical: Pericarpium Citri Reticulatae
Taxonomy: Citrus spp.
English: Aged Tangerine Peel |
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Tastes: Pungent, bitter, warm
Meridians Entered: Spleen and Lung |
Actions & Indications:
- Regulates Qi, adjusts the Middle and relieves the diaphragm
Spleen/Stomach Qi Stagnation with epigastric or abdominal distention, fullness, bloating, belching, nausea and vomiting
- Dries Dampness and transforms Phlegm
Phlegm-Damp Obstructs the Lung with coughing, a stifling sensation in the chest and/or diaphragm and copious, viscous sputum
Turbid Damp Obstructs the Middle with a stifling sensation in the chest, abdominal distention, anorexia, fatigue, loose stools and a thick, greasy tongue coat
- Helps prevent Stagnation from tonic herbs
Tonic herbs causing Stagnation
- Descends Qi
Qi Rebellion
- Aids fasting
Mentioned in the Shen Nong Ben Cao Jing as part of the superior class of herbs which can, with protracted taking, remove foul breath, precipitate the Qi, and enable one to
communicate with spirits. 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).
- Suppresses Gu Parasites
Gu Sydnrome (Fruehauf, 1998)
Chronic inflammatory disease (Fruehauf, 2015)
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Standard Dosage: 3-10g in decoction.
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Fang Feng
| 3-6g | | |
Pinyin: Fang Feng
Chinese: 防风
Pharmaceutical: Radix Saposhnikoviae seu Ledebouriellae
English: Siler |
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Tastes: Pungent, sweet, slightly warm
Meridians Entered: Lung, Liver and Spleen |
Actions & Indications:
- Releases the Exterior and expels External Wind
Wind-Cold with headache, chills, aversion to Cold, and body aches
- Expels Wind-Dampness and alleviates pain
Wind-Damp Bi, especially with Wind predominant
- Expels Internal Wind and stops spasms
As an auxiliary for Liver Wind with trembling of hands and feet and tetany
Intestinal-Wind due to imbalance between Spleen and Liver with recurrent tenesmus and painful diarrhoea with bright blood in the stool
Migraine headaches
- Relieves diarrhoea and stops bleeding
Liver and Spleen Disharmony with recurrent painful diarrhoea, borborygmus and abdominal pain
- Aids fasting
Mentioned in the Shen Nong Ben Cao Jing as part of the middle class of herbs which can, with protracted taking, make the body light. 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.
Cautions: It should be used with caution for blood deficiency and internal wind induced by heat because of its warm property. |
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Preparation: Decoction.
Actions: Tonifies the Spleen, softens the Liver, expels Dampness, stops Diarrhoea
Contraindications: Diarrhoea due to food stagnation
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.