Transcript Class 8~10: Herbs and Formulas That Stop Bleeding

Class 8~10: Herbs and Formulas
That Stabilize and Bind
Xianhui Li and Cui Han
Herbs
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*Fructus Corni (Shan zhu yu)
Fructus Schisandrae (Wu wei zi)
Fructus Mume (Wu mei)
Halloysitum Rubrum (Chi shi zi)
Fructus Chebulae (He zi)
Semen Myristicae (Rou dou kou)
Cortex ailanthi (Chun pi)
*Semen Nelumbinis (Lian zi)
Semen Euryales (Qian shi)
Fructus Rosae laevigatae (Jin ying zi)
Fructus Tritici levis (Fu xiao mai)
Radix Ephedrae (Ma huang gen)
Os Sepiae seu Sepiellae (Hai piao xiao)
Ootheca Mantidis (Sang piao xiao)
Shan zhu yu (Fructus Corni)
• Taste and Property: sour, slightly warm
• Meridian tropism: Liver and kidney
• Actions: augments the liver and kidneys, secures the primal qi,
prevents abandonment
• Application:
– For leakage of fluids due to weak essence with such symptoms as
urinary frequency, incontinence, spermatorrhea, and excessive
sweating. Used with bu gu zhi, for kidney yang deficiency, used with yi
zhi ren, bai zhu for kidney qi deficiency
– For excessive sweating, especially in cases of devastated yang and
collapsed qi, as in shock. Also used when sweating was mistakenly
induced as a treatment. Used with long gu, mu li, fu zi, ren shen for
profuse sweating due to devastated yang, used with dang gui, shu di
huang for nightsweats due to yang deficiency
– For liver and kidney deficiency, used with shu di huang, shan yao, liu
wei di huang wan, used with gou qi zi, i.e. zuo gui wan
– For deficiency patterns of excessive uterine bleeding and prolonged
menstruation, used with huang qi, long gu, i.e. gu chong tang
• Dosage: 6~12g
• Attention: contraindicated in cases with urinary pain and difficulty,
or where there is damp-heat
Wu wei zi (Fructus Schizandrae)
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Taste and Property: sour, sweet and warm
Meridian tropism: heart, kidney and lung
Actions: contains leakage of lung qi, enriches the kidneys, constrains
essences, stop diarrhea, generates fluids and inhibits sweating, quiets the
spirit
Application:
– For chronic cough and wheezing due to lung deficiency or lung and kidney
deficiency, used with ren shen, gan jiang, zi wan, bu fei tang, used with shu di
huang, shan yao, i.e. du qi wan
– For nocturnal emissions, spermatorrhea, vaginal discharge, and urinary
frequency due to kidney deficiency, used with long gu and sang piao xiao, i.e.
sang piao xiao san, also used for diarrhea associated with spleen and kidney
deficiency, used with bu gu zhi, rou dou kou, i.e.si shen wan
– For excessive sweating, used with ren shen, mai men dong, sheng mai san,
used with huang qi, tian hua fen i.e. yu ye tang
– For irritability, palpitations, dream-disturbed sleep and insomnia due to injury to
yin and blood, used with suan zao ren, sheng di huang, i.e. tian wan bu xin dan
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Dosage: 3~6g
Attention: contraindicated where an exterior disorder has not been cleared,
or there is heat from excess in the interior, or in the early stages of a cough
or rash
Wu mei (Fructus Mume )
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Taste and Property: sour, astringent and warm
Meridian tropism: LI, LV, LU, SP
Actions: inhibits the leakage of lung qi, generate fluids, expels
roundworms, binds up the intestine, stops bleeding
Application:
– For chronic cough due to lung deficiency, with xing ren, e jiao, zhi ban xia
– For thirst due to heat form deficiency, or qi an yin deficiency, used with mai men
dong, tian hua fen, used with sheng di huang, shan zhu yu and ze xie for
diabetes
– For roundworm-induced vomiting and abdominal pain, used with hua jiao, gan
jiang, xi xin, i.e. wu mei wan
– For incessant chronic diarrhea, or dysenteric disorders, used with ren shen, rou
dou kou, he zi
– For blood in the stool and excessive uterine bleeding accompanied by blood
deficiency symptoms of dryness and thirst, used with huan hua, ce bai ye, ou jie
together
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Dosage: 6~12g
Attention: internal heat from excess and stagnation, or unresolved exteror
disorders
Chi shi zhi (Halloysitum Rubrum )
• Taste and Property: sour, sweet, astringent and warm
• Meridian tropism: LI, SP, ST
• Actions: binds up the intestines and stops diarrhea,
contains the blood and stops bleeding, promotes healing
of wounds
• Application
– For chronic diarrhea, due to cold from deficiency, or chronic
dysenteric disorders with mucus and blood in the stools, used
with gan jiang, bai shao, i.e. tao hua tang
– For uterine bleeding, excessive menstruation, blood in the stool,
and bleeding prolapse rectum due to cold from deficiency of the
lower burner, used with hai piao xiao, ce bai ye
– Topically for chronic nonhealing ulcers, used with long gu, ru
xiang, xue jie
• Dosage: 9~18g
• Attention: pregnancy, excess
He zi (Fructus Chebulae )
• Taste and Property: sour, bitter, astringent and neutral
• Meridian tropism: LI, LU, ST
• Actions: binds up the intestines and stops diarrhea,
contains the leakage of lung qi, improves the condition of
the throat
• Application
– For chronic diarrhea and dysenteric disorders, used with wi bei
zi, wu mei for chronic dysenteric disorders, used with gan jiang,
chen pi, ying su ke for severe diarrhea due to cold from
deficiency
– For chronic cough, wheezing, and particularly for loss of voice.
Used with jie geng, gan cao for chronic hoarseness
• Dosage: 3~9g
• Attention: exterior, internal accumulation and stagnation
of damp-heat
Rou dou kou (Semen Myristicae )
• Taste and Property: acrid, warm
• Meridian tropism: LI, SP, ST
• Actions: binds up the intestines and stops diarrhea,
warms the middle burner, moves the qi, and alleviates
pain
• Application
– For chronic diarrhea and dysenteric disorders due to cold from
deficiency of the spleen and kidneys, used with bu gu zhi, wu
wei zi, i.e. si shen wan
– For pain and distention of the epigastrium and abdomen,
reduced appetite, and vomiting due to cold from deficiency of the
spleen and stomach, used with ban xia, gan jiang together
• Dosage: 3~9g
• Attention: hot diarrhea or heat in the stomach
Chun pi (Cortex ailanthi )
• Taste and Property: bitter, astringent, cold
• Meridian tropism: LI, ST
• Actions: dries dampness, clears heat, binds up the
intestines stops bleeding, kills parasites
• Application
– For chronic diarrhea or dysenteric disorders, especially those
due to damp-heat, particularly useful when there is blood in the
stool, also used for vaginal discharge due to damp heat, used
with gui ban, bai shao, huang qin, i.e gu jing wan
– For roundworms. Applied extenally for pruritic dermatosis, used
with shi jun zi, guan zhong
• Dosage: 6~9g
• Attention: cold and deficiency of the spleen and
stomach, or kidney yin deficiency
Lian zi (Lotus seed
Semen Nelumbinis)
• Taste and property: neutral, sweet, astringent
• Meridian tropism: Kidney, Spleen, and heart
• Actions: Tonifies Spleen and stops diarrhea, Tonifies Kidney and
stabilizes essence, Nourishes blood and calms mind
• Applications
– For spleen deficiency with chronic diarrhea and loss of appetite, this
herb augments and binds, used with ren shen, bai zhu, fu ling, shan
yao, i.e. shen ling bai zhu san.
– For premature ejaculation and spermatorrhea due to unstable,
deficiency kidneys, used with qian shi, sha yuan zi, i.e. jin suo gu jing
wan
– For palpitations, irritability, anxiety, insomnia, used with suan zao ren,
yuan zhi, fu shen,
– Also used for excessive uterine bleeding and vaginal discharge
• Dosage: 6-15g
Qian shi (Semen Euryales )
• Taste and Property: sweet, astringent, neutral
• Meridian tropism: KI, SP
• Actions: tonifies spleen and stops diarrhea, stabilizes
the kidneys and secures the essence, expels dampness
and stops discharge
• Application
– For chronic diarrhea caused by weakness in the transportative
function of the spleen. Used with lian zi, fu ling, bai zhu.
– For kidney qi deficiency with nocturnal emissions, premature
ejaculation, spermatorrhea, and urinary frequency or
incontinence, used with sha yuan zi, long gu, i.e. jin suo gu jing
wan, used with tu si zi, yi zhi ren, i.e. sang piao xiao san
– For vaginal discharge due to either deficiency or damp-heat,
used with huang bai, che qian zi, i.e. yi huang tang
• Dosage: 9~15g
Jin ying zi (Fructus Rosae
laevigatae)
• Taste and Property: sour, astringent, neutral
• Meridian tropism: UB, KI, LI
• Actions: stabilizes the kidneys and secures the
essence, binds up the intestines and stops
diarrhea
• Application
– For spermatorrhea, urinary incontinence, and vaginal
discharge due to deficiency and instability of the lower
burner, used with sang piao xiao san
– For chronic diarrhea and dysenteric disorders, used
with dang shen, bai zhu and shan yao
• Dosage: 6~12g
Fu xiao mai (Fructus Tritici levis )
• Taste and Property: sweet, slightly salty, cool
• Meridian tropism: HT
• Actions: augments the heart qi, clears heat, stops
sweating
• Application
– For spontaneous sweating from qi deficiency, and night sweats
from yin deficiency, used with huang qi, duan mu li, i.e. mu li san
for spontaneous sweating. Used with di gu pi, wu wei zi, mai
men dong for night sweats
– For steaming bone disorder, used with sheng di huang, xuan
shen, di gu pi
• Dosage: 15~30g
Ma huang gen (Radix Ephedrae )
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Taste and Property: sweet, neutral
Meridian tropism: LU
Actions: inhibits the exterior to stop sweating
Application
– For many kinds of sweating from deficiency, including
spontaneous sweating due to qi deficiency,
nightsweats due to yin deficiency, and postpartum
sweating. Used with huang qi, dang gui for incessant
spontaneous sweating, used with bai zi ren, sheng di
huang for nightsweats
• Dosage: 3~9g
Hai piao xiao (Os Sepiae seu
Sepiellae )
• Taste and Property: salty, astringent, slightly warm
• Meridian tropism: KI, LV, ST
• Actions: restrains and stops bleeding, secures the essence and
stops discharge, controls acidity and alleviates pain, resolves
dampness and promotes healing
• Application
– For a wide variety of bleeding patterns, especially those from deficiency,
also used topically as a powder to stop bleeding from traumatic injury
– For nocturnal emissions, premature ejaculation, or vaginal discharge
due to kidney deficiency
– Used to harmonize stomach acidity where the symptoms are stomach
or epigastric pain, distasteful belching, or acid regurgitation.
– Used topically in powdered form for chronic, non-healing skin ulcers or
damp rashes of long duration
• Dosage: 6~12g
Sang piao xiao (Ootheca Mantidis )
• Taste and Property: sweet, salty, neutral
• Meridian tropism: KI, LV
• Actions: tonifies the kidneys, assists the yang,
secures the essence, and contains the urine
• Application
– For kidney yang deficiency with such symptons as
dribbling urine, urinary frequency, and nocturnal
emissions (especially when unaccompanied by
dreams). A very important substance for treating
enuresis in children. Also used for impotence. Used
with yuan zhi, fu shen, dang gui, i.e. sang piao xiao
san. Used with tu si zi, lu rong, rou cong rong, i.e. tu
si zi wan
• Dosage: 4.5~9g
Formulas
• Formulas that stabilize the exterior and the lung
– Jade Windscreen Powder (yu ping feng san)
– Oyster Shell Powder (mu li san)
– Tangkuei and Six-Yellow Decoction (dang gui liu huang tang)
• Formulas that restrain leakage from the intestiens
– True Man's Decoction for Nourishing the Organs (zhen ren yang zang
tang)
– Four-Miracle Pill (si shen wan)
• Formulas that stabilize the kidneys
– Mantis Egg-Case Powder (sang piao xiao san)
– Shut the Sluice Pill (suo quan wan)
– Cinnamon Twig Decoction plus Dragon Bone and Oyster Shell (gui zhi
jia long gu mu li tang)
– Fetus Longevity Pill (shou tai wan)
• Formulas that stabilizes the womb
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Stabilize Gushing Decoction (gu chong tang)
Stabilize the Menses Pill (gu jing wan)
End Discharge Decoction (wan dai tang)
Change Yellow Discharge Decoction (yi huang tang)
Yu Ping Feng San (Jade
Windscreen Powder)
Ingredients: Huang qi, bai zhu,
fang feng
Actions and indications of the
formula
• Actions
– Augment the qi, Stabilize the exterior, and
stop sweating
• Indications
– Aversion to drafts, spontaneous sweating,
recurrent colds, a shiny pale complexion, a
pale tongue with a white coating, and a
floating, deficient, and soft pulse.
Analysis of Formula
• Chief: huang qi
– Huang qi: Augment the qi and stabilize the
exterior
• Deputy: bai zhu
– Bai zhu: rengthen the spleen and augment qi.
• Assistant: fang feng
– Fang feng: expel wind
Mu li san (Oyster Shell Powder)
Ingredients: mu li 30g, huang qi
30g, ma huang gen 30g, fu xiao
mai 30g
Actions and indications of the
formula
• Actions
– Inhibits sweating and stabilizes the exterior.
• Indications
– Spontaneous sweating that worsens at night,
palpitations, easily startled, shortness of
breath, irritability, general debility, lethargy, a
pale-red tongue, and a thin, frail pulse
Analysis of Formula
• Chief: Mu li
– Benefits the yin, anchors the floating yang, inhibits sweating ,
and relieves irritability.
• Deputy: Huang qi
– Strongly tonifies the lung qi and is of particular benefit to the
superficial protective qi.
• Assistant:
– Ma huang gen: assists the chief ingredient in augmenting the
heart qi, restraining sweat, and stabilizing the exterior
– Fu xiao mai: nourishes heart yin and clears heat from the heart
Dang gui liu huang tang
(Tangkuei and Six-Yellow
Decoction)
Ingredients: dang gui 15g, sheng di
huang 15g, shu di huang 15g, huang
qin 15g, huang lian 15g, huang bai
15g, huang qi 30g
Actions and indications of the
formula
• Actions
– Enrich the yin, clears heat, stabilizes the
exterior, and stops sweating.
• Indications
– Fever, night sweats, red face, dry mouth and
parched lips, irritability, dry stools, dark and
scanty urine, a red dry tongue, and a rapid
pulse.
Analysis of Formula
• Chief: dang gui, sheng di huang, shu di huang
– Dang gui: nourshes the blood, moistens LI and, increases fluids.
– Sheng di huang, shu di huang, nourish kidney yin, control the fire
• Deputy: Huang lian, huang qin, huang bai
– Drains fire and clear heat in order to fortify yin
• Assistant: Huang qi
– Augment the protective qi and stabilize the exterior. This is
prevents excess sweating from causing further injury to the yin
and yang. It also protects the stomach qi from the actions of the
other herbs
Modern application and
modification
• Modern application:
– Tuberculosis, hepatitis, silicosis,
hyperthyroidism, myocarditis, chronic
bronchitis, cholecystitis, nephritis
• Modification:
– For especially severe sweating, add: ma
huang gen, fu xiao mai
– For tidal fever, dry mouth, add: gui ban, zhi
mu
Zhen ren yang zang tang (True
Man's Decoction for Nourishing
the Organs )
Ingredients: Ren shen 3-6g, bai zhu 9-12g,
rou gui 3-4.5g, wei rou dou kou 9-15g, he zi
6-15g, zhi ying su ke 6-20g, bai shao 9-15g,
dang gui 6-12g, mu xiang 6-9g, zhi gan cao
3-9g
Actions and indications of the
formula
• Actions
– Warm the middle, tonify deficiency, restrain
leakage from the intestines and stop diarrhea.
• Indications
– Chronic diarrhea or dysenteric disorders with
unremitting diarrhea to the point of
incontinence, soreness of the lower back,
weakness of legs, a pale tongue with a white
coating, and a slow thin pulse.
Analysis of Formula
• Chief: ren shen, bai zhu
– Strengthen the spleen and augment the middle qi.
• Deputy:
– rou gui, wei rou dou kou: warm the kidney, dispel cold
– He zi, zhi ying su ke: bind up the intestines and stop diarrhea
• Assistant:
– Bai shao, dang gui: tonify the yin and blood.
– Mu xiang: revive the spleen and regulate qi
• Envoy: Zhi gan cao
– tonify the middle burner, alleviate pain and harmonize the
actions of other herbs
Modern application and attention
• Modern application:
– Chronic colitis, ulcerative colitis, IBS
• Modification:
– For prolapse of rectum, add huang qi and
sheng ma
– For cold extremities, add Gan jiang and Fu zi
• Attention:
– Not suitable for disorders of excess
Si shen wan (Four-Miracle
Pill )
Ingredients: Bu gu zhi 120g, Wu
zhu yu 30g, Rou dou kou 60g, Wu
wei zi 60g
Actions and indications of the
formula
• Actions
– Warm and tonify the spleen and kidney, bind
up the intestines and stop diarrhea.
• Indications
– Diarrhea which occurs daily just before
sunrise, lack of interest in food an disability to
digest what is eaten, soreness of the lower
back with cold limbs, a pale tongue with a thin
white coating, and a submerged, slow and
forceless pulse.
Analysis of Formula
• Chief: Bu gu zhi
– tonify kidney and spleen.
• Deputy: Rou dou kou
– warm the spleen and kidney and bind up the intestines
• Assistant:
– Wu zhu yu: disperse cold in the middle burner
– Wu wei zi: strong, warm and astringent to bind up the intestines
• Envoy:
– Sheng jiang: disperse cold
– Da zao: nourish the spleen and kidney
Modern application and attention
• Modern application:
– Chronic colitis, allergic colitis
• Modification:
– For prolapse of rectum, add huang qi and
sheng ma
– For interior cold with abdominal pain and
nausea, take with Li zhong wan
• Attention:
– Should not be used for stagnation in the
stomach or intestines
Sang piao xiao san (Mantis EggCase Powder )
Ingredients: Sang piao xiao 9-12g,
long gu 12-30g, ren shen 9-12g, fu
shen 9-12g, yuan zhi 3-6g, chang pu 69g, zhi gui ban 9-15g, dang gui 6-9g
Actions and indications of the
formula
• Actions
– Regulate and tonify the heart and kidney,
stabilize the essence, and stop leakage.
• Indications
– Frequent urination, urine the color of rice
water, a pale tongue with a white coating, and
a thin, slow and frail pulse.
Analysis of Formula
• Chief:
– Sang piao xiao: tonify the kidneys, stabilize the
essence, and stop leakage.
– Long gu: bind up the essence, and stop the leakage.
• Deputy:
– Ren shen: tonify qi
– Fu shen: calm the spirit
– Yuan zhi: facilitate the communication between the
heart and kidney
– Chang pu: open orifices of the heart and spirit
• Assistant:
– Gui ban, dang gui: nourish blood and yin
Modern application and attention
• Modern application:
– Diabetes mellitus, neurosis
• Modification:
– For palpitations and insomnia, add Suan zao
ren
• Attention:
– Contraindicated for incontinence due to either
vigorous fire in the lower burner or damp-heat
Suo quan wan (Shut the Sluice
Pill )
Ingredients: Yi zhi ren 9-12g, wu
yao 6-12g, shan yao 9-15g
Actions and indications of the
formula
• Actions
– Warm the kidneys, dispel cold, shut off urinary
frequency, and stop leakage.
• Indications
– Frequent, clear and prolonged urination or
enuresis accompanied by a pale tongue with
a white coating and a submerged, frail pulse.
Analysis of Formula
• Chief: Yi zhi ren
– Warm the kidney and help them grasp the qi.
Warm the spleen, which assists in governing
the fluids.
• Deputy: Wu yao
– Disperse cold in the lower burner and thereby
help transform the bladder qi and restrain
urination.
• Assistant: Shan yao
– Strengthen the spleen, tonify the kidney and
bind up the essence.
Modern application and attention
• Modern application:
– Good for children with enuresis
• Modification:
– For unremitting incontinence, take with Sang
piao xiao san.
Gui zhi jia long gu mu li tang
(Cinnamon Twig Decoction plus
Dragon Bone and Oyster Shell )
Ingredients: Gui zhi 9g, Bai shao
9g, Long gu 9g, Mu li 9g, Sheng jiang
9g, Da zao 12 pieces, Gan cao 6g
Actions and indications of the
formula
• Actions
– Restrain the essence, suppress rebellion, and
regulate and harmonize the yin and yang.
• Indications
– Spermatorrhea (in men) or dreaming of
sexual intercourse (in women), lower
abdominal contraction and pain, a cold
sensation at the tip of the penis, occasionally
watery diarrhea, dizziness, palpitations,
insomnia and dream disturbed sleep, loss of
hair, and a hollow, slow pulse.
Analysis of Formula
• Chief: Gui zhi, Bai shao
– Regulate the ying qi and wei qi, help restore proper
communication between the yin and yang (kidneys
and heart).
• Deputy:
– Long gu: descend the yang so that it reunites with the
yin
– Mu li: help the yin restrain the yang
• Assistant: Sheng jiang, da zao
– Regulate yang and nourish yin
• Envoy: Gan cao
– Harmonize the actions of other herbs
Modern application and attention
• Modern application:
– Spermatorrhea, anxiety, depression
• Modification:
– For empty fire, add Zhi mu and Huang bai
– For insomnia, add He huan pi, Ye jiao teng.
Shou tai wan (Fetus Longevity
Pill )
Ingredients: Tu si zi, Sang ji
sheng, Xu duan, E jiao
Actions and indications of the
formula
• Actions
– Stabilize the kidneys and calm the fetus.
• Indications
– Soreness and distention of the lower back, a
sensation of collapse in the lower abdomen,
and vaginal bleeding during pregnancy. a pale
tongue with a white, slippery coating, and a
submerged, frail pulse at the rear position.
Analysis of Formula
• Chief: Tu si zi, Sang ji sheng
–Tonify and stabilize the kidneys and
calm the fetus.
• Deputy:
–Xu duan: tonify the liver and kidney
–E jiao: enrich the yin and nourish
blood, stop bleeding and calm the
fetus.
Modern application
• Modern application:
– Threatened miscarriage, habitual
miscarriages
Gu chong tang (Stabilize
Gushing Decoction )
Ingredients: Chao bai zhu 30g, Shan zhu
yu 24g, Huang qi 18g, Bai shao 12g, Duan
long gu 24g, Duan mu li 24g, Hai piao xiao
12g, Zong lu tan 6g, Wu bei zi 1.5g, Qian cao
gen 9g
Actions and indications of the
formula
• Actions
– Augment qi, strengthen spleen, stabilize the
penetrating vessel, and stop bleeding.
• Indications
– Uterine bleeding or profuse menstrual
bleeding in which the blood is thin and pale,
and either gushes out or continuously trickles
out. Palpitations, shortness of breath, a pale
tongue, an a deficient and big or thin and frail
pulse.
Analysis of Formula
• Chief: Chao bai zhu, huang qi
– Augment the qi and strengthen the spleen.
• Deputy: Shan zhu yu, bai shao
– Nourish yin and blood of the liver and kidneys, and
exert an astringent, binding effect on the blood.
• Assistant: Duan mu li, duan long gu, hai piao
xiao, wu bei zi, Zong lv tan
– Restrain leakage and stop bleeding
• Envoy: Qian cao gen
– Stop bleeding and invigorate blood, to prevent the
formation of blood stasis.
Modern application
• Modern application:
– Functional uterine bleeding, excessive post
partum bleeding, bleeding peptic ulcer
Gu jing wan (Stabilize the
Menses Pill )
Ingredients: Gui ban, Bai
shao, Huang qin, Chun gen pi,
Huang bai, xiang fu
Actions and indications of the
formula
• Actions
– Enrich the yin, clear heat, stop bleeding, and
stabilize the menses.
• Indications
– Continuous menstruation or uterine bleeding
that alternate between trickling and gushing of
blood. irritability in the chest, abdominal pain,
dark urine, a red tongue and a rapid, wiry
pulse.
Analysis of Formula
• Chief: Gui ban, bai shao
– Enrich the yin, nourish blood.
• Deputy:
– Huang qin: clear heat from upper burner
– Huang bai: clear heat from lower burner
• Assistant:
– Xiang fu: an acrid substance that regulate qi
and relieve the constraint of the liver.
– Chun gen pi: an astringent substance that
bind up the blood
Modern application and
modification
• Modern application:
– Functional uterine bleeding and chronic pelvic
inflammatory diseases
• Modification:
– For severe bleeding, add Di yu and Xian he
cao
– For yin deficiency, add Di gu pi
Wan dai tang (End Discharge
Decoction )
Ingredients: Chao bai zhu 30g, chao
shan yao 30g, ren shen 6g, cang zhu 9g,
chen pi 1.5g, jiu chao che qian zi 9g, jiu chao
bai shao 15g, chai hu 1.8g, jie sui tan 1.5g,
gan cao 3g
Actions and indications of the
formula
• Actions
– Tonify the middle burner, strengthen spleen,
transform dampness, and stop vaginal
discharge.
• Indications
– Profuse vaginal discharge. Fatigue, lethargy,
a shiny, pale complexion, loose stools, a pale
tongue with a white coating, and a frail pulse.
Analysis of Formula
• Chief: Chao bai zhu, chao shan yao, ren shen
– Strengthen the spleen and augment qi, dry dampness
and bind up the essence.
• Deputy:
– Cang zhu: dry dampness
– Chen pi: move and regulate spleen qi
• Assistant:
– Jiu chao che qian zi: leach out dampness through
urine
– Chai hu: relieve constraint and soften the liver.
– Jie sui: absorb dampness
• Envoy:
– Gan cao: tonify the middle burner and harmonize the
other herbs
Modern application and
modification
• Modern application:
– Leukorrhagia, diarrhea, edema during
pregnancy, edema during menstruation and
headache
• Attention:
– This formulas is not suitable for heat or damp
heat pattern
Yi huang tang (Change Yellow
Discharge Decoction )
Ingredients: chao shan yao,
chao qian shi, huang bai, che qian
zi, yin xing
Actions and indications of the
formula
• Actions
– Strengthen the spleen, dry dampness, clear
heat, and stop vaginal discharge.
• Indications
– vaginal discharge that is yellowish-white in
color, viscous, and fishy-smelling. A pale
complexion, dizziness, a pale tongue with a
thin, white coating.
Analysis of Formula
• Chief: Chao shan yao
– Strengthen the spleen and stabilize the lower
burner and the essence.
• Deputy: Huang bai and che qian zi
– Drain damp-heat from the lower burner
through urine.
• Assistant:
– Chao qian shi, yin xing: stabilize the lower
burner and restrain the discharge.
Modern application and
modification
• Modern application:
– Chronic pelvic inflammation
• Attention:
– It is only suitable for spleen qi deficiency with
accumulation of damp heat