March 29, 2017 | Author: Medicina Desportiva Não-convencional | Category: N/A
Project Editors: Zhou Ling, Lara Deasy & Liu Shui Copy Editor: Book Designer: Guo Miao & Zhao Jing-jin Cover Designer: Guo Miao & Zhao Jing-jin Typesetter:
International Standard Library of Chinese Medicine
Deng Zhong-jia, Ph.D. TCM Professor and Doctoral Supervisor of Chinese Medicinal Formulas, Chengdu University of TCM, Chengdu, China
Greg Zimmerman, M.S., L.Ac. Acupuncturist, Chinese American Acupuncture Center, Orlando, Florida, USA
Ye Qiao-bo, Ph.D. TCM Lectuer, International Education College, Chengdu University of TCM, Chengdu, China
Website: http://www.pmph.com Book Title: Chinese Medicinal Formulas (International Standard Library of Chinese Medicine) 方剂学（国际标准化英文版中医教材） Copyright © 2011 by People’s Medical Publishing House. All rights reserved. No part of this publication may be reproduced, stored in a database or retrieval system, or transmitted in any form or by any electronic, mechanical, photocopy, or other recording means, without the prior written permission of the publisher. Contact address: No. 19, Pan Jia Yuan Nan Li, Chaoyang District, Beijing 100021, P.R. China, phone/fax: 8610 5978 7338, E-mail:
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Disclaimer This book is for educational and reference purposes only. In view of the possibility of human error or changes in medical science, the author, editor, publisher and any other party involved in the publication of this work do not guarantee that the information contained herein is in any respect accurate or complete. The medicinal therapies and treatment techniques presented in this book are provided for the purpose of reference only. If readers wish to attempt any of the techniques or utilize any of the medicinal therapies contained in this book, the publisher assumes no responsibility for any such actions. It is the responsibility of the readers to understand and adhere to local laws and regulations concerning the practice of these techniques and methods. The authors, editors and publishers disclaim all responsibility for any liability, loss, injury, or damage incurred as a consequence, directly or indirectly, of the use and application of any of the contents of this book.
First published: 2011 ISBN: Cataloguing in Publication Data: A catalogue record for this book is available from the CIP-Database China.
Printed in The People’s Republic of China
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Contributors (Listed alphabetically by name) Chen Jian-ping （陈建萍）, Ph.D. TCM Assistant Professor(Honorary Associate Professor), School of Chinese Medicine, The University of Hong Kong , China
Jia Bo （贾波）, M.S. TCM Professor, Director of the Formula Department, Chengdu University of TCM, Chengdu, China
Li Ji （李冀）, Ph.D. TCM Professor, Vice president of Heilongjiang University of Traditional Chinese Medicine, Harbin China
Ruan Shi-bao （阮时宝）, Professor, Director of the formula Department, Fujian University of Traditional Chinese Medicine, Xiamen, China
Shen Tao （沈涛）, Ph.D. TCM Professor, Vice President of Chengdu University of Traditional Chinese Medicine, Chengdu, China
Wang Di （王迪）, Professor, Director of the Formula Department, Changchun University of Traditional Chinese Medicine, Jilin, China
Yi Zi-gang （易自刚）, Professor, Director of the Formula Department, Guangxi College of Traditional Chinese Medicine, Nanning, China
Zhou Ran （周然）, Professor, President of Shanxi College of Traditional Chinese Medicine, Taiyuan, China
Zhou Yong-xue （周永学）, Professor, President of Shaanxi College of Traditional Chinese Medicine, Xi’an, China
Translators (Listed alphabetically by name) Azure (Duan Ying-zhe)（段颖哲）, Ph.D., L.Ac., TCM Harmony Acupuncture & TCM, Atlanta, GA, U. S. A.
Hu Peng （胡鹏）, Ph.D. TCM Lecturer, Clinical College, Chengdu U n i v e r s i t y o f Tr a d i t i o n a l C h i n e s e Medicine, Chengdu, China
Jin Zhao （金钊）, Ph.D. TCM Attending Physician, Chengdu University of TCM, Chengdu, China
Li Yi-bei（李一北）, Ph.D. Candidate TCM Attending Physician, Department of Endocrinology, Affiliated Hospital of Chengdu University of TCM, Chengdu, China
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Ma Xi-tao （马喜桃）, M.S. TCM Interpreter/Translator, Physician, Affiliated Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China
Song Yao-ping（宋姚萍）, Ph.D. L.Ac., TCM The Academy of Oriental Medicine at Austin, Austin, TX, U. S. A.
Wang Jing （王晶）, Ph.D. TCM Physician, Lecturer, Clinical College, Chengdu University of Traditional Chinese Medicine, Chengdu, China
Wu Shi-guo （吴施国）, Ph.D. TCM Physician, Lecturer, Yunnan College of Traditional Chinese Medicine, Kunming, China
English Editors Greg Zimmerman, M.S., L.Ac. Acupuncturist, Chinese American Acupuncture Center, Orlando, Florida, USA
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Lara Deasy, Bsc (Hons) TCM, B.M. (Beijing) TCM, MRCHM
About the Authors
Deng Zhong-jia （邓中甲） Deng Zhong-jia, State Council Expert for Special Allowance, is a professor and
doctoral supervisor of Chengdu University of TCM. He is the principal academic
leader of the state-level formulas courses, teaching team and key disciplines of
the State Administration of TCM of China. Prof. Deng was the Deputy Committee
Director of the Branch Association of Formulas, China TCM Association (2002-06).
The two textbooks: Formulas of Traditional Chinese Medicine, he edited in 2001 and
2008, are widely used in China. He was awarded the Excellent Textbook Prize for his contribution to textbook editing in 2009.
7
Greg Zimmerman Greg Zimmerman is a Licensed Acupuncturist and Chinese Medicine Practitioner
located in Southern California. He has been involved in the academics of Traditional
Chinese Medicine since 1996 serving as a lecturer, consultant and editor for prominent Chinese herbal manufacturing companies, educational organizations, and
TCM colleges. Greg Zimmerman has maintained a private practice, the Yi An Chinese
Medicine Clinic （奕安中医诊所）, located in Irvine, CA since 1997.
For the past 12 years, he has taught a variety of classes on various subjects of
Traditional Chinese Medicine with an emphasis on Chinese herbal formulas and medicinals. More recently, he has developed and teaches a certification course, regarding ethical herbal compounding and dispensing, to professional practitioners
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Ye Qiao-bo ( 叶俏波 ) Ye Qiao-bo is a graduate of the Chengdu University of TCM (Bachelor in
Chinese Herbal Medicine, 2001; Master in Formulas, 2004; Ph.D in Formulas, 2009).
She worked as an editorial member and translator for the Encyclopedia of Medicinal
Plants at the School of Chinese Medicine, Hong Kong Baptist University, Kowloon Tong (Research Assistant, 2004-06). Currently, she teaches formulas in the Chengdu University of TCM and serves as a physician in the affiliated clinic of the university.
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Editorial Board for International Standard Library of Chinese Medicine Executive Directors Li Zhen-ji （李振吉）
Hu Guo-chen （胡国臣）
Federation of Chinese Medical Societies,
Publishing House, Beijing, China
Vice Chairman and Secretary-general, World Beijing, China
President and Editor-in-Chief, People’s Medical
Directors You Zhao-ling （尤昭玲）
Xie Jian-qun （谢建群）
Medical Gynecology, Hunan University of
Medicine, Shanghai University of TCM,
Former President and Professor of Chinese TCM, Changsha, China
President and Professor of Chinese Internal Shanghai, China
General Coordinator Liu Shui （刘水）
Director of International TCM Publications, People’s Medical Publishing House, Beijing
Members (Listed alphabetically by last name) Chang Zhang-fu （常章富）
Chen Hong-feng （陈红风）, Ph.D. TCM
University of CM, Beijing, China
Shanghai University of TCM, Shanghai, China
Professor of Chinese Materia Medica, Beijing Chen Jia-xu （陈家旭）, Ph.D. TCM
P ro f e s s o r o f T C M D i a g n o s t i c s , B e i j i n g University of CM, Beijing, China Cui Hai （崔海）, Ph.D. TCM
Associate Professor of TCM, Capital Medical University, Beijing, China
Ding Xiao-hong （丁晓红）
Associate Professor of Tui Na, International
Education College, Nanjing University of TCM, Nanjing,China
Chen Ming （陈明）
Professor of Shāng Hán Lùn, Beijing University of CM, Beijing, China
Deng Zhong-jia （邓中甲）
Professor of Chinese Medicinal Formulae, Chengdu University of TCM, Chengdu, China Doug Eisenstark, L.Ac
Professor of Chinese Medicine, Emperors College, Los Angeles, USA
Stephen X. Guo （郭鑫太）, M.A. International
Han Chou-ping （韩丑平）
Director of Jande International, New York, USA
College, Shanghai University of TCM, Shanghai,
Affairs
Hu Jun （胡俊）, B.A. Medical English
Currently pursuing Master ’s of Science in Social History of Medicine, Peking University, Beijing, China
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Professor of Chinese External Medicine,
Associate Professor, International Education China
Hu Ke-xin （胡克信）, Ph.D. TCM
Professor of Otorhinolaryngology, Keelung City Municipal Hospital, Taiwan, China
Hu Zhen （胡臻）
Huang Fei-li （黄菲莉）
Traditional Chinese Medicine, Wenzhou
University, Hong Kong, China
Professor and Head of Department of Medical College, Wenzhou, China
Russell William James, M.S. TCM
IELTS Examiner & Marker, Beijing, China
Professor of Cosmetology, Hong Kong Baptist
Jia De-xian （贾德贤）, Ph.D. TCM
Professor of Chinese Materia Medica, Beijing University of CM, Beijing, China
Jin Hong-zhu （金宏柱）
Lao Li-xing （劳力行）, Ph.D.
University of TCM, Nanjing, China
University of Maryland School of Medicine,
Professor of Acupuncture & Tui Na, Nanjing
Professor of Acupuncture and Moxibustion, Baltimore, USA
Past Co-President of the Society for Acupuncture Research Hon K. Lee （李汉光）, Dipl. OM, L.Ac.
Li Dao-fang （李道坊）, Ph.D. TCM
Herndon, Virginia, USA
Executive Board Director, National Federation of
Director of the Jow Ga Shaolin Institute,
President of Florida Acupuncture Association; Chinese TCM Organizations, Kissimmee, USA
Mei Li （李梅）, M.S. TOM, L.Ac.
Li Ming-dong （李名栋）, Ph.D. OMD, L.Ac.
Publishing House, Beijing, China
University of Traditional Chinese Medicine, Los
Translator and Editor, People’s Medical
Li Wan-ling （李云宁）
Qi Gong and TCM Translator, Beijing, China
Professor of Chinese Internal Medicine, Yo San Angeles, USA
Liang Li-na （梁丽娜）, Ph.D. TCM
Associate Professor of Ophthalmology, Eye Hospital of China Academy of Chinese Medical Sciences, Beijing, China
Liu Zhan-wen （刘占文）
Lü Ming （吕明）
University of Chinese Medicine, Beijing, China
Chinese Medicine, Changchun, China
P ro f e s s o r o f C h i n e s e M e d i c i n e , B e i j i n g
Professor of Tui Na, Changchun University of
Mark L. Mondot, B.A. Chinese Language,
Jane Lyttleton, Hons, M Phil, Dip TCM, Cert
Translator and Editor, People’s Medical
Lecturer, University of Western Sydney, Sydney,
L.Ac.
Publishing House, Beijing, China
Ac.
Australia
Julie Mulin Qiao-Wong （乔木林）
Andy Rosenfarb, M.S. TOM, L.Ac.
University, Melbourne, Australia
USA
Professor of Chinese Medicine, Victoria Paul F. Ryan, M.S. TCM, L.Ac. Taihu Institute, Jiangsu, China Secondo Scarsella, MD, DDS
Visiting Professor of Tui Na, Nanjing University of TCM, China Department of Maxillofacial Surgery, San Salvatore Hospital, L’Aquila, Italy
Acupuncture Health Associates, New Jersey, Martin Schweizer, Ph.D. Molecular Biology, L.Ac. Emeritus Professor of Medicinal Chemistry, University of Utah, USA
Sun Guang-ren （孙广仁）
Professor of TCM Fundamentals, Shandong University of TCM, Jinan, China
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Tsai Chun-hui, Ph.D.
Tu Ya （图娅）
Medicine, University of Colorado, Denver, USA
Beijing University of CM, Beijing, China
Associate Professor of Pediatrics, School of
Professor of Acupuncture and Moxibustion,
Wang Shou-chuan （汪受传）
Wei Qi-ping （韦企平）
University of TCM, Nanjing, China
of CM, Beijing
Professor of TCM Pediatrics, Nanjing
Professor of Ophthalmology, Beijing University
Douglas Wile, Ph.D.
Jane Frances Wilson, M.S., L.Ac.
Chinese Medicine and of Chinese Language
University of Westminster, London, UK
Former professor of History & Philosophy of at Pacific College of Oriental Medicine, New
Senior Lecturer of School of Life Sciences,
York; Professor of Chinese language at Alverno College, Milwaukee, USA Xiao Ping （肖平）
Xu Shi-zu （徐士祖）, M.A. Chinese Martial Arts
Changsha, China
Instructor, School of Physical Education in
Associate Professor, Hunan University of TCM,
Chinese Traditional Sports and Health Cultivation Wenzhou Medical College, Wenzhou, China
Yan Dao-nan （严道南）
Ye Qiao-bo （叶俏波）, Ph.D. TCM
University of TCM, Nanjing, China
Chengdu University of TCM, Chengdu, China
Professor of Otorhinolaryngology, Nanjing
Lecturer of Chinese Medicinal Formulae,
Zhang Ji （张吉）
Zhang Ji （张季）, Ph.D. TCM
Beijing University of CM, Beijing, China
College of Oriental Medicine, Alhambra University,
Professor of Acupuncture and Moxibustion,
Helen Q. Zhang （张齐）, Ph.D. TCM, L.Ac. Director of Qi TCM Clinic, New York, USA
Professor of Chinese Materia Medica, Emperor’s Dongguk University, Los Angeles, USA Zhang Qing-rong （张庆荣）
Professor of TCM Fundamentals, Liaoning University of TCM, Shenyang, China
Zhao Bai-xiao （赵百孝）, Ph.D. TCM
Zhao Xia （赵霞）, Ph.D. TCM
Dean, School of Acupuncture and Moxibustion,
of TCM, Nanjing, China
Professor of Acupuncture and Moxibustion, Beijing University of TCM, China
Professor of TCM Pediatrics, Nanjing University
Zhou Gang （周刚）, Ph.D. TCM
Gregory Donald Zimmerman, M.S., L.Ac.
of CM, Beijing, China
Health Sciences (formerly LACC), California,
Lecturer of Shāng Hán Lùn, Beijing University
Sponsored by
Lecturer, Southern California University of USA
World Federation of Chinese Medical Societies
12
Preface
The science of formulas is a subject dealing with the treatment and theories of formulas, as well as the clinical application. It is an important basic course in TCM and should be studied after the Basic Theory of TCM, Diagnostics of TCM and Chinese Materia Medica courses. The textbook is divided into two parts. The first part is General Discussion, focusing on the brief history and development of the formulas science, Treatment Methods and Formulas, Classification of Formulas, Composition of Formulas, Dosage, Form and Preparation and Administration of Decoctions. The second part includes specific discussions on formulas in nineteen categories. It contains 182 principal formulas and 185 associated formulas, which are divided into fundamental formulas, representative formulas and commonly used formulas. One hundred kinds of commonly used Chinese patent drugs are introduced in the Appendix in the form of a chart. Each chapter contains four parts: Brief Introduction, Specific Formulas, Summary and Questions. The Brief Introduction includes the definition of each type of formula, treatment method, function, application, cautions, clinical features, compatibility methods and the name of commonly used formulas. Specific Formulas includes the Source Text, Formula Ingredients, Preparation and Administration, Formula Indications, Analysis of Fundamental Pattern Pathogenesis, Formula Analysis, Formula Actions, Unique Combination Features, Further Clarification, Formula Applications, Associated Formulas, Case Studies, and Comments. The Summary is a brief comparison between the formulas. The Questions try to develop the ability of independent thinking and comprehensive analysis based on the important contents of each chapter. This textbook is characterized by following features: 1. Using clear and easily understood forms to elucidate Formula Analysis, Modifications, Associated Formulas, and Comparisons & Contrasts.
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2. The item of Further Clarification is set to elucidate the difficulties and doubts. 3. The fundamental combinations are concluded in the Formula Analysis form. Also, the Unique Combination Features helps readers to learn more compatibility skills. 4. One to four typical and practical cases by famous ancient or current TCM practitioners are listed in most formulas. It can help readers master the core pathomechanism and learn how to modify the formulas in different specific cases. Work Assignment: The General Introduction was written by Deng Zhong-jia. Chapter 1 and Chapter 3 were written by Jia Bo. Chapter 2, Chapter 13 and Chapter 19 were written by Yi Zi-gang. Chapter 4 and Chapter 5 were written by Zhou Rong-xue. Chapter 6 and Chapter 7 were written by Shen Tao. Chapter 9 and Chapter 11 were written by Wang Di. Chapter 12 and Chapter 14 were written by Ruan Shi-bao. Chapter 16 was written by Li Ji. Chapter 10 and Chapter 17 were written by Zhou Ran. Chapter 8, Chapter 16 and Chapter 18 were written by Chen Jian-ping. This book can be used as an authentic textbook for overseas students. Moreover, it can serve as reference for TCM practitioners with its practical contents. Deng Zhong-jia, Greg Zimmerman, Ye Qiao-bo 2011
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TABLE OF CONTENTS
Part I General Introduction Chapter 1 The History of Chinese Formulas......................................................
Chapter 2 Treatment Methods and Formulas.....................................................
Chapter 3 Classification of Formulas.................................................................. Chapter 4 Composition of Formulas................................................................... Chapter 5 Dosage Form........................................................................................ Chapter 6 Preparation and Administration of Decoctions................................
Part II Formula Monographs Chapter 1 Exterior Releasing Formulas.............................................................. Section 1 Acrid-Warm Exterior Releasing Formulas.............................................................. Section 2 Acrid-Cold Exterior Releasing Formulas................................................................ Section 3 Supporting and Exterior Releasing Formulas..........................................................
Chapter 2 Downward Draining Formulas............................................................ Section 1 Cold Purgatives.......................................................................................................
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Section 2 Warm Purgatives..................................................................................................... Section 3 Moist Purgatives...................................................................................................... Section 4 Harsh Expellants..................................................................................................... Section 5 Purgative and Tonic Formulas................................................................................
Chapter 3 Harmonizing Formulas........................................................................ Section 1 Shaoyang Harmonizing Formulas........................................................................... Section 2 Liver and Spleen Harmonizing Formulas................................................................ Section 3 Intestines and Stomach Harmonizing Formulas......................................................
Chapter 4 Heat-Clearing Formulas...................................................................... Section 1 Qi Level-Clearing Formulas.................................................................................... Section 2 Ying Level-Clearing and Blood-Cooling Formulas.................................................. Section 3 Heat-Clearing and Toxin-Eliminating Formulas..................................................... Section 4 Zang-fu-Clearing Formulas..................................................................................... Section 5 Deficiency-Heat-Clearing Formulas.......................................................................
Chapter 5 Summer-Heat-Dispelling Formulas.................................................... Chapter 6 Interior-Warming Formulas................................................................. Section 1 Center-Warming and Cold-Dispelling Formulas..................................................... Section 2 Yang-Resuscitating Formulas................................................................................. Section 3 Channel-Warming and Cold-Dispersing Formulas.................................................
Chapter 7 Tonic Formulas.................................................................................... Section 1 Qi-Tonifying Formulas............................................................................................ Section 2 Blood-Tonifying Formulas....................................................................................... Section 3 Qi and Blood Tonifying Formulas........................................................................... Section 4 Yin-Tonifying Formulas.......................................................................................... Section 5 Yang-Tonifying Formulas........................................................................................ Section 6 Yin and Yang Tonifying Formulas..........................................................................
Chapter 8 Mind-Calming Formulas...................................................................... Section 1 Mind-Calming Formulas Using Heavy Sedatives.................................................... Section 2 Mind-Calming Formulas Using Supplementing Sedatives......................................
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Chapter 9 Orifices-Opening Formulas................................................................ Section 1 Cool Orifices-Opening Formulas............................................................................. Section 2 Warm Orifices-Opening Formulas..........................................................................
Chapter 10 Astringent formulas........................................................................... Section 1 Exterior-Consolidating Formulas to Arrest Sweating............................................... Section 2 Lung-Restraining Formulas to Relieve Cough........................................................ Section 3 Intestine-Astringing Formulas to Stop Leakage...................................................... Section 4 Essence-Securing Formulas to Arrest Enuresis and Seminal Emissions................. Section 5 Womb-Stabilizing Formulas to Arrest Profuse Uterine Bleeding
and Vaginal Discharge..........................................................................................
Chapter 11 Qi-Rectifying Formulas..................................................................... Section 1 Qi-Moving Formulas............................................................................................... Section 2 Qi-Descending Formulas........................................................................................
Chapter 12 Blood-Regulating Formulas.............................................................. Section 1 Blood-Invigorating and Stasis-Removing Formulas................................................ Section 2 Bleeding-Stanching Formulas.................................................................................
Chapter13 Wind-Expelling Formulas................................................................... Section 1 External Wind Expelling and Dissipating Formulas............................................... Section 2 Internal Wind Calming and Extinguishing Formulas..............................................
Chapter 14 Dryness-Relieving Formulas............................................................ Section 1 External Dryness Relieving Formulas by Light Diffusion....................................... Section 2 Yin-Enriching and Dryness-Moistening Formulas..................................................
Chapter 15 Dampness-Removing Formulas....................................................... Section 1 Damp-Drying and Stomach-Harmonizing Formulas................................................ Section 2 Heat-Clearing and Dampness-Dispelling Formulas................................................ Section 3 Urination-Promoting and Dampness-Percolating Formulas.................................... Section 4 Warm Formulas that Remove Cold-Damp............................................................... Section 5 Wind-Dispelling and Dampness-Overcoming Formulas.........................................
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Chapter 16 Phlegm-Dispelling Formulas............................................................ Section 1 Damp-Drying and Phlegm-Dissolving Formulas..................................................... Section 2 Heat-Clearing and Phlegm-Dissolving Formulas.................................................... Section 3 Dryness-Moistening and Phlegm-Dissolving Formulas........................................... Section 4 Warm Formulas that Dissolve Cold Phlegm............................................................ Section 5 Wind-Dispelling and Phlegm-Dissolving formulas.................................................
Chapter 17 Digestion-Promoting Formulas........................................................ Section 1 Digestion-Promoting and Stagnation-Removing Formulas...................................... Section 2 Spleen-Fortifying and Digestion-Promoting Formulas............................................
Chapter 18 Worm-Expelling Formulas................................................................ Chapter 19 Emetic Formulas................................................................................
Appendix................................................................................................................. Appendix I List of Medicinals................................................................................................. Appendix II List of Formulas.................................................................................................. Appendix III List of Classical Texts.......................................................................................
Index........................................................................................................................ Index by Chinese Medicinals and Formulas - Pin Yin Names................................................ Index by Chinese Medicinals and Formulas - Pharmaceutical Names...................................
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Chapter 17
Digestion-Promoting Formulas
Digestion-promoting formulas utilize digestion-promoting medicinals as key components. They have the therapeutic actions to promote digestion, fortify the spleen, remove accumulation, and remove stagnation. Digestion-promoting formulas are prescribed to treat food accumulation. The modern method “promote digestion” was historically referred to as the “dispersion method.” It is one of the Eight Treatment Methods recorded in ancient literature. The dispersion method is extensively applied for conditions of accumulation, stagnation and fullness that result from blockage of qi, blood, phlegm, dampness, food and worms. This chapter discusses the therapeutic method and formulas used for food accumulation. Related therapeutic methods and formulas are discussed in the qiregulating, blood-rectifying, dampness-dispelling, accumulation-removing and wormexpelling chapters. The etiologies of food accumulation are essentially classified in terms of deficiency and excess. Deficient patterns of food accumulation are caused by spleen deficiency and poor digestion. Excessive patterns of food accumulation are due to an improper diet, bad dietary habits, and overeating. Digestion-promoting formulas are therefore categorized into two types: a) Digestion–promoting and stagnation-removing formulas b) Spleen-fortifying and digestion-promoting formulas Formulas that promote digestion typically contain qi-regulating medicinals because internal accumulation inhibits qi movement. The opposite is also true; constraint and stagnation of the qi mechanism will induce obstruction. Therefore, removing accumulation is associated with moving the qi. Those who suffer chronic conditions with a deficiency of zheng qi, as well as spleen and stomach deficiencies, require medicinals that reinforce zheng qi. They are used simultaneously along with those medicinals that disperse food accumulation. As a result of their pathological development, food accumulations may have either a hot or cold pathological character. Therefore these formulas may necessarily be heat clearing or warming in nature. It is not advised to take dispersing formulas for long periods of time. They are aggressive and may consume zheng qi and are therefore contraindicated for patterns of deficiency without signs of excess.
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Chinese Medicinal Formulas
Section 1 Digestion-Promoting and Stagnation-Removing Formulas Digestion-promoting and stagnation-removing formulas are used to treat food accumulation. The signs and symptoms include fullness and oppression of the chest and stomach cavity, belching, acid swallowing, aversion to food, nausea, vomiting, abdominal distention, abdominal pain as well as diarrhea. Common medicinals used to promote digestion are shān zhā, shén qū, lái fú zĭ and mài yá. Food accumulation may impede qi movement, produce dampness and constrain heat. Consequently, corresponding formulas often contain medicinals that regulate qi, remove dampness, and clear heat. When food accumulation and damp-heat obstruct the large intestine and block the qi of the bowels, medicinals that drain downward may be used. Common formulas in this category are Băo Hé Wán and Zhĭ Shí Dăo Zhì Wán.
保和丸 Harmony-Preserving Pill Băo Hé Wán ◆ Source Text Teachings of [Zhu] Dan-xi《丹溪心法》 …… …… (read more on upcoming release of this book) ◆ Unique Combination Features This formula primarily promotes digestion; however, it also moves qi, removes dampness and clears heat. ◆ Formula Applications 1. Essential Pattern Differentiation: Băo Hé Wán is a commonly used formula applicable for a variety of food accumulation patterns. This clinical pattern is marked by: • fullness in the abdomen and stomach cavity • distension and pain in the abdomen and stomach cavity • belching • acid swallowing • thick and greasy tongue coating • slippery pulse
Part II Formula Monographs Section 1
2. Modifications: Concurrent Treatment
Common Medicinal Modifications
An excessive amount of food accumulation
Promote digestion and regulate qi
zhĭ shí, hòu pò, mù xiāng and bīng láng
An excessive amount of heat developed from food accumulation marked by a yellow tongue coating and rapid pulse
Promote digestion and clear heat
huáng qín and huáng lián
Constipation
Promote defecation and purge the bowels
dà huáng
Spleen deficiency
Boost qi and fortify the spleen
bái zhú, dăng shēn and gān căo
Concurrent Condition
3. Modern Applications: This formula may be used in the following biomedically defined disorders when the patient shows signs of food accumulation: acute and chronic gastritis and enteritis, dyspepsia, and infants with diarrhea. 4. Cautions and Contraindications: This formula is an aggressive formula that attacks and dispels; therefore, it should not be taken for long periods of time. Additionally, it should not be prescribed to treat food accumulation patterns due to spleen deficiency without proper modification. ◆ Associated Formulas Name
Ingredients
Dà Ān Wán Source: Teachings of [Zhu] Dan-xi
shān zhā 2 liang (12 g), shén qū 1 liang (6 g), bàn xià 1 liang (6 g), fú líng 1 liang (6 g), chén pí 0.5 liang (3 g ), lái fú zĭ 0.5 liang (3 g ), lián qiào 0.5 liang (3 g ), bái zhú 2 liang (12 g)
Actions
Applicable Patterns
Promotes digestion and fortifies the spleen
Food accumulation complicated by spleen deficiency Symptoms include: • indigestion • distending pain of the abdomen and stomach cavity • diarrhea • infants with food stagnation
Dà Ān Wán is Băo Hé Wán plus bái zhú. The doses of the medicinals that compose Băo Hé Wán are all decreased and 2 liang of bái zhú is added. Dà Ān Wán is prescribed for cases of food accumulation with spleen deficiency. It has the action to promote digestion and fortify the spleen and is suitable for pediatric food accumulation. …… …… (read more on upcoming release of this book)
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