Disclaimer For educational purposes only. Do not use as medical advice
AboutChinese MedicineCaution/Notes
| Health Benefits |
| For: Menopause • Gastritis • Neurosis • Schizophrenia • Insomnia • Anxiety • Irritability • Fatigued • Lower urinary track infection • Depression • Hypertension • Atherosclerosis • Pelvic inflammatory disease • Hysteria • Maniere's disease • Epilepsy |
| Atributes: |
| Constituents: |
| Category: Calm Shen ⌕ |
| Subcategory: Sedate Spirit Source: Shang Han Lun |
| Actions: Unblock and harmonize Tai-Yang, Yang-Ming, and Shao-Yang stages • Sedate and calm the spirit |
| Diagnosis |
| Tongue: Red • Slippery Pulse: Wiry • Rapid Other: |
| Patterns: Yangming stage heat • Shao yang stage heat • Disorder in three yang stages |
| Indications: Insomnia, Whole body fatigue, Constipation, Urinary discomfort, Anxiety, Heart palpitations, Chest fullness [Maciocia] • Fullness in the chest. Irritability with occasional attacks of palpitations. Urinary difficulty, constipation. Delirious speech. Inability to rotate the trunk. A sensation of extreme heaviness throughout the body. T: Red, with a slippery coating, P:Wiry, rapid pulse [Song]
|
| Contraindications: Spleen and stomach deficiencies • Replace Qian Dan with Zhe Shi (Haematitum) |
| Description |
| Name Variations: Chai Hu Jia Long Gu Mu Li Tang , 柴胡加龙骨牡蛎汤, Bupleurum Plus Dragon Bone and Oyster Shell Decoction, |
| Herb List: Chai Hu • Huang Qin • Ban Xia • Ren Shen • Da Zao • Gui Zhi • Sheng Jiang • Fu Ling • Long Gu • Mu Li • Da Huang • Qian Dan |
| Commentary: |
| Related Formulas: Chai Hu An Shen Tang |
| Herbs |
Cat/Dosage |
Actions |
Attributes |
| Chai Hu • Thorowax • 柴胡♠ |
Release Exterior Wind Heat
12 g |
Harmonize interior and exterior • Reduce fevers • Reduce chills • Soothe liver Qi • Clear muscle layer heat • Tonify stomach Qi • Guide herbs to Shao Yang JingPungent and dispersing • For moving Qi: Epigastric area - Chen Pi • Intestinal area - Mu Xiang • From epigastric all the way to the abdominal area - Zhi Shi and Zhi Ke • Lateral side area -Chai Hu, Xiang Fu, Qing Pi, and Fo Shou • Lower abdomen: Wu Yao warms kidney • Upper chest area: Tan Xiang, Xie Bai • REN4 & REN6 area: Chen Xiang |
Antibiotic • Antipyretic • Anti-inflammatory • Antibaterial • Antiviral • Analgesic • Hepatoprotective • Immunemodulatory • Chemoprotective • Anti-tumor • Cholagogic • Sedative • Immunostimulate |
| Huang Qin • Baical Skullcap Root • 黄芩♠ |
Clear Heat Dry Dampness
4.5 g |
Clear heat • Dry dampness • Stop bleeding • Calm fetus • Calm liver yang rising • Clear damp heat • Guide herbs to Shao Yang Jing |
Antibiotic • Anti-inflammatory • Antioxidative • Antipyretic • Cholagogic • Hepatoprotective • Hypoglycemic • Hypotensive • Neuroprotective • Sedative |
| Ban Xia • Pinellia Root • 半夏♣ |
Phlegm Cold
6g -9g |
Transforms damp-phlegm • Direct stomach Qi downward• Stop cough/ wheezing • Relieve nausea & vomiting • Dissolve nodules and swellingsFan Ban Xia - deep fried with vinegar, Ming Fan, and Sheng Jiang • Jiang Ban Xia - fried with ginger juice |
reprotoxic, warming, drying, antitussive, antiemetic |
| Ren Shen • Ginseng • 人参♣ |
Tonify Qi
4.5 g |
Tonify yuan qi • Tonify lung qi • Tonify heart qi • Calms Shen • Stop thirst • Helps impotence • Treats qi collapse • Tonify Spleen • Generate fluid • Stop thirst • Strengthen anti-pathogenic qi • Can go to all 5 zang organsUnlike Huang Qi, Ren Shen is adaptogenic and may be used by people with autoimmune disorders. |
adaptogen • anti-aging • anticoagulant • antiplatelet • antioxidant • antiplatelet • immunity booster • anti-inflammatory • antidepressant • hepatoprotective • stimulant |
| Da Zao • Jujube • 大枣♦ |
Tonify Qi
6 Pieces |
Tonify spleen • Tonify qi • Calm the spirit • Harmonize other herb's properties • Nourish blood |
antibaterial • antidepressant • anti-inflammatory • anodyne • antifungal • hepatoprotective • hypotensive • sedative |
| Gui Zhi • Cinnamon Twig • 桂枝♣ |
Release Exterior Wind Cold
4.5g |
Activate yang qi, warm yang, open channels, expel Wind Cold from muscle layer • warm Middle Jiao • regulate Wei Qi • improve circulation • relieve pain • thin mucus • treat chest BiPAIRS with Shao Yao and Fu Ling |
diuretic, anticoagulant, vasodilation, diaphoretic, antipyretic, emmenagogue, antiparasitic, cardiotonic, antibiotic, hypoglycemic, analgesic, anti-inflammatory, antioxidant, sedative |
| Sheng Jiang • Ginger (Raw) • 生姜♦ |
Release Exterior Wind Cold
4.5 g |
Release exterior • Stops vomiting • Relieve Nausea • Stops cough • Reduce herb toxicity • Regulate central flow of Qi |
Expectorant • Cough Suppressant • Digestive • Hypotensive • Antiplatelet • Stimulant • Analgesic • Anti-inflammatory • Antipyretic • Cholagogic • Antiemetic • Antimutagenic |
| Fu Ling • Poria Mushroom • 茯苓♣ |
Drain Dampness
4.5 g |
Dry dampness • Tonify spleen • Calm spirit • Relief edema • Detox food poisoning • Promote urination Dao Di: Yun Nan |
Diuretic • Antibacterial • Anti-inflammatory • Anti-allergic • Hypoglycemic • Antacid • Sedative • Immunity booster |
| Long Gu • Animal Fossils • 龙骨♣ |
Calm Shen
4.5g |
Calm spirit • Reduce anxiety • Relief insomnia • Calm liver • Prevent fluid discharge • Anchor yang |
Antiepileptic • Anticonvulsant • Hypotensive • Sedative • Astringent • Antiseizure • Hemostatic |
| Mu Li • Oyster Shell • 牡蛎♣ |
Calm Shen
4.5g |
Calm Shen • Calm Liver • Anchor yang rising • Neutralize stomach acids • Relieve stomach pain • Soften hardness • Remove nodules • Reduce fluid leakage from deficiency • Disperse stagnation |
alkaline • gastrointestinal |
| Da Huang • Rhubarb • 大黄♠ |
Downward Draining
4.5 g |
Drain downward • Promote menstruation • Reduce accumulation • Drain fire • Cools blood • Clear heat • Dry dampness • Resolve blood stasis (add near end of decoction) |
Anti-inflammatory • Antibiotic • Antipyretic • Choleretic • Cholagogic • Hemostatic • Immunity booster • Laxative • Nephroprotective |
Qian Dan ♣
Minium (substituted with Zhe Shi - Hematite) |
4.5 g
Causes anemia from lead poisoning |
Calming effect |
Modern version of this formula does not contain Qian Dan. |
| ♠ King/Chief ♥ Minister/Deputy ♣ Assistant ♦ Envoy |
| Directions: Grind the ingredients and decoct over low heat from 7 cups of water to 3 cups of liquid. Goal of this formula is to induce sweating. Therefore, bundle up before drinking the first cup of liquid. If sweating occurs, stop using the rest of the decoction. If sweating does not occur, drink the next cup. |
| Modifications |
For |
| – Da Huang |
Loose stool or gastrointestinal sensitivity[14],[22] |
| – Ren Shen + amount of Da Huang |
Constipation[14] |
| + Long Dan + Xia Ku Cao |
Vertigo, nightmares, and fever[14],[22] |
| + Chang Pu + Yuan Zhi |
Heavy phlegm[14] |
| + amount of Chai Hu and Ren Shen |
Seizures[14] |
| + Zhu Sha + Suan Zao ren + Ye Jiao Teng |
Insomnia and irritability[14] |
| + Gou Teng + Du Zhong |
Insomnia and palpitation from high blood pressure[22] |
| + Huang Lian + Tian Hua Fen |
Irritability and chest fullness[22] |
| + Tian Ma + Gou Teng |
Delirium[22] |
| + Huang Qi + Ren Ren |
Qi deficiency fatique[22] |
| + Du Zhone + Niu Xi |
Lower back pain[22] |
| – Ren Shen + Sheng Tie Luo |
Manic Episode [24] |
| Individual Herb Contraindications and Potential Drug Interactions |
| sfd Chai Hu: Dries Yin and can exacerbate the Yin deficiency • Do not use as intramuscular injections • Liver fire • Hyperactive liver yang • Cytochrome P450, 2C9, 2E1, 2D6, and 3A4 • Greater than 19g may lead to liver injury; Potential drug interactions:Antibiotics • Interferon • Oflozacin • Tolbutamide • Diabetes medication • Drugs related to cytochrome P450
Huang Qin:Pregnancy • Children • Breast feeding • Deficiency heat in lungs • Middle burner cold • Restless fetus from cold • Edema • Blood deficiecy abdominal pain • Spleen deficiency • Kidney deficiency diarrhea • Poor appetite • Blood deficiency • High risk pregnancy • Fetal heat; Potential drug interactions:sedatives • antidiabetics • hypotensives
[acf field="pin_yin_herb" post_id="6004"]: Yin deficiency cough • Bleeding • Dehydration • Heat • Pregnancy • Incompatible with Wu Tou and Fu Zi • Antidepressant drugs • Blood pressure medication • Terfenadine (antihistamine) • Foods: lamb, goat ; Potential drug interactions: Grapefruit Effect: benzodiazepines midazolam (anit-depressants) , blood pressure reducers , terfenadine (antihistamine) , triazolam (anti-depressants)
Ren Shen: Blood thinner medication • Diabetes medication • Blood pressure medication • Caffeine • Yin deficiency • Stagnant fire • Hypertension • Bleeding disorders • Pain in chest • Excess heat; Potential drug interactions: ♦ Anticoagulants: asprin , clopidogrel (Plavix) , Coumadin , dipyridamole , enoxaparin , Heparin ♦ Blood Sugar Reducers: Acarbose (Precose ) , Albiglutide (Tanzeum) , Alogliptin (Nesina) , Bromocriptine mesylate (Cycloset , Canaglifozin (Invokana) , Chlorpropamide (Diabinese) , Dapagliflozin (Farxiga) , Dulaglutide (Trulicity) , Empagliflozin (Jardiance) , Glimepiride (Amaryl) , glipizide (Glucotrol) , Glyburide (DiaBeta , Glynase) , Insulin , Linagliptin (Tradjenta) , Metformin , Miglitol (Glyset) , Nateglinide (Starlix) , Parlodel) , Pioglitazone (Actos) , Pramlintide , Repaglinide (Prandin) , Rosiglitazone (Avandia) , Saxagliptin (Onglyza) , Sitagliptin (Januvia) , Tol-Tab) , Tolazamide (Tolinase) , Tolbutamide (Orinase)
Da Zao: Epigastric discomfort and bloating • Food stagnation • Damp excess • Damp Phlegm • Intestinal worms; Potential drug interactions:None noted
Gui Zhi: Pregnancy, Liver Wind, hyperactive Yang from Yin xu, Wind Heat, blood heat, heavy menses, measles, open skin sores; Potential drug interactions:diuretics, anticoagulants, grapefruit effect, blood pressure reducers, antihistamine , anti-depressants, blood sugar reducers
Sheng Jiang: Lung heat • Dry cough • Phlegm heat • Full heat • Yin deficiency with heat • Vomiting from stomach heat • Gallstones • Exterior deficiency with unexplained sweating • Horse meat; Potential drug interactions:♦ Metronidazole ♦ Anticoagulants: asprin , clopidogrel (Plavix) , Coumadin , dipyridamole , enoxaparin , Heparin
Fu Ling: Foods: Vinegar, pickled food; Potential drug interactions:♦ Diuretic: Acetazolamide, Aldactone, Amiloride Hydrochloride, Bumex, Diuril, Diulo, Demadex, Dyrenium, Edecrin, Enduron, Hydrodiuril, Hygroton, Lasix, Lozol, Methazolamide, Mykrox, Zaroxolyn
Long Gu: Damp heat • Externally contracted excess • Bradycardia • Extrasystoles • Fire induced nocturnal discharge • Fish; Potential drug interactions:
Mu Li: damp heat • constipation; Potential drug interactions:
Da Huang: Pregnancy • Nursing • Menstruation • Qi deficiency • Blood deficiency • Stomach deficiency cold • Spleen deficiency cold • Normal or loose stool • Normal blood flow • Postpartum; Potential drug interactions: ♦ Laxatives: Castor Oil, Citrucel, Colace Surfak, Correctol, Dulcolax, Ex-Lax, Fleet Enema, Fleet Phospho-Soda, GoLYTELY, GlycoLax, Magnesium Citrate, Milk of Magnesia, MiraLax, Metamucil, Microenema, Senokot |
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