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AboutChinese MedicineCaution/Notes
| Health Benefits |
| For: liver cancer • liver sclerosis • splenomegaly |
| Atributes: |
| Products |
|
Powder |
Granules |
Powder |
Pills |
| Category: Regulate Blood ⌕ |
| Subcategory: Invigorate Blood and Dispel Blood Stasis, Dispel Abscess ⌕ Source: Jin Gui Yao Lue |
| Actions: Soften hardness and reduce tumors • Move Qi and Blood • Resolves Phlegm and stagnations |
| Diagnosis |
| Tongue: Pulse: Other: |
| Patterns: Qi and Blood stagnation, Blood stasis, Damp phlegm, Yin Jaundice Blood Stagnation |
| Indications: Qi and blood stagnation, damp phlegm, tumor, liver cancer, liver sclerosis, splenomegaly, damp phlegm, chronic malaria, hepatitis, hepatomegaly, Yin jaundice blood stagnation |
| Contraindications: Zheng Qi deficiency, pregnancy |
| Description |
| Name Variations:Bie Jia Jian Wan, 鳖甲煎丸, Turtle Shell Pill, |
| Herb List: Bie Jia • Shi Wei • Tu Bie Chong • Qiang Lang • Shu Fu • Feng Fang • Tao Ren • Mu Dan Pi • Chai Hu • Hou Po • Huang Qin • Da Huang • Mang Xiao • Ban Xia • Gan Jiang • Gui Zhi • Qu Mai • Ling Xiao Hua • Ting Li Zi • Shao Yao • Ren Shen • E Jiao |
| Commentary: The herb list is based on Chen's book. The list of herbs from Song's class differ in that it contains Wu Shan and Zi Wei. Here it is Tu Bie Chong and Ling Xiao Hua. |
| Related Formulas: |
| Herbs |
Cat/Dosage |
Actions |
Attributes |
| Bie Jia • Soft shelled Turtle Shell (dorsal) • 鳖甲 |
Tonify Yin |
Nourish yin • Anchor yang • Dissipate nodules • Invigorate blood • Promote menses |
|
| Shi Wei • Pyrrosia Leaf • 石韦 |
Drain Dampness
|
Promote urination • Relieve UTI • Reduce edema • Relieve cough • Dispel phlegm • Stop bleeding |
Antitussive • Antiviral • Expectorant • Promote white blood cells |
| Zhe Chong • Wingless Cockroach • 蛰⾍ |
Invigorate Blood |
Renew sinews • Join bones • Break up stasis • Remove stasisNot commonly used except for topically used for bruises |
|
| Qiang Lang • Dung Beetle • 蜣螂 |
Downward Draining |
Reduce toxicity, move Blood, calm Shen, relieve constipation |
Purgative |
| Fu Zi/Shu Fu • Process Aconite Daughter Root • 附子 |
Warm Interior Expel Cold |
Restore devastated yang • Warm channels • Warms interior cold • Relief pain • Strengthen Ming Men fireDao Di: Si Chuan • Herbs from the same plant: Fu Zi • Tian Xiong • Wu Tou • Chuan Wu • Cao Wu • Zhi Chuan Wu |
Anodyne • Analgesic • Anti-inflammatory • Antipyretic • Mild sedative |
| Feng Fang • Hornet's Nest • 蜂房 |
Topical Application |
Reduce toxicity • Alleviate Pain • Dispel Wind |
antiparasitic, anticancer |
| Tao Ren • Peach Kernel • 桃仁 |
Invigorate Blood |
Break up blood stasis • Invigorate blood • Treat abscess • Moisten intestines • Unblock bowels |
antithrombatic • anti-inflammatory • antitussive • antiallergic • antiparasitic |
| Mu Dan Pi • Peony Bark • 牡丹皮 |
Clear Heat Cool Blood |
Cools blood • Clear yin deficient heat • Invigorate blood • Clear blood stasisThere are two different types: Mu Dan and Xiao Yao; both are peony |
Anti-inflammatory • Antibiotic • Anticonvulsant • Analgesic • Antipyretic • Hypotensive • Immunostimulant • Sedative |
| Chai Hu • Thorowax • 柴胡 |
Release Exterior Wind Heat |
Harmonize interior and exterior • Reduce fevers • Reduce chills • Soothe liver Qi • Clear muscle layer heat • Tonify stomach Qi • Guide herbs to Shao Yang Jing |
Antibiotic • Antipyretic • Anti-inflammatory • Antibaterial • Antiviral • Analgesic • Hepatoprotective • Immunemodulatory • Chemoprotective • Anti-tumor • Cholagogic • Sedative • Immunostimulate |
| Hou Po • Magnolia Bark • 厚朴 |
Aromatic Transform Damp |
Transform spleen dampness • Transform stomach dampness • Clear food stagnation • Transform Phlegm • Clear qi stagnationPairs with Cang Zhu |
GABA-ergic • Sedative • Cannabimimetic • Antioxidant • Anticoagulant • Antidepressant • Anti-inflammatory • Antibiotic • Antispasmodic • Antitumor • Antimicrobial |
| Huang Qin • Baical Skullcap Root • 黄芩 |
Clear Heat Dry Dampness |
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 |
| Da Huang • Rhubarb • 大黄 |
Downward Draining |
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 |
| Mang Xiao • Sodium Sulfate • 芒硝 |
Downward Draining |
Moisten dryness • Soften clumping in the intestine • Purge accumulations • Drain fire • Clear phlegm • Reduce swelling • Clear stagnation • Clear heat • Promote lactationThis material attracts water from the body into the intestine and bulks up stool • May be impacting the osmotic pressure in the intestinal peristosis |
Laxative |
| Ban Xia • Pinellia Root • 半夏 |
Phlegm Cold |
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 |
| Gan Jiang • Ginger (Dried) • 干姜 |
Warm Interior Expel Cold |
Warm interior • Expel cold • Stop bleeding • Transform phlegm • Rescue devastated yang • Warm Middle Jiao • Warm lungs • Warm meridians |
Anticoagulant • Hypotensive • Antiplatelet • Stimulant • Analgesic • Anti-inflammatory • Antipyretic • Cholagogic • Antiemetic • Antimutagenic |
| Gui Zhi • Cinnamon Twig • 桂枝 |
Release Exterior Wind Cold |
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 |
| Qu Mai • Dianthus • 瞿麦 |
Drain Dampness |
Drain damp heat • Invigorate blood • Promote urination • Lin Zheng • Regulate menses • Breaks up blood stasis • Unblock constipation |
Diuretic |
| Ling Xiao Hua • Campsis Flower • 凌霄花 |
Regulate Blood |
Reduce masses • Cool blood • Dispel Blood Stasis |
|
| Ting Li Zi • Lepidium Seeds • 葶苈⼦ |
Phlegm Cough + Wheezing |
Clear Lung heat • Dissolve phlegm • Calm wheezing • Promote urination • Reduce edema |
|
| Bai Shao/ Shao Yao • White Root Peony • 白芍 |
Tonify Blood |
Nourish blood • Regulate menses • Soothes liver • Relieve pain • Preserve yin • Reduce spasms • Harmonize Ying and Wei QiDao Di: Zhe Jiang • AKA Shao Yao |
analgesic • antibacterial • anti-inflammatory • hepatoprotective • immune system boost • sedative |
| Ren Shen • Ginseng • 人参 |
Tonify Qi |
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 • adrenalcortical • immunity booster • anti-inflammatory • antidepressant • hepatoprotective • stimulant |
| E Jiao • Donkey Hide Gelatin • 阿胶 |
Tonify Blood |
Tonify blood • Stop bleeding • Nourish blood • Nourish yin • Unblock bowels • Moisten dryness |
increase red blood cell count and hemoglobin • increase absorption of calcium and utilization[18] |
| Caution |
|
ALERT: Contraindications of each herb - use with caution under these conditions:
Bie Jia: Pregnancy • Spleen Xu Cold with poor appetite and diarrhea
Shi Wei:
Zhe Chong: Pregnancy
Qiang Lang: Pregnancy
Fu Zi: Soy sauce • Millet • Pregnancy • False cold, true heat • Incompatible with: Bai Ji, Bai Lian, Ban Xia, Chuan Bei Mu, Gua Lou Pi, Gua Lou Ren, Gua Lou Shi, Tian Hua Fen, Zhe Bei Mu • Cao Wu is antagonized by Xi Jiao
Feng Fang: Pregnancy, Qi and Blood Deficiency, Pus filled sores
Tao Ren: Pregnancy • Blood deficiency • Anticoagulant or anti antiplatelet drugs
Mu Dan Pi: Deficiency cold • Pregnancy • Excessive menstruation • Food: garlic
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
Hou Po: Anticoagulant drugs • Antidepressant drugs
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
Da Huang: Qi deficiency • Blood deficiency • Stomach deficiency cold • Spleen deficiency cold • Normal or loose stool • Normal blood flow • Postpartum • Caution with pregnancy, lactation, menstruation [21]
Mang Xiao: Pregnancy • Spleen and Stomach deficiency cold
Ban Xia: Yin deficiency cough • Bleeding • Dehydration • Heat • Pregnancy • Incompatible with Wu Tou and Fu Zi • Antidepressant drugs • Blood pressure medication • Terfenadine (antihistamine) • Foods: lamb, goat
Gan Jiang: Pregnancy • Blood heat • Pregnancy • Bloody mucous • Night sweats • Unexplained sweating • Heat induced pain • Heat induce vomiting
Gui Zhi: Pregnancy, Liver Wind, hyperactive Yang from Yin xu, Wind Heat, blood heat, heavy menses, measles, open skin sores
Qu Mai: Pregnancy
Ling Xiao Hua: Pregnancy
Ting Li Zi: Lung deficiency cough/wheezing • Spleen deficiency edema
Bai Shao: Deficiency cold • Breast feeding • Pregnancy • Bleeding Disorder • Scheduled Surgery
Ren Shen: Blood thinner medication • Diabetes medication • Blood pressure medication • Caffeine • Yin deficiency • Stagnant fire • Hypertension • Bleeding disorders • Pain in chest • Excess heat • food: onion, garlic, radishes, tea, turnips
E Jiao: SP/ST deficiency, phlegm dampness, diarrhea from cloying herbs • concurrent chills and fever[42] |
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