Biē Jiǎ Jiān Wán

Turtle Shell Pill

Disclaimer    For educational purposes only.  Do not use as medical advice

AboutChinese MedicineCaution/Notes
Health Benefits
For: liver cancer • liver sclerosis • splenomegaly
Atributes:
Products
 

Powder

 

Granules

 

Powder

 

Pills

Research

Category: Regulate Blood ⌕ 
Subcategory: Invigorate Blood and Dispel Blood Stasis ⌕   Source: Jin Gui Yao Lue  
Actions: Reduce tumors • Resolve stagnation • Resolves Phlegm • Eliminates accumulations
Diagnosis
Tongue:       Pulse:    Other: 
Patterns: Qi and Blood stagnation • Blood stasis • Damp phlegm 
Indications: Qi and blood stagnation, damp phlegm, tumor, liver cancer, liver sclerosis, splenomegaly, damp phlegm
Contraindications: 
Description
Name Variations:Bie Jia Jian Wan, 鳖甲煎丸, Turtle Shell Pill,
Herb List: Bie JiaShi Wei • Wu Shan • Qiang Lang • Shu Fu • Feng Fang • Tao RenMu Dan PiChai HuHou PoHuang QinDa HuangMang XiaoBan XiaGan JiangGui ZhiQu Mai • Zi Wei • Ting Li ZiShao YaoRen ShenE Jiao
Commentary:
Related Formulas:
Herbs Cat/Dosage Actions Attributes
Tao RenPeach Kernel • 桃仁  Invigorate Blood

3g

Break up blood stasis • Invigorate blood • Treat abscess • Moisten intestines • Unblock bowels antithrombatic • anti-inflammatory • antitussive • antiallergic • antiparasitic
Hong HuaSafflower Flower • 红花  Invigorate Blood

3g

Invigorate blood • Unblock menses • Dispel blood stasis • Relieve painHong Hua is better at dispersing blood stagnation to open channels/collaterals and extremities pain • Tao Ren better for blood stagnation in the abs and for lung and intestine abscess antiplatelet • antithrombatic • heart stimulant • CNS suppressant • uterine stimulant • adaptogenic
Dang Gui Wei • Chinese Angelica • 当归 尾 Tonify Blood

6g

Tonify blood • Move Blood and Qi • Regulate menses • Invigorate blood • Dispel cold • Unblock bowels • Reduce abscess swelling • Alleviate pain • Clear pus • Generate flesh • Moisten intestines Dang Gui Shen (body) - tonify blood • Quan Dang Gui - harmonize blood (tonify and invigorate) • Dang Gui Wei (tail) - invigorate blood • According to the Board Exams, this herb does not affect estrogen because it has not yet been determined in which way it does affect it. However, there are numerous research articles on Dang Gui and estrogen. phytoestrogen • antispasmodic • cholagogue • antibaterial • antiviral • antiobesity • anti-inflammatory • antifungal • mild laxative • immune system boost
Chuan Xiong • Szechuan Lovage • 川芎  Invigorate Blood

3g

Relieve pain • Expel Wind • Invigorate blood • Moves qi • Guide herbs to Jue Yin JingDao Di: Si Chuan • Available as injections Anticoagulant • Antiplatelet • Analgesic • Antitussive • Anti-inflammatory • Hypotensive • Sedative
Chi ShaoRed Peony Root • 赤芍  Invigorate Blood

4.5g

Clear heat • Cool blood • Invigorate blood • Dispel blood stasis • Clear liver fire antiplatelet • antithrombatic • antibiotic • CNS suppressant • sedative • antipyretic • antiseizure • antispasmodic
Huang QiAstragalus • 黄芪 Tonify Qi

120g

Tonify Spleen Qi • Tonify protective qi • Tonify Lung Qi • Tonify Qi to move blood • Raise stomach yang qi • Improve urination • Relief Edema • Discharge pus • Generate fleshSheng - to dry damp • Chao - to tonify Spleen, stop sweating, calm fetus • Chao jiao - to stop diarrhea Antioxidant • Immune System Booster • Diuretic • Anti-aging • Hypoglycemic • Hypotensive • Hepatoprotective
Di LongEarth Worm • 地龙 Extinguish Wind Stop Tremors

3g

Modifications For
+ Ban Xia + Tian Zhu Huang Excessive sputum14
+ Fu Zi Cold/flu14
+ Dang Shen + Bai Zhu Stomach and spleen deficiency14
+ Dang Shen + Bai Zhu + Shan Zha Spleen deficiency 31
+ Zhi Zi +Caho Suan Zao Ren Insomnia and irritability14
+ L
+ L
+ L
+ L
+ L
+ L
+ L
+ L
+ L
+ L
+ L

Caution
  • Do not use if pregnant
  • Do not use following a cerebral hemorrhage or stroke.
  • Not not use if not fully conscious
  • Do not use if there's potential hemorrhage
  • Do not use if there's fever or abnormally low temperature
  • Do not use with Hot Blood
  • Do not use with Yin deficiency
  • Do not use in Wind Stroke and forceful pulse

ALERT: Contraindications of each herb - use with caution under these conditions:
Tao Ren: Pregnancy • Blood deficiency • Anticoagulant or anti antiplatelet drugs
Hong Hua: pregnancy • anticoagulant and antiplatelet drugs
Dang Gui: Autoimmune disorder • Pregnancy • Blood thinner drugs (Wafarin) • Diarrhea • Yin deficiency with heat • Dampness abdominal distention
Chuan Xiong: Pregnancy • Blood thinners • Fire from yin deficiency • Dry tongue • Dry mouth • Fever • Profuse menstrual bleeding • Spleen deficiency • caution: LV yang xu since this herb tends to move Qi upward.
Chi Shao: Pregnancy • Incompatible with Li Lu • Deficiency cold • Antiplatelet and anticoagulant drugs
Di Long:
Huang Qi: Autoimmune diseases • Exterior excess • Qi stagnation • Damp obstruction • Food stagnation • Yin deficiency

Notes

 

Bibliography: [3], [8], [9], [14]

Information in this post came from many sources, including class notes, practitioners, websites, webinars, books, magazines, and editor's personal experience.  While the original source often came from historical Chinese texts,  variations may result from the numerous English translations.   Always consult a doctor prior to using these drugs.  The information here is strictly for educational purposes. 

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