Jiā Jiǎn Wēi Ruí Tāng

加减葳蕤汤

Modified Polygonatum Odoratum Decoction

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Category: Release Exterior ⌕ 
Subcategory: Interior Deficiency  Source: Tong Su Shang Han Lun 
Actions: Nourishes the yin, clears heat, induces sweating, and releases the exterior.[31]
Diagnosis
Tongue: red      Pulse: rapid    Other:thirst 
Patterns: Yin Deficiency Heat, Common Cold Yin Deficiency 
Indications: Exterior Wind-Heat with Yin deficiency [35] • YIN DEFICIENCY: restlessness, dry throat, thirst, red tongue, rapid pulse; External wind-heat: headache, slightly aversion to cold and fever, no sweating or not much sweat, cough [31]
Contraindications: 
Description
Name Variations: Jia Jian Wei Rui Tang, 加减葳蕤汤, Fat Baby Pill, Modified Solomon's Seal Decoction
Herb List: Yu Zhu(K) • Cong Bai(M) • Dan Dou Chi(M) • Bo He(M) • Bai Wei(A) • Jie Geng(A) • Da Zao(A) • Gan Cao(E)
Commentary: MODIFICATIONS: • Severe exterior syndrome: Ge Gen, Fang Feng • Dry throat, cough, difficulty with cough phlegm out: Niu Bang Zi, Gua Lou Ke • Severe restlessness, thirst: Zhu Ye, Tian Hua Fen [31]
Related Formulas:
NCCAOM: The 5 NCCAOM formulas for Wind Heat are Yín Qiào Sǎn, Sāng Jú Yǐn, Chái Gé Jiě Jī Tāng, Shēng Má Gě Gēn Tāng, and Jiā Jiǎn Wēi Ruí Tāng. • Yin Qiao San is for a severe early-stage infection with obvious heat and toxicity. • Sang Ju Yin is for mild Wind-Heat causing cough and eye disorders, slight thirst. • Chai Ge Jie Ji Tang is for when Wind Cold transforms into interior Yang Ming channel heat, causing severe fever, no sweating, painful eyes, dry nose, dry throat, thin yellow tongue coating. Treats Tai Yang, Yang Ming, and Shao Yang channel symptoms. • Sheng Ma Ge Gen Tang is for early stage of rashes due to externally contracted Heat (initial measle stage or measles unable to vent) • Jia Jian Wei Rui Tang is for exterior Wind-Heat with Yin deficiency.
Herbs Cat/Dosage Actions Attributes
Shan Zha
Hawthorn Fruit • ⼭楂
Food Stagnation Clear food stagnation • Promote digestion • Invigorate blood • Stop diarrhea Antibiotic • Cardiotonic • Hypotensive • Anticholesterol • Vasodilative • Gastrointestinal
Shen Qu
Medicated Leaven • 神曲
Food Stagnation Clear food stagnation • Relief diarrhea • Move Qi facilitates digestion of carbohydrates
Lai Fu Zi
Daikon Radish Seeds • 莱菔⼦
Food Stagnation Clear food stagnation, Reduce fullness/distension, Transform phlegm, descend Lung Qi, lower blood pressure [21] hypotensive [21]
Ban Xia
Pinellia Root • 半夏 ♥
Phlegm Cold Transforms damp-phlegm • Direct stomach Qi downward• Stop cough/ wheezing • Relieve nausea & vomiting • Dissolve nodules and swellings reprotoxic, warming, drying, antitussive, antiemetic
Chen Pi 
Dried Tangerine Rind陈皮 ♥
Regulate Qi Stop cough • Stop vomiting • Regulate Qi • Harmonize middle burner • Transform phlegm • Dry damp • Prevent cloying of tonifying herbs regulate gastrointestinal smooth muscles, clear phlegm, hypertensive, aid digestion, hepatoprotective, anti-inflammatory, antioxidant, antiviral, expectorant
Fu LingPoria Mushroom • 茯苓 ♥ Drain Dampness Dry dampness • Tonify spleen • Calm spirit • Relief edema • Detox food poisoning • Promote urination Dao Di: Yun Nan
Lian Qiao
Forsythia 连翘  
Clear Heat Resolve Toxins Clear heat - particularly in upper burner • Disperse clumps • Resolve toxins • Reduce abscesses • Promote urination • Clear ying level heat • Reduce fever Antibiotic • Anti-inflammatory • Antipyretic • Antiemetic • Diuretic • Hepatoprotective
King/Chief    ♥ Minister/Deputy      Assistant     ♦ Envoy
Directions: 
Modifications For
+ Zhi Shi + Bin Lang Severe food stagnation 31
+ Huang Qin + Huang Lian Yellow tongue coating, rapid pulse 31
+ Da Huang Constipation 31
+ Bai Zhu Spleen deficiency 31

Caution

ALERT: Contraindications of each herb - use with caution under these conditions:
Shan Zha: Large doses are contraindicated during pregnancy, as this can lead to fetal death.[21]
Shen Qu:
Lai Fu Zi: Pregnancy; Lai Fu Zi antagonizes Ren Shen (reduce it's tonifying effect). Same for He Shou Wu and Shu Di Huang. Strong dispersing action means prolonged or excessive use can consume Qi.[21].
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
Chen Pi: Excess internal heat • Dry cough from heat, yin deficiency or qi deficiency • Cough with blood • Red tongue • Fluid deficiency
Fu LingBa Dou: Foods: Vinegar, pickled food
Lian Qiao: Diarrhea

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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