Jiā Wèi Xiāo Yáo Sǎn

加味逍遥散

Augmented Rambling Powder

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Category: Harmonize ⌕ 
Subcategory: Liver and Spleen  Source:  
Actions: sooth liver, clear heat, regulate blood and menstruation [31] • Spread the Liver Qi, strengthen Spleen, nourish blood, clears heat. [25]
Diagnosis
Tongue:       Pulse:    Other: 
Patterns: Liver Qi Stagnation, Spleen Qi Deficiency, Blood Deficiency, Blocked Menses Qi & Blood Yu 
Indications: LV Qi stagnation with LV Blood & SP Qi deficiency + Interior Heat [35] • Liver qi stagnation with blood deficiency, transformed into fire; menstruation problem due to Liver Qi stagnation, blood deficiency[31] • For Liver constraint with Spleen deficiency, irritability, short temper, tidal fever, sweating, red eyes, dry mouth, palpitations, lower abdominal pressure, painful urination, uterine bleeding. Subjective feeling of heat. Facial flushing. Mild stagnation. [25]
Contraindications: 
Description
Name Variations: Jia Wei Xiao Yao San, 加味逍遥散, Augmented Rambling Powder, Dan Zhi Xiao Yao San
Herb List: Dang GuiShao YaoFu LingChao Bai ZhuChai HuMu Dan Pi • Chao Zhi ZiZhi Gan Cao
Commentary: This formula is Xiao Yao San + Mu Dan Pi + Zhi Zi. Chai Hu – regulating LV Qi and mildly clear heat; Dang Gui/Bai Shao – tonify and move blood; Bai Zhu/Fu LingBai Zhu tonify SP Qi and Fu Ling drain dampness (drain dampness is primarily promote urination). Drain dampness does not necessarily tonify SP Qi; Mu Dan Pi/Zhi Zi – clear LV heat. Cool blood. Mild for Yin deficiency. Both go to LV channel; Bo He – clear heat from Qi stagnation. Aromatic function to clear Qi.; This formula is mostly focused on tonify blood and promote SP Qi funcEon. LV hates any constraint, need to move, so this formula focus on the LV and support the SP. When you support the SP, the LV can be more flexible.
Related Formulas: Xiao Yao San
Related Patents: Free and Easy Wanderer Plus (Golden Flower) - Jia Wei Xiao Yao San modified with Yi Mu Cao, Yu Jin, Chi Shao; useful for cool blood, clear heat, regulate emotions, and regulating menstrual cycle. •
NCCAOM: The 4 NCCAOM formulas for harmonizing the Liver and Spleen are Sì Nì Sǎn, Xiāo Yáo Sǎn, Jiā Wèi Xiāo Yáo Sǎn, and Tòng Xiè Yào Fāng. • Si Ni San is for Liver Qi stagnation overacting on Spleen causing cold extremities. • Xiao Yao San is Liver Qi stagnation with Liver Blood & Spleen Qi deficiency causing hypochondriac pain, vertigo, irregular menstruation, breast distention, wiry, fatigue, poor appetite, weak pulse. • Jia Wei Xiao Yao San is for Liver Qi stagnation with Liver Blood & Spleen Qi deficiency + Interior Heat. • Tong Xie Yao Fang is for Liver Qi stagnation overacting on the SP causing diarrhea with abdominal pain. Pulse is left side is wiry (Liver) and right side is slow (SP Qi deficiency).
Herbs Cat/Dosage Actions Attributes
Dang GuiChinese Angelica • 当归   Tonify Blood 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 • volatile oil inhibits uterine contractions
Bai ShaoWhite 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
Fu LingPoria Mushroom • 茯苓  Drain Dampness 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
Bai ZhuWhite Atractylodes Root • 白术  Tonify Qi Tonify Spleen Qi • Stop sweating • Calms fetus • Dry dampness • Stabilize exteriorDao Di: Zhe Jiang Anti-inflammatory • Hepatoprotective • Immunity Booster • Hypoglycemic • Antibaterial
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
Mu Dan PiPeony 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
Zhi Zi • Gardenia • 栀子  Clear Heat Drain Fire Clear heat • Drain liver fire • Cool blood • Dry dampness • Resolve toxins • Stop bleeding • Reduce injury swelling Antibiotic • Sedative • Hypotensive • Laxative • Anti-inflammatory • Antibacterial • Antipyretic
Gan CaoLicorice Root • 甘草  Tonify Qi Tonify Spleen Qi • Tonify Heart qi • Clear heat • Resolve toxicity • Stop cough • Dispel phlegm • Lubricate lungs • Stop wheezing • Reduce spasm • Relieve pain • Harmonize other herb effects • enters 12 channelsEnters all 12 channels, often serve as envoy in a formula. Hypoglycemic • Antiarrhythmic • Hypertensive • Expectorant • Antidiarrheal • Antiulcer • Hepatoprotective • Immunostimulant • Antitussive • Antiviral • Detox • Demulcent • Anti-inflammatory • Laxative • Emmenagogue • Antimicrobial • Spasmolytic • Corticosteroidal
King/Chief    ♥ Minister/Deputy      Assistant     ♦ Envoy
Directions:

Caution

ALERT: Contraindications of each herb - use with caution under these conditions:
Dang Gui: Autoimmune disorder • Pregnancy • Blood thinner drugs (Wafarin) • Diarrhea • Yin deficiency with heat • Dampness abdominal distention
Bai Shao: Deficiency cold • Breast feeding • Pregnancy • Bleeding Disorder • Scheduled Surgery
Fu Ling: Foods: Vinegar, pickled food
Bai Zhu: Autoimmune disorder • Yin deficiency with heat • Dehydration • Foods: black carp, Chinese cabbage, peach, plum and coriander
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
Mu Dan Pi: Deficiency cold • Pregnancy • Excessive menstruation • Food: garlic
Zhi Zi: Spleen and Stomach deficiency cold • Loose stool • Poor appetite • Diarrhea
Gan Cao: High blood pressure • Low potassium • Seaweed • Medications: Gan Cao can interact with various medication. See Pharma Interaction section.

Notes

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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