Tòng Xiè Yào Fāng

痛泻要方

Important Formula for Painful Diarrhea

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

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Category: Harmonize ⌕ 
Subcategory: Dan Xi Xin Fa   Source: Shang Han Lun 
Actions: Tonify SP, soften Liver, eliminate damp, stop diarrhea [31]
Diagnosis
Tongue:       Pulse: left wiry, right slow    Other: 
Patterns: Liver and Spleen Disharmony, Diarrhea Liver Qi Stagnation 
Indications: LV Qi stagnation overacting on the SP causing diarrhea with abdominal pain [35] • Borborygmus, abdominal pain with diarrhea, pain relieved after defecation. Left wiry, right slow [31]
Contraindications: 
Description
Name Variations: Tong Xie Yao Fang, 痛泻要方, Important Formula for Painful Diarrhea,
Herb List: Bai Zhu(K) • Bai Shao(M) • Chen Pi(A) • Fang Feng(E)
Commentary: Modifications • Chronic diarrhea: Chao Sheng Ma • Yellow greasy coating: Huang Lian, Mu Xiang
Related Formulas:
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
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
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
Chen PiDried Tangerine Rind • 陈皮  Regulate Qi Stop cough • Stop vomiting • Regulate Qi • Harmonize middle burner • Transform phlegm • Dry damp • Prevent cloying of tonifying herbs Dao Di: Guang Dong • The older the Chen Pi, the better the quality • For moving Qi, Chen Pi is focus on moving Qi in the epigastric area regulate gastrointestinal smooth muscles, clear phlegm, hypertensive, aid digestion, hepatoprotective, anti-inflammatory, antioxidant, antiviral, expectorant
Fang FengSiler Root • 防风  Release Exterior Wind Cold Expel all wind disorders • Relief intestinal wind • Release exterior • Reduce muscle spasms • Expel wind-cold • Expel Wind Dampness • Treat diarrhea • Relief Liver wind • Benefits 12 channelsCharred Fang Feng is used to stop bleeding; particularly with overly heavy menstrual bleeding Antibiotic • Antipyretic • Hemostatic
King/Chief    ♥ Minister/Deputy      Assistant     ♦ Envoy
Directions:
Modifications For
+ Chao Sheng Ma Chronic diarrhea 31
+ Huang Lian + Mu Xiang Yellow greasy coat 31

Caution

ALERT: Contraindications of each herb - use with caution under these conditions:
Bai Zhu: Autoimmune disorder • Yin deficiency with heat • Dehydration • Foods: black carp, Chinese cabbage, peach, plum and coriander
Bai Shao: Deficiency cold • Breast feeding • Pregnancy • Bleeding Disorder • Scheduled Surgery
Chen Pi: Excess internal heat • Dry cough from heat, yin deficiency or qi deficiency • Cough with blood • Red tongue • Fluid deficiency
Fang Feng: Yin deficiency fire • Blood deficiency spasms • Lack dampness • Lack pathogenic wind

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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