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    Project Editors: Zhou Ling, Lara Deasy & Liu Shui

    Copy Editor:Book Designer: Guo Miao & Zhao Jing-jin

    Cover Designer: Guo Miao & Zhao Jing-jin

    Typesetter:

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    Internationa l Standard Library of Chinese Med ic ine

    Deng Zhong-jia, Ph.D. TCM

    Professor and Doctoral Supervisor of Chinese Medicinal Formulas,

    Chengdu University of TCM,

    Chengdu, China

    Greg Zimmerman, M.S., L.Ac.

    Acupuncturist, Chinese American Acupuncture Center,

    Orlando, Florida, USA

    Ye Qiao-bo, Ph.D. TCM

    Lectuer, International Education College, Chengdu University of TCM,

    Chengdu, China

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    Websi te: http://www.pmph.com

    Book T i t le : Chinese Medicinal Formulas (International Standard Library of ChineseMedicine)

    Copyright 2011 by Peoples Medical Publishing House. All rights reserved. Nopart of this publication may be reproduced, stored in a database or retrieval system,or transmitted in any form or by any electronic, mechanical, photocopy, or otherrecording means, without the prior written permission of the publisher.

    Contact address: No. 19, Pan Jia Yuan Nan Li, Chaoyang District, Beijing 100021, P.R.

    China, phone/fax: 8610 5978 7338, E-mail: [email protected]

    For text and trade sales, as well as review copy enquiries, please contact PMPH [email protected]

    Disc la imer

    This book is for educational and reference purposes only. In view of the possibilityof human error or changes in medical science, the author, editor, publisher andany other party involved in the publication of this work do not guarantee that theinformation contained herein is in any respect accurate or complete. The medicinaltherapies and treatment techniques presented in this book are provided for thepurpose of reference only. If readers wish to attempt any of the techniques orutilize any of the medicinal therapies contained in this book, the publisher assumesno responsibility for any such actions. It is the responsibility of the readers tounderstand and adhere to local laws and regulations concerning the practice ofthese techniques and methods. The authors, editors and publishers disclaim allresponsibility for any liability, loss, injury, or damage incurred as a consequence,directly or indirectly, of the use and application of any of the contents of this book.

    First published: 2011ISBN:

    Cataloguing in Publication Data:A catalogue record for this book is available from theCIP-Database China.

    Printed in The Peoples Republic of China

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    5

    Contributors (Listed alphabetically by name)

    Chen Jian-ping

    , Ph.D. TCMAssistant Professor(Honorary Associate

    Professor), School of Chinese Medicine,

    The University of Hong Kong , China

    Jia Bo

    , M.S. TCMProfessor, Director of the Formula

    Department, Chengdu University of

    TCM, Chengdu, China

    Li Ji, Ph.D. TCM

    Professor, Vice president of Heilongjiang

    University of Traditional Chinese

    Medicine, Harbin China

    Ruan Shi-bao,

    Professor, Director of the formula

    Department, Fujian University of Traditional

    Chinese Medicine, Xiamen, China

    Shen Tao, Ph.D. TCM

    Professor, Vice President of Chengdu

    University of Traditional Chinese

    Medicine, Chengdu, China

    Wang Di,

    Professor, Director of the Formula

    Department, Changchun University of

    Traditional Chinese Medicine, Jilin, China

    Yi Zi-gang,

    Professor, Director of the Formula

    Department, Guangxi College of Traditional

    Chinese Medicine, Nanning, China

    Zhou Ran,

    Professor, President of Shanxi College of

    Traditional Chinese Medicine, Taiyuan,

    China

    Zhou Yong-xue,

    Professor, President of Shaanxi College of

    Traditional Chinese Medicine, Xian, China

    Translators (Listed alphabetically by name)

    Azure (Duan Ying-zhe), Ph.D.,

    L.Ac., TCM

    Harmony Acupuncture & TCM, Atlanta,

    GA, U. S. A.

    Hu Peng, Ph.D. TCM

    Lecturer, Clinical College, Chengdu

    University of Tradit ional Chinese

    Medicine, Chengdu, China

    Jin Zhao, Ph.D. TCM

    A t t e n d i n g P h y s i c i a n , C h e n g d u

    University of TCM, Chengdu, China

    Li Yi-bei, Ph.D. Candidate TCM

    Attending Physician, Department of

    Endocrinology, Affiliated Hospital ofChengdu University of TCM, Chengdu,

    China

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    Ma Xi-tao, M.S. TCM

    Interpreter/Translator, Physician,A f f i l i a t e d H o s p i t a l o f C h e n g d u

    University of Traditional Chinese

    Medicine, Chengdu, China

    Song Yao-ping, Ph.D. L.Ac., TCM

    The Academy of Oriental Medicine atAustin, Austin, TX, U. S. A.

    Wang Jing, Ph.D. TCM

    Physician, Lecturer, Clinical College,

    Chengdu University of Traditional

    Chinese Medicine, Chengdu, China

    Wu Shi-guo, Ph.D. TCM

    Physician, Lecturer, Yunnan College of

    Traditional Chinese Medicine, Kunming,

    China

    English Editors

    Greg Zimmerman, M.S., L.Ac.

    Acupuncturist , Chinese American

    Acupuncture Center, Orlando, Florida,

    USA

    Lara Deasy, Bsc (Hons) TCM, B.M.

    (Beijing) TCM, MRCHM

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    About t he Au thors

    Deng Zhong-jia

    Deng Zhong-jia, State Council Expert for Special Allowance, is a professor and

    doctoral supervisor of Chengdu University of TCM. He is the principal academic

    leader of the state-level formulas courses, teaching team and key disciplines of

    the State Administration of TCM of China. Prof. Deng was the Deputy Committee

    Director of the Branch Association of Formulas, China TCM Association (2002-06).

    The two textbooks: Formulas of Traditional Chinese Medicine , he edited in 2001 and

    2008, are widely used in China. He was awarded the Excellent Textbook Prize for his

    contribution to textbook editing in 2009.

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    Greg Zimmerman

    Greg Zimmerman is a Licensed Acupuncturist and Chinese Medicine Practitioner

    located in Southern California. He has been involved in the academics of Traditional

    Chinese Medicine since 1996 serving as a lecturer, consultant and editor for

    prominent Chinese herbal manufacturing companies, educational organizations, and

    TCM colleges. Greg Zimmerman has maintained a private practice, the Yi An Chinese

    Medicine Clinic, located in Irvine, CA since 1997.

    For the past 12 years, he has taught a variety of classes on various subjects of

    Traditional Chinese Medicine with an emphasis on Chinese herbal formulas and

    medicinals. More recently, he has developed and teaches a certification course,

    regarding ethical herbal compounding and dispensing, to professional practitioners

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    Ye Qiao-bo ( )

    Ye Qiao-bo is a graduate of the Chengdu University of TCM (Bachelor in

    Chinese Herbal Medicine, 2001; Master in Formulas, 2004; Ph.D in Formulas, 2009).

    She worked as an editorial member and translator for the Encyclopedia of Medicinal

    Plants at the School of Chinese Medicine, Hong Kong Baptist University, Kowloon

    Tong (Research Assistant, 2004-06). Currently, she teaches formulas in the Chengdu

    University of TCM and serves as a physician in the afliated clinic of the university.

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    10

    Executive Directors

    Li Zhen-ji

    Vice Chairman and Secretary-general, World

    Federation of Chinese Medical Societies,

    Beijing, China

    Hu Guo-chen

    President and Editor-in-Chief, Peoples Medical

    Publishing House, Beijing, China

    Directors

    You Zhao-ling

    Former President and Professor of Chinese

    Medical Gynecology, Hunan University of

    TCM, Changsha, China

    Xie Jian-qun

    President and Professor of Chinese Internal

    Medicine, Shanghai Universi ty of TCM,

    Shanghai, China

    General Coordinator

    Liu Shui

    Director of International TCM Publications, Peoples Medical Publishing House, Beijing

    Members (Listed alphabetically by last name)

    Chang Zhang-fuProfessor of Chinese Materia Medica, Beijing

    University of CM, Beijing, China

    Chen Hong-feng, Ph.D. TCMProfessor of Chinese External Medicine,

    Shanghai University of TCM, Shanghai, China

    Chen Jia-xu, Ph.D. TCM

    Professor of TCM Diagnost i cs , Be i j ing

    University of CM, Beijing, China

    Chen Ming

    Professor of Shng Hn Ln, Beijing University

    of CM, Beijing, China

    Cui Hai, Ph.D. TCM

    Associate Professor of TCM, Capital Medical

    University, Beijing, China

    Deng Zhong-jia

    Professor of Chinese Medicinal Formulae,

    Chengdu University of TCM, Chengdu, China

    Ding Xiao-hong

    Associate Professor of Tui Na, International

    Education College, Nanjing University of TCM,

    Nanjing,China

    Doug Eisenstark, L.Ac

    Professor of Chinese Medicine, Emperors

    College, Los Angeles, USA

    Stephen X. Guo, M.A. International

    Affairs

    Director of Jande International, New York, USA

    Han Chou-ping

    Associate Professor, International Education

    College, Shanghai University of TCM, Shanghai,

    China

    Hu Jun, B.A. Medical English

    Currently pursuing Masters of Science in

    Social History of Medicine, Peking University,

    Beijing, China

    Hu Ke-xin, Ph.D. TCM

    Professor of Otorhinolaryngology, Keelung City

    Municipal Hospital, Taiwan, China

    Editorial Board for International Standard Library of Chinese Medicine

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    Hu Zhen

    Professor and Head of Depar tment of

    Traditional Chinese Medicine, Wenzhou

    Medical College, Wenzhou, China

    Huang Fei-li

    Professor of Cosmetology, Hong Kong Baptist

    University, Hong Kong, China

    Russell William James, M.S. TCM

    IELTS Examiner & Marker, Beijing, China

    Jia De-xian, Ph.D. TCM

    Professor of Chinese Materia Medica, Beijing

    University of CM, Beijing, China

    Jin Hong-zhu

    Professor of Acupuncture & Tui Na, Nanjing

    University of TCM, Nanjing, China

    Lao Li-xing, Ph.D.

    Professor of Acupuncture and Moxibustion,

    University of Maryland School of Medicine,

    Baltimore, USA

    Past Co-President of the Society for Acupuncture

    Research

    Hon K. Lee, Dipl. OM, L.Ac.Director of the Jow Ga Shaolin Institute,

    Herndon, Virginia, USA

    Li Dao-fang, Ph.D. TCMPresident of Florida Acupuncture Association;

    Executive Board Director, National Federation of

    Chinese TCM Organizations, Kissimmee, USA

    Mei Li, M.S. TOM, L.Ac.

    Translator and Editor, Peoples Medical

    Publishing House, Beijing, China

    Li Ming-dong, Ph.D. OMD, L.Ac.

    Professor of Chinese Internal Medicine, Yo San

    University of Traditional Chinese Medicine, Los

    Angeles, USA

    Li Wan-ling

    Qi Gong and TCM Translator, Beijing, China

    Liang Li-na, Ph.D. TCM

    Associate Professor of Ophthalmology, EyeHospital of China Academy of Chinese Medical

    Sciences, Beijing, China

    Liu Zhan-wen

    Professor of Chinese Medicine, Bei j ing

    University of Chinese Medicine, Beijing, China

    L Ming

    Professor of Tui Na, Changchun University of

    Chinese Medicine, Changchun, China

    Mark L. Mondot, B.A. Chinese Language,

    L.Ac.

    Translator and Editor, Peoples Medical

    Publishing House, Beijing, China

    Jane Lyttleton,Hons, M Phil, Dip TCM, Cert

    Ac.

    Lecturer, University of Western Sydney, Sydney,

    Australia

    Julie Mulin Qiao-Wong

    Professor of Chinese Medicine, Victoria

    University, Melbourne, Australia

    Andy Rosenfarb, M.S. TOM, L.Ac.

    Acupuncture Health Associates, New Jersey,

    USA

    Paul F. Ryan, M.S. TCM, L.Ac.

    Taihu Institute, Jiangsu, China

    Martin Schweizer, Ph.D. Molecular Biology, L.Ac.

    Emeritus Professor of Medicinal Chemistry,

    University of Utah, USA

    Secondo Scarsella, MD, DDS

    Visiting Professor of Tui Na, Nanjing Universityof TCM, China Department of Maxillofacial

    Surgery, San Salvatore Hospital, LAquila, Italy

    Sun Guang-ren

    Professor of TCM Fundamentals, ShandongUniversity of TCM, Jinan, China

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    12

    Tsai Chun-hui, Ph.D.

    Associate Professor of Pediatrics, School of

    Medicine, University of Colorado, Denver, USA

    Tu Ya

    Professor of Acupuncture and Moxibustion,

    Beijing University of CM, Beijing, China

    Wang Shou-chuan

    Professor of TCM Pedia tr i cs , Nanj ing

    University of TCM, Nanjing, China

    Wei Qi-ping

    Professor of Ophthalmology, Beijing University

    of CM, Beijing

    Douglas Wile,Ph.D.Former professor of History & Philosophy of

    Chinese Medicine and of Chinese Language

    at Pacific College of Oriental Medicine, New

    York; Professor of Chinese language at Alverno

    College, Milwaukee, USA

    Jane Frances Wilson, M.S., L.Ac.

    Senior Lecturer of School of Life Sciences,

    University of Westminster, London, UK

    Xiao Ping

    Associate Professor, Hunan University of TCM,Changsha, China

    Xu Shi-zu, M.A. Chinese Martial Arts

    Chinese Traditional Sports and Health CultivationInstructor, School of Physical Education in

    Wenzhou Medical College, Wenzhou, China

    Yan Dao-nan

    Professor of Otorhinolaryngology, Nanjing

    University of TCM, Nanjing, China

    Ye Qiao-bo, Ph.D. TCM

    Lecturer of Chinese Medicinal Formulae,

    Chengdu University of TCM, Chengdu, China

    Zhang Ji

    Professor of Acupuncture and Moxibustion,

    Beijing University of CM, Beijing, China

    Zhang Ji, Ph.D. TCM

    Professor of Chinese Materia Medica, Emperors

    College of Oriental Medicine, Alhambra University,

    Dongguk University, Los Angeles, USA

    Helen Q. Zhang, Ph.D. TCM, L.Ac.

    Director of Qi TCM Clinic, New York, USA

    Zhang Qing-rong

    Professor of TCM Fundamentals, Liaoning

    University of TCM, Shenyang, China

    Zhao Bai-xiao, Ph.D. TCM

    Professor of Acupuncture and Moxibustion,

    Dean, School of Acupuncture and Moxibustion,

    Beijing University of TCM, China

    Zhao Xia, Ph.D. TCM

    Professor of TCM Pediatrics, Nanjing University

    of TCM, Nanjing, China

    Zhou Gang, Ph.D. TCM

    Lecturer ofShng Hn Ln, Beijing University

    of CM, Beijing, China

    Gregory Donald Zimmerman, M.S., L.Ac.

    Lecturer, Southern California University of

    Health Sciences (formerly LACC), California,

    USA

    Sponsored by

    World Federation of Chinese Medical Societies

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    13

    The science of formulas is a subject dealing with the treatment and theories of

    formulas, as well as the clinical application. It is an important basic course in TCM

    and should be studied after the Basic Theory of TCM, Diagnostics of TCM andChinese Materia Medica courses.

    The textbook is divided into two parts. The rst part is General Discussion, focusing

    on the brief history and development of the formulas science, Treatment Methods

    and Formulas, Classification of Formulas, Composition of Formulas, Dosage, Form

    and Preparation and Administration of Decoctions. The second part includes specic

    discussions on formulas in nineteen categories. It contains 182 principal formulas and

    185 associated formulas, which are divided into fundamental formulas, representative

    formulas and commonly used formulas. One hundred kinds of commonly used

    Chinese patent drugs are introduced in the Appendix in the form of a chart.

    Each chapter contains four parts: Brief Introduction, Specific Formulas, Summary

    and Questions. The Brief Introduction includes the denition of each type of formula,

    treatment method, function, application, cautions, clinical features, compatibility

    methods and the name of commonly used formulas. Specific Formulas includes

    the Source Text, Formula Ingredients, Preparation and Administration, Formula

    Indications, Analysis of Fundamental Pattern Pathogenesis, Formula Analysis,

    Formula Actions, Unique Combination Features, Further Clarification, Formula

    Applications, Associated Formulas, Case Studies, and Comments. The Summary is

    a brief comparison between the formulas. The Questions try to develop the ability of

    independent thinking and comprehensive analysis based on the important contents of

    each chapter.

    This textbook is characterized by following features:

    1. Using clear and easily understood forms to elucidate Formula Analysis,Modications, Associated Formulas, and Comparisons & Contrasts.

    Preface

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    14

    2. The item of Further Clarication is set to elucidate the difculties and doubts.

    3. The fundamental combinations are concluded in the Formula Analysis

    form. Also, the Unique Combination Features helps readers to learn more

    compatibility skills.

    4. One to four typical and practical cases by famous ancient or current TCM

    practitioners are listed in most formulas. It can help readers master the core

    pathomechanism and learn how to modify the formulas in different specific

    cases.

    Work Assignment:

    The General Introduction was written by Deng Zhong-jia. Chapter 1 and Chapter

    3 were written by Jia Bo. Chapter 2, Chapter 13 and Chapter 19 were written by Yi

    Zi-gang. Chapter 4 and Chapter 5 were written by Zhou Rong-xue. Chapter 6 andChapter 7 were written by Shen Tao. Chapter 9 and Chapter 11 were written by Wang

    Di. Chapter 12 and Chapter 14 were written by Ruan Shi-bao. Chapter 16 was written

    by Li Ji. Chapter 10 and Chapter 17 were written by Zhou Ran. Chapter 8, Chapter 16

    and Chapter 18 were written by Chen Jian-ping.

    This book can be used as an authentic textbook for overseas students.

    Moreover, it can serve as reference for TCM practitioners with its practical contents.

    Deng Zhong-jia, Greg Zimmerman, Ye Qiao-bo

    2011

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    15

    Par t I Genera l In t roduc t ion

    Chapter 1 The History of Chinese Formulas......................................................

    Chapter 2 Treatment Methods and Formulas ....................................................

    Chapter 3 Classication of Formulas .................................................................

    Chapter 4 Composition of Formulas ..................................................................

    Chapter 5 Dosage Form .......................................................................................

    Chapter 6 Preparation and Administration of Decoctions ...............................

    Par t I I Form ula Monographs

    Chapter 1 Exterior Releasing Formulas .............................................................

    Section 1 Acrid-Warm Exterior Releasing Formulas .............................................................

    Section 2 Acrid-Cold Exterior Releasing Formulas ...............................................................

    Section 3 Supporting and Exterior Releasing Formulas .........................................................

    Chapter 2 Downward Draining Formulas ...........................................................

    Section 1 Cold Purgatives ......................................................................................................

    TABLE OF CONTENTS

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    Section 2 Warm Purgatives ....................................................................................................

    Section 3 Moist Purgatives .....................................................................................................

    Section 4 Harsh Expellants ....................................................................................................

    Section 5 Purgative and Tonic Formulas ...............................................................................

    Chapter 3 Harmonizing Formulas .......................................................................

    Section 1 Shaoyang Harmonizing Formulas ..........................................................................

    Section 2 Liver and Spleen Harmonizing Formulas ...............................................................

    Section 3 Intestines and Stomach Harmonizing Formulas .....................................................

    Chapter 4 Heat-Clearing Formulas .....................................................................

    Section 1 Qi Level-Clearing Formulas ...................................................................................

    Section 2 Ying Level-Clearing and Blood-Cooling Formulas .................................................

    Section 3 Heat-Clearing and Toxin-Eliminating Formulas ....................................................

    Section 4 Zang-fu-Clearing Formulas ....................................................................................

    Section 5 Deficiency-Heat-Clearing Formulas.......................................................................

    Chapter 5 Summer-Heat-Dispelling Formulas ...................................................

    Chapter 6 Interior-Warming Formulas ................................................................

    Section 1 Center-Warming and Cold-Dispelling Formulas ....................................................

    Section 2 Yang-Resuscitating Formulas ................................................................................

    Section 3 Channel-Warming and Cold-Dispersing Formulas.................................................

    Chapter 7 Tonic Formulas ...................................................................................

    Section 1 Qi-Tonifying Formulas ...........................................................................................

    Section 2 Blood-Tonifying Formulas ......................................................................................

    Section 3 Qi and Blood Tonifying Formulas ..........................................................................

    Section 4 Yin-Tonifying Formulas .........................................................................................

    Section 5 Yang-Tonifying Formulas .......................................................................................

    Section 6 Yin and Yang Tonifying Formulas .........................................................................

    Chapter 8 Mind-Calming Formulas .....................................................................

    Section 1 Mind-Calming Formulas Using Heavy Sedatives ...................................................

    Section 2 Mind-Calming Formulas Using Supplementing Sedatives......................................

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    17

    Chapter 9 Orices-Opening Formulas................................................................

    Section 1 Cool Orifices-Opening Formulas ............................................................................

    Section 2 Warm Orifices-Opening Formulas .........................................................................

    Chapter 10 Astringent formulas ..........................................................................

    Section 1 Exterior-Consolidating Formulas to Arrest Sweating ..............................................

    Section 2 Lung-Restraining Formulas to Relieve Cough .......................................................

    Section 3 Intestine-Astringing Formulas to Stop Leakage .....................................................

    Section 4 Essence-Securing Formulas to Arrest Enuresis and Seminal Emissions ................

    Section 5 Womb-Stabilizing Formulas to Arrest Profuse Uterine Bleeding

    and Vaginal Discharge .........................................................................................

    Chapter 11 Qi-Rectifying Formulas.....................................................................

    Section 1 Qi-Moving Formulas ..............................................................................................

    Section 2 Qi-Descending Formulas........................................................................................

    Chapter 12 Blood-Regulating Formulas .............................................................

    Section 1 Blood-Invigorating and Stasis

    -Removing Formulas ...............................................

    Section 2 Bleeding-Stanching Formulas ................................................................................

    Chapter13 Wind-Expelling Formulas ..................................................................

    Section 1 External Wind Expelling and Dissipating Formulas ..............................................

    Section 2 Internal Wind Calming and Extinguishing Formulas .............................................

    Chapter 14 Dryness-Relieving Formulas ...........................................................

    Section 1 External Dryness Relieving Formulas by Light Diffusion ......................................

    Section 2 Yin-Enriching and Dryness-Moistening Formulas .................................................

    Chapter 15 Dampness-Removing Formulas ......................................................

    Section 1 Damp-Drying and Stomach-Harmonizing Formulas ...............................................

    Section 2 Heat-Clearing and Dampness-Dispelling Formulas ...............................................

    Section 3 Urination-Promoting and Dampness-Percolating Formulas ...................................

    Section 4 Warm Formulas that Remove Cold-Damp ..............................................................

    Section 5 Wind-Dispelling and Dampness-Overcoming Formulas ........................................

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    18

    Chapter 16 Phlegm-Dispelling Formulas ...........................................................

    Section 1 Damp-Drying and Phlegm-Dissolving Formulas ....................................................

    Section 2 Heat-Clearing and Phlegm-Dissolving Formulas ...................................................

    Section 3 Dryness-Moistening and Phlegm-Dissolving Formulas ..........................................

    Section 4 Warm Formulas that Dissolve Cold Phlegm ...........................................................

    Section 5 Wind-Dispelling and Phlegm-Dissolving formulas ................................................

    Chapter 17 Digestion-Promoting Formulas .......................................................

    Section 1 Digestion-Promoting and Stagnation-Removing Formulas .....................................

    Section 2 Spleen-Fortifying and Digestion-Promoting Formulas ...........................................

    Chapter 18 Worm-Expelling Formulas ...............................................................

    Chapter 19 Emetic Formulas ...............................................................................

    Appendix ................................................................................................................

    Appendix I List of Medicinals................................................................................................

    Appendix II List of Formulas .................................................................................................

    Appendix III List of Classical Texts ......................................................................................

    Index .......................................................................................................................

    Index by Chinese Medicinals and Formulas - Pin Yin Names ...............................................

    Index by Chinese Medicinals and Formulas - Pharmaceutical Names ..................................

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    1

    Chapter 17Digestion-Promoting Formulas

    Digestion-promoting formulas utilize digestion-promoting medicinals as key

    components. They have the therapeutic actions to promote digestion, fortify the spleen,

    remove accumulation, and remove stagnation. Digestion-promoting formulas areprescribed to treat food accumulation. The modern method promote digestion was

    historically referred to as the dispersion method. It is one of the Eight Treatment Methods

    recorded in ancient literature.

    The dispersion method is extensively applied for conditions of accumulation,

    stagnation andfullness that result from blockage of qi, blood, phlegm, dampness, food

    and worms. This chapter discusses the therapeutic method and formulas used for

    food accumulation. Related therapeutic methods and formulas are discussed in the qi-

    regulating, blood-rectifying, dampness-dispelling, accumulation-removing and worm-

    expelling chapters.

    The etiologies of food accumulation are essentially classied in terms of deciency and

    excess. Decient patterns of food accumulation are caused by spleen deciency and poor

    digestion. Excessive patterns of food accumulation are due to an improper diet, bad dietary

    habits, and overeating. Digestion-promoting formulas are therefore categorized into two

    types:

    a) Digestionpromoting and stagnation-removing formulas

    b) Spleen-fortifying and digestion-promoting formulas

    Formulas that promote digestion typically contain qi-regulating medicinals because

    internal accumulation inhibits qi movement. The opposite is also true; constraint and

    stagnation of the qi mechanism will induce obstruction. Therefore, removing accumulationis associated with moving the qi. Those who suffer chronic conditions with a deficiency

    ofzheng qi, as well as spleen and stomach deficiencies, require medicinals that reinforce

    zheng qi. They are used simultaneously along with those medicinals that disperse food

    accumulation. As a result of their pathological development, food accumulations may have

    either a hot or cold pathological character. Therefore these formulas may necessarily be heat

    clearing or warming in nature.

    It is not advised to take dispersing formulas for long periods of time. They are

    aggressive and may consume zheng qi and are therefore contraindicated for patterns of

    deciency without signs of excess.

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    Chinese Med icinal Formulas2

    Section 1 DigeStion-PromotinganD

    Stagnation-removing

    FormulaS

    Digestion-promoting and stagnation-removing formulas are used to treat food

    accumulation. The signs and symptoms include fullness and oppression of the chest and

    stomach cavity, belching, acid swallowing, aversion to food, nausea, vomiting, abdominal

    distention, abdominal pain as well as diarrhea. Common medicinals used to promote

    digestion are shn zh, shn q, li f z and mi y. Food accumulation may impede qimovement, produce dampness and constrain heat. Consequently, corresponding formulas

    often contain medicinals that regulate qi, remove dampness, and clear heat. When food

    accumulation and damp-heat obstruct the large intestine and block the qi of the bowels,medicinals that drain downward may be used. Common formulas in this category are BoH Wn and Zh Sh Do Zh Wn.

    Harmony-PreServing PillBo HWn

    Source Text

    Teachings of [Zhu] Dan-xi (read more on upcoming release of this book)

    Unique Combination Features

    This formula primarily promotes digestion; however, it also moves qi, removes

    dampness and clears heat.

    Formula Applications

    1. Essential Pattern Differentiation:

    Bo H Wn is a commonly used formula applicable for a variety of food accumulationpatterns.

    This clinical pattern is marked by:

    fullness in the abdomen and stomach cavity

    distension and pain in the abdomen and stomach cavity

    belching

    acid swallowing

    thick and greasy tongue coating

    slippery pulse

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    3Part II Formu la Monographs Sec tion 1

    2. Modications:

    Concurrent Condition Concurrent TreatmentCommon Medicinal

    Modifcations

    An excessive amount of food

    accumulation

    Promote digestion and regulate

    qi

    zh sh, hu p, m xing and bng

    lng

    An excessive amount of heat

    developed from food accumulation

    marked by a yellow tongue

    coating and rapid pulse

    Promote digestion and clear heat hung qn and hung lin

    Constipation Promote defecation and purge

    the bowels

    d hung

    Spleen deciency Boost qi and fortify the spleen bi zh, dng shn and gn co

    3. Modern Applications:

    This formula may be used in the following biomedically defined disorders when

    the patient shows signs of food accumulation: acute and chronic gastritis and enteritis,

    dyspepsia, and infants with diarrhea.

    4. Cautions and Contraindications:

    This formula is an aggressive formula that attacks and dispels; therefore, it should notbe taken for long periods of time. Additionally, it should not be prescribed to treat food

    accumulation patterns due to spleen deciency without proper modication.

    Associated Formulas

    Name Ingredients Actions Applicable Patterns

    D n Wn

    Source: Teachings

    of [Zhu] Dan-xi

    shn zh2 liang (12 g),

    shn q 1 liang (6 g),

    bn xi 1 liang (6 g),f lng 1 liang (6 g),

    chn p0.5 liang (3 g ),

    li f z0.5 liang (3 g ),

    lin qio 0.5 liang (3 g ),

    bi zh 2 liang (12 g)

    Promotes digestion

    and forties the

    spleen

    Food accumulation complicated by

    spleen deciency

    Symptoms include: indigestion

    distending pain of the abdomen

    and stomach cavity

    diarrhea

    infants with food stagnation

    D n Wn is Bo H Wn plus bi zh. The doses of the medicinals that compose Bo HWn are all decreased and 2 liang ofbi zh is added.D n Wn is prescribed for cases of

    food accumulation with spleen deciency. It has the action to promote digestion and fortifythe spleen and is suitable for pediatric food accumulation.

    (read more on upcoming release of this book)