the five stagnations

8/18/2019 The Five Stagnations

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The FiveStagnations:

The Mother of all Diseases

Dr. Michael Tierra O.M.D., L.A.C.and Lesley Tierra L.A.C.

The Five Stagnations are Qi, Blood, Fluid, Cold and Food. These aredetermined according to their location in the Triple Warmer or ThreeJiao’s. Even though the triple armer in TC! has its on meridian andis regarded as an organ "unction, it re"ers to the coordination o" severalorgans and ph#siological "unctions ith each other. The $pper Warmer re"ers to all the organs and parts "rom the %ase o" the sternumupards& the !iddle Warmer includes the organs and parts in themiddle region "rom the navel to the %ase o" the sternum& the 'oerWarmer re"ers to all the organs and parts "rom the navel donards.(nterestingl#, even though the ph#sical location o" the 'iver ould %e inthe !iddle Warmer, it is actuall# considered a 'oer Warmer organ.

)ccording to TC! theor#, an# su%stance that is in e*cess or notmoving is potentiall# to*ic and in+urious. There"ore, hat the FiveStagnations are a%out is clearing to*icit#. ) %asic strateg# is to "irstclear to*icit# and then, i" necessar#, give tonics. From this stud#, it ma#appear that to*ins are all ph#sical, %ut in "act, the# are also mental orat least can %e aggravated %# emotional stress.

)%stinence o" light "asting "rom "ood "or man# t#pes o" Stagnations asell as appropriate e*ercise, must ala#s %e considered an option. nthe other hand, a%stinence "rom emotional stress and meditation is, "or

some, another important stagnation clearing strateg#. )s "or e*ercise,Qi -ong and #oga e*ercise com%ining conscious movement, %reathand internal visualiation is pro%a%l# the %est ph#sical e*ercise "orrelieving stagnation.

Indications for the Upper Warmer Stagnations :

Qi Stagnation Emotional and mental signs, depression, h#steria, etc.,headaches, diiness, etc.

Blood

Stagnation

/iscoloration, varicosit#’s, %lueness, heaviness o" the head and

arms.Fluid Edema, /ampness o" the head and chest, damp, sollen and



Stagnation scalloped tongue, slipper# pulse.

ColdStagnation

Cold e*tremities

Indications for the Middle Warmer Stagnations

Qi Stagnation %urping, gas, %loating, tight a%domen

Blood Stagnation Blood stagnation "elt as a lump in the a%domen 01o2etsu34,

Fluid Stagnation Bor%or#gmus or gurgling a%dominal sounds 01shin sui on34

Cold Stagnation Cold digestion 0essentiall# poor digestion4, anore*ia, diarrhea

Food Stagnation -reas# tongue coat, epigastric spasms

Indications for the Lower Warmer Stagnations

Qi Stagnation Sti""ness, heaviness, tightness in the loer a%domen and

e*tremitiesBloodStagnation

5alpa%le lumps 0o2etsu4 in the loer a%domen, menstrualirregularities, varicosit#’s

FluidStagnation

Edema, pitting, dampness

ColdStagnation

Cold a%domen, %ac2, legs and "eet

FoodStagnation

Constipation

Pulse Diagnosis

There are si* %asic pulses:

1. Floating pulse 666 E*ternal s#ndrome

2. /eep pulse 666 (nternal s#ndrome

3. Full 5ulse 666 E*cess s#ndrome

4. Empt# pulse 666 /e"icient s#ndrome

5. 7apid pulse 666 8eat s#ndrome 09 or more %eats perminute4

6. Slo pulse 666 Cold s#ndrome 0; or less %eats per minute4

Tongue diagnosis

Tongue %od#:

5ale 666 Coldness, Blood and Qi /e"icienc#



7ed 666 8eat and in"lammation

Sollen and<or scalloped 666 /ampness and<or Qi /e"icienc#

Wet tongue 666 /ampness

-reas# #ello tongue 666 /ampness and 8eat

-reas# and White 666 /ampness and Cold

5urple tongue 666 Blood stagnation

Bluish tongue 666 Cold stagnation

Signs on the "ront o" the tongue re"er to the $pper Warmer

Signs on the !iddle o" the tongue re"er to the !iddle Warmer

Signs toards the %ac2 o" the tongue re"er to the 'oer Warmer

Hara Diagnosis

8ara is traditional Japanese a%dominal diagnosis. Fourteen di""erentsigns are "elt to correspond ith the di""erent Stagnations and re"er tospeci"ic her%al "ormulas.

1. =#o6ri6no6do 08eart movement "elt under the le"t %reast4Qi, Blood and Fluid stagnation in the $pper Warmer

2. =i6+o6sho 0Flushing up o" Qi4 Qi stagnation in the $pperWarmer.

3. =#o6chu62u6mon 0/iscom"ort in the chest4 Qi, Blood and<or Fluid stagnation in the $pper Warmer.

4. Shin62a6hi 0tightness o" the muscle under the epigastrium4Stagnation o" Qi, Blood, Fluid, Cold, and<or "ood in theupper Warmer.

5. =#o62#o62u6man 0Tightness o" the muscle under the ri%cage4 Stagnation o" Qi, Blood and<or Food in the middleWarmer.

6. Fu62u6hi6do62i 0Tightness o" the rectus a%dominalis

muscle4 Stagnation o" Qi and Cold in the !iddle Warmer.



7. Fu2u6%u6do62i 0!ovement o" the aorta "elt %# lightpressure4 Stagnation o" Qi and<or Blood in the !iddleand<or 'oer Warmer.

a. Belo the sternum

%. superior to the um%ilicus

c. lateral to the um%ilicus

d. right on the um%ilicus

e. in"erior to the um%ilicus

9. Shin6sui6on 0Sound o" Fluid4 Stagnation o" "luid in the middleWarmer

>. Sho6"u2u62#u62e6tsu 0Tightness o" the loer colon4 Stagnation o" Qiand<or Food in the 'oer Warmer.

?. Sho6"u2u62o6man 0Sensation o" a mass in the loer a%domen4 Can%e a com%ination o" an# o" the Stagnations in the 'oer Warmer

??. S+o6"u2u6"u+in 0Wea2ness o" the linea al%a in the loer a%domen4

Stagnation o" Qi and<or Cold in the 'oer Warmer

?@. S+o6"u2u62o62#u 0tightness o" the loer a%dominal muscles4Stagnation o" Qi and<or Cold in the 'oer Warmer

?A. en6do6"u6on 08#per6peristalsis o" the intestines4 Stagnation o" Qiand<or Cold in the 'oer Warmer.

?. Shin62a6hi62en 0Tightness o" the upper a%dominal muscles4Stagnation o" Qi, Food and<or Cold in the middle Warmer.

?D. Sei6chu6shin 0Tightness o" the linea al%a4 !a# %e a sign o" acom%ination o" various Stagnations o" the three armers.

?;. Sei6tsu6ten 0sore um%ilicus %# pressure4 a sign o" to*icit# "romvarious Stagnations in the !iddle and 'oer Warmer

?. Fu2u6%u6%o6man 0)%dominal /istention4 E*cessive stagnation o"all 2inds.

8er%al Treatment o" The Five Stagnations



)n her%al "ormula can %e prescri%ed %ased on the location and t#pe o"Stagnation. Because it is uite common to detect more than oneindication, up to to "ormulas can %e used. (" this is done, it is %etter tota2e the more toni"#ing "ormula %e"ore meals and the more cleansing

and eliminating "ormula a"ter meals.

$se the accompan#ing in"ormation to select the most appropriate"ormula. For re"erence, consult Commonl# $sed Chinese 8er%Formulas %# 8ong6Gen 8su and Chau6Shin pu%lished %# riental8ealing )rts institute "or the speci"ic her%al "ormula. !ost o" the TC!"ormulas can %e purchased in convenient "reee dried e*tract "orm"rom Tashi Enterprises ?696DA96?AAA, ? 0D?4 9A69;9?. These aresold under the !in Tong la%el and are o" ver# good ualit#.

/osage o" these poder is ith a measured spoon sent ith each"ormula. )ppro*imatel# one spoon 0appro*imatel# H tsp.4 is ta2en dail#per A l%s. o" %od# eight. For an individual o" sa# ?@ l%s., @ spoonso" e*tract are ta2en tice dail# to ma2e a total o" hal" spoon"ulls. )nindividual o" ?9 l%s ould ta2e A spoons tice dail#.

/osing the dried e*tracts "or acute conditions should %e per @ l%s. o"%od# eight.

Treatment "or the "irst stage is commonl# "rom ? to @ months. This is

the initial phase o" deto*i"ication. The patient can learn a%dominalmassage to help eliminate Qi stagnation. E*ercise such as al2ing,#oga, Qi -ong or Tai Qi can %e used "or Blood and Fluid Stagnation.Food stagnation is %ased on a holesome diet %ased on high "i%er,coo2ed vegeta%les, vegeta%le protein such as to"u and seitan andsome "ish.

)"ter this initial phase another evaluation is necessar# to determinehether there should %e a change o" treatment. (t rarel# %utoccasionall# happens that during cleansing there ma# %e a minoraggravation o" s#mptoms. The her%al "ormula should %e at a loerdose or stopped temporaril# until the aggravation su%sides.

Folloing are to "ormulas that can %e used initiall# to eliminate allStagnations:

Stagnation Relieing Pills 0Gue Qu Wan4

C#perus 0Iiang Fu4 >6?@gms C#perus rotunda

Blac2 )tract#lodes 0Cang hu4 >6?@gms )tract#lodes lances



'igusticum 0Chuan Iiong4 >6?@gms 'igusticum allichii

!edicated 'eaven 0Shen Qu4 >6?@gms !assa "ermentata medicinalis

-ardenia Fruit 0hi i4 >6?@gms -ardenia +asminoides

Preparation: -rind into a poder, mi* into ater into pills the sie o"an au2i %ean or ta2e ;6>gms ith arm ater.

Properties and !ctions:

a4 Carminative, regulates and circulates Qi

%4 7emoves all 2inds o" stagnation, including stagnation o" "ood, Blood,5hlegm, dampness and Fire.

Indications: $sed to treat all D 2inds o" stagnation. S#mptoms includea "eeling o" stagnation in the chest and a%domen, possi%leh#pochondriac pain, %loating, %elching, acid %elching, nausea,vomiting, mild coughing, indigestion ith a lac2 o" appetite. (t ma# %econsidered "or nervous stomach, gastro6intestinal ulcers, pain in thechest, hepatitis, cholec#stitis, gallstones.

Tongue: /epending upon the t#pe o" stagnation, purplish i" there is

%lood stagnation, scalloped, et and slipper# i" there is phlegmstagnation, greas# or coated hite or #ello i" there is "ood stagnation.

Pulse: /i""icult or chopp# 0thread#, short and slo4 or =notted 0sloith irregular pauses4.

"ontraindications: ot "or an individual hose stagnation is caused%# de"icienc# and ea2ness.

#ariation:

1. For Cold ith stagnant Qi add -alangal 0-ao 'iang Jiang4.

2. For d#smenorrhea or mental depression add Curcuma root0Gu +in4 Curcuma longa

3. For 8eat and stagnation in the liver ith h#pochondriacpain, #ello tongue coat, ir# and rapid pulse, addcor#dalis tu%er 0Gan hu suo4

The second "ormula to remove all Stagnations as given to all patients%# a master Chinese her%alist as part o" an initial her%al treatment. (t



as passed to me %# Je""re# Guen, ho said that it as created andused %# his Chinese her% teacher. (t can %e ta2en tice dail# eitherone da# or a ee2 prior to the use o" an# other "ormula, regardless o"the s#mptoms. Je""re# sa#s that it loo2s li2e a modi"ied $ie

!ccumulations $ormula with Dang gui and Magnolia"om%ination&

Uniersal Stagnation Dispersing $ormula:

'& "innamon twig 07amulus cinnamomi4 0-ui hi4;gms

Warming energ# !oves the Gang, removes cold stagnation

(& Peppermint 0Bo 8e4 0!entha haplocal#*4 gms

Clears stagnant 8eat, opens the sur"ace, relieves 'iver stagnation0relieves depression4

)& Siler 0'ede%ouriella seseloides4 0Fang Feng4 ;6> gms

5ungent, seet and arm, opens the sur"ace, removes cold, dampstagnation, antispasmodic

*& White peon+ 05aeonia al%a4 0Bai Shao Gao4 ;6>

Bitter, sour, cool, enters the 'iver and Spleen, (t nourishes the Bloodhich can %e depleted and dried "rom the use o" too man# strongl#moving her%s. (t also helps remove %lood stagnation.

,& Ligusticum wallichii 0Chuan Iiong4 ;6> gms

5ungent, and arm, enters the 'iver, 5ericardium and -all %laddermeridians, !oves Blood and Qi..

-& Poria cocos 0Fu 'ing4 ;6> gms

Seet to %land, neutral energ#, Enters the 'ung, Spleen, 8eart and$rinar# Bladder

7emoves /amp stagnation, calms the mind

.& !ngelica dahurica 0Bai hi4 ;6> gms

5ungent and arm, enters the 'ung and Spleen meridians, Clears

stagnant 8eat and ind



/& Prepared pinellia ternata 0Ban Iia4 ;6> gms

5ungent, arm, enters the 'ung, Spleen and Stomach& (t removesphlegm and /ampness

0& "itrus aurantium 0hi 2e4 0Bitter orange ithout the seeds4 A6; gms

(t is sour, %itter and slightl# cold, it enters the Spleen and Stomachmeridians. (t is carminative and mildl# la*ative, Clears Qi and 8eatstagnation 05romotes %oel movement4

'1& Plat+codon grandiflorum 0Jie geng4 ;6> gms

5ungent, %itter and neutral, enters the 'ung meridian,& (t treats thelung, removing congestion, treating either ind6cold or ind6heat. (talso helps eliminate pus.

''& Mature citrus peel 0chen pi4 0Citrus reticulata4 0Tangerine peel4 A6;gms

5ungent, %itter and arm& enters the 'ung and Spleen meridians. (tpromotes regulates Qi, digestion, dries and clears dampness.

'(& "+perus rotundus 0Iiang Fu4 ;6> gms

spic#, slightl# %itter, neutral to arm energ#, regulates Qi and hascarminative and %lood moving properties. (t removes "ood, Qi andBlood stagnation.

')& Dried ginger 2ingi%eris officinalis 0-an Jiang4 ;6> gms

7emoves Cold, /amp stagnation

'*& !merican ginseng 05ana* uinue"olium4 0Ii Gang Shen4 ; gms

5rotects the Gin hich can %e e*hausted and depleted "rom the otherstrong moving and dr#ing her%s in the "ormula.

',& Hone+3fried licorice 0-l#c#rrhia uralensis4 0hi gan cao4 A6; gms

Toni"ies Qi, protects the Qi "rom %eing e*hausted "rom the com%inede""ects o" the other strong moving her%s in the "ormula.

'& 4I ST!56!TI76



The immune s#stem 0Wei Qi4 is part o" the normal 0heng Qi4 energ#o" the %od#. The normal Qi can %e deranged %# %ad %reathing, %ad"ood and ater. Food Qi 0-u Qi4 must ascend hile the impure Qidescends to the colon 0this can also include parasites4. From DK to

9K o" all people have to*icit# hich in turn e""ects the circulation o" Qithrough the meridian s#stem 0includes the nervous s#stem4 hoseenerg# is produced "rom the pure essence o" "ood. (n this respectacupuncture hich manipulates the circulation o" energ# through themeridians can %e e""ective in relieving to*icit# and stagnation. )"ter apatient receives radiation treatments their meridian is devastated and itma# ta2e man# treatments to restore it. )ncestral Qi is the inherited,constitutional energ# that one is %orn ith and it can %e nurturedthrough the Eight E*tra !eridian s#stems.

To*icit# is an#thing that that %od#6mind is una%le to use or is no longeravaila%le. There can %e %oth ph#sical to*ins "rom "ood, air and aterand mental to*ins that are generated hormonall# and through othersu%tle internal secretions as a result o" ps#chological stress.

)ccompan#ing therapies such as special cleansing "asts, restricteddiet, seating, therapeutic massage, ithdraal "rom orldl#concerns, meditation, special e*ercises that tend to relieve stagnation,pla# and recreation all are essential to relieve the underl#ing cause o"stagnation.

The Five Stagnations are listed according to their accumulation in theTriple Warmer or 1three +iao’s. The Triple armer is an organ "unctionrepresenting the coordination and "unctional activities o" the threema+or areas o" the %od#, the $pper armer located "rom the top o" thehead to the sternum, the !iddle armer "rom %ase o" the sternum tothe navel and the loer armer "rom the navel don.

The general signs of 4i Stagnation are:

• "eeling o" distention, distending pain that moves "rom place

to place 66 can a""ect h#pochondrium, epigastrium throat,a%domen L h#pogastrium.

• a%dominal masses that appear L disappear

• mental depression

• irrita%ilit#

• gloom# "eeling



• "reuent mood sings

• "reuent sighing

•

5ulse: The pulse is similar to Blood Stagnation "eeling1di""icult3 or 1chopp#3 0thread#, slo and short, entering ande*iting ith di""icult#4, 12notted3 0sloer than ; B5! ithoccasional irregular pauses4, 1accelerated3 0rapid 0"asterthan 9 B5! ith irregular pauses4.

• Tongue: slightl# purple

$pper Warmer S#mptoms: Emotional and mental s#mptoms,depression, h#steria, 8eadache, diiness, vertigo, etc., chest pains

that change location and<or irregularl# recur.

!iddle Warmer S#mptoms: Burping, gas, tightness in Stomach, "ull"eeling in the a%domen, pains the move or come and go.

'oer Warmer S#mptoms: Sti""ness, heaviness, tightness in loera%domen and loer e*tremities, pains that move or come and go.

Causes:

1. /e"icienc# o" Qi: over a long time can ma2e it too ea2 tomove properl#

2. /e"icienc# o" Blood: over a long term can induce a/e"icienc# o" Qi

3. Stagnation o" Blood: can cause Qi Stagnation

'iver is the rgan most a""ected %# Qi Stagnation

4I ST!56!TI76 8Qi Tai 4 is called the Mmother o" all Stagnations. (t isusuall# caused %# a disharmon# o" the emotions. Each emotion hasits on particular vice and a virtue

7rgan #ice #irtue

'iver anger, "rustration %enevolence, "orgiveness, esteem, respect

8eart over e*citement. 0overachieving4

compassion. care "or oneNs sel"

'ung grie", sadness conscientiousness, correctness, "eeling gooda%out oneNs sel"

Spleen o%session, over thin2ing empath#, centeredness

=idne# "ear, paranoia, orr# courage, isdom



(n ancient times, part o" a ph#sicians’ +o% as to help change vicesinto virtue. This as called OCulturing the virtueO. 8ealing occurredhen vices ere changed to virtue. Taoism, the underl#ing philosoph#o" Traditional Chinese !edicine "ocused on changing personalities.

The Seven Emotions, "ear, an*iet#, pleasure, anger, s#mpath#, "rightand sadness ere all considered the main part o" Chinese medicineuntil the earl# ?9Ns. Thus, anger stimulates i& pleasure calms i&an*iet# o%structs i& %rooding coagulates i& grie" reduces i& "earsuppresses i& and shoc2 distur%s i. /uring the 8an d#nast# the Delements ere used to trans"orm the emotions. The "amous clinician,Sun Su !iao, used one emotion to overcome another.

R99LLI7US 4I

7e%ellious Qi is a t#pe o" Qi Stagnation in hich Qi "los in theopposite direction "rom its normal "unctional "lo. Folloing is a chartsummariing all the normal /irections o" Qi "lo and their 5athologicalmani"estations as 7e%ellious Qi. The "olloing chart is "rom The

Foundations of Chinese Medicine %# -iovanni !aciocia, page. ?>@.

rgan ormal Qi 5athological Qi S#mptoms L Signs

/irection /irection

Stomach /onards $pards Belching, hiccup,

nausea, vomiting

Spleen $pards /onards /iarrhea, prolapse

'iver $pards i4E*cessive upards

ii4 8oriontall#:

• 66to Stomach ausea, %elching, vomiting

• 66to Spleen /iarrhea

• 66to (ntestines /r# stools

'ungs /onards $pards Cough, asthma

=idne#s /onards $pards )sthma

8eart /onards $pards !ental restlessness, insomnia



There is no acupuncture or her%al "ormula that or2s on onl# one +iao.E*ample: Citrus and 5erilla Com%ination 0Fen Iin Qi Gin4 treat in+uriescaused %# emotions 0hich means it does not onl# or2 on middle

+iao4.

Formula:

"itrus and Perilla "om%ination 0Fen Iin Qi Gin4

Citrus aurantium 0Chenpi4 ; gms

Cinnamon tigs 0-ui hi4

gms

White peon# 0Baishao4 gms

)2e%ia 0!utong4 gms 5inellia 0Ban *ia4 gms )reca seed 0Bin lang4

; gms

5oria 0Fuling4 ; gms otopter#gium

0Qiang huo4; gms

!orus lea" 0Sang Ge4; gms

Juncus 0/eng *in cao4 gms

5erilla seed 0i su i4 ; gms Ju+u%e date 0/a ao4 gms

-reen citrus 0hi 2e4 ;gms

5repared licorice 0hi -ancao4 gms

-inger 0Jiang4 gms

(ndications: vomiting, distention, vertigo, diiness, "atigue, dr# tongue,loss o" appetite, emaciation, an*iet# caused %# stress.

(t can %e used "or nervous e*haustion, edema, peritonitis, mastitis,cough during pregnanc# and anore*ia.

E*planation: Citrus, green citrus and )reca are carminatives andremove a%dominal distention. 5inellia and !orus are e*pectorants andremove phlegm. Cinnamon and peon# dispel stagnant %lood. 5oria

dispels stagnant Mater’ under the heart. 5erilla is e*pectorant, stopscough, regulates Qi 0carminative4. otopter#gium clears ind anddampness and relieves pain. )2e%ia and +uncus clear internal heat o"the lungs. -inger and +u+u%e date are harmoniing to the other her%s inthe "ormula.

H9RS $7R 4I ST!56!TI76

Carminatives and digestives are her%s that remove Qi stagnation andinclude the "olloing:



Mandarin 7range peel 0citrus reticulata4 0chen pi4 66 spic#, %itter,arm& goes to the spleen, stomach and lungs. Essential oil containslimonene, linalool, perpineol, hesperidin, carotene, cr#ptosanthin,vitamins B? and C.

(t is carminative, e*pectorant, aromatic and tonic. (t treats indigestion,gas, lung mucus. /ose: A6> gms. The %est ualit# is longer aged. (t iscommonl# prescri%ed in small amount ith tonics such as ginseng toaid their utiliation.

5reen "itrus 0unripe mandarin orange peel4 666 pungent, %itter, arm&goes to the liver and gall %ladder. (t contains various "lavonoids andother ingredients similar to the ripened variet#. (t is carminative,cholagogue, analgesic "or hernia6li2e pains. Treats "ood stagnation,

%ile congestion, a%dominal distention, "ood stagnation, lung mucus.dose: A to > gms.

itter 7range 0Citrus aurantium4 0hi 2e4 %itter, slightl# cold& goes tothe spleen and stomach. The immature "ruit is used. (t containsneohesperidin, naringin, rhoi"olin, lonicerin, vitamin C and "lavonoids. (tis carminative, e*pectorant and la*ative. (t is "or epigastric anda%dominal pains, "ood stagnation, gas ith constipation. (t relieves'iver Qi stagnation and helps to treat %reast lumps.

"+perus 0sedge root4 66 spic#, %itter, seet, slightl# arm& goes to the'iver and triple armer. The rhiome is used. (t contains .DKessential oil comprised o" c#perol, c#perene, c#perone, pinene andsesuiterpenes. (t is carminative, antispasmodic, emmenagogue. (t isused "or all digestive pro%lems, "ood stagnation, colds, irregularmenses, depression and moodiness. (t is similar to Bupleurum in itsa%ilit# to regulate 'iver Qi. and is one o" the %est her%s to use to helpregulate menstruation.

#ite; 0P. )gnus6castus4 66 acrid, spic#, arm& goes to the 'iver andSpleen. (t contains essential oil, "att# oil, "lavonoid casticin, iridogl#sideand aucu%in. (t is used "or menstrual irregularities and irregulars#mptoms associated ith menopause. (t stimulates progesteroneproduction and regulates the menses. (t e""ectivel# treats ovarian c#stsand non6cancerous %reast lumps. /ose: A6> gms

upleurum 8"hai Hu<

Bupleurum is a primar# her% to consider "or an# stagnation conditions.(t is the %asis "or man# harmoniing "ormulas that treat opposing



patterns such as a com%ination o" E*cess and /e"icienc#, 8ot andCold, E*ternal and (nternal conditions.

7adi* Bupleuri Chinense Chai 8u

Common name: Bupleurum, 8are’s Ear

Famil#: $m%elli"erae

Energ# and Flavor: acrid, %itter and cool

rgan !eridian )""ected: 'iver, -all%ladder, 5ericardium and Triplearmer

)ctions: ?. 7elieves "ever associated ith 'esser Gang diseases& @.!oves the 'iver Qi and relieves 'iver Qi stagnation& A. 'i"ts the GangQi o" the Spleen and Stomach.

(ndications: ?. For successive "ever and chills associated ith 'esserGang diseases ith s#mptoms o" %itter taste in the mouth, irrita%ilit#,vomiting or congested "eeling in the chest& @. For 'iver Qi stagnationith s#mptoms o" menstrual di""iculties, mood sings, diiness or painin the chest or "lan2s& A. For prolapse o" anus or uterus due tode"icienc# o" the Gang Qi o" the Spleen or Stomach& . For diarrhea

due to de"icient Spleen Qi.

Contraindications: This her% should not %e used %# those ith Ginde"icienc# or %# those ith e*treme headaches or e#e diseases suchas con+unctivitis hen caused %# 'iver Fire.

/osage: A 6 ?@ grams

(ndividuals ith stagnant 'iver Qi, o"ten have pro%lems ma2ingpriorities and conseuentl# are prone to e*perience "rustration. Some

people e*perience more anger hile ta2ing "ormulas ith Bupleurum.Some Chinese doctors "eel that Bupleurum consumes one’s Gin0su%stance4 reserves and causes one to e*perience more empt#nervous energ#. ther practitioners %elieve that hile it ma# %e goodto lessen the dose o" Bupleurum, there is also value in continuing itsuse ith the addition o" Gin nourishing her%s such as )mericanginseng or 7ehmannia root to counter%alance the Bupleurum.

The classic upleurum formulas are:

Minor upleurum 0Iiao Chai 8u Tang4



Bupleurum 0Chai 8u4 ?@6?Dgms Bupleurum chinense

Scutellaria 08uang Qin4 >6?@gms Scutellaria %aicalensis

5inellia 0Ban Iia4 >6?@gms 5inellia ternata

Fresh -inger 0Sheng Jiang4 A6;gms ingi%eris o""icinalis

-inseng 07en Shen4 ;6>gms 5ana* ginseng

'icorice 0-an Cao4 A6;gms -l#c#rrhia uralensis

Ju+u%e /ates 0/a ao4 A6Dpcs i#phus +u+u%a


a4 Treats the 'esser Gang 0Iiao Gang4 channel 0-all Bladder and TripleWarmer4

%4 8armoniing: regulates the 'iver and Spleen "unctions, addressescom%ined Gin6Gang s#mptoms o" e*ternal and internal, e*cess andde"icienc#, and 8ot and Cold.

Indications: Treats s#mptoms that ma# have %egun ith acute6e*ternal comple* and have penetrated to an intermediate, lingeringstage. Thus there ma# %e alternating "ever and chills, stu""# "ull "eelingin the chest, %itter "lavor in the mouth, diiness, lac2 o" appetite,"atigue and nausea. (t can %e used "or lingering colds, coughs,%ronchitis and asthma. Because o" its %road action it can also %econsidered "or conditions such as malaria, cholec#stitis, hepatitis,

+aundice and irregular menstruation. 7ecentl# it is %eing vieed as agood general immune tonic and has %een studied and %ene"iciall#emplo#ed "or the treatment o" 8(P and )(/S conditions.

#ariations:

1. To strengthen immunit# add )stragalus 08uang Qi4 >6?@gms, Schiandra 0Wu Wei i4 ;6>gms, 'igustrum 0u heni4 ;6>gms.

2. For malaria add /ichroa 7oot 0Chang Shan4 andCardamom Seed 0Cao =o4.

3. For Gin de"icienc# add Tortoise Shell 0Bie Jia4 and Seet

Wormood 0Qing 8ao4



4. For %loating ith a%dominal pain add Cor#dalis 0Gan 8uSuo4, C#perus 0Iiang Fu4 and (mmature Bitter range 0hishi4.

Ma=or upleurum 0/a Chai 8u Tang4

Bupleurum 0Chai 8u4 >6?@gms Bupleurum chinense

Scutellaria 08uang Qin4 >6?@gms Scutellaria %aicalensis

Bitter orange 0hi Shi4 ;6>gms Citrus aurantium

7hu%ar% 0/a 8uang4 ;6>gms 7heum o""icinalis

5inellia 0Ban Iia4 ;6>gms 5inellia ternata

White 5eon# 0Bai Shao4 ;6>gms 5aeonia o""icinale

Fresh -inger0Sheng Jiang4A6;gms ingi%eris o""icinalis



a4 Treats 'esser Gang 0Iiao Gang4 0-all Bladder4 e*cess conditions

%4 'a*ative, purges internal 8eat

Indications: For 'esser Gang 0Iiao Gang4 and Sunlight Gang 0Gang!ing4 conditions ith s#mptoms o" alternating "ever and chills,constipation or diarrhea, %itter taste in the mouth, nausea andvomiting, a %loc2ed, "ull "eeling in the a%domen ith spasmodic pain. (tcan %e considered "or constipation, acute pancreatitis, acutecholec#stitis, %iliar# calculus 0gallstones4.

Tongue: #ello coat

Pulse: ir#<tight and "orce"ul

#ariations:

1. With +aundice and hepatitis, add Capillaris 0Gin Chen 8ao4,-ardenia Fruit 0hi i4 and 5hellodendron 08uang Bai4.

2.

For vomiting and nausea, add Coptis 08uang 'ian4 andEvodia Fruit 0Wu hu Gu4.



3. With more severe constipation add !ira%ilitum 0!angIiao4.

upleurum and "hih shih formula 0Si i San or Frigid E*tremities5oder4

Bupleurum 0Chai 8u4 >6?@gms Bupleurum chinense

(mmature Bitter range 0hi Shi4 ;6>gms Citrus aurantium

White 5eon# 0Bai Shao4 >6?@gms 5aeonia al%a

'icorice 0-an Cao4 A6;gms -l#c#rrhia uralensis


a4 7egulates 'iver and Spleen

%4 Eliminates internal 8eat

Indications: loss o" consciousness caused %# 8eat e*posure, chronichepatitis, nervous stomach, chest neuralgia, orms in the liver and %ileduct, hernia, in"lammation o" the pancreas or the appendi*.

Tongue: pale ith hite coat

Pulse: tight and %ostring

9;planation of the $ormula:

This "ormula is characteried %# her%s that have opposite directionalin"luences in the %od#. Bupleurum is an upard rising her% that entersthe 'iver, (mmature Bitter range is descending and also enters the'iver, 5eon# is internal and 'icorice e""ects the center. The e""ect o" the

di""erent directions is to disentangle 8eat in the 'iver, Stomach andSpleen territories. This 8eat loc2ed internall# is the cause o" "rigide*tremities in this case. B# releasing the internal 8eat, the e*ternallim%s are armed.

S#mptoms o" 'iver and Stomach disharmon# that are relieved ith this"ormula include pain"ul "ullness in the h#pochondrium and Stomach,acid regurgitation, %elching, nausea, vomiting. There ill %e a thin#elloish coat on the tongue and the pulse tends to %e ir#.

upleurum and "innamon "om%ination 0Chai 8u -ui hi Tang4



Bupleurum 0Chai hu4 ?Dgms Bupleurum "alcatum

5inellia 0Ban Iia4 ?@gms 5inellia ternata

-inseng 07en Shen4 ;gms 5ana* ginseng

White 5eon# 0Bai Shao4 ;gms 5aeonia al%a

Scutellaria 08uang Qin4 ;gms Scutellaria %aicalensis

Cinnamon Tigs 0-ui hi4 ;gms Cinnamomum cassia

Fresh -inger 0Sheng Jiang4 Agms ingi%eris o""icinalis

'icorice 0-an Cao4 Agms -l#c#rrhia uralensis


ne o" the most "reuentl# indicated "ormulas use"ul "or ?Ns o"conditions. This is %ecause is harmonies internal and e*ternals#mptoms, Cold and 8eat, e*cess and de"icienc#. (t is a com%inationo" %oth Miner upleurum and "innamon "om%ination 0Iiao Chai8u -ui hi Tang4&


a4 )ntip#retic, treats upper respirator# pro%lems

%4 Carminative and hepatic

c4 euromuscular: intercostal neuralgia, headache, arthralgia,nephritis, p#elitis,

d4 ervine tonic

Indications: For the common cold, in"luena, pneumonia, TB, pleuritis,indigestion, gas, hepatitis, neurosis, nervous e*haustion, headache,irrita%ilit#, insomnia, "emale disorders, h#steria, epileps# and cardiacdisorders.

Pulse: ir# and %ostring

upleurum and Dang 5ui $ormula

0Iiao Gao San or 7am%ling 5oder4

Bupleurum 0Chai 8u4 ;6>gms Bupleurum "alcatum



/ang -ui 0/ang -ui4;6>gms )ngelica sinensis

White 5eon# 0Bai Shao4 96?@gms 5aeoniae al%a

5oria 0Fu 'ing4 >6?Dgms 5oria cocos

!entha 0Bo 8e4 ?6Agms !entha haplocal#*

Fresh -inger 0Sheng Jiang4 ?6Agms ingi%eris o""icinalis

Ba2ed 'icorice 0hi -an Cao4A6;gms -l#c#rrhia uralensis


a4 8armonies the "unction o" 'iver and Spleen

%4 7elieves 'iver Qi stagnation

c4 ourishes the Blood

Indications: $sed "or Blood de"icienc# ith disharmon# o" 'iver andSpleen. S#mptoms include chest "ullness and pain, anemia, diiness,headache, dr# mouth and throat, tiredness, loss o" appetite, irregularmenstruation, leucorrhea, tiredness, %reast distention, malarials#mptoms ith alternate chills and "ever. (t can also %e given "orchronic hepatitis.

Tongue: pale red

Pulse: thread#, tight and ea2

upleurum and Dragon one "om%ination

0Chai 8u Jia 'ung -u !u 'i Tang4

Bupleurum 0Chai 8u4 >6?@gms Bupleurum "alcatum

5oria 0Fu 'ing4 .Dgms 5oria cocos

/ragon Bone 0'ong -u4 .Dgms Stegodon orientalis

#ster Shell 0!u 'i4 .Dgms strea testa


7hu%ar% 0/a 8uang4 ;gms 7heum palmatum



Cinnamon Tigs 0-ui hi4 .Dgms Cinnamomum cassia

Scutellaria 08uang Qin4 .Dgms Scutellaria %aicalensis

-inseng 07en Shen4 .Dgms 5ana* ginseng

Fresh -inger 0Sheng Jiang4 .Dgms ingi%eris o""icinalis


a4 8armonies interior and e*terior

%4 7elieves stagnation

c4 Sedative

Indications: The Qi is not trans"orming and there"ore "loats upard.This causes s#mptoms o" an*iet#, nervousness, and palpitations.S#mptoms o" all three Gang stages are present. (t is a condition caused%# all three Gang stages. These ma# include chest "ullness, irrita%ilit#ith palpitations, urinar# di""icult#, constipation, nervous, an*iet#,h#steria, %od# heaviness and sti""ness, and epileps#.

This "ormula as originall# prescri%ed to remed# the adverse reactionresulting "rom the use o" 7hu%ar% 0/a 8uang4 0a purgative4,inappropriatel# given during the earl# stages o" colds and "lus. (t ouldea2en the outer de"enses "urther and drive the e*ternal pathogenicin"luence deeper, causing heat to concentrate itsel" in the chest.Bupleurum 0Chai 8u4 is the principle her% "or resolving chestoppression caused %# stagnant 'iver Qi. Because the Gang is driveninard ith the inappropriate use o" purgatives, it is una%le to maintainthe e*terior causing a "eeling o" sti""ness and heaviness.

Tongue: red ith a moist coat

Pulse: ir# and rapid

upleurum and Peon+ "om%ination 0Jia Wei Iiao Gao San4

Bupleurum 0Chai 8u4 ;6>gms Bupleurum "alcatum

/ang -ui 0/ang -ui4 ;6>gms )ngelica sinensis

White 5eon# 0Bai Shao4 96?@gms 5aeoniae al%a

5oria 0Fu 'ing4 >6?Dgms 5oria cocos



/r#6"ried )tract#lodes 0hi Bai hu4 Agms )tract#lodes al%a

!outan 5eon# 0!u /an 5i4 ?.Dgms 5aeonia su""ruticosa

-ardenia Fruit0hi i4 ?.Dgms -ardeniae +asminoides

Ba2ed 'icorice 0hi -an Cao4 A6;gms -l#c#rrhia uralensis


a4 8armonies 'iver and Spleen stagnation

%4 /igestive, toni"ies Spleen

c4 )lterative, clears de"icient 8eat

Indications: Spleen Qi de"icienc# ith 'iver Qi stagnation changes to8eat causing increased irrita%ilit#, short temper, tidal "ever, seating,%lood shot e#es, palpitations, increased menstrual "lo, uterine%leeding, dr# mouth, loer a%dominal pressure and pain"ul urination.This "ormula is ta2en ith a small amount o" Fresh -inger 0ShengJiang4 and !int 0Bo 8e4. For di""icult and pain"ul urination add 5lantainSeeds 0Che Qian i4. Compare ith upleurum and Peon+$ormula 0Iiao Gao San4 hich is less toni"#ing and less deto*i"#ing.

upleurum and Schi>onepeta $ormula 0Shih Wei 5ai Tu Tang4

Bupleurum 0Chai 8u4 >gms Bupleurum "alcatum

Fresh -inger 0Sheng Jiang4 Agms ingi%eris o""icinalis

'ede%ouriella 0Fang Feng4 ;gms 'ede%ouriella seseloides

)ngelica /u 8uo 0/u 8uo4 ;gms )ngelica pu%escens

5oria 0Fu 'ing4 ;gms 5oria cocos

5lat#codon 0Jie -eng4 >gms 5lat#codon grandi"lorum

Schionepeta 0Jing Jie4 Agms Schionepeta tenui"olium

'igusticum 0Chuan Iiong4 >gms 'igusticum allichii

'icorice 0-an Cao4 Agms -l#c#rrhia uralensis

Cherr# Bar2 Japanese >gms 5runus #edoensis




a4 /eto*i"#ing, aids 'iver deto*i"#ing "unction

%4 Clears the s2in

Indications: For l#mphadenitis, car%uncles, "uruncles, %oils, mastitis,s2in diseases such as dermatitis, urticaria, ecema, acne, ophthalmia,nasal congestion, e*ternal and middle ear in"ection.

Tongue: red ith a #ello coat

Pulse: rapid

upleurum? "innamon Twig and $resh 5inger "om%ination 0Chai8u -ui hi -an Jiang Tang4

Bupleurum 0Chai 8u4 @gms Bupleurum "alcatum

Cinnamon Tigs 0-ui hi4 >gms Cinnamomum cassia

Fresh -inger 0Sheng Jiang4 ; gms ingi%eris o""icinalis

Trichosanthes 0Tian 8ua Fen4 ?@gms Trichosanthes 2iriloii

Scutellaria 08uang Qin4 >gms Scutellaria %aicalensis

#ster Shell 0!u 'i4 ;gms strea testa

8one#6Ba2ed 'icorice0hi -an Cao4;gms -l#c#rrhia uralensis


a4 Treats recurring "evers and chills

%4 7esolves phlegm and relieves chest "ullness and congestion

c4 Warms the e*tremities

Indications: This "ormula is used "or more sensitive t#pe individualsith intermittent "ever, ith chills, chest "ullness, stress and an*iet#,heart palpitations, thirst, cold hands and "eet, loose stool or diarrhea. (tcan %e considered "or the common cold, TB, pneumonia, %ronchitis,pleuris#, peritonitis, insomnia, hepatitis and in"lammation o" the gall%ladder.



upleurum $ormula 0Gi -an San4

)tract#lodes 0Bai hu4 Agms )tract#lodes al%a

5oria 0Fu 'ing4 Agms 5oria cocos

)ngelica 0/ang -ui4 Agms )ngelica sinensis

'igusticum 0Chuan Iiong4 Agms 'igusticum allichii

-am%ir 0-ou Teng4 Agms $ncaria cum uncis

Bupleurum0Chai 8u4 ?.Dgms Bupleurum "alcatum

'icorice 0-an Cao4 ?.Dgms -l#c#rrhia uralensis


a4 )ntispasmodic, Calms 'iver Wind

%4 Toni"ies 'iver Blood and Qi

Indications: $sed "or man# t#pes o" spasmodic conditions including'iver Wind pro%lems ith s#mptoms o" nervousness, irrita%ilit#,insomnia caused %# over6e*citement, seiure disorders, h#steria, night"ears, spasms, "everishness, a%dominal selling, reduced appetite,restless sleep caused %# Wood over dominating Spleen6Earth.

6ote: To aid assimilation, it is usuall# ta2en ith @ ?<@ grams o" Citrus5eel 0Chen 5i4.

Patterns:

Lier 4i Stagnation

This is one o" most common patterns in %od#. (t is a pattern o" e*cess.

Clinical !ani"estations: Feelings o" distention o" h#pochondrium andchest, h#pochondriac pain, sighing, hiccup, melanchol#, depression,moodiness, nausea, vomiting, epigastric pain, poor appetite, sourregurgitation, %elching, "eeling o" pulsation in epigastrium, 1churning"eeling in the stomach,3 a%dominal distention, %or%or#gmi, diarrhea,unhappiness, 1"eeling ound6up,3 "eeling o" lump in the throat, "eelingo" di""icult# in salloing, irregular and<or pain"ul periods, distention o"

%reasts %e"ore periods, pre6menstrual tension and irrita%ilit#. 5ulse:ir#, especiall# on the le"t side& Tongue: %od# color ma# %e normal.



Causes: emotional pro%lems, long6term "rustration, repressed anger orresentment

Formulas:

Powder to Disperse #ital 9nerg+ in Lier 0Chai68u6Su6=an6San4:

Chai 8u 0Bupleurum4 >6?@ gm. Bupleurum chinense

Bai Shao Gao 0White peon# ;6 > gm. 5aeonia lacti"lora

hi =e 0Bitter orange4 ;6 > gm. Citrus aurantium

Chuan Iiong 0'igusticum4 A6 ; gm. 'igusticum allichii

Iiang Fu 0C#perus tu%er ;6 > gm. C#perus rotundus

-an Cao 0'icorice4 ?6 A gm. -l#c#rrhia uralensis

(ndications: For a person ith stagnanc# o" Qi and Blood in the liver.The s#mptoms are mental depression, upset easil#, h#pochondriacdistention and pain, chest "ullness, %elching, indigestion, a%dominaldistention, constipation. 5ulse: ir#<taught& Tongue: ith thin hitecoating.

Pinellia @ Magnolia "om%ination 05an68sia68ou65u6Tang4:

Ban Iia 05inellia tu%er4 ;6 > gm. 5inellia ternata

8ou 5o 0!agnolia Bar24 ;6 > gm. !agnolia o""icinalis

i Su Ge 05erilla lea"4 ;6 > gm. 5erilla "rutescens

Fu 'ing 05oria& 8oelen4 >6?@ gm 5oria cocos

Shen Jiang 0Fresh ginger ?6?D gm ingi%er o""icinale

(ndications: "or a person ith glo%us h#stericus. The s#mptoms are%loc2age in

the throat, di""icult# in salloing or vomiting, cough ith pro"usesputum.

5ulse: ir#<taught, or ir# and slipper#& Tongue: hite and moist, orslipper#



and greas#.

Lier Inading the Spleen

Clinical mani"estations: (rrita%ilit#, a%dominal distention and pain,

alternation o" constipation and diarrhea, stools sometimes dr# andsmall and sometimes loose, "latulence, tiredness. 5ulse ea2 on theright and ir# on the le"t& Tongue red on the sides or pale.

5atholog#: When 'iver Qi stagnates it can invade the Spleen L distur%its "unction. When 'iver Qi Stagnation predominates there isconstipation ith dr#, di""icult and small stools. When Spleen Qi/e"icienc# predominates, there are loose stools.

Causes: !ost o"ten "rom emotional pro%lems or long6standing anger,resentment or "rustration usuall# com%ined ith irregular diet Loveror2

Formula: /ang -ui and 5eon# 0Iiao Gao San4 0see a%ove4

Lier Inading the Stomach

Clinical mani"estations: (rrita%ilit#, distention and pain in epigastriumand h#pochondrium, "ullness in epigastrium, sour regurgitation,%elching, nausea, vomiting. 5ulse: ea2 on the right and ir# on thele"t& Tongue red on sides or pale.

5atholog#: This pattern is characteried %# Stagnation o" 'iver6Qiinvading the Stomach and inter"ering ith the descending o" StomachQi: This results in the ascending o" Stomach Qi, hence the %elching,nausea and vomiting.

Causes: Emotional pro%lems com%ined ith irregular diet andoveror2

Formula: /ang -ui and 5eon# 0Iiao Gao San4 0see a%ove4 ith ShenQu

Small Intestine 4i Tied

Clinical !ani"estation: violent a%dominal pain, disli2e o" pressure,a%dominal distention, constipation, vomiting, %or%or#gmi, "latulence.5ulse: deep, ir#&. Tongue: thic2 hite coating.

5atholog#: )la#s acute pattern, characteried %# great o%structionand stagnation in the Small (ntestine.



Causes: E*cessive consumption o" cold and ra "oods

Formula:

Pills of Tangerine Seed 0Chu68o6Wan4:

Ju 8e 0Tangerine seed4 >6?@ gm. Citrus reticulata

Chuan 'ian i 0Sichuan china%err#4 A6 ; gm. !elia toosendan

Gan 8u Suo 0Cor#dalis tu%er4 ;6 > gm. Cor#dalis #anhusuo

8ou 5o 0!agnolia %ar24 ;6 > gm. !agnolia o""icinale

hi Shi 0(mmature %itter orange4 ;6 > gm. Citrus aurantium

7ou -ui 0Cinnamon %ar24 ?6 A gm. Cinnamomum cassia

=un Bu 0Ec2lonia4 ;6 > gm. Ec2lonia 2urome

8ai ao 0Sargassum4 ;6 > gm. Sargassum "usi"orme

Tao 7en 05ersica seed4 A6 ; gm. 5runus persica

!u Tong 0)2e%ia stem4 ;6 > gm. )2e%ia tri"oliata

!u Iiang 0Saussurea4 A6 ; gm. Saussurea lappa

(ndications: "or a person ith stagnanc# or depression o" vital energ# inthe small intestine. The s#mptoms are: distention and spasmodic painin the loer a%domen, ith tenesmus, sollen testis, hernia, radiatingpain to the loer spine. 5ulse: deep and ir#<taught& Tongue: ithhite coating.

(& L77D ST!56!TI76

The general signs o" Blood Stagnation are:

• "i*ed pain that is sta%%ing or %oring in character perhaps

as a conseuence o" a trauma or operation& degeneratedspinal dis2s and scar tissue are also considered BloodStagnation..

• dar2 comple*ion, older people can have liver spots on the

s2in and<or varicosit#’s



• purple lips 0c#anosis4

• purple nails

•

a%dominal masses that do not move

• %leeding ith dar2 %lood and dar2 clots

• 5ulse: The pulse can "eel 1di""icult3 or 1chopp#3 0thread#,

slo and short, entering and e*iting ith di""icult#4,12notted3 0sloer than ; B5! ith occasional irregularpauses4, 1accelerated3 0rapid 0"aster than 9 B5! ithirregular pauses4. chopp# or 2notted 0slo and stops atirregular intervals hich re"lects presence o" (nterior Cold&

Tongue: purple.

$pper armer: /iscoloration, venous protrusion, 1%lueness,3 heavinesso" head and arms. ther s#mptoms include shoulder pains, angina,congestive heart "ailure, TB, lung stagnation and %reast lumps.Bleeding in the lungs is called 1dr# %lood3.

!iddle Warmer S#mptoms: 12etsu3 0Blood stagnation "elt as a lump4in the a%domen.

'oer Warmer S#mptoms: 12etsu3 in loer a%domen, palpa%le lumpscaused %# c#sts and "i%roids, menstrual pro%lems, varicose veins.

Causes o" Blood Stagnation:

1. Stagnation o" Qi: most common cause as Qi moves BloodL i" it stagnates Blood congeals

2. /e"icienc# o" Qi: over long term ma# ma2e it too ea2 to

move %lood L Blood congeals

3. 8eat in Blood: ma# cause Blood to coagulate L stagnate

4. Blood /e"icienc#: over long term can induce Qi /e"icienc#L su%seuent stasis o" Blood

5. (nterior Cold: slos the circulation o" Blood hich can thenstagnate

The 'iver is the organ most a""ected %# Blood Stasis.



The "olloing chart shos the Comparison %eteen Stagnation o" Qiand Stasis o" Blood, "rom The Foundations of Chinese Medicine, %#-iovanni !aciocia, 5age ?>A.

Stagnation of 4i Stasis of lood

5ain<distention !ore distention than pain !ore pain than distention

'ocation !oving pain Fi*ed pain

Character /istending pain, "eeling o" "ullness Boring or sta%%ing pain

)%dominal masses )ppearing and disappearing Fi*ed

S2in ot appearing on s2in !a# mani"est ith purple %lotches or

%ruises

Face !a# %e unchanged /ar2 color or %luish6green

Tongue ormal color or slightl# purple /e"initel# purple and possi%l#ith purple spots

5ulse nl# slightl# ir# Wir#, "irm or chopp#

Patterns:

'iver Blood Stagnation: purple nails, dar2 "ace, irregular<pain"ul periodsith dar2 menstrual %lood and dar2 clots, premenstrual pain, vomitingo" %lood, epista*is, a%dominal pain, "i*ed masses in a%domen. 5ulse:ir#& Tongue: purple, especiall# on sides.

Causes: )la#s derives "rom 'iver Qi Stagnation66"rom emotionalpro%lems. When 'iver Blood Stagnates, Blood in /irecting L5enetrating Pessels 0Chong !ai and 7en !ai4 a""ects menstrual"unction.

Formula:

Decoction to Remoe lood Stasis %elow Diaphragm 0=e6Chia6Chu6Gu6Tang4

/ang -ui 0Chinese angelica4 ;6> gm. )ngelica sinensis

Chuan Iiong 0'igusticum4 ;6> gm. 'igusticum allichii

Tao 7en 05ersica seed4 ;6> gm. 5runus persica



8ong 8ua 0Carthamus& sa""loer4 ;6> gm. Carthamus tinctorius

Wu 'ing hi 05teropus ;6> gm. 5teropus e*crement

e*crement4

Wu Gao 0'indera4 ;6> gm. 'indera str#chni"olia

Gan 8u Suo 0Cor#dalis4 A6; gm. Cor#dalis #anhusuo

Iiang Fu 0C#perus tu%er4 A6; gm. C#perus rotundus

Chi Shao Gao 07ed peon#4 ;6> gm. Cor#dalis #anhusuo

!u /an 5i 0!outan %ar24 ;6> gm. 5aeonia su""ruticosa

hi =e 0Bitter orange A6; gm. Citrus aurantium

-an Cao 0'icorice4 ?6A gm. -l#c#rrhia uralensis

(ndications: For a person ith stagnanc# o" Qi and Blood Stasis. Thes#mptoms are: a%dominal pain 0"i*ed4 ith hardenings, h#pochondriacpain 0piercing4, irrita%le, indigestion, constipation. 5ulse: ir#<taut andhesitant& Tongue: purple ith spots on the side.

Heart lood Stasis: purple lips, sta%%ing or pric2ing pain in the heartregion hich ma# radiate to inner aspect o" le"t arm or to theshoulders& ma# come in repeated %outs and is elicited %# e*ertion orcold eather, palpitations, discom"ort or "eeling o" oppression orconstriction o" chest, cold hands, c#anosis o" nails. 5ulse: chopp# or2notted& Tongue: purple on the sides and toard the "ront, purple anddistended veins under the tongue,

Formulas:

Decoction for Remoing lood Stasis in "hest 0Iue6Fu6Chu6GuTang4:

Tao 7en 05ersica seed4 >6?@ gm. 5runus persica

8ong 8ua 0Carthamus4 ;6 > gm. Carthamus tinctorius

/an -ui 0Chinese angelica4 ;6 > gm. )ngelica sinensis

Chuan Iiong 0'igusticum4 A6 ; gm. 'igusticum allichii



Chi Shao Gao 07ed peon#4 ;6 > gm. 5aeonia lacti"lora

Chuan iu Ii 0C#athula4 ;6 > gm. C#athula o""icinalis

Chai 8u 0Bupleurum4 A6 ; gm. Bupleurum chinense

Jie -eng 05lat#codon4 A6 ; gm. 5lat#codon grandi"lorum

hi =e 0Bitter orange4 ;6 > gm. Citrus aurantium

/i 8uang 07a rehmannia4 ;6 > gm 7ehmannia glutinosa

-an Cao 0'icorice4 A6 ; gm. -l#c#rrhia uralensis

(ndications: "or a person ith pain in the head and chest due to %lood

stasis or poor circulation. The s#mptoms are: chronic pain in the headand chest 0"i*ed and piercing4, chronic hiccup, irrita%ilit#, insomnia,emotional upset, increased %od# temperature especiall# in thea"ternoon. 5ulse: hesitant or ir# and tight& Tongue: dar2 red ithpurple spots.

Lung lood Stasis: stu""iness o" chest, coughing o" dar2 %lood, painin head and chest 0"i*ed and piercing4, chronic hiccup, irrita%ilit#,insomnia, emotional upset, increased %od# temperature especiall# in

the a"ternoon. 5ulse: hesitant, or ir# and tight& Tongue: purple in "rontpart or the sides in the center section, purple L distended veins underthe tongue.

Formula:

Decoction for Remoing lood Stasis in "hest 0Iue6Fu6Chu6Gu6Tang4

07e"er to "ormula under 8eart Blood Stasis4

Stomach lood Stasis:

Clinical !ani"estation: sta%%ing pain in epigastric hich is orse ithheat and pressure, pain a"ter eating, vomiting o" dar2 %lood, dar2 %loodin stools. 5ulse: ir# or chopp#& Tongue: purple in center or ith purplespots.

Causes: a chronic condition "rom Stagnant Fire, 'iver Qi invadingStomach, Food Stagnation, or Qi Stagnation over a long period o" time

0due to long6standing emotional pro%lems such as anger, "rustration,resentment L depression4



Intestine lood Stasis: severe a%dominal pain, dar2 %lood in stools.

Formulas:

1. 5athogenic 8eat in Blood: Ii Jiao /i 8uang Tang& )n-ong iu 8uang Wan& Tao 8e Cheng Qi Tang.

2. 5resence o" Cold in the Blood vessels: /ang -ui Si iTang

3. Qi Stagnation and Blood Stasis: (n the "ace and head:Tong Qiao 8uo Iue Tang& in the chest and h#pochondriacregion: Iue Fu Shu Gu Tang& in the a%domen 0lateral4:Shao Fu hu Gu Tang& in the channels and collaterals: Tao

8ong Si Wu Tang.

4. Blood stasis ith decreased vital energ#: With Qide"icienc#: Bu Gang 8uan Wu Tang& ith de"icienc# o" Ginand Gang, ith hard lumps: -ui hi Fu 'ing Wan.

Rhinoceros and Rehmannia "om%ination 0Ii Jiao /i 8uang Tang4

7hinoceros 8orn 0Ii Jiao4 A6; gms 7hinoceros unicornis

$nprepared 7ehmannia 0Sheng /i 8uang4 9 gms 7ehmanniaglutinosa

7ed 5eon# 0Chi Shao4 A gms 5aeonia lacti"lora

!outan 5eon# 0!u /an 5i4 @ gms 5aeonia su""ruticosa


a4 Treats severe "evers and 8eat in the Blood s#stem

%4 7emoves Blood stagnation

Indications: For severe high "e%rile diseases, delirium, spitting o"%lood, epista*is, hematuria, dar2 %lac2 stools 0%lood in the "eces4. (tcan %e used "or high "evers ith %leeding, acute leu2emia, uremia,hepatic coma, septicemia, %oils and severe local in"lammations.

Tongue: dar2 red tongue ith pric2l# coating

Pulse: thing and rapid



6ote: For ecological reasons, toda# Water Bu""alo or Co’s 8orn isused in triple the amount in su%stitution "or 7hinoceros 8orn.

#ariations:

1. For spitting o" %lood and nose%leeds add (mperata 0Bai!ao -en4 and Biota Tops 0Ce Bai Ge4.

2. For %lood in the "eces add Sophora Floer 08uai 8ua4 and'ithospermum 0i Cao4.

3. For delirium and mania add Scutellaria 08uang Qin4 and7hu%ar% 0/a 8uang4.

e>oar Resurrection Pills 0)n gong iu 8uang Wan4

Bos Calculus 0iu 8uang4 A gms Bos Taurus /omesticus

7hinoceros 8orn 0Ii Jiao4 A gms 7hinoceros unicornis

0Su%stitute times the amount ith ater %u""alo horn4

!us2 0She Iiang4 .D gms !oschus moschi"erus

Coptis 08uang 'ian4 A gms Coptis Chinensis

Scutellaria 08uang Qin4 A gms Scutellaria %aicalensis

-ardenia 0hi i4 A gms -ardenia +asminoides

Curcuma 0Gu Jin4 A gms Curcuma longa

7ealgar 0Iiong 8uang4 A gms )rsenic disul"ide

Borneol 0Bing 5ian4 .D gms /r#o%alanops )romatica

Cinna%ar 0hu Sha4 A gms 7ed !ercuric Sul"ide

5earl 0hen hu4 ?D gms 5teria !argariti"era

-old lea" 0Jin Bo4 three small sheets

Preparation: -rind to a "ine poder. !i* ith hone# and ma2e into Agram pills. Ta2e ? pill @ or A times a da# ith arm ater. Childrenshould %e hal" the adult dose. (" the patient is unconscious administerith a gastric tu%e.




a4 Clears 8eat To*in

%4 7evives unconsciousness

a< Indications: 8igh "ever ith coma, delirium, convulsions. (t can %econsidered "or encephalitis, meningitis, in"antile convulsions, hepaticcoma, cere%ral vascular in+ur#, stro2e, d#senter# and uremia.

"ontraindications: do not use long term or during pregnanc# and donot su%+ect to coo2ing or high heat.

Persica and Rhu%ar% "om%ination 0Tao 8e Cheng Qi Tang4

5ersica Seed 0Tao 7en4 ;6>gms 5runus persica

Cinnamon Tigs 0-ui hi4 A6;gms Cinnamomum cassia

7hu%ar% 0/a 8uang4 ;6>gms 7heum palmatum

!ira%ilitum 0!ang Iiao4 A6;gms Sodium sul"ate

Ba2ed 'icorice 0hi -an Cao4 A6;gms -l#c#rrhia $ralensis


a4 /ispels 8eat and Blood stagnation in the 'oer Warmer 0especiall#indicated "or s#mptoms o" the loer le"t a%domen hile 7hu%ar% and!outan Com%ination 0/a 8uang !u /an Tang4 is "or the loer righta%domen4

Indications: Sharp loer a%dominal pains, nervousness and an*iet#,delirium, thirst, hard stool, di""icult urination, elevated temperature at

night. (t ma# %e considered "or irregular menstruation, d#smenorrhea,amenorrhea, retained placenta, acute pelvic in"lammation, intestinalo%struction and constipation.

Tongue: red and dr#

Pulse: deep, strong %ut ith di""icult#

#ariations:

1.For severe Blood stagnation add /ang -ui and Carthamus08ong 8ua4.



For chronic sciatica add prepared aconite, dipsacus, eucommia, ci%otiiand rhu%ar%

Tong 4iao Huo Aue Tang 0(nvigorate Blood Circulation and pen theri"ices /ecoction4

!us2 0She Iiang4 .?6.@ gms. !oschus moschi"erus

5each seed 0Tao 7en4 ;6> g 5runus persica

Carthamus 08ong 8ua4 ;6> g Carthamus tinctorius

'igusticum 0Chuan Iiong4 A6; g 'igusticum allichii

7ed 5eon# 0Chi shao #ao4 A6; g 5aeonia ru%ra

-arlic 0Cong4 A pcs. )llium "istulosum

Ju+u%e dates 0A6D pcs. i#phus +u+u%a

7ice Wine

)ction: invigorates Blood circulation and opens the ori"ices

(ndications: Blood stagnation in the head and "ace. S#mptoms includeheadache, diiness, dea"ness, loss o" hair, pale or c#anotic "ace,phthiasis, ea2ness o" the muscles. (t can %e considered "or cere%ralconcussion, post6concussion s#ndromes, in"antile malnutrition.

Shao $u 2hu Bu Tang 07emove Blood Stasis "rom the 'ateral )%domen /ecoction4

/ang gui ;6> g )ngelica Sinensis

'igusticum 0Chuan *iong4 A6; g 'igusticum allichii

7ed peon# 0Chi shao #ao4 ;6> g 5aeonia lacti"lora

Fennel seeds 0Iiao hui *iang4 A6; Foeniculum vulgare

Cor#dalis 0Gan hu suo4 A6; g Cor#dalis #anhusuo

Trogopterus 0Wu ling hi4 A6; g Trogopterus *anthipes

!#rrh 0!o Gao4 A6; g Commiphora m#rrha

Cinnamon %ar2 07ou gui4 A6; g Cinnamomum cassia



/r# ginger 0-an +iang4 A6; g ingi%er o""icinale

Bulrush pollen 05u huang4 ;6> g T#pha angustata

)ction: ?. (nvigorates %lood circulation and removes stasis

@. arms the channels and relieves pain

(ndications: For %lood stagnation in the lateral a%domen. S#mptomsare a%dominal pain ith no lumps, or ith lumps %ut no pain,a%dominal distention, irregular menstruation, lum%ago during menses,%lood color is purple, or %lac2 ith clots, or uterine %leeding itha%dominal pain.

$ses: d#smenorrhea, amenorrhea, irregular menstruation, uterine%leeding.

Dang 5ui $our "om%ination 0Si Wu Tang4

5repared 7ehmannia 0Shu /i 8uang4 ?6?Dgms 7ehmannia glutinosa

/ang -ui 0/ang -ui4 >6?@gms )ngelica sinensis

'igusticum 0Chuan Iiong4 ;6>gms 'igusticum allichii

White 5eon# 0Bai Shao4 >6?@gms 5aeonia lacti"lora

!ctions and Indications:

a4 7estores and nourishes Blood

%4 Stimulates %lood circulation.

Indications: )nemia, pale, sallo comple*ion and "ingernails,diiness, vertigo, irregular menstruation, ringing in the ears, stoppedmenstruation, threatened miscarriage, post6partum anemia.

Tongue: pale

Pulse: thread# and ea2

6ote: This is the mother "ormula "or all Blood /e"icienc# disorders.

#ariations:



1. For increased Blood stagnation add 5each Seeds 0Tao7en4 and Carthamus Floers 08ong 8ua4, this %ecomesTao 8ong Si Wu Tang

2. For uterine %leeding add /on2e#68ide -elatin 0E Jiao4 and!ugort 0)i Ge4. ) version o" this is commerciall# availa%leas Tang =ei -in.

3. 5ain"ul menstruation ith anemia and stagnation, addBlood and Qi moving her%s including !otherort 0Gi !uCao4, c#perus 0Iiang Fu4, Cor#dalis 0Gan 8u Suo4.

u Bang Huan Wu Tang 07ein"orcing the vital "unction and restoringnormal "unction o" the "ive viscera’s decoction4

)stragalus 08uang i4 ?6?D g )stragalus mem%ranaceus

/ang gui ;6> g )ngelica sinensis

'igusticum 0Chuan *iong4 ;6> g 'igusticum allichii

7ed peon# 0Chi shao #ao4 ;6> g 5aeonia lacti"lora

Earthorm 0/i long4 A6; g 5heretima aspergillum

5each seed 0Tao ren4 ;6> g 5runus 5ersica

Carthamus 08ong hua4 ;6> g Carthamus tinctorius

)ction: 7eplenishes Qi, invigorates %lood circulation, activatescirculation in the collaterals

(ndications: "or post6cere%ral apople*# s#ndromes ith s#mptoms o"hemiplegia, deviation o" the mouth and e#es, di""icult# o" speech,

salivation, "reuent urination or incontinence o" urination.

Tongue: hite coat

5ulse: moderate

$ses: "or apople*#, hemiplegia, cere%ral vascular accident, in"antileparal#sis.

Pariations:

1. i" there are cold e*tremities add prepared aconite 0"u i4



2. For Spleen de"icienc# add ginseng 0ren shen4 andatract#lodes 0Bai hu4

3. With sputum add 5inellia 0Ban Iia4

"innamon and Poria "om%ination 0-ui hi Fu 'ing Wan4

Cinnamon Tig 0-ui hi4 ;6>gms Cinnamomum cassia

5oria 0Fu 'ing4 ;6>gms 5oria cocos

!outan 5eon# 0!u /an 5i4 ;6>gms 5aeonia su""ruticosa

5ersica Seed 0Tao 7en4 ;6>gms 5runus persica

7ed 5eon# 0Chi Shao Gao4 ;6>gms 5aeonia lacti"lora


a4 5romotes %lood and l#mphatic circulation, thus removing stagnantBlood.

%4 So"tens and resolves hard lumps such as c#sts and "i%roids.

Indications: (t is used "or Blood and "luid stagnation especiall# o" the"emale reproductive organs. S#mptoms ma# include "i%roids and c#stsin the loer a%domen, pain"ul, spasmodic and irregular menstruationcharacteristic o" endometriosis. (t is used "or in"ertilit#, d#smenorrhea,post6partum %leeding, retention o" the placenta.

7epresentative "ormula "or Blood circulation and toni"ication:

Dang 5ui $our "om%ination 0Si Wu Tang4

5repared 7ehmannia 0Shu /i 8uang4 ?6?Dgms 7ehmannia glutinosa

/ang -ui 0/ang -ui4 >6?@gms )ngelica sinensis

'igusticum 0Chuan Iiong4 ;6>gms 'igusticum allichii

White 5eon# 0Bai Shao4 >6?@gms 5aeonia lacti"lora

!ctions and Indications:

a4 7estores and nourishes Blood

%4 Stimulates %lood circulation.



Indications: )nemia, pale, sallo comple*ion and "ingernails,diiness, vertigo, irregular menstruation, ringing in the ears, stoppedmenstruation, threatened miscarriage, post6partum anemia.

Tongue: pale

Pulse: thread# and ea2

6ote: This is the mother "ormula "or all Blood /e"icienc# disorders.

#ariations:

1. For increased Blood stagnation add 5each Seeds 0Tao7en4 and Carthamus Floers 08ong 8ua4, this %ecomesTao 8ong Si Wu Tang

2. For uterine %leeding add /on2e#68ide -elatin 0E Jiao4 and!ugort 0)i Ge4. ) version o" this is commerciall# availa%leas Tang =ei -in.

3. 5ain"ul menstruation ith anemia and stagnation, addBlood and Qi moving her%s including !otherort 0Gi !uCao4, c#perus 0Iiang Fu4, Cor#dalis 0Gan 8u Suo4.

H9RS $7R L77D ST!56!TI76

These her%s are classi"ied as Emmenagogues and Blood 7egulatingor Blood !oving. The# are ver# important to use "or relieving variouspain"ul conditions.

Wild 5inger 0)sarum species4 66 %itter, spic#, arm& goes to the 'iver,8eart and 'ungs. (t contains essential oils including asarone, acids,tannin, "lavonoids and resin. (t is emmenagogue, stimulant, diureticand carminative. (t opens the meridians, stimulates the circulation o"

Blood and Qi, aids digestion and treats colds and in"luena s#mptoms.

Tans+ 8Tanacetum ulgare< 66 %itter, acrid, arm& goes to the 'iverand 5ericardium. (t contains essential oil, possi%l# thu+one. (t isemmenagogue, carminative and vermi"uge. (t is used to %ring ondela#ed menses and to eliminate orms. The oil can %e usede*ternall# to treat %ruises and rheumatic complaints.

Radi; !ngelicae Sinensis /ang -ui

Common ame: /ong Quai, Chinese )ngelica




Energ# and Flavor: seet, acrid, %itter and arm

rgan !eridian )""ected: 8eart, 'iver and Spleen

)ctions: ?. Toni"ies the Blood& @. 'u%ricates the (ntestines& A. 5romotescirculation and dispels %i pain.

(ndications: ?. For de"icienc# o" Blood ith s#mptoms o" palecomple*ion, %lurred vision, menstrual disorders and palpitations& @. For constipation due to Blood de"icienc#& A. 5romotes circulation andnourishes the Blood "or pain"ul o%struction caused %# Cold andstagnation o" Blood.

Contraindications: ot "or those ith diarrhea, a%dominal distentioncaused %# /ampness or %# those ith Gin de"icienc# ith 8eat signs.

/osage: A 6 > grams

Radi; Paeoniae Lactiflorae Bai Shao

Common ame: White 5eon#

Famil#: 7anunculaceae

Energ# and Flavor: %itter, sour and slightl# cold

rgan !eridian )""ected: 'iver and Spleen

)ctions: ?. Toni"ies the Blood and preserves the Gin& @. ourishes the'iver assists in the smooth "lo o" Qi.

(ndications: ?. For menstrual disorders associated ith de"icienc# o"

Blood and sta%ilies the Gin "or e*terior Wind6Cold conditions that duenot resolve ith seating and Gin de"icienc# here there is seating&@. For de"icienc# o" 'iver Blood or Gin here the 'iver Gang isaggressive causing s#mptoms o" pain in the "lan2s or a%domen, painassociated ith menses, spasms throughout the %od# or 1'iverattac2ing Spleen3 conditions.

Contraindications: This her% should not %e used %# those ith diarrheaand Spleen and Stomach de"icienc#.




Radi; Ligustici "huan;iong Chuan Iiong

Common ame: 'igusticum, Sechan 'ovage 7oot, Cnidium


Energ# and Flavor: acrid and arm

rgan !eridian )""ected: 'iver, -all%ladder, 5ericardium

)ctions: ?. 7egulates and moves the Blood& @. 7elieves Wind6Coldand pain& A. Circulates the Qi in the $pper Burner, relievingheadaches.

(ndications: ?. 7elieves d#smenorrhea, amenorrhea, di""icult la%or andretained placenta& @. 7elieves %lood stagnation in the chest iths#mptoms o" "lan2 pain, chest pain and Blood stagnation an#here inthe %od#& A. )lleviates pain caused %# e*ternal Wind6Cold iths#mptoms o" %od# ache, headache, diiness and headaches& .Treats various s2in pro%lems associated ith Wind.

Contraindications: ot to %e used "or headaches that occur %ecause o" de"icienc# o" Gin or "rom raising 'iver Gang, it should not %e used henthere is a%normal %leeding or during pregnanc#.

/osage: A 6 > grams

Radi; Saliae Miltiorrhi>a /an Shen

Common ame: Salvia 7oot, 7ed Sage 7oot

Famil#: 'a%iatae

Energ# and Flavor: %itter and slightl# cold

rgan !eridian )""ected: 8eart, 'iver, 5ericardium

)ctions: ?. (nvigorates the Blood and %rea2s up stasis& @. Clears 8eatand calms restlessness

(ndications: ?. For dela#ed or slo menses, an# pain due to Bloodstasis such as chest pain or menstrual cramps& @. For in"lammationsincluding ulcers, %oils and car%uncles also "or heat and stagnant Bloodassociated ith insomnia, palpitations and irrita%ilit#.



Contraindications: /o not %e use i" there is no Blood stasis. (t shouldnot %e used in con+unction ith 7adi* Peratri.


Rhi>oma "or+dalis Banhusuo Gan 8u Suo

Common ame: Cor#dalis

Famil#: 5apaveraceae

Energ# and Flavor: acrid, %itter and arm

rgan !eridian )""ected: 'iver, 'ung, Spleen and 8eart

)ctions: ?. !oves the Blood, %rea2s stasis and reduces associatedpain& @. 7egulates stagnant Qi and reduces associated pain.

(ndications: ?. For stagnation o" Blood ith s#mptoms such as %loc2edmenses, cramping due to Blood stasis and traumatic in+ur#& @. Forconditions o" stagnant Qi and pain such as epigastric pain, chest painand menstrual pain.

Contraindications: This her% should not %e used during pregnanc#.

/osage: A 6 > grams

Rhi>oma "urcumae Longae Jiang 8uang

Common ame: Turmeric 7hiome

Famil#: ingi%eraceae



)ctions: ?. !oves Blood and un%loc2s stasis& @. Facilitates themovement o" Qi and eases pain& A. Clears the meridians, e*pels Windand moves Blood to relieve pain.

(ndications: ?. For stagnation o" Blood associated ith Cold iths#mptoms o" late or slo menstruation, chest pain and a%dominal pain&@. For stagnation o" 'iver Qi ith s#mptoms o" pain in the a%domen

and epigastric region& A. For Wind6/amp %i pain caused %# stagnation



o" Blood and Qi ith s#mptoms o" chronic pain such as arthritis,rheumatoid arthritis and other 2inds o" pain"ul o%struction.

Contraindications: This her% should %e avoided during pregnanc#, itshould not %e used hen there is Blood de"icienc# ith signs o"stagnation o" Blood or Qi.

/osage: A 6 > grams

Her%a Leonuri Heteroph+lli Gi !u Cao

Common ame: Chinese !otherort

Famil#: 'a%iatae

Energ# and Flavor: acrid, %itter and slightl# cold

rgan !eridian )""ected: 8eart, 'iver and $rinar# Bladder

)ctions: ?. !oves and regulates Blood, %rea2s stasis and regulates themenses& @. (ncreases the "lo o" urine and reduces stagnation o"ater.

(ndications: ?. For stagnation o" Blood ith s#mptoms o" pain "romBlood stasis, late or slo menstruation, in"ertilit#, uterine %leeding, postpartum pain and masses caused %# Blood stagnation& @. For retentiono" ater ith s#mptoms o" acute edema ith or ithout 8eat in the=idne# or Bladder causing Blood in the urine.

Contraindications: !otherort should not %e during pregnanc# or %#those ith Blood de"icienc# or Gin de"icienc#.

/osage: > 6 A grams

Her%a L+copi Lucidi e 'an

Common ame: Bugleeed

Famil#: 'a%iatae


rgan !eridian )""ected: 'iver, Spleen and $rinar# Bladder

)ctions: ?. !oves Blood, regulates the menstruation and %rea2s stasis&@. (ncreases the "lo o" urine.



(ndications: ?. For stasis o" Blood ith s#mptoms o" %loc2edmenstruation, post partum pain, irregular menstruation, a%dominal painand stasis caused %# traumatic in+ur#& @. For edema o" an# 2indespeciall# hen Blood stagnation is present, also "or dripping o" urine.

Contraindications: This her% should %e used ith caution duringpregnanc# and not %e used hen there is no Blood stasis.

/osage: A 6 > grams

Radi; Paeoniae Ru%rae Chi Shao

Common ame: 7ed 5eon# 7oot


Energ# and Flavor: sour, %itter and slightl# cold


)ctions: ?. !oves Blood, relieves pain and reduces selling& @. Coolsthe Blood and the 'iver.

(ndications: ?. For stagnation o" Blood ith or ithout sellingaccompanied %# s#mptoms o" %loc2ed menstruation, in"lammation ithpain, pain in the a%domen and pain caused %# traumatic in+ur#& @. For8eat in the Blood or 'iver ith s#mptoms o" "ever, rashes, red andsollen e#es and %leeding due to Blood 8eat.

Contraindications: This her% should not %e used %# those ith Bloodde"icienc#.

/osage: ; 6 ?@ grams

Semen Persicae Tao 7en

Common ame: 5each =ernel, 5ersica

Famil#: 7osaceae

Energ# and Flavor: seet, %itter and neutral

rgan !eridian )""ected: 'iver, 8eart, 'ung and 'arge (ntestine

)ctions: ?. !oves Blood and %rea2s up stasis& @. !oistens the(ntestines.



(ndications: ?. For stagnation o" Blood ith s#mptoms o" %loc2edmenstruation, pain due to traumatic in+ur#, pain in the a%domen and"lan2s and 'ung and (ntestinal a%scesses& @. For constipation due todr#ness, especiall# good "or the elderl#.

Contraindications: This her% should not %e used %# pregnant omen.

/osage: D 6 ? grams

$los "arthami Tinctorii 8ong 8ua

Common ame: Sa""loer, Carthamus

Famil#: Compositae


rgan !eridian )""ected: 8eart and 'iver

)ctions: ?. !oves stagnant Blood and regulates menses& @. 7elievespain caused %# Blood stasis.

(ndications: ?. For Blood stagnation causing irregularit# in the mensesor pain and masses in the a%dominal region caused %# stagnation o"Blood& @. For pain due to traumatic in+ur# ith stagnation o" Blood oran# other pain caused %# stagnation o" Blood.

Contraindications: This her% should not %e used %# pregnant omen.

/osage: A 6 > grams

Resina M+rrha !o Gao

Common ame: !#rrh

Famil#: Burseraceae

Energ# and Flavor: %itter and neutral

rgan !eridian )""ected: 8eart, 'iver and Spleen

)ctions: ?. !oves Blood and relieves stasis and pain caused %# Bloodstasis& @. )ssists in ound healing.



re"ers to the accumulation o" harm"ul cholesterol and high %lood lipidshich graduall# impair circulation.

)& $LUID ST!56!TI76

(n general Fluid stagnation is o"ten associated ith Qi de"icienc# or loenerg#. (t is accompanied %# a general appearance o" edema or tissueselling, especiall# seen on the a%domen, "ace, enlarged glands,nodules and<or an# other pu""#, sollen areas o" the %od#. The tonguere"lects this ill sho generalied edema %# appearing enlargedsollen, scalloped on the sides and ver# moist. The pulse "eels1slipper#3, gliding or 1rolling3, hichever description aptl# descri%es itmani"estation.

$pper Warmer S#mptoms: Edema, /ampness o" head and chest,phlegm congestion, /amp tongue ith tooth mar2, etc.

!iddle Warmer S#mptoms: 1Shin6Sui6n,3 0the Japanese =anpo name"or the sound o" a%dominal "luid4 /amp a%domen, )scites, etc.

'oer Warmer S#mptoms: Edema, pitting, /ampness, etc.

Edema: arises "rom /e"icienc# o" Spleen, 'ung or =idne#, or all three

From 'ung Qi /e"icienc#: edema in top part o" %od# such as "ace Lhands or "rom invasion o" E*terior Wind6Cold hich inter"eres ith'ung "unction o" dispersing L descending Bod# Fluids

From Spleen Qi /e"icienc#: edema in middle part o" %od#, such asa%domen 0)scites4

From =idne# Gang /e"icienc#: edema in loer part o" %od#, such aslegs and an2les

5hlegm: mainl# arises "rom Spleen /e"icienc# as it "ails to trans"ormand transport Bod# Fluid. 'ung and =idne# can also %e involved i"'ung "ail to disperse and loer "luids and i" =idne# "ail to trans"orm ande*crete "luids, the# can then accumulate into 5hlegm. There are @t#pes: su%stantial, hich can %e seen, and non6su%stantial hich can’t%e seen.

Patterns:

Folloing is the representative "ormula and variations "or /ampness

and 5hlegm that can %e adopted "or most conditions:



"itrus and Pinellia "om%ination 0Er Chen Tang or To Cured/ecoction4

5inellia 0Ban Iia4 ?Dgms 5inellia ternata

Citrus 5eel 0Chen 5i4 ?Dgms Citri reticulatus

5oria 0Fu 'ing4 >gms 5oria cocos

Ba2ed 'icorice 0hi -an Cao4 gms -l#c#rrhiae uralensis

Preparation: 5repare as a decoction adding Agms o" Fresh -inger0Sheng Jiang4 and ?pc o" $me%oshi 5lum 0dried or salt preserved4.


a4 /ries /amp and dispels 5hlegm

%4 7egulates Qi and harmonies the middle armer 0Stomach andSpleen4.

Indications: Cough ith /amp6Cold 5hlegm caused %# Cold6 /amp o" the Spleen and Stomach. S#mptoms ma# include chest and epigastric"ullness, nausea, vomiting, lassitude, "eeling o" heaviness 0"romE*cess mucus4, possi%l# vertigo and palpitations in e*treme cases.!a# %e considered "or upper respirator# tract in"ection, chronic%ronchitis, cough, goiter, chronic gastritis, peptic ulcer and !eniereNsdisease.

Tongue: moist, greas# hite coat

Pulse: slipper#

#ariations:

1. For /amp68eat o" the $pper Warmer add Scutellaria08uang Qin4, -ardenia 0hi i4, )pricot Seed 0Iing 7en4and 5lat#codon 0Jie -eng4.

2. For /amp68eat in the 'oer Warmer add Sophorae 0=uShen4, 5hellodendron 08uang Bai4 and Talcum 08ua Shi4.

3. For Wind6/ampness add Clematis 0Wei 'ing Iian4,-entiana 0Qin Jiao4, Ianthium 0Cang Er i4 and Cinnamon

Tigs 0-ui hi4.



4. For cough ith copious sputum caused %# E*ternal Cold inthe 'ungs add Ephedra 0!a 8uang4 and )pricot Seed0Iing 7en4.

5. For vomiting caused %# a Cold Stomach add /ried -inger0-an Jiang4 and Cardamon 0Sha 7en4.

6. For vomiting o" clear "luids add Blac2 )tract#lodes 0Canghu4 and White )tract#lodes 0Bai hu4.

7. For chronic 5hlegm in the channels and "lesh leading toru%%er# nodules add #ster Shell 0!u 'i4, Scrophularia0Iuan Shen4, 'aminaria 0=un Bu4 and Sargassi 08ai ao4.

8.For Spleen and =idne# Gang /e"icienc# characteried %#coughing o" thin, ater# sputum, deep pulse and urinar#pro%lems, add Cinnamon Bar2 07ou -ui4 and preparedaconite 0Fu i4.

9. For insomnia and sleepiness a"ter meals add White )tract#lodes 0Bai hu4 and Seet Flag 0Shi Chang 5u4.

10.For severe coughing at night caused %# 5hlegm and Blood/e"icienc# add )ngelica 0/ang -ui4.

11.For /amp65hlegm o%structing the om% ith irregularmenstruation and copious leu2orrhea add 'igusticum0Chuan Iiong4 and )ngelica 0/ang -ui4.

12.For 5hlegm and dr#ness together, su%stitute Trichosanthis0-ua 'ou4 and Fritillar# Bul% 0Chuan Bei !u4 "or 5inellia0Ban Iia4.

13.For diiness or vertigo, headache, "ull, sti"ling "eeling in

the chest, nausea, vomiting, headache&

Tongue: hite greas# coat& 5ulse: slipper#, ir# or %ostring, add:-astrodia 0Tian !a4 and ? slice o" "resh -inger 0Sheng Jiang4 and A6pcs o" Ju+u%e /ate 0/a ao4. This %ecomes Pinellia and 5astrodia"om%ination 0Ban Iia Bai hu Tian !a Tang4. (t is used to dr# anddissolve 5hlegm and smooth the 'iver and uiet 'iver6Wind0antispasmodic4.

This "ormula "orms the %asis "or countless other com%inations that deal

ith 5hlegm and "luid accumulation or hat in )#urvedic medicine iscalled O2aphaO, or mucus humour.



For instance Si; 5entlemen Decoction 0'iu Jun i Tang4 com%ines5inellia, 5oria, 'icorice and Citrus ith -inseng and White atract#lodesas a Spleen tonic. This re"lects the relationship o" the Spleen Qi to "luidmeta%olism.

)nother variation is Pinellia and 5astrodia "om%ination thatcom%ines -astrodia 0Tian !a4 and )tract#lodes 0Bai hu4 to calm'iver6Wind and dissolve /ampness. (t is used "or s#mptomsassociated ith diiness, vertigo, heaviness o" the head, headache,and other central neurological s#mptoms caused %# Wind and 5hlegm.

am%oo and Poria "om%ination 0Wen /an Tang4 adds Bam%ooShavings 0hu 7u4 ;gms, -reen Citrus 0hi Shi4 ;gms and Fresh-inger 0Sheng Jiang4 A6;gms to clear 8ot65hlegm ith s#mptoms o"

coughing o" copious thic2, #ello sputum that is di""icult to e*pectorate.

!rtemisia !nnua and Scutellaria Decoction to "lear the5all%ladder 08ao Qin Qing /an Tang4 is another "ormula variation thatadds Seet )nnie 0Qing 8ao4 ;6>gms, Scutellaria 08uang Qin4 ;6>gms, Bam%oo Shavings 0hu 7u4 >g and Bi Gu San >6?@gms 0acom%ination o" eual parts Talcum, (ndigo and 'icorice4. (t is used toclear 8eat "rom the -all%ladder, relieve acute conditions o" the -allBladder as ell as s#mptoms o" acute hepatitis, acute gastritis,pneumonia, h#pertension, coronar# arter# disease, p#elonephritis, and

!eniere’s disease, all associated ith acute damp 8eat s#ndromes.

!pricot Cernel and Perilla Leaf Powder 0Iing su san4 adds 5erilla'ea" 0i Su Ge4, 5eucedani 0Qian 8u4, )pricot Seed 0Iing 7en4, Apcso" Ju+u%e /ate 0/a ao4 and Agms o" 'icorice 0-an Cao4. (t is used todisperse and lu%ricate dr#ness to treat deep coughs ith associateds#mptoms o" ater# sputum, stu""# nose, slight headache, chillsithout seating, %ut a dr# throat and a dr# tongue ith a hite coatingand a ir# pulse.

$pper Warmer S#mptoms

Damp Phlegm 7%structing the Lungs:

Clinical !ani"estations: Chronic cough coming in %outs, pro"use hitesputum hich is eas# to e*pectorate, hite6past# comple*ion,stu""iness o" the chest, "eeling 1clogged up,3 shortness o" %reath, disli2eo" l#ing don. 5ulse: slipper# or ea26"loating and "ine& Tongue: thic26stic2# hite coating.



5atholog#: E*cess6 (nterior6Cold pattern, usuall# "rom 5hlegm retainedin the 'ungs %ut also "rom chronic d#s"unction o" Spleen intrans"orming and transporting Fluids.

Causes: Spleen Qi or Spleen Gang /e"icienc#& recurrent attac2s o"E*terior 5athogenic Factors ea2ening 'ungs and Spleen to cause"ormation o" 5hlegm hich settles in 'ung. E*cessive consumption o"greas# "oods L<or cold and ra "oods.

Formula:

Perilla Seed Decoction:

i Su i 05erilla seed4 ;6> gm. 5erilla "rutescens

Ban Iia 05inellia tu%er ;6> gm. 5inellia ternata

8ou 5o 0!agnolia Bar24 ;6> gm. !agnolia o""icinalis

Qian 8u 05eucedanum root4 ;6> gm. 5eucedanum praeruptorum

7ou -ui 0Cinnamon Bar24 A6; gm. Cinnamomum cassia

/ang -ui 0Chinese angelica ;6> gm. )ngelica sinensis

-an Cao 0Ba2ed licorice4 A6; gm. -l#c#rrhia uralensis

Chen 5i 0Citrus peel4 A6; gm. Citrus reticulata

Phlegm3Heat 7%structing Lung:

Clinical mani"estations: %ar2ing cough, pro"use #ello or green or dar2sputum hich is "oul6smelling, shortness o" %reath, asthma, stu""inesso" the chest. 5ulse: slipper#, rapid, "ull& Tongue: red %od#, thic26stic2##ello coating.

5atholog#: Similar to previous pattern %ut com%ined ith 8eat ithunderl#ing /e"icienc# o" Spleen Qi, an E*cess68ot6(nterior condition.

Causes: e*cessive consumption o" greas# L hot "oods, smo2ing,invasion o" E*terior Wind 8eat.

Formula: Ephedra and )pricot Seed Com%ination 0!a Iin Shi -anTang4

Ephedra 0!a huang4 ;6> gms Ephedra sinica



)pricot seed 0Iing ren4 ;6> 5runus armeniaca

-#psum 0Shi gao4 ?D6A Calcium sul"ate

Ba2ed licorice 0hi gan cao4 A6; -l#c#rrhia uralensis

Properties and !ctions: a4 Clears E*ternal conditions, %4 anti6asthmatic

Indications: For E*ternal Wind 8eat and (nterior 'ung 8eat.S#mptoms include "ever, ith or ithout perspiration, asthma, thirstand dr#ness.

Tongue: either a thin hite or #ello coat

Pulse: "loating, rapid and slipper#

Contraindication: not "or asthma caused %# Wind Cold.

Morus and "hr+santhemum "om%ination 0Sang Ju Gin4

!ul%err# 'ea" 0Sang Ju Gin4 ;6>gms !orus )l%a

Chr#santhemum 0Ju 8ua4 A6;gms Chr#santhemum mori"olium

!entha 0Bo 8e4 A6;gms !entha arvensis

)pricot Seed 0Iing 7en4 ;6>gms 5runus )rmeniaca

5lat#codon 0Jie -eng4 ;6>gms 5lat#codon grandi"lorum

Fors#thia 0'ian Qiao4 ;6>gms Fors#thia Suspensa

5hragmites 0'u -en4 ;6>gms 5hragmites communis

'icorice 0-an Cao4 A6;gms -l#c#rrhia $ralensis


a4 Cooling diaphoretic

%4 /ispels Wind68eat

c4 )ntitussive, relieves cough



Indications: Wind68eat conditions ith s#mptoms o" the commoncold, in"luena, coughs, acute stages o" %ronchitis and throatin"ections, con+unctivitis.

Tongue: thin hite coat

Pulse: "loating and rapid

"ontraindications: ot "or upper respirator# conditions associatedith Wind6Cold.

Phlegm $luids 7%structing the Lungs:

Clinical !ani"estations: cough, %reathlessness, splashing sounds inchest, vomiting o" hite6ater#6"roth# sputum, chilliness, cough hichma# %e elicited %# a scare. 5ulse: "ine and slipper# or ea26"loating&Tongue: pale %od#, thic26stic2# hite coating.

5atholog#: chronic condition o" 5hlegm in 'ung hich is ver# ater#,dilute and "roth#. There also e*ists Spleen Gang /e"icienc#.

Causes: Chronic Spleen Gang /e"icienc#, over6e*ertion, long6termpoor diet, e*cessive consumption o" greas# L cold6ra "ood.

Formula: "itrus @ Pinellia "om%ination:

Middle Warmer $ormulas:

Phlegm and Dampness caused %+ Deficient Spleen:

Clinical !ani"estations: 'o energ#, poor appetite, ea2 digestion,phlegm, ater# diarrhea, d#spnea, vomiting, acid regurgitation, Chest"ullness. Tongue: pale ith hite greas# coat, 5ulse: so"t and ea2

Causes: (mproper diet, eating too much ra, cold "ood.

Formula: Si; 5entlemen Decoction 0'iu Jun i Tang4

0see a%ove under Citrus and 5inellia4

Magnolia and 5inger $ormula 05ing Wei San4

Blac2 )tract#lodes 0Cang hu4 ;6>gms )tract#lodes lancea

!agnolia Bar2 08ou 5o4 A6;gms !agnolia o""icinalis

Citrus 5eel 0Chen 5i4 A6;gms Citrus reticulata



'icorice 0-an Cao4 ?.Agms -l#c#rrhiae uralensis



a4 Carminative, relieves %loating and clears Spleen /ampness

%4 5romotes the "unction o" the Stomach and digestion

Indications: Bloated a%domen, lac2 o" appetite, nausea and vomiting,%elching ith acid regurgitation, loose stool and diarrhea, dull, heav#"eeling. (t can %e used "or chronic stomach pro%lems including gastritisand nervous stomach.

Tongue: greas#, hite and sollen

Pulse: slipper#

#ariations:

1. To "urther augment the properties o" the "ormula add5inellia 0Ban Iia4 and )gastache 08uo Iiang4.

2. For indigestion add !edicated 'eaven 0Shen Qu4 andSprouted Barle# 0!ai Ga4.

3. For %loated a%domen ith constipation add )reca Seed0Bing 'ang4 and 7adish Seeds 0'ai Fu i4.

4. For a%dominal %loating caused %# Cold6/amp ith apre"erence "or armth add /r# -inger 0-an Jiang4,Cinnamon Bar2 07ou -ui4 and Cardamom Seed 0Cao /ou=ou4.

Magnolia and Hoelen "om%ination 0Wei 'ing Tang4

)lisma 0e Iie4 @.Dgms )lisma plantago6auatica

5oria 0Fu 'ing4 @.Dgms 5oria cocos

5ol#porus 0hu 'ing4 @.Dgms 5ol#porus um%ellatus

Cinnamon Tig 0-ui hi4 @.gms Cinnamomum cassia

White )tract#lodes 0Bai hu4 @.Dgms )tract#lodes al%a



Blac2 )tract#lodes 0Cang hu4 @.Dgms )tract#lodes lancea

!agnolia Bar2 08ou 5o4 @.Dgms !agnolia o""icinalis

Citrus 5eel 0Chen 5i4 @.Dgms Citrus reticulata

'icorice 0-an Cao4 ?.gms -l#c#rrhiae uralensis

Fresh -inger 0Sheng Jiang4 ?.Dgms ingi%eris o""icinale



a4 Eliminates /ampness o" the Spleen 0relieves %loating4

%4 Carminative, restores the "unction o" the Stomach and assistsdigestion.

Indications: )%dominal %loating and "ullness, loss o" appetite, dullheav# "eeling in the head and %od#, ater# diarrhea, decreasedurination. (t is more diuretic and generall# "or a more chronic conditionthan Magnolia and 5inger "om%ination 05ing ei san4 %ut hassimilar uses in that it can %e used "or chronic gastritis, nervousstomach, ascites, edema caused %# 8eart or =idne# mal"unction,gastro6enteritis, sollen testicles and urinar# retention.

Tongue: hite ith a greas# coat

Pulse: slipper# and thread#

ne o" the most "reuentl# used "ormulas "or regulating "luid retentionis the "olloing:

Poria $ie Her%s formula 0Wu 'ing San4

5oria 0Fu 'ing4 ;6>gms 5oria cocos

Water 5lantain 0e Iie4 >6?@gms )lisma plantago6auatica

5ol#porus 0hu 'ing4 ;6>gms 5ol#porus um%ellatus

Cinnamon tig 0-ui hi4 ;6>gms Cinnamomum cassia

White )tract#lodes 0Bai hu4 ;6>gms )tract#lodes al%a




a4 /iuretic, clears edema

%4 /iaphoretic

c4 /igestive, strengthens the Spleen

Indications: This is the primar# diuretic "ormula. (t is used "or Spleendampness conditions, edema, thirst, headache, nausea and vomitinga"ter drin2ing ater, urinar# retention, ascites, cardiac edema,digestive pro%lems including acute gastritis, gastrectasis, ascitescaused %# liver cirrhosis, acute enteritis ith diarrhea as ell assollen testicles.

Tongue: hite and moist

Pulse: "loating, slipper#

#ariations:

?. For +aundice and<or %lood in the urine, hepatitis, add Capillaris 0GinChen 8ao4.

Modified Poria $ie Her%s formula 0Wu ling san4 ith curculiginis0Iian mao4 ?D gms, epimedium 0Gin #ang huo4 ?D gms, astragalus root08uang i4 ?D gms, cuscuta seed 0Tu si i4 ?D gms and ginseng 07enshen4 > gms.

For /e"icient Spleen and =idne# Gang t#pe 'upus ith s#mptoms o" apale comple*ion, edema o" the "ace and lim%s, distended and "ulla%domen, cold e*tremities, shortness o" %reath, loose stool, "reuenturination, pale, possi%l# sollen and scalloped tongue ith moist "ur,deep and thread# or thread# and ea2 pulse.

7%struction of Spleen %+ Dampness with Stagnation of Lier 4i:

Clinical !ani"estations: stu""iness and "ullness o" the epigastrium,nausea, no appetite, loose stools, "eeling o" heaviness, thirst ithdesire to drin2 in small amounts, sallo comple*ion, h#pochondriacpain, +aundice, %itter taste. Tongue: thic26stic2 #ello coating& 5ulse:slipper# L ir#.

Causes: e*cessive consumption o" greas# "oods

Formula: "apillaris "om%ination 0Gin Chen 8ao Tang4



Capillaris 0Gin Chen 8ao4 >gms )rtemisia capillaris

-ardenia Fruit 0hi i4 ;gms -ardenia +asminoides

7hu%ar% 0/a 8uang4 ;6>gms 7heum palmatum

Properties and !ction:

Clears (nternal /amp68eat

Indications: For (nternal damp 8eat ith s#mptoms o" +aundice and#elloish e#es, a%dominal "ullness and discom"ort, thirst, decreasedurination. (t is indicated "or acute in"ectious hepatitis, cholec#stitis andcholelithiasis 0gallstones4.

Tongue: red %od# ith a thic2 #ello coat

Pulse: slipper# and rapid

#ariations:

1. For "ullness and discom"ort in the chest and a%domen addTurmeric Tu%er 0Gu Jin4 and (mmature Bitter range 0hiShi4.

2. With intermittent "ever, malaria, headache, %itter mouthtaste add Bupleurum 0Chai 8u4, Scutellaria 08uang Qin4and Coptis 08uang 'ian4.

3. For accompan#ing nausea, vomiting and indigestion addBlac2 Bam%oo Shavings 0hu 7u4 and !assa Fermentata!edicinalis 0Shen Qu4.

Stagnation of Phlegm in the 5all ladder:

0The "olloing "ormula and its indications descri%e %oth the conditionand treatment.4

am%oo and Poria "om%ination 0Wen /an Tang4

0-all Bladder Warming /ecoction4


Citrus 5eel 0Chen 5i4 ;6>gms Citrus reticulata



5oria 0Fu 'ing4 >6?@gms 5oria cocos

(mmature Bitter range 0hi Shi4 ;6>gms Citrus aurantium

Bam%oo Shavings 0hu 7u4 ;6>gms Bam%usa phillostach#s nigra

'icorice root 0-an Cao4 ?6Agms -l#c#rrhia uralensis



a4 (t is e*pectorant, eliminates hite, "roth# mucus

%4 Sedative "or restlessness, insomnia, an*iet# and nausea

Indications: For mucus conditions, pulmonar# emph#sema,restlessness, insomnia, an*iet#, sh#ness and timidit#, liver andstomach disharmon#, nausea, diiness, palpitations. (t can %econsidered "or upper respirator# conditions including %ronchitis andemph#sema. (n addition. since the -all Bladder in"luences courage inthe traditional sense, it is also use"ul "or timidit# and sh#ness as ell asinsomnia.

Tongue: hite, greas#6loo2ing coat

Pulse: gliding and slipper#

Stephania and !stragalus "om%ination 0Fang Qi 8uang Qi Tang4

Stephania 0Fang Ji4 ;gms Stephania tetrandra

)stragalus 08uang Qi4 >gms )stragalus mem%ranaceus

White )tract#lodes 0Bai hu4 ;gms )tract#lodes al%a

/r# -inger 0-an Jiang4 ;gms ingi%eris o""icinalis


'icorice 0-an Cao4 ?.Dgms -l#c#rrhia uralensis


a4 /iuretic, clears E*cess "luid and removes edema

%4 Toni"ies the Spleen Qi



c4 Calms E*ternal Wind

Indications: For sollen a%domen, ascites, edema ith a /e"iciente*terior. ther s#mptoms include spontaneous perspiration, pale andpu""# s2in, o%esit# 0especiall# use"ul ithLede%ouriella andPlat+codon "om%ination<? arthritis and rheumatic pro%lems. (t can %econsidered "or congestive heart conditions and nephritic edema.

Tongue: pale ith a hite coat

Pulse: "loating, ea2, so"t or thread#

"ontraindications: ot used i" there are no signs o" "luid retention.

#ariations:

1. With lo energ# add either -inseng 07en Shen4 orCodonopsis 0/ang Shen4.

2. (" there is severe a%dominal distention add Citrus 5eel0Chen 5i4 and Bitter range 0hi =e4.

3. For e*treme /ampness and heaviness add 5oria 0Fu 'ing4and Coi* 0Gi Gi 7en4.

Lower Warmer $ormulas

Two 9ffectie Ingredients 0Er !iao San4

5hellodendron 08uang Bai4 ;6>gms 5hellodendron amurense

Blac2 )tract#lodes 0Cang hu4 >6?@gms )tract#lodes lancea

Properties and !ctions: Clears /amp68eat.

Indications: 'oer %ac2 pain caused %# /amp68eat ith s#mptoms o" pain in the 2nees, ecema, leu2orrhea, dar2 colored and scant# urine,tinea pedis 0athlete’s "eet4, ecema, gonorrhea.

Tongue: #ello and greas# coat

Pulse: so"t and rapid

#ariations:

1. To strengthen the 'iver and =idne# add )ch#ranthes 0iuIi4.



2. To clear /ampness add )ch#ranthes 0iu Ii4 and Coi* 0GiGi 7en4.

#italit+ "om%ination 0hen Wu Tang4 0also called lac WarriorDecoction<

5repared )conite 0Fu i4 >6?@gms )conitum carmichaeli

White )tract#lodes 0Bai hu4 ?6?Dgms )tract#lodes al%a

5oria 0Fu 'ing4 ?6?Dgms 5oria cocos

White 5eon# 0Bai Shao4 ;6>gms 5aeonia al%a

Fresh -inger 0Sheng Jiang4 ;6>gms ingi%eris o""icinalis


a4 Warm and toni"# the Gang and Qi o" the Spleen and =idne#

%4 /iuretic, eliminate /ampness

Indications: For s#mptoms o" lo meta%olism, including h#po orasthenic conditions such as h#poth#roidism, h#poadrenalism as ellas edema, ascites, h#peraldosteronism, cardiac "ailure, coldness andtiredness, chronic nephritis, chronic enteritis, leu2orrhea, rheumatoidarthritis, intestinal tu%erculosis, diarrhea and loose stool.

Tongue: hite coat

Pulse: deep and thin

#ariations:

1. For /e"icient Gin add 5repared 7ehmannia 0Shu /i huang4

2. For Blood /e"icienc# add )ngelica sinensis 0/ang gui4

3. For Qi /e"icienc# add -inseng 07en Shen4 or Codonopsis0/ang shen4.

4. For arthritis add Cinnamon Tigs 0-ui hi4.

5. For increased edema add Coi* 0Gi Gi 7en4 and Water

5lantain 0e Iie4.



Pol+porus "om%ination 0hu 'ing Tang4

5ol#porus 0hu 'ing4 Agms 5ol#porus um%ellata

5oria 0Fu 'ing4 Agms 5oria cocos

Water 5lantain 0e Iie4 Agms )lisma plantago6auatica

Talcum 08ua Shi4 Agms 8#drous magnesium silicate

/on2e#68ide -elatin 0E Jiao4 Agms Euus asinus


a4 /iuretic

%4 Clears /amp68eat

c4 ourishes Gin

Indications: (t is indicated "or urinar# tract in"ections ithaccompan#ing Gin /e"icienc#. Can %e used "or c#stitis, acute andchronic nephritis.

Tongue: hite and moist

Pulse: "loating, slipper#

H9RS $7R PHL95M ST!56!TI76

These include diuretics and e*pectorants such as:

"oriander seed 0coriandrum sativum4 666 spic#, neutral, slightl# cool&goes to the %ladder and stomach. (t contains linalol, geraniol, %orneoland terpenes. (t is carminative, aromatic, diuretic and diaphoretic. (t isspeci"ic "or urinar# and digestive pro%lems. dose A6> gms.

Parsle+ seed 05etroselinum sativum4, seet, pungent and arm. goesto the 'ung, Stomach, Bladder and 'iver. (t contains essential oil ithapiol, m#risticene, pinene and other terpenes, "lavone gl#coside apiin,"uranocoumarin %ergapten, "att# oil, petroselinic acid. (t is diuretic,carminative, anthelmintic, stimulant, emmenagogue and e*pectorant. (tis use"ul "or edema, "luid retention, urinar# pro%lems, menstrualdisorders, indigestion, gas and intestinal orms. /ose: A6> gms.

Pinellia Rhi>oma Pinelliae Ternatae Ban Iia



Common ame: 5inellia

Famil#: )raceae

Energ# and Flavor: arm, acrid and to*ic

rgan !eridian )""ected: 'ung, Spleen and Stomach

)ctions: ?. /rains /ampness and reduces 5hlegm& @. 7everses the"lo o" re%ellious Qi& A. 7educe hardenings and relieve distention.

(ndications: ?. For cough ith a%undant 5hlegm especiall# henassociated ith /ampness in the Spleen& @. For most 2inds o"re%ellious Qi especiall# here there is dampness involved such asvomiting, nausea and morning sic2ness& A. For "ocal distention or thechest or a%domen, lumps, glo%us h#stericus or an# stagnation caused%# phlegm in the %od#.

Contraindications: This her% should not %e used %# pregnant omen or those ith an# %lood disorders especiall# %leeding. (t should %e usedith caution %# those ith heated conditions. This her% should not %eused ith )conite 0Fu i4.


Sclerotium Poriae "ocos Fu 'ing

Common ame: 5oria, 8oelen

Famil#: 5ol#poraceae

Energ# and Flavor: seet, %land and neutral

rgan !eridian )""ected: Spleen, 8eart, 'ung, $rinar# Bladder

)ctions: ?. Encourages urination and drains /ampness& @. Tonic to theSpleen<Stomach& A. )ssists the 8eart and calms the spirit.

(ndications: ?. For /ampness ith s#mptoms o" edema, di""iculturination and /amp68eat conditions ith scant# urination& @. Forea2ness in the Spleen<Stomach ith s#mptoms o" /ampness, lac2 o" appetite, a%dominal distention, diarrhea and conditions o" phlegm inthe $pper Burner ith a thic2 greas# tongue coating& A. For conditionso" the 8eart such as insomnia and palpitations, these s#mptoms o"

usuall# associated ith /ampness.



Contraindications: This her% should not %e used hen there is "reuentand copious urination hen associated ith a Cold de"icienc#.

/osage: ; 6 ?D grams

*& "7LD ST!56!TI76

Coldness e*hi%its generalied "eeling o" coldness, cold e*tremities andcold pho%ia. The comple*ion and tongue are pale. The pulse is slo0less than ; B5!4.

1. $pper Warmer S#mptoms: Cold "eeling in head, arms,chest and %ac2, pale comple*ion.

2. !iddle Warmer S#mptoms: 1Cold3 indigestion, anore*ia,diarrhea

3. 'oer Warmer S#mptoms: Cold a%domen, legs, "eet,impotence, "rigidit#

Patterns:

Stagnation of "old in the Upper Warmer

!conite and !sarum com%ination 0!a 8uang Fu i Ii Iin Tang4

5repared )conite 0Fu i4 ?6Agms )conitum carmichaeli

Wild -inger 0Ii Iin4 A6;gms )sarum heteroph#lum

Ephedra 0!a 8uang4 ;6>gms Ephedra sinica


a4 Stimulating and arming diaphoretic, arms and disperses the

sur"ace

%4 (nternall# arming

Indications: Wea2 and en"ee%led individuals ith the common Cold,in"luena or %ronchitis, %ronchial asthma, pneumonia, sinusitis, rhinitis,asthma, trigeminal neuralgia.

Tongue: pale and sollen ith a hite coat

Pulse: ea2, thin and thread#



"ontraindications: ot "or individuals ith E*cess 8eat or Gin/e"icienc#.

!conite "om%ination 0Si i Tang4

5repared )conite 0Fu i4 >6?@gms )conitum carmichaeli

/r# ginger 0-an Jiang4 ;6>gms ingi%eris o""icinalis

Ba2ed 'icorice 0hi -an Cao4>6?@gms -l#c#rrhia uralensis


a4 For Gang e*haustion o" the 'esser Gin 0Iiao Gin4 stage.

%4 For Gang /e"icienc# caused %# E*cessive perspiration.

Indications: S#mptoms are Cold e*tremities, Cold pho%ia, "atigue ande*haustion, diarrhea ith undigested "ood in the stool, nausea andvomiting, a%dominal pain and lac2 o" thirst. This "ormula as originall#indicated "or individuals ho ere inappropriatel# prescri%eddiaphoretics.

Tongue: pale or dar2 purplish6%lue

Pulse: deep and ea2

Indications: This "ormula can %e used "or collapse o" vital "unctionsand cardiac "ailure.

6ote: (" the individual is e*tremel# irrita%le ith a "lushed "ace, this"ormula is ta2en Cold.

#ariations:

1. For chronic rheumatoid arthritis caused %# Cold, addCinnamon Tig 0-ui hi4 and White 5eon# 0Bai Shao4.

2. For Spleen /e"icienc# ith edema and /ampness addCodonopsis 0/ang Shen4, 5oria 0Fu 'ing4 and Water5lantain 0e Iie4.

Stagnation of "old in the Middle Warmer

5inseng and 5inger com%ination or Regulate the Middle Pill 0'ihong Wan4



/r# -inger 0-an Jiang4 >gms ingi%er o""icinalis

-inseng 07en Shen4 >gms 5ana* ginseng

White )tract#lodes 0Bai hu4 >gms )tract#lodes al%a

Ba2ed 'icorice 0hi -an Cao4 >gms -l#c#rrhia uralensis

Preparation: -rind the ingredients into a poder. 8eat hone# ithout%urning. Stir the her% poder into the hone# until it is a thic2 dough#consistenc#. 7oll into %alls a%out hal" the sie o" a lime. Ta2e to orthree dail# %e"ore meals. The pills should eual a%out ;6> grams o" thepodered her% "or a single dose. (t can also %e ta2en as a decoction.The pill is o"ten ta2en ith rice congee. $nless it is an acute case,

Codonopsis 0/ang Shen4 can %e dou%led in amount and su%stituted"or -inseng 07en Shen4.


a4 Tonic, arms and toni"ies Spleen and Stomach Gang

%4 Strengthens digestion and raises digestive meta%olism

Indications: (t ma# %e considered "or s#mptoms o" /e"icienc#

e*hi%ited as diarrhea ith ater# stool, nausea and vomiting, noparticular thirst, loss o" appetite, a%dominal pain.

Tongue: pale tongue ith hite coat

Pulse: deep and thin

6ote: When Spleen Gang is in+ured 0!iddle Warmer4 the clear Gangcannot ascend. This causes diarrhea ith loose ater# stool. When theStomach loses its a%ilit# to ma2e the tur%id Gin descend, nausea and

vomiting ensue.

This "ormula is o"ten com%ined ith either or %oth Cinnamon 07ou -ui4;gms and 5repared )conite 0Fu i4 ;gms to ma2e it stronger andarmer& this is !conite? 5inger and 5inseng "om%ination 0Fu i 'ihong Wan4. (t is particularl# use"ul "or vegetarians, ho througheating too much Cold, ra "ood, have in+ured the Spleen Gang andseriousl# ea2ened their digestive meta%olism.

"ontraindications: ot "or conditions o" E*cess 8eat.

Stagnation of "old In the Lower Warmer



Rehmannia 9ight "om%ination 0Jin -ui Shen Qi Wan or Ba Wei /i8uang Wan4

5repared )conite 0Fu i4 ?6?D gms )conitum praeparata

Cinnamon tigs 0-ui hi4 ;6> gms Cinnamomum cassia

5repared 7ehmannia 0Shu /i 8uang4 @6A gms 7ehmannia glutinosa

Cornus 0Shan hu Gu4 ?6?Dgms Cornus o""icinalis

/ioscorea 0Shan Gao4 ?6?Dgms /ioscorea opposita

Water 5lantain 0e Iie4 >6?@gms )lisma plantago6auatica

!outan 5eon# 0!u /an 5i4;6>gms 5aeonia su""ruticosa


5roperties and )ctions:

a4 Toni"ies Gang

%4 Warms the =idne#s and loer e*tremities

(ndications: For s#mptoms o" =idne# Gang /e"icienc# ith loer %ac2ache, coldness in the loer e*tremities, impotence, spermatorrhea,prostatic h#pertroph#, "reuent urination, nocturia, cough, asthma,persistent diarrhea, d#suria, spasms o" the loer a%domen. (t can %econsidered "or dia%etes mellitus and insipitus, h#peraldosteronism,

)ddison’s disease, h#poth#roidism, arteriosclerosis, h#pertension,edema, c#stitis, chronic nephritis, 2idne# stones, al%uminaria, chronic%ronchitis, edema, chronic diarrhea, rectal prolapse, chronicgonorrhea, arthritis, menopausal pro%lems, ecema, senile pruritis,

vaginal itching, urticaria, neurasthenia, cataracts, glaucoma, 2eratitis, .

Tongue: hite

5ulse: sun2en, slo and ea2

Contraindications: ot "or individuals ith s#mptoms o" E*cess 8eat or Gin /e"icienc#. )void using "or individuals ith gastrointestinalea2ness.

Pariations:



(" Coldness is greater su%stitute Cinnamon tig ith Cinnamon %ar207ou gui4

For impotence add !orinda 0Bai +i rou4, Cistanches 07ou cong rong4,C#nomorii 0Suo #ang4, Epimedium 0Gin #ang huo4, Circuliginis 0Iianmao4, )lli "istulosi 0Cong %ai4, )lli tu%erosi 0Jiu i4, )ctinolitum 0Gang ishi4, and '#cii %erries 0-ou gi i4.

For lo %ac2 pain add /ipsacus 0Iu duan4 and Eucommia 0/u hong4

For h#pertension add /ragon %one 0'ong gu4 and #ster shell 0!u li4.

For poor memor# and<or hair loss add 5ol#gonum multi"lorum 08oushou u4.

Replenishing the Bang 0Gou -ui Wan4

5repared 7ehmannia 0Shu /i 8uang4 @6Agms 7ehmannia glutinosa

5repared )conite 0Fu i4 ;6>gms )conitum carmichaeli

Cinnamon Bar2 07ou -ui4 ;6>gms Cinnamomum cassia

/ogood Berries 0Shan hu Gu4?6?Dgms Cornus o""icinalis

'#cii Berries 0-ou Qi i4 ?6?Dgms '#cium chinensis

/ioscorea 7oot 0Shan Gao4 ?D6@gms /ioscorea %atata

Eucommia Bar2 0/u hong4 ?6?Dgms Eucommia ulmoides

/ang -ui 0/ang -ui4 ?6?Dgms )ngelica sinensis

/odder Seed 0Tu Si i4 ?6?Dgms Cuscuta chinensis

Colloid o" /eer )ntler 0'u Jiao Jiao4 ?D6@gms Cervus nippon


a4 7eplenishes the Gang "unction o" the =idne#6adrenals

Indications: For individuals ith cold intolerance, pale comple*ion andcold e*tremities, involuntar# perspiration, premature e+aculation,impotence, spermatorrhea, ea2ness and soreness o" the loer %ac2and 2nees, diiness, "reuent and nighttime urination. (t ma# %e



considered "or chronic nephritis, impotence, spermatorrhea anddia%etes.

Tongue: 5ale

Pulse: slo and ea2

Stagnation of "old in Lier "hannel

Clinical mani"estations: Fullness and distention o" the h#pogastrium0+ust over the %ladder4, ith pain hich re"ers to the scrotum and testis.Straining o" the testis or contraction o" the scrotum. (n omen therecan %e shrin2ing o" the vagina. The pain is alleviated %# armth. 5ulse:ir#6deep6slo& Tongue: pale, et, hite coating.

Causes: (nvasion o" 'iver !eridian %# E*terior Cold.

Formula: Warm the 'iver /ecoction 0uan -an Jian4

)ngelica Sinensis 0/ang -ui4 ;6> g 0)ngelica Sinensis4

'#cii %erries 0-ou +i i4 > g 0Fructus '#cii4

Fennel seeds 0Iiao 8ui Iiang4 ; g Foeniculi Pulgaris

Cinnamon %ar2 07ou -ui4 A6; gms Cinnamomi Cassiae

'indera root 0Wu Gao4 ; g 'inderae Str#chni"oliae

)uilaria ood 0Chen Iiang4 'ignum )guilariae

5oria 0Fu 'ing4 ; g 5oria Cocos

Fresh -inger 0Sheng Iiang4 A6D slices ingi%eris ""icinalis

5reparation: Ta2e Warm. Saussurea 0!u Iiang4 is o"ten su%stituted "or the harder to o%tain )uilaria ith is also 2non as 'ignum vitae.

This "ormula is particularl# indicated "or hernial disorders "or hich"ennel seed is a near speci"ic.

"old Inading the Large Intestine:

Clinical !ani"estations: Sudden a%dominal pain, diarrhea ith pain,"eeling o" cold, cold sensation in a%domen. 5ulse: deep, ir#& Tongue:

thic26hite coating.



Causes: )cute condition "rom invasion o" E*terior Cold in 'arge(ntestine "rom sitting on cold and et sur"aces "or prolonged periods,e*posure to ver# cold eather or having a%domen insu""icientl#covered.

Formula: Magnolia and Hoelen "om%ination 0Wei 'ing Tang4

)lisma 0e Iie4 @.Dgms )lisma plantago6auatica

5oria 0Fu 'ing4 @.Dgms 5oria cocos

5ol#porus 0hu 'ing4 @.Dgms 5ol#porus um%ellatus

Cinnamon Tig 0-ui hi4 @.gms Cinnamomum cassia

White )tract#lodes 0Bai hu4 @.Dgms )tract#lodes al%a

Blac2 )tract#lodes 0Cang hu4 @.Dgms )tract#lodes lancea

!agnolia Bar2 08ou 5o4 @.Dgms !agnolia o""icinalis

Citrus 5eel 0Chen 5i4 @.Dgms Citrus reticulata

'icorice 0-an Cao4 ?.gms -l#c#rrhiae uralensis

Fresh -inger 0Sheng Jiang4 ?.Dgms ingi%eris o""icinale



a4 Eliminates /ampness o" the Spleen 0relieves %loating4

%4 Carminative, restores the "unction o" the Stomach and assistsdigestion.

Indications: )%dominal %loating and "ullness, loss o" appetite, dullheav# "eeling in the head and %od#, ater# diarrhea, decreasedurination. (t is more diuretic and generall# "or a more chronic conditionthan Magnolia and 5inger "om%ination 05ing ei san4 %ut hassimilar uses in that it can %e used "or chronic gastritis, nervousstomach, ascites, edema caused %# 8eart or =idne# mal"unction,gastro6enteritis, sollen testicles and urinar# retention.

Tongue: hite ith a greas# coat



Pulse: slipper# and thread#

H9RS $7R "7LD ST!56!TI76

8er%s in this categor# are arming stimulants and include the various

peppers, including ca#enne pepper, %lac2 pepper, pippli long pepper,ginger root, anise seed, horseradish root, cloves, 5ric2l# )sh, Ba#%err#%ar2, sassa"ras root %ar2 and cinnamon %ar2. (n Traditional Chinese!edicine Cinnamon %ar2 and Cinnamon tigs as ell as deto*i"ied

)conite root are used "or Coldness.

Radi; Lateralis !coniti Fu i

Common ame: 5repared )conite


Energ# and Flavor: acrid, ver# hot and to*ic

rgan !eridian )""ected: 8eart, =idne# and Spleen

)ctions: ?. 7aises the collapse o" Gang& @. Warms the meridians andrelieves pain caused %# Cold& A. 7educes /amp caused %# de"icienc#in Gang.

(ndications: ?. For collapse o" Gang ith s#mptoms o" Cold, e*tremel#ea2 lim%s ith num%ness, shoc2, diarrhea, "aint pulse and a pale,sollen and moist tongue, this her% can also %e used as a tonic "or an#2ind o" de"icienc# o" Gang %ut should not %e used "or long periods as itill %urn up the Gin, it is also a ver# important her% "or critical situationshere the 8eart Gang has %een impaired and it can not circulatethrough the meridians& @. For pain an# here caused %# chronicconditions here Cold is the predominant "actor& A. For /ampnesscaused %# de"icienc# o" Gang o" the Spleen or =idne# ith s#mptoms

o" diarrhea or edema.

Contraindications: This her% should not %e used %# those ith #inde"icienc#, ith true heat, ith "alse chills or during pregnanc#.

/osage: A 6 > grams, it should %e decocted "or A 6 ; minutes %e"oreadding the rest o" the her%s.

Rhi>oma 2ingi%eris 7fficinalis -an Jiang

Common ame: /ried -inger



Famil#: ingi%eraceae

Energ# and Flavor: acrid and hot

rgan !eridian )""ected: 8eart, 'ung, Spleen and Stomach

)ctions: ?. Warms the Spleen and e*pels Cold& @. 7estores collapse o" Gang and e*pels interior Cold& A. Warms the 'ung and assistse*pectoration o" Cold 5hlegm& . Stops chronic %leeding caused %#Cold.

(ndications: ?. For Cold in the Spleen and Stomach ith s#mptoms o"nausea, vomiting, diarrhea and pain in the a%dominal region, also "orimproper "unction o" the Spleen %ecause o" de"icienc# o" Spleen Gang&

@. For collapse o" Gang ith s#mptoms o" Coldness and num%ness inthe lim%s, shoc2 and a ver# ea2 pulse& A. For Cold 'ung conditionshere there is 5hlegm o%struction ith thin ater# or hite mucus,good "or either chronic or acute ailments& . For chronic Bleeding o" theuterus and other %leeding caused %# Cold here there is pale Blood,Cold lim%s, dull "acial color and a sogg# thin pulse.

Contraindications: This her% should not %e used %# those ith Ginde"icienc# and 8eat signs or %leeding associated ith 8ot Blood. Thisher% should %e used ith e*treme caution during pregnanc#.

/osage: A 6 > grams

"orte; "innamomi "assiae 7ou -ui

Common ame: Cinnamon Bar2

Famil#: 'auraceae

Energ# and Flavor: acrid, seet and ver# hot

rgan !eridian )""ected: Spleen, 'iver, =idne#, 8eart and $rinar#Bladder

)ctions: ?. Warms the Spleen and =idne#s and toni"ies the Gang& @.E*pels Cold, arms the meridians, promotes circulation o" Qi andBlood and relieves pain& A. $sed ith tonics to assist in the generationo" Qi and Blood and prevent the potential stagnation that can %ecaused %# tonics.

(ndications: ?. For Cold and de"icienc# o" Gang ith s#mptoms o" coldlim%s, chronic diarrhea, impotence, ea2ness and cold in the loer



%ac2, reduces appetite, "reuent urination or heeing due to the=idne#s not %eing a%le to grasp the Qi o" the 'ungs& @. For pain andpoor circulation o" Blood and Qi caused %# Cold such as e*cessive orno menstruation, pain in the a%dominal region, /amp6Cold %i pain or

Gin sores that ooe a clear "luid and do not heal& A. For assisting Qiand Blood tonics in the generation o" Qi and Blood and help alleviatestagnation.

Contraindications: This her% should not %e used %# those ith Ginde"icienc# ith 8eat signs or hen there is interior 8eat, it should %eused ith e*treme caution during pregnanc#.

/osage: ? 6 ; grams

$RI5ID 9ATR9MITI9S D9"7"TI76 0Si i Tang4

5repared )conite 0Fu i4 ;6>gms )conitum carmichaeli

/r# -inger 0-an Jiang4 .Dgms ingi%er o""icinale

8one# Ba2ed 'icorice 0hi -an Cao4 ;gms -l#c#rrhia uralensis


a4 !eta%olic Stimulant, stimulates Gang

%4 Warms and counteracts internal Cold

Indications: )version to cold, ith coldness in the Stomach andSpleen, vomiting, diarrhea, letharg#, a%dominal pain, lac2 o" thirst.

Tongue: hite moist coat

Pulse: thin, deep and "aint

#ariation: B# adding ;6>gms o" -inseng 07en Shen4, the "ormula hasider tonic properties, toni"#ing Gin, Blood and Qi. Both these "ormulasare appropriate "or %oth the Shao Gin and Jueh Stages as ell.

6ote: This is the %asic meta%olic stimulant "ormula.

"ontraindications: ot "or individuals ith e*cess 8eat.

)#urvedic Compounds "or Cold Stagnation:



TRIC!TU is used "or (nternal Cold Stagnation and to dr# mucus. (tconsists o" eual parts podered Blac2 pepper, pippli long pepper andginger mi*ed ith hone#. ) teaspoon is ta2en @ or A times dail# tolessen mucus and treat upper respirator# allergies.

SIT7 P!L!DI

This is a traditional household "ormula used to treat the s#mptoms o"the common cold. (t consists o" eual parts sugar, %am%oo manna,pippli long pepper, cardamom seeds, cinnamon %ar2 and ginger. (t isarming and anti6Water and anti6mucus.

WESTE7 T8!5S() 8E7B)' F7!$')

"omposition Powder:

parts Ba#%err# %ar2 poder

@ parts hite pine %ar2 poder

@ parts podered ginger root

?<@ part ca#enne pepper

?<@ part cloves poder

) teaspoon o" this can %e ta2en in %oiled arm ater three or "ourtimes dail#. This is "or the "irst sign o" colds or "lu s#mptoms and ispoer"ul to help induce perspiration, i" the patient is ea2er, it should%e "olloed a hal" hour later ith a %ol o" thin porridge such as ricecream or oatmeal. Formula no. ?> is a variation o" this "ormula thatincludes cinnamon %ar2 and licorice as to ingredients.

,& $77D ST!56!TI76

-enerall# 5hlegm and Food stagnate in the !iddle armer. Thea%domen and pulse ill "eel large and "ull. The pulse ma# "eel slipper#.The tongue ill appear greas#, sollen, perhaps ith a thic2 #ello orhite.

!iddle Warmer S#mptoms: -reas# coated tongue, epigastric spasms,a%dominal "ullness and %loating.

'oer Warmer S#mptoms: 'oer %oel stagnation, constipation.



Clinical !ani"estations: no appetite, "ullness and distention o" theepigastrium hich are relieved %# vomiting, nausea, vomiting, "oul%reath, sour regurgitation, %elching, insomnia. 5ulse: "ull, slipper#&Tongue: thic2 coating 0hich could %e hite or #ello4.

5atholog#: (nterior E*cess pattern associated ith either Cold or 8eat.

Causes: overeating, eating too uic2l#, or orr#ing hile eating.

Middle Warmer $ood Stagnation:

Formula: "itrus @ "rataegus $ormula

"itrus and "rataegus $ormula 05reserve 8armon# 5ill or Bao 8eWan4

8athorn Berries0Shan ha4 >6?Dgms Crataegus pinnati"ida

!edicated 'eaven 0Shen Qu4 >6?@gms !assa Fermentata !edicinalis

7adish Seed 0'ai Fu i4 ;6>gms 7aphani sativi

Citrus 5eel 0Chen 5i4 ;6>gms Citri reticulatae

5inellia 0Ban Iia4 >6?@gms 5inelliae ternatae


Fors#thia 0'ian Qiao4 A6;gms Fors#thia suspensa


a4 /igestive

%4 7educes "ood stagnation

c4 8armonies the Stomach

Indications: (t is used "or "ood poisoning and overindulgence in rich"oods, alcohol, meat or greas# "oods. There ma# %e s#mptoms o"a%dominal distention ith "ullness o" the stomach, epigastrium andchest, occasional pain, %elching, acid regurgitation, nausea andvomiting, aversion to "ood, diarrhea or constipation.

Tongue: #ello, greas# coated tongue

Pulse: slipper# pulse



#ariations: For more severe a%dominal distention, add -reen Citrus0hi Shi4 and !agnolia Bar2 08ou 5o4.

For constipation add 7hu%ar% 0/a 8uang4 and Betel ut 0Bing 'ang4.

Lower Warmer $ood Stagnation:

"anna%is Seed Pills 0!a i 7en Wan4

Canna%is 0crushed4 0!a i 7en4 @Dgms Canna%is sativa

0Fla* seed is sometimes su%stituted "or Canna%is Seed4

White 5eon# 0Bai Shao4 ?@gms 5aeonia al%a

)pricot Seed 0Iing 7en4 >gms 5runus armeniaca

(mmature Bitter range0hi Shi4 >gms Citrus aurantium

7hu%ar% 0/a 8uang4 ;6>gms 7heum o""icinalis

!agnolia Bar2 08ou 5o4 >gms !agnolia o""icinalis


'u%ricating la*ative

Indications: /r# stool, chronic constipation in the ea2 and elderl#,"reuent urination, hemorrhoids.

"ontraindication: ot to %e used "or constipation during pregnanc#.

Tongue: /r# and red ith little or no coat

#ariation: For %leeding hemorrhoids add Sophora Floer 08uai 8ua4

and Sanguisor%a 7oot 0/i Gu4.

"optis and Rhu%ar% "om%ination 0San 8uang Iie Iin Tang4

7hu%ar% 0/a huang4 A6; gms 7heum palmatum

Scutellaria 08uang in4 A6; gms Scutellaria %aicalensis

Coptis 08uang lian4 A6; gms Coptis chinensis




a4 /eto*i"ies and clears 8eat "rom the gastro6intestinal tract

%4 pens the -all Bladder

Indications: (t can %e used "or to*icit#, ha%itual constipation, an*iet#,gastritis, peptic ulcer, gastrorrhagia, hemorrhoids, hemorrhoidal%leeding, arteriosclerosis, liver disorders, h#pertension and recover#"rom stro2e.

Tongue: red ith a greas# #ello coat

Pulse: "ull and possi%l# ir# and rapid

"ontraindications: ot suita%le "or individuals lac2ing in true heat orith Qi /e"icienc#.

Ma=or Rhu%ar% "om%ination 0/a Cheng Qi Tang4

7hu%ar% 0/a 8uang4 >6?@gms 7heum o""icinale

!ira%ilitum 0!ang Iiao4 ;6>gms atrum sulphuricum

!agnolia Bar2 08ou 5o4 >6?@gms !agnolia o""icinalis

(mmature Bitter range 0hi Shi4 >6?@gms Citrus aurantium

Preparation: First coo2 the !agnolia Bar2 08ou 5o4 and Bitter range0hi Shi4, then add the 7hu%ar% 0/a 8uang4 and "inall# dissolve the!ira%ilitum.

!ctions and Properties: This "ormula is used to purge 8eat "rom theStomach and (ntestines and relieve constipation.

Indications: For Sunlight Gang 0Gang !ing4 disorders ith s#mptoms

o" constipation, "ever, "ullness o" the a%domen, irrita%ilit#, hich cane*acer%ate to mania and delirium. (t is used "or a variet# o" E*cess(nternal conditions including constipation, intestinal o%struction,gall%ladder in"lammation, acute appendicitis, coma and seiures.

Tongue: #ello coated, possi%l# ith raised pric2les

Pulse: slipper#, "ull and rapid

H9RS $7R $77D ST!56!TI76



8er%s to treat "ood stagnation include those mentioned a%ove %ut alsoincludes "ermented su%stances, acidophilus, "ermented "oods,sprouted rice and %arle#, anise seed, dill seed and other digestivespices t#picall# "ound in curr# poders the "olloing:

Massa $ermentata Shen Qu

Common ame: !edicated 'eaven

Energ# and Flavor: seet, acrid and arm

rgan !eridian )""ected: Spleen and Stomach

)ctions: ?. )ssists the Stomach in removing "ood stagnation& @.8armonies the Earth element and improves digestion.

(ndications: ?. For s#mptoms o" "ood stagnation such distention,"ullness, loss o" appetite and diarrhea& @. For poor digestion, pain"uldigestion and lac2 o" appetite.

Contraindications: This product should not %e used %# pregnantomen nor %# those ith Stomach Fire.

/osage: > 6 ?D grams

Semen Raphani Satii 'ai Fu i

Common ame: 7adish Seed

Famil#: Cruci"erae

Energ# and Flavor: acrid, seet and neutral

rgan !eridian )""ected: 'ung, Spleen and Stomach

)ctions: ?. Warms the digestion and un%loc2s "ood stagnation& @.7everses re%ellious 'ung Qi and trans"orms phlegm.

(ndications: ?. For "ood stagnation associated ith Cold ith s#mptomso" "ullness, pain, distention, %elching ith a rotten smell, acidregurgitation and diarrhea& @. For chronic cough and heeing ithcopious phlegm.

Contraindications: This her% should not %e used %# those ho are

ea2 ith de"icient Qi.



/osage: ; 6 ?@ grams

!safoetida: "arminatie? 4i Regulating Her% for food allergiesand candida al%icans s+mptoms

/r. !ichael Tierra !/, '.).C.

)sa"oetida 0Ferula "oetida4, also 2non as arthe* or 8ing.7ecognied %# its overhelming odor hich has given rise at least oneo" its man# popular names, 1devil’s dung3. ) mem%er o" theum%elli"erae plant "amil#, it originall# as a native o" 5ersia,

)"ghanistan and neigh%oring regions here the plant is greedil# eatenith relish %# the native people and sheep o" the region. The gum resinconsists o" the mil2# sap o%tained "rom an incision o" the green

matured root. (t is possi%le that the resin in commerce ma# %e derived"rom several related species, although the %est ualit# and mostproductive is "rom the o""icial plant. The ma+or %iochemical agentresponsi%le "or its characteristic odor is an organic sul"ur compound"ound as part o" the essential oil hich ma2es it ver# similar to theessential oil o" garlic 0all#l persulphide and to turpenes4 "or hich it iscommonl# su%stituted in "ood preparations.

The oldest plants are most productive, an#thing less than "our #ears isconsidered virtuall# orthless. From !arch6)pril, +ust %e"ore "loering,

the upper part o" the carrot shaped root is laid %are and the stem is cuto"" close to the cron. The e*posed sur"ace is covered %# a dome6shaped structure made "rom tigs and earth. )"ter a "e da#s thee*udate is scraped o"" and a "resh slice o" root is cut to gather morelate*. This collection process ma# %e repeated "or up to A months oruntil there is no more e*udate. Some plants have %een 2non to #ieldas much as @ l%s. or more o" gum resin.

)sa"oetida occurs in commerce in three "orms, tears, mass and paste.The tears can retain the original color "or #ears and graduall# dar2en toa reddish %ron color. The tears are commonl# sold in Chinesepharmacies and characteristicall# ma# have "ragments o" root andearth. The paste ma# also contain e*traneous matter. )s a condiment"or coo2ing %eans and an ingredient in curr#, "lavoring "or sauces andpic2les and a su%stitute "or garlic it is commonl# podered andadulterated ith various su%stances such as gum ara%ic, other gumresins, g#psum, red cla#, chal2, %arle# or heat "lour, slices o"podered dried potatoes, etc.

(t has a arm energ# ith %itter and acrid or pungent "lavors. (n )#urvedic medicine has a hot energ#, counteracting =apha 0mucoid4



and Pata 0neurological4 conditions and aggravating to e*cess 5itta0"ire6digestive4 t#pes. !iddle Eastern $nani medicine classi"ies it as8ot th degree and /r# to the @nd degree.

)ccording to (ndian !ateria !edica %# ad2arani in )#urvedicmedicine it is regarded as a valua%le condiment and spice and 1avalua%le remed# "or h#steria, nervous disorders o" omen andchildren, "latulence, "latulent colic and spasmodic a""ections o" the%oels especiall# hen connected ith h#steria, in "ainting andemotional states, nervous palpitations, h#pochondriasis and othera""ections due to h#steria, in the spasmodic, and the o%stinate coughso" childhood remaining a"ter attac2s o" in"lammation and also in theadvanced stages o" hooping cough, pneumonia and %ronchitis o"children, in the chronic %ronchitis and asthma o" adults.3 (t is also

regarded in )#urvedic, Chinese and Western medicine as an e""ectiveremed# "or orms and other intestinal parasites. This source also goeson to arn that it must %e "ried %e"ore use as ra and un"riedasa"oetida ill cause nausea and vomiting. The recommended does o" the poder is ? to @ grain6pill. )nother preparation is made %# grindingD teaspoons o" asa"oetida in a pint o" ater in a mortar to ma2e a mil2#emulsion. 8al" to one ounce o" this is ta2en at a time.

ne o" the most common (ndian household preparations is 8ingashta2hich is a compound poder o" "ried asa"oetida, ginger, pippli long

pepper, %lac2 pepper, a+oan, cumin seeds nigella seeds and roc2 saltin eual parts. Ten to @ grains o" the poder is ta2en ith the "irstmorsel o" rice and clari"ied %utter 0ghee4 at %rea2"ast. The poder canalso %e made into pills ith lemon +uice. 8ingashta2 is also use"ul "orchronic indigestion and liver stagnation.

Traditional Chinese !edicine vies it as entering the 'iver, Spleen andStomach channels. (t stimulates the intestinal, respirator# and thenervous s#stem. (t can %e used "or "ood stagnation, ea2 digestion,

intestinal parasites and "latulence as ell as asthma, hooping coughand chronic %ronchitis. !i*ed ith dried and podered red au2i%eans, the smo2e o" asa"oetida can %e inhaled through a pipe torelieve the paro*#sm o" asthma. (t can %e administered as an enema"or intestinal "latulence and parasites. (t is also administered "orneurological s#mptoms associated ith h#sterical and epileptica""ections as ell as cholera. 'i2e garlic, it is commonl# emplo#ed inthe regions here it is prevalent "or veterinar# medicine.

=ing’s )merican /ispensator# echoes man# o" the same indications as

the )#urvedic and Chinese uses. 1(ts properties are stimulant,antispasmodic, e*pectorant, emmenagogue, and vermi"uge,3 going on



to add that it is 1improper in in"lammator# conditions, %ut o" mar2edvalue in purel# "unctional nervous disorders, ith e*cita%ilit#, and as agastric stimulant in gastro intestinal aton#, ith "latulence.3 This is tosa# that asa"oetida is speci"icall# use"ul hen gastric digestion and

a%sorption is at such a lo degree that "ood sits in the gut, causingno*ious "ermentation and %loating and ma# %e associated ithneurological or emotional negativit# and mood sings.

Considering that it as one o" the most commonl# prescri%ed her%s %#the Eclectics throughout the ?>th centur# "or a condition commonl#associated ith omen 2non as h#steria 0than2s to Freud, this is theroot o" the term, Mh#sterectom#’4, the man# s#mptoms associated ithmood sings, depression and digestive ea2ness are closel# relatedto man# contemporar# conditions such as candida al%icans, "ood

allergies and chronic "atigue. For chronic "atigue, ( have noticed thatpatients o"ten "ail to respond to the usual Chinese Qi tonics and inman# instances are even aggravated %# them. n the other hand, (have onl# recentl# discovered that man# o" them do %etter at leastinitiall# i" the# are given 'iver Qi regulating "ormulas such asBupleurum and 5eon# "ormula 0Iiao Gao Wan4 or 8ingashta2 or somestronger asa"oetida preparation.

Could it %e that emotional depression and "atigue in man# o" our mostcommonl# seen meta%olic disorders occurs as a result o" mal6

a%sorptionR ( thin2 that e*perience ill sho that asa"oetida ma# ell%e one o" the most valua%le her%s "or treating these conditions, ma2ingit one o" our most valua%le her%s.

Besides the 8ingashta2, another common com%ination descri%ed in(ndian !ateria !edica and descri%ed in 5otter’s as )loes and

)sa"oetida 5ill made %# com%ining ? ?<@ grains o" each into a pill. )nenema o" asa"oetida is e""ective treating threadorms and otherintestinal parasites. Finall#, despite its emmenagogue properties a /r.

Tura uotes several (talian sources ho have %een using asa"oetidato treat ha%itual a%ortion since ?99D. 8e descri%es a prescription o" /r.5. egri o" Penice, 666 ; grams o" asa"oetida are made into ; pills0each a%out a grain and a hal"4. Those ith a histor# o" miscarriageould ta2e one pill tice a da# as soon as pregnanc# is recognied.The dose is then slol# and graduall# increased to ten pills a da# 0Deach time4, a"ter hich the dose is graduall# reduced until a ee2 orto %e"ore the scheduled time o" deliver#. 8e states that even in casesith a histor# o" A to D miscarriages complicated ith perimetritis,catarrhal endometritis and even ith threatened miscarriage at the

si*th month have %een success"ull# treated ith asa"oetida pills.



)sa"oetida acts on the respirator#, digestive, circulator# andneurological s#stems and ill increase se*ual li%ido. (" ta2en even inmoderate dose "or a long period o" time, it ma# cause alliaceouseructation’s, acrid irritation in the throat, "latulence, diarrhea and

%urning urine. The volatile oil is rapidl# e*creted and can %e detectedin the urine, mil2 and seat. Because o" these, it should %e ta2en ith"reuent intervals o" a%stinence. ptimall#, those ith a hot, "ier# or5itta constitution should de"initel# limit its use hile those ith Pataand =apha e*cess ould %e the more li2el# to %ene"it "rom its use.

)"ter #ears o" reports o" patients and people around the countr# hohave noticed %ene"it "or "latulence, digestive ea2ness and candidaal%icans, ( "eel that the "olloing candida case hich as remar2a%le"or the e*treme s#mptoms o" the patient has motivated me to e*tol the

virtues o" this her% so that the countless num%ers o" people 0mostl#omen4 ho have come to recognie that the# have #east overgrothcan %ene"it "rom this onder"ul %otanical.

Seere candida and Beast infection treated with asafoetida

Woman, age A?, ver# heav# set, spleen6damp constitution, ? child,married. 8as asthma hich e have %een a%le to control ithacupuncture and her%s "or more than a #ear. (nitial evaluation is =id #inand Gang de"icient., damp stagnation and i de"icienc#. 8as pain in the

muscles throughout her %od#, headaches, tired all the time, cold. Tinsister has all o" the same s#mptoms. She as %orn ith @ e*traverte%rae, had partial h#sterectom#, c#sts surgicall# removed "rom her%reasts, as %eaten %# her hus%and ith a tire iron and had a nervous%rea2don. )sthmaan pills help her a lot, u ling san, 7ehmanniaeight. Treated STA;, '(, ??, @?, 'ung , B' @A, ST.

8er asthma s#mptoms ere ell controlled and a"ter several monthsshe came in and +ust lost her +o%, she as complaining o" severecandida al%icans s#mptoms, cold e*tremities, insomnia, vaginitis,hives, %urning e#es, "la2ing and itching around the ears and nose, tiredall the time and "eels sic2 a"ter she eats. She has alternate diarrheaand constipation. ( gave he a poder o" asa"oetida and ginger to ta2eith meals. ) tea o" pau d’ arco, 7ed marine algae, "lora %alance0intestinal "lora4.

She came in a ee2 later reporting that the her%s ere or2ing,especiall# the asa"oetida and ginger com%ination.



The ne*t visit she said she as much %etter, itching headaches,vaginitis ere gone, her energ# comes and goes, her ears "elt "ull o""luid and she complained o" diiness.

Treated S5?, ??, >, '$, '(, B'??, ?A, @, @A, -B@ and Gin tang.

We stopped the asa"oetida and -inger com%ination "or a couple o"ee2s and her candida s#mptoms reoccurred, including her s2in rash.7esuming it again, all s#mptoms cleared ma2ing it ver# clear thatsomething ver# speci"ic as happening ith the use o" asa"oetida "or acondition that in TC! ould %e classi"ied as 'iver Qi stagnation andSpleen dampness.

8er%s "or relieving 'oer Warmer Food Stagnation include:

Radi; et Rhi>ome Rhei /a 8uang

Common ame: 7hu%ar% 7oot

Famil#: 5ol#gonaceae

Energ# and Flavor: %itter and cold

rgan !eridian )""ected: 'iver, Spleen, 'arge (ntestine, Stomach and

5ericardium

)ctions: ?. /rains e*cess 8eat and eliminates /ampness especiall#hen in the Sunlight Gang stage& @. Cools the Blood and stops%leeding& A. (nvigorates Blood, %rea2s up stasis and relieves pain& .Clears 8eat and to*ins "rom e*cess& D. )pplied topicall# "or 8ot soresand Blood stasis.

(ndications: ?. For /amp68eat conditions o" e*cess ith s#mptoms o"constipation, high "ever, +aundice, pain"ul urination and "ullness o" the

a%domen& @. For 8eat in the Blood ith rec2less movement o" Bloodith s#mptoms o" %lood in the stool, vomiting o" %lood or nose%leed& A.For amenorrhea, d#smenorrhea, sharp pain, pain due to in+ur# anda%scesses it can %e applied e*ternall# or ta2en internall# to %rea2 upstasis and relieves pain& . For 8eat at the Blood level accompanied %#to*ic %uild up ith s#mptoms o" "ever, +aundice, acute appendicitis,sollen e#es and a%scesses& D. )pplied topicall# "or %urns, a%scesses,car%uncles and %lood stasis.

Contraindications: This her% should onl# %e used here there is a

de"inite condition o" 8eat and /ampness& rhu%ar% should %e used %#nursing mothers ith e*treme caution.




Mira%ilitum !ang Iiao

Common ame: -lau%er’s Salt

Energ# and Flavor: %itter, acrid, salt# and ver# cold

rgan !eridian )""ected: Stomach and 'arge (ntestine

)ctions: ?. 5urges stagnation in the (ntestines caused %# 8eat and/r#ness& @. Cools 8eat and a%ates selling.

(ndications: ?. For constipation caused %# 8eat and /r#ness& @. For8eat accompanied %# selling ith s#mptoms o" red sollen e#es,%reast lumps, in"lammation o" the throat and mouth and appendicitis.

Contraindications: )s this su%stance has a strong descending action itshould not %e used during pregnanc#, menstruation or post6partum, itshould also %e avoided %# those ith Spleen de"icienc# and %# theelderl#.


$olium Sennae Fan Iie Ge

Common ame: Senna 'ea"

Famil#: 'eguminosae

Energ# and Flavor: seet, %itter and cold

rgan !eridian )""ected: 'arge (ntestine

)ctions: ?. 5urges "ood stagnation caused %# 8eat.

(ndications: ?. For constipation and a%dominal "ullness caused %#8eat.

Contraindications: This her% should not %e used %# those ith chronicconstipation ith ea2ness nor %# pregnant, menstruating or post6partum omen.

/osage: A 6 > grams

Her%a !loe 'u 8ui



Common ame: )loe

Famil#: 'iliaceae

Energ# and Flavor: %itter and cold

rgan !eridian )""ected: 'iver, Stomach and 'arge (ntestine

)ctions: ?. Clear 8eat and relieves "ood stagnation& @. Cools the 'iverand clears 8eat in the 'iver channel& A. /ispels parasites& . )idsdigestion.

(ndications: ?. For "ood stagnation due to 8eat in the (ntestines, thisher% is an appropriate her% "or chronic constipation& @. For 8eat in the'iver and its’ channel ith s#mptoms o" "ever, headache, red e#es,diiness and a%dominal distention& A. =ills roundorm and ringorm&. For childhood malnutrition caused %# de"icienc# o" the Stomach.

Contraindications: This her% should not %e used %e pregnant ormenstruating omen nor should it %e used %# those ith Cold ea2Spleen and Stomach.

/osage: .D 6 @ grams

(n addition one can use Buc2thorne and<or Cascara %ar2 that also hasla*ative properties.

TRIPH!L!

(n )#urveda, Triphala is used to clear stagnation o" the !iddle and'oer Warmers.

Triphala is the most used and the most valua%le o" all traditional )#urvedic preparations. (t consists o" three "ruits ith mildl# cleansing

and strengthening properties. Each "ruit is capa%le o" eliminating ane*cess o" each o" the three corresponding 8umours. Belericm#ro%alan eliminates e*cess Water, %ene"iting the heart, circulationand lungs& che%ulic m#ro%alan eliminates e*cess )ir hich %ene"its theintestines, lungs and nervous s#stem& em%lic m#ro%alan 0amla4regulates Fire and is the second highest 2non source o" naturalvitamin C ne*t to acerola %erries. ) "urther uniue aspect o" thisimportant su%stance is that the vitamin C in amla does not dissipateeither under high heat or reasona%le aging. This is %ecause it is %oundup ith certain tannins. Besides %eing deto*i"#ing, especiall# to the

liver, amla is also highl# nutritious. With each o" the three su%stancesin Triphala assigned to %alance each o" the Three 8umours, Triphala



itsel" is considered Tridosha and sa"e to ta2e #ear round "or eliminatingall e*cesses hile imparting strength to the entire gastrointestinal tract.(t is the sa"est and %est mild purgative to ta2e on a regular %asis andill cause no la*ative dependenc#.

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the five stagnations

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