Chapter 8 Mediating Formulas

This group of Formulas may be divided into three types: the Formulas for treating shaoyang disease by mediation , the formulas for regulating the function of the liver and spleen, and the Formulas for regulating the function of the intestine and stomach.

Section 1 Formulas for Treating Shaoyang Disease by Mediation

This type of Formulas is mainly used to treat shaoyang disease, the pathogenic factors of which are neither located in the exterior nor in the interior but in between.

Xiao Chaihu Tang ( Minor Decoction of Bupleurum )

Ingredients Bupleurum root, Radix Bupleuri 12g Scutellaria root, Radix Scutellariae 9g Pinellia tuber, Rhizoma Pinelliae 9g Fresh ginger, Rhizoma Zingiberis Recens 9g Ginseng, Radix Ginseng 6g Chinese dates, Fructus Ziziphi Jujubae 4 pcs. Prepared licorice root, Radix Glycyrrhizae Praeparata 5g Administrations All the herbs listed above are decocted in water for oral administration. Functions Treating shaoyang disease by mediation. Indications Shaoyang disease with the pathogenic factors located neither in the exterior nor in the interior but in between marked by alternate attacks of chills and fever, fullness in the chest, hypochondriac discomfort, anorexia, dysphoria, retching, bitterness in the mouth, dry throat, dizziness, thin and white fur of the tongue and stringy pulse, or exogenous febrile diseases occurring in women belonging to invasion of the blood chamber by pathogenic heat. The common cold, malaria, infection of biliary tract, hepatitis, pleuritis, chronic gastritis, indigestion, mastosis, intercostal neuralgia, neurosis and AIDS marked by the symptoms of shaoyang disease can be treated by the modified formula. Modern researches Modern researches have proved that the formula has some effects of inhibiting bacteria, viruses and

leptospira, relieving the reaction of the human body to the invaded pathogen, and remarkably allaying fever and resisting inflammation, In addition the formula also has the effects of promoting digestion, preventing vomiting, expelling phlegm, relieving cough, Protecting the liver, normalizing the functioning of the gallbladder and tranquilizing the mind. Cautions Patients with syndromes such as upper excess with lower deficiency, or excess of liver-fire, hyperactivity of the liver-yang, haematemesis due to deficiency of vin are forbidden to use the formula.

Da Chaihu Tang ( Major Decoction of Bupleurum )

Ingredients Bupleurum root, Radix Bupleuri 15g Scutellaria root, Radix Scutellariae 9g White peony root, Radix Paeoniae Alba 9g Pinellia tuber, Rhizoma Pinelliae 9g Prepared fruit of immature citron or trifoliate orange,Frectus Aurantii Immatuns Praeparata 9g Rhubarb root, Radix et Rhizoma Rhei 6g Fresh ginger, Rhizoma Zingiberis Recens 15g Chinese-dates, Fructus Ziziphi Jujubae 5 pcs. Administrations All the herbs listed above are to be decocted in water twice, and after the residue is removed, the decoction is to be taken warm in two separate doses. Functions Treating shaoyang disease by mediation and purging away internal stasis of heat. Indications Shaoyang and yangming diseases complex marked by alternate attacks of chills and fever, fullness and oppression in the chest, hypochondriac discomfort, frequent vomiting, mental depression and dysphoria, epigastric fullness and pain or epigastric rigidity, constipation or diarrhea due to interior cold and exterior heat, yellow tongue fur, stringy and forceful pulse. Patients with acute cholecystitis, cholclithiasis, acute pancreatitis and infection of abdominal activity marked by the above-mentioned symptoms can be treated by the modified formula.

Section 2 Formulas for Regulating the Function of the Liver and the Spleen

This group of formulas is mainly composed of herbs for soothing the liver and those for strengthening the spleen. It can achieve the effect of regulating the function of the liver and spleen and is fit for the treatment of in-coordination between the liver and spleen due to stagnation of the liver-qi attacking the spleen or caused by disturbance of the liver-qi due to the loss of the normal transporting function of the spleen.

Sini San ( Powder for Treating Cold Limbs )

Ingredients Bupleurum root, Radix Bupleuri 6g White peony root, Radix Paeoniae Alba 9g Fruit of immature citron or trifoliate orange, Fructus Aurantii Immaturus 6g Prepared licorice root, Radix Glycyrrhizae Praeparata 6g Administrations All the herbs listed above are to be decocted in water for oral administration. Functions Dispersing pathogens and alleviating mental depression, soothing the liver and regulating the spleen. Indications Cold limbs due to the internal depressed yang-qi which fails to reach the distal parts of limbs, or epigastric distension and distress, diarrhea with tenesmus and abdominal pain caused by stagnation of the liver-qi and the accumulation of the spleen-qi, white fur of the tongue and stringy pulse. Patients with chronic hepatitis, cholecystitis, cholelithiasis, pancreatitis, neuralgia intercostalis and gastroneurosis marked by the symptoms of stagnation of the liver-qi and the accumulation of the spleen-qi can be treated by the modified formula. Modern researches

Modern researches have proved that the formula has the effect of tranquilizing the mind, relieving spasm and pain, allaying fever and resisting bacteria. In addition, it is also very effective in treating hepatic injury. Cautions Since it is indicated for cold limbs due to excess of heat which is caused by stagnation of yang-qi, the formula is contraindicated in patients with cold limbs of other types.

Xiaoyao San (Ease Powder )

Ingredients Bupleurum root, Radix Bupleuri 15g

Chinese angelica root, Radix Angelicae Sinensis 15g White peony root, Radix Paeoniae Alba 15g Tuckahoe, Poria 15g Bighead atractylodes rhizome, Rhizoma Atractylodis Macrocephalae 15g Roasted ginger, Rhizoma Zingiberis Recens Praeparata a litile. Peppermint, Herba Menthae a litile Prepared licorice root, Radix Glycyrrhizae Praeparata 6g Administrations Grind the above herbs except No. 6 and No. 7 into powder, take 6 to 9 grams each time with a decoction in small amount of roasted ginger and peppermint. If used as decoction the dosage can be reduced proportionally according to the original formula. Functions Soothing the liver to disperse the depressed qi, and invigorating the spleen to nourish the blood. Indications Stagnation of the liver-qi with deficiency of the blood marked by hypochondriac pain, headache, dizziness, bitter mouth, dry throat, mental weariness and poor appetite, or alternate attacks of chills and fever, or irregular menstruation, distension in the breast, light redness of the tongue, taut and feeble pulse. Patients with chronic hepatitis, pleuritis, chronic gastritis, neurosis, irregular menstruation marked by the symptoms of stagnation of the liver-qi with deficiency of the blood can be treated by the modified formula. Modern researches Modern researches have proved that the formula has the remarkable effects of nourishing the liver, tranquilizing the mind and relieving spasm. It is also effective in promoting digestion, coordinating uterine function, nourishing blood, strengthening the stomach and so on.

DanZhi Xiaoyao San ( Ease Powder Added with Moutan Bark and Capejasmine Fruit )
Ingredients This formula is made up of all the herbs in the formula of Ease Powder, 3 grams of moutan bark (Cortex Moutan Radicis) and capejasmine fruit (Fructus Gardenias). Administrations All the herbs listed above are to be decocted in water for oral administration.

Functions Soothing the liver, strengthening the spleen and nourishing menstruation by regulating the flow of blood. Indications Fire-transmission and heat-production due to blood-deficiency of the liver and spleen marked by irritability, or spontaneous perspiration or night sweat or headache and xeroma or irregular menstruation, pain and distension in the lower abdomen, difficulty and pain in micturition.

Section 3 Formulas for Regulating the Intestine and Stomach

The formula, mainly composed of the pungent herbs with dispersing effect and the bitter herbs with purging effect, has the actions of regulating the functions of the intestine and stomach. It is fit for the treatment of disorder of gastrointestinal function caused by the invasion of pathogenic factors to the intestine and stomach.

Banxia Xiexin Tang (Pinellia Decoction for Purging Stomach-fire )

Ingredients Pinellia tuber, Rhizoma Pinelliae (washed) 9g Dried ginger, Rhizoma Zingiberis 6g Scutellaria root, Radix Scutellariae 6g Chinese goldthread root, Rhizoma Coptidis 3g Ginseng root, Radix Ginseng 6g Prepared licorice root, Radix Glycyrrhicae praeparata 6g Chinese-dates, Fructus Ziziphi Jujubae 4 pcs. Administrations All the herbs listed above are to be decocted in water for oral administration. Functions Regulating the stomach and purging the adverse flow of qi, and relieving stagnation and flatulence. Indications Disorder of the stomach due to stagnation of qi marked by loss of appetite, epigastric fullness sensation without pain, retching or vomiting, excited intestinal gurgling sound and diarrhea, yellow and greasy fur of the tongue and taut and rapid pulse. Acute gastroenteritis, chronic gastritis, gastroduodenal ulcer, indigestion, gastrointestinal neurosis, vomiting of pregnancy and others marked by the symptom, of disorder of the stomach due to stagnation of qi can be treated by the modified formula.

Modern researches Modern researches have proved that the formula has the effects or relieving inflammation, tranquilizing the mind, arresting vomiting and diarrhea, strengthening the stomach and regulating the function of the intestinal tract. Cautions Since most herbs in the formula are dry and drastic in nature, so the formula is contraindicated in patients with nausea and retching due to deficiency of the stomach-yin.