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Website: http://www.pmph.com Book Title: Chinese Medicinal Formulas (International Standard Library of Chinese Medicine) Copyright 2011 by Peoples Medical Publishing House. All rights reserved. No part of this publication may be reproduced, stored in a database or retrieval system, or transmitted in any form or by any electronic, mechanical, photocopy, or other recording means, without the prior written permission of the publisher. Contact address: No. 19, Pan Jia Yuan Nan Li, Chaoyang District, Beijing 100021, P.R. China, phone/fax: 8610 5978 7338, E-mail: pmph@pmph.com For text and trade sales, as well as review copy enquiries, please contact PMPH at pmphsales@gmail.com
Disclaimer This book is for educational and reference purposes only. In view of the possibility of human error or changes in medical science, the author, editor, publisher and any other party involved in the publication of this work do not guarantee that the information contained herein is in any respect accurate or complete. The medicinal therapies and treatment techniques presented in this book are provided for the purpose of reference only. If readers wish to attempt any of the techniques or utilize any of the medicinal therapies contained in this book, the publisher assumes no responsibility for any such actions. It is the responsibility of the readers to understand and adhere to local laws and regulations concerning the practice of these techniques and methods. The authors, editors and publishers disclaim all responsibility for any liability, loss, injury, or damage incurred as a consequence, directly or indirectly, of the use and application of any of the contents of this book.
First published: 2011 ISBN: Cataloguing in Publication Data: A catalogue record for this book is available from the CIP-Database China.
Ma Xi-tao , M.S. TCM Interpreter/Translator, Physician, Affiliated Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China Wang Jing , Ph.D. TCM Physician, Lecturer, Clinical College, Chengdu University of Traditional Chinese Medicine, Chengdu, China
Song Yao-ping Ph.D. L.Ac., TCM , The Academy of Oriental Medicine at Austin, Austin, TX, U. S. A.
Wu Shi-guo , Ph.D. TCM Physician, Lecturer, Yunnan College of Traditional Chinese Medicine, Kunming, China
English Editors
Greg Zimmerman, M.S., L.Ac. Acupuncturist, Chinese American Acupuncture Center, Orlando, Florida, USA Lara Deasy, Bsc (Hons) TCM, B.M. (Beijing) TCM, MRCHM
Deng Zhong-jia Deng Zhong-jia, State Council Expert for Special Allowance, is a professor and
leader of the state-level formulas courses, teaching team and key disciplines of
the State Administration of TCM of China. Prof. Deng was the Deputy Committee
The two textbooks: Formulas of Traditional Chinese Medicine, he edited in 2001 and contribution to textbook editing in 2009.
2008, are widely used in China. He was awarded the Excellent Textbook Prize for his
Greg Zimmerman
Greg Zimmerman is a Licensed Acupuncturist and Chinese Medicine Practitioner
located in Southern California. He has been involved in the academics of Traditional prominent Chinese herbal manufacturing companies, educational organizations, and Medicine Clinic , located in Irvine, CA since 1997.
Chinese Medicine since 1996 serving as a lecturer, consultant and editor for TCM colleges. Greg Zimmerman has maintained a private practice, the Yi An Chinese For the past 12 years, he has taught a variety of classes on various subjects of
Traditional Chinese Medicine with an emphasis on Chinese herbal formulas and medicinals. More recently, he has developed and teaches a certification course, regarding ethical herbal compounding and dispensing, to professional practitioners
Chinese Herbal Medicine, 2001; Master in Formulas, 2004; Ph.D in Formulas, 2009).
She worked as an editorial member and translator for the Encyclopedia of Medicinal Tong (Research Assistant, 2004-06). Currently, she teaches formulas in the Chengdu University of TCM and serves as a physician in the affiliated clinic of the university.
Plants at the School of Chinese Medicine, Hong Kong Baptist University, Kowloon
Editorial Board for International Standard Library of Chinese Medicine Executive Directors
Li Zhen-ji Vice Chairman and Secretary-general, World Federation of Chinese Medical Societies, Beijing, China Hu Guo-chen President and Editor-in-Chief, Peoples Medical Publishing House, Beijing, China
Directors
You Zhao-ling Former President and Professor of Chinese TCM, Changsha, China Xie Jian-qun Medical Gynecology, Hunan University of President and Professor of Chinese Internal Medicine, Shanghai University of TCM, Shanghai, China
General Coordinator
Liu Shui Director of International TCM Publications, Peoples Medical Publishing House, Beijing
Professor of Chinese External Medicine, Shanghai University of TCM, Shanghai, China Chen Ming
P ro f e s s o r o f T C M D i a g n o s t i c s , B e i j i n g
Professor of Shng Hn Ln, Beijing University of CM, Beijing, China Deng Zhong-jia
Professor of Chinese Medicinal Formulae, Chengdu University of TCM, Chengdu, China Doug Eisenstark, L.Ac
Education College, Nanjing University of TCM, Stephen X. Guo , M.A. International Director of Jande International, New York, USA Hu Jun , B.A. Medical English
Han Chou-ping
Currently pursuing Master s of Science in Social History of Medicine, Peking University, Beijing, China
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Hu Zhen
Huang Fei-li
Jia De-xian , Ph.D. TCM University of CM, Beijing, China Lao Li-xing , Ph.D.
Professor of Acupuncture & Tui Na, Nanjing University of TCM, Nanjing, China
Professor of Acupuncture and Moxibustion, University of Maryland School of Medicine, Baltimore, USA Research Past Co-President of the Society for Acupuncture
President of Florida Acupuncture Association; Chinese TCM Organizations, Kissimmee, USA Li Ming-dong , Ph.D. OMD, L.Ac.
Associate Professor of Ophthalmology, Eye Hospital of China Academy of Chinese Medical Sciences, Beijing, China L Ming
Liu Zhan-wen
P ro f e s s o r o f C h i n e s e M e d i c i n e , B e i j i n g University of Chinese Medicine, Beijing, China L.Ac. Mark L. Mondot, B.A. Chinese Language, Translator and Editor, Peoples Medical Publishing House, Beijing, China Julie Mulin Qiao-Wong University, Melbourne, Australia Paul F. Ryan, M.S. TCM, L.Ac. Taihu Institute, Jiangsu, China Secondo Scarsella, MD, DDS
Professor of Tui Na, Changchun University of Chinese Medicine, Changchun, China Ac. Jane Lyttleton, Hons, M Phil, Dip TCM, Cert Lecturer, University of Western Sydney, Sydney, Australia Andy Rosenfarb, M.S. TOM, L.Ac. USA
Acupuncture Health Associates, New Jersey, Martin Schweizer, Ph.D. Molecular Biology, L.Ac. Emeritus Professor of Medicinal Chemistry, University of Utah, USA Sun Guang-ren
Visiting Professor of Tui Na, Nanjing University of TCM, China Department of Maxillofacial Surgery, San Salvatore Hospital, LAquila, Italy
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Tu Ya
Medicine, University of Colorado, Denver, USA Professor of TCM Pediatrics, Nanjing University of TCM, Nanjing, China Douglas Wile, Ph.D.
Professor of Acupuncture and Moxibustion, Beijing University of CM, Beijing, China Wei Qi-ping of CM, Beijing
Former professor of History & Philosophy of Chinese Medicine and of Chinese Language at Pacific College of Oriental Medicine, New York; Professor of Chinese language at Alverno College, Milwaukee, USA Xiao Ping Changsha, China
Chinese Traditional Sports and Health Cultivation Instructor, School of Physical Education in Wenzhou Medical College, Wenzhou, China Ye Qiao-bo , Ph.D. TCM
Yan Dao-nan
Lecturer of Chinese Medicinal Formulae, Chengdu University of TCM, Chengdu, China Zhang Ji , Ph.D. TCM
Professor of Chinese Materia Medica, Emperors Dongguk University, Los Angeles, USA Zhang Qing-rong
Helen Q. Zhang , Ph.D. TCM, L.Ac. Director of Qi TCM Clinic, New York, USA Zhao Bai-xiao , Ph.D. TCM
Professor of TCM Fundamentals, Liaoning University of TCM, Shenyang, China Zhao Xia , Ph.D. TCM of TCM, Nanjing, China
Professor of Acupuncture and Moxibustion, Beijing University of TCM, China Zhou Gang , Ph.D. TCM of CM, Beijing, China
Sponsored by
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Preface
The science of formulas is a subject dealing with the treatment and theories of formulas, as well as the clinical application. It is an important basic course in TCM and should be studied after the Basic Theory of TCM, Diagnostics of TCM and Chinese Materia Medica courses. The textbook is divided into two parts. The first part is General Discussion, focusing on the brief history and development of the formulas science, Treatment Methods and Formulas, Classification of Formulas, Composition of Formulas, Dosage, Form and Preparation and Administration of Decoctions. The second part includes specific discussions on formulas in nineteen categories. It contains 182 principal formulas and 185 associated formulas, which are divided into fundamental formulas, representative formulas and commonly used formulas. One hundred kinds of commonly used Chinese patent drugs are introduced in the Appendix in the form of a chart. Each chapter contains four parts: Brief Introduction, Specific Formulas, Summary and Questions. The Brief Introduction includes the definition of each type of formula, treatment method, function, application, cautions, clinical features, compatibility methods and the name of commonly used formulas. Specific Formulas includes the Source Text, Formula Ingredients, Preparation and Administration, Formula Indications, Analysis of Fundamental Pattern Pathogenesis, Formula Analysis, Formula Actions, Unique Combination Features, Further Clarification, Formula Applications, Associated Formulas, Case Studies, and Comments. The Summary is a brief comparison between the formulas. The Questions try to develop the ability of independent thinking and comprehensive analysis based on the important contents of each chapter. This textbook is characterized by following features: 1. Using clear and easily understood forms to elucidate Formula Analysis, Modifications, Associated Formulas, and Comparisons & Contrasts.
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2. The item of Further Clarification is set to elucidate the difficulties and doubts. 3. The fundamental combinations are concluded in the Formula Analysis form. Also, the Unique Combination Features helps readers to learn more compatibility skills. 4. One to four typical and practical cases by famous ancient or current TCM practitioners are listed in most formulas. It can help readers master the core pathomechanism and learn how to modify the formulas in different specific cases. Work Assignment: The General Introduction was written by Deng Zhong-jia. Chapter 1 and Chapter 3 were written by Jia Bo. Chapter 2, Chapter 13 and Chapter 19 were written by Yi Zi-gang. Chapter 4 and Chapter 5 were written by Zhou Rong-xue. Chapter 6 and Chapter 7 were written by Shen Tao. Chapter 9 and Chapter 11 were written by Wang Di. Chapter 12 and Chapter 14 were written by Ruan Shi-bao. Chapter 16 was written by Li Ji. Chapter 10 and Chapter 17 were written by Zhou Ran. Chapter 8, Chapter 16 and Chapter 18 were written by Chen Jian-ping. This book can be used as an authentic textbook for overseas students. Moreover, it can serve as reference for TCM practitioners with its practical contents. Deng Zhong-jia, Greg Zimmerman, Ye Qiao-bo 2011
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TABLE OF CONTENTS
Chapter 3 Classification of Formulas ................................................................. Chapter 4 Composition of Formulas .................................................................. Chapter 5 Dosage Form ....................................................................................... Chapter 6 Preparation and Administration of Decoctions ...............................
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Section 2 Warm Purgatives .................................................................................................... Section 3 Moist Purgatives ..................................................................................................... Section 4 Harsh Expellants .................................................................................................... Section 5 Purgative and Tonic Formulas ...............................................................................
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Appendix ................................................................................................................
Appendix I List of Medicinals................................................................................................ Appendix II List of Formulas ................................................................................................. Appendix III List of Classical Texts ......................................................................................
Index .......................................................................................................................
Index by Chinese Medicinals and Formulas - Pin Yin Names ............................................... Index by Chinese Medicinals and Formulas - Pharmaceutical Names ..................................
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Chapter 17
Digestion-Promoting Formulas
Digestion-promoting formulas utilize digestion-promoting medicinals as key components. They have the therapeutic actions to promote digestion, fortify the spleen, remove accumulation, and remove stagnation. Digestion-promoting formulas are prescribed to treat food accumulation. The modern method promote digestion was historically referred to as the dispersion method. It is one of the Eight Treatment Methods recorded in ancient literature. The dispersion method is extensively applied for conditions of accumulation, stagnation and fullness that result from blockage of qi, blood, phlegm, dampness, food and worms. This chapter discusses the therapeutic method and formulas used for food accumulation. Related therapeutic methods and formulas are discussed in the qiregulating, blood-rectifying, dampness-dispelling, accumulation-removing and wormexpelling chapters. The etiologies of food accumulation are essentially classified in terms of deficiency and excess. Deficient patterns of food accumulation are caused by spleen deficiency and poor digestion. Excessive patterns of food accumulation are due to an improper diet, bad dietary habits, and overeating. Digestion-promoting formulas are therefore categorized into two types: a) Digestionpromoting and stagnation-removing formulas b) Spleen-fortifying and digestion-promoting formulas Formulas that promote digestion typically contain qi-regulating medicinals because internal accumulation inhibits qi movement. The opposite is also true; constraint and stagnation of the qi mechanism will induce obstruction. Therefore, removing accumulation is associated with moving the qi. Those who suffer chronic conditions with a deficiency of zheng qi, as well as spleen and stomach deficiencies, require medicinals that reinforce zheng qi. They are used simultaneously along with those medicinals that disperse food accumulation. As a result of their pathological development, food accumulations may have either a hot or cold pathological character. Therefore these formulas may necessarily be heat clearing or warming in nature. It is not advised to take dispersing formulas for long periods of time. They are aggressive and may consume zheng qi and are therefore contraindicated for patterns of deficiency without signs of excess.
Harmony-PreServing Pill Bo H Wn
Source Text Teachings of [Zhu] Dan-xi (read more on upcoming release of this book) Unique Combination Features This formula primarily promotes digestion; however, it also moves qi, removes dampness and clears heat. Formula Applications 1. Essential Pattern Differentiation: Bo H Wn is a commonly used formula applicable for a variety of food accumulation patterns. This clinical pattern is marked by: fullness in the abdomen and stomach cavity distension and pain in the abdomen and stomach cavity belching acid swallowing thick and greasy tongue coating slippery pulse
Part II
2. Modifications:
Concurrent Condition An excessive amount of food accumulation An excessive amount of heat developed from food accumulation marked by a yellow tongue coating and rapid pulse Constipation Spleen deficiency Concurrent Treatment Promote digestion and regulate qi Promote digestion and clear heat Common Medicinal Modifications zh sh, hu p, m xing and bng lng hung qn and hung lin
Promote defecation and purge the bowels Boost qi and fortify the spleen
3. Modern Applications: This formula may be used in the following biomedically defined disorders when the patient shows signs of food accumulation: acute and chronic gastritis and enteritis, dyspepsia, and infants with diarrhea. 4. Cautions and Contraindications: This formula is an aggressive formula that attacks and dispels; therefore, it should not be taken for long periods of time. Additionally, it should not be prescribed to treat food accumulation patterns due to spleen deficiency without proper modification. Associated Formulas
Name Ingredients shn zh 2 liang (12 g), shn q 1 liang (6 g), bn xi 1 liang (6 g), f lng 1 liang (6 g), chn p 0.5 liang (3 g ), li f z 0.5 liang (3 g ), lin qio 0.5 liang (3 g ), bi zh 2 liang (12 g) Actions Applicable Patterns Food accumulation complicated by spleen deficiency Symptoms include: indigestion distending pain of the abdomen and stomach cavity diarrhea infants with food stagnation
D n Wn is Bo H Wn plus bi zh. The doses of the medicinals that compose Bo H Wn are all decreased and 2 liang of bi zh is added. D n Wn is prescribed for cases of food accumulation with spleen deficiency. It has the action to promote digestion and fortify the spleen and is suitable for pediatric food accumulation. (read more on upcoming release of this book)