HERB FORMULAS

BAN XIA BAI ZHU TIAN MA TANG

English:	Pinellia, Atractylodis Macrocephala and Gastrodia Decoction
Also Known As:	Pinellia and Gastrodia Combination Decoction of Piniellia, White Atractylodes and Gastrodia Ban Xia Tian Ma Bai Zhu Tang

HERBS AND ACTIONS

Pharmaceutical Latin	*Pin Yin*	Dosage	Actions
Rz. Pinelliae Preparatum	*Zhi Ban Xia*	3-10g	Transforms Phlegm, dries Dampness, descends Rebellious Qi and treats nausea and vomiting. With Chen Pi, for epigastric and abdominal distention or pain due to disharmony of the Stomach Qi. With Fu Ling, expels Phlegm and stops nausea and vomiting, hiccoughs, coughs with clear, profuse Phlegm and loose and watery stools. With Tian Ma, Bai Zhu and Fu Ling, for Phlegm-Dampness rising upward and combining with uprising Internal Wind with symptoms of headache, dizziness, focal distention, a stifling sensation in the chest and diaphragm, a greasy white tongue and wiry and slippery pulse.
Rz. Gastrodiae	*Tian Ma*	2-10g	*Transforms Phlegm, extinguishes Wind, subdues Rising Liver Yang, alleviates pain, disperses Wind-Damp Bi* and effectively treats headache, dizziness and vertigo. With Zhi Ban Xia, Bai Zhu and Chen Pi, for headaches and dizziness from Wind-Phlegm. With Zhi Ban Xia, Bai Zhu and Fu Ling, for a heavy feeling and a congested headache.
Rz. Atractylodis Macrocephalae	*Bai Zhu*	3-30g	*Strengthens the Spleen, dries Dampness and reinforces Ban Xia* and Tian Ma in treating Phlegm.** With Tian Ma and Fu Ling, for Phlegm due to Spleen Dampness with Internal Liver Wind. With Fu Ling and Gan Cao, for Spleen and Stomach Qi Deficiencies. With Zhi Ban Xia, Tian Ma, Fu Ling and Chen Pi, for dizziness and vertigo due to accumulation of Phlegm and Liver Wind.
Exocarpium Citri Rubrum	*Ju Hong*	3-6g	Is more drying and aromatic than Chen Pi, but less effective at harmonizing the Middle and regulating the Spleen and Stomach. It is primarily used for vomiting and belching and for treating Phlegm-Damp coughs.
(Per. Citri Reticulatae)	**(Chen Pi)**	(3-6g)	(Regulates Qi and transforms Phlegm.** May substitute for Ju Hong.)** (With Sheng Jiang, for vomiting and hiccups due to Disharmony of the Stomach Qi and Cold-Dampness Obstructing the Middle with nausea and hiccough. (With Zhi Ban Xia, for a stifling sensation in the chest and cough with excessive white, viscous sputum due to Phlegm-Damp Obstruction.) (With Bai Zhu, for anorexia and other symptoms of Damp-Obstruction due to Spleen Deficiency.) (With Zhi Ban Xia and Fu Ling, for cough due to accumulation of Dampness and Phlegm.)
Poriae	*Fu Ling*	3-10g	Leaches out Dampness, strengthens the Spleen and assists in Transforming Phlegm. With Bai Zhu, strengthens the Spleen and resolves Dampness. With Zhi Ban Xia and Chen Pi, for nausea, vomiting, chest fullness and distention and anorexia due to congested fluids. With Zhi Ban Xia, Chen Pi and Sheng Jiang, for congested fluids in the Stomach causing nausea and vomiting. With Bai Zhu and Tian Ma, for Phlegm accumulation with vertigo.
Rx. Glycyrrhizae	*Gan Cao*	1.5-10g	Tonifies the Spleen and augments Qi, resolves Phlegm, and moderates and harmonizes the harsh properties of other herbs.
Rz. Zingiberis Recens	*Sheng Jiang*	2-6g	Warms the Middle, stops vomiting, warms the Lungs, stops cough and reduces the toxicity of other herbs. With Da Zao, harmonizes the Spleen and Stomach. With Zhi Ban Xia, for vomiting due to many causes including Stomach Cold and productive cough due to Phlegm-Dampness.
Fr. Jujube	*Da Zao*	2-6g	Tonifies the Spleen and Stomach and augments Qi and moderates and harmonizes the harsh properties of other herbs. With sheng Jiang, prevents Phlegm accumulation.

FORMULA ACTIONS

Strengthens the Spleen
Dispels Dampness
Transforms Phlegm
Soothes the Liver
Extinguishes Wind

SYNDROMES

Wind-Phlegm

CLINICAL MANIFESTATIONS

Dizziness
Vertigo (possibly severe)
Headaches (may be recurrent)
A stifling sensation in the chest
Nausea
Vomiting
Copious sputum
Spots before the eyes
Heaviness of the head
Lockjaw
Sinus congestion

Cold feet
Fatigue
Abdominal distention
Weakness of hands and feet
May be edema
Sudden loss of consciousness
Excess salivation
Compulsive sleeping after eating
T: Normal
C: White and greasy
P: Wiry and slippery or Soft and slippery

TREATS

Meniere's disease
Hypertension due to gastrointestinal weakness
Tubercular meningitis
Benign positional vertigo
Neurotic vertigo
Recurrent headaches
Tension headache
Gastroatonia
Facial paralysis
Epilepsy
Aural vertigo
Chronic gastroenteritis
Cerebrovascular accident

Compulsive sleeping after eating
Weakness of hands and feet
Headache and vertigo due to hypotension
Gastroptosis
Sinusitis
Water poisoning
Migraine
Cerebellitis
Gastroptosis
Stroke
Food allergy
Cerebral arteriosclerosis
Vestibular neuritis

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS

Contraindicated for those with vertigo not caused by Wind-Phlegm, eg Liver Yang Rising or Blood Deficiency.
Contraindicated for those with Kidney and Liver Yin Deficiencies.

HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For severe headache:		For severe vertigo:
+ Fr. Viticis	Man Jing Zi	+ Bombyx Batryticatus	Jiang Can
For weakness:		+ Arisaemae cum Bile	Dan Nan Xing
+ Rx. Codonopsis	Dang Shen	For tubercular meningitis (take for at least three months):
+ Rx. Astragali	Huang Qi	+ Scorpio	Quan Xie
For excess accumulation of Phlegm causing coma, headache and cold limbs:		+ Pheretima	Di Long
+ Cx. Phellodendri	Huang Bai	+ Bombyx Batryticatus	Jiang Can
+ Rz. Atractylodis	Cang Zhu	*For Liver Yang* Rising:**
+ Rx. Astragali	Huang Qi	+ Ram. Uncariae cum Uncis	Gou Teng
+ Rx. Ginseng	Ren Shen	+ Haematitum	Dai Zhe Shi
+ Rz. Alismatis	Ze Xie	For more severe Phlegm-Dampness:
+ Fr. Hordei Germinatus	Mai Ya	+ Rz. Alismatis	Ze Xie
+ Massa Medicata Fermentata	Shen Qu	+ Ram. Cinnamomi	Gui Zhi
For more severe headache:		For headache due to Wind-Cold:
+ Fr. Viticis	Man Jing Zi	+ Rz. Saposhnikoviae	Fang Feng
+ Fr. Tribuli	Bai Ji Li	+ Rz. seu Rx. Notopterygii	Qiang Huo
For headache due to Blood Deficiency:		For headache and dizziness due to Cold and Phlegm:
+ Rx. Angelicae Sinensis	Dang Gui	+ True Warrior Decoction Zhen Wu Tang
+ Rz. Chuanxiong	Chuan Xiong	For migraine headache:
For dizziness and vertigo due to Qi Deficiency:		+ Fr. Viticis	Man Jing Zi
+ Rx. Ginseng	Ren Shen	+ Rz. Chuanxiong	Chuan Xiong
+ Rx. Astragali	Huang Qi	For severe dizziness due to Liver Excess:
For sinusitis or rhinitis:		+ Bombyx Batryticatus	Jiang Can
+ Flos Magnoliae	Xin Yi Hua	+ Ram. Uncariae cum Uncis	Gou Teng
For arteriosclerosis in the brain:		+ Arisaemae cum Bile	Dan Nan Xing
+ Ram. Uncariae cum Uncis	Gou Teng	For sinusitis:
For stroke with lockjaw, sudden loss of consciousness and Excess salivation:		- Poria	Fu Ling
+ Fr. Liquidamberis (administer first)	Lu Lu Tong	- Exocarpium Rubrum	Ju Hong
- Rx. Glycyrrhizae	Gan Cao	+ 10g Fr. Xanthii	Cang Er Zi
- Fr. Jujube	Da Zao	+ 10g Rx. Angelicae Dahuricae	Bai Zhi
+ Arisaemae cum Bile	Dan Nan Xing	+10g Rz. Corydalis	Yan Hu Suo
+ Rz. Acori Tatarinowii	Shi Chang Pu	+15-30g Rx. Astragali	Huang Qi
For enhancing the effects of the formula:		+ 4g Hb. Asari	Xi Xin
+ Massa Medicata Fermentata	Shen Qu	+12g Rx. Scutellariae	Huang Qin
+ Fr. Hordei Germinatus	Mai Ya	+ 30g Hb. Houttuyniae	Yu Xing Cao
+ Rz. Alismatis	Ze Xie	+ 15g Rz. Chuanxiong	Chuan Xiong
+ Rx. Ginseng	Ren Shen	+ 15g Fr. Forsythiae	Lian Qiao
+ Rx. Astragali	Huang Qi	+ 15g Rx. Salviae Miltiorrhizae	Dan Shen
+ Rz. Zingiberis	Gan Jiang	+ 15g Rx. Achyranthis Bidentatae	Niu Xi
+ Cx. Phellodendri	Huang Bai	+ 15g Rx. Paeoniae Alba	Bai Shao
For headaches:		+ 6g Hb. Agastaches/ Pogostemi	Huo Xiang
+ Rx. Angelicae Dahuricae	Bai Zhi	For indigestion:
For shoulder and neck tension:		+ Fr. Crataegi	Shan Zha
+ Rx. Puerariae	Ge Gen	For symptoms of Phlegm-Heat:
For abdominal pain:		+ Concretio Bambusae Silicea	Tian Zhu Huang
+ Fr. Amomi	Bing Lang	For fibromyalgia due to Phlegm Stagnation Blocking the channels:
+ Rx. Aucklandiae	Mu Xiang	+ Xiao Qing Long Tang Bian Fang
		+ Tangkuei Decoction to Pry out Pain Dang Gui Nian Tong Tang