HERB FORMULAS

BAO HE WAN

English: Preserve Harmony Pill
Also Known As: Citrus and Crataegus Formula
Pills for Indigestion
Po Chai Pills

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Fr. Crataegi Shan Zha 9-18g Reduces all types of Food Stagnation especially meat and fatty foods.
With Shen Qu, for general indigestion and Food Stagnation.
With Lai Fu Zi and Shen Qu, reduces stagnation and accumulation caused by overindulgence in food and drink of all types.
With Mai Ya and Shen Qu, for abdominal distention, belching, diarrhea and anorexia due to Food Stagnation and childhood nutritional impairment due to improper breast feeding.
Massa Medicata Fermentata Shen Qu 4-12g Reduces Food Stagnation, promotes digestion, reduces stagnant alcohol, moves Qi and harmonizes the Stomach .
Sm. Raphani Lai Fu Zi 2-12g Descends Qi and reduces accumulation of Phlegm from stagnant grains.
 With Shan Zha, Shen Qu and Chen Pi, for abdominal distention, borborygmus, belching and acid regurgitation due to stagnation in ST or Intestines.
With Zhi Ban Xia, for distention and vomiting due to Food Stagnation.
Per. Citri Reticulatae Chen Pi 2-9g Regulates Qi, adjusts the Middle, relieves the diaphragm, dries Dampness, transforms Phlegm and descends Qi.
With Zhi Ban Xia, moves Qi and transforms stagnation to harmonize the Stomach and stop nausea and vomiting.
Rz. Pinelliae Preparatum Zhi Ban Xia 6-12g Descends Qi, transforms Phlegm, harmonizes the Stomach and reduces distention.
 With Chen Pi, for Stomach Qi Disharmony with epigastric and abdominal distention or pain.
With Fu Ling, expels Phlegm and stops nausea and vomiting, hiccoughs, coughs with clear, profuse Phlegm and loose and watery stools, treats Phlegm, Thin Mucus and turbid Dampness and prevents turbid Phlegm and Dampness from disturbing the Heart with dizziness, palpitations and insomnia.
Poria Fu Ling 6-12g Strengthens the Spleen, drains Dampness, harmonizes the Middle Jiao and transforms Phlegm.
With Zhi Ban Xia, expels Phlegm and stops nausea and vomiting.
With Zhi Ban Xia and Chen Pi, for nausea, vomiting, chest fullness and distention, and anorexia due to congested fluids.
Fr. Forsythiae Lian Qiao 2-9g Clears Heat due to Stagnation.
(Fr. Hordei Germinatus) (Mai Ya) (3-9g) (May be added to reduce stagnation from grains.)

FORMULA ACTIONS

  • Disperses Food
  • Harmonizes the Stomach

SYNDROMES

  • Food Stagnation in the Stomach

CLINICAL MANIFESTATIONS

  • Distention and fullness in the chest and epigastrium
  • Abdominal distention with occasional pain
  • Rotten smelling belching
  • Acid regurgitation
  • Nausea and vomiting
  • Aversion to food
  • Maybe diarrhea
  • Dysentery
  • Maybe constipation
  • Anorexia
  • Bad breath
  • Intermittent fever
  • T: Pink
  • C: Yellow and greasy
  • P: Slippery

TREATS

  • Acute gastroenteritis
  • Acute exacerbation of chronic gastroenteritis
  • Hepatitis
  • Acute pancreatitis
  • Atrophic gastritis
  • Acid regurgitation
  • Obesity
  • Acute or chronic cholecystitis
  • Indigestion
  • Gastralgia
  • Gastrointestinal influenza
  • Gastrolithiasis
  • Anorexia

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Contraindicated for those with Spleen Deficiency.
  • Use with caution during pregnancy.
HERB/DRUG INTERACTIONS
  • With modifications, this formula relieves chemotherapy-induced nausea and vomiting in cancer patients.

NOTES

MODIFICATIONS

For more severe abdominal distention: For constipation:
+ Fr. Aurantii Immaturus Zhi Shi + Rx. et Rz. Rhei Da Huang
+ Cx. Magnoliae Officinalis Hou Po + Sm. Arecae Bing Lang
For sweating from the head due to accumulation of food that has transformed into Heat:
For early stage dysenteric disorder with concurrent Food Stagnation:
+ Ginger-juice fried Rz. Coptidis Jiang Zhi Chao Huang Lian - Poria Fu Ling
For concurrent Spleen and Stomach Deficiency:
- Fr. Forsythiae Lian Qiao
+ Rx. Astragali Huang Qi + Rz. Coptidis Huang Lian
+ Rz. Atractylodis Macrocephalae Bai Zhu + Fr. Aurantii Immaturus Zhi Shi
For diarrhea:
 + Sm. Arecae Bing Lang
+ Rz. Coptidis Huang Lian
For severe cases:
For gastrointestinal influenza:
+ Fr. Hordei Germinatus Mai Ya
+ Sm. Perillae Zi Su Zi + Rz. Cyperi Xiang Fu
+ Hb. Agastaches Huo Xiang + Rx. Glycyrrhizae Gan Cao
For severe diarrhea, vomiting, fever or dysentery:
For more severe abdominal distention:
+ Rz. Coptidis Huang Lian + Fr. Aurantii Immaturus Zhi Shi
+ Rx. Scutellariae Huang Qin + Cx. Magnoliae Officinalis Hou Po
+ Rx. Puerariae Ge Gen + Rz. Coptidis Huang Lian
For Disharmony between the Liver and Stomach:
For a greasy, yellow tongue coat:
+ Rx. Bupleuri Chai Hu + Rz. Coptidis Huang Lian
+ Tub. Curcumae Yu Jin
For Spleen Deficiency:
+ Rz. Cyperi Xiang Fu + Rz. Atractylodis Macrocephalae Bai Zhu
+ Rx Paeoniae Alba Bai Shao
For Food Stagnation turning into Heat with bad breath, a red tongue, a yellow coat and a rapid pulse:
For Food Stagnation with constipation:
+ Rz. Coptidis Huang Lian
+ Sm. Arecae Bing Lang + Rx. Scutellariae Huang Qin
+ Fr. Aurantii Immaturus Zhi Shi
For indigestion with an Exterior condition:
+ Per. Arecae Da Fu Pi + Hb. Agastaches Huo Xiang
+ Rx. et Rz. Rhei Da Huang + Fol. Perillae Zi Su Ye
For severe nausea and vomiting:
+ Flos Lonicerae Jin Yin Hua
+ Hb. Agastaches Huo Xiang
For vomiting and diarrhea:
+ Fr. Amomi Sha Ren + Hb. Agastaches Huo Xiang
For enhancing overall digestion:
+ Hb. Eupatorii Pei Lan
+ Fr. Hordei Germinatus Mai Ya
For chemotherapy-induced fatigue and anorexia:
+ Fr. Setariae Germinatus Gu Ya + Rx. Astragali Huang Qi
+ End. Corneum Gigeriae Galli Ji Nei Jin + Rz. Atractylodis Macrocephalae Bai Zhu
For chemotherapy-induced yellow tongue coat and constipation:
For chemotherapy-induced thirst with a red tongue and a dry tongue coating:
+ Rx. et Rz. Rhei Da Huang + Rx. Ophiopogonis Mai Men Dong
For flu-like symptoms:
+ Rx. Glehniae/ Adenophorae Sha Shen
+ Rz. Perillae Zi Su Geng + Hb. Dendrobii Shi Hu
+ Hb. Agastaches Huo Xiang
For obesity due to Spleen Qi Deficiency, Stomach Heat and Food Stagnation:
   
   
+ Minor Construct the Middle Decoction
Xiao Cheng Qi Tang