HERB FORMULAS

MA ZI REN WAN

English: Hemp Seed Pill
Also Known As: Cannabis Seed Pill
Apricot and Linum Formula
Pi Yue Ma Ren Wan

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Sm. Cannabis Huo Ma Ren 5-30g Moistens the Intestines and unblocks the bowels.
With Xing Ren, Bai Shao and Zhi Shi, for constipation due to Heat induced Dryness in the Stomach and Intestines.
Sm. Armeniacae Xing Ren 2-10g Descends Qi, moistens Intestines, unblocks bowels and harmonizes.
Rx. Paeoniae Alba Bai Shao 2-15g Nourishes Blood. astringes Yin and harmonizes the Interior.
Fr. Aurantii Immaturus Zhi Shi 2-10g Disperses intestinal accumulation, descends Qi and reduces distention.
With Hou Po, for Qi Stagnation with distention, swelling and pain.
With Da Huang, for Qi Stagnation with constipation and abdominal swelling.
With Huo Po and Da Huang, for abdominal distention, pain and fullness from Heat clumping with the stool and constipation with abdominal fullness and pain.
With Bai Shao, for Qi and Blood Stagnation with abdominal pain.
Cx. Magnoliae Officinalis Hou Po 2-10g Removes fullness and distention, descends Qi and resolves Food Stagnation.
With Zhi Shi, for abdominal or chest distention, focal epigastric distention, wheezing, shortness of breath nausea, rebellious Qi or constipation from Cold, Heat, Dampness or Phlegm as long as clumped Qi is at the root of the problem.
With Da Huang and Zhi Shi, for constipation due to accumulation and stagnation.
Rx. et Rz. Rhei Da Huang 4-10g Purges the Intestines and drains Heat.
With Huo Ma Ren and Xing Ren, for moderate constipation and habitual constipation with Deficiency.
(Apis Mel [honey]) (Feng Mi) (15-30g) (Moistens the Intestines.)

FORMULA ACTIONS

  • Invigorates Blood
  • Dispels Blood Stasis
  • Moves Qi
  • Lubricates the Intestines
  • Moves the bowels
  • Purges Heat
  • Alleviates pain

SYNDROMES

  • Colon Heat
  • Deficiency of Fluid in Colon
  • Dry Heat Retention in the Stomach and Intestines due to Jin Ye Deficiency
  • Yang Ming Xu

CLINICAL MANIFESTATIONS

  • Constipation with hard, difficult to expel stool
  • Dry skin
  • Abdominal distention and fullness
  • Hemorrhoids
  • Nocturia
  • Maybe frequent urination
  • T: Pink or Red
  • C: Yellow and dry
  • P: Slippery and rapid or Thready and rapid or Deep and rapid or Superficial and choppy

TREATS

  • Habitual constipation
  • Postpartum constipation
  • Post-surgical constipation
  • Incomplete Intestinal obstruction
  • Reflux gastritis
  • Hemorrhoids
  • Asthma
  • Cystitis
  • Diabetes
  • Chronic colitis
  • Constipation in the weak or elderly
  • Chronic colitis
  • Postoperative ileus
  • Atrophic gastritis
  • Post-hemorrhoidectomy bleeding
  • Cardiopulmonary disease
  • Coronary Heart disease
  • Drug induced constipation
  • Constipation due to atrophic Kidneys

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Contraindicated during pregnancy.
  • Modify for treating constipation with Blood Deficiency.
  • Modify for treating the very weak.
HERB/DRUG INTERACTIONS
  • This formula can eliminate constipation caused by antipsychotic drugs.

NOTES

MODIFICATIONS

For severe depletion of Fluids: For severe Heat Stagnation with a yellow tongue coat and a rapid pulse:
+ Sm. Platycladi Bai Zi Ren + More Rx. et Rz. Rhei Da Huang
+ Sm. Trichosanthis Gua Lou Ren + Natrii Sulfas Mang Xiao
For severe weakness:
For hemorrhoids:
- Rx. et Rz. Rhei Da Huang + Sm. Persicae Tao Ren
+ Fol. Sennae (small amount) Fan Xie Ye + Rx. Angelicae Sinensis Dang Gui
For Middle Jiao Qi Deficiency:
For bleeding hemorrhoids:
+ Tonify the Middle and Augment Qi Decoction
Bu Zhong Yi Qi Tang
+ Flos Sophorae Huai Hua Mi
For parasites blocking the Intestines:
+ Rx. Sanguisorbae Di Yu
+ Fr. Mume Wu Mei
or
+ Sm. Arecae Bing Lang + Flos Sophorae Huai Hua Mi
+ Per. Citri Reticulatae Chen Pi + Rx. Sanguisorbae Di Yu
For hemorrhoids with constipation:
Cacumen Platycladi Ce Bai Ye
+ Rz. Coptidis Huang Lian
For thirst and increased water intake due to Stomach Heat:
+ Rz. Cimicifugae Sheng Ma + Gypsum Fibrosum Shi Gao
+ Sm. Persicae Tao Ren + Rz. Anemarrhenae Zhi Mu
+ Rx. Angelicae Sinensis Dang Gui
For frequent urination:
For habitual constipation with dry stools in geriatric patients:
+ Sm. Euryales Qian Shi
+ Less Rx. et Rz. Rhei Da Huang + Ootheca Mantidis Sang Piao Xiao
+ Sm. Platycladi Bai Zi Ren + Fr. Alpiniae Oxyphyllae Yi Zhi Ren
+ Hb. Cistanches Rou Cong Rong    
+ Rx. Angelicae Sinensis Dang Gui