HERB FORMULAS

SAN REN TANG

English: Three Seed (Nut) Decoction
Also Known As: Apricot, Coix and Cluster Combination

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Sm. Armeniacae Xing Ren 9-15g Stops cough and wheezing, moistens the Intestines and unblocks the bowels.
With Hou Po, for Upper and Middle Jiao Dampness with a stifling sensation in the chest and epigastric and abdominal distention with a feeling of fullness.
Fr. Amomi Bai Dou Kou 3-6g Aromatically transforms Dampness, warms the Middle Jiao, stops vomiting, descends Qi, moves Qi and transforms Stagnation.
With Xing Ren and Yi Yi Ren, for headache, stifling sensations in the chest, fatigue, dark, scanty urine, diarrhea, and usually with a white, greasy tongue coat as in the early stages of a warm febrile disease.
With Hou Po, for distention due to Qi Stagnation or Cold-Damp in the Spleen and Stomach.
Cx. Magnoliae Officinalis Hou Po 3-6g Transforms Dampness, promotes the movement of Qi, and descends Rebellious Qi.
Rz. Pinelliae Preparatum Zhi Ban Xia 6-9g Dries Dampness, transforms Phlegm, descends Rebellious Qi, harmonizes the Stomach and stops vomiting.
With Hou Po, for Phlegm-induced cough, vomiting, and epigastric and abdominal distention.
Sm. Coicis Yi Yi Ren 10-18g Promotes urination, leaches out Dampness, strengthens the Spleen, expels Wind-Dampness, clears Damp-Heat and stops diarrhea.
With Xing Ren and Bai Dou Kou, for early-stage Damp-Warmth with Damp predominant.
Medulla Tetrapanacis Tong Cao 3-6g Promotes urination and clears Heat.
With Hua Shi and Yi Yi Ren, for Summerheat with Turbid Dampness causing painful urinary dysfunction, a stuffy chest, heaviness in the body and headache.
With Bai Dou Kou, Hua Shi and Yi Yi Ren, for painful urination, cloudy urination and heaviness of the body due to Damp-Heat.
With Hua Shi, Yi Yi Ren, Zhi Ban Xia, Hou Po and Bai Dou Kou, for Damp febrile disorders with sensations of heaviness of the body, lack of thirst, chest oppression afternoon fever and dysuria.
Hb. Lophatheri Dan Zhu Ye 3-6g Clears Heat, eliminates irritability, promotes urination and Clears Damp-Heat.
Talcum Hua Shi 10-18g Promotes urination, drains Heat from the Bladder, expels Damp-Heat and releases Summerheat.

FORMULA ACTIONS

  • Spreads Qi
  • Facilitates Qi
  • Clears Damp-Heat (Clears Damp-Heat from the Qi Level by unblocking Lung Qi, transforming and drying Dampness from the Middle Jiao, Draining Dampness from the Lower Jiao and Clearing Heat.)

SYNDROMES

  • Damp-Heat (early stage)
  • Summerheat with Damp
  • San Jiao Upper Jiao Heat
  • Wei Stage Damp-Heat

CLINICAL MANIFESTATIONS

  • Headache
  • Chills
  • Afternoon fever
  • Heavy sensation in the body
  • Generalized pain
  • Pale yellow (sallow) complexion
  • Stifling sensation in chest
  • Loss of appetite
  • Feverishness and pain of the body
  • Lack of thirst or thirst with no desire to drink
  • Chest and abdominal fullness
  • Maybe aversion to Cold
  • Nausea
  • Heaviness of the head
  • T: Normal
  • C: White or Greasy and white
  • P: Wiry, thin and soggy or soft or Superficial and soft

TREATS

  • Morning sickness
  • Fever of unknown origin
  • Biliary ascariasis
  • Enteric fever
  • Pyelonephritis
  • Brucellosis
  • Bacillary dysentery
  • Arthritis
  • Diabetes
  • Altitude stress
  • Cardiopulmonary diseases
  • Priapism
  • Restless leg syndrome
  • Lymphadenitis
  • Influenza
  • Undulant fever
  • Postoperative fever
  • Typhoid fever
  • Gastroenteritis
  • Hepatitis
  • Gastritis
  • Colitis
  • Chronic bronchitis
  • Pneumonia
  • Otitis media
  • Cholecystitis
  • Glomerulonephritis
  • Obesity with dizziness
  • Sunstroke
  • Pyelitis

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Use only for Damp-Heat disorders where Damp is predominant.
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For severe headache with intolerance of Cold: For severe fever, dark urine and a red tongue:
+ Hb. Agastaches/ Pogostemonis Huo Xiang + Hb. Artemisiae Yin Chen Hao
+ Fol. Perillae Zi Su Ye + Fr. Gardenia Zhi Zi
For high fever with intolerance of Cold:
 + Rx. Scutellariae Huang Qin
+ Hb. Agastaches/ Pogostemonis Huo Xiang
For malarial disorders:
+ Hb. Moslae Xiang Ru + Hb. Artemisiae Yin Chen Hao
For more stifling sensation in chest and focal distention in the epigastrium:
 + Fr. Tsaoko Cao Guo
+ Rx. Peucedani Qian Hu
For amber colored urine:
+ Hb. Agastaches/ Pogostemonis Huo Xiang + Flos. Lonicerae Jin Yin Hua
For patterns characterized by distinctly more Dampness than Heat:
+ Fr. Forsythia Lian Qiao
+ Rz. Atractylodis Cang Zhu + Hb Taraxaci Pu Gong Ying
+ Rz. Acori Tatarinowii Shi Chang Pu
For strong Heat in the Qi aspect, leading to high fever, severe sweating, a heavy body, facial flushing, thirst and Heart irritability:
+ Fr. Tsaoko Cao Guo - Rz. Pinelliae Preparatum Zhi Ban Xia
For Heat damaging the Body Fluids with thirst, parched lips, a yellow dry tongue coat, and a tongue with red sides and tip:
- Cx. Magnoliae Officinalis Hou Po
- Rz. Pixilated Preparatum Zhi Ban Xia + Gypsum Fibrosum Shi Gao
- Cx. Magnoliae Officinalis Hou Po + Rz. Anemarrhenae Zhi Mu
+ Rx. Ophiopogonis Mai Men Dong + Rz. Atractylodis Cang Zhu
+ Rx. Trichosanthis Tian Hua Fen
For initial stages of Wen Bing with Dampness affecting the Wei:
for alternating chills and fever:
+ Hb. Agastaches/ Pogostemonis Huo Xiang
+ Hb. Artemisiae Annuae Qing Hao + Hb. Moslae Xiang Ru
+ Fr. Tsaoko Cao Guo
For Heat with a bitter taste in the mouth:
For epigastric and abdominal fullness and distention, and a feeling of incomplete evacuation of stools:
+ Rz. Coptidis Huang Lian
+ Sm. Raphani Lai Fu Zi + Rx. Scutellariae Huang Qin
+ Massa Medicata Fermentata Shen Qu