HERB FORMULAS

TONG XIE YAO FENG

English: Important Formula for Painful Diarrhea
Also Known As: Bai Zhu Shao Yao San
Atractylodis Macrocephala and Peony Powder
Important Formula for Painful Purging
Powder of White Atractylodes and White Peony for Diarrhea with abdominal Pain

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Fried Rz. Atractylodis Macrocephalae Chao Bai Zhu 3-12g Strengthens the Spleen, dries Dampness and promotes water metabolism .
With Bai Shao, controls Wood and nourishes Earth to stop diarrhea and pain.
Dry-fried Rx. Paeoniae Alba Chao Bai Shao 2-24g Softens the Liver alleviates pain, regulates menstruation and astringes Yin.
With Fang Feng and Bai Zhu and Chen Pi, for borborygmus and painful diarrhea.
Dry-fried Per. Citri Reticulatae Chao Chen Pi 1.5-10g Harmonizes the functions of the Middle Jiao, transforms Dampness and regulates Qi.
With Bai Zhu, for anorexia and other manifestations of Damp Obstruction due to Spleen Deficiency.
With Bai Zhu and Fang Feng, for manifestations of Liver Qi Stagnation Invading the Spleen.
Rx. Saposhnikoviae Fang Feng 2-10g Pacifies the Liver, focuses the actions on the Liver and Spleen, expels internal Wind and alleviates pain.

FORMULA ACTIONS

  • Spreads Liver Qi
  • Tonifies the Spleen
  • Expels Dampness
  • Stops diarrhea

SYNDROMES

  • Painful diarrhea due to Liver Qi Stagnation Invading the Spleen
  • Painful diarrhea due to Liver Qi Stagnation Invading the Spleen with concurrent Wind-Cold Invasion

CLINICAL MANIFESTATIONS

  • Recurrent borborygmus
  • Diarrhea with pain (starts with the urge to defecate and subsides on completion)
  • Patient is more comfortable after each bowel movement
  • Recurs during times of stress
  • Diarrhea is small in amount
  • Recurrent abdominal pain
  • T: Pink
  • C: Thin and white
  • P: Wiry and even or Thready and wiry (maybe transposed)

TREATS

  • Acute gastroenteritis
  • Bacillary dysentery
  • Hypothyroidism
  • Irritable bowel syndrome
  • Acute enteritis
  • Chronic enteritis
  • Gastrointestinal neurosis
  • Colitis
  • Ulcerative colitis
  • Chronic cholecystitis
  • Allergic colitis
  • Enteritis
  • Diarrhea
  • Hyperthyroidism

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Contraindicated for those with diarrhea due to Food Stagnation.
  • Do not arbitrarily increase the dosage of Fang Feng.
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For chronic diarrhea:
For diarrhea caused by indigestion, chronic colitis or irritable bowel syndrome:
+ Dry-fried Rz. Cimicifugae Chao Sheng Ma + Fr. Crataegi Shan Zha
For porridge-like diarrhea:
+ Rx. Puerariae Ge Gen
+ Rz. Atractylodis Cang Zhu + More Rx. Saposhnikoviae Fang Feng
For blood and pus in stool:
For diarrhea in children due to indigestion:
+ Rx. Pulsatillae Bai Tou Weng + Fr. Crataegi Shan Zha
+ Rx. Scutellariae Huang Qin
For tenesmus:
For severe abdominal pain:
 + Sm. Arecae Bing Lang
+ Twice as much Rx. Paeoniae Alba Bai Shao + Rx. Aucklandiae Mu Xiang
+ Per. Citri Reticulatae Viride Qing Pi
For urinary difficulty:
+ Rz. Cyperi Xiang Fu + Talcum Hua Shi
For severe Qi Deficiency:
For diarrhea due to hypothyroidism:
+ Rx. Codonopsis Dang Shen - Rx. Saposhnikoviae Fang Feng
+ Rx. Glycyrrhizae Gan Cao + Rx. Puerariae Ge Gen
For diarrhea due to hyperthyroidism:
+ Twice as much Rx. Paeoniae Alba Bai Shao
+ Rx. Puerariae Ge Gen + Concha Ostreae Mu Li
+ Concha Ostreae Mu Li + Sp. Prunellae Xia Ku Cao
+ Sp. Prunellae Xia Ku Cao
For diarrhea caused by acute gastroenteritis, tuberculosis od the colon, acute malaria or dysentery:
+ More Rx. Paeoniae Alba Bai Shao + Fr. Crataegi Shan Zha
+ More Rx. Saposhnikoviae Fang Feng
+ Kudzu, Coptis and Scutellaria Decoction
Ge Gen Huang Qin Huan Lian Tang
For chronic enteritis:
For diarrhea in chronic hepatic disorders:
+ Fr. Crataegi Shan Zha + Fr. Crataegi Shan Zha
+ Rx. Puerariae Ge Gen + Rx. Puerariae Ge Gen
For a yellow tongue coat:
+ Poria Fu Ling
+ Rz. Coptidis Huang Lian + Sm. Coicis Yi Yi Ren
For watery diarrhea:
For Yang Deficiency and Cold:
+ Sm. Plantaginis Che Qian Zi + Rz. Zingiberis Gan Jiang
+ Poria Fu Ling + Rx. Aconiti Lateralis Preparata Zhi Fu Zi
+ Rz. Zingiberis Gan Jiang
or
    
+ Sm. Plantaginis Che Qian Zi    
+ Rx. Puerariae Ge Gen