HERB FORMULAS

ZHEN REN YANG ZANG TANG

English: True Man’s Decoction to Nourish the Organs
Also Known As: Yang Zang Tang
Viscera’s Nourishing Decoction with Ginseng

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Rx. Ginseng Ren Shen 3-18g Tonifies Yuan Qi and Spleen, Lung and Heart Qi.
With Bai Zhu, strengthens the Spleen and augments Qi.
Rz. Atractylodis Bai Zhu 9-18g Tonifies the Spleen, tonifies Qi and dries Dampness.
Cx. Cinnamomi Rou Gui 3-24g Warms the Kidneys, strengthens Yang, warms the Spleen and alleviates pain.
With Chao Rou Dou Kou, warms Kidney and Spleen Yang to Dispel Cold and helps Ren Shen and Bai Zhu strengthen the Spleen.
Fried Sm. Myristicae Chao Rou Dou Kou 6-15g Astringes the Intestines, stops diarrhea, warms the Middle Jiao, moves Qi and alleviates pain.
With Ren Shen, Bai Zhu and Rou Gui, for chronic diarrhea due to Spleen and Stomach Deficiency Cold.
With He Zi, for chronic diarrhea and dysenteric disorders
With Ren Shen, Zhi Ying Su Ke and Rou Gui for severe diarrhea with slippage of Qi.
Fr. Chebulae He Zi 6-36g Astringes the Intestines and stops diarrhea.
With Zhi Ying Su Ke, binds the Intestines and stops diarrhea.
With Ren Shen, Bai Zhu and Chao Rou Dou kou, for long-term dysenteric disorders that have seriously injured the normal Qi leading to a prolapsed rectum.
With Mu Xiang, for poor appetite, diarrhea, and Cold abdominal pain due to Spleen and Stomach Deficiency Cold leading to constrained Middle Jiao Cold.
Per. Papaveris Zhi Ying Su Ke 6-108g Astringes the Intestines, stabilizes the Lower Jiao and alleviates pain.
Rx. Paeoniae Alba Bai Shao 9-48g Alleviates pain, nourishes the Blood and astringes Yin.
With Dang Gui, nourishes Yin and Blood.
Rx. Angelicae Sinensis Dang Gui 6-18g Moistens the Intestines, unblocks the bowels, alleviates pain and nourishes the Blood.
With Bai Shao, regulates and harmonizes Qi and Blood and treats Blood Deficiency Heat.
Rx. Aucklandiae Mu Xiang 6-42g Helps revive the Spleen, regulates Qi, prevents Stagnation and alleviates tenesmus.
With Bai zhu, for anorexia with epigastric and abdominal pain and distention.
Fried Rx. Glycyrrhizae Zhi Gan Cao 3-24g Helps tonify the Middle Jiao and harmonizes.
With Bai Shao, alleviates abdominal pain.

FORMULA ACTIONS

  • Warms the Middle
  • Tonifies the Spleen and Stomach
  • Astringes the Intestines
  • Stops diarrhea

SYNDROMES

  • Colon Deficiency with Slippery Prolapse
  • Chronic diarrhea
  • Dysenteric disorders with unremitting diarrhea

CLINICAL MANIFESTATIONS

  • Chronic unremitting diarrhea
  • Chronic dysentery
  • Maybe fecal incontinence
  • Prolapsed rectum (severe)
  • Diarrhea may contain pus and Blood
  • May be tenesmus
  • Mild persistent abdominal pain
  • Pain better with warmth and pressure
  • Lethargy
  • Red or white dysentery
  • Reduced appetite
  • Weak legs
  • Low back soreness
  • Pale (wan) complexion
  • T: Pale
  • C: White
  • P: Thready and slow

TREATS

  • Chronic colitis
  • Chronic enteritis
  • Chronic diarrhea in children
  • Ulcerative colitis
  • Crohn's disease
  • Chronic dysentery
  • Rectal prolapse
  • Celiac syndrome

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Contraindicated for those with Excess conditions.
  • Contraindicated for those with Heat and toxins remaining in the body.
  • Contraindicated for those with Stagnation.
  • Contraindicated for those with Damp-Heat.
  • Contraindicated for those in the Initial stage of diarrhea or dysentery.
  • Avoid alcohol, fish, and raw, cold, oily or greasy foods while taking this decoction.
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For diarrhea due to Spleen and Kidney Yang Deficiency with undigested food: For prolapsed rectum:
+ Rz. Zingiberis Gan Jiang + Rx. Astragali Huang Qi
+ Rx. Lateralis Aconiti Praeparata Zhi Fu Zi + Rz. Cimicifugae Sheng Ma
or
or
+ Prepared Aconite Pill to Regulate the Middle
Fu Zi Li Zhong Wan
+ Tonify the Middle and Augment the Qi Decoction
Bu Zhong Yi Qi Tang
For severe abdominal pain:
   
+ Sm. Arecae Bing Lang