HERB FORMULAS

ZUO JIN WAN

English: Left Metal Pill
Also Known As: Left Gold Pill
Coptis and Evodia Pills

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Ginger-juice fried Rz. Coptidis Huang Lian 15-180g Drains Liver Fire, clears Stomach Heat, and descends rebellious Qi.
With Wu Zhu Yu, for Liver or Stomach Fire with epigastric and abdominal upset and pain and acid regurgitation.
Fr. Evodiae Wu Zhu Yu 2-30g Circulates Qi, relieves Stagnation, warms the Middle Jiao, disperses Cold and descends rebellious Stomach Qi.
 With Huang Lian, for Heat induced disharmony between Liver and Stomach.

FORMULA ACTIONS

  • Clears Liver Heat (Fire)
  • Descends Rebellious Qi
  • Stops vomiting

SYNDROMES

  • Liver Qi Stagnation
  • LIV Qi Invades the Stomach (with Heat)
  • Heat in the Liver Channel with Stomach Disharmony
  • Excess Fire in the Liver Channel with Heat in Stomach

CLINICAL MANIFESTATIONS

  • Hypochondriac pain and distention
  • Indeterminate gnawing hunger
  • Epigastric distention and pain
  • Vomiting
  • Acid regurgitation
  • Belching
  • Bitter taste
  • Dry mouth
  • Nausea
  • Dry lips
  • Hiccoughs
  • T: Red
  • C: Yellow
  • P: Wiry and rapid

TREATS

  • Acute gastritis
  • Peptic ulcer
  • Esophageal reflux
  • Hiatal hernia
  • Acid regurgitation
  • Cholecystitis
  • Bacillary dysentery
  • Allergic colitis
  • Esophagitis
  • H. pylori infection
  • Hepatitis

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Acid regurgitation due to Stomach Deficiency Cold.
  • Do not use to treat hypochondriac pain due to Liver, Gallbladder or Blood Deficiencies.
  • Contraindicated during pregnancy.
HERB/DRUG INTERACTIONS
  • This formula may have a protective effect against aspirin-induced damage to Stomach mucosa.

NOTES

MODIFICATIONS

For diarrhea or dysentery with abdominal pain and spasm due to Liver and Stomach Disharmony: For Damp-Heat dysentery:
+ Rx. Paeoniae Alba Bai Shao - Fr. Evodiae Wu Zhu Yu
For severe distention:
+ Rx. Aucklandiae
+ Fr. Toosendan
For pronounced acid reflux:
For Liver Qi Stagnation with lack of vitality:
+ Endoconcha Sepiae
+ Frigid Extremities Powder
Si Ni San
+ Concha Areca
For severe hypochondriac pain:
For abdominal pain:
+ Rz. Cyperi
+ Rx. Paeoniae Alba
+Fr. Citri Sarcodactylis
For stress ulcers:
or
+ Rambling Powder
Xiao Yao San
+ Frigid Extremities Powder
Si Ni San
or
For H. pylori infection:
+ Augmented Rambling Powder
Jia Wei Xiao Yao San
+ Hb. Hedyotis