HERB FORMULAS

BAO HE WAN - 保和丸 - PRESERVE HARMONY PILL - CITRUS AND CRATAEGUS FORMULA

English:	Preserve Harmony Pill
Also Known As:	Citrus and Crataegus Formula Pills for Indigestion Po Chai Pills

HERBS AND ACTIONS

Pharmaceutical Latin	*Pin Yin*	Dosage	Actions
Fr. Crataegi	Shan Zha	9-24g	Reduces all types of Food Stagnation especially meat and fatty foods. With Shen Qu, for general indigestion and Food Stagnation. With Lai Fu Zi and Shen Qu, reduces stagnation and accumulation caused by overindulgence in food and drink of all types. With Mai Ya and Shen Qu, for abdominal distention, belching, diarrhea and anorexia due to Food Stagnation and childhood nutritional impairment due to improper breast feeding.
Massa Medicata Fermentata	Shen Qu	4-15g	Reduces Food Stagnation, promotes digestion, reduces stagnant alcohol, moves Qi and harmonizes the Stomach .
Sm. Raphani	Lai Fu Zi	2-12g	Descends Qi and reduces accumulation of Phlegm from stagnant grains. With Shan Zha, Shen Qu and Chen Pi, for abdominal distention, borborygmus, belching and acid regurgitation due to stagnation in ST or Intestines. With Zhi Ban Xia, for distention and vomiting due to Food Stagnation.
Per. Citri Reticulatae	Chen Pi	2-9g	Regulates Qi, adjusts the Middle, relieves the diaphragm, dries Dampness, transforms Phlegm and descends Qi. With Zhi Ban Xia, moves Qi and transforms stagnation to harmonize the Stomach and stop nausea and vomiting.
Rz. Pinelliae Preparatum	Zhi Ban Xia	6-12g	Descends Qi, transforms Phlegm, harmonizes the Stomach and reduces distention. With Chen Pi, for Stomach Qi Disharmony with epigastric and abdominal distention or pain. With Fu Ling, expels Phlegm and stops nausea and vomiting, hiccups, coughs with clear, profuse Phlegm and loose and watery stools, treats Phlegm, Thin Mucus and turbid Dampness and prevents turbid Phlegm and Dampness from disturbing the Heart with dizziness, palpitations and insomnia.
Poria	Fu Ling	6-15g	*Strengthens the Spleen, drains Dampness, harmonizes the Middle Jiao* and transforms Phlegm.** With Zhi Ban Xia, expels Phlegm and stops nausea and vomiting. With Zhi Ban Xia and Chen Pi, for nausea, vomiting, chest fullness and distention, and anorexia due to congested fluids.
Fr. Forsythiae	Lian Qiao	2-9g	Clears Heat due to Stagnation.
(Fr. Hordei Germinatus)	(Mai Ya)	(3-9g)	(May be added to reduce stagnation from grains.)

FORMULA ACTIONS

Disperses Food
Harmonizes the Stomach

SYNDROMES

Food Stagnation in the Stomach

CLINICAL MANIFESTATIONS

Distention and fullness in the chest and epigastrium
Abdominal distention with occasional pain
Rotten smelling belching
Acid regurgitation
Nausea and vomiting
Aversion to food
Maybe diarrhea

Dysentery
Maybe constipation
Anorexia
Bad breath
Intermittent fever
T: Pink
C: Yellow and greasy
P: Slippery

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS

Contraindicated for those with Spleen Deficiency.
Use with caution during pregnancy.

HERB/DRUG INTERACTIONS

With modifications, this formula relieves chemotherapy-induced nausea and vomiting in cancer patients.

NOTES

MODIFICATIONS

For more severe abdominal distention:		For constipation:
+ Fr. Aurantii Immaturus	Zhi Shi	+ Rx. et Rz. Rhei	Da Huang
+ Cx. Magnoliae Officinalis	Hou Po	+ Sm. Arecae	Bing Lang
For sweating from the head due to accumulation of food that has transformed into Heat:		For early stage dysenteric disorder with concurrent Food Stagnation:
+ Ginger-juice fried Rz. Coptidis	Jiang Zhi Chao Huang Lian	- Poria	Fu Ling
For concurrent Spleen and Stomach Deficiency:		- Fr. Forsythiae	Lian Qiao
+ Rx. Astragali	Huang Qi	+ Rz. Coptidis	Huang Lian
+ Rz. Atractylodis Macrocephalae	Bai Zhu	+ Fr. Aurantii Immaturus	Zhi Shi
For diarrhea:		+ Sm. Arecae	Bing Lang
+ Rz. Coptidis	Huang Lian	For severe cases:
For gastrointestinal influenza:		+ Fr. Hordei Germinatus	Mai Ya
+ Sm. Perillae	Zi Su Zi	+ Rz. Cyperi	Xiang Fu
+ Hb. Agastaches	Huo Xiang	+ Rx. Glycyrrhizae	Gan Cao
For severe diarrhea, vomiting, fever or dysentery:		For more severe abdominal distention:
+ Rz. Coptidis	Huang Lian	+ Fr. Aurantii Immaturus	Zhi Shi
+ Rx. Scutellariae	Huang Qin	+ Cx. Magnoliae Officinalis	Hou Po
+ Rx. Puerariae	Ge Gen	+ Rz. Coptidis	Huang Lian
For Disharmony between the Liver and Stomach:		For a greasy, yellow tongue coat:
+ Rx. Bupleuri	Chai Hu	+ Rz. Coptidis	Huang Lian
+ Tub. Curcumae	Yu Jin	For Spleen Deficiency:
+ Rz. Cyperi	Xiang Fu	+ Rz. Atractylodis Macrocephalae	Bai Zhu
+ Rx Paeoniae Alba	Bai Shao	For Food Stagnation turning into Heat with bad breath, a red tongue, a yellow coat and a rapid pulse:
For Food Stagnation with constipation:		+ Rz. Coptidis	Huang Lian
+ Sm. Arecae	Bing Lang	+ Rx. Scutellariae	Huang Qin
+ Fr. Aurantii Immaturus	Zhi Shi	For indigestion with an Exterior condition:
+ Per. Arecae	Da Fu Pi	+ Hb. Agastaches	Huo Xiang
+ Rx. et Rz. Rhei	Da Huang	+ Fol. Perillae	Zi Su Ye
For severe nausea and vomiting:		+ Flos Lonicerae	Jin Yin Hua
+ Hb. Agastaches	Huo Xiang	For vomiting and diarrhea:
+ Fr. Amomi	Sha Ren	+ Hb. Agastaches	Huo Xiang
For enhancing overall digestion:		+ Hb. Eupatorii	Pei Lan
+ Fr. Hordei Germinatus	Mai Ya	For chemotherapy-induced fatigue and anorexia:
+ Fr. Setariae Germinatus	Gu Ya	+ Rx. Astragali	Huang Qi
+ End. Corneum Gigeriae Galli	Ji Nei Jin	+ Rz. Atractylodis Macrocephalae	Bai Zhu
For chemotherapy-induced yellow tongue coat and constipation:		For chemotherapy-induced thirst with a red tongue and a dry tongue coating:
+ Rx. et Rz. Rhei	Da Huang	+ Rx. Ophiopogonis	Mai Men Dong
For flu-like symptoms:		+ Rx. Glehniae/ Adenophorae	Sha Shen
+ Rz. Perillae	Zi Su Geng	+ Hb. Dendrobii	Shi Hu
+ Hb. Agastaches	Huo Xiang	For obesity due to Spleen Qi Deficiency, Stomach Heat and Food Stagnation:
For hiccups:
+ Bupleurum Powder to Spread the Liver Chai Hu Su Gan Tang		+ Minor Construct the Middle Decoction Xiao Cheng Qi Tang
or		For hiccups with constipation:
+ 9-12g Caulis Bambusae in Taeniam	Zhu Ru	+ 9-12g Caulis Bambusae in Taeniam	Zhu Ru
+ 9-12g Fr. Aurantii Immaturus	Zhi Shi	+ 9-12g Fr. Aurantii Immaturus	Zhi Shi
For hiccups with Heat:		+ 9-12g Sm. Arecae	Bing Lang
+ 9-12g Caulis Bambusae in Taeniam	Zhu Ru	+ 3-6g Rx. et Rz. Rhei	Da Huang
		For hiccups with Cold in the Stomach:
+ 9-12g Fr. Aurantii Immaturus	Zhi Shi	+ 9-12g Caulis Bambusae in Taeniam	Zhu Ru
+ 3-6g Rz. Coptidis	Huang Lian	+ 9-12g Fr. Aurantii Immaturus	Zhi Shi
For hiccups with Spleen Deficiency:
+ 9-12g Caulis Bambusae in Taeniam	Zhu Ru	+ 6-9g Rz. Zingiberis	Gan Jiang
		+ 6-9g Fr. Amomi	Sha Ren
+ 9-12g Fr. Aurantii Immaturus	Zhi Shi	For a stronger effect:
		+ 6g Rx. Aucklandiae	Mu Xiang
+ 12-15g Dry-fried Rz. Atractylodis Macrocephalae	Chao Bai Zhu	+ 6g Fr. Amomi	Sha Ren
		+ 6g Fr. Aurantii Immaturus	Zhi Shi
For Food Stagnation with anorexia:		For Food Stagnation with a strong foul smelling stool:
+ 9g Cx. Magnoliae Officinalis	Hou Po
		+ 6g Rz. Coptidis	Huang Lian
+ 9g Rz. Curcumae Longae	Jiang Huang	For Food Stagnation with constipation:
		+ 6g Rx. et Rz. Rhei	Da Huang
For Food Stagnation with nausea:		or
+ 9g Caulis Perillae	Zi Su Geng	+ 3g Rx. et Rz. Rhei	Da Huang
For asthma, bronchitis, pertussis, and pneumonia due to Phlegm-Heat with Food Stagnation:		+ 6g Sm. Arecae	Bing Lang
		For Food Stagnation with constipation and Stomach Heat:
+ 20g Rx. et Rz. Rhei	Da Huang	+ 3g Rx. et Rz. Rhei	Da Huang
For Food Stagnation with constipation and Stomach Cold:		+ 6g Sm. Arecae	Bing Lang
		+ 12g Rz. Phragmitis	Lu Gen
+ 3g Rx. et Rz. Rhei	Da Huang	+ 3g Rz. Coptidis	Huang Lian
+ 6g Sm. Arecae	Bing Lang	For nausea and vomiting with severe indigestion and constipation:
+ 6g Rz. Zingiberis	Gan Jiang
+ 6g Fr. Amomi	Sha Ren	+ 9g Fr. Aurantii Immaturus	Zhi Shi
For nausea and vomiting with severe indigestion and constipation:
		+ 9g Rx. et Rz. Rhei	Da Huang
+ 3g Rz. Atractylodis Macrocephalae	Bai Zhu	For severe cases:
		+ two or three of the following:
+ 30g Furnace Soot	Zao Xin Tu	12-15g Hb. Agastaches	Huo Xiang
For Stomach Heat:		9-12g Hb. Eupatorii	Pei Lan
+ 15-30g Rz. Phragmitis	Lu Gen	12-15g Flos Inulae	Xuan Fu Hua
+ 6-9g Rz. Coptidis	Huang Lian	9-12g Rz. Zingiberis Recens	Sheng Jiang
For Stomach Cold:
- Fr. Forsythiae	Lian Qiao	For Liver Qi Stagnation:
+ 9-12g Rz. Zingiberis	Gan Jiang	+ 9-12g Fr. Citri Sarcodactylis	Fo Shou
+ + 6-9g Fr. Amomi	Sha Ren
For Food Stagnation associated with over consumption of meat:		+6-9g Fr. Rosae Rugosae	Me Gui Hua
+ more (30g) Fr. Crataegi	Shan Zha	For Food Stagnation associated with over consumption of starches or grains:
For diarrhea with nausea:		+ more (15g) Sm. Raphani	Lai Fu Zi
+ 9-12g Rz. Zingiberis Recens	Sheng Jiang
		For diarrhea with Heat:
For diarrhea with Phlegm-Heat:		+ 9-12g Fr. Gardeniae	Zhi Zi
+ 12-15g Caulis Bambusae in Taeniam	Zhu Ru	+ 6-9g Rz. Coptidis	Huang Lian
		For diarrhea with Cold in the Stomach:
For diarrhea with Spleen Deficiency:		- Fr. Forsythiae	Lian Qiao
- Fr. Forsythiae	Lian Qiao	+ 6-9g Rz. Zingiberis	Gan Jiang
+ 12-15g Rz. Atracty- lodis Macrocephalae	Bai Zhu	+ 6-9g Fr. Amomi	Sha Ren
		For chronic pancreatitis:
For chronic pancreatitis with constipation:		- Fr. Forsythiae	Lian Qiao
- Fr. Forsythiae	Lian Qiao	+ 9g Fr. Aurantii Immaturus	Zhi Shi
+ 9g Fr. Aurantii Immaturus	Zhi Shi
		+ 9g Cx. Magnoliae Officinalis	Hou Po
+ 9g Cx. Magnoliae Officinalis	Hou Po
		For chronic pancreatitis with Heat symptoms:
+ 6-9g Rx. et Rz. Rhei	Da Huang	+ 9g Fr. Aurantii Immaturus	Zhi Shi
For chronic pancreatitis with Cold symptoms:
- Fr. Forsythiae	Lian Qiao	+ 9g Cx. Magnoliae Officinalis	Hou Po
+ 9g Fr. Aurantii Immaturus	Zhi Shi
		+ 9g Rx. Scutellariae	Huang Qin
+ 9g Cx. Magnoliae Officinalis	Hou Po	+ 3g Rz. Coptidis	Huang Lian
		For chronic pancreatitis with Spleen Deficiency:
+ 6g Rz. Zingiberis	Gan Jiang	- Fr. Forsythiae	Lian Qiao
+ 9g Rz. Atractylodis Macrocephalae	Bai Zhu	+ 9g Fr. Aurantii Immaturus	Zhi Shi
For chronic pancreatitis with severe hypochondriac distention and pain:		+ 9g Cx. Magnoliae Officinalis	Hou Po
- Fr. Forsythiae	Lian Qiao	+ 15g Rz. Atractylodis Macrocephalae	Bai Zhu
+ 9g Fr. Aurantii Immaturus	Zhi Shi
		For hematemesis:
+ 9g Cx. Magnoliae Officinalis	Hou Po	+ 12-15g Rx. Rubiae	Qian Cao Gen
		+ 12-15g Hb. Ecliptae	Mo Han Lian
+ 15g Rx. Bupleuri	Chai Hu	+ 9-12g Cx. Moutan	Mu Dan Pi
+ 15g Rx. Curcumae	Yu Jin	+ 9-12g Rx. Paeoniae Rubra	Chi Shao
For hematemesis with severe distention or reflux:
		+ 3-6g Rx. Notoginseng	San Qi
+ 12-15g Rx. Rubiae	Qian Cao Gen	For hematemesis with constipation:
+ 12-15g Hb. Ecliptae	Mo Han Lian	+ 12-15g Rx. Rubiae	Qian Cao Gen
+ 9-12g Cx. Moutan	Mu Dan Pi	+ 12-15g Hb. Ecliptae	Mo Han Lian
+ 9-12g Rx. Paeoniae Rubra	Chi Shao	+ 9-12g Cx. Moutan	Mu Dan Pi
		+ 9-12g Rx. Paeoniae Rubra	Chi Shao
+ 3-6g Rx. Notoginseng	San Qi
+ 9-12g Fr. Aurantii Immaturus	Zhi Shi	+ 3-6g Rx. Notoginseng	San Qi
		+ 6-9g Processed Rx. et Rz. Rhei	Zhi Da Huang
+ 9-12g Sm. Arecae	Bing Lang
For insomnia:		+ 9-12g Fr. Aurantii Immaturus	Zhi Shi
+ 30g Caulis Polygoni Multiflori	Ye Jiao Teng
		For insomnia with severe vomiting:
+ 15g Sm. Zizyphi Spinosae	Suan Zao Ren	+ 30g Caulis Polygoni Multiflori	Ye Jiao Teng
For insomnia with constipation:		+ 15g Sm. Zizyphi Spinosae	Suan Zao Ren
+ 30g Caulis Polygoni Multiflori	Ye Jiao Teng
		+ more (12-24g) Rz. Pinelliae Preparatum	Zhi Ban Xia
+ 15g Sm. Zizyphi Spinosae	Suan Zao Ren
		+ 10g Rz. Zingiberis Recens	Sheng Jiang
+ more (4-24g) Sm. Raphani	Lai Fu Zi
		For insomnia with Heat:
+ 6-9g Rx. et Rz. Rhei	Da Huang	+ 10g Fr. Gardeniae	Zhi Zi
For relatively severe Food Stagnation with a firm and tender abdomen:		+ 6g Rz. Coptidis	Huang Lian
		For excessive gas with belching and flatulence:
+ 9-12g Rz. Sparganii	San Leng	+ 6-9g Fr. Amomi	Sha Ren
+ 9-12g Rz. Curcumae	E Zhu	+ 6-9g Rx. Aucklandiae	Mu Xiang
For persistent belching:		With Phlegm-Damp:
+ 15g Haematitum	Dai Zhe Shi	+ Calm the Stomach Powder Ping Wei San
+9-12g Calyx Kaki	Shi Di
For acid reflux or heartburn:		For Cold:
+ 2-6g Rz. Coptidis	Huang Lian	+ 6-9g Rz. Zingiberis	Gan Jiang
+ 1-2g Fr. Evodiae	Wu Zhu Yu	For mild Qi Stagnation:
For indigestion associated with a protein and oil rich diet:		+ 9-12g Rz. Cyperi	Xiang Fu
		For indigestion associated with a protein starch filled diet:
+ more Fr. Crataegi	Shan Zha
For severe nausea or vomiting:		+ more Sm. Raphani	Lai Fu Zi
+ 12-15g Caulis Bambusae in Taeniam	Zhu Ru	For a peptic ulcer with severe Food Stagnation:
		+ + 9g Fr. Hordei Germinatus	Mai Ya
+ 9-12g Rz. Zingiberis Recens	Sheng Jiang
		+ 9g Endothelium Corneum Gigeriae Galli	Ji Nei Jin
For a peptic ulcer with Food Stagnation Transforming into Heat with constipation, a bitter taste in the mouth and thirst:
		For a peptic ulcer with constipation:
		+ 6g Rx. et Rz. Rhei	Da Huang
+ 6g Rx. Scutellariae	Huang Qin	+ 9g Fr. Aurantii Immaturus	Zhi Shi
+ 6g Rz. Coptidis	Huang Lian
For temporomandibular joint syndrome (TMJ):		For temporomandibular joint syndrome (TMJ) with Spleen Deficiency:
+ 9g Sm. Panici Miliacei	Shu Mi
+9g Fr. Forsythiae	Lian Qiao	+ 9g Sm. Panici Miliacei	Shu Mi
+ 6g Fr. Aurantii	Zhi Ke	+9g Fr. Forsythiae	Lian Qiao
For temporomandibular joint syndrome (TMJ) with Dampness:		+ 6g Fr. Aurantii	Zhi Ke
		+ 9g Rx. Codonopsis	Dang Shen
+ 9g Sm. Panici Miliacei	Shu Mi	+ 9g Rz. Atractylodis Macrocephalae	Bai Zhu
+9g Fr. Forsythiae	Lian Qiao
+ 6g Fr. Aurantii	Zhi Ke	For temporomandibular joint syndrome (TMJ) with severe Qi Stagnation:
+ 9g Rz. Atractylodis	Cang Zhu
+ 9g Cx. Magnoliae Officinalis	Hou Po	+ 9g Sm. Panici Miliacei	Shu Mi
		+9g Fr. Forsythiae	Lian Qiao
For temporomandibular joint syndrome (TMJ) with Constipation:		+ 6g Fr. Aurantii Immaturus	Zhi Shi
+ 9g Sm. Panici Miliacei	Shu Mi	+ 9g Cx. Magnoliae Officinalis	Hou Po
+9g Fr. Forsythiae	Lian Qiao
+ 6g Fr. Aurantii	Zhi Ke	+ 9g Per. Citri Reticulatae Viride	Qing Pi
+ 3g Fr. Aurantii Immaturus	Zhi Shi
		For temporomandibular joint syndrome (TMJ) with Food stagnation Transforming into Heat:
+ 3g Rx. et Rz. Rhei	Da Huang
For celiac disease with nausea, belching, possibly vomiting and abdominal swelling:		+ 9g Sm. Panici Miliacei	Shu Mi
+ Fr. Hordei Germinatus	Mai Ya	+9g Fr. Forsythiae	Lian Qiao
For anorexia associated with AIDS/HIV:		+ 6g Fr. Aurantii	Zhi Ke
+ Fr. Hordei Germinatus	Mai Ya	+ 9g Fr. Gardeniae	Zhi Zi
+ Rz. Atractylodis Macrocephalae	Bai Zhu	+ 9g Rx. Scutellariae	Huang Qin

+ Endothelium Corneum Gigeriae Galli	Ji Nei Jin