HERB FORMULAS

BIE JIA JIAN WAN - 鳖甲煎丸 - TURTLE SHELL PILLS

English: Turtle Shell Pills
Also Known As:

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Carapax Trionycis Bie Jia 90g Nourishes Yin, anchors Yang, invigorates the Blood, promotes menstruation, softens hardness and dissipates nodules.
With Chai Hu and Tu Bie Chong, for chronic malarial disorders with organomegaly and hypochondriac pain.
Rz. Belamcandae She Gan 22.5g Clears Heat, relieves Fire toxicity, transforms Phlegm, clears the Lungs and eliminates wheezing.
Rx. Scutellariae Huang Qin 22.5g Clears Heat, dries Dampness and cools the Blood.
With Da Huang, for constipation.
Rx. Aconiti Lateralis Preparata Zhi Fu Zi 22.5g Disperses Cold and Dampness, warms the channels and stops pain.
With Gan Jiang, warms the Spleen and Kidneys, benefits Yang, and Disperses Cold.
Rz. Zingiberis Gan Jiang 22.5g Warms the Middle, warms the channels and expels Cold.
With Zhi Fu Zi, for overabundance of Yin fluids due to Deficiency Cold.
Rx. et Rz. Rhei Da Huang 22.5g Drains Heat, purges accumulations, invigorates the Blood, dispels Blood Stasis and eliminates Phlegm.
With Zhi Fu Zi, for constipation due to Cold accumulation.
With Dang Gui, for Blood Stasis.
With Gui Zhi, removes Stasis and unblocks the flow of Qi for Blood Stasis.
With Mang Xiao, eliminates obstruction in the Intestines for severe constipation with passage of liquid but no solid stool.
With Ren Shen and E Jiao, for chronic Blood Stasis with Qi and Blood Deficiency.
Ram. Cinnamomi Gui Zhi 22.5g Unblocks Yang, transforms Qi and thin mucus, warms and facilitates the flow of Qi through the channels and collaterals and Blood through the vessels, warms the Middle and directs Turbid Yin downward.
With Bai Shao, warms and tonifies the Middle Jiao.
With Mu Dan Pi, for gynecological discomfort due to Blood Stasis and lower abdominal masses.
Fol. Pyrrosiae Shi Wei 22.5g Clears Damp-Heat and expels Phlegm.
Cx. Magnoliae Officinalis Hou Po 22.5g Promotes the movement of Qi in the Middle Jiao, resolves Stagnation, descends Qi, dries Dampness and transforms Phlegm.
With Gui Zhi and Gan Jiang, for distention and fullness due to congealing of Cold leading to Qi Stagnation.
With Gan Jiang, for acute diarrhea from Cold attacking the Middle.
Hb. Dianthi Qu Mai 22,5g Drains Damp-Heat from the Urinary Bladder, breaks up Blood Stasis, invigorates Blood circulation, regulates menstruation and unblocks the bowels.
Flos Campsis Ling Xiao Hua 22.5g Dispels Blood Stagnation, unblocks the channels and vessels and disperses abdominal masses.
Colla Corii Asini E Jiao 22.5g Tonifies the Blood and nourishes and moistens Yin.
Rx. Bupleuri Chai Hu 45g Spreads Liver Qi and relieves Stagnation.
With Bai Shao, for Liver Blood Deficiency with Liver Qi Stagnation.
With Huang Qin, restores normal function of the Liver and Gallbladder.
Wit
Dry-fried Dung Beetle Chao Qiang Lang 45g Relieves constipation, attacks toxins and disperses Blood Stagnation.
Rx. Paeoniae Alba Bai Shao 37g Nourishes the Blood, regulates menstruation, softens the Liver and relieves pain.
With Chai Hu, for flank pain due to Liver Qi Stagnation.
With Huang Qin, cools Heat and nourishes the Blood.
Cx. Moutan Mu Dan Pi 37g Clears Heat, cools, invigorates and harmonizes the Blood, dispels Blood Stasis, drains pus and reduces swelling.
With Huang Qin and Chai Hu, for Heat causing pre-menstrual fevers or epistaxis during periods.
With Tao Ren and Gui Zhi, for amenorrhea and abdominal pain due to Blood Stasis.
Stir-fried Eupolyphaga/ Steleophaga Chao Tu Bie Chong 37g Breaks up and drives out Blood Stasis, invigorates Blood circulation and disperses lumps and masses.
With Da Huang, breaks up fixed abdominal masses from Blood Stasis.
With Da Huang and Tao Ren, for menstrual pain or postpartum abdominal pain due to Blood Stasis.
Dry-fried Nidus Vespae Chao Lu Feng Fang 30g Expels Wind, dries Dampness, treats tumors and stops pain.
Natrii Sulfas Mang Xiao 90g Purges accumulations, guides out Stagnation, softens hardness, moistens Dryness, clears Heat, drains Fire and reduces swelling.
Sm. Persicae Tao Ren 15g Breaks up Blood Stasis, invigorates Blood circulation, moistens the Intestines, unblocks the bowels and drains abscesses.
With Gui Zhi and Da Huang, for Blood Stasis and Heat in the Lower Jiao.
Rx. Ginseng Ren Shen 7.5g Tonifies Spleen and Stomach Qi.
Rz. Pinelliae Preparatum Zhi Ban Xia 7.5g Dries Dampness, transforms Phlegm, dissipates nodules and reduces Stagnation.
With Hou Po, for s Phlegm-Dampness with Qi Stagnation.
With Huang Qin, for Phlegm-Heat induced Rebellious Qi with cough, nausea, and vomiting.
Sm. Lepidii Ting Li Zi 7.5g Circulates water, reduces edema and reduces Phlegm.

FORMULA ACTIONS

  • Invigorates the Blood
  • Removes Stasis
  • Circulates Qi
  • Resolves Phlegm
  • Eliminates accumulations
  • Softens and resolves hard masses

SYNDROMES

  • Qi, Blood and Phlegm Stagnation

CLINICAL MANIFESTATIONS

  • Immobile masses below the hypochondrium or in the abdomen
  • Abdominal pain
  • Emaciation
  • Poor appetite
  • Alternating chills and fever
  • Amenorrhea
  • Hard abdominal masses that produce pain
  • Aggravated by pressure
  • Hypochondriac distention
  • T: Purple with echymoses
  • P: Choppy

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Use caution for those with Zheng Qi Deficiency.
HERB/DRUG INTERACTIONS

NOTES

  • 1.5kg of plant ash is steeped in 5kg of millet wine and then the ash is filtered out to get the decoction, in which Bie Jia is decocted into a gum. All the other drugs are ground into fine powder. The gum and the powder are made with honey into pills. 3g of the pills are taken with warm boiled water each time, 3 times daily.

MODIFICATIONS

With general weakness and Deficiency: For decreased Food intake and indigestion:
+ Rx. Astragali Huang Qi + Fr. Crataegi Shan Zha
+ Rz. Atractylodis Macrocephalae Bai Zhu + Massa Medicata Fermentata Shen Qu
+ Rx. Rehmanniae Preparata Shu Di Huang + Endothelium Corneum Gigeriae Galli Ji Nei Jin
+ Rx. Angelicae Sinensis Dang Gui