HERB FORMULAS

MA ZI REN WAN - 麻子仁丸 - HEMP-SEED PILL

English: Hemp Seed Pill
Also Known As: Cannabis Seed Pill
Apricot and Linum Formula
Pi Yue Ma Ren Wan

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Sm. Cannabis Huo Ma Ren 5-30g Moistens the Intestines and unblocks the bowels.
With Xing Ren, Bai Shao and Zhi Shi, for constipation due to Heat induced Dryness in the Stomach and Intestines.
Sm. Armeniacae Xing Ren 2-10g Descends Qi, moistens Intestines, unblocks bowels and harmonizes.
Rx. Paeoniae Alba Bai Shao 2-15g Nourishes Blood. astringes Yin and harmonizes the Interior.
Fr. Aurantii Immaturus Zhi Shi 2-10g Disperses intestinal accumulation, descends Qi and reduces distention.
With Hou Po, for Qi Stagnation with distention, swelling and pain.
With Da Huang, for Qi Stagnation with constipation and abdominal swelling.
With Huo Po and Da Huang, for abdominal distention, pain and fullness from Heat clumping with the stool and constipation with abdominal fullness and pain.
With Bai Shao, for Qi and Blood Stagnation with abdominal pain.
Cx. Magnoliae Officinalis Hou Po 2-10g Removes fullness and distention, descends Qi and resolves Food Stagnation.
With Zhi Shi, for abdominal or chest distention, focal epigastric distention, wheezing, shortness of breath nausea, rebellious Qi or constipation from Cold, Heat, Dampness or Phlegm as long as clumped Qi is at the root of the problem.
With Da Huang and Zhi Shi, for constipation due to accumulation and stagnation.
Rx. et Rz. Rhei Da Huang 4-10g Purges the Intestines and drains Heat.
With Huo Ma Ren and Xing Ren, for moderate constipation and habitual constipation with Deficiency.
(Apis Mel [honey]) (Feng Mi) (15-30g) (Moistens the Intestines.)

FORMULA ACTIONS

  • Invigorates Blood
  • Dispels Blood Stasis
  • Moves Qi
  • Lubricates the Intestines
  • Moves the bowels
  • Purges Heat
  • Alleviates pain

SYNDROMES

  • Colon Heat
  • Deficiency of Fluid in Colon
  • Dry Heat Retention in the Stomach and Intestines due to Jin Ye Deficiency
  • Yang Ming Xu

CLINICAL MANIFESTATIONS

  • Constipation with hard, difficult to expel stool
  • Dry skin
  • Hemorrhoids
  • Nocturia
  • Dizziness
  • Scanty urination
  • Maybe frequent urination
  • T: Pink or Red
  • C: Yellow and dry
  • P: Slippery and rapid or Thready and rapid or Deep and rapid or Superficial and choppy

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Contraindicated during pregnancy.
  • Modify for treating constipation with Blood Deficiency.
  • Modify for treating the very weak.
HERB/DRUG INTERACTIONS
  • This formula can eliminate constipation caused by anti-psychotic drugs.

NOTES

MODIFICATIONS

For severe depletion of Fluids: For severe Heat Stagnation with a yellow tongue coat and a rapid pulse:
+ Sm. Platycladi Bai Zi Ren + More Rx. et Rz. Rhei Da Huang
+ Sm. Trichosanthis Gua Lou Ren + Natrii Sulfas Mang Xiao
For severe weakness:
For hemorrhoids:
- Rx. et Rz. Rhei Da Huang + Sm. Persicae Tao Ren
+ Fol. Sennae (small amount) Fan Xie Ye + Rx. Angelicae Sinensis Dang Gui
For Middle Jiao Qi Deficiency:
For bleeding hemorrhoids:
+ Tonify the Middle and Augment Qi Decoction
Bu Zhong Yi Qi Tang
+ Flos Sophorae Huai Hua Mi
For parasites blocking the Intestines:
+ Rx. Sanguisorbae Di Yu
+ Fr. Mume Wu Mei
or
+ Sm. Arecae Bing Lang + Flos Sophorae Huai Hua Mi
+ Per. Citri Reticulatae Chen Pi + Rx. Sanguisorbae Di Yu
For hemorrhoids with constipation:
Cacumen Platycladi Ce Bai Ye
+ Rz. Coptidis Huang Lian
For thirst and increased water intake due to Stomach Heat:
+ Rz. Cimicifugae Sheng Ma + Gypsum Fibrosum Shi Gao
+ Sm. Persicae Tao Ren + Rz. Anemarrhenae Zhi Mu
+ Rx. Angelicae Sinensis Dang Gui
For frequent urination:
For habitual constipation with dry stools in geriatric patients:
+ Sm. Euryales Qian Shi
+ Less Rx. et Rz. Rhei Da Huang + Ootheca Mantidis Sang Piao Xiao
+ Sm. Platycladi Bai Zi Ren + Fr. Alpiniae Oxyphyllae Yi Zhi Ren
+ Hb. Cistanches Rou Cong Rong
For constipation due to Stomach and Intestinal Heat:
+ Rx. Angelicae Sinensis Dang Gui
For long term constipation due to Stomach and Intestinal Heat:
- Rx. Paeoniae Alba Bai Shao
- Fr. Aurantii Immaturus Zhi Shi
- Rx. Paeoniae Alba Bai Shao + Fr. Aurantii Zhi Ke
- Fr. Aurantii Immaturus Zhi Shi + Sm. Trichosanthis Gua Lou Ren
+ Fr. Aurantii Zhi Ke
or
+ Sm. Trichosanthis Gua Lou Ren - Rx. Paeoniae Alba Bai Shao
- Rx. et Rz. Rhei Da Huang - Cx. Magnoliae Officinalis Hou Po
+ Rx. Ophiopogonis Mai Men Dong
+ Rx. Asparagi Tian Men Dong + Sm. Trichosanthis Gua Lou Ren
For constipation due to Stomach and Intestinal Heat with severe Stagnation:
+ Sm. Pruni Yu Li Ren
+ Rx. Scrophulariae Xuan Shen
- Rx. Paeoniae Alba Bai Shao
For severe constipation with hard, dry stools:
- Fr. Aurantii Immaturus Zhi Shi + 15g Natrii Sulfas Mang Xiao
+ Fr. Aurantii Zhi Ke
For severe depletion of Fluids with obvious Dryness:
+ Sm. Trichosanthis Gua Lou Ren
+ Sm. Arecae Bing Lang + 10g Rx. Rehmanniae Sheng Di Huang
+ Per Citri Reticulatae Chen Pi + 10g Rx. Scrophulariae Xuan Shen
For constipation with intestinal parasites:
+ 10g Hb. Dendrobii Shi Hu
+ 15g Sm. Arecae Bing Lang
For constipation with residual Heat in the Lungs:
For interstitial cystitis:
 + 15g Rx. Scutellariae Huang Qin
+ Minor Bupleurum Decoction
Xiao Chai Hu Tang
+ 15g Sm. Trichosanthis Gua Lou Ren
For interstitial cystitis with severe constipation:
- Rz. Zingiberis Recens Sheng Jiang
+ Minor Bupleurum Decoction
Xiao Chai Hu Tang
- Rx. et Rz. Rhei Da Huang
- Rx. Ginseng Ren Shen - Rz. Zingiberis Recens Sheng Jiang
+ 9g Rx. Codonopsis Dang Shen - Rx. Ginseng Ren Shen
For interstitial cystitis without dry stools:
 + 9g Rx. Codonopsis Dang Shen
+ Minor Bupleurum Decoction
Xiao Chai Hu Tang
For interstitial cystitis with marked Qi Deficiency and Dampness:
- Rz. Zingiberis Recens Sheng Jiang
+ Minor Bupleurum Decoction
Xiao Chai Hu Tang
- Rx. Ginseng Ren Shen
- Sm. Cannabis - Rz. Zingiberis Recens Sheng Jiang
- Sm Armeniacae Xing Ren - Rx. et Rz. Rhei Da Huang
+ 9g Rx. Codonopsis Dang Shen - Rx. Ginseng Ren Shen
    + 9g Rx. Codonopsis Dang Shen
    + 9g Rz. Atractylodis Macrocephalae Bai Zhu
   
    + 9g Poria Fu Ling