HERB FORMULAS

REN SHEN BAI DU SAN - 人参败毒丸 - GINSENG POWDER TO OVERCOME PATHOGENIC INFLUENCES

English: Ginseng Powder to Overcome Pathogenic Influences
Also Known As: Ginseng and Mentha Formula
Antiphlogistic Powder of Ginseng
Bai Du San

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Rz. et Rx. Notopterygii Qiang Huo 2-30g Expels Wind-Cold-Dampness, unblocks painful obstruction, alleviates pain and guides Qi to the Tai Yang and Du channels.
With Du Huo, expels Wind-Cold from the exterior, dispels Dampness and alleviates pain. Qiang Huo is better for superficial Wind-Dampness and upper extremities and Du Huo is better for deeper Wind-Dampness and lower extremities.
With Chuan Xiong, for headache and generalized body aches and pains associated with the common cold or painful obstruction.
With Jie Geng, for skin conditions.
Rx. Angelicae Pubescentis Du Huo 2-30g Disperses Wind-Cold-Dampness, opens the channels and alleviates pain.
With Qiang Huo, for joint pain and numbness.
Rx. Chuanxiong Chuan Xiong 2-30g Regulates Qi, helps Qiang Huo and Du Huo release the exterior, moves Blood, expels Wind-Cold, enhancing the pain relieving function of the formula (especially in the head and neck) and treats headaches.
Rx. Bupleuri Chai Hu 2-30g Expels Wind-Heat, raises Yang Qi, and resolves Phlegm and congestion.
With Bo He, releases the exterior, reduces fever, and expels the pathogenic influences, especially from the muscle layer.
With Zhi Ke, for Stifling sensation in the chest, abdominal pain, poor appetite, and irregular bowel movements.
With Gan Cao, for Wind-Heat fever.
Rx. Platycodi Jie Geng 2-30g Opens the Lungs, expels Phlegm, expels pus, benefits the throat and directs the effects of other herbs to the upper body.
With Zhi Ke regulates the Qi flow in the chest.
With Zhi Ke and Qian Hu, improves Lung Qi circulation, expels Phlegm and stops cough.
With Gan Cao, disseminates Lung Qi, expels Phlegm, resolves toxicity, and expels pus for productive cough with hoarseness, pain and swelling of the throat due to Wind-Heat and Lung abscess with expectoration of pus and pain in the chest and flanks and for Excess disorders in the Upper Jiao with no disorder in the Lower Jiao.
Dry-fried Fr. Aurantii Ju Chao Zhi Ke 2-30g Promotes the movement of Qi, reduces distention and pressure, resolves hardenings and removes stagnated food.
With Chai Hu and Bo He, for Upper Jiao surface Heat problems.
With Jie Geng, regulates the flow of Qi in the chest and aids in the transformation of Phlegm for chest congestion.
Rx. Peucedani Qian Hu 2-30g Descends Qi, expels Phlegm and expels Wind-Heat.
With Fu Ling and Sheng Jiang, treats the manifestation and root.
With Jie Geng and Bo He, for symptoms of Wind-Heat.
With Chai Hu, for Wind-Heat constraining the Lungs, leading to a stifling sensation in the chest and cough with profuse sputum.
Rx. Ginseng Ren Shen 2-30g Strengthens Qi to expel pathogenic influences, generates fluids to produce sweat, and strengthens the body's resistance to invasion, preventing a relapse.
With Chai Hu, Chuan Xiong, Sheng Jiang and Bo He, moves Qi and expels external pathogens.
With Qiang Huo, Chai Hu and Du Huo, for Exterior invasion with Interior Deficiency.
(Rx. Codonopsis) (Dang Shen) (6-90g) (Substitutes for Ren Shen.)
Poria Fu Ling 2-30g Transforms Phlegm, strengthens the Spleen, leaches out Dampness and promotes urination.
With Qian Hu, Jie Geng and Zhi Ke, resolves Phlegm and stops cough.
With Gan Cao, for Spleen and Heart Deficiencies causing facial edema, palpitations, and shortness of breath.
Rx. Glycyrrhizae Gan Cao 1-15g Assists Ren Shen in tonifying Qi, moistens the Lungs, resolves Phlegm, stops cough, clears Heat, relieves Fire toxicity and moderates and harmonizes the harsh properties of other herbs.
With Jie Geng, for pain and swelling of the throat.
With Ren Shen, relieves palpitations and anxiety.
Rz. Zingiberis Recens Sheng Jiang 1-15g Releases the exterior, warms the Lungs, disperses Cold, stops cough and reduces the toxicity of other herbs.
With Da Zao, alleviates epigastric pain, nausea, and vomiting by strengthening the Spleen, prevents Phlegm accumulation and treats External Wind-Cold.
Hb. Menthae Bo He 1-15g Disperses Wind-Heat, vents rashes, clears the head and eyes and benefits the throat.

FORMULA ACTIONS

  • Releases the Exterior
  • Augments Qi
  • Removes Wind-Cold-Damp
  • Eliminates Painful Obstruction
  • Circulates Qi and Blood
  • Stops pain

SYNDROMES

  • Wind-Cold-Dampness with Deficient normal Qi
  • Wind-Cold-Damp Bi
  • Muscular atrophy due to Qi and Blood Stagnation

CLINICAL MANIFESTATIONS

  • High fever accompanied by severe chills and shivering
  • Aversion to Cold
  • Pain worse at night
  • Difficult movement
  • Local inflammation
  • Migratory pain
  • Soreness and pain of the extremities
  • Nasal congestion with sonorous breathing
  • Anhidrosis
  • Pain and stiffness of the head and neck
  • Focal distention and fullness of the chest and diaphragm
  • A productive cough
  • May have numbness and heaviness in the limbs
  • Body aches
  • Nasal obstruction
  • Cough with sputum
  • Stuffy nose
  • Joint pain
  • Pain worse with Cold and better with warmth
  • Pain aggravated by Wind
  • Pain aggravated by Dampness
  • Pain is stabbing
  • Muscle weakness
  • Pain alleviated by movement
  • Slight muscle edema
  • Heaviness of the joints
  • Cold joints
  • Headache
  • Dizziness
  • T: Pale or Slightly purple or Purple spots
  • C: White or thin, white, greasy
  • P: Slippery or Slightly superficial or Superficial and soft or Slightly rough or Slow and Soft or Wiry and tight or Superficial and rapid that is forceless under pressure

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Contraindicated for those with Damp-Heat in the channels.
  • Contraindicated for those with Exterior Wind-Heat.
  • Contraindicated for those with Internal Heat.
  • Contraindicated for those with Yin Deficiency with Exterior Invasion.
  • Contraindicated for those with a strong constitution.
HERB/DRUG INTERACTIONS

NOTES

  • This formula warms without drying.
  • This formula unblocks without causing damage.
  • This formula has a stronger Wind relieving and pathogen expelling action than Juan Bi Tang from Selected Formulas.

MODIFICATIONS

For Wind predominant Bi: For Cold predominant Bi:
+ 10g Rx. Saposhnikoviae Fang Feng + Rx. Aconiti Lateralis Preparatum Zhi Fu Zi
For Damp predominant Bi
or
+ Rx. Aristolochiae Guang Fang Ji + Rx. Aconiti Preparata Zhi Chuan Wu
+ Rz. Atractylodis Cang Zhu + Rx. Aconiti Kusnezoffii Zhi Cao Wu
+ Sm. Coicis Yi YI Ren + Rx. Ephedra Ma Huang
or
 + Hb. cum Rx. Asari Xi Xin
+ Rx. Stephaniae Tetrandrae Han Fang Ji
+ Minor Invigorate the Channels Special Pill
Xiao Huo Luo Dan
+ Rz. Atractylodes Cang Zhu
or
+ Sm. Coicis Yi YI Ren + 6g Rx. Aconiti Lateralis Preparatum Zhi Fu Zi
+ Excr. Bombyx Mori Can Sha + 3g Rx. Aconiti Preparata Zhi Chuan Wu
or
For fever:
+ 6g Fr. Chaenomelis Mu Gua + Rz. Anemarrhenae Zhi Mu
+ 10g Cx. Acanthopanacis Wu Jia Pi + Rx. Scutellariae Huang Qin
For pain primarily in the upper limbs:
 + Flos Lonicerae Jin Yin Hua
+ 10g Rx. Clematidis Wei Ling Xian + Fr. Forsythiae Lian Qiao
or
For pain primarily in the lower limbs:
+ Rx. Clematidis Wei Ling Xian + Rx. Achyranthis Bidentatae Niu Xi
+ Ram. Mori Sang Zhi
or
or
 + Fr. Chaenomelis Mu Gua
+ Rx. Clematidis Wei Ling Xian
or
+ Rz. Curcumae Longae Jiang Huang + Fr. Tribuli Bai Ji Li
For low back pain:
 + Rx. Achyranthis Bidentatae Niu Xi
+ Cx. Eucommiae Du Zhong + Fr. Chaenomelis Mu Gua
+ Rz. Cibotii Gou Ji + Rx. Dipsaci Xu Duan
For strong normal Qi with Exterior Cold symptoms that are not very pronounced:
or
- Rx. Ginseng Ren Shen + Rx. Cyathulae Chuan Niu Xi
+ Hb. Schizonepetae Jing Jie
For severe Qi Deficiency:
+ Rx. Saposhnikoviae Fang Feng + More Rx. Ginseng Ren Shen
or
or
- Ginseng Powder to Overcome Pathogenic Influences
Ren Shen Bai Du San
+ Rx. Astragali Huang Qi
+ Schizonepetae and Saposhnikoviae Powder to Overcome Pathogenic Influences
Jing Fang Bai Du San
For Dampness Obstructing the muscle layer with pronounced aching, soreness and pain in the muscles and joints:
For Wind toxin dormant papules or itching or eczema:
+ Rx. Clematidis Wei Ling Xian
+ Periostracum Cicadae Chan Tui + Ram. Mori Sang Zhi
+ Rx. Sophorae Flavescentis Ku Shen + Rx. Gentianae Macrocephalae Qin Jiao
For malarial disorders:
or
+ More Rx. Bupleuri Chai Hu + Rx. Clematidis Wei Ling Xian
+ Rx. Scutellariae Huang Qin + Ram. Mori Sang Zhi
+ Sm. Arcae Bing Lang + Rx. Aristolochiae Fangji Guang Fang Ji
For dysenteric disorders with abdominal pain, Blood or pus in the stools, and tenesmus:
For rash or incomplete expression of dermatological disorders:
+ Rx. Aucklandiae Mu Xiang
+ Eliminate Wind Powder
Xiao Feng San
+ Rx. Paeoniae Alba Bai Shao
For fever and thirst with no aversion to Wind and Cold:
For early-stage sores:
+ Rx. Scutellariae Huang Qin
- Rx. Ginseng Ren Shen
For no sign of cough or sputum:
+ Fr. Forsythiae Liang Qiao - Rx. Platycodi Jie Geng
+ Flos Lonicerae Jin Yin Hua - Rx. Peucedani Qian Hu
For no sign of Exterior Dampness:
or
- Rz. et Rx. Notopterygii Qiang Huo - Rx. Platycodi Jie Geng
- Rx. Angelicae Pubescentis Du Huo - Rx. Peucedani Qian Hu
- Poria Fu Ling + Ram. Mori Sang Zhi
For initial stage of dysentery:
+ Caulis Lonicerae Ren Dong Teng
- Rx. Ginseng Ren Shen
For severe coughing:
+ Rx. Aucklandiae Mu Xiang + Sm. Armeniacae Xing Ren
+ Rz. Coptidis Huang Lian + Rz. Cynanchi Stauntonii Bai Qian
For malaria:
or
+ Fr. Tsaoko Cao Guo - Rz. et Rx. Notopterygii Qiang Huo
+ Sm. Arecae Bing Lang - Rx. Angelicae Pubescentis Du Huo
For respiratory tract infection:
- Rx. Chuanxiong Chuan Xiong
- Rx. Ginseng Ren Shen + Rz. Pinelliae Preparatum Zhi Ban Xia
+ Rx. Pseudostellariae Tai Zi Shen
- Rx. Glycyrrhizae Gan Cao + Rx. Asteris Zi Wan
For acute viral hepatitis:
+ Rx. Stemonae Bai Bu
- Rx. Ginseng Ren Shen
For acute viral hepatitis with jaundice:
+ Rx. Codonopsis Dang Shen - Rx. Ginseng Ren Shen
+ Hb. Patriniae Bai Jiang Cao + Rx. Codonopsis Dang Shen
+ Hb. Taraxaci Pu Gong Ying + Hb. Artemisiae Scopariae Yin Chen
For parotitis:
- Rz. Zingiberis Recens Sheng Jiang + Hb. Lysimachiae Jin Qian Cao
+ 9g Thallus Eckloniae Kun Bu
For parotitis with severe Qi Deficiency:
+ 9g Sm. Persicae Tao Ren - Rz. Zingiberis Recens Sheng Jiang
For parotitis with severe swelling of the parotid glands:
+ 9g Thallus Eckloniae Kun Bu
+ 9g Sm. Persicae Tao Ren
- Rz. Zingiberis Recens Sheng Jiang + 30g Rx. Astragali Huang Qi
+ 9g Thallus Eckloniae Kun Bu
For parotitis with profuse abscesses and discharge:
+ 9g Sm. Persicae Tao Ren
+ 12g Concha Ostreae Mu Li - Rz. Zingiberis Recens Sheng Jiang
+ 12g Rx. Scrophulariae Xuan Shen + 9g Thallus Eckloniae Kun Bu
+ 3g Flos Carthami Hong Hua + 9g Sm. Persicae Tao Ren
For herpes genitalia:
+ 12g Hb. Hedyotis Bai Hua She She Cao
- Hb. Menthae Bo He + 9g Rx. Scutellariae Barbatae Ban Zhi Lian
- Rz. Zingiberis Recens Sheng Jiang
+ 20g Rx. Gentianae Long Dan Cao
For postpartum fever:
+ 20g Rx. Sophorae Flavescentis Ku Shen + Flos Lonicerae Jin Yin Hua
+ Fr. Forsythiae Lian Qiao
+ 15g Periostracum Cicadae Chan Tui