HERB FORMULAS

SAN REN TANG - 三仁湯 - THREE SEED (NUT) DECOCTION

English: Three Seed (Nut) Decoction
Also Known As: Apricot, Coix and Cluster Combination

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Sm. Armeniacae Xing Ren 9-15g Stops cough and wheezing, moistens the Intestines and unblocks the bowels.
With Hou Po, for Upper and Middle Jiao Dampness with a stifling sensation in the chest and epigastric and abdominal distention with a feeling of fullness.
Fr. Amomi Rotundus Bai Dou Kou 3-6g Aromatically transforms Dampness, warms the Middle Jiao, stops vomiting, descends Qi, moves Qi and transforms Stagnation.
With Xing Ren and Yi Yi Ren, for headache, stifling sensations in the chest, fatigue, dark, scanty urine, diarrhea, and usually with a white, greasy tongue coat as in the early stages of a warm febrile disease.
With Hou Po, for distention due to Qi Stagnation or Cold-Damp in the Spleen and Stomach.
Cx. Magnoliae Officinalis Hou Po 3-6g Transforms Dampness, promotes the movement of Qi, and descends Rebellious Qi.
Rz. Pinelliae Preparatum Zhi Ban Xia 6-9g Dries Dampness, transforms Phlegm, descends Rebellious Qi, harmonizes the Stomach and stops vomiting.
With Hou Po, for Phlegm-induced cough, vomiting, and epigastric and abdominal distention.
Sm. Coicis Yi Yi Ren 10-18g Promotes urination, leaches out Dampness, strengthens the Spleen, expels Wind-Dampness, clears Damp-Heat and stops diarrhea.
With Xing Ren and Bai Dou Kou, for early-stage Damp-Warmth with Damp predominant.
Medulla Tetrapanacis Tong Cao 3-6g Promotes urination and clears Heat.
With Hua Shi and Yi Yi Ren, for Summerheat with Turbid Dampness causing painful urinary dysfunction, a stuffy chest, heaviness in the body and headache.
With Bai Dou Kou, Hua Shi and Yi Yi Ren, for painful urination, cloudy urination and heaviness of the body due to Damp-Heat.
With Hua Shi, Yi Yi Ren, Zhi Ban Xia, Hou Po and Bai Dou Kou, for Damp febrile disorders with sensations of heaviness of the body, lack of thirst, chest oppression afternoon fever and dysuria.
Hb. Lophatheri Dan Zhu Ye 3-6g Clears Heat, eliminates irritability, promotes urination and Clears Damp-Heat.
Talcum Hua Shi 10-18g Promotes urination, drains Heat from the Bladder, expels Damp-Heat and releases Summerheat.

FORMULA ACTIONS

  • Spreads Qi
  • Facilitates Qi
  • Clears Damp-Heat (Clears Damp-Heat from the Qi Level by unblocking Lung Qi, transforming and drying Dampness from the Middle Jiao, Draining Dampness from the Lower Jiao and Clearing Heat.)

SYNDROMES

  • Damp-Heat (early stage)
  • Summerheat with Damp
  • San Jiao Upper Jiao Heat
  • Wei Stage Damp-Heat

CLINICAL MANIFESTATIONS

  • Headache
  • Chills
  • Afternoon fever
  • Heavy sensation in the body
  • Generalized pain
  • Pale yellow (sallow) complexion
  • Stifling sensation in chest
  • Loss of appetite
  • Feverishness and pain of the body
  • Fatigue
  • Lack of thirst or thirst with no desire to drink
  • Chest and abdominal fullness
  • Maybe aversion to Cold
  • Nausea
  • Heaviness of the head
  • T: Normal
  • C: White or Greasy and white
  • P: Wiry, thin and soggy or soft or Superficial and soft

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Use only for Damp-Heat disorders where Damp is predominant.
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For severe headache with intolerance of Cold: For severe fever, dark urine and a red tongue:
+ Hb. Agastaches/ Pogostemonis Huo Xiang + Hb. Artemisiae Yin Chen Hao
+ Fol. Perillae Zi Su Ye + Fr. Gardenia Zhi Zi
For high fever with intolerance of Cold:
 + Rx. Scutellariae Huang Qin
+ Hb. Agastaches/ Pogostemonis Huo Xiang
For malarial disorders:
+ Hb. Moslae Xiang Ru + Hb. Artemisiae Yin Chen Hao
For more stifling sensation in chest and focal distention in the epigastrium:
 + Fr. Tsaoko Cao Guo
+ Rx. Peucedani Qian Hu
For amber colored urine:
+ Hb. Agastaches/ Pogostemonis Huo Xiang + Flos. Lonicerae Jin Yin Hua
For patterns characterized by distinctly more Dampness than Heat:
+ Fr. Forsythia Lian Qiao
+ Rz. Atractylodis Cang Zhu + Hb Taraxaci Pu Gong Ying
+ Rz. Acori Tatarinowii Shi Chang Pu
For strong Heat in the Qi aspect, leading to high fever, severe sweating, a heavy body, facial flushing, thirst and Heart irritability:
+ Fr. Tsaoko Cao Guo - Rz. Pinelliae Preparatum Zhi Ban Xia
For Heat damaging the Body Fluids with thirst, parched lips, a yellow dry tongue coat, and a tongue with red sides and tip:
- Cx. Magnoliae Officinalis Hou Po
- Rz. Pinelliae Preparatum Zhi Ban Xia + Gypsum Fibrosum Shi Gao
- Cx. Magnoliae Officinalis Hou Po + Rz. Anemarrhenae Zhi Mu
+ Rx. Ophiopogonis Mai Men Dong + Rz. Atractylodis Cang Zhu
+ Rx. Trichosanthis Tian Hua Fen
For initial stages of Wen Bing with Dampness affecting the Wei:
For alternating chills and fever:
+ Hb. Agastaches/ Pogostemonis Huo Xiang
+ Hb. Artemisiae Annuae Qing Hao + Hb. Moslae Xiang Ru
+ Fr. Tsaoko Cao Guo
For Heat with a bitter taste in the mouth:
For epigastric and abdominal fullness and distention, and a feeling of incomplete evacuation of stools:
+ Rz. Coptidis Huang Lian
+ Sm. Raphani Lai Fu Zi + Rx. Scutellariae Huang Qin
+ Massa Medicata Fermentata Shen Qu
For Damp-Heat invading the channels:
+ 15g Rx. Gentianae Macrophyllae Qin Jiao
For decreased visual acuity:
+ 10g Sm. Plantaginis Che Qian Zi + 15g Rx. Clematidis Wei Ling Xian
+ 12g Fr. Leonuri Chong Wei Zi + 15g Fr. Luffae Retinervus Si Gua Luo
+ 10g Fr. Gardeniae Zhi Zi
For severe anorexia:
For inhibited defecation of loose stools:
+ 9g Rz. Acori Tatarinowii Shi Chang Pu + 12g Fr. Aurantii Zhi Shi
For severe Damp-Heat:
For sliminess and a bland taste in the mouth:
+ 6g Rz. Coptidis Huang Lian
+ 6g Hb. Agastaches Huo Xiang + 9g Hb. Eupatorii Ze Lan
+ 9g Hb. Eupatorii Ze Lan
For nausea and vomiting:
For fever:
+ 9g Ginger-fried Caulis Bambusae in Taeniam Jiang Zhu Ru
+ 6g Rx. Scutellariae Huang Qin
+ 6g Rz. Coptidis Huang Lian + 9g Hb. Agastaches Huo Xiang
+ 6g Hb. Agastaches Huo Xiang
For pneumonia with Heat:
For pneumonia with excessive perspiration:
+ Fol. Isatidis Da Qing Ye
+ Cx. Mori Sang Bai Pi
For pneumonia with weakness and Deficiency:
For pneumonia with damaged Body Fluids:
+ Rx. Pseudostellariae Tai Zi Shen
+ Rx. Glehniae/ Adenophorae Sha Shen
For pneumonia with constipation:
+ Sm. Trichosanthis Gua Lou Ren
For catarrhal otitis media with nasal obstruction:
For catarrhal otitis media with Fluid Accumulation in the ear:
+ Rx. Ephedrae Ma Huang
+ Rz. Acori Tatarinowii Shi Chang Pu + Rz. Alismatis Ze Xie
For acute icteric hepatitis:
+ Sm. Plantaginis Che Qian Zi
+ 30g Hb. Artemisiae Scopariae Yin Chen Hao + Sm. Lepidii/ Descuraniae Ting Li Zi
+ 5g Hb. Origani Tu Yin Chen
For cholecystitis with aversion to Cold and a bitter taste in the mouth:
+ 12g Fr. Gardeniae Zhi Zi
For cholecystitis with hypochondriac pain:
+ Rx. Bupleuri Chai Hu
+ Rz. Corydalis Yan Hu Suo + Rx. Scutellariae Huang Qin
+ Rx. Curcumae Yu Jin
For cholecystitis with nausea, vomiting and abdominal distention:
For cholecystitis with jaundice:
+ Hb. Artemisiae Scopariae Yin Chen Hao + Hb. Agastaches Huo Xiang
+ Hb. Eupatorii Pei Lan
For cholecystitis with with an aversion to greasy or oily foods:
For cholecystitis with constipation:
+ Fr. Aurantii Immaturus Zhi Shi
+ Fr. Crataegi Shan Zha
For glomerulonephritis:
+ Fr. Hordei Germinatus Mai Ya + 20g Hb. Phylostachys Nigra Zhu Ye
+ Massa Medicata Fermentata Shen Qu
+ 30g Fol. Pyrrosiae Shi Wei
For gastroenteritis:
+ 30g Rz. Imperatae Bai Mao Gen
+ 15g charred Fr. Crataegi Shan Zha Tan
For priapism:
+ Rx. Achyranthis Bidentatae Niu Xi
+ 5g Rx. Glycyrrhizae Gan Cao
For altitude stress with a concurrent viral infection:
+ Sm. Vaccariae Wang Bu Liu Xing
+ Sm. Plantaginis Che Qian Zi
+ Rx. Bupleuri Chai Hu + Hb. Taraxaci Pu Gong Ying
+ Rx. Saposhnikoviae Fang Feng
For altitude stress with insomnia and palpitations:
For altitude stress with a severe cough:
+ Sm. Descuraniae/ Lepidii Ting Li Zi + Fr. Schisandrae Wu Wei Zi
+ Rx. Salviae Miltiorrhizae Dan Shen
+ Bul. Fritillariae Cirrhosae Chuan Bei Mu
+ Caulis Polygoni Multiflori Shou Wu Teng
For altitude stress with epistaxis:
- Rz. Pinelliae Preparatum Zhi Ban Xia
For chronic glomerulonephritis with difficult urination:
+ Rz. Imperatae Bai Mao Gen + 30g Sm. Phaseoli Chi Xiao Dou
+ Hb. Ecliptae Mo Han Lian + 12g Fr. Forsythiae Lian Qiao
For chronic glomerulonephritis with Toxic-Heat skin sores:
+ 12g honey-mix-fried Hb. Ephedrae Zhi Ma Huang
+ 15g Flos Lonicerae Jin Yin Hua
For chronic glomerulonephritis with inhibited defecation:
+ 15g Rz. Smilacis Glabrae Tu Fu Ling
+ 12g Sm. Persicae Tao Ren
+ 15g Hb. Taraxaci Pu Gong Ying + 12g Sm. Pruni Yu Li Ren
+ 15g Hb. Violae Zi Hua Di Ding
For chronic glomerulonephritis with hematuria:
For anorexia with severe Dampness:
+ 12g Hb. Cirsii Xiao Ji
+ 12-15g Hb. Agastaches Huo Xiang + 12g Rx. Rehmanniae Sheng Di Huang
+ 12g Rx. Rubiae Qian Cao Gen
+ 6-9g Rz. Acori Tatarinowii Shi Chang Pu + 12g Rz. Imperatae Bai Mao Gen
For anorexia with more Heat:
For anorexia with residual Exterior symptoms:
+ 9-12g Fr. Gardeniae Zhi Zi
+ 12g Fol. Perillae Zi Su Ye + 3-6g Rz. Coptidis Huang Lian
For significant signs and symptoms of Heat:
For spontaneous perspiration with severe Damp-Heat:
+ Flos Lonicerae Jin Yin Hua
+ Fr. Forsythiae Lian Qiao + 6g Rz. Coptidis Huang Lian
+ Hb. Artemisiae Annuae Qing Hao +6g Rx. Scutellariae Huang Qin
+ 6g Fr. Gardeniae Zhi Zi
For spontaneous perspiration with fever, aversion to Cold and a headache:
For spontaneous perspiration with a reduced appetite:
+ 9g Hb. Agastaches Huo Xiang + 9g Rz. Acori Tatarinowii Shi Chang Pu
+ 9g Hb. Eupatorii Pei Lan
+ 9g warm Sm. Sojae Preparata Dan Dou Chi
For spontaneous perspiration with inhibited defecation of loose stools:
For spontaneous perspiration with inhibited urination:
+ 12g Fr. Aurantii Immaturus Zhi Shi
+ 9g Rz. Alismatis Ze Xie
For spontaneous perspiration with sliminess and a bland taste in the mouth:
+ 9g Sm. Plantaginis Che Qian Zi
+ 9g Cx. Poria Fu Ling Pi + 6g Hb. Agastaches Huo Xiang
For spontaneous perspiration with nausea and vomiting:
+ 9g Hb. Eupatorii Pei Lan
For middle back pain with nasal discharge and sneezing
+ 9g Ginger-fried Caulis Bambusae in Taeniam Jiang Zhi Zhu Ru
+ 12g Hb. Agastaches Huo Xiang
+ 9g Hb. Agastaches Huo Xiang + 30g Hb. Houttuyniae Yu Xing Cao
For middle back pain with a poor appetite:
For middle back pain with diarrhea:
+ 10g Hb. Eupatorii Pei Lan + 10g Poria Fu Ling
+ 20g Fr. Hordei Germinatus Mai Ya + 10g Rz. Atractylodis Macrocephalae Bai Zhu
For middle back pain with a high fever:
For nasal pain:
+ 10 Rz. Coptidis Huang Lian + 6g Rx. Platycodi Jie Geng
+ 10g Gypsum Fibrosum Shi Gao
For nasal pain with no sense of smell:
For nasal pain with yellow nasal discharge:
+ 6g Rx. Platycodi Jie Geng
+ 6g Rx. Platycodi Jie Geng + 10g Flos Magnoliae Xin Yi
+ 10g Rx. Sophorae Flavescentis Ku Shen + 10g Fr. Xanthii Cang Er Zi
For nasal pain with a poor appetite:
+ 10g Sm. Benincasae Dong Gua Zi + 6g Rx. Platycodi Jie Geng
For nasal pain with loose stools:
+ 10g Fr. Amomi Sha Ren
+ 6g Rx. Platycodi Jie Geng
For poor vision associated with AIDS/HIV with dim or dark vision, spots before the eyes, inflammatory exudation, stuffiness and fullness in the chest and epigastrium, a poor appetite, a yellow, slimy tongue coat and soft, rapid pulse:
+ 10g Rz. Atractylodis Cang Zhu
   
   
    - Talcum Hua Shi
    + Flos Eriocauli Gu Jing Cao
    + Sm. Astragali Complanati Sha Yuan Zi