HERB FORMULAS

TONG XIE YAO FANG - 痛瀉要方 - IMPORTANT FORMULA FOR PAINFUL DIARRHEA

English: Important Formula for Painful Diarrhea
Also Known As: Bai Zhu Shao Yao San
Atractylodis Macrocephala and Peony Powder
Important Formula for Painful Purging
Powder of White Atractylodes and White Peony for Diarrhea with abdominal Pain

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Fried Rz. Atractylodis Macrocephalae Chao Bai Zhu 3-12g Strengthens the Spleen, dries Dampness and promotes water metabolism .
With Bai Shao, controls Wood and nourishes Earth to stop diarrhea and pain.
Dry-fried Rx. Paeoniae Alba Chao Bai Shao 2-30g Softens the Liver alleviates pain, regulates menstruation and astringes Yin.
With Fang Feng and Bai Zhu and Chen Pi, for borborygmus and painful diarrhea.
Dry-fried Per. Citri Reticulatae Chao Chen Pi 1.5-10g Harmonizes the functions of the Middle Jiao, transforms Dampness and regulates Qi.
With Bai Zhu, for anorexia and other manifestations of Damp Obstruction due to Spleen Deficiency.
With Bai Zhu and Fang Feng, for manifestations of Liver Qi Stagnation Invading the Spleen.
Rx. Saposhnikoviae Fang Feng 2-10g Pacifies the Liver, focuses the actions on the Liver and Spleen, expels internal Wind and alleviates pain.

FORMULA ACTIONS

  • Spreads Liver Qi
  • Tonifies the Spleen
  • Expels Dampness
  • Stops diarrhea

SYNDROMES

  • Painful diarrhea due to Liver Qi Stagnation Invading the Spleen
  • Painful diarrhea due to Liver Qi Stagnation Invading the Spleen with concurrent Wind-Cold Invasion

CLINICAL MANIFESTATIONS

  • Recurrent borborygmus
  • Diarrhea with pain (starts with the urge to defecate and subsides on completion)
  • Patient is more comfortable after each bowel movement
  • Recurs during times of stress
  • Diarrhea is small in amount
  • Recurrent abdominal pain
  • T: Pink
  • C: Thin and white
  • P: Wiry and even or Thready and wiry (maybe transposed)

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Contraindicated for those with diarrhea due to Food Stagnation.
  • Do not arbitrarily increase the dosage of Fang Feng.
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For chronic diarrhea:
For diarrhea caused by indigestion, chronic colitis or irritable bowel syndrome:
+ Dry-fried Rz. Cimicifugae Chao Sheng Ma + Fr. Crataegi Shan Zha
For porridge-like diarrhea:
+ Rx. Puerariae Ge Gen
+ Rz. Atractylodis Cang Zhu + More Rx. Saposhnikoviae Fang Feng
For blood and pus in stool:
For diarrhea in children due to indigestion:
+ Rx. Pulsatillae Bai Tou Weng + Fr. Crataegi Shan Zha
+ Rx. Scutellariae Huang Qin
For tenesmus:
For severe abdominal pain:
 + Sm. Arecae Bing Lang
+ Twice as much Rx. Paeoniae Alba Bai Shao + Rx. Aucklandiae Mu Xiang
+ Per. Citri Reticulatae Viride Qing Pi
For urinary difficulty:
+ Rz. Cyperi Xiang Fu + Talcum Hua Shi
For severe Qi Deficiency:
For diarrhea due to hypothyroidism:
+ Rx. Codonopsis Dang Shen - Rx. Saposhnikoviae Fang Feng
+ Rx. Glycyrrhizae Gan Cao + Rx. Puerariae Ge Gen
For diarrhea due to hyperthyroidism:
+ Twice as much Rx. Paeoniae Alba Bai Shao
+ Rx. Puerariae Ge Gen + Concha Ostreae Mu Li
+ Concha Ostreae Mu Li + Sp. Prunellae Xia Ku Cao
+ Sp. Prunellae Xia Ku Cao
For diarrhea caused by acute gastroenteritis, tuberculosis of the colon, acute malaria or dysentery:
+ More Rx. Paeoniae Alba Bai Shao + Fr. Crataegi Shan Zha
+ More Rx. Saposhnikoviae Fang Feng
+ Kudzu, Coptis and Scutellaria Decoction
Ge Gen Huang Qin Huan Lian Tang
For chronic enteritis:
For diarrhea in chronic hepatic disorders:
+ Fr. Crataegi Shan Zha + Fr. Crataegi Shan Zha
+ Rx. Puerariae Ge Gen + Rx. Puerariae Ge Gen
For a yellow tongue coat:
+ Poria Fu Ling
+ Rz. Coptidis Huang Lian + Sm. Coicis Yi Yi Ren
For watery diarrhea:
For Yang Deficiency and Cold:
+ Sm. Plantaginis Che Qian Zi + Rz. Zingiberis Gan Jiang
+ Poria Fu Ling + Rx. Aconiti Lateralis Preparata Zhi Fu Zi
+ Rz. Zingiberis Gan Jiang For Tourette syndrome:
or
 + Fossilia Ossis Mastodi Long Gu
+ Sm. Plantaginis Che Qian Zi + Concha Ostreae Mu Li
+ Rx. Puerariae Ge Gen + Fr. Alpiniae Oxyphyllae Yi Zhi Ren
For chronic enteritis with severe abdominal pain:
For chronic enteritis with fatigue:
+ 10g Rx. Codonopsis Dang Shen
+ More Rx. Paeoniae Alba Bai Shao
For chronic colitis:
+ Fr. Mume Wu Mei
+ 6g Fr. Chaenomelis Mu Gua + Fr. Chaenomelis Mu Gua
+ 6g. Rx. Aucklandiae Mu Xiang + Rx. Codonopsis Dang Shen
For ulcerative colitis:
+ Rz. Dioscoreae Shan Yao
+ Rz. Cimicifugae Sheng Ma + Fr. Crataegi Zhu Sha
+ Cx. Fraxini Qin Pi
or
+ Halloysitum Rubrum Chi Shi Zhi + 20g Sm. Coicis Yi Yi Ren
or
 + 20g Sm. Plantaginis Che Qian Zi
+ Rz. Dioscoreae Shan Yao + 15g Rx. Astragali Huang Qi
+ Fr. Oryzae Germinatus Gu Ya + 15g Hb. Patriniae Bai Jiang Cao
+ Fr. Hordei Germinatus Mai Ya + 15g Rx. Angelicae Dahuricae Bai Zhi
For ulcerative colitis with severe abdominal pain:
+ 12g Cx. Magnoliae Officinalis Hou Po
+ Rz. Dioscoreae Shan Yao
+ Fr. Oryzae Germinatus Gu Ya + 10g Rx. Sophorae Flavescentis Ku Shen
+ Fr. Hordei Germinatus Mai Ya
+ Rz. Corydalis Yan Hu Suo + 10g Dry-fried Rz. Atractylodis Chao Cang Zhu
+ More Rx. Paeoniae Alba Bai Shao
+ 5g Rx. Aucklandiae Mu Xiang
For ulcerative colitis with Liver Qi Stagnation:
+ 6g Rx. Bupleuri Chai Hu
+ Rz. Dioscoreae Shan Yao
For ulcerative colitis with Qi Stagnation turning into Fire :
+ Fr. Oryzae Germinatus Gu Ya
+ Fr. Hordei Germinatus Mai Ya + Rz. Dioscoreae Shan Yao
+ Rx. Aucklandiae Mu Xiang + Fr. Oryzae Germinatus Gu Ya
+ Fr. Aurantii Zhi Ke + Fr. Hordei Germinatus Mai Ya
+ Cx. Magnoliae Officinalis Hou Po + Fr. Toosendan Chuan Lian Zi
For ulcerative colitis with Spleen Qi Deficiency:
For ulcerative colitis with Dampness in the Intestines:
+ Rz. Dioscoreae Shan Yao
+ Fr. Oryzae Germinatus Gu Ya
+ Rz. Dioscoreae Shan Yao + Fr. Hordei Germinatus Mai Ya
+ Fr. Oryzae Germinatus Gu Ya + Rx. Codonopsis Dang Shen
+ Fr. Hordei Germinatus Mai Ya + Rx. Astragali Huang Qi
+ Rx. et Rz. Rhei Da Huang + Sm. Coicis Yi Yi Ren
+ Sm. Arecae Bing Lang
For ulcerative colitis with Spleen and Kidney Deficiency:
+ Rz. Coptidis Huang Lian
For irritable bowel syndrome:
+ Rz. Dioscoreae Shan Yao
+ Four Miracle Pill
Si Shen Wan
+ Fr. Oryzae Germinatus Gu Ya
+ Fr. Hordei Germinatus Mai Ya
For irritable bowel syndrome with chronic diarrhea:
+ Four Miracle Pill
Si Shen Wan
+ Rz. Cimicifugae Sheng Ma
For irritable bowel syndrome with Spleen and Kidney Yang Deficiency:
+ Halloysitum Rubrum Chi Shi Zhi + Fr. Psoraliae Bu Gu Zhi
For irritable bowel syndrome with Liver Qi Stagnation and Blood Deficiency:
+ Cx. Cinnamomi Rou Gui
+ Rx. Bupleuri Chai Hu
For dysentery:
+ Rx. Angelicae Sinensis Dang Gui
+ Four Miracle Pill
Si Shen Wan
For irritable bowel syndrome with more pronounced Spleen Deficiency:
+ Rx. Aucklandiae Mu Xiang
+ Rz. Coptidis Huang Lian
+ 15g Rx. Astragali Huang Qi + Rx. Glycyrrhizae Gan Cao
+ 9g Rx. Codonopsis Dang Shen
For irritable bowel syndrome with Central Qi sinking due to chronic diarrhea:
+ 9g Poria Fu Ling
+ 6g Rx. Glycyrrhizae Gan Cao + 6g Fr. Aurantii Immaturus Zhi Shi
For irritable bowel syndrome with cold hands and feet:
+ 4.5g Rz. Cimicifugae Sheng Ma
+ 9g Ram. Cinnamomi Gui Zhi + 3g Rx. Bupleuri Chai Hu
+ 6g Rz. Zingiberis Gan Jiang
For irritable bowel syndrome with marked Dampness:
For irritable bowel syndrome with more prominent Qi Stagnation:
+ 9g Rz. Atractylodis Cang Zhu
+ 9g Rx. Bupleuri Chai Hu + 9g Sm. Plantaginis Che Qian Zi
+ 9g Rz. Cyperi Xiang Fu + 9g Rz. Alismatis Ze Xie
+ 9g Rx Aucklandiae Mu Xiang + 6g Rz. Zingiberis Recens Sheng Jiang
For irritable bowel syndrome with Damp-Heat:
+ 9g Rx. Scutellariae Huang Qin
For irritable bowel syndrome with cereal Food Accumulation:
+ 3g Rz. Coptidis Huang Lian
For irritable bowel syndrome with fatty, meaty Food Accumulation:
+ 9g Massa Medicata Fermentata Shen Qu
+ 9g Fr. Crataegi Shan Zha + 15g Fr. Hordei Germinatus Mai Ya
+ 9g Endothelium Corneum Gigeriae Galli Ji Nei Jin
For irritable bowel syndrome with Heat damaging Fluids:
For irritable bowel syndrome with Blood Deficiency:
+ 12g Rx. Ophiopogonis Mai Men Dong
+ 9g Rx. Angelicae Sinensis Dang Gui + 9g Rx. Puerariae Ge Gen
For irritable bowel syndrome with Kidney Qi Deficiency:
For irritable bowel syndrome with Kidney Yang Deficiency:
+ 9g Fr. Mume Wu Mei
+ 9g Rx. Dioscoreae Shan Yao + 9g Fr. Chebulae He Zi
+ 9g Sm. Cuscutae Tu Si Zi + 9g Sm. Myristicae Rou Dou Kou
+ 9g Fr. Psoraliae Bu Gu Zhi
For irritable bowel syndrome with Blood Deficiency:
For irritable bowel syndrome with Qi and Blood Stagnation and Damp-Heat:
+ 15g Rz. Corydalis Yan Hu Suo
+ 21g Sm. Coicis Yi Yi Ren + 9g Rx. Paeoniae Rubra Chi Shao
+ 15g Hb. Patriniae Bai Jiang Cao
+15g Caulis Sargentodoxae Hong Teng
For irritable bowel syndrome with frequent anger, depression or emotional tension:
+ 9g Fr. Toosendan Chuan Lian Zi + 15g Caulis Polygoni Multiflori Ye Jiao Teng
+ 9g Cx. Moutan Mu Dan Pi
For irritable bowel syndrome with night sweats, anger, pale lips and nails and tension:
+ 15g Cx. Albizziae He Huan Pi
For irritable bowel syndrome with anxiety, poor memory and poor concentration:
+ 15g Sm. Zizyphi Spinosae Suan Zao Ren
+ 12g Poria Pararadicis Fu Shen
+ 15g Poria Pararadicis Fu Shen + 12g Sm. Platycladi Bai Zi Ren
+ 6g Rx. Angelicae Sinensis Dang Gui + 12g Sm. Zizyphi Spinosae Suan Zao Ren
For abdominal pain with vomiting:
For irritable bowel syndrome with mental confusion:
+ 6g Rz. Pinelliae Preparatum Zhi Ban Xia
+ 9g Rx. Curcumae Yu Jin
+ 9g Rx. Acori Tatarinowii Shi Chang Pu + 6g Rz. Coptidis Huang Lian
For abdominal pain with irritability:
+ 6g Rx. Polygalae Yuan Zhi + 9g Rx. Bupleuri Chai Hu
For severe abdominal pain:
 + 9g Rz. Cyperi Xiang Fu
+ 6g Fr. Toosendan Chuan Lian Zi
For abdominal pain with Spleen Qi Deficiency:
+ 9g Rz. Corydalis Yan Hu Suo + 12g Rx, Codonopsis Dang Shen
For constipation:
 + 15g Poria Fu Ling
+ 9-12g Per. Arecae Da Fu Pi
For constipation with irritability and stagnant Qi:
+ 9-12g Fr. Citri Sarcodactylis Fo Shou + 9-12g Per. Arecae Da Fu Pi
+ 9-12g Fr. Citri Sarcodactylis Fo Shou
+ 9-12g Fr. Aurantii Immaturus Zhi Shi
+ 9-12g Fr. Aurantii Immaturus Zhi Shi
For constipation with Qi Deficiency, fatigue and pallor:
+ 9-12g Rx. Bupleuri Chai Hu
+ 9-12g Per. Arecae Da Fu Pi + 9-12g Per. Citri Reticulatae Viride Qing Pi
+ 9-12g Fr. Citri Sarcodactylis Fo Shou
+ 9-12g Rz. Cyperi Xiang Fu
+ 9-12g Fr. Aurantii Immaturus Zhi Shi
For constipation with colicky abdominal pain:
+ 9-12g Per. Arecae Da Fu Pi
+ 15-18g Rx. Codonopsis Dang Shen + 9-12g Fr. Citri Sarcodactylis Fo Shou
For constipation with bleeding:
 + 9-12g Fr. Aurantii Immaturus Zhi Shi
+ 9-12g Per. Arecae Da Fu Pi
+ 9-12g Fr. Citri Sarcodactylis Fo Shou + More (30g) Rx. Paeoniae Alba Chao Bai Shao
+ 9-12g Fr. Aurantii Immaturus Zhi Shi
+ 9-12g Rz. Corydalis Yan Hu Suo
+ 9-12g Rx. Sanguisorbae Di Yu + 6-9g Rx. Glycyrrhizae Gan Cao
For constipation with mucus in the stool:
+ 3-6g Powdered Rx. Notoginseng San Qi Fen + 9-12g Per. Arecae Da Fu Pi
+ 9-12g Fr. Citri Sarcodactylis Fo Shou
For constipation with Food Stagnation:
+ 9-12g Per. Arecae Da Fu Pi + 9-12g Fr. Aurantii Immaturus Zhi Shi
+ 9-12g Fr. Citri Sarcodactylis Fo Shou
+ 12-15g Rz. Atractylodis Cang Zhu
+ 9-12g Fr. Aurantii Immaturus Zhi Shi
For constipation with mild Blood Stagnation:
+ 15-30g Dry-fried Fr. Hordei Germinatus Chao Mai Ya + 9-12g Per. Arecae Da Fu Pi
+ 9-12g Fr. Citri Sarcodactylis Fo Shou
+ 15-18g Baked Fr. Crataegi Jiao Shan Zha
+ 9-12g Fr. Aurantii Immaturus Zhi Shi
+ 15-18g Baked Massa Medicata Fermentata Jiao Shen Qu
+ 12-18 Rx. Salviae Miltiorrhizae Dan Shen
For constipation with nervousness and anxiety:
+ 9-12g Per. Arecae Da Fu Pi + 9-12g Rx. Curcumae Yu Jin
+ 9-12g Fr. Citri Sarcodactylis Fo Shou + 9-12g Rz. Corydalis Yan Hu Suo
For strengthening the Liver Qi regulating action:
+ 9-12g Fr. Aurantii Immaturus Zhi Shi + 9-12g Rx. Bupleuri Chai Hu
+ 9-12g Per. Citri Reticulatae Viride Qing Pi
+ 15g Cx. Albizziae He Huan Pi
+ 6g Fr. Schisandrae Wu Wei Zi + 9-12g Rz. Cyperi Xiang Fu
+ 30g S, Tritici Levis Fu Xiao Mai
For diarrhea with severe abdominal pain:
For diarrhea with flatulence:
 + More (30g) Rx. Paeoniae Alba Bai Shao
+ 15g Dry-fried Fr. Crataegi Chao Shan Zha
+ 6-9g Rx. Glycyrrhizae Gan Cao
+ 15g Dry-fried Massa Medicata Fermentata Chao Shen Qu + 9-12g Rz. Corydalis Yan Hu Suo
For diarrhea with tenesmus:
For diarrhea with bleeding:
 + 6-9g Rx. Aucklandiae Mu Xiang
+ 9-12g Rx. Sanguisorbae Di Yu + 9-12g Sm. Arecae Bing Lang
For diarrhea with mucus:
+ 3-6g powdered Rx. Notoginseng San Qi Fen + 12-15g Rx. Atractylodis Cang Zhu
For diarrhea with Food Stagnation:
For diarrhea with mild Blood Stagnation:
+ Dry-fried Fr. Hordei Germinatus Chao Mai Ya + 12-15g Rx. Salviae Miltiorrhizae Dan Shen
+ 15g Dry-fried Fr. Crataegi Chao Shan Zha + 9-12g Rx. Curcumae Yu Jin
+ 9-12g Rz. Corydalis Yan Hu Suo
+ 15g Dry-fried Massa Medicata Fermentata Chao Shen Qu
For diarrhea with nervousness or anxiety:
+ 15g Cx. Albizziae He Huan Pi
For diarrhea with depression:
 + 6g Fr. Schisandrae Wu Wei Zi
+ 9-12g Rx. Curcumae Yu Jin + 30g Sm. Tritici Levis Fu Xiao Mai
+ 15g Cx. Albizziae He Huan Pi
For severe or resistant cases:
+ 9-12g Rz. Cyperi Xiang Fu
+ choose one or two of the following astringents
For hepatitis C with severe Qi Deficiency and Dampness:
 Halloysitum Rubrum Chi Shi Zhi
Fr. Chebulae He Zi
+ Ginseng, Poria and Atractylodis Powder
Shen Ling Bai Zhu San
Fr. Mume Wu Mei
Sm. Myristicae Rou Dou Kou
For hepatitis C with marked costal or flank distention and pain:
 Sm. Nelumbinis Lian Zi
Sm. Euryales
+ 9g Rx. Curcumae Yu Jin
For hepatitis C with severe abdominal distention:
+ 9g Fr. Toosendan Chuan Lian Zi
For hepatitis C with shortness of breath and lack of strength:
 + 9g Cx. Magnoliae Officinalis Hou Po
+ 15g Rx. Astragali Huang Qi + 9g Per. Arecae Da Fu Pi
+ 9g Rx. Codonopsis Dang Shen
For hepatitis C with cold hands and feet:
For ulcerative colitis with pain and urgent diarrhea:
+ 9g Ram. Cinnamomi Gui Zhi
   
+ 10g Rx. Bupleuri Chai Hu    
+ 15g Sm. Coicis Yi Yi Ren    
+ 12g S. Dolichorus Bai Bian Dou    
+ 12g Fr. Crataegi Shan Zha