HERB FORMULAS

ZHEN GAN XI FENG TANG - 鎮肝熄風湯 - SEDATE THE LIVER AND EXTINGUISH WIND DECOCTION

English: Sedate the Liver and Extinguish Wind Decoction
Also Known As: Decoction to Subdue Endogenous Wind in the Liver
Calm the Liver and Subdue Wind Decoction
Dragon Bone and Two Shells Combination

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Rx. Achyranthis Bidentatae Niu Xi 10-30g Circulates Blood downward, separating Blood from ascendant Yang, and tonifies and nourishes the Kidneys and Liver.
With Long Gu, Zhe Shi and Mu Li, strongly sedates the Liver, extinguishes Wind, anchors Yang and descends Qi.
Haematitum Dai Zhe Shi 10-30g Descends Qi, controls rebellion, calms the Liver, anchors Yang, clears Liver Fire and cools the Blood.
With Long Gu, Mu Li and Niu Xi, for dizziness, vertigo, headache and tinnitus due to Liver Yang Rising
Fossilia Ossis Mastodi Long Gu 9-15g Calms the Shen, calms the Liver and anchors Yang.
Concha Ostreae Mu Li 9-15g Calms the Shen, benefits Yin, prevents leakage of fluids and anchors Yang.
With Long Gu and Bai Shao, for headache, dizziness, tinnitus, anxiety, palpitations, insomnia, dream disturbed sleep and other symptoms of Yin Deficiency with Yang Rising.
Plastrum Testudinis Gui Ban 9-15g Nourishes Yin and anchors Yang.
With Xuan Shen, Tian Men Dong and Bai Shao, nourishes Yin to anchor Yang.
Rx. Scrophulariae Xuan Shen 9-15g Clears Heat, cools the Blood, nourishes Yin and drains Fire.
Tub. Asparagi Tian Men Dong 9-15g Nourishes Yin and nourishes the Kidneys and Lungs.
Rx. Paeoniae Alba Bai Shao 9-15g Calms Liver Yang, nourishes Blood and astringes Yin.
With Gan Cao, regulates the relationship between the Liver and Spleen and nourishes the sinews to treat abdominal pain due to disharmony between the Liver and Stomach and muscle spasms, especially in the calf, due to Blood Deficiency.
Hb. Artemisiae Scopariae Yin Chen Hao 3-6g Clears Damp-Heat from the Liver and Gallbladder.
With Chuan Lian Zi, Mai Ya and Niu Xi, clears and drains Liver Yang and reinforces the pacifying, controlling and sedating of Liver Yang.
Fr. Toosendan Chuan Lian Zi 3-6g Dredges Liver Qi, releases constraint, stops pain and conducts Heat out from below.
Fr. Hordei Germinatus Mai Ya 3-6g Smooths the flow of Liver Qi.
Rx. Glycyrrhizae Gan Cao 3-6g Regulates and harmonizes the other herbs.
With Mai Ya, harmonizes the Stomach and adjusts the Middle Jiao, preventing the metals in this formula from harming the Stomach.

FORMULA ACTIONS

  • Sedates the Liver
  • Extinguishes Wind
  • Nourishes Yin
  • Anchors Yang

SYNDROMES

  • Liver Wind Stirring Internally: Liver Yang (Liver Fire) Transforms into Wind
  • Liver and Kidney Yin Deficiency with Liver Yang Rising leading to Liver Wind with Rebellious Qi and Blood
  • Jue Yin Heat type headache

CLINICAL MANIFESTATIONS

  • Dizziness
  • Vertigo
  • A feeling of distention in the eyes
  • Tinnitus
  • Feverish sensation in the head
  • Headache
  • Irritability
  • Flushed face as if intoxicated
  • Swelling of the eyes
  • Frequent belching
  • Progressive motor dysfunction occurring over hours to days
  • Development of facial asymmetry
  • Sudden loss of consciousness
  • Spasms
  • Heat and pain of the brain
  • Mental confusion with moments of lucidity
  • Inability to fully recover after loss of consciousness
  • Hiccups
  • Belching
  • Irritable Heat in the Heart
  • Deviation of mouth and eyes
  • Tremors
  • Limited mobility of the limbs
  • T: Red
  • C: Little
  • P: Wiry, Excess and long

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Contraindicated for those with hypertension due to Kidney Yin and/or Yang Deficiency
  • Use caution for those with Spleen Deficiency.
  • Use caution for those with Blood Deficiency.
  • Use caution for those with Kidney Deficiency.
  • Use caution for those with Phlegm-Damp Accumulation.
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For a sensation of Heat in the chest: For profuse sputum:
+ Gypsum Fibrosum Shi Gao - Rx. Glycyrrhizae Gan Cao
+ Fr. Gardeniae Zhi Zi - Rx. Scrophulariae Xuan Shen
For extreme Liver and Kidney Deficiencies:
 + Pulvis Arisaemae cum Felle Bovis Dan Nan Xing
+ Rx. Rehmanniae Shu Di Huang + Bul. Fritillariae Cirrhosae Chuan Bei Mu
+ Fr. Corni Shan Zhu Yu
or
For severe distending pain in the eyes, nausea and vomiting:
- Plastrum Testudinis Gui Ban
+ 6g Arisaema cum Bile Dan Nan Xing
+ Spica Prunellae Xia Ku Cao + 6g Succus Bambusae Zhu Li
+ Concha Haliotidis Shi Jue Ming
For severe irritability:
or
 + 12g Rx. Scutellariae Huang Qin
+ Ram. Uncariae cum Uncis Gou Teng + 18g Gypsum Fibrosum Shi Gao
For a severe headache:
+ Flos Chrysanthemi Ju Hua + 12g Concha Haliotidis Shi Jue Ming
or
 + 12g Spica Prunellae Xia Ku Cao
+Cornu Saigae Tataricae Ling Yang Jiao
For constipation with a greasy, yellow tongue coat:
For postpartum fever with vertigo, twitching and spasms of the limbs, a red tongue and a wiry, rapid pulse:
+ 20g Fr. Trichosanthis Gua Lou
+ 9g Fr. Aurantii Zhi Shi
+ Fr. Chaenomelis Mu Gua + 6-9g Rx. et Rz. Rhei Da Huang
+ Ram. Uncariae cum Uncis Gou Teng
For slurred speech:
+ 6g Rz. Acori Tatarinowii Shi Chang Pu
For cerebral arteriosclerosis:
+ Concha Haliotidis Shi Jue Ming + 6g Rz. Arisaematis Preparatum Zhi Tian Nan Xing
+ Per. Citri Reticulatae Chen Pi
+ Sm. Persicae Tao Ren + 9g Bombyx Batryticatus Jiang Can
+ Hb. Agastaches/ Pogostemonis Huo Xiang
For facial paralysis:
For stroke due to Liver Yang Rising:
+ 6g Rx. Typhonii Preparatum Zhi Bai Fu Zi
- Plastrum Testudinis Gui Ban
- Rx. Asparagi Tian Men Dong + 9g Bombyx Batryticatus Jiang Can
- Hb. Artemisiae Scopariae Yin Chen Hao
+ 3g Scorpio Quan Xie
- Fr. Toosendan Chuan Lian Zi
For numbness or paralysis of the limbs:
- Fr. Hordei Germinatus Mai Ya + 6g Eupolyphaga/ Steleophaga Tu Bie Chong
- Rx. Glycyrrhizae Gan Cao
+ Rx. Rehmanniae Sheng Di Huang + 3g Scorpio Quan Xie
+ Pheretima Di Long + 3g Scolopendra Wu Gong
+ Flos Chrysanthemi Ju Hua
For a headache and dizziness or vertigo:
+ Ram. Uncariae cum Uncis Gou Teng
+ Spica Prunellae
+ Flos Chrysanthemi Ju Hua
+ Hb. Taxilli Sang Ji Sheng
For a deficient pulse even with heavy pressure:
+ Rx. Salviae Miltiorrhizae Dan Shen - Fr. Toosendan Chuan Lian Zi
+ 24g Rx. Rehmanniae Preparata Shu Di Huang
+ Caulis Spatholobi Ji Xue Teng + 15g Fr. Corni Shan Zhu Yu
For stools that are not well formed:
For hypertension:
- Haematitum Dai Zhe Shi + Spica Prunellae Xia Ku Cao
- Plastrum Testudinis Gui Ban + Ram. Uncariae cum Uncis Gou Teng
+ Halloysitum Rubrum Chi Shi Zhi
For arteriosclerotic Heart disease:
+ Flos Chrysanthemi Ju Hua
+ Rx. Paeoniae Rubra Chi Shao
For stroke due to Liver Yang Rising with Blood Stagnation:
Rx. Salviae Miltiorrhizae Dan Shen
For ALS:
+ 15g Caulis Spatholobi Ji Xue Teng
+ 15g Rz. Gastrodiae Tian Ma + 9g Pheretima Di Long
+ 15g Ram. cum Uncis Uncariae Gou Teng
For severe Heat:
+ Gypsum Fibrosum Shi Gao
+ 15g Flos Chrysanthemi Ju Hua
For severe Phlegm:
+ Arisaema cum Bile Dan Nan Xing
For an empty or weak pulse at the Chi position:
For a headache:
+ Rx. Rehmanniae Preparata Shu Di Huang + Spica Prunellae Xia Ku Cao
+ Ram. cum Uncis Uncariae Gou Teng
+ Fr. Corni Shan Zhu Yu
For a stroke:
+ Flos Chrysanthemi Ju Hua
+ Pheretima Di Long
For trigeminal neuralgia:
+ Rx. Salviae Miltiorrhizae Dan Shen + Rx. Gentianae Long Dan Cao
For poorly formed stools:
+ Sm. Persicae Tao Ren - Plastrum Testudinis Gui Ban
+ Flos Carthami Hong Hua - Haematitum Dai Zhe Shi
For cerebral hemorrhaging:
+ Halloysitum Rubrum Chi Shi Zhi
+ Calm the Palace Pill with Cattle Gallstone
An Gong Niu Huang Wan
For acute or severe vascular headaches:
+ Ram. cum Uncis Uncariae Gou Teng
For chronic or unrelenting vascular headaches:
+ Rx. Salviae Miltiorrhizae Dan Shen + Rx. Angelicae Dahuricae Bai Zhi
+ Rz. Chuanxiong Chuan Xiong
For concussions with nausea and vomiting:
For concussions with subdermal bleeding and bruising:
+ Calyx Kaki Shi Di
+ Caulis Bambusae in Taeniam Zhu Ru + Rx. Notoginseng San Qi
For concussions with insomnia and palpitations:
For menopause syndrome with tinnitus and low back pain:
 + Sm. Zizyphi Spinosae Suan Zao Ren
+ Concha Margaritaferae Zhen Zhu Mu
+ Hb. Ecliptae Mo Han Lian
+ Hb. Taxilli Sang Ji Sheng
For menopause syndrome with breast distention:
For menopause syndrome with a dry mouth and tongue:
 + Fr. Tribuli Bai Ji Li
+ Fr. Citri Sarcodactylis Fo Shou
+ Hb. Dendrobii Shi Hu
For dizziness, vertigo, and transitory ischemic attack:
+ Rx. Ophiopogonis Mai Men Dong
For dizziness, vertigo, and transitory ischemic attack with a chronic headache:
 - Hb. Artemisiae Scopariae Yin Chen Hao
+ 6g Hb. Artemisiae Annuae Qing Hao
- Hb. Artemisiae Scopariae Yin Chen Hao
For dizziness, vertigo, hypertension and transitory ischemic attack with hypertension:
+ 6g Hb. Artemisiae Annuae Qing Hao
- Hb. Artemisiae Scopariae Yin Chen Hao
+ 15g Rx. Salviae Miltiorrhizae Dan Shen
+ 6g Hb. Artemisiae Annuae Qing Hao
+ 6g Rz. Chuanxiong Chuan Xiong
For dizziness, vertigo, and transitory ischemic attack with significant Kidney Deficiency:
 + 12g Ram. Uncariae cum Uncis Gou Teng
- Hb. Artemisiae Scopariae Yin Chen Hao + 9g Flos Chrysanthemi Ju Hua
+ 9g Pheretima Di Long
+ 6g Hb. Artemisiae Annuae Qing Hao
For dizziness, vertigo, and transitory ischemic attack with constipation:
- Hb. Artemisiae Scopariae Yin Chen Hao
+ 18g Rx. Rehmanniae Preparata Shu Di Huang
+ 6g Hb. Artemisiae Annuae Qing Hao
+ 12g Fr. Corni Shan Zhu Yu
For fidgeting:
 - Haematitum Dai Zhe Shi
+ 9g Rx. Scutellariae Huang Qin + 15g Halloysitum Rubrum Chi Shi Zhi
+ 9g Fr. Gardeniae Zhi Zi
For temporomandibular syndrome (TMJ) with dizziness and vertigo:
For temporomandibular syndrome (TMJ) with Phlegm Obstructing the channels:
+15g Spica Prunellae Xia Ku Cao + 9g Bul. Fritillariae Thunbergii Zhe Bei Mu
+ 9g Flos Chrysanthemi Ju Hua
For temporomandibular syndrome (TMJ) with more severe Kidney and Liver Yin Deficiency:
 + 9g Rz. Arisaematis Preparatum Zhi Tian Nan Xing
+ 12g Rx. Rehmanniae Preparata Shu Di Huang
For full-blown AIDS:
+ Fr. Schisandrae Wu Wei Zi
+ 12g Fr. Corni Shan Zhu Yu + Ram. cum Uncis Uncariae Gou Teng
   
    + Fr. Gardeniae Zhi Zi
    + Concha Haliotidis Shi Jue Ming