HERB FORMULAS

ZHEN REN YANG ZANG TANG - 真人養臟湯 - TRUE MAN'S DECOCTION TO NOURISH THE ORGANS

English: True Man’s Decoction to Nourish the Organs
Also Known As: Yang Zang Tang
Viscera’s Nourishing Decoction with Ginseng

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Rx. Ginseng Ren Shen 3-20g Tonifies Yuan Qi and Spleen, Lung and Heart Qi.
With Bai Zhu, strengthens the Spleen and augments Qi.
Rz. Atractylodis Bai Zhu 9-20g Tonifies the Spleen, tonifies Qi and dries Dampness.
Cx. Cinnamomi Rou Gui 3-24g Warms the Kidneys, strengthens Yang, warms the Spleen and alleviates pain.
With Chao Rou Dou Kou, warms Kidney and Spleen Yang to Dispel Cold and helps Ren Shen and Bai Zhu strengthen the Spleen.
Fried Sm. Myristicae Chao Rou Dou Kou 6-30g Astringes the Intestines, stops diarrhea, warms the Middle Jiao, moves Qi and alleviates pain.
With Ren Shen, Bai Zhu and Rou Gui, for chronic diarrhea due to Spleen and Stomach Deficiency Cold.
With He Zi, for chronic diarrhea and dysenteric disorders
With Ren Shen, Zhi Ying Su Ke and Rou Gui for severe diarrhea with slippage of Qi.
Fr. Chebulae He Zi 6-36g Astringes the Intestines and stops diarrhea.
With Zhi Ying Su Ke, binds the Intestines and stops diarrhea.
With Ren Shen, Bai Zhu and Chao Rou Dou Kou, for long-term dysenteric disorders that have seriously injured the normal Qi leading to a prolapsed rectum.
With Mu Xiang, for poor appetite, diarrhea, and Cold abdominal pain due to Spleen and Stomach Deficiency Cold leading to constrained Middle Jiao Cold.
Per. Papaveris Zhi Ying Su Ke 6-108g Astringes the Intestines, stabilizes the Lower Jiao and alleviates pain.
(Per. Granati) (Shi Liu Pi) (9-15g) (Substitutes for Zhi Ying Su Ke.)
Rx. Paeoniae Alba Bai Shao 9-48g Alleviates pain, nourishes the Blood and astringes Yin.
With Dang Gui, nourishes Yin and Blood.
Rx. Angelicae Sinensis Dang Gui 6-18g Moistens the Intestines, unblocks the bowels, alleviates pain and nourishes the Blood.
With Bai Shao, regulates and harmonizes Qi and Blood and treats Blood Deficiency Heat.
Rx. Aucklandiae Mu Xiang 6-42g Helps revive the Spleen, regulates Qi, prevents Stagnation and alleviates tenesmus.
With Bai Zhu, for anorexia with epigastric and abdominal pain and distention.
Fried Rx. Glycyrrhizae Zhi Gan Cao 3-24g Helps tonify the Middle Jiao and harmonizes.
With Bai Shao, alleviates abdominal pain.

FORMULA ACTIONS

  • Warms the Middle
  • Tonifies the Spleen and Stomach
  • Astringes the Intestines
  • Stops diarrhea

SYNDROMES

  • Colon Deficiency with Slippery Prolapse
  • Spleen and Stomach Deficiency Cold
  • Chronic diarrhea
  • Dysenteric disorders with unremitting diarrhea

CLINICAL MANIFESTATIONS

  • Chronic unremitting diarrhea
  • Chronic dysentery
  • Maybe fecal incontinence
  • Prolapsed rectum (severe)
  • Diarrhea may contain pus and Blood
  • May be tenesmus
  • Mild persistent abdominal pain
  • Pain better with warmth and pressure
  • Lethargy
  • Red or white dysentery
  • Reduced appetite
  • Weak legs
  • Low back soreness
  • Pale (wan) complexion
  • T: Pale
  • C: White
  • P: Thready and slow

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Contraindicated for those with Excess conditions.
  • Contraindicated for those with Heat and toxins remaining in the body.
  • Contraindicated for those with Stagnation.
  • Contraindicated for those with Damp-Heat.
  • Contraindicated for those in the Initial stage of diarrhea or dysentery.
  • Avoid alcohol, fish, and raw, cold, oily or greasy foods while taking this decoction.
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For diarrhea due to Spleen and Kidney Yang Deficiency with undigested food: For prolapsed rectum:
+ Rz. Zingiberis Gan Jiang + Rx. Astragali Huang Qi
+ Rx. Lateralis Aconiti Preparata Zhi Fu Zi + Rz. Cimicifugae Sheng Ma
or
or
+ Prepared Aconite Pill to Regulate the Middle
Fu Zi Li Zhong Wan
+ Tonify the Middle and Augment the Qi Decoction
Bu Zhong Yi Qi Tang
For severe abdominal pain:
For chronic colitis:
+ Sm. Arecae Bing Lang - Rx. Ginseng Ren Shen
For chronic colitis with Stomach Cold and cold extremities:
+ 12-30g Rx. Codonopsis Dang Shen
- Rx. Ginseng Ren Shen - Per. Papaveris Ying Su Ke
+ 12-30g Rx. Codonopsis Dang Shen + 12-15g Rx. Astragali Huang Qi
- Per. Papaveris Ying Su Ke + 15-30g Halloysitum Rubrum Chi Shi Zhi
+ 12-15g Rx. Astragali Huang Qi
+ 15-30g Halloysitum Rubrum Chi Shi Zhi + 9-15g Rz. Corydalis Yan Hu Suo
+ 9-15g Fr. Mume Wu Mei
+ 9-15g Rz. Corydalis Yan Hu Suo
For chronic colitis with Stomach Cold and cold extremities:
+ 9-15g Fr. Mume Wu Mei
+ Rz. Zingiberis Gan Jiang - Rx. Ginseng Ren Shen
For chronic colitis with Yang Deficiency and hematochezia:
+ 12-30g Rx. Codonopsis Dang Shen
- Rx. Ginseng Ren Shen - Per. Papaveris Ying Su Ke
+ 12-30g Rx. Codonopsis Dang Shen + 12-15g Rx. Astragali Huang Qi
+ 15-30g Halloysitum Rubrum Chi Shi Zhi
- Per. Papaveris Ying Su Ke
+ 12-15g Rx. Astragali Huang Qi + 9-15g Rz. Corydalis Yan Hu Suo
+ 15-30g Halloysitum Rubrum Chi Shi Zhi + 9-15g Fr. Mume Wu Mei
+ Fr. Amomi Sha Ren
+ 9-15g Rz. Corydalis Yan Hu Suo + Cx. Magnoliae Officinalis Hou Po
+ 9-15g Fr. Mume Wu Mei
+ Charred Rx. Sanguisorbae Di Yu Tan
For chronic colitis with Spleen and Kidney Yang Deficiency:
For chronic colitis with ulceration of the intestinal mucous membrane:
- Rx. Ginseng Ren Shen
+ 12-30g Rx. Codonopsis Dang Shen
- Rx. Ginseng Ren Shen
+ 12-30g Rx. Codonopsis Dang Shen - Per. Papaveris Ying Su Ke
+ 12-15g Rx. Astragali Huang Qi
- Per. Papaveris Ying Su Ke + 15-30g Halloysitum Rubrum Chi Shi Zhi
+ 12-15g Rx. Astragali Huang Qi
+ 15-30g Halloysitum Rubrum Chi Shi Zhi + 9-15g Rz. Corydalis Yan Hu Suo
+ 9-15g Fr. Mume Wu Mei
+ 9-15g Rz. Corydalis Yan Hu Suo + Hb. Epimedii Yin Yang Huo
+ 9-15g Fr. Mume Wu Mei + Fr. Psoraliae Bu Gu Zhi
+ Catechu Er Cha
For chronic dysentery:
For diarrhea with clear watery stools, 5 am diarrhea or abdominal pain which is better with pressure:
+ 5-30g Rx. Lateralis Aconiti Preparata Zhi Fu Zi
+ 10-30g Halloysitum Rubrum Chi Shi Zhi
- Rx. Angelicae Sinensis Dang Gui
For diarrhea:
+ 15g Rx. Morindae Officinalis Ba Ji Tian - Rx. Angelicae Sinensis Dang Gui
+ 15g Fr. Psoraliae Bu Gu Zhi
For diarrhea with severe Cold:
For Spleen and Kidney Yang Deficiency:
- Rx. Angelicae Sinensis Dang Gui
+ Peach Blossom Decoction
Tao Hua Tang
+ Rx. Lateralis Aconiti Preparata Zhi Fu Zi
- Nonglutinous Rice Geng Mi + Rz. Zingiberis Gan Jiang
+ Poria Fu Ling
For chronic diarrhea with Blood Stagnation:
For Spleen and Kidney Yang Deficiency with severe prolapse:
- Rx. Angelicae Sinensis Dang Gui
+ 12g Faeces Trogopterori Wu Ling Zhi
+ Peach Blossom Decoction
Tao Hua Tang
+ 12g Pollen Typhae Pu Huang
+ 6g Rx. Asari Xi Xin
- Nonglutinous Rice Geng Mi
For Spleen and Kidney Yang Deficiency with severe Cold:
+ Poria Fu Ling
+12-15g Limonitum Yu Yu Liang
+ Peach Blossom Decoction
Tao Hua Tang
+ 30-50g Rx. Astragali Huang Qi
+ 6-9g Rx. Bupleuri Chai Hu - Nonglutinous Rice Geng Mi
+ 6-12g Rz. Cimicifugae Sheng Ma + Poria Fu Ling
or
 + 9-15g Rx. Aconiti Lateralis Preparata Zhi Fu Zi
+ Peach Blossom Decoction
Tao Hua Tang
- Nonglutinous Rice Geng Mi
For rectal prolapse:
+ Poria Fu Ling + 5-30g Rx. Lateralis Aconiti Preparata Zhi Fu Zi
+ Tonify the Middle and Augment the Qi Decoction
Bu Zhong Yi Qi Tang
+ Rx. Astragali Huang Qi
   
+ a topical solution consisting of:
    Per. Granati Shi Liu Pi
    Alumen Ming Fan
    Galla Chinensis Wu Bei Zi
   
or
    - Rx. Ginseng Ren Shen
    + 12-15g Rx. Codonopsis Dang Shen
   
    + 30-60g honey-fried Rx. Astragali Mi Zhi Huang Qi
   
    + 9-12g Rz. Cimicifugae Sheng Ma