HERB FORMULAS

ZHI SHI DAO ZHI WAN - 枳實導滯丸 - UNRIPE BITTER ORANGE PIL TO GUIDE OUT STAGNATION

English: Unripe Bitter Orange Pill to Guide out Stagnation
Also Known As: Immature Bitter Orange Pill to Guide out Stagnation

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Fr. Aurantii Immaturus Zhi Shi 9-15g Breaks up stagnant Qi, reduces accumulation, descends Qi, unblocks bowels, transforms Phlegm and removes stagnant food.
With Da Huang, for constipation, dysentery, distention and pain due to Food Stagnation and Blockage due to Damp-Heat.
Rx. et Rz. Rhei Da Huang 9-30g Drains Damp-Heat and purges accumulations.
With Huang Lian, for fullness and distention due to Heat Accumulation.
Massa Medicata Fermentata Shen Qu 9-15g Reduces Food Stagnation and harmonizes the Stomach.
With Bai Zhu, for Food Stagnation and diarrhea due to Spleen Deficiency
Poria Fu Ling 6-9g Drains Dampness, strengthens the Spleen, harmonizes the Middle Jiao and transforms Phlegm.
With Bai Zhu, strengthens the Spleen and resolves Dampness.
Rx. Scutellariae Huang Qin 6-9g Clears Heat and dries Dampness.
With Da Huang and Zhi Shi, for dysentery with tenesmus due to Food Stagnation transforming into Damp-Heat.
Rz. Coptidis Huang Lian 6-9g Clears Heat, drains Dampness and drains Stomach Fire.
Rz. Atractylodis Macrocephalae Bai Zhu 6-9g Strengthens the Spleen and resolves Dampness.
With Zhi Shi, for epigastric and abdominal distention due to Spleen and Stomach Deficiency with Food Stagnation.
Rz. Alismatis Ze Xie 6g Clears Heat and promotes urination.

FORMULA ACTIONS

  • Reduces and guides out Stagnation and Accumulation
  • Clears Heat
  • Dispels Dampness

SYNDROMES

  • Food Stagnation in the Stomach transforming into Damp-Heat with Intestinal Obstruction
  • Diarrhea due to Injury by Food

CLINICAL MANIFESTATIONS

  • Abdominal pain (worse with pressure)
  • Abdominal and epigastric distention
  • Dysentery
  • Scanty dark urine
  • Constipation
  • T: Red
  • C: Yellow and greasy or slippery
  • P: Deep and forceful

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Use only for Excess patterns.
  • Contraindicated for those with dysenteric disorders without Qi Stagnation.
  • Contraindicated for those with loose stool or diarrhea who do not have Food Stagnation.
  • Contraindicated during pregnancy.
  • Avoid consumption of Cold, raw foods while using this formula.
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For dysenteric disorders with Damp-Heat in the Intestines: For abdominal fullness and distention:
+ Rx. Sophorae Flavescentis Ku Shen + Rx. Aucklandiae Mu Xiang
+ Sm Arecae Bing Lang
+ Rx. Sanguisorbae Di Yu
For loss of appetite:
For abdominal pain:
+ Fr. Crataegi Shan Zha
+ Endothelium Corneum Gigeriae Galli Ji Nei Jin
+ Rx. Paeoniae Alba Bai Shao
+ Rx. Glycyrrhizae Gan Cao
For diarrhea and dysentery due to Toxic Heat:
For nausea and vomiting:
+ Flos Lonicerae Jin Yin Hua + Caulis Bambusae in Taeniam Zhu Ru
+ Rx. Pulsatillae Bai Tou Weng
For trigeminal neuralgia with constipation:
For trigeminal neuralgia with Yin Deficiency:
+ More Rx. et Rz. Rhei Da Huang + Rx. Rehmanniae Sheng Di Huang
For trigeminal neuralgia with chronic Blood Stagnation:
For hematemesis:
+ 12g Cacumen Platycladi Ce Bai Ye
+ Sm. Persicae Tao Ren
+ Flos Carthami Hong Hua + 12g Rx Rehmanniae Sheng Di Huang
For hematemesis with severe vomiting and bleeding:
For hematemesis with Blood Stagnation:
+ 12g Cacumen Platycladi Ce Bai Ye
+ 12g Cacumen Platycladi Ce Bai Ye
+ 12g Rx Rehmanniae Sheng Di Huang
+ 12g Rx Rehmanniae Sheng Di Huang + 9-12g Pollen Typhae Pu Huang
+ 30g Rz. Imperatae Bai Mao Gen + 3-6g Rx. Notoginseng San Qi
+ 9-15g Rz. Bletillae Bai Ji
For hematemesis in patients with alcohol problems:
+ 9-12g Cx. Moutan Mu Dan Pi
    + 12g Cacumen Platycladi Ce Bai Ye
   
    + 12g Rx Rehmanniae Sheng Di Huang
    + Flos Puerariae Ge Hua