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INDIVIDUAL HERBS

NAME: BI BA - 荜茇 - FRUCTUS PIPERIS LONGI

Pharmaceutical Latin:	Fructus Piperis Longi
Common English:	Long Pepper Fruit

PROPERTIES

Taste	Temperature	Entering Meridians	Dosage
Acrid	Hot	Stomach Large Intestine	1-5g Tincture: 0.5-1ml

ACTIONS AND INDICATIONS

Actions

Indications/Syndromes

Warms the Middle Jiao, disperses Cold from the Stomach and Intestines, Descends Qi and stops pain

Cold congealing and leading to Qi Stagnation in the epigastrium and abdomen with nausea, vomiting, hiccups, belching, acid regurgitation, loss of appetite and abdominal pain

Stomach Cold

Treats toothache (topical)

As a powder for toothache

CONTRAINDICATIONS, INCOMPATIBILITIES AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS

Contraindicated for those with Yin Deficiency with Heat signs.
Contraindicated for those with Excess Heat.

INCOMPATIBILITIES

HERB/DRUG INTERACTIONS

MAJOR COMBINATIONS

Rz. Alpiniae Officinarum Gao Liang Jiang Rz. Zingiberis Preparatum Pao Jiang	Rz. Alpiniae Officinarum Gao Liang Jiang Rz. Zingiberis Preparatum Pao Jiang Rx. Codonopsis Dang Shen Rz. Atractylodis Macrocephalae Huang Qi	Fr. Chebulae He Zi Rz. Zingiberis Gan Jiang Cx. Cinnamomi Rou Gui
Vomiting, diarrhea, and abdominal pain due to Stomach Cold	Deficiency and weakness of the Spleen and Stomach	Chronic diarrhea due to Deficiency Cold
Styrax Su He Xian Benzoinum An Xi Xiang	Lignum Santali Alba Tan Xiang Borneolum Bing Pian Hb. Asari Xi Xin	Fr. Piperis Hu Jiao
Severe attacks of Cold-Dampness and turbid Phlegm	Angina pectoris	As a powder for toothache
Cx. Cinnamomi Rou Gui Rz. Alpiniae Officinarum *Gao Liang Jiang* Rz. Zingiberis Preparatum Pao Jiang	Rx. Ginseng Ren Shen Rz. Atractylodis Macrocephalae Bai Zhu	Rz. Pinelliae Preparatum Zhi Ban Sha Rz. Zingiberis Recens Sheng Jiang
Cold in the Spleen and Stomach	Spleen and Stomach Deficiency	Nausea and vomiting due to Cold Phlegm in the Spleen and Stomach
Rx. Aucklandiae Mu Xiang Cx. Magnoliae Officinalis Hou Po
Epigastric and abdominal fullness and distention

NOTES

A large dose of this herb can be used for pain associated with malignancies.
This herb is used as an antidote for food poisoning.
This herb is most appropriate for nausea and vomiting from Cold in the Stomach and Intestinal pain.
It can be used alone or combined with other herbs that warm the Stomach and move Qi such as Cx. Magnoliae Officinalis Hou Po, Rx. Aucklandiae Mu Xiang and Rz. Alpiniae Officinarum Gao Liang Jiang.
One source says that it warms the Middle, descends Qi, tonifies the lower back and feet, kills meaty odor, digests food, expels Stomach Cold and treats bulging disorders and ensconced lumps.
Both Bi Ba and Fr. Litseae Bi Cheng Qie warm the Middle and disperse Cold to treat Middle Jiao Deficiency Cold. Bi Cheng Qie is warm, quite acrid, and more powerfully disperses to warm the Spleen and Stomach and eliminate Qi Stagnation. It is best for dispersing Cold, alleviating pain, and descending Qi. It is most appropriate for Qi Stagnation causing chest, epigastric and abdominal pain or for nausea, vomiting and hiccup due to Stomach Cold. Bi Ba is very Hot with a powerful ability to disperse Cold that has sunk deeply into the Middle Jiao and is most appropriate for Deficiency Cold of the Stomach and Intestines causing abdominal pain, nausea and vomiting.