Chinese herbal treatment of CHRONIC DIGESTIVE DISORDERS

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Digestive disorders are extremely common in the United States. Many Americans who consume antacids in large quantities don't even consider themselves to be suffering from a chronic digestive disorder. Flatulence, tiredness after eating, heartburn, fullness of the stomach, abdominal bloating, sharp stabbing pain, diarrhea, constipation, are common signs of chronic digestive disorders. The American dietary habits of eating on the run, consuming cold and raw foods, drinking iced beverages, adults eating a preponderance of dairy products, fondness for sweets, fried foods, and alcohol, are perhaps the greatest contributing factors to digestive disorders.

The spirit in which food is eaten is also quite important, according to Chinese medicine. While eating, concentration should be focused on that activity. Worrying or thinking while eating may cause the body harm. Also, returning to work immediately after a meal, or working while eating, could compromise the digestive process.

Proper digestion is necessary for good health. Undigested or incompletely digested food molecules that are absorbed into the system can lead to various diseases and the development of food allergies. Conditions of the small intestine often cause malabsorption syndromes.

This article discusses the traditional Chinese medicine (TCM) syndromes and treatment of the following biomedical diseases: ulceralive colitis, Crohn's disease, peptic ulcers, irritable bowel syndrome, and other common digestive disorders.
Symptoms and Syndrome Patterns

TCM treatment of diseases is based on the correct differentiation of syndrome patterns. Thus, while the Western diagnosis of some conditions may differ, the TCM pattern may be the same. For example, Crohn's disease and ulcerative colitis are biomedically different. Crohn's disease is characterized by an inflammatory reaction throughout the entire bowel wall; the condition is also known as regional ileitis: The disease can extend over many years with exacerbations and remissions of symptoms that include diarrhea, abdominal pain, anemia, weight loss, fistula formation, and eventually intestinal obstruction. Stools are soft and grayish or brownish, with abundant fecal particles. Any part of the gastrointestinal tract may be involved, but the ileum is the most common site. Current Western treatment is usually long-term antibiotic or steroid therapy.

Ulcerative colitis is characterized by passage of watery stools with mucus and pus. Accompanying symptoms may include abdominal pain, tenderness or colic, as well as intermittent or irregular fever. Serious cases may present hemorrhaging and perforation. Both Crohn's disease and ulcerative colitis are considered inflammatory bowel diseases (IBD). Males between 15-35 years are most commonly affected. In 15-40% of cases, multiple members of a family are sufferers of Crohn's disease or ulcerative colitis. Although immune dysfunction is common in IBD, it is unclear if it is the cause or the result of IBD. The actual cause of IBD is unknown. A virus or bacteria may be at fault, or a breakdown of the body's immune system, or a combination of the two. IBD is not caused by emotional stress, although flare-ups may occur during such times.

Irritable bowel syndrome (IBS) is quite common in the US. IBS is not associated with pathologic changes in the intestine, or with inflammation. It is widely believed that emotional fluctuations play a strong role in causing IBS. Also known as spastic colon or nervous indigestion, IBS symptoms include abdominal pain and distention with relief upon bowel movements, constipation, diarrhea, excess mucus production in the colon, and indigestion. A peptic ulcer, which occurs in the upper gastrointestinal tract, is a circumscribed ulceration of the mucous membrane penetrating through the muscularis mucosa. The most common type of peptic ulcer, a duodenal ulcer, is found in the first few centimeters of the duodenum. Another common form occurs along the lesser curvature of the stomach and is known as a gastric ulcer.

The typical pattern of pain in patients with duodenal ulcers is: It is absent upon wakening in the morning, but appears in mid-morning; it is relieved by food, but recurs two to three hours after a meal; pain that awakens the patient at 1 or 2 AM is common. The symptoms of gastric ulcers often do not follow the duodenal ulcer pattern, and eating may cause rather than relieve the pain. Certain drugs, especially aspirin, other non-steroid anti-inflammatory drugs, and possibly corticosteroids, predispose to the formation of upper gastrointestinal ulcers that tend to heal when the drug is discontinued. In diagnosing chronic digestive disorders, parasitic infections, and more importantly, food allergies, must be ruled out.

Gastroenterologists generally recommend a low fiber diet, although good nutrition is very important especially for IBD sufferers, since anemia is quite common. Successful treatment of chronic digestive disorders necessitates first treating any parasitic and/or Candida infections that may be present. According to TCM, stress while eating and even returning to work immediately after eating, can cause digestive problems. Many Americans tend to be Qi deficient which affects both our energy and our ability to convert foods into energy.

Pharmaceuticals as well as recreational drugs may induce Stomach Yin deficiency. The root of digestive disorders is usually Liver Qi invading the Spleen/Stomach.

12n1.jpgStagnant Liver Qi disrupts the ability of the Spleen to transform food into energy.

Stagnant Liver Qi disrupts the ability of the Spleen to transform food into energy. When stagnation of Liver Qi predominates, constipation with tiny dry stools is a common presentation; while with Spleen deficiency, loose stools is. Other symptoms of Liver and Spleen/Stomach Qi stagnation include distention, fullness in the upper abdomen that is aggravated after meals or by emotional stress, frequent belching, pain relieved by bowel movements, nausea, regurgitation, and a thin white tongue coating. Individuals who are in the habit of drinking cold beverages, eating ice cream and raw foods are particularly prone to a Cold-dampness pattern. Their symptoms include pain that is relieved by pressure, distention and fullness of the stomach after meals, tiredness, cold limbs, pale tongue with white coating and a weak pulse. A burning pain in the upper abdomen relieved by meals, thirst without the desire to drink much, irritability, red tongue with dry yellow coating, and a rapid pulse all point to Yin deficiency pattern.

In all chronic digestive disorders food stagnation is present. Chronic Dampness precludes complete digestion of food, overeating, eating too quickly, or eating while emotionally upset can all lead to food stagnation. Symptoms include a sensation of fullness in the stomach, foul breath, sour regurgitation, belching, and insomnia, along with a thick yellow or while tongue coaling. Damp-heal in the Large Intestine is another common syndrome of chronic digestive disorders. Qi deficiency is also present along with abdominal pain, diarrhea, mucus and blood in the stools, smelly stools, heaviness in the body, fever, anal burning, and a red tongue with a sticky yellow coating. Individuals with this pattern are generally diagnosed as having Candida by holistic physicians whether or not tests indicate higher than normal Candida counts. Many cases of Candida are ialrogenic because of the over-prescribing of antibiotics by Western physicians. When colonies of yeast are established in the mucous membrane, they can survive for years and even decades if the patient's diet is composed of high sugar, yeast, or fermented foods. Yeast can attach to the wall of the colon, small intestine, or any other part of the gastrointestinal tract, and release toxic byproducts into the circulatory system. These byproducts inhibit the function of T-suppresser cells.

According to Seattle physician, Ralph Golan, MD (The New Medicine Guide, Ballantine Books, 1993), a yeast-impaired immune system has less than normal tolerance for ordinarily safe levels of common chemicals such as gasoline and oil fumes, cleaning fluids, and pesticide residues found on supermarket produce. Dr. Golan also notes that an impaired immune system may produce antibodies to the body's own tissues resulting in auto-immune diseases. Other pharmaceuticals that may lead to Candida include cortisone, immunosuppressants, and birth control pills.

Patients suffering Crohn's disease or colitis have a propensity for developing both Candida and Damp-heat in the intestines. Thus, in addition to following a TCM diet, herbs in a well-balanced formula should be taken for extended periods. Severe cases of IBD involve Blood stasis which is characterized by fixed stabbing pain, a tongue that is purple in the center, dark blood in the stools, and epigastric pain. Because inflammation is a major symptom of IBD, the standard medical treatment is long-term administration of steroids, antibiotics, or sulfa drugs. Surgery is now rare because steroids are almost immediately effective. However, TCM views the use of steroids as harmful to the Kidney. From a Western Medicine standpoint, steroids may cause gastrointestinal disorders, and myriad of other problems. Long-term antibiotic use may cause gastrointestinal complaints, fungal overgrowth, and allergic reactions. Sulfa drugs may also lead to gastrointestinal disturbances and allergic skin reactions.
Treatment

Chinese herbs that have an anti-inflammatory action are effective not only in reducing inflammation, but also in attacking bacteria which may be the cause of flare-ups of IBD. Isatis leaf (Da Qing Ye) and root (Ban Lan Gen) are very effective as they are both antibiotic and anti-viral according to Chinese research. They are also cool in nature, and thus are anti-inflammatory. In studies described by Bensky and Gamble in Chinese Herbal Medicine: Materia Medica, 300 patients were administered Isatis and their "fevers would usually disappear entirely within one day, and frequency of bowel movements usually returned to normal within five days" (p. 127). Smilax (Tu Fu Ling) is also an important herb as it clears Damp-heat toxin and treats ulcers. According to Michael Murray, ND, in his Healing Power of Herbs, Smilax is an endotoxin binder (p. 215). Endotoxins are cell wall constituents of bacteria that are absorbed in the gut. If the Liver is in dysfunction, the endotoxins may seep into the bloodstream and activate the alternate complement system which plays a critical role in the inflammatory process.

13n1.jpgIsatis

One of the most suitable formulas for treating IBD is Phellostatin because of its anti-fungal properties, since many IBD patients are also afflicted by Candida. The main ingredient is Phellodendron (Huang Bai) which treats diarrhea and eliminates Heat and Dampness. The remaining herbs in the formula tonify the Qi, clear Heat and Dampness, and are anti-inflammatory and anti-fungal. Phellostatin may be combined with Quiet Digestion. The primary ingredient in the latter formula is Shen Qu which is composed of fermented herbs that are rich in enzymatic activity. For severe cases of gas and bloating, Quiet Digestion may be taken every two hours until the gas subsides. The formula is designed to break down rapidly in the gut for immediate relief. It should be started slowly, one tablet three times per day and then gradually increased to three tablets three times per day after two to three weeks. Quiet Digestion is taken just before meals in order to help the assimilation of food. It may also be taken after meals when gas-inducing foods are consumed, usually two tablets until the symptoms are alleviated.

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13n2.jpgCardamom

We recommend combining Quiet Digestion with other formulas when treating chronic digestive disorders, since food stagnation is so common among these cases. For chronic digestive disorders that are accompanied by pain and inflammation, Isatis Cooling is appropriate. In addition to Isatis extract (Da Qing Ye and Ban Lan Gen), its other ingredients tonify the Spleen, promote blood circulation, clear Dampness and Heat, and are anti-inflammatory, anti-fungal, and antibacterial. Under proper medical supervision Isatis Cooling may be tried as steroids are slowly withdrawn. Underlying the Heat and inflammation is deficiency, thus after a course of Phellostatin or Isatis Cooling, Six Gentlemen with Cardamom and Saussurea (Xiang Sha Liu Jun Zi Wan) may be used to tonify the Spleen (especially Cold pattern), or Astra Essence, as it is a balanced formula with Kidney Yin, Yang, and Blood tonics. In treating IBS and peptic ulcers, Stomach Tabs have proven to be an effective remedy. Based on Ping Wei San (Relieve the Stomach Powder), this formula is modified with Bupleurum since many individuals with chronic digestive disorders tend to repress their emotions; it is also included for its anti-inflammatory effect.

The other herbs in the formula stimulate digestive enzymes, remove Phlegm, treat gas, and remove food stagnation. For Stomach Yin deficiency pattern, Clearing may be used as it does not contain Rehmannia (Shu Di Huang) which some patients cannot tolerate because it can sometimes aggravate the symptoms of chronic digestive disorder.

The above formulas are very effective in treating the complex syndrome patterns that are presented in patients with IBD, IBS, and ulcers. I have been using prepared formulas with much success because they are well tolerated. Sufferers of chronic digestive disorders generally have mal-absorption problems, thus herbal teas may not be suitable for these cases. Also, herbal teas are absorbed too quickly to be effective in these patients. Interestingly, persons with digestive conditions are unusually sensitive, and in particular to bitter tastes, so that again, herbal teas may not be well tolerated. Perhaps these individuals would do well to consume more bitter substances as prescribed in the European tradition which encourages taking herbal "bitters" for indigestion. Herbal teas, however, should not be eliminated completely from the therapeutic regimen. I generally advise clients to drink at least three cups of hot peppermint tea daily, because this herb relieves stomach and bowel spasms and alleviates nausea. On occasion I have also administered simple, pleasant tasting herbal decoctions with herbal tablets in order to tonify the Qi and Blood. Therefore, by using teas and tablets, patients can consume more herbs (inexperienced practitioners often do not use high enough dosages).
Heartburn

The most common malady is indigestion, including stomach pain, nausea, vomiting gas, belching, as well as heartburn. Ten percent of Americans suffer heartburn daily. Common symptoms are burning pain behind the breast bone and acid regurgitation. Cigarette smoking tomato products, chocolate, coffee, citrus fruits and juices, and of course fried or fatty foods, can cause heartburn, as can individual sensitivities. Relief for most persons is by standing upright or by taking antacids. However, the latter, if used over a long period, may lead to diarrhea, altered calcium metabolism (calcium containing products such as Turns, actually increases stomach acid secretion), and magnesium retention.

It should be mentioned that heartburn is not caused by hiatal hernia whereby the stomach protrudes through an opening in the diaphragm at the junction of the esophagus and stomach.

For acid regurgitation with Heat signs, the classic Chinese formula is Left Metal Pill (Zuo Jin Wan). The chief herb, Coptis (Huang Lian), drains Liver Fire and clears Heat from the Stomach. The assistant, Evodia (Wu Zhu Yu), disperses Liver constraint and brings Stomach Qi downward. A modification of this formula, known as Coptis and Evodia Formula is available from Seven Forests. According to Bensky and Barolet in Chinese Herbal Medicine: Formulas & 19 Strategies, Left Metal Pill may also be used in treating hernia disorders with a similar presentation (p. 99). The modification includes Peony (Bai Shao) which disperses constrained Liver Qi.

14n1.jpgPeony

A formula that I have used successfully to treat chronic heartburn is Ease Plus, which is based on Bupleurum Plus Dragon Bone and Oyster Shell Decoction (Chai Hu Jia Long Gu Mu Li Tang). A patient with heartburn who was diagnosed as having chronic esophagitis and who had symptoms of Liver overacting on the Spleen, along with Spleen Qi deficiency symptoms such as fatigue, responded quite favorably to Ease Plus. The calcium Peony containing herbs of Dragon bone (Long Gu) and Oyster shell (Mu Li) absorb acidity and calm the Spirit, while Ginseng (Ren Shen) tonifies the Spleen. For simple occasional heartburn another formula, Quiet Digestion, is effective.

Acid regurgitation may also be brought on by a Cold Spleen, usually the result of injury from cold foods. Six Gentlemen with Cardamom and Saussurea may be used in this case to harmonize the function of the Stomach and Spleen, and to promote the flow of Qi.
Constipation

Treating constipation is big business in the US. Patients as well as practitioners should understand that the normal frequency of bowel movement in healthy individuals ranges greatly. Constipation is a symptom that can signal a more serious disease, though it is frequently related to travel, low fiber diet, medications, or repeatedly ignoring the urge to defecate.

Chronic constipation may be a symptom of irritable bowel syndrome (IBS), parasitic infection, hormonal imbalance, hemorrhoids, disease affecting the body tissues, nerve damage, and laxative abuse. The latter includes natural laxatives and colon cleansers, found over the counter.

In Chinese medicine, constipation commonly suggests Heat, though in the elderly or postpartum women, it may be a clue to deficiency of Blood. The condition may also be associated with extreme internal Cold and Yang deficiency.

A simple and effective formula is Gentle Senna, which addresses Heat, as well as Blood deficiency, and Yin deficiency. The formula is based on Moisten the Intestines Pill (Run Chang Wan), a 700 year-old Chinese remedy. The formula is ordinarily used for a short time to get the intestines moving, while treating the underlying imbalance that is causing the constipation.

Calm Spirit, a formula based on Ding Shen Wan, is designed to treat stress-related emotions. It contains Biota (Bai Zi Ren), Tang kuei (Dang Gui), and Ophiopogon (Mai Men Dong), to moisten the intestines. The remaining herbs, in addition to calming the Spirit, nourish the Blood and Yin. For Type A personalities who suffer insomnia, restlessness, and constipation, I suggest using Ease Plus in addition to Calm Spirit. For constipation due to Blood and Yang deficiency, Deficiency Constipation Formula may be used. Individuals on laxatives or colon cleansers should be weaned slowly from these remedies even while taking Chinese herbs that help moisten the intestines.

15n1.jpgGinseng
Diarrhea

Another large intestine problem is diarrhea which can be caused by either Cold or by Damp-heat. For Spleen Qi deficiency exhibiting Cold symptoms, the tongue coating is white and the pulse is slow; for Damp-heat, the tongue coating is yellow and the pulse rapid. Other manifestations include tiredness of the four limbs in Spleen Qi deficiency as contrasted by heaviness of the limbs in Damp-heat conditions; fever may be present in Damp heat, but not in cases of Spleen Qi deficiency. Two excellent Spleen Qi tonics are Six Gentlemen with Cardamom and Saussurea, and Ginseng, Poria, and Atractylodes Macrocephala Powder (Shen Ling Bai Zhu San)

Early morning diarrhea is due to Kidney Yang, thus tonics such as Rehmannia 8 are helpful in such cases. Another formula, Source Qi specifically treats protracted diarrhea, accompanied by weight loss and wasting of the limbs, food not being digested, fluids not being absorbed and passing through the system, and fever and chills. Source Qi has been used successfully with Artestatin to treat patients with cryptosporidium infestations. As the above formulas are warming in nature, they are contraindicated when signs of Heat are present such as thirst, red tongue, rapid pulse, dark, scanty, or painful urination, insomnia, red eyes, or bleeding due to Heat in the Blood.

For diarrhea due to chronic Damp-heat, the formula Phellostatin is quite effective. This remedy helps rid the body of Candida which may be present in individuals presenting with Damp-heat. Chronic Damp-heat conditions are common among Americans because of our fast paced lifestyle and a diet that includes alcohol, caffeine beverages, fast foods, sweets, dairy products, and the like. Therapeutic and recreational drugs also contribute to the problem. Phellostatin can be taken with Quiet Digestion, and started at a reduced dosage. One last word about Damp-heat: persons with chronic Damp-heat often have concomitant Spleen Qi deficiency because Dampness absorbs the body's energy which is in part devoted to nourishment.

Diarrhea that arises from traveling, food poisoning, or stomach flu, is effectively countered with Quiet Digestion. The usual dosage is one or two tablets every two hours. Although enzyme formulas containing pancreatin are effective short-term, they are not recommended for prolonged use since they interfere with the body's own production of pancreatin.
Gallstones

Over 25 million Americans suffer from gallstones. Women between the ages of 20 and 60 are three times more likely to develop gallstones as are men. Women who are overweight, have been pregnant, or who have used oral menopausal estrogen therapy are at risk of developing gallstones. Gallstones can also develop in women soon after they lose weight. Symptoms of gallstones include intense abdominal pain, bloating, gas, nausea, and discomfort following the consumption of fatty foods. Currently, oral Ursodiol is used to dissolve stones, however, there is a 70% recurrence rate. Cholecystectomy, the surgical removal of the gallbladder, is one of the most common surgical procedures. But this should be a last resort since surgery weakens the body, and puts the patient at risk for developing secondary infections associated with hospital visits. Finally, removal of the gallbladder may have energetic consequences that we do not yet fully understand.

An empirical formula, GB 6, is used in China to prevent and eliminate gallstones, and to treat the discomfort associated with gallbladder inflammation.

In Chinese clinics, after an acute attack which is treated with decoctions, GB-6 is administered as a follow-up therapy for three months. American practitioners have given this formula as a follow-up to ursodiol and surgery, since surgery may not relieve the symptoms of pain, gas, bloating, nausea, and accumulated Damp-Heat.

It should be noted that the health food remedy of lemon and olive oil liver flush is actually counterproductive. The main constituent of olive oil, oleic acid, has been found experimentally to increase the risk of developing gallstones. Furthermore, consuming large quantities of oil constricts the gallbladder, thus increasing the chances of a gallstone blocking the bile duct (Encyclopedia of Natural Medicine, p. 325).
Diverticulosis

Diverticula are small, saccular, mucosal herniations through the muscular wall of the colon. They occur anywhere in the colon, but most often in the sigmoid. Inflammation of one or more diverticula is known as diverticulitis. Symptoms of inflammation include fever, abdominal pain, and an elevated white blood cell count. Treatment usually involves bed rest, pain relievers, antibiotics, and intravenous fluids. Surgery may be required if an abscess, fistula, or perforation develops.

Isatis Cooling is a formula that I have used successfully to treat patients with Crohn's disease, colitis, or painful IBS. It can also be used effectively in conjunction with biomedical therapy for diverticulitis. The presenting syndrome pattern is that of Blood stagnation which is characterized by constant, fixed, stabbing pain, bruises or dark blotches of the skin, and a purple tongue. For cases that also present with Qi stagnation, Aquilaria 22 can be included in the therapeutic regimen. Common symptoms of Qi stagnation include pain that is non-fixed, distention, feeling of fullness, depression, mood swings, and frequent sighing. Aquilaria 22 can also help alleviate constipation.

If chronic loose stools are associated with diverticulitis, a more conservative formula is Six Gentlemen with Cardamom and Saussurea, which relieves Qi stagnation. To assist digestion, another formula, Quiet Digestion, can be used before and after each meal along with Aquilaria 22 or Six Gentlemen. Longer term therapy can involve Six Gentlemen and Astra Essence, when Kidney deficiency is present. A stronger Kidney tonic such as Rehmannia 8 may be used when there is obvious Kidney Yang deficiency.
Gluten Intolerance

This condition is also known as celiac disease which is a mal-absorbent syndrome brought on by ingesting gluten-containing foods, primarily wheat and rye, and to a lesser degree barley and oat, products. Potato and rice products must be substituted. Furthermore, gluten is so widely used that patients must be exceedingly wary of what they eat. Even herbal formulas that contain gluten both as active or inert ingredients must be avoided, such as Chinese patent medicines that have malt (Mai Ya) and the like. Symptoms of gluten intolerance include abdominal distention, flatulence, weight loss, fatigue, anemia, difficulty in breathing, and stools that are bulky, frothy, fatty, and malodorous. Other symptoms of mal-absorption and malnutrition may be present. One formula that addresses many of the acute digestive symptoms is Stomach Tabs which is tolerated quite well.

Individuals who are not responding to herbal therapy should not only undergo further tests for parasitic infection, but also for gluten intolerance.
Concluding Remarks

A final area where Chinese herbs have a major impact is post-surgical recovery. Many individuals suffer food stagnation as well as general Qi and Blood deficiency after surgery. An excellent formula for these cases is Quiet Digestion which addresses food stagnation. It can be combined with Six Gentlemen and Eight Treasures which tonify Qi and Blood and eliminate Dampness.

In my estimation, the etiology of many chronic digestive disorders is congenital Kidney Yang deficiency, which leads to Spleen Qi deficiency, and then to Dampness. Poor dietary and lifestyle habits induce the accumulation of Dampness which transforms into Dampheat. Successful treatment of digestive disorders warrants the correct analysis and application of the correct formula for the presenting syndrome pattern.

Since conventional medical treatment for chronic digestive disorders is not very promising, there is a great opportunity for Chinese medicine to help this large group of patients. As practitioners we should be more outspoken about the power of alternative medicines in healing diseases that cannot often be treated successfully by Western medicine.
Ingredients for Formulas (in English and Pinyin) 1. Phellostatin

Phellodendron Huang Bai
Codonopsis Dang Shen
Atractylodes Bai Zhu
Anemarrhena Zhi Mu
Plantago Che Qian Zi
Pulsatilla Bai Bai Weng
Capillaris Yin Chen Hao
Cnidium Fruit She Chuang Zi
Houttuynia Yu Xing Cao
Dioscorea Shan Yao
Licorice Gan Cao
Cardamom Bai Dou Kou

2. Quiet Digestion

Poria Fu Ling
Coix Yi Yi Ren
Shen Chu Shen Qu
Magnolia Hou Po
Angelica Bai Zhi
Pueraria Ge Gen
Red Atractylodes Cang Zhu
Saussurea Mu Xiang
Pogostemon Huo Xiang
Oryza Gu Ya
Trichosanthes root Tian Hua Fen
Chrysanthemum Ju Hua
Halloysite Chi Shi Zhi
Citrus Ju Hong
Mentha Bo He
Malt Mai Ya

3. Isatis Cooling

Isatis Extract Ban Lan Gen and Da Qing Ye Moutan
Codonopsis Dang Shen Mu Dan Pi
Oyster Shell Mu Li
Bupleurum Chai Hu
Smilax Tu Fu Ling
Gardenia Zhu Zi

3. Isatis Cooling (continued)

Tang-kuei Dang Gui
Akebia Mu Tong
Red Peony Chi Shao
Alisma Ze Xie
Cyperus Xiang Fu

4. Six Gentlemen

Codonopsis Dang Shen
Atractylodes Bai Zhu
Poria Fu Ling
Baked Licorice Zhi Gan Cao
Citrus Chen Pi
Pinellia Ban Xia
Saussurea Mu Xiang
Cardamom Sha Ren

5. Astra Essence

Astragalus Huang Qi & Sha Yuan Ji Zi
(root & weed)
Ligustrum Nu Zhen Zi
Ho-shou-wu He Shou Wu
Lycium Fruit Gou Qi Zi
Rehmannia Shu Di Huang
Eucommia Du Zhong
Cuscuta Tu Si Zi
Ginseng Ren Shen
Tang-kuei Dang Gui
Cornus Shan Zhu Yu

6. Stomach Tabs

Magnolia Bark Hou Pu
Citrus Chen Pi
Pinellia Ban Xia
Red Atractylodes Cang Zhu
Ginger Gan Jiang
Licorice Gan Cao
Bupleurum Chai Hu
Oryza Gu Ya

7. Clearing

Lotus Seed Lian Zi
Ophiopogon Mat Men Dong
Poria Fu Ling
While Ginseng Jilin Ren Shen
Planlaginis Che Qian Zi
Sculellaria Huang Qin
Comfrey Root Gan Fu Li
milax Tu Fu Ling
Astragalus Huang Qi
Lycium Bark Di Gu Pi
Moutan Mu Dan Pi
Red Peony Chi Shao
Licorice Gan Cao

8. Ease Plus

Calcium Mu Li & Long Gu (Oyster Shell &
Dragon Bone)
Bupleurum Chai Hu
Ginseng Ren Shen
Ginger Gan Jiang
Pinellia Ban Xia
Scute Huang Qin
Cinnamon Gui Zhi
Rhubarb Da Huang
Saussurea Mu Xiang

9. Gentle Senna

Microcos Pa Bu Ye
Lonicera Jin Yin Hua
Senna Van Xie Ye
Prunus Yu Li Ren
Pueraria Flower Ge Hua
Areca Seed Bing Lang

10. Calm Spirit Enzymes:

Peroxidase Harseradish Root
Catalse Aspergillus niger
Amylase Aspergillus oryzae
Protease Aspergillus oryzae
Lipase Aspergillus oryzae

10. Calm Spirit (continued) Enzymes:

Taurine: 100 mg

Herbs:

Biota Bai Zi Ren
Tang-kuei Dang Gui
Fu-shen Fu Shen
Polygala Yuan Zhi
Zizphus Suan Zao Ren
Peony Bai Shao
Ophiopogon Mai Men Dong
Codonopsis Dang Shen
Succinum Hu Po
Magnesium Asparatate

11. Deficiency Constipation Formula

Cislanche Rou Cong Rong
He Shou Wu Ho Shou Wu
Tang Kuei Dang Gui
Cynomorrium Suo Yang
Biota Bai Zi Ren
Semen Pruni Yu Li Ren

12. Ginseng, Poria and Atractylodes Macrocephala Powder

Ginseng Ren Shen
Atractylodes Bai Zhu
Poria Fu Ling
Baked Licorice Zhi Gan Cao
Dioscorea Shan Yao
Dolichos Bai Bian Dou
Lotus Seed Lian Zi
Coix Yi Yi Ren
Cardamom Sha Ren
Platycodon Jie Geng

13. Rehmannia 8

Rehmannia Shu Di Huang
Cornus Shan Zhu Yu
Poria Fu Ling

13. Rehmannia 8 (continued)

Alisma Ze Xie
Moulan Mu Dan Pi
Eucommia Du Zhong
Dioscorea Shan Yao
Cinnamon Bark Rou Gui

14. GB-6

Ji Nei Jin Ji Nei Jin
Curcuma Yu Jin
Corydalis Yan Hu Suo
Taraxacum Pu Gong Ying
Melia Chuan Lian Zi
Salvia Dan Shen

15. Aquilaria 22

Ginger Gan Jiang
Pomegranate Shi Liu Pi
Mume Wu Mei
Melia Chuan Lian Zi
Codonopsis Dang Shen
Rubia Fu Pen Zi
Myrobalan He Zi
Chi-Shih Zhi Shi
Poria Fu Ling
Nutmeg Rou Dou Kou
Atractylodes Bai Zhu
Cardamom Bai Dou Kou
Quisqualis Shi Jun Zi
Ulmus Wu Yi
Omphalia Lei Wan
Zanthoxylum Hua Jiao
Saussurea Mu Xiang
Licorice Gan Cao
Torreya Fei Zi
Aloe Vera Lui Hui

16. Source Qi

Astragalus Huang Qi
Ginseng Ren Shen
White Atractylodes Bai Zhu

16. Source Qi (continued)

Poria Bai Fu Lin
Dioscorea Shan Yao
Lotus Seed Lian Rou
Euryales Qian Shi
Cimicifuga Shen Ma
Bupluerum Chai Hu
Ginger Can Jiang
Nutmeg Seeds Rou Dou Kou
Baked Licorice Zhi Can Cao
Ailanthus Chun Bai Pi

17. Artestatin

Artemesia Anua Qing Hao
Brucea Ya Dan Zi
Dichroa Shu Chi
Pulsatilla Bai Tou Weng
Magnolia Bark Hou Po
Pinellia Ban Xia
Pogostemon Huo Xiang
Dolichos Bai Bian Dou
Ginseng Ren Shen
Citrus Chen Pi
Licorice Gan Cao
Coptis Huang Lian
Red Atractylodes Cang Zhu
Ginger Gan Jiang
Cardamom Sha Ren

18. Eight Treasures

Codonopsis Dang Shen
Tang Kuei Dang Gui
Atractylodes Bai Zhu
Ligusticum Chuan Xiong
Poria Fu Ling
Milletia Ji Xue Teng
Rehmannia Shu Di Huang
Baked Licorice Zhi Gan Cao
Peony Bai Shao
Ginger Gan Jiang
Red Dates Da Zao

This article is exerpted from Chinese Herbs in the Western Clinic: A Guide to Prepared Formulas published by Get Well Foundation

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