【Chinese Name】 |
天臺烏藥散
|
【Phonetic】 |
Tian Tai Wu Yao San
|
【English Name】 |
Tian Tai Combined Spicebush Root Powder |
【Classification】 |
Qi-regulating formulas |
【Source】 |
《Comprehensive Recording of Divine Assistance》Sheng Ji Zong Lu《聖濟總錄》 |
【Combination】 |
Linderae Radix (Wu Yao) 0.5 liang (15g), Aucklandiae Radix (Mu Xiang) 0.5 liang (15g), Foeniculi Fructus (Xiao Hui Xiang) 0.5 liang (15g), Citri Reticulatae Pericarpium Viride (Qing Pi) 0.5 liang (15g), Alpiniae Officinarum Rhizoma (Gao Liang Jiang) 0.5 liang (15g), Arecae Semen (Bing Lang) 2 pieces (9g), Toosendan Fructus (Chuan Lian Zi) 10 pieces (12g), Crotonis Fructus (Ba Dou) 70 pieces (12g) |
【Method】 |
Break apart the ba dou slightly and stir-fry them with chuan lian zi in wheat bran. Then sift out the ba dou and wheat bran, grind into powder with the rest of the ingredients, and mix evenly. Take 1 qian (3g) each time with warm wine (Modern use: chuan lian zi is stir-fried with ba dou until black, sift out the ba dou, add the rest of the ingredients, prepare as a decoction, and then add an adequate amount of rice wine when it is ready to be taken.) |
【Action】 |
Moves qi, soothes the liver, disperses cold, and relieves pain. |
【Indication】 |
Tian Tai Wu Yao San is indicated for small intestinal shan qi due to cold congealing and stagnant qi in the liver channel. The symptoms are lesser abdomen pain dragging to testicle (s), a feeling that the testicles are distended and dropped unevenly, or lesser abdomen pain. The tongue is pale with a white coating and the pulse is deep and slow or wiry. This formula is also used for painful menstruation and abdomen mass due to cold congealing and qi stagnation. |
【Pathogenesis】 |
The foot jueyin liver channel reaches the lesser abdomen and connects with the genital organs. If cold pathogens are lodged within the liver channel, the qi movement will be blocked to cause lesser abdominal pain, dragging pain in the testis, and a feeling that they are dropped unevenly with distention as a result of small intestinal shan qi. Therefore, it is said that “all shan diseases are related to the liver channel《Confucians' Duties to Their Parents》. The therapeutic principles are to move qi, soothe the liver, disperse cold, and relieve pain. |
【Application】 |
1. Essential pattern differentiation Tian Tai Wu Yao San is a formula commonly used to treat testicular hardness and pain caused by congealed cold and qi stagnation in the liver channel. This clinical pattern is marked by lesser abdomen pain dragging to the testicle(s), pale tongue with white coating, deep, wiry pulse. 2. Modern applications This formula may be used in the following biomedically defined disorders, when the patient shows signs of congealed cold and qi stagnation in the liver channel: inguinal hernia, orchitis, epididymitis, gastrointestinal disorders, intestinal cramps, and dysmenorrhea. 3. Cautions and contraindications The ingredients in this formula have a warm and dispersing nature. It is not applicable for patients diagnosed with testicular hardness and pain due to liver-kidney yin deficiency. |
【Additonal formulae】 |
1. Si Mo Tang (Four Milled Ingredients Decoction 四磨湯) [Source]《Formulas to Aid the Living》Ji Sheng Fang《濟生方》 [Ingredients] Ren shen 6g, bing lang 9g, chen xiang 6g, tian tai wu yao 6g [Preparation and Administration] Grind the four medicinals with water and prepare them as decoction. [Actions] Moves qi, lowers counterflow qi, loosens the chest, and dissipates masses. [Applicable Patterns] Binding constraint of liver qi. Symptoms include: chest oppression, wheezing, epigastrium pi and fullness, and no desire to eat or drink. 2. Ju He Wan (Tangerine Seed Pill 橘核丸) [Source]《Formulas to Aid the Living》Ji Sheng Fang《濟生方》 [Ingredients] Ju he 1 liang (30g), hai zao (rinsed) 1 liang (30g), kun bu 1 liang (30g), hai dai (rinsed) 1 liang (30g), chuan lian zi (dry-fried) 1 liang (30g), tao ren (dry-fried with wheat bran) 1 liang (30g), hou po (dry-fried with ginger juice) 0.5 liang (15g), mu tong 0.5 liang (15g), zhi shi 0.5 liang (15g), yan hu suo 0.5 liang (15g), rou gui 0.5 liang (15g), mu xiang 0.5 liang (15g) [Preparation and Administration] Grind the ingredients into a fine powder and shape into pills with liquor the size of a phoenix tree seed. Take seventy pills each dose on an empty stomach with warm liquor or salty soup. (Modern use: grind the ingredients into a fine powder and shape into small pills. Take nine grams once or twice per day with warm liquor or salty soup. It can also be prepared as a decoction by adjusting the medicinal quantities based on the original ratio.) [Actions] Moves qi, relieves pain, softens and dissipates hard masses. [Applicable Patterns] Cold-damp shan qi. Symptoms include: the testicles swell, drop to one side, and become hard as stone. There is dragging pain in the abdomen and, possibly, an enlarged scrotum. Mild cases have yellow discharge, and severe cases develop a festering abscess. |
【Remark】 |
Aucklandia lappa is listed in the Convention on International Trade in Endangered Species of Wild Fauna and Flora (CITES) Appendix I. This speice is highly protected and the wild specice for commercial trade purposes is banned. |
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