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Source: Yī Bù Quán Lù 医部全录

Ingredients

• Sān léng (三棱 Sparganii Rhizoma, sparganium [root]) 15g
• Bái zhú (白朮 Atractylodis Macrocephalae Rhizoma, white atractylodes [root]) 9g
• É zhú (莪朮 Curcumae Rhizoma, curcuma rhizome) 9g
• Dāng guī (当归 Angelicae Sinensis Radix, Chinese angelica) 9g
• Mù xiāng (木香 Aucklandiae Radix, costusroot) 6g
• Dà fù pí (大腹皮 Arecae Pericarpium, areca husk) 2g

Actions: Moves qì and breaks blood; transforms stasis and disperses concretions.

Indications: Concretions, conglomerations, accumulations, or gatherings characterized by hardness, fullness, glomus, difficult ingestion, and painful abdominal distension.

Method: Decoct with water.

Rationale: This formula treats concretions and conglomerations and dysphagia-occlusion (yē gé) due to qì stagnation and blood stasis. Sān léng and é zhú break blood and disperse concretions. Mù xiāng and Bīng láng move qì and relieve pain. Dāng guī and Bái zhú supplement qì and the blood. The formula as a whole therefore breaks the accumulation without damage right qì.

Variations:

• Hepatosplenomegaly or cirrhosis of the liver: Add Biē jiǎ (鳖甲 Trionycis Carapax, turtle shell) and Jī nèi jīn (鸡内金 Galli Gigeriae Endothelium Corneum, gizzard lining).
• Severe pain: Add Xiāng fù (香附 Cyperi Rhizoma, cyperus [rhizome]) and Yán hú suǒ (延胡索 Corydalis Rhizoma, corydalis [rhizome]).

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