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Source: Hé Jì Jú Fāng 和剂局方

Alternate Chinese names: 纯阳真人养脏汤; 养脏汤

Ingredients:

• Rén shēn (人参 Ginseng Radix, ginseng) (or Dǎng shēn (党参 Codonopsis Radix, codonopsis [root])) 9–12g
• Bái zhú (白朮 Atractylodis Macrocephalae Rhizoma, white atractylodes [root]) 9–12g
• Ròu dòu kòu (肉豆蔻 Myristicae Semen, nutmeg) 9–12g
• Hē zǐ (诃子 Chebulae Fructus, chebule) 9–12g
• Bái sháo (白芍 Paeoniae Radix Alba, white peony [root]) 9–12g
• Yīng sù ké (qiào) (罂粟壳 Papaveris Pericarpium, poppy husk) 6–9g
• Dāng guī (当归 Angelicae Sinensis Radix, Chinese angelica) 6–9g
• Ròu guì (肉桂 Cinnamomi Cortex, cinnamon bark) 3–5g
• Gān cǎo (甘草 Glycyrrhizae Radix, licorice [root]) 3–6g
• Mù xiāng (木香 Aucklandiae Radix, costusroot) 3–6g

Action: Supplements vacuity and warms the center; astringes the intestines and stems desertion.

Indication: Persistent efflux diarrhea after disappearance of original stagnation. Such patterns are attributable to spleen-kidney vacuity and are marked by diarrhea with fecal incontinence, abdominal pain relieved by pressure, fatigue, and reduced eating. Tongue: Pale with white fur. Pulse: Fine and slow. In severe cases, prolapse of the rectum may occur.

Category: Astringing formulas / Intestine-astringing desertion-stemming formulas

Method: Decoct with water.

Rationale: Rén shēn —or Dǎng shēn— and Bái zhú fortify the spleen and boost qì. Ròu dòu kòu and Ròu guì warm the kidney and spleen. Hē zǐ and yingsuke astringe the intestines and stem diarrhea. These six agents together thus address the root and tip. Because enduring diarrhea usually damages yīn-blood, Dāng guī and Bái sháo are added to nourish the blood and harmonize yīn. Dāng guī when combined with Ròu guì also harmonizes provisioning-blood. Mù xiāng acts with Rén shēn and Gān cǎo to fortify the spleen and harmonize the stomach. Agents like Huáng lián and Bái tóu wēng are not used to avoid damaging the spleen.

Variations:

• Pronounced spleen-kidney vacuity cold: Add Gān jiāng (干姜 Zingiberis Rhizoma, dried ginger) and Fù zǐ (附子 Aconiti Radix Lateralis Praeparata, aconite [accessory root]).
• Enduring diarrhea with qì fall and prolapse of the rectum: Add Huáng qí (黄芪 Astragali Radix, astragalus [root]) and Shēng má (升麻 Cimicifugae Rhizoma, cimicifuga [root]).
• +shiliupi can be used instead of yingsuke.

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