ClassificationResuscitative formulas
CombinationStyrax (Su He Xiang) 0.5 liang (15g), Borneolum Syntheticum (Bing Pian) 0.5 liang (15g), Olibanum (Ru Xiang) 0.5 liang (15g), Moschus (She Xiang) 1 liang (30g), Benzoinum (An Xiang Xi) 1 liang (30g), Aucklandiae Radix (Mu Xiang) 1 liang (30g), Cyperi Rhizoma (Xiang Fu) 1 liang (30g), Santali Albi Lignum (Bai Tan Xiang) 1 liang (30g), Caryophylli Flos (Ding Xiang) 1 liang (30g), Aquilariae Lignum Resinatum (Chen Xiang) 1 liang (30g), Piperis Longi Fructus (Bi Ba) 1 liang (30g), Atractylodis Macrocephalae Rhizoma (Bai Zhu) 1 liang (30g), Chebulae Fructus (He Zi Pi) 1 liang (30g), Cinnabaris (Zhu Sha) 1 liang (30g), Bubali Cornu (Xi Jiao) 1 liang (30g) (Note: 65g shui niu jiao is used in place of xi jiao.)
MethodFirst, grind zhu sha with water. Then grind an xi xiang, ru xiang, mu xiang, xiang fu, bai tan xiang, ding xiang, chen xiang, bi ba, he zi pi, she xiang, bing pian, and shui niu jiao into powder. Second, mix all the powders together and grind once more. Then sift the powder. At this time, warm the su he xiang with water. Third, make pills using honey and water dried at a low temperature. Or prepare the pills using only honey. Each pill should weigh 3g. Take 1 pill once daily with warm water. The dosage should be reduced for children. The formula may be administered nasally in those patients who are unconscious or unable to swallow the pills.
ActionAromatically opens the orifices, moves qi and relieves pain.
IndicationSu He Xiang Wan is indicated for cold blockage. The symptoms are sudden fainting and locked jaw, unconsciousness, a white tongue coating, and a slow pulse. It is also indicated for sudden pain in the heart and abdomen as well as syncope due to cold blockage.
PathogenesisThis is a pattern caused by cold blockage. Symptoms of sudden fainting, locked jaw and unconsciousness are caused by obstruction and clouding of the clear orifices due to qi blockage resulting from an accumulation of cold-phlegm and turbidity. The white tongue coating and slow pulse are caused by excessive internal cold. Chest pain is caused by congealed cold accumulation in the chest causing stagnation of qi and blood. Intolerable, distending epigastric and abdominal pain is caused by pathogenic accumulation in the middle jiao causing qi constraint. Cold and turbidity obstructing the orifices is the pathomechanism causing this pattern. The appropriate therapeutic method is to open the orifices using aromatic medicinals combined with medicinals that warm the interior, dissipate cold, move qi, activate blood, dispel filth and resolve turbidity, because pathogens of cold, qi constraint, filth and turbidity are involved.
Application1. Essential pattern differentiation Su He Xiang Wan is a typical warm formula that open the orifices, also a common formula to treat cold blockage, or pain in the heart and abdomen caused by qi stagnation due to congealing cold. This clinical pattern is marked by sudden fainting, unconsciousness, locked jaw, white coating, slow pulse. 2. Modern applications This formula may be used in the following biomedically defined disorders when the patient shows signs of either cold block or qi stagnation due to congealing cold: acute cerebrovascular disease, hysterical syncope, epilepsy, senile dementia, epidemic encephalitis B, hepatic coma, coronary heart disease, angina pectoris, and myocardial infarction. 3. Cautions and contraindications This formula is commonly used in emergencies and for relieving pain. It should not be taken for a long time because it may consume zheng qi. It is not applicable for desertion or heat blockage. This formula contains a lot of aromatic and acrid medicinals and may damage the fetus, so it is prohibited during pregnancy.
Additonal formulae1. Guan Xin Su He Wan (Coronary Heart Storax Pill 冠心蘇合丸)
Remark1. Incense Tree ( Aquilaria sinensis ) is listed in the Convention on International Trade in Endangered Species of Wild Fauna and Flora (CITES) Appendix II. Its trade is allowed but subject to licensing controls. 2. 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. 3. Forest Musk Deer ( Moschus berezovskii ) is listed as "Endangered" in the International Union for the Conservation of Nature and Natural Resources (IUCN) Red List of Threatened Species. Also, it is listed in the Convention on International Trade in Endangered Species of Wild Fauna and Flora (CITES) Appendix II. Its trade is allowed but subject to licensing controls. (Except the populations of Afghanistan, Bhutan, India, Myanmar, Nepal and Pakistan, which are included in Appendix I) 4. Alpine Musk Deer ( Moschus sifanicus ) is listed as "Endangered" in the International Union for the Conservation of Nature and Natural Resources (IUCN) Red List of Threatened Species. Also, it is listed in the Convention on International Trade in Endangered Species of Wild Fauna and Flora (CITES) Appendix II. Its trade is allowed but subject to licensing controls. (Except the populations of Afghanistan, Bhutan, India, Myanmar, Nepal and Pakistan, which are included in Appendix I) 5. Siberian Musk Deer ( Moschus moschiferus ) is listed as "Vulnerable" in the International Union for the Conservation of Nature and Natural Resources (IUCN) Red List of Threatened Species. Also, it is listed in the Convention on International Trade in Endangered Species of Wild Fauna and Flora (CITES) Appendix II. Its trade is allowed but subject to licensing controls. (Except the populations of Afghanistan, Bhutan, India, Myanmar, Nepal and Pakistan, which are included in Appendix I) 6. Indian Sandalwood ( Santalum album ) is listed as "Vulnerable" in the International Union for the Conservation of Nature and Natural Resources (IUCN) Red List of Threatened Species. 7. All species of Rhino are threatened. They are listed as "Near threatened", "Vulnerable", "Endangered" or "Critically endangered" in the International Union for the Conservation of Nature and Natural Resources (IUCN) Red List of Threatened Species. Depend on their species and geographical range, they are listed in the Convention on International Trade in Endangered Species of Wild Fauna and Flora (CITES) Appendix I or II. The speices listed in Appendix I are highly protected, and the wild specices for commercial trade purposes are banned; the trade of speices that listed in Appendix II are allowed but subject to licensing controls.
Source《Arcane Essentials from the Imperial Library》Wai Tai Mi Yao《外臺秘要》