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Turtle Shell Decocted Pill

Turtle Shell Decocted PillFormula Image

Turtle Shell Decocted Pill
ChiefBie Jia
    • softens hardness, and disperses concretions
DeputyChi Xiao
    • help bie jia to soften hardness, and disperse concretions
DeputyDa Huang
    • help bie jia to soften hardness, and disperse concretions
DeputyZhi Chong
    • help bie jia to soften hardness, and disperse concretions
DeputyQiang Lang
    • help bie jia to soften hardness, and disperse concretions
DeputyShu Fu
    • help bie jia to soften hardness, and disperse concretions
DeputyTao Ren
    • invigorate blood and dissolve stasis
DeputyMu Dan
    • invigorate blood and dissolve stasis
DeputyZi Wei
    • invigorate blood and dissolve stasis
DeputyFeng Fang
    • invigorate blood and dissolve stasis
AssistantChai Hu
    • harmonize shaoyang and soothe liver qi
AssistantHuang Qin
    • harmonize shaoyang and soothe liver qi
AssistantBai Shao
    • harmonize shaoyang and soothe liver qi
AssistantHou Po
    • move qi and disperse phlegm
AssistantWu Shan (She Gan)
    • move qi and disperse phlegm
AssistantTing Li Zi
    • move qi and disperse phlegm
AssistantBan Xia
    • move qi and disperse phlegm
AssistantGan Jiang
    • warm the center
AssistantGui Zhi
    • warm the center
AssistantRen Shen
    • supplement qi and nourish blood to reinforce healthy qi
AssistantE Jiao
    • supplement qi and nourish blood to reinforce healthy qi
AssistantQu Mai
    • promote urination to dispel dampness
AssistantShi Wei
    • promote urination to dispel dampness
AssistantBurnt Ash
    • disperses concretions and dispel accumulation
AssistantGrain-based Liquor
    • invigorates blood and unblocks the channels

Turtle Shell Decocted PillPrescription Information

Name
Turtle Shell Decocted Pill
Chinese Name

鳖甲煎丸

Classification

Blood-regulating formulas

Combination
Trionycis Carapax (Bie Jia processed and burned) 3 fen (22.5g), Blackberry Lily Rhizome (Wu Shan (She Gan)) 3 fen (22.5g), Scutellariae Radix (Huang Qin) 3 fen (22.5g), Armadillidium Vulgare (Shu Fu) 3 fen (22.5g), Zingiberis Rhizoma (Gan Jiang) 3 fen (22.5g), Rhei Radix et Rhizoma (Da Huang) 3 fen (22.5g), Cinnamomi Ramulus (Gui Zhi) 3 fen (22.5g), Pyrrosiae Folium (Shi Wei) 3 fen (22.5g), Magnoliae Officinalis Cortex (Hou Po) 3 fen (22.5g), Trumpetcreeper Cortex (Zi Wei) 3 fen (22.5g), Asini Corii Colla (E Jiao) 3 fen (22.5g), Bupleuri Radix (Chai Hu) 6 fen (45g), Catharsius Molossus (Qiang Lang) 6 fen (45g),Paeoniae Radix Alba (Shao Yao) 5 fen (37g), Moutan Cortex (Mu Dan Pi) 5 fen (37g), Eupolyphaga Steleophaga (Zhe Chong) 5 fen (37g), Nidus Vespae (Feng Fang) 4 fen (30g), Natrii Sulfas (Mang Xiao) 12 fen (90g), Persicae Semen (Tao Ren) 2 fen (15g), Dianthi Herba (Qu Mai) 2 fen (15g), Ginseng Radix et Rhizoma (Ren Shen) 1 fen (7.5g), Pinelliae Rhizoma (Ban Xia) 1 fen (7.5g), Lepidii Semen (Ting Li Zi) 1 fen (7.5g)
Method
The source text states to first mix 3 kg of burnt ash with 10 kg of grain-based liquor. Then filter out and discard the burnt ash. Add bie jia to the strained liquid and cook it until the mixture becomes a thick paste. The remain 22 medicinals are ground into a fine powder, then mixed with this paste and honey to make pills into pills the size of phoenix tree seed. Take 7 pills 3 times per day. (Modern use: excluding xiao shi, bie jia, and e jiao, bake and break the remaining twenty medicinals, mix them up with 600 g of yellow wine, seal and boil till the wine is completely volatilized. Dry the dregs and mix with xiao shi, bie jia, and e jiao, make 3 g honey pills. Take 1 or 2 pills 2 or 3 times a day with warm water).
Action
Moves qi, invigorates blood, dispels dampness, dissolves phlegm, softens hardness, and disperses concretions.
Indication
Bie Jia Jian Wan is indicated for chronic malaria with masses below the costal region and abdominal masses. Long-lasting malaria causes masses to gather underneath the costal region. It is called chronic malaria with masses. Symptoms include: Masses underneath the costal region that stay firm when pushed, abdominal pain, weak muscles, decreased appetite, occasional cold or fever, and inhibited menses.
Pathogenesis
Bie Jia Jian Wan historically was used to treat malaria with splenomegaly. Today, it is used to treat abdominal masses. Because of the chronic nature of this illness, there will be signs of qi and yang deficiencies, qi and blood stagnation, and damp and phlegm accumulation. The formation of masses may occur in the abdomen, hypochondrium, or in the form of splenomegaly.
Application
1. Essential pattern differentiation Bie Jia Jian Wan is commonly indicated for chronic malaria with masses below the costal region and abdominal masses. This clinical pattern is marked by masses underneath the costal region that stay firm when pushed, abdominal pain, weak muscles, decreased appetite, occasional cold or fever, and inhibited menses. 2. Modern applications The formula may be used in the following biomedically defined disorders showing signs and symptoms of qi stagnation and blood stasis with decline of healthy qi: liver cirrhosis, hepatocellular carcinoma, hepatosplenomegaly, uterine fibroids, ovarian cyst.
Remark
1. Chinese soft-shelled turtle ( Trionyx sinensis / Pelodiscus sinensis ) 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 protected by Hong Kong Wild Animals Protection Ordinance (Cap. 170). 2. Officinal Magnolia ( Magnolia officinalis ) is listed as "Endangered" in the International Union for the Conservation of Nature and Natural Resources (IUCN) Red List of Threatened Species.
Source
《Essentials from the Golden Cabinet》Jin Gui Yao Lue《金匱要略》

Turtle Shell Decocted PillFormulation composition herbal medicine

Ground Beetle

Ground Beetle

Eupolyphaga Steleophaga
Functions：Breaks blood, joins sinew and bones. Apply to injury of sinew and bone, blood stasis and amenorrhea, abdominal mass.
Peach Seed

Peach Seed

Persicae Semen
Functions：Invigorates blood, dispels stasis, moistens intestines, frees stools, relieves cough, calms panting. Apply to amenorrhea, dysmenorrhea, abdominal mass, injury from falls, and constipation due to dryness of intestines.
Japanese Felt Fern

Japanese Felt Fern

Pyrrosiae Folium
Functions：Promotes urination, frees strangury, clears heat, stops bleeding. Apply to pyretic stranguria, bloody stranguria, stranguria caused by urinary stone, difficulty in micturition, dripping and pain in micturition induced by pyretic stranguria, hematemesis, non-traumatic hemorrhage, hematuria, metrorrhagia and metrostaxis, dyspnea and cough due to lung-heat.
Ginseng Root

Ginseng Root

Ginseng Radix et Rhizoma
Functions：Greatly supplements original qi, restores the pulse, secures desertion, supplements the spleen, benefits the lung, engenders body fluids, stops thirst, quiets the spirit, promotes intelligence. Apply to complete exhaustion due to physical weakness, cold limbs and weak pulse, poor appetite due to splenic deficiency, coughing with asthma due to pulmondeficiency, hydrodipsia due to depletion of body fluids, feverish dysphoria and diabetes, deficiency and weakness due to invalidism, palpitation and insomnia, impotence and uterus cold, cardiac failure, cardiogenic shock.
Fringed Pink Herb

Fringed Pink Herb

Dianthi Herba
Functions：Promotes urination, frees strangury, breaks blood, frees channels. apply to Pyretic stranguria, bloody stranguria, stranguria caused by urinary stone, difficulty in micturition, dripping and pain during micturition induced by pyretic stranguria.
Tree Peony Root - bark

Tree Peony Root - bark

Moutan Cortex
Functions：Clears heat, cools blood, invigorates blood, disperses stasis. Apply to Heat entering into blood circulation, eruptions, non-traumatic hemorrhage and hemafecia, fever due to heat hidden in yin of later stage of febrile diseases, yin deficiency and bone steaming and hot flash, blood stagnation and abdominal mass, dysmenorrheal, abscess and sore swelling pain, injuries due to falls and toil, wind-damp heat impediment.
Mirabilite|Glauber’s Salt

Mirabilite|Glauber’s Salt

Natrii Sulfas
Functions：Breaks distention, warms middle, digests food, drains water, moderates diarrhea. Apply to abdominal fullness, food retention, indigestion, edema, mammary swelling, amenorrhea, constipation.
Baikal Skullcap Root

Baikal Skullcap Root

Scutellariae Radix
Functions：Clears heat, dries dampness, drains fire, resolves toxin, stops bleeding, calms fetus, reduces blood pressure. Apply to damp-warm diseases, chest retention and vomiting due to summer-warm, retention and fullness due to damp and heat, diarrhea, jaundice, cough with lung heat, polydipsia with high fever, hematemesis and non-traumatic hemorrhage due to blood heat, abscess and sore toxin, fetal movement.
Officinal Magnolia Bark

Officinal Magnolia Bark

Magnoliae Officinalis Cortex
Functions：Moves qi, disperses stagnation, dries dampness, eliminates fullness, downbears qi, calms panting. Apply to dyspeptic disease and qi stagnancy, abdominal distention and constipation, dampness stagnates the middle-jiao, vomiting and diarrhea, accumulation of phlegm and reversed qi, cough and panting due to fullness of cheat.
Cassiabarktree Twig

Cassiabarktree Twig

Cinnamomi Ramulus
Functions：Promotes sweating, resolves the flesh, warms and frees the channels and vessels, assists yang in transforming qi, downbears qi. Apply to wind-cold type of common cold, abdominal cold pain, amenorrhea due to cold blood, joint impediment, phlegm and retained fluid, edema, palpitations, renal mass.
Dried Ginger

Dried Ginger

Zingiberis Rhizoma
Functions：Warms the center, disperses cold, returns yang, frees the vessels, dries dampness, disperses phlegm, warms the lung, eliminates phlegm. Apply to abdominal cold pain, vomiting, diarrhea, yang exhaustion and acute thoracic pain, dyspnea with cough due to cold fluid-retention, Rheumatic arthralgia due to cold hygrosis.
Ass-hide Gelatin

Ass-hide Gelatin

Asini Corii Colla
Functions：Supplements blood, stops blood, enriches yin, moistens dryness.
Rhubarb|Tangute Rhubarb

Rhubarb|Tangute Rhubarb

Rhei Radix et Rhizoma
Functions：Relieves stagnation, clears dampn-heat, reduces fire, cools blood, eliminates stasis, relieves toxin. Apply to constipation induced by sthenic fever, heat and distention and full of chest, damp-heat diarrhea, jaundice, strangury, edema and sbdominal fullness, difficulty of urination, conjunctival congestion, swelling pain of throat, sor of mouth and tongue, vomiting due to heat stomach, apostaxis, cough with blood, epistaxis, hematochezia, hematuria, blood stasis, amenorrhea, postpartum stasis and pain, abdominal mass accumulation, trsumatic injury, carbuncle and ulcer due to heat toxin, erysipelas, empyrosis.
Chinese Thorawax Root

Chinese Thorawax Root

Bupleuri Radix
Functions：Harmonizes the interior and exterior, courses the liver, resolves depression, outthrust the exterior, discharge heat, upbears yang, and raises the sunken. Apply to cold and pyrexia, spell of fever and chills, malaria, stagnation f liver and qi, gastric and costal swelling pain, anal prolapsed, uterine prolapse, irregular menses.
Turtle Carapace

Turtle Carapace

Trionycis Carapax
Functions：Nourishes yin, subdues yang, softens hardness, disperses binds. Heat and steaming bone, nodule malaria, hard ribs, waist pain, amenorrhea and stasis.
Ternate Pinellia

Ternate Pinellia

Pinelliae Rhizoma
Functions：Dries dampness, transforms phlegm, downbears counterflow, relieves vomiting, disperses focal distention, dissipates binds. Apply to damp-phlegm and cold-phlegm, cough with much phlegm, phlegm-fluid retention, palpitations, wind-phlegm and dizziness, phlegm syncope and headache, vomiting and stomach reflux, gastric stuffiness, plum-pit-qi; externally used for painful and swollen phlegm nodes.
White Peony Root

White Peony Root

Paeoniae Radix Alba
Functions：Nourishes the blood, regulates menstruation, calms the liver, relieve pain, astringes yin, stops sweating. Apply to thoracic, abdominal and costal pains, abdominal pain due to dysentery, spontaneous perspiration and night sweat, fever with yin deficiency, irregular menstrual periods, metrorrhagia and metrostaxis, leukorrhea.
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