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HomeTraditional Chinese Medicine FormulasImmature Bitter Orange Stagnation-Moving Pill

Immature Bitter Orange Stagnation-Moving Pill

Immature Bitter Orange Stagnation-Moving PillFormula Image

Immature Bitter Orange Stagnation-Moving Pill
ChiefDa Huang
    • expels accumulation
    • discharges heat
Drains and discharges constrained heat through the stool, an application of the therapeutic method “treating the flowing by promoting its flow”.
DeputyZhi Shi
    • moves qi
    • resolves stagnation
Removes distension and fullness of the abdomen and stomach cavity.
AssistantHuang Qin
    • clear heat and dry dampness
    • regulate the intestines
    • arrest dysentery
Remove dampness and clears heat.
AssistantHuang Lian
    • clear heat and dry dampness
    • regulate the intestines
    • arrest dysentery
Remove dampness and clears heat.
AssistantFu Ling
    • promote urination
    • regulate water and drain dampness to arrest diarrhea
Remove dampness and clears heat.
AssistantZe Xie
    • promote urination
    • regulate water and drain dampness to arrest diarrhea
Remove dampness and clears heat.
AssistantShen Qu
    • promotes digestion
    • fortifies the spleen
Prevents the reoccurrence of food accumulation.
AssistantBai Zhu
    • fortifies the spleen
    • dries dampness
Prevents the consumption of zheng qi and impairment of the stomach by the bitter and cold medicinals.

Immature Bitter Orange Stagnation-Moving PillPrescription Information

Name
Immature Bitter Orange Stagnation-Moving Pill
Chinese Name

枳实导滞丸

Classification

Digestive formulas

Combination
Rhei Radix et Rhizoma (Da Huang) 1 liang (30g), Aurantii Fructus Immaturus (Zhi Shi) 5 qian (15g), Medicata Massa Fermentata (Shen Qu) 5 qian (15g), Poria (Fu Ling) 3 qian (9g), Scutellariae Radix (Huang Qin) 3 qian (9g), Coptidis Rhizoma (Huang Lian) 3 qian (9g), Atractylodis Macrocephalae Rhizoma (Bai Zhu) 3 qian (9g), Alismatis Rhizoma (Ze Xie) 2 qian (6g)
Method
Grind the medicinals into a fine power and prepare as pills. Take 6-9g with warm water twice daily after meals. It can also be prepared as a decoction by adjusting the medicinal quantities based on the original ratio.
Action
Promotes digestion, removes stagnation, clears heat, and removes dampness.
Indication
Food accumulation with damp-heat, marked by distending pain of the abdomen and stomach cavity, diarrhea, constipation, dark, scanty urine, a greasy yellow tongue coating, and a deep, forceful pulse.
Pathogenesis
This pattern is caused by an accumulation of both damp-heat and food. Food accumulation may induce damp-heat or there may be a pre-existing pattern of damp-heat that combines with food accumulation. When qi movement is blocked by internal stagnation, distension and pain of the abdomen and stomach cavity is the result. Damp-heat enters the large intestine to cause diarrhea. If heat obstructs qi movement there may be constipation. Dark urine, a greasy, yellow tongue coating, and a deep and forceful pulse are all signs that indicate damp-heat. The therapeutic principle is to promote digestion, remove accumulation, clear heat and remove dampness.
Application
1. Essential pattern differentiation Zhi Shi Dao Zhi Wan serves as the most common formula applied for food accumulation with damp-heat blocking the stomach and intestine. This clinical pattern is marked by distention and fullness of the abdomen and stomach, abnormal defection, greasy, yellow tongue coating, deep and forceful pulse. 2. Modern applications This formula may be used in the following biomedically defined disorders when the patient shows signs of food accumulation with damp-heat: gastrointestinal dysfunction, bacillary dysentery, enteritis, and dyspepsia. 3. Cautions and contraindications This formula is prohibited for chronic dysentery and diarrhea with deficiency if there is no accumulation, and for pregnant women.
Additonal formulae
Mu Xiang Bing Lang Wan (Costus Root and Areca Pill 木香檳榔丸)
Source
《Clarifying Doubts about Damage from Internal and External Causes》Nei Wai Shang Bian Huo Lun《內外傷辨惑論》

Immature Bitter Orange Stagnation-Moving PillFormulation composition herbal medicine

Immature Bitter Orange

Immature Bitter Orange

Aurantii Fructus Immaturus
Functions：Breaks qi, resolves accumulation, transforms phlegm, disperses focal distention. Apply to inner stagnation, fullness and distention and swelling pain, constipation, diarrhea and tenesmus, chest stasis, ptosis of the stomach; uterine prolapse; prolapse of the anus.
Oriental Waterplantain Tuber

Oriental Waterplantain Tuber

Alismatis Rhizoma
Functions：Promotes urination, percolates dampness, drains heat, frees strangury. Apply to difficulty in urination, difficulty and pain while urinating induced by pyretic stranguria, edema and tumescence, diarrhea, dizziness induced by phlegm and retained fluid and emissions. Leaves: consumptive disease, cough, infrequent lactation, swellings and sores.
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.
Chinese Goldthread Rhizome

Chinese Goldthread Rhizome

Coptidis Rhizoma
Functions：Clears heat, dries dampness, drains fire, resolves toxin. Damp-heat distention and fullness, vomiting and acid regurgitation, diarrhea, jaundice, dizziness with high fever, excess of heart fire, insomnia due to vexation, haematemesis and epistaxis due to blood heat, red eye, toothache, diabetes, abscess, sore and boil swelling, externally used to eczema, ear pus.
Indian Buead|Tuckahoe

Indian Buead|Tuckahoe

Poria
Functions：Promotes urination, leaches out dampness, fortifies the spleen and stomach, calms spirit. Apply to dysuria, edema, phlegm and retained fluid and cough, vomiting, less intake due to deficiency of spleen, diarrhea, and fright and nervous, insomnia and amnesia, spermatorrhea and gonorrhea.
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.
Largehead Atractylodes Rhizome

Largehead Atractylodes Rhizome

Atractylodis Macrocephalae Rhizoma
Functions：Fortifies the spleen, boosts qi, dries dampness, promotes urination, stops sweating, calms the fetus. Apply to deficiency-weakness of spleen, anorexia, and abdominal distension, and loose tools, dizziness induced by phlegm and retained fluids, edema, spontaneous perspiration, restless fetal movement.
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