BLACK PEARL BP056 JIN GUI SUAN ZAO REN TANG ZIZYPHUS COMBINATION

JIN GUI SUAN ZAO REN TANG
金匱酸棗仁湯
Ziziphus Combination
Product Code: BP056

TCM Actions
Nourishes the Liver Blood and clears deficiency Heat to calm the Spirit.

Indications
Insomnia, anxiety, stress related emotional disorders

Dosage & Course Of Treatment
8 pills, 3 times daily, half to one hour away from food.

Course of treatment: 2 – 4 months.

Signs and Syndromes
Liver-Heart Blood deficiency Liver Yin deficiency with deficiency Heat

Insomnia, sleep disturbance with vivid unpleasant dreams

Anxiety

Restlessness and irritability

Palpitations

Night sweats

Dizziness

Poor concentration, mental fatigue

Dry throat and mouth

Wiry, rapid and thready pulse

Dry red tongue

Cautions & Contraindications
Avoid caffeine containing beverages (i.e. coffee, tea, cola drinks, guarana), especially in the afternoon.

Caution in patients using sedative-hypnotic medications.

Comments
This formula is a modification of Suan Zao Ren Tang (Ziziphus Seed Formula), which was first recorded in the ‘Synopsis of Prescriptions of the Golden Cabinet’ (jin gui yao lue fang lun) by Zhang Zhong-jing (circa 150 – 219 CE). This work is the earliest surviving record that details the diagnosis and treatment of miscellaneous diseases of internal medicine, as well as some surgical diseases and gynecological disorders, according to the Eight Principles. The original formula has been enhanced with the addition of Albizia flower (he huan hua), and Polygala root (yuan zhi), which are commonly used in the treatment of mental- emotional unrest; and also Angelic root (dang gui) and Paeonia root (bai shao), which nourish the Liver Blood and soothe the Liver. The formula was classified under treatments for ‘consumptive diseases’ (xu lao), which is a class of severe deficiency syndromes in which the Qi, Blood, Yin or Yang of the Zang-fu organs has become ‘consumed’, i.e. severely depleted. These are typically chronic lingering conditions that do not manifest with any one predominating symptom. However, the modified version is specifically directed towards insomnia and mental unrest occurring in cases with Liver Blood deficiency and the various secondary imbalances that have arisen as a result of it: deficiency Heat, Yang hyperactivity, Liver Qi constraint and Heart Blood deficiency and Liver Yin deficiency. In this way the formula has a powerful tranquilising action that is brought about by nourishing the Blood and Yin as well as clearing deficiency Heat. It is therefore suitable for patients with insomnia and anxiety, primarily due to Liver deficiency. The key signs are irritability, impatience and a wiry pulse.

Ingredients
ZIZIPHUS JUJUBA VAR. SPINOSA, SEED (suan zag ren) – 酸棗仁 – 62 mg
ANGELIC POLYMORPHA, ROOT (dang gui) – 當歸 – 49.9 mg
PAEONIA LACTIFLORA, ROOT (bai shao) – 白芍 – 49.9 mg
WOLFIPORIA COCOS, HYPHAE (fu ling) – 茯苓 – 49.9 mg
ANEMARRHENA ASPHODELOIDES, RHIZ. (zhi mu) – 知母 – 49.9 mg
LIGUSTICUM STRIATUM, RHIZ. (chuan xiong) – 川芎 – 37.4 mg
ALBIZIA JULIBRISSIN, FLOWER (he huan hua) – 合歡花 – 37.4 mg
POLYGALA SIBIRICA, ROOT (yuan zhi) – 遠志 – 20.8 mg
GLYCYRRHIZA URALENSIS, ROOT (gan cao) – 甘草 – 20.8 mg