BLACK PEARL BP065 YIN CHEN HAO WAN (JIA WEI) ARTEMISIA & RHUBARB

YIN CHEN HAO WAN (Jia Wei)
茵陳蒿丸（加味）
Artemisia & Rhubarb Combination
Product Code: BP065

TCM Actions
Clears Damp-Heat, soothes the Liver and drains the Gallbladder

Indications
Fatty liver (steatohepatitis), cholecystitis, gallstones, hepatitis, hepatic cirrhosis, obesity, hemochromatosis, seborrheic alopecia, polycystic ovarian syndrome

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

Course of treatment: 3 to 6 months.

Signs and Syndromes
Damp-Heat in the Liver and Gall Bladder

Sensation of fullness and discomfort or pain in the chest and hypochondria

Fever or alternating fever and chills

Scanty dark urine

Bitter taste in the mouth

Loss of appetite

Nausea or vomiting

Jaundice

Abdominal distension

Constipation

Thirst with inability to drink much fluid

Tongue is red with yellow greasy coat

Pulse rapid and wiry or rapid and slippery

Cautions & Contraindications
Avoid coffee, deep fried foods, fatty food, alcohol.

Caution for those on anti-coagulant medications (i.e. heparin, warfarin or aspirin).

Caution with patients on: diuretics, non-steroidal anti-inflam­ matory drugs (NSAIDs), cardiotonic glycosides, antiarrhythmic drugs, laxatives.

Comments
This is a variant of a formula that was originally recorded in the ‘Treatise on Cold- induced Diseases’ (shang han lun), by Zhang Zhong-jing (circa 150 – 219 C.E.). The original was intended to be used for Bright Yang syndrome (yang ming bing zheng) with jaundice due to the presence of Damp-Heat. The Damp and Heat combine to form a Damp-Heat complex that accumulates and affects the Spleen in addition to the Bright Yang Fu organs (Stomach and Large Intestine). The Damp-Heat ‘steams’ the Gallbladder, resulting in the escape of bile, which causes jaundice. The original formula contains only three herbs, which subsequent generations of physicians have used as the basis for designing formulas that treat different clinical presentations with jaundice. This variant has been enhanced with seven additional herbs in order to broaden the therapeutic scope of the original formula in the treatment of various Liver and Gallbladder diseases as well as certain metabolic disorders – all centered on the accumulation of Damp-Heat. The synergistic actions of the herbs are as follows:

• Artemisia frigida, herb (yin chen hao), Lysimachia christinae, herb (jin qian cao), Gardenia jasminoides, fruit (zhi zi), Abrus cantoniensis, herb (ji gu cao), Taraxacum mongolicum, herb (pu gong ying), Rheum root & rhizome (da huang): clear and purge Damp-Heat, resolve jaundice

• Alisma orientale, rhiz. (ze xie): promotes diuresis to drain Damp

• Curcuma longa, tuber (yu jin), Crataegus fruit (shan zha), Citrus, fruit (zhi shi): disperse stagnant Liver Qi and drain the Gallbladder

• Lysimachia christinae, herb (jin qian cao), Curcuma longa, tuber (yu jin),

Ingredients
ARTEMISIA FRIGIDA, HERB (yin chen ha) – 茵陳蒿 – 75.0 mg
LYSIMACHIA CHRISTINAE, HERB (jin qian ca) – 金錢草 – 75.0 mg
TARAXACUM MONGOLICUM, HERB (pu gong ying) – 蒲公英 – 37.5 mg
GARDENIA JASMINOIDES, FRUIT (zhi zi) – 梔子 – 30.0 mg
ABRUS CANTONIENSIS, HERB (ji gu cao) – 雞骨草 – 30.0 mg
ALISMA ORIENTALE, RHIZ. (ze xie) – 澤瀉 – 30.0 mg
CRATAEGUS PINNATIFIDA, FRUIT (shan zha) – 山楂 – 30.0 mg
CURCUMA LONGA, TUBER (yu jin) – 鬱金 – 22.5 mg
RHEUM PALMATUM, ROOT & RHIZ. (da huang) – 大黃 – 22.5 mg
CITRUS AURANTIUM, FRUIT (zhi shi) – 枳實 – 22.5 mg