BLACK PEARL BP070 FU ZI LI ZHONG WAN (JIA WEI) DANGSHEN & GINGER

BLACK PEARL FU ZI LI ZHONG WAN (JIA WEI) DANGSHEN & GINGER – BP070

This formula is from the ‘Formulary of the Tai Ping Welfare Dispensary Bureau’ (tai ping hui min he ji ju fang) (1151 CE), a compilation of popular and effective formulas that were used in the public dispensaries of the Song dynastic period. It is a variant on Li Zhong Wan (Formula to Regulate the Middle [Jiao]) from the ‘Treatise on Cold-induced Diseases’ (shang han lun), by Zhang Zhong-jing (circa 150 – 219 C.E.), which was originally used for disorders characterised by acute onset vomiting with diarrhoea (huo luan) due to Cold; for Greater Yin (tai yin) syndrome; as well as Cold in the chest during recovery from a chronic illness with spitting of fluids.

Over the centuries the clinical uses of this formula have been expanded to include a broad range of disorders characterised by deficiency-Cold of the Spleen and Stomach, as listed above. Thus the key clinical features for the application of this formula centre on Spleen & Stomach Qi deficiency together with signs of Yang deficiency. When the Spleen Yang is deficient the ascending movement of the Spleen Qi fails to send the clear Yang Qi upwards. This leads to watery diarrhoea; failure of the Stomach functions leads to nausea or vomiting (i.e. the turbid Yin is not sent downwards).

The presence of Cold in the middle Jiao retards the circulation of the Qi and Blood leading to stagnation, manifesting clinically with epigastric or abdominal pain that is aggravated by the application of cold but alleviated by warmth and pressure (i.e. massage). In addition there are systemic signs of Cold, i.e. cold extremities.

The addition of Aconite root (fu zi) enhances the original formula’s interior Warming and Cold dispelling actions. Due to restrictions on the use of this ingredient by the Australian Therapeutic Goods Administration (TGA), Myristica seed (rou dou kou) and Tetradium fruit (wu zhu yu) are used together in this formula to substitute for the desired effects.

Ingredients:
– Codonopsis pilosula, root 黨參 106.1 mg
– Atractylodes macrocephala, rhizome 白術 84.9 mg
– Zingiber officinale, rhizome (dried) 乾薑 42.5 mg
– Myristica fragrans, seed 肉豆蔻 42.5 mg
– Tetradium ruticarpum, fruit 吳茱萸 42.5 mg
– Glycyrrhiza uralensis, root 甘草 35.4 mg

Signs & Symptoms
– Dysentery, chronic
– Duodenal ulcer
– Functional uterine bleeding
– Gastric ulcer
– Gastroenteritis, acute and chronic
– Gastroptosis
– Irritable bowel syndrome
– Colitis, ulcerative
– Crohn’s disease
– Ulcer, aphthous (mouth)
– Herpes, oral
– Cold sores
– Bronchitis, chronic
– Dysfunctional uterine bleeding
– Diarrhea or loose stools, chronic
– Nausea or vomiting
– Poor appetite
– Hypothyroidism
– Digestion, poor
– Malabsorption syndrome
– Gastritis

Dosage & Course of Treatment
– 30 – 40 pills twice daily, half to one hour away from food.
– In severe cases the dosage may be increased up to 50%, e.g. 50 pills twice daily or 30 – 40 pills, three times daily.

Cautions & Contraindications
– If using this formula to treat acute GIT disorders, discontinue once the symptoms have been resolved.
– Caution with patients taking antiarrhythmic drugs (e.g. quinidine, procainamide, disopyramide).