BLACK PEARL BP083 XIANG SHA YANG WEI WAN CYPERUS & CARDAMON

XIANG SHA YANG WEI WAN
香砂養胃丸
Cyperus & Cardamom Formula
Product Code: BP083

TCM Actions
Dries Damp and activates the Spleen, regulates the Qi and harmonises the Spleen-Stomach, strengthens the Spleen, reduces food stagnation

Indications
Indigestion, morning sickness, chronic gastritis, duodenitis, food allergies, candidiasis (gastrointestinal), gastroduodenal ulcers.

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

Course of treatment: 2 weeks to 6 months.

Signs and Syndromes
Cold-Damp disturbance of the Spleen Turbid-Damp obstruction of the Spleen and Stomach Liver Qi invasion of the Spleen-Stomach

Sensation of fullness and discomfort in the epigastrium and abdomen, worse after eating

Belching

Nausea or vomiting, acid reflux

Diarrhoea or loose stools

Flatulence, excessive borborygmi

Poor appetite

Diminished sense of taste

Mental dullness, poor concentration

Tongue coat is greasy, possibly with a pale tongue body

Pulse is soft, slippery, wiry or moderate

Cautions & Contraindications
Caution in patients with Yin deficiency.

Comments
This formula was first recorded in ‘Restoration of Health from the Myriad Diseases’ (wan bing hui chun) by Gong Ting-xian (a.k.a. Gong Yun-lin), 1587. It is a cleverly designed formulation, containing elements of the following formulas: Xiang Sha Liu Jun Zi Tang (Saussurea & Cardamom Formula), Er Chen Tang (Citrus & Pinellia Formula), Hou Po Wen Zhong Tang (Magnolia Bark Decoction for Warming the Middle [Jiao]) and Ping Wei San (Calm the Stomach Powder). The original contained Panax ginseng (ren shen) and Blue Atractylodes (cang zhu) as well as Ginger (sheng jiang) and Ziziphus fruit (da zao). These have been omitted in the Sun Herbal variant, which uses White Atractylodes (bai zhu), as the main tonifying herb, together with Pinellia (ban xia), prepared with Ginger juice, in lieu of these ingredients. Thus, it is more focused on regulating the Qi and resolving stagnation in the digestive tract, together with resolving turbid Damp that is obstructing the middle Jiao (Spleen and Stomach functions). As can be seen below, the beauty of this formula lies in the fact that the herbs that regulate the Qi and harmonise the middle Jiao also dry turbid Damp. In addition, the tonifying action of this formula is mild and will not add to the Damp or the Qi stagnation, because the main tonifying herbs (Atractylodes and Wolfiporia) also resolve Damp. This is an extremely popular formula in China, being produced by most of the major herbal medicine manufacturers. It has a broad range of application in conditions where the Spleen and Stomach have lost their harmonious co-ordination due to one or more of the following: retention of Damp, food stagnation or Liver Qi invasion. Thus, it may be applied as a stand alone treatment or used in an appropriate combination, as described above. The synergistic actions of the herbs are as follows:

• Atractylodes rhiz. (bai zhu), Wolfiporia cocos (fu ling), Glycyrrhiza root (gan cao): tonify the Qi and strengthen the Spleen

Ingredients
ATRACTYLODES MACROCEPHALA, RHIZ. (bai zhu) – 白朮 – 57.7 mg
WOLFIPORIA COCOS, FRUIT. BODY (fu ling) – 茯苓 – 57.7 mg
PINELLIA TERNATA, TUBER (ban xia) – 半夏 – 43.3 mg
CYPERUS ROTUNDUS, RHIZ. (xiang fu) – 香附 – 43.3 mg
MAGNOLIA OFFICINALIS, STEM BARK (hou po) – 厚朴 – 43.3 mg
CITRUS RETICULATA, FRUIT PEEL (chen pi) – 陳皮 – 28.8 mg
LINDERA STRYCHNIFOLIA, ROOT (wu yao) – 烏藥 – 28.8 mg
AMOMUM VILLOSUM, FRUIT (sha ren) – 砂仁 – 24.0 mg
AMOMUM AROMATICUM, FRUIT (dou kou) – 豆蔻 – 24.0 mg
GLYCYRRHIZA URALENSIS, ROOT (gan cao) – 甘草 – 24.0 mg