22 Effective Formulas from a Veteran TCM Practitioner with 50 Years of Clinical Experience
Ba Wei Nian Tong Tang (Eight Ingredients Pain Relief Decoction)
Function: Invigorates blood and promotes qi, relieves spasms and alleviates pain.Main Indications: Pain syndromes (including all organic or non-organic pain conditions such as dysmenorrhea, adhesive abdominal pain, pelvic congestion syndrome, gastrointestinal neuralgia, colonic spasms, post-lithotripsy renal colic, cancer pain, etc.).Ingredients: Bai Shao (White Peony) 30-50g, Zhi Gan Cao (Honey-fried Licorice) 8g, Chuan Lian Zi (Sichuan Chinaberry) 10g, Yan Hu Suo (Corydalis) 20g, Wu Ling Zhi (Flying Squirrel Feces) 15g, Sheng Pu Huang (Fresh Bulrush Pollen) 12g, Xiang Fu (Cyperus) 12g, Tai Wu Yao (Taiwu Herb) 12g.Verse: “Pain relief originally from ancient formulas, overlapping combinations yield better effects; Bai Shao, Gan Cao, and Jin Ling Zi, harmonize liver qi to form the formula.”Note: This formula is a combination of Bai Shao Gan Cao Tang (White Peony and Licorice Decoction), Jin Ling Zi San (Jin Ling Herb Powder), Shi Xiao San (Pain Relief Powder), and Qing Nang Wan (Liver Qi Powder). For stubborn pain, overlapping formulas must be combined to achieve the goal of relieving spasms and alleviating pain. The meaning of the formula is clear, and its application depends on the practitioner’s understanding. It is also necessary to refer to the organ differentiation, carefully examine cold-heat and deficiency-excess, and adjust according to the symptoms. For example, for tumor pain, add Ru Mei (Myrrh) and Su Ke (Sorghum Hull); for adhesive abdominal pain, combine with Adhesion Relief Decoction; for pelvic congestion syndrome, combine with Gui Zhi Fu Ling Wan (Cinnamon Twig and Poria Pill)… Practitioners should ensure the full efficacy of the herbs. I have always used Sheng Pu Huang, Xuan Fu Hua (Inula Flower), Che Qian Zi (Plantago Seed), and Dai He San (Dai He Powder) without bagging them, otherwise, it will greatly affect the extraction of the active components. However, when pouring out the decoction, it is essential to filter with gauze to prevent pollen from causing drug-induced gastritis. I have encountered two cases of Pu Huang allergy, with gastrointestinal reactions lasting for three months, so caution is necessary.
Tou Feng Shi Nan Ye Tang (Head Wind Stone Nan Leaf Decoction)
Function: Expels wind, disperses evil, opens channels, and stabilizes pain.Main Indications: Head wind (vascular-neurogenic headache, supraorbital neuralgia).Ingredients: Shi Nan Ye (Stone Nan Leaf) 20g, Chuan Xiong (Sichuan Lovage) 12-15g, Bai Zhi (Angelica Dahurica) 12g, Tian Ma (Gastrodia) 12g, Bai Shao (White Peony) 20-30g, Gan Cao (Licorice) 8g.Adjustments: For frontal pain, add Ge Gen (Kudzu Root) 25g, Sheng Ma (Cimicifuga) 8g; for migraine, add Chai Hu (Bupleurum) 12g, Ci Jiao (Tribulus) 15g; for occipital pain, add Gui Zhi (Cinnamon Twig) 10g, Qiang Huo (Notopterygium) 12g; for vertex pain, add Gao Ben (Ligusticum) 12g, Xi Xin (Asarum) 8g; for whole head pain, add Man Jing Zi (Vitex) 12g, Jiang Can (Silkworm) 20g; for supraorbital neuralgia, add Jue Ming Zi (Cassia Seed) 20g, Hang Ju Hua (Chrysanthemum) 15g; for high blood pressure, add Shan Yao Jiao (Goat Horn) 30g (pre-boil), Ku Ding Cha (Bitter Tea) 15g; for low blood pressure, add Zhi Huang Qi (Honey-fried Astragalus) 20g, Zhi Huang Jing (Honey-fried Polygonatum) 20g; for severe pain with vomiting, add Dai Zhe Shi (Hematite) 30g (pre-boil), Ban Xia (Pinellia) 15g; for pain like a bite or a needle, add Da Wu Gong (Giant Centipede) 1 piece, or Scorpion Capsule 2 capsules, 3 times a day.Verse: “Head wind pain disrupts sleep and peace, Shi Nan, Xiong, Zhi, Ma, Shao, and Gan; for biting pain, add one centipede, increase herbs according to symptoms.”Note: Using Shi Nan Ye as the main herb to treat head wind, I recommend the “Modern Practical Chinese Medicine”. The original formula consists of Shi Nan Ye, Chuan Xiong, Bai Zhi, Tian Ma, and Nu Zhen Zi (Ligustrum) to treat “women’s neurogenic migraine”. I modified it by removing Nu Zhen Zi and adding Bai Shao Gan Cao Tang, naming it Tou Feng Shi Nan Ye Tang, thus expanding its application range. Shi Nan is a shrub (or small tree) of the Rosaceae family, originally found in deep mountains, now widely cultivated in gardens and along roads. Its leaves are pungent, bitter, and neutral. It has the effects of expelling wind, dispersing evil, tonifying the kidney, and relieving pain. Zhen Quan states, “It can enhance kidney qi… and expel all winds”; Li Shizhen calls it “wind medicine” and says, “Ancient formulas for wind bi and kidney deficiency are unknown to modern people, and few recognize it”; “Soaking in wine treats head wind.” This shows that Li also did some work on the “sacred medicine”. Wu Yiluo said, “Expelling wind and unblocking is its strength; the claim of tonifying the kidney is not credible.” Therefore, Mr. Ye Qiquan summarized various opinions, taking only its effects of expelling wind, dispersing evil, and relieving pain, and made it the main herb in the formula. As for Tao Hongjing’s statement, “Women should not take it for long, as it causes thoughts of men,” he also classified this herb, similar to Epimedium, which warms and tonifies kidney yang, as having a “sexual excitement effect” for women, but it has not been recognized by herbalists such as Huang Gongxiu, Wang Ren’an, and Wu Yiluo, and requires further research.
Fu Fang Du Liang Wan (Compound Du Liang Pill)
Function: Expels wind, disperses evil, invigorates blood, and alleviates pain.Main Indications: Head wind (as a stabilizer for vascular-neurogenic headache and supraorbital neuralgia).Ingredients: Xiang Bai Zhi (Fragrant White Angelica) 200g, Chuan Xiong (Sichuan Lovage) 80g, Tian Ma (Gastrodia) 60g, Jiang Can (Silkworm) 60g, Di Bie Chong (Ground Beetle) 50g, Xi Xin (Asarum) 30g, honey to make pills the size of green beans, take 10g (about 40-50 pills), 2-3 times a day after meals.Verse: “Du Liang Wan is based on Yang Jie’s formula, Tian Ma, Xiong, Zhi, Xi Xin, and Jiang; honey pills the size of green beans, taken with tea, the effect is remarkable.”Note: Du Liang Wan was formulated by the famous physician Yang Jie in the Song Dynasty, originally using only Bai Zhi as a pill for treating headaches with remarkable effects. Ye Tianshi said, “New diseases are in the meridians, chronic diseases enter the collaterals.” Therefore, adding a group of pungent and invigorating blood agents to disperse accumulations and unblock stagnation enhances its efficacy. Zhao Xueming called Shi Nan Ye “Luan Cha” and said, “Drinking it can cure a hundred diseases” (from Ben Cao Gang Mu Shi Yi). I often use this pill as a stabilizer for neurogenic headaches, achieving good results. Through follow-up observations, it can indeed relieve symptoms and prolong the recurrence time, and some patients can even achieve a cure.
Ge Gen Xuan Bi Tang (Kudzu Decoction for Unblocking Obstruction)
Function: Expels phlegm, invigorates blood, and unblocks obstruction.Main Indications: Chest obstruction and heart pain (coronary heart disease, angina pectoris).Ingredients: Ge Gen (Kudzu Root) 30g, Sang Ji Sheng (Mulberry Parasitic Plant) 30g, Quan Gua Lou (Whole Trichosanthes) 20g, Xie Bai (Garlic Chives) 15g, Gui Zhi (Cinnamon Twig) 10g, Dan Shen (Salvia) 25g, Chuan Xiong (Sichuan Lovage) 12g, Yu Jin (Curcuma) 15g, Bai Shao (White Peony) 25g, Bai Jiu (White Wine) 10ml (for infusion).Verse: “Now chest obstruction belongs to coronary heart disease, Ge, Xie, Gua Lou, and Sang Ji Sheng; Dan, Gui, Xiong, Jin, and Bai Shao combined, then infuse with ten milliliters of white wine.”Note: This disease is often due to phlegm and blood stasis, with obstruction of the meridians, causing stagnation of qi in the chest, leading to angina. Without expelling phlegm, the stagnation cannot be resolved; without invigorating blood and unblocking obstruction, the pain cannot be settled. This formula is modeled after the method of Gua Lou, Xie Bai, and Gui Zhi, adding Ge Gen and Sang Ji Sheng to widen the meridians, facilitating the removal of blockages; Dan Shen and Chuan Xiong invigorate blood and promote qi; Yu Jin and Bai Shao open blockages and stabilize pain; Bai Jiu lightly lifts and promotes the medicinal effects, unblocking obstruction and stopping pain. In severe cases, it can also be combined with Scorpion Capsule or Hirudo Capsule. It is often said: “Pain syndromes are mostly solid.” “Evil does not leave, and pain does not stop”; even those with physical weakness can take this formula temporarily in emergencies, and once the condition alleviates, gradually switch to a more gentle dispersing formula for consolidation.
Hua Jian Zhu Bi Tang (Transform Hardness and Expel Bi Decoction)
Function: Warms the meridians, invigorates blood, transforms hardness, and expels bi.Main Indications: Bi syndrome (similar to Zhu Bi Jiu, see below).Ingredients: Wei Ling Xian (Clematis) 20g, Bai Shao (White Peony) 30g, Zhi Chuan Wu (Processed Aconite) 12g, Hu Zhang (Polygonum) 15g, Ji Xue Teng (Sanguisorba) 30g, Ma Huang (Ephedra) 8g, Qing Mu Xiang (Atractylodes) 10g, Di Bie Chong (Ground Beetle) 10g, Gan Cao (Licorice) 8g.Adjustments: For cold bi, add Zhi Cao Wu (Processed Aconite) 10g; for hot bi, replace Zhi Chuan Wu with 10g, Hu Zhang with 20g, and Da Hong Teng (Sargentodoxa) 30g instead of Ji Xue Teng; for cervical spondylosis (nerve root type), add Ge Gen (Kudzu Root) 30g, Pian Jiang Huang (Curcuma) 12g; for degenerative lumbar disease, add Guo Sui Bu (Drynaria) 15g, Bu Guo Zhi (Psoralea) 12g; for lumbar disc herniation, add Hong Hua (Carthamus) 12g, Chuan Xiong (Sichuan Lovage) 12g, Guo Sui Bu (Drynaria) 15g; for joint stiffness and swelling, add Bai Jie Zi (White Mustard Seed) 15g, Jiang Can (Silkworm) 20g; for joint effusion, add Yi Mu Cao (Leonurus) 20g, Bai Jie Zi (White Mustard Seed) 15g, Hirudo Capsule 2 capsules (3 times a day); for knee osteoarthritis, add Chuan Niu Xi (Achyranthes) 12g, Fen Fang Ji (Stephania) 12g; for high blood pressure, replace Gui Zhi with Ma Huang. Regarding Qing Mu Xiang, which contains aristolochic acid, reports indicate that it can easily lead to kidney damage, mainly due to arbitrary dosage increases, exceeding the human tolerance limit (60-120-200g). However, in this formula, Qing Mu Xiang is used at 10g, and for a short duration, it is relatively safe; for caution, it can also be omitted.
Qiang Gu Wan (Strong Bone Pill)
Function: Eliminates hardness, disperses masses, strengthens bones, and stabilizes pain.Main Indications: Bi syndrome (rheumatism, rheumatoid arthritis, joint stiffness and deformity, myofascial pain, fibrous tissue inflammation, various types of bone hyperplasia, shoulder periarthritis, acute lumbar sprain, lumbar disc herniation and its postoperative sequelae, costochondritis, pain from traumatic hematomas, chronic osteomyelitis with necrotic bone formation, pleural adhesions, joint adhesions, pelvic congestion syndrome, pelvic adhesions, myasthenia gravis, aplastic anemia, etc.).Ingredients: Zhi Ma Qian Zi (Processed Strychnos) (sand-fried until it makes a popping sound, surface expands, crushes easily, brown or reddish) 1000g, Quan Xie (Scorpion) 110g, Di Long Gan (Earthworm) 110g, Di Bie Chong (Ground Beetle) 110g. Grind into a very fine powder, refine with honey to make pills the size of a jujube, dry after each pill is about 0.3g, containing pure Ma Qian Zi about 0.2g.Dosage: Take with other herbs, 2 pills before bed; if taken alone, take 2 pills after lunch and dinner; for aplastic anemia, take 1 pill before bed. All taken with light brown sugar water. (According to the Pharmacopoeia, the conventional dosage of Ma Qian Zi is about 0.3-0.6g per dose).Reactions: At this dosage, generally, there are no adverse reactions; a few cases may experience reactions, such as dizziness in the morning, weakness in the feet, etc., requiring immediate reduction or cessation of the medication.Contraindications: Patients with hypertension should use with caution. Pregnant women, chronic gastritis, and gastric ulcer patients should avoid it.Note: There are many names for Ma Qian Zi preparations, such as Jiu Zhuan Hui Sheng Dan, Long Ma Zi Lai Dan (Ma Qian Zi, Di Long Gan), Shanghai Feng Tong Pian (Ma Qian Zi, Ma Huang), etc. Qiang Gu Wan is based on Professor Yan Dexin’s prescription and references the experiences of many predecessors. The dosage ratio is: Ma Qian Zi 3 parts, the other 3 herbs 1 part (3:1). Zhang Xichun stated that Ma Qian Zi “opens the meridians and penetrates the joints far better than other medicines.” It is precisely because of the remarkable efficacy of Ma Qian Zi that it has been used in clinical practice for thousands of years without decline.Although this product is highly toxic (Li Shizhen believed it was non-toxic, which is incorrect), “toxic drugs are powerful agents that can cure chronic diseases,” it is indeed a remedy for stubborn diseases, revitalizing the weak and providing quick effects. It is a pity not to use it just because it is toxic. However, when using it, one must recognize the toxicity of the drug, transform the poison into medicine, and “turn the poison into a golden elixir” to relieve suffering. As long as the preparation is standardized, the dosage is precise, and the diagnosis is accurate, and detailed instructions are given for any occasional discomfort and handling measures, it is safe to take. The efficacy of Ma Qian Zi in this formula emphasizes the word “transform”; the other three herbs focus on “unblocking”. One transforms, one unblocks, and they work together, achieving great power and efficacy. For certain stubborn conditions characterized by joint stiffness, swelling, hardness, pain, and numbness, this formula is essential for breaking down hardness, dispersing swelling, and stopping pain. Long-term use of micro-doses of Ma Qian Zi also has a strengthening and health-preserving effect.Mr. Wu Xiangshan, the director of TCM at Anhui Provincial Hospital, often keeps this pill to treat many orthopedic diseases, also known as Bao Shou Wan, Wan Shou Wan. He believes that taking one pill every night can ensure health and longevity, and he practiced this himself until he was nearly 90 years old. During the Cultural Revolution, the term “longevity” was criticized as a theory of prolonging life, so it was renamed as Jin Gu Zhi Tong Wan. Pharmacological studies have shown that Ma Qian Zi combined with musk and Xuan Hu Tong can increase toxicity; combined with Chi Shao (Red Peony) and Gan Cao (Licorice) can reduce toxicity. Mild poisoning symptoms can be treated by stopping the medication and drinking plenty of water or consuming mung bean soup or licorice soup; in cases of severe poisoning, treatment should follow the guidelines for treating poisoning. This product has cumulative toxicity; if taken alone, it should be stopped for 4-6 days after 10-15 days of use before resuming.
Huang Qi Bai Ji Tang (Astragalus and Bletilla Decoction)
Function: Tonifies qi, astringes yin, tonifies kidney, and calms the meridians.Main Indications: Yin spots (thrombocytopenia).Ingredients: Zhi Huang Qi (Honey-fried Astragalus) 25g, Bai Ji Pian (Bletilla) 20g, Ren Shen (Ginseng) 12g, Gan Gou Qi (Goji Berries) 25g, Sha Ji Li (Tribulus) 12g, Jing Lian Qiao (Forsythia) 15g, Sheng Huai Mi (Fresh Sophora Flower) 15g, Xian He Cao (Agrimonia) 20g, Gan Cao (Licorice) 6g, Dai He San (Dai He Powder) 20g, Da Zao (Jujube) 4 pieces.Verse: “Thrombocytopenia belongs to yin spots, Bai Ji, Ren Shen, Huang Qi, and Gou Qi; Lian Qiao, Huai Mi, Xian He, and Gan Cao, Dai He and Da Zao are all decocted together.”Note: This formula uses Huang Qi, Bai Ji, and Ren Shen as the main herbs to tonify qi and nourish yin, supporting the body and restoring health; Gan Gou Qi and Sha Ji Li tonify the kidney and fill the marrow, nourishing blood and harmonizing the body as the ministerial herbs; Lian Qiao, Sheng Huai Mi, and Xian He Cao have the functions of cooling blood, stopping bleeding, and nourishing the skin, serving as assistant herbs; Gan Cao and Da Zao harmonize the properties of the herbs, combining their effects as the envoy, achieving the effects of tonifying qi, astringing yin, tonifying kidney, and calming the meridians. Thrombocytopenia belongs to the category of “yin spots”; however, both qi and yin are often injured, and heat disturbing the blood is a common pathogenesis. Adhering to the pathogenesis, establishing treatment methods, and proposing to tonify qi to restore health, generate essence to nourish blood, and cool blood to calm the meridians is the main principle. According to modern medical perspectives, this formula can be considered one of the representative formulas for immune regulation in this disease. Lian Qiao and Huai Mi, according to modern pharmacological analysis, are rich in vitamin PP (rutin), which has a special effect of enhancing the toughness of capillaries, forming a group of mutually beneficial and specifically effective herbal pairs. This formula is used for various types of thrombocytopenia, with adjustments according to symptoms, showing significant efficacy; except for a few cases, most patients have been able to reduce or stop using “hormones” without rebound.
Jian Zhong Zhi Xue Tang (Strengthen the Middle and Stop Bleeding Decoction)
Function: Warms the middle, strengthens the spleen, astringes and stops bleeding.Main Indications: Hematemesis and hematochezia (upper gastrointestinal bleeding).Ingredients: Huang Qi (Astragalus) 30g, Chao Bai Zhu (Fried Atractylodes) 15g, Hai Shao (Sea Cucumber) 20g, Bai Ji Pian (Bletilla) 20g, Chao Di Yu (Fried Sanguisorba) 30g, Sheng Da Huang (Fresh Rhubarb) 5g, Chi Shi Zhi (Red Stone Fat) 15g, Gan Cao (Licorice) 8g. Use a handful of Zao Xin Tu (Earth from the stove) and 10g of Pao Jiang (Fried Ginger, crushed) to boil water, and take the water to decoct the herbs.Verse: “Warm the middle and stop bleeding with ginger and qi, Shao and Yu, Huang and Cao are suitable; add a handful of Zao Xin Tu, astringe the intestines and solidify the lower, which is a good opportunity.”Note: Generally, hematemesis and hematochezia are often due to spleen and stomach qi deficiency, leading to the inability to control blood, resulting in blood flowing internally, and in severe cases, blood loss leading to syncope (hemorrhagic shock). To treat this urgently, it is necessary to strengthen the spleen and tonify qi, assisting in controlling and solidifying the loss. The formula includes Huang Qi and Bai Zhu, which specialize in this function; adding Wu and San to harmonize with Di Yu and Sheng Da Huang forms a rapid astringent and hemostatic pair for gastrointestinal bleeding, leveraging the power of tonifying qi to solidify and stop bleeding; Chi Shi Zhi combined with Zao Xin Tu (if Zao Xin Tu is unavailable, increase the dosage of Chi Shi Zhi) works together to enhance the effects of astringing the intestines, solidifying the lower, and warming the middle to stop bleeding. Pao Jiang serves as an assistant, aiming to transform and prevent stagnation, and the efficacy of Huang and Zhu is greatly enhanced by this. This formula often stops upper gastrointestinal bleeding in three doses (except in special severe cases).
Se Liu Zhi Beng Tang (Stop Flow and Control Bleeding Decoction)
Function: Tonifies qi, solidifies and controls, stops flow and controls bleeding.Main Indications: Uterine bleeding (functional uterine bleeding, etc.).Ingredients: Zhi Huang Qi (Honey-fried Astragalus) 30g, Chao Bai Zhu (Fried Atractylodes) 15g, Sheng Ma (Cimicifuga) 8g, Duan Long Gu (Calcined Dragon Bone) 20g (pre-boil), Lu Jiao Shuang (Deer Antler Powder) 20g (pre-boil), Wu Zei Gu (Cuttlefish Bone) 20g (pre-boil), Chao Di Yu (Fried Sanguisorba) 30g, Qian Cao Gen (Rubia) 15g, Hong Cang Zhu (Red Atractylodes) 12g, Chao Pu Huang (Fried Bulrush Pollen) 12g.Verse: “Tonify qi to treat bleeding and stop flow, Huang, Ma, and two Zhu are superior; Qian, Yu, Wu, and Pu Huang fried, the hemostatic function should not be worried about.”Note: The spleen can control blood and astringe it, allowing blood to circulate normally without collapsing. In cases of blood loss and collapse, it is urgent to tonify the spleen and benefit qi, restoring and enhancing its controlling function, which can yield results. Greatly tonifying the spleen, benefiting qi, and lifting the sinking method, stopping flow and clarifying the source, treating both the root and the branch, can not only achieve the effect of “immediate hemostasis” but also has the effect of “benefiting blood generation”. Zhao’s “Yi Guan” states: “The tangible blood cannot be quickly generated, but the intangible qi must be urgently solidified; the intangible generates the tangible,” which is the intention of Huang and Zhu working together. Based on this method, many solidifying and hemostatic products are added, which can be said to have a powerful and robust effect. Hong Cang Zhu is a well-known product used by our province’s famous gynecologist Xu Zhihua for treating bleeding, and it is now made into “Zhi Xue Jing” No. 1 (from Chinese Medicine Records Third Edition), which is also his experience in medication, added to this formula, has a rapid hemostatic effect. For cases of qi dispersing and blood loss, urgent severe cases can also be assisted with Du Shen Tang “Guo Kou” (drinking the medicine slowly) for quicker results.
Liang Xue Zhi Lu Tang (Cool Blood and Stop Nosebleed Decoction)
Function: Clears heat, cools blood, moistens dryness, and stops nosebleeds.Main Indications: Nosebleeds (unknown causes, recurrent, long-term unhealed, and other blood diseases excluded patients).Ingredients: Shui Niu Jiao Pian (Water Buffalo Horn) 20-30g (pre-boil), Sheng Di Huang (Fresh Rehmannia) 20-30g, Hei Zhi Zi (Black Gardenia) 15g (crushed), Zhi Mu (Anemarrhena) 20g, Sheng Da Huang (Fresh Rhubarb) 8g, Huai Niu Xi (Achyranthes) 10g. Boil in water. Reduce dosage for children.Verse: “To treat nosebleeds, use Sheng, Zhi Mu, Mountain Gardenia, and Water Buffalo Horn; Huai Niu Xi together for better effects, avoid spicy, alcoholic, dry, and hot foods.”Note: Generally, nosebleeds are minor ailments that can be easily treated. In clinical practice, I often see children or adults who experience nosebleeds at the slightest touch or during illness (commonly known as “sand nose”), which can lead to anemia. After multiple examinations by ENT specialists (-), if it persists for years or decades, they eventually seek treatment from TCM, which is also a strong point of TCM treatment. This condition, apart from yin deficiency and blood dryness, generally has no identifiable symptoms, and treatment is often based on cooling blood and stopping nosebleeds, combined with Hong Hei San (see external treatment formulas) for emergency use. Once the bleeding stops, use Du Sheng San to root out the cause. If the doctor-patient cooperation is close, avoid spicy, alcoholic, hot, and fried foods (especially scallions and leeks), and avoid sun exposure. Clinical observations show that many children can be completely cured. Many cured children have now grown up and brought other children with nosebleeds for treatment. Even if they cannot be completely cured, there are long-term effects of reducing bleeding volume and recurrence frequency.
Du Sheng San (Single Holy Powder)
Function: Cools blood, stops nosebleeds, promotes tissue regeneration, and astringes ulcers.Main Indications: Nosebleeds (unknown causes, recurrent, long-term unhealed root treatment formula).Ingredients: Bai Ji (Bletilla) (cleaned and ground into a fine powder), take 5g each time, reduce for children, add fresh Huan Lian juice 20ml, infuse with boiling water, take 2-3 times a day.Note: According to medical texts, using one herb ground into powder and infused is called Du Sheng San, such as Jing Jie Sui (from Ben Cao Shi Yi originally named Yu Feng San), Shan Zha (Hawthorn) (from Da Sheng Pian), and Ma Fen (Horse Manure) (from Wen Bing Tiao Bian). My local doctor, Lin Zishu, inherited the tradition of wandering doctors, using Bai Ji alone, ground into a fine powder, adding children’s urine and boiling water to infuse, named “Nosebleed Root Treatment Du Sheng San,” and passed it on to me. In clinical practice for decades, whenever I encounter this condition, I first use Liang Xue Zhi Lu Tang, and after the bleeding stops, I continue with this formula, which has been verified many times. However, children’s urine, feces, human colostrum, and sea bottom stones are gradually being used less. I have replaced it with fresh Huan Lian juice, which is even more effective.
Hua Yan San (Ulcer Powder)
Function: Harmonizes the middle, astringes ulcers, and stops acid pain.Main Indications: Epigastric pain, acid reflux (gastric and duodenal ulcers, excessive gastric acid, etc.).Ingredients: Wu Zei Gu (Cuttlefish Bone) 80g (remove shell and lightly fry), Ji Dan (Eggshell) 80g (clean and lightly fry), Zhe Bei Mu (Fritillaria) 50g, Bai Ji Pian (Bletilla) 80g, Gan Cao (Licorice) 40g, Ku Fan (Alum) 10g, grind into a very fine powder, pass through a 100-mesh sieve, and roll into powder like face powder. Take 3-5g each time, 3 times a day, half an hour before meals, infused with boiling water.Verse: “Epigastric acid reflux, Wu Zei, Gan, Bei, and Eggshell enter; Ku Fan in small amounts ground into powder, promotes tissue regeneration and heals ulcers, harmonizing the stomach.”Note: This formula is also known as Compound Wu Bei San, and its efficacy can be summarized as: controlling acid, harmonizing the middle, promoting tissue regeneration, dispersing stagnation, and stopping pain. It can also stop bleeding and is effective quickly. The pharmacological properties of the above herbs are well known and need not be elaborated. However, the effect of Ku Fan, although small in quantity, is the strongest in healing ulcers, and early reports should not be ignored. Modern research has found that aluminum is harmful to the human body; after symptoms improve, Ku Fan can be omitted as appropriate. This formula is composed of many verified formulas, containing less plant fiber, making it a remarkably effective, low side effect (only constipation), and easy-to-take anti-ulcer formula. However, it requires careful selection of materials, fine grinding, and consistent use to maintain efficacy.
Jiao Fu Jian Zhong Tang (Pepper and Aconite Middle-Warming Decoction)
Function: Expels cold, moves stagnation, warms the middle, and relaxes the spleen.Main Indications: Yin-cold stomach pain (chronic gastritis, atrophic gastritis, gastrointestinal neurosis, severe gastric and duodenal ulcers).Ingredients: Da Hong Shen (Large Red Ginseng) 10-20g, Chao Cang Zhu (Fried Atractylodes) 15g, Chao Bai Zhu (Fried Atractylodes) 15g, Gan Jiang (Dried Ginger) 10g, Zhi Gan Cao (Honey-fried Licorice) 6g, Zhi Fu Zi (Processed Aconite) 10-20g, Chuan Jiao (Sichuan Pepper) 5-8g.Adjustments: For gastric and duodenal ulcers, add Hai Piao Xiao (Cuttlefish Bone) 20g (pre-boil), Bai Ji (Bletilla) 20g (pre-boil); for atrophic gastritis, add Wu Mei (Mume) 15g, Zhi Huang Jing (Processed Polygonatum) 20g; for severe pain, add Bai Shao (White Peony) 25g, Xiang Fu (Cyperus) 15g; for severe bloating, add Mu Xiang (Aucklandia) 8g, Sha Ren (Amomum) 5g; for vomiting and salivation, add Chao Wu Zhu Yu (Fried Evodia) 5-8g, Jiang Ban Xia (Dried Pinellia) 12g; for loose stools, add Yi Zhi Ren (Alpinia) 12g, Chi Shi Zhi (Red Stone Fat) 15g.Verse: “Aconite and licorice in the middle with Sichuan pepper.”Note: This formula is based on Aconite Middle-Warming Decoction with the addition of Sichuan pepper, consisting of six herbs. It summarizes the effects of Shen Aconite Decoction, Aconite Decoction, Middle-Warming Decoction, Aconite Middle-Warming Decoction, Great Middle-Warming Decoction, Four Reversal Decoction, and Licorice and Dried Ginger Decoction, achieving the effects of warming the three yangs of the heart, spleen, and kidney, expelling the three evils of cold, dampness, and accumulation, and obtaining the benefits of multiple formulas in one. It is specifically designed for conditions of excessive internal cold, weak spleen yang, fear of cold, limb coldness, abdominal pain, and intestinal sounds, achieving the effects of expelling cold, moving stagnation, and warming the middle to rescue from reversal. The main pulse of this formula is: deep and thin or rapid; the main tongue: pale blue or large, with gray and moist coating, or white and slippery, or white and greasy like accumulated powder. It is often seen in the later stages of ulcer disease, chronic atrophic gastritis, and gastrointestinal neurosis. This is a formula for rescuing from danger and reversal. Although this formula is established for heavy internal cold, coagulation, and pain, both pepper, aconite, and ginger are all pungent, warm, and dry herbs, and the dosage should be adjusted from light to heavy. Once the cold is expelled and yang is restored, further adjustments should be made based on tongue coating changes.
Ling Gui Sheng Xian Tang (Poria and Cinnamon Branch Decoction)
Function: Warms and transforms phlegm, strengthens the spleen, and raises sinking.Main Indications: Gastric prolapse with stagnant fluid (accompanied by gastric fluid retention).Ingredients: Fu Ling (Poria) 30g, Gui Zhi (Cinnamon Twig) 10-15g, Chao Bai Zhu (Fried Atractylodes) 15-20g, Zhi Gan Cao (Honey-fried Licorice) 6g, Sheng Ma (Cimicifuga) 8g, Chai Hu (Bupleurum) 8g.Verse: “Fu Ling, Gui, Zhu, Gan, add Sheng and Chai.”Note: For patients with gastric prolapse, instruct them to stand and perform abdominal contraction and inhalation activities, and they may hear a gurgling sound in the abdomen, feeling as if their abdomen is a water bag, indicating that the fluid is not dissipating, and clear qi is difficult to rise. First, take this formula, and after the fluid is eliminated, then take tonifying qi formulas for lifting and raising effects. For severe cold, add Gan Jiang (Dried Ginger) 10g, Zhi Fu Zi (Processed Aconite) 10-20g; for severe dampness, add Huo Xiang Ye (Agastache) 12g, Bai Dou Kou (White Cardamom) 5g.
Zhi Zhu Sheng Xian Tang (Bitter Orange and Atractylodes Decoction)
Function: Strengthens the spleen, moves stagnation, regulates qi, and raises sinking.Main Indications: Gastric prolapse with qi stagnation (accompanied by gastrointestinal bloating).Ingredients: Zhi Qiao (Bitter Orange) 15-20g, Chao Bai Zhu (Fried Atractylodes) 12-15g, Sheng Ma (Cimicifuga) 8g, Chai Hu (Bupleurum) 8g.Verse: “Zhi Zhu Decoction adds Sheng Ma and Chai Hu.”Note: For patients with gastric prolapse, if the abdomen feels bloated, especially after meals, and percussion sounds like a drum, with frequent belching, and stagnation is not resolved, clear qi is difficult to rise, first take this formula, and after the qi moves and bloating resolves, then take tonifying qi formulas for raising and lifting effects. If bloating is severe, add Lai Fu Zi (Radish Seed) 15-20g, Sha Ren (Amomum) 5g; for constipation, add Huo Ma Ren (Hemp Seed) 30g, Yuan Ming Fen (Yuanming Powder) 10-15g (for infusion).
Yin Huo Ping Wei San (Artemisia and Atractylodes Powder)
Function: Dries dampness, drains turbidity, and aromatically clears jaundice.Main Indications: Jaundice with dampness heavier than heat (various types of hepatitis, cholecystitis, etc.).Ingredients: Yin Chen Hao (Artemisia) 30g, Huo Xiang Ye (Agastache) 12-15g (added later), Chao Bai Zhu (Fried Atractylodes) 12-15g, Chen Pi (Aged Tangerine Peel) 12g, Jiang Hou Po (Thick Magnolia Bark) 12g, Gan Cao (Licorice) 5g. For deep jaundice and skin itching, add Guang Yu Jin (Golden Thread) 15-20g, Guo Lu Huang (Guo Lu Huang) 30g, Ci Ji Li (Tribulus) 12g.Verse: “Ping Wei San adds Yin Chen and Huo Xiang Ye.”Note: Lei Shaoyi created Yin Chen Ping Wei San to treat dampness and jaundice with remarkable effects (from Shi Bing Lun). I added Huo Xiang Ye (the best in the current year) and named it Yin Huo Ping Wei San. Compared to the previous efficacy, it has improved further. For jaundice with dampness heavier than heat, according to traditional treatment methods, using Yin Chen Wu Ling San, it is said that “treating jaundice without benefiting water is not the right treatment.” This allows the dampness and pathogenic evil to be expelled through urination, achieving the goal of reducing jaundice. I believe that dampness is sticky and heavy, and without drying, it cannot move; without transformation, it cannot rise; without dispersing, it cannot be eliminated. Adding Huo Xiang Ye enhances the pungent, aromatic, and draining effects, allowing the dampness and pathogenic toxins to be transformed in the middle burner, and then expelled to the lower burner, achieving better efficacy. This formula is used for the initial stage of hepatitis, where jaundice is prominent, and there are no other identifiable symptoms; for chronic hepatitis, especially in those who consume alcohol and have a fatty body, with dampness and pathogenic evil internally, a large tongue with a white coating, and persistent liver function damage lasting for years, this formula is also effective, with good enzyme-lowering and jaundice-reducing effects.
Yin Chen San Huang Tang (Artemisia and Three Yellow Decoction)
Function: Clears heat, expels toxins, invigorates blood, and reduces jaundice.Main Indications: Jaundice with heat heavier than dampness (various types of hepatitis, acute cholecystitis, etc.).Ingredients: Yin Chen Hao (Artemisia) 30g, Guo Lu Huang (Guo Lu Huang) 30g, Tian Ji Huang (Corydalis) 20g, Sheng Da Huang (Fresh Rhubarb) 12-15g (added later), Hu Zhang (Polygonum) 15-20g, Pu Gong Ying (Dandelion) 25g, Ban Lan Gen (Isatis) 20g, Huo Xiang Ye (the best in the current year) 15g (added later).Verse: “For damp-heat jaundice, divide into heavy and light, Three Yellow, Huo Xiang, Ban, and Pu form a formation; for deep jaundice and itching, add Chi Shao (Red Peony) 20g, Guang Jiang Huang (Golden Turmeric) 12g, and Ci Ji Li (Tribulus) 12g.”Note: This formula is a modification of Yin Chen Hao Decoction, replacing Zhi Zi (Gardenia) with Hu Zhang, which is a brilliant change. Its functions of invigorating blood, unblocking the bowels, and clearing heat and expelling toxins are beyond the reach of Zhi Zi. It can be said to be a good medicine for liver diseases with multiple effects. Yin Chen Hao, with Tian Ji Huang and Guo Lu Huang as assistants, works together to enhance the effects of draining dampness and reducing jaundice; Pu Gong Ying and Ban Lan Gen clear heat and expel toxins; Huo Xiang Ye aromatically clears and promotes circulation, preventing the aforementioned herbs from causing cold stagnation. Therefore, Huo Xiang is the enhancer of Yin Chen San Huang Tang. The combination of these herbs allows the pathogenic heat and toxins to be decomposed in the middle burner; leveraging Da Huang’s power to clear heat and expel toxins, it is expelled to the lower burner. The tangible evil is expelled through the digestive tract, while the intangible dampness is expelled through the urinary tract, achieving the intention of dividing and eliminating the evil, and the effect of reducing jaundice and lowering enzyme levels is rapid.
Ping Mai Xiao Yao San (Calm Wheat and Relaxed Powder)
Function: Soothes the liver, strengthens the spleen, and supports recovery.Main Indications: A stabilizer for various types of hepatitis during the recovery phase.Ingredients: Chai Hu (Bupleurum) 80g, Dang Gui (Angelica) 80g, Chao Bai Zhu (Fried Atractylodes) 100g, Bai Shao (White Peony) 100g, Fu Ling (Poria) 100g, Gan Cao (Licorice) 30g, Sheng Mai Ya (Fresh Barley Sprout) 100g, Ping Di Mu (Pseudostellaria) 100g. Grind into coarse powder, each time take 25g, decoct once, take twice a day (do not take the second decoction).Verse: “Xiao Yao San adds mint, plus Sheng Mai Ya and Ping Di Mu.”Note: Xiao Yao San is often used for treating chronic hepatitis and early cirrhosis, and Japanese herbalists have used it extensively, with early reports. This formula replaces mint with Sheng Mai Ya and adds Ping Di Mu, with the two herbs working together to enhance the effects of soothing the liver, harmonizing the middle, invigorating blood, and softening the liver. Therefore, Sheng Mai Ya and Ping Di Mu are indeed enhancers of Xiao Yao San for treating liver diseases. I often alternate this formula with Zhu’s Fu Gan San for treating early cirrhosis or use it as a maintenance agent after the resolution of portal hypertension and ascites, or take it alone, especially as a consolidating and rehabilitative agent during the recovery phase of various types of hepatitis, achieving very good results, hence I am happy to recommend it.
Kai Luo Di Yin Jian (Open Channels and Clear Fluid Decoction)
Function: Bitters and pungents open channels, strengthen the spleen, and clear fluid.Main Indications: Suspended fluid (exudative pleuritis, difficult-to-dissolve pleural effusion).Ingredients: Sheng Xiang Fu (Fresh Cyperus) 15g, Xuan Fu Hua (Inula Flower) 12-15g, Guang Chen Pi (Aged Tangerine Peel) 12g, Sheng Ban Xia (Fresh Pinellia) 15g, Yun Fu Ling (Cloud Poria) 30g, Sheng Yi Yi Ren (Fresh Coix Seed) 30g, Ting Li Zi (Desmodium) 15-20g, Bai Jie Zi (White Mustard Seed) 12g, Sheng Huang Qin (Fresh Scutellaria) 15g, Zi Dan Shen (Red Sage) 20g, Sheng Jiang (Fresh Ginger) 3 slices, Da Zao (Jujube) 4 pieces. Note: When pouring out the decoction, it must be filtered with gauze.Verse: “Chest fluid difficult to dissolve, pleuritis, Ban Xia, Yi, Xiang, and Sheng herbs first; Chen, Xuan, Ling, Jie, and Ting Li Zi, Jiang, Zao, Dan Shen, and Qin all decoct together.”Note: Tuberculous pleuritis and pleural effusion belong to the category of “suspended fluid.” The main formula is Shi Zao Tang, but due to its strong medicinal power and significant side effects, practitioners have been reluctant to use it for a long time, and patients also find it difficult to accept, which is a drawback. I modeled after the “Wen Bing Tiao Bian” method of “bitters and pungents combined, aromatic opening channels,” taking the decoction of Xiang Fu and Xuan Fu Hua and modifying it to create Kai Luo Di Yin Jian. In severe cases, it can also be combined with Xiang Ji Capsule (see specialized capsule section), which also has the effect of breaking phlegm, expelling fluid, and clearing hardness, with very few gastrointestinal adverse reactions throughout the medication process. This allows the patient’s fluid to dissipate invisibly, while controlling exudation.In this formula, Sheng Xiang Fu is used to preserve its inherent effects of pungent dryness and dampness, moving qi and opening blockages, to enhance the power of Xuan Fu Hua in transforming phlegm, descending qi, unblocking channels, and expelling fluid. Xuan Fu Hua, Ting Li Zi, and Xiang Ji Capsule are all powerful qi-consuming and harmful to the body, following the principle of “reducing half and stopping…” When significant pleural effusion has notably receded, the dosage should be reduced accordingly, or use the whole herb of Xuan Fu Hua—Jin Fei Cao, increasing the dosage, which is more prudent. In clinical practice, this disease is generally treated with large amounts of anti-tuberculosis (anti-tuberculosis) drugs or thoracentesis. One, pleural effusion is not much but difficult to eliminate; two, pleural effusion is rampant and re-accumulates after each drainage; three, small amounts of pleural effusion or encapsulated effusion that cannot be absorbed for a long time. Generally, taking 10-20 doses often shows miraculous effects. However, encapsulated effusion is very stubborn and must be combined with Hirudo Capsule to see the effect of dispersing water and resolving masses.
Ba Wei Ling Gui Shu Gan Tang (Eight Ingredients Poria and Atractylodes Decoction)
Function: Warms yang, transforms fluid, benefits water, and strengthens the heart.Main Indications: Suspended fluid (pulmonary heart disease with heart failure and other congestive heart failure).Ingredients: Fu Ling (Poria) 30g, Gui Zhi (Cinnamon Twig) 12g, Chao Bai Zhu (Fried Atractylodes) 15g, Zhi Gan Cao (Honey-fried Licorice) 6g, Zhi Fu Zi (Processed Aconite) 10-15g, Bei Wu Jia Pi (North Five-Leaf) 8-10-12g (wrapped separately), Ting Li Zi (Desmodium) 15-25g, Dan Shen (Salvia) 15-20g.Verse: “Suspended fluid affects the lungs and heart, warming yang and benefiting water, the formula is balanced; Gui, Ling, Zhu, Gan, Shen, and Ting, Bei Wu Jia Pi is effective.”Note: Chronic bronchitis is diagnosed based on the three burners, and its development trend is from the lungs (chronic bronchitis) and spleen (pulmonary emphysema) to the kidneys (pulmonary heart disease). The disease is in the upper burner (lungs) and is easier to treat; it is more difficult to treat when it reaches the middle burner (spleen); and it is even more difficult to treat when it enters the lower burner (kidneys). Due to kidney yang deficiency, it cannot warm and transform, and spleen qi deficiency leads to a lack of power to circulate, causing fluid to rise, affecting the heart and lung, with qi, water, and blood stasis intermingling, forming the “water in the heart” syndrome. According to the treatment method in the Jin Gui Yao Lue, “When there is water in the heart, fullness in the chest and ribs, dizziness, the formula is Ling Gui Shu Gan Tang.” This famous formula is established for “warming and harmonizing” to treat phlegm and fluid diseases. However, simply “harmonizing” may not be sufficient for other lingering fluids. Wei Litong said: “To harmonize means not to focus solely on warming and tonifying. Even if there are dispersing agents, they are also included in the warming medicine, and the formula is called harmonizing” (from Jin Gui Yao Lue Ben Yi). This is indeed an experiential saying.I use Ling Gui Shu Gan Tang as the base formula, adding invigorating blood, expelling water, and clearing phlegm to achieve this purpose. The combination of Aconite and Bei Wu Jia Pi greatly warms the heart and kidney yang; yang can transform qi, and qi can move water. Once the fluid is expelled, the yang will naturally manifest; Dan Shen combined with Ting Li Zi invigorates blood and expels fluid, effectively reducing the burden on the heart and quickly alleviating symptoms of pulmonary heart disease caused by hypoxia. The modified formula enhances the efficacy, and heart failure can be quickly controlled.Bei Wu Jia Pi has southern and northern varieties; southern Wu Jia Pi belongs to the Araliaceae family, yellowish-white, and has a similar adaptogenic effect to ginseng; northern Wu Jia Pi belongs to the Menispermaceae family, with a dry yellow color, and has a toxic effect similar to that of the poisonous flower seed, due to its unpleasant aroma, it is commonly referred to as fragrant Wu Jia Pi. According to current pharmacy investigations, this product is toxic and can cause gastrointestinal reactions, but it does have a strong heart effect. When using it, the dosage must be carefully examined, and the formula should be wrapped separately for easy identification by patients. Occasionally, there may be reactions, and the dosage can be reduced or omitted.
Gao Lin Fen Qing Yin (Thick Lin Clear Drink)
Function: Separates clear from turbid, smooths and unblocks urination.Main Indications: Gao Lin (chyluria).Ingredients: She Gan (Belamcanda) 15-20g, Ze Xie (Alisma) 30g, Bi Qian (Rhizoma Dioscoreae) 15g, Che Qian Zi (Plantago Seed) 15g, Shi Da Chuan (Stone Breaker) 20g, Ban Bian Lian (Lobelia) 25g, Ban Zhi Lian (Lobelia) 20g, Shi Wei (Pyrrosia) 30g, Dong Kui Zi (Malva) 12g, Tai Wu Yao (Taiwu Herb) 10g, Chuan Niu Xi (Achyranthes) 10g.Verse: “Gao Lin separates clear using two Lian, She, Wu, Bi, Ze, and Che Qian; two stones and Niu Xi unblock the urinary tract, separating clear from turbid, this formula is first.”Note: She Gan, also known as Wu Shan, functions to lower fire, detoxify, disperse masses, and resolve phlegm, making it an upper burner herb. It is used to treat chyluria, as reported by a physician who discovered it incidentally while treating tonsillitis. Its efficacy is: “Bitter can drain, thus it is good at lowering; combined with pungent, it is good at dispersing” (from Ben Cao Jing Shu). The Da Bie Jia pill uses it to achieve the effect of “resolving phlegm and breaking down masses.” This disease is caused by dampness and turbidity stagnating in the lower burner, leading to urine resembling chyle, with clear and turbid not separating. Therefore, separating and dispersing, resolving phlegm and breaking down masses can be used as a guide, thus it is used as the main herb; then combined with Da Zhi and other herbs that drain and clear turbidity, such as Ze Xie, Che Qian Zi, Bi Qian, and Shi Wei, to guide the turbid essence to be expelled, allowing the turbid to be cleared from the urine. Ban Zhi Lian, Ban Bian Lian, and Shi Da Chuan are folk remedies for treating this condition, functioning to invigorate blood, move stagnation, unblock channels, and clear turbidity; Dong Kui Zi and Tai Wu Yao smooth the urinary tract, move qi, and open blockages, using Chuan Niu Xi to guide the herbs downward, promoting the turbid to generate new, achieving the effect of separating clear from turbid and unblocking urination. In treating chyluria, I emphasize the three steps of unblocking, solidifying, and astringing. I advocate for “unblocking” to be done thoroughly and smoothly, eliminating mixed conditions, and in special cases, rarely using both unblocking and astringing together. Once the turbid evil is cleared, and the urine turns clear, and chyluria is measured as weakly positive or negative, then I proceed to “solidify” with tonifying spleen and qi, and astringing kidney and nourishing agents (such as Yi Zhi Ren, Huai Shan, etc.), and finally propose to use tonifying qi and astringing essence to consolidate the lower source (such as Qian Shi, Shi Lian Zi, Shan Yao, etc.). For those with clots or urinary stagnation, add Yi Mu Cao (Leonurus) 20-30g, Hirudo Capsule 2 capsules, 3 times a day; for chyluria with blood in urine, add Sheng Qian Cao (Fresh Rubia) 15g, Hong Cang Zhu (Red Atractylodes) 12g; for cases of qi deficiency and inability to control, remove Ban Bian Lian and Ban Zhi Lian, and add Huang Qi (Astragalus) 25g, Chao Bai Zhu (Fried Atractylodes) 12g. During the medication period, limit the intake of greasy and oily foods. Generally, taking 8-16 doses may yield results. I once treated a case: an elderly woman surnamed Wu, aged 62, suffering from chyluria for 25 years, had undergone surgical treatment for 2 years without effect, and after prescribing 8 doses, she achieved results after only 4 doses.
Hua Shi San (Stone Dissolving Powder)
Function: Dissolves hardness, transforms stones, invigorates blood, and unblocks urination.Main Indications: Shi Lin (urinary stones).Ingredients: Hai Jin Sha (Lygodium) 100g, Sheng Ji Nei Jin (Fresh Chicken Gizzard) 100g, Zhen Hu Po (True Amber) 100g, Hai Fu Shi (Sea Floating Stone) 50g, Mu Xiang (Aucklandia) 30g, Bo Sha (Borax) 10g. Grind into a very fine powder, take 3-5g each time, three times a day. Use Lian Qian Cao (Lian Qian Grass) 50g, boil in water to take.Verse: “Song Ting’s secret recipe given to Zhang Jun, Amber and Floating Stone combined with two golds; Borax and Mu Xiang ground into powder, Lian Qian boiled in water to dissolve stones and unblock urination.”Note: This formula is a family recipe from the famous physician Shi Songting from Liu’an (Shanghai), previously prepared and kept secret, and passed on to me before his death. Hai Jin Sha and Hai Fu Shi are commonly used stone-dissolving agents; Sheng Ji Nei Jin, Zhang Xichun stated: “Not only can it dissolve accumulations in the spleen and stomach, but it can also dissolve accumulations in any organ, regardless of where they are located.” It has become a commonly used product for treating liver and spleen enlargement and internal organ stones; Zhen Hu Po invigorates blood, disperses stasis, benefits water, and unblocks urination, directing the medicinal power directly to the urinary system; Bo Sha, although slightly toxic (from Sichuan Chinese Medicine Records), is used in very small amounts, regulating the acidity and alkalinity of urine to facilitate stone dissolution; Mu Xiang promotes qi and assists in dissolution. This formula has a comprehensive effect of dissolving hardness, expelling stones, and promoting urination. I propose to use Lian Qian Cao boiled in soup to enhance the expulsion power. For kidney and ureter stones (not larger than 1cm), often using total attack and strong expulsion without seeing stones, this formula can be used for gradual dissolution and guiding expulsion.Source: Haodf.com
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