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Experiences from Renowned Physicians on Formulas and Herbs

In clinical practice, Fu Zi (Aconite) is used in doses of 6~15g, commonly combined with the following:

Combined with Tian Ma (Gastrodia), Du Zhong (Eucommia), Xu Duan (Dipsacus), Yi Yi Ren (Coix), and Wei Ling Xian (Clematis), it treats lumbar and leg pain caused by lumbar spondylosis.Combined with Huang Qi (Astragalus), Sheng Ma (Cimicifuga), Ze Xie (Alisma), Fu Ling (Poria), Fang Feng (Siler), Niu Xi (Achyranthes), and Bai Zhu (Atractylodes), it treats sciatica, especially in chronic cases with leg edema.Combined with Dang Shen (Codonopsis), Bai Zhu (Atractylodes), Dang Gui (Angelica), and Xue Jie (Dragon’s Blood), it treats acute traumatic fractures with severe pain, thin and wiry pulse, cold hands and feet, and signs of qi deficiency.Jiao Zhonghua’s Experience from “Formulas and Herbs Transmission”In clinical practice, Fu Zi is used in doses of 10~120g, commonly combined with:Combined with Rou Gui (Cinnamon), it treats Yang deficiency type aplastic anemia.Jiao Zhonghua believes that for patients with Yang deficiency-related aplastic anemia, starting with a small dose of Fu Zi and gradually increasing it yields excellent results.Wang Bishun’s Experience from “Formulas and Herbs Transmission”In clinical practice, Fu Zi is used in doses of 3~30g, commonly combined with:Combined with Dang Shen (Codonopsis), Bai Zhu (Atractylodes), and Gan Jiang (Dried Ginger), it treats spleen and stomach deficiency with cold.Combined with Ji Xue Teng (Spatholobus), Xi Xin (Asarum), Qin Jiao (Gentiana), Wei Ling Xian (Clematis), Wu Gong (Centipede), Chuan Xiong (Ligusticum), and Xian Ling Pi (Epimedium), it treats wind-cold-damp bi syndrome.Combined with Qing Hao (Artemisia), Bie Jia (Soft-shelled Turtle Shell), Zhi Mu (Anemarrhena), Sheng Di Huang (Rehmannia), Dan Pi (Moutan), Sha Shen (Glehnia), and Rou Gui (Cinnamon), it treats low-grade fever.Wang Bishun believes that low body temperature (below 36°C) or low-grade fever due to Yin deficiency (37~38°C) are indications for the use of Fu Zi.Zou Xuejia’s Experience from “Formulas and Herbs Transmission”In clinical practice, Fu Zi is used in doses of 30~50g, indicated for all cases of kidney Yang deficiency, including limb edema due to arthritis, mid-stage liver cirrhosis, sudden limb coldness during cancer chemotherapy, and generalized edema.Chen Chaozu’s Experience from “Formulas and Herbs Transmission”In clinical practice, Fu Zi is used in doses of 10~100g, commonly combined with:Combined with Ren Shen (Ginseng), it treats heart qi deficiency.Combined with Bai Zhu (Atractylodes), Fu Ling (Poria), and Sheng Jiang (Fresh Ginger), it treats Yang deficiency with edema.Combined with Bai Zhu (Atractylodes), Fu Ling (Poria), Bai Shao (White Peony), Sheng Jiang (Fresh Ginger), and Gui Zhi (Cinnamon Twig), it treats cold-damp bi pain.Combined with Bai Zhu (Atractylodes), Fu Ling (Poria), Bai Shao (White Peony), Sheng Jiang (Fresh Ginger), Gua Lou (Trichosanthes), Xie Bai (Garlic Chives), Ban Xia (Pinellia), and Ge Gen (Kudzu), it treats Yang deficiency with damp stagnation in coronary heart disease.Combined with Bai Zhu (Atractylodes), Sheng Jiang (Fresh Ginger), Fu Ling (Poria), Bai Shao (White Peony), Ren Shen (Ginseng), Dang Gui (Angelica), and Huang Qi (Astragalus), it treats heart failure or spontaneous sweating due to Yang deficiency.Combined with Bai Zhu (Atractylodes), Fu Ling (Poria), Sheng Jiang (Fresh Ginger), Bai Shao (White Peony), Ma Huang (Ephedra), and Xi Xin (Asarum), it treats chronic pharyngitis or hoarseness.Li Tiandao’s Experience from “Formulas and Herbs Transmission”In clinical practice, Fu Zi is used in doses of 9~30g, commonly combined with:Combined with Rou Gui (Cinnamon), it warms and assists Yang, disperses cold, and alleviates pain.Combined with Gan Jiang (Dried Ginger), it warms the interior and dispels cold.Combined with Ren Shen (Ginseng) and Bai Zhu (Atractylodes), it warms and tonifies the spleen and kidneys.Combined with Qiang Lang (Scarabaeidae), it alleviates pain and treats stubborn bi syndrome.Combined with Da Huang (Rhubarb), it warms Yang and purges turbidity, treating chronic renal failure and uremia.Li Tiandao believes that for all cases of deficiency-cold syndrome, true cold-false heat syndrome, with a deep, slow, weak pulse, and for winter diseases treated in summer, Fu Zi must be used.Cui Gongrang’s Experience from “Formulas and Herbs Transmission”In clinical practice, Fu Zi is used in doses of 10~30g, commonly combined with:Combined with Si Jun Zi Tang (Four Gentlemen Decoction) or kidney-tonifying and spleen-strengthening herbs, it treats Yang deficiency type ischemic diseases of the limbs.Cui Gongrang believes that for patients with limbs that are cold and numb, showing signs of Yang deficiency, and with cold extremities, Fu Zi must be used.Chai Youhua’s Experience from “Formulas and Herbs Transmission”In clinical practice, Fu Zi is used in doses of 6~150g, commonly combined with:Combined with Gan Jiang (Dried Ginger), Fu Ling (Poria), Che Qian Zi (Plantago), and Gao Liang Jiang (Alpinia), it treats cold pain in the stomach and diarrhea.Combined with Korean Red Ginseng, it treats various types of shock and collapse syndromes.Chai Youhua often starts with 20g and gradually increases to 150g; for bi pain, the dose can be reduced. Fu Zi should be boiled for 30 minutes before adding other herbs to avoid toxicity and side effects.Wang Shaohua’s Experience from “Formulas and Heart Insights”In clinical practice, Fu Zi is used in doses of 6~15g, commonly combined with:Combined with Gui Zhi (Cinnamon Twig), Nan Sha Shen (South American Ginseng), Bei Sha Shen (North American Ginseng), Long Gu (Dragon Bone), Mu Li (Oyster Shell), and Ren Shen (Ginseng), it treats pulmonary heart disease and heart failure.Combined with Gan Jiang (Dried Ginger) and Da Huang (Rhubarb), it treats cold-damp obstruction in the intestines.Combined with Gan Jiang (Dried Ginger), it treats enteritis of cold-damp type; for damp-heat type, it should be used with Huang Lian (Coptis).You Songxin’s Experience from “Formulas and Heart Insights”In clinical practice, Fu Zi is used in doses of 1~30g, commonly combined with:Combined with Pao Jiang (Fried Ginger), Dang Shen (Codonopsis), Bai Zhu (Atractylodes), Zhi Gan Cao (Honey-fried Licorice), Mu Xiang (Aucklandia), Sha Ren (Amomum), and Xu Changqing (Herba Ephedrae), it treats abdominal pain due to middle cold.You Songxin believes that for patients with pale, swollen tongues and a deep, thin pulse, Fu Zi is indicated.Yan Bing’s Experience from “Formulas and Heart Insights”In clinical practice, Fu Zi is used in doses of 5~30~40g, commonly combined with:Combined with Gan Jiang (Dried Ginger), it treats stomach pain and palpitations.Combined with Ba Jitian (Morinda), it treats kidney Yang deficiency, palpitations, and edema.Combined with Shu Di Huang (Rehmannia), Ma Huang (Ephedra), and Yi Mu Cao (Leonurus), it treats Yin abscesses and various symptoms of cold entering the two Yin.Combined with Niu Xi (Achyranthes), Dan Shen (Salvia), and Ze Xie (Alisma), it lowers blood pressure.Combined with Ting Li Zi (Descurainia), it treats palpitations and wheezing, showing good efficacy.Yan Bing believes that the minimum dose is 5g, and the maximum dose is 30~40g; it is used for chronic cold diseases.Yan Ming’s Experience from “Formulas and Heart Insights”In clinical practice, Fu Zi is used in doses of 3~80g, commonly combined with:Combined with Gan Jiang (Dried Ginger) and Gan Cao (Licorice), it treats all deficiency-cold syndromes, especially for those with low blood pressure, and can also alleviate the toxicity of Fu Zi, enhancing its efficacy.Combined with Long Gu (Dragon Bone) and Mu Li (Oyster Shell), it treats deficiency-cold sweating and palpitations.Combined with Bai Zhu (Atractylodes) and Gui Zhi (Cinnamon Twig), it treats cold-damp retention in the meridians and joint pain.Combined with Ma Huang (Ephedra), Xi Xin (Asarum), and Wu Wei Zi (Schisandra), it treats age-related cough and wheezing with bradycardia.Combined with Long Dan Cao (Gentiana), and Sheng Shi Jue Ming (Raw Stone), it treats chronic hepatitis during the active phase.Yan Ming believes that in clinical practice, using cooked Fu Zi in doses of 30~80g, for decades, no toxic side effects have been observed when boiled for more than 2 hours. However, if not prepared according to this method, adverse reactions will occur. Therefore, when using large doses of Fu Zi, it is essential to note “please strictly follow the doctor’s instructions for preparation” to avoid issues.Xu Wenhua’s Experience from “Formulas and Heart Insights”In clinical practice, Fu Zi is used in doses of 5~15g, commonly combined with:Combined with Dang Shen (Codonopsis) and Bai Zhu (Atractylodes), it treats middle-jiao deficiency-cold ulcers.Combined with Da Huang (Rhubarb), Pu Gong Ying (Dandelion), Jiang Can (Silkworm), and Lian Qiao (Forsythia), it treats acute tonsillitis.Combined with Da Qing Long Tang (Major Blue Dragon Decoction), Dang Shen (Codonopsis), Mai Dong (Ophiopogon), and Wu Wei Zi (Schisandra), it treats chronic bronchitis in the elderly.Combined with Qu Mai (Dianthus) and Mu Tong (Akebia), it treats chronic urinary tract infections.Combined with Huang Qi (Astragalus), Fang Ji (Stephania), and Shi Hu (Dendrobium), it treats wind-damp-heat.Combined with Huang Lian (Coptis) and Qing Hao (Artemisia), it treats summer heat in children.Xu Shoutian’s Experience from “Formulas and Heart Insights”In clinical practice, Fu Zi is used in doses of 5~30g, commonly combined with:Combined with Gui Xin (Cinnamon Heart), Dang Gui (Angelica), Yan Hu Suo (Corydalis), Ai Ye (Mugwort), and Xiang Fu (Cyperus), it treats abdominal pain during menstruation in young girls.Combined with Rou Dou Kou (Nutmeg) and Yi Yi Ren (Coix), it treats persistent diarrhea due to spleen deficiency and cold.Combined with Cang Zhu (Atractylodes), Dang Gui (Angelica), Qiang Huo (Notopterygium), Hong Hua (Carthamus), and Qin Jiao (Gentiana), it treats wind-cold-damp bi syndrome.Sun Hao’s Experience from “Formulas and Heart Insights”In clinical practice, Fu Zi is used in doses of 5~10g, commonly combined with:Combined with Huang Lian (Coptis), it alleviates stomach pain.Combined with Rou Gui (Cinnamon), it treats cold diarrhea.

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Source丨Ming Yi Open Class, compiled from the Classical Formula School

Author丨Fu Wenlu

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