乌梅丸Black Plum Pills

nullBlack Plum Pills 乌梅丸 Wu Mei WanBlack Plum Pills 乌梅丸 Wu Mei WanDiscussion of Cold-induced Disorders Zhang Zhongjing (Han Dynasty) nullIngredients and DirectionsFructus Pruni Mume (wu mei) 300 pieces or 480g (24-30g) Pericarpium Zanthoxyli Bungeani (chuan jiao) 120g (1.5-3g) Herba cum Radice Asari (xi xin) 180g (1.5-3g) Rhizoma Coptidis (huang lian) 480g (9-12g) Cortex Phellodendri (huang bai) 180g (6-9g) Rhizoma Zingiberis Officinalis (gan jiang) 300g (6-9g) Radix Lateralis Aconiti Carmichaeli Praeparata (fu zi) 180g(3-6g) Ramulus Cinnamomi Cassiae (gui zhi) 180g (3-6g) Radix Ginseng (ren shen) 180g (6-9g) Radix Angelicae Sinensis (dang gui) 120g (3-9g) Steep Wu Mei overnight in vinegar then pit and mash. Grind and dry all of the ingredients, and form into pills with honey. Take in 9g doses 1-3 times daily on an empty stomach with warm water. May also be prepared as a decoction with the dosage specified in parentheses. nullEffectsWarming the organs and calming roundwormsnullIndicationCollapse from roundworms caused by cold in the organs. 2.Chronic dysentery or chronic diarrhea. nullDeficiency-cold of intestineRoundworms disturbingnull SyndromeIntermittent abdominal pain, vomiting after meal, vexation coming and going at times, even vomiting roundworms, cold limbs.null This is collapse from roundworms (huljue) caused by heat in the chest and epigastrium (Stomach), and cold in the organs (Intestines). The intermittent attacks of abdominal pain and vomiting after eating reflect the presence of cold in the organs and the migration of the worms from a cold to a warmer part of the body. The stifling sensation, irritability, and warmth in the chest and epigastrium reflect the presence of heat in the chest. The roundworm infestation causes collapse manifested as cold hands and feet, and sometimes as vomiting of roundworms. Roundworms have an aversion to cold and an attraction to warmth. Here they migrate from the intestines toward the chest, the movement of which causes the major symptoms or manifestations. The root of this disorder is the poor communication between the yin and yang, which both renders the patient more susceptible to infestation, and in turn is aggravated by the presence of the roundworms. nullWu Mei Shu Jiao, and Xi Xin Fu Zi, Gui Zhi, and Gan Jiang Huang Lian, and Huang Bai Dang Gui, and Ren Shen MiAnalysis of Prescriptioncalms roundworms for stopping pain with its sour flavor warm the organs, expel cold as well as subside roundworms with their pungent flavorpurges roundworms and clears the heat with their bitter flavorreinforce both qi and blood coordinates the effects of other herbs and harmonizes the middle burnerCOMMENTARY COMMENTARY This formula is distinctive for its use of both cold and hot substances, and for addressing both the pathogenic influence (here a parasite) and the normal qi. The seventeenth-century physician, Ke Qin, succinctly described the effect of this formula on roundworms: "When roundworms encounter sourness, they are calmed; when they encounter acridity, they are spent; when they encounter bitterness, they are purged." This has become the standard formula for treating roundworm infestation. Other formulas used in treating this disorder are basically variations. This formula is also useful in treating chronic diarrhea or dysenteric disorders with a mixture of heat and cold and weakened normal qi. Manifestations include incessant diarrhea, abdominal pain that responds favorably to pressure and the application of heat, borborygmus, and a red tongue with a white coating. This formula is also useful in treating chronic diarrhea or dysenteric disorders with a mixture of heat and cold and weakened normal qi. Manifestations include incessant diarrhea, abdominal pain that responds favorably to pressure and the application of heat, borborygmus, and a red tongue with a white coating. ？Analysis of PrescriptionAnalysis of PrescriptionWu Mei Huang Lian, and Huang Bai Fu Zi, Shu Jiao, and Xi Xin Gui Zhi, Gan Jiang, and Ren Shen Dang Gui Mi－－consolidates the intestines to cease diarrhea－－warm and tonify the spleen and stomach－－nourishes and harmonizes blood－－clear away heat and dry dampness to stop dysentery－－coordinates the effects of other herbs and harmonizes the middle burnernullCombination Feature1.Sour, bitter and pungent drugs are used together in the formula, capable of “quieting roundworms when meet sour, subsiding them when meet pungent, and purging them when meet bitter”. 2.Both cold and hot herbs are used simultaneously.CAUTIONS & CONTRAINDICATIONS:CAUTIONS & CONTRAINDICATIONS:Contraindicated for explosive diarrhea or damp-heat dysenteric disorders.Clinical usagesClinical usages With the appropriate presentation, this formula may be used in treating such biomedically-defined disorders as ascariasis, roundworms in the bile duct, chronic gastroenteritis, post-gastrectomy syndrome, colitis, or chronic dysentery.MODIFICATIONS MODIFICATIONS * In the absence of cold symptoms, omit Radix Lateralis Aconiti Carmichaeli Praeparata (fu zi) and Ramulus Cinnamomi Cassiae (gui zhi). * If the normal qi is not yet deficient, omit Radix Ginseng (ren shen) and Radix Angelicae Sinensis (dang gui). * For severe abdominal pain, add Fructus Meliae Toosendan (chuan lian zi) and Radix Aucklandiae Lappae (mu xiang). * For constipation, add Semen Arecae Catechu (bing lang) and Fructus Immaturus Citri Aurantii(zhi shi). * For severe vomiting, add Fructus Evodiae Rutaecarpae (wu zhu yu) and Rhizoma Pinelliae Ternatae (ban xia). * For chronic, unremitting dysenteric diarrhea, omit Cortex Phellodendri (huang bai) and Radix Ginseng (ren shen), and substitute Cortex Cinnamomi Cassiae (rou gui) for Ramulus Cinnamomi Cassiae (gui zhi). * For roundworms in the bile duct, add Fructus Quisqualis Indicae (shi jun zi) and Cortex Meliae Radicis (ku lian gen pi). * For chronic dysentery, add Radix Aucklandiae Lappae (mu xiang) and Radix Paeoniae Lactiflorae (bai Shao)null