Zhēn Rén Yǎng Zàng Tāng

Question 1

Indications

Answer 1

Chronic diarrhea or dysenteric disorders with unremitting diarrhea to the point of incontinence, and, in severe cases, prolapsed rectum. +/- pus, blood, tenesmus.

Mild, persistent abdominal pain that responds favorably to local pressure or warmth, lethargy, a wan complexion, reduced appetite, soreness of the lower back, lack of strength in the legs, a pale tongue with a white coating, and a slow, thin pulse.

Question 2

Actions

Answer 2

Warms the middle, tonifies deficiency, restrains leakage from the Intestines, and stops diarrhea

Question 3

Herbs

Answer 3

rén shēn
chăo bái zhú
ròu guì
wēi ròu dòu kòu
hē zĭ
mì zhì yīng sù ké
bái sháo
dāng guī
mù xiāng
zhì gān căo

Question 4

Chiefs

Answer 4

zhì yīng sù ké: astringent; treat cough and severe diarrhea or dysenteric disorders; painkilling properties for tenesmus

Question 5

Deputies

Answer 5

support chiefs, warm Spleen yang
wēi ròu dòu kòu: acrid, warming, astringent
hē zĭ: bitter, sour, neutral, astringent

Question 6

Assistants

Answer 6

rén shēn + chăo bái zhú: strengthen Spleen, augment middle qi
ròu guì: warms Kidney yang and Spleen to dispel cold, helps chief strengthen Spleen; chronic diarrhea depletes fluids, which exhausts yin and blood
bái sháo, dāng guī: tonify yin and blood

Question 7

Envoys

Answer 7

mù xiāng: revive the Spleen and regulate the qi –> help with digestion and abdominal pain; alleviate tenesmus; prevents astringent, binding properties of other herbs from causing stagnation
zhì gān căo: helps chief tonify middle burners, works with bái sháo to alleviate abdominal pain, harmonizes actions of other herbs

Question 8

Cautions and Contraindications

Answer 8

Never be used to disorders of excess or when stagnation or damp-heat is present. Avoid alcohol, wheat, cold or raw foods, fish, and greasy foods.

Question 9

Diagnostic Pattern

Answer 9

Abandoned disorder from loss of fluids due to chronic diarrhea or dysentery.