HERB FORMULAS

QIN JIAO BIE JIA SAN - 秦艽鳖甲散 - LARGE GENTIAN AND SOFT-SHELLED TURTLE POWDER

English: Large Gentian and Soft-Shelled Turtle Powder
Also Known As: Gentiana Macrophyllae and Soft-Shelled Powder
Gentiana Macrophyllae and T. S. Formula

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Rx. Gentianae Macrophyllae Qin Jiao 5-15g Expels Wind-Dampness and clears Deficiency Heat.
With Bie Jia, vents the muscle layer and cools tidal fevers associated with consumption, especially Wind consumption with steaming bones.
With Zhi Mu, Bie Jia and Di Gu Pi, for steaming bone sensation with tidal fever and night sweats caused by Yin Deficiency and Heat.
Rx. Bupleuri Chai Hu 9-30g Harmonizes the Exterior and Interior, disperses Wind-Heat and resolves Phlegm and congestion.
Carapax Trionycis Bie Jia 9-30g Nourishes Yin, anchors Yang and invigorates the Blood
Rz. Anemarrhenae Zhi Mu 5-15g Clears Heat and drains Fire from the Lungs and Stomach, clears Deficiency Fire, nourishes Yin, moistens Dryness, generates Fluids and quenches thirst.
With Bie Jia, for steaming bone disorder.
Cx. Lycii Di Gu Pi 9-30g Cools the Blood, drains Yin Deficiency Fire, cools the Blood, eliminates lurking Heat, clears Heat from the bones and drains Heat in the Lung.
With Zhi Mu and Bie Jia, for Blood Heat with Yin Deficiency and infantile malnutrition with Heat sensations.
Rx. Angelicae Sinensis Dang Gui 5-15g Tonifies, invigorates and harmonizes the Blood, stops cough and treats dyspnea.
(Fr. Mume) (Wu Mei) (2-15g) (Astringes leakage of Lung Qi, stops leakage of sweat, generates fluids, alleviates thirst and stops coughs. Included in some versions.)
(Hb. Artemisiae Annuae) (Qing Hao) (1.5-15g) (Clears Summerheat or Damp-Heat, Clears Deficiency fevers and Cools the Blood. Included in some versions.)
(With Bie Jia, for the final stages of a Warm febrile disease when the Yin Fluids have already been damaged and the pathogen still lurks deep within the Yin level.)

FORMULA ACTIONS

  • Nourishes Yin and Blood
  • Clears Deficiency Heat
  • Reduces steaming bones sensation
  • Dispels Wind-Dampness

SYNDROMES

  • Wind consumption (unsuccessful treatment of a patient with a Wind Invasion with underlying Yin Deficiency)
  • Yin Deficiency Heat

CLINICAL MANIFESTATIONS

  • Steaming bones sensation
  • Night sweats
  • Tidal fever
  • Warm sensation in the afternoon
  • Red lips
  • Red cheeks
  • Cough with sticky yellow or blood tinged sputum
  • Exhaustion
  • Brittle hair
  • Insomnia
  • Lethargy
  • Alternating chills and fever
  • Five-Sole-Heat
  • Dry mouth
  • Dry throat
  • Emaciation
  • Weak limbs
  • T: Red
  • C: Little or None
  • P: Faint and rapid

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Contraindicated for those with Wind Obstructing the Exterior.
  • Contraindicated for those with seriously exhausted Yin Fluids.
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For perspiration and aversion to Wind: For neck stiffness:
+ Rz. Atractylodis Macrocephalae Bai Zhu + Rx. Puerariae Ge Gen
For a high fever and muscle spasms:
For cough without perspiration: + Rz. Gastrodiae Tian Ma
+ Hb. Ephedrae Ma Huang + Ram. Uncariae cum Uncis Gou Teng
+ Sm. Armeniacae Xing Ren
For cough and wheezing: + Scorpio Quan Xie
+ Cx. Mori Sang Bai Pi For hot flashes:
+ Rx. Asteris Zi Wan + Rx. Cynanchi Atrati Bai Wei
For viral infections with perspiration and aversion to Wind: + Rx. Adenophorae/ Glehniae Sha Shen
+ Rx. Astragali Huang Qi For respiratory tract infections:
+ Rz. Atractylodis Macrocephalae Bai Zhu - Rx. Angelicae Sinensis Dang Gui
+ 5g Rx. Pseudostellariae Tai Zi Shen
For respiratory tract infections with Qi Deficiency:
+ 10g Rx. Stemonae Bai Bu
- Rx. Angelicae Sinensis Dang Gui + 6g Hb. Artemisiae Annuae Qing Hao
+ 5g Rx. Pseudostellariae Tai Zi Shen
+ 6g Fr. Mume Wu Mei
+ 10g Rx. Stemonae Bai Bu For respiratory tract infections with Yin Deficiency:
+ 6g Hb. Artemisiae Annuae Qing Hao
- Rx. Angelicae Sinensis Dang Gui
+ 6g Fr. Mume Wu Mei + 5g Rx. Pseudostellariae Tai Zi Shen
+ 15g Rx. Astragali Huang Qi
For respiratory tract infections with Phlegm-Heat: + 10g Rx. Stemonae Bai Bu
+ 6g Hb. Artemisiae Annuae Qing Hao
- Rx. Angelicae Sinensis Dang Gui
+ 5g Rx. Pseudostellariae Tai Zi Shen + 6g Fr. Mume Wu Mei
+ 15g Rx. Rehmanniae Sheng Di Huang
+ 10g Rx. Stemonae Bai Bu For respiratory tract infections with profuse perspiration:
+ 6g Hb. Artemisiae Annuae Qing Hao
- Rx. Angelicae Sinensis Dang Gui
+ 6g Fr. Mume Wu Mei + 5g Rx. Pseudostellariae Tai Zi Shen
+ 10g Rx. Scutellariae Huang Qin
For exhaustion of Yin Fluids: + 10g Rx. Stemonae Bai Bu
+ Rx. Rehmanniae Sheng Di Huang + 6g Hb. Artemisiae Annuae Qing Hao
For profuse perspiration:
+ Rx. Astragali Huang Qi + 6g Fr. Mume Wu Mei
For pronounced coughing: + 3g Fr. Schisandrae Wu Wei Zi
+ Bul. Fritillariae Cirrhosae Chuan Bei Mu For aplastic anemia:
+ Lycium, Chrysanthemum and Rehmannia Decoction
Qi Ju Di Huang Wan
+ Fr. Trichosanthis Gua Lou
For aplastic anemia with a fever and massive hemorrhaging:
For lupus erythematosis:
+ Lycium, Chrysanthemum and Rehmannia Decoction
Qi Ju Di Huang Wan
+ Preserve the Primal Decoction
Bao Yuan Dan

- Rx. Bupleuri Chai Hu
+ 30g Cornu Bubali Shui Niu Jiao - Rz. Anemarrhenae Zhi Mu
+ 9g Colla Corii Asini E Jiao - Cx. Lycii Di Gu Pi
For lupus erythematosis with Shen disturbance: - Rx. Angelicae Sinensis Dang Gui
+ Preserve the Primal Decoction
Bao Yuan Dan

- Cx. Cinnamomi Rou Gui
- Rz. Zingiberis Gan Jiang
- Rx. Bupleuri Chai Hu + 15g Fr. Lycii Gou Qi Zi
- Rz. Anemarrhenae Zhi Mu + 15g Rx. Glehniae Bei Sha Shen
- Cx. Lycii Di Gu Pi + 20g Rx. Ophiopogonis Mai Men Dong
- Rx. Angelicae Sinensis Dang Gui + 24g Ram. Mori Sang Zhi
- Cx. Cinnamomi Rou Gui For lupus erythematosis with toxic Heat:
- Rz. Zingiberis Gan Jiang
+ Preserve the Primal Decoction
Bao Yuan Dan

+ 15g Fr. Lycii Gou Qi Zi
+ 15g Rx. Glehniae Bei Sha Shen - Rx. Bupleuri Chai Hu
+ 20g Rx. Ophiopogonis Mai Men Dong - Rz. Anemarrhenae Zhi Mu
+ 24g Ram. Mori Sang Zhi - Cx. Lycii Di Gu Pi
+ Rz. Polygonati Odorati Yu Zhu - Rx. Angelicae Sinensis Dang Gui
+ Sm. Nelumbinis Lian Zi - Cx. Cinnamomi Rou Gui
For lupus erythematosis with joint pain: - Rz. Zingiberis Gan Jiang
+ Preserve the Primal Decoction
Bao Yuan Dan

+ 15g Fr. Lycii Gou Qi Zi
+ 15g Rx. Glehniae Bei Sha Shen
- Rx. Bupleuri Chai Hu + 20g Rx. Ophiopogonis Mai Men Dong
- Rz. Anemarrhenae Zhi Mu + 24g Ram. Mori Sang Zhi
- Cx. Lycii Di Gu Pi + Flos Lonicerae Jin Yin Hua
- Rx. Angelicae Sinensis Dang Gui + Rz. Coptidis Huang Lian
- Cx. Cinnamomi Rou Gui For lupus erythematosis with Spleen Deficiency:
- Rz. Zingiberis Gan Jiang
+ Preserve the Primal Decoction
Bao Yuan Dan

+ 15g Fr. Lycii Gou Qi Zi
+ 15g Rx. Glehniae Bei Sha Shen - Rx. Bupleuri Chai Hu
+ 20g Rx. Ophiopogonis Mai Men Dong - Rz. Anemarrhenae Zhi Mu
+ 24g Ram. Mori Sang Zhi - Cx. Lycii Di Gu Pi
+ Zaocys Wu Shao She - Rx. Angelicae Sinensis Dang Gui
+ Scorpio Quan Xie - Cx. Cinnamomi Rou Gui
For a fever with acute Yin Deficiency: - Rz. Zingiberis Gan Jiang
+ 15g Rx. Rehmanniae Sheng Di Huang + 15g Fr. Lycii Gou Qi Zi
+ 12g Rx. Scrophulariae Xuan Shen + 15g Rx. Glehniae Bei Sha Shen
For a fever with insomnia: + 20g Rx. Ophiopogonis Mai Men Dong
+ 6g Sm. Zizyphi Spinosae Suan Zao Ren + 24g Ram. Mori Sang Zhi
+ Fr. Hordei Germinatus Mai Ya
+ 12g Sm. Platycladi Bai Zi Ren + Sm Coicis Yi Yi Ren
For a fever with Blood Deficiency: For a fever with night sweats:
+ 9g Rx. Angelicae Sinensis Dang Gui + 12g Fr. Tritici Levis Fu Xiao Mai
+ 30g Concha Ostreae Mu Li
+ 15g Rx. Rehmanniae Preparata Shu Di Huang + 30g Rx. Oryzae Glutinosae Nuo Dao Gen
For bone steaming fever:    
- Rx, Bupleuri Chai Hu    
- Rz. Anemarrhenae Zhi Mu    
- Rx. Angelicae Sinensis Dang Gui    
+ 30g Rx. Rehmanniae Preparata Shu Di Huang    
   
+ 30g Rx. Rehmanniae Sheng Di Huang    
+ 30g Sm. Zizyphi Spinosae Suan Zao Ren    
   
+ 30g Rx. Scrophulariae Xuan Shen    
+ 30g Fr. Tritici Levis Fu Xiao Mai    
+ 12g Rx. Stellariae Yin Chai Hu    
+ 12g Hb. Artemisiae Annuae Qing Hao    
   
+ 9g Rz. Picrorhizae Hu Huang Lian