HERB FORMULAS

BAN XIA HOU PO TANG - 半夏厚朴汤 - PINELLIA AND MAGNOLIA BARK DECOCTION

English: Pinellia and Magnolia Bark Decoction
Also Known As: Pinellia and Magnolia Combination

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Rz. Pinelliae Preparatum Zhi Ban Xia 6-12g Dries Dampness, transforms Phlegm, stops vomiting, descends rebellious Qi and harmonizes the Stomach.
With Hou Po, for Phlegm-induced cough, vomiting, and epigastric and abdominal distention, Phlegm-Dampness with Qi Stagnation with a sensation of fullness in the chest with coughing and wheezing, nausea, vomiting and a sensation of distention in the hypochondrium and Plum-pit Qi Stagnation.
With Fu Ling, expels Phlegm and stops nausea and vomiting, hiccups, coughs with clear, profuse Phlegm and loose and watery stools, treats Phlegm, thin mucus and turbid Dampness and prevents turbid Phlegm and Dampness from disturbing the Heart with dizziness, palpitations and insomnia.
With Sheng Jiang, for vomiting due to Cold, thin mucus.
With Hou Po, Zi Su Ye and Fu Ling, for Plum-pit Qi Stagnation.
Cx. Magnoliae Officinalis Hou Po 3-12g Moves Qi, resolves Stagnation, descends rebellious Qi, dries Dampness, transforms Phlegm eliminates stuffiness and aids in dissipating clumps.
With Zhi Ban Xia and Fu Ling, for Phlegm Obstructing the Qi, leading to coughing, vomiting or a sense of something stuck in the throat.
Poria Fu Ling 5-15g Promotes urination, drains Dampness, Strengthens the Spleen, harmonizes the Middle Jiao and transforms Phlegm.
Rz. Zingiberis Recens Sheng Jiang 4-15g Warms the Middle, stops vomiting, warms the Lungs and stops coughing.
With Zhi Ban Xia, harmonizes the Stomach and stops vomiting and coughing.
Fol. Perillae Zi Su Ye 2-10g Promotes the movement of Spleen and Stomach Qi (Harmonizes the Middle Jiao, relieves intestinal gas), improves Lung function and expands the chest (relieves Cold induced wheezing).
With Zhi Ban Xia and Hou Po, for Spleen and Stomach Qi Stagnation with accumulation of Phlegm.

FORMULA ACTIONS

  • Activates Qi
  • Descends Rebellious Qi
  • Eliminates Phlegm
  • Dissipates clumps
  • Relieves Stagnation

SYNDROMES

  • Liver Qi Stagnation: Phlegm and Qi Stagnant and Blocked (Plum-Pit Qi Stagnation)
  • Qi Stasis with Phlegm Retention

CLINICAL MANIFESTATIONS

  • A feeling of obstruction in throat as if a slice of roast meat were stuck there which cannot be coughed up nor swallowed down. This sensation becomes more prominent during emotional upset and subsides when relaxed.
  • Distention and pain in the sides or flanks
  • Suffocating sensation in the chest
  • Tendency to sigh
  • Melancholy
  • Depression
  • Hypochondriac pain
  • Coughing with profuse phlegm
  • Vomiting
  • Difficulty swallowing
  • A delicate constitution
  • A tendency towards fatigue
  • Palpitations
  • Abdominal distention
  • Muscular and skin flaccidity
  • Fear
  • Edema
  • Asthma
  • Insomnia
  • A stifling sensation in the chest and hypochondrium
  • Irritability
  • Inappropriate anger
  • Women:
    Irregular menses
    Dysmenorrhea
    Breast distention and pain before and during menses
  • T: Pink
  • C: Thin and white or Moist or White and greasy
  • P: Slippery and wiry (slippery due to Phlegm), Wiry and slow or Tight

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Contraindicated for those with chest pain due to Lung Yin Deficiency with red cheeks, a bitter taste in the mouth and a red tongue with a scanty coating.
  • Contraindicated for those with Heat due to Qi Stagnation.
  • Do not use long term.
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For severe Qi Stagnation with stress and anxiety: For vomiting:
+ Rx. Bupleuri Chai Hu + Fr. Amomi Sha Ren
+ Tub. Curcumae Yu Jin + Flos Caryophylli Ding Xiang
+ Rz. Cyperi Xiang Fu + Fr. Amomi Kravanh Bai Dou Kou
+ Per. Citri Reticulatae Viride Qing Pi
For dysphagia with chest fullness:
or
 + Fr. Amomi Sha Ren
+ Rx. Bupleuri Chai Hu + Tub. Curcumae Yu Jin
+ Tub. Curcumae Yu Jin
For a dry mouth and throat with a red tongue with a white coat:
+ Rz. Cyperi Xiang Fu + Rx. Glehniae Sha Shen
+ Rx Paeoniae Alba Bai Shao + Rx. Ophiopogonis Mai Men Dong
or
 + Rx. Scrophulariae Xuan Shen
+ Bupleurum Powder to Spread the Liver
Chai Hu Shu Gan Tang
For a severe stifling sensation in the chest:
For abdominal distention:
 + Tub. Curcumae Yu Jin
+ Fr. Amomi Sha Ren + Fr. Aurantii Zhi Ke
+ Rx. Aucklandiae Mu Xiang
For hypochondriac pain:
For throat pain and swelling:
 + Fr. Toosendan Chuan Lian Zi
+ Rx. Scrophulariae Xuan Shen + Rz. Corydalis Yan Hu Suo
+ Rx. Platycodi Jie Geng
For Qi Deficiency:
For vomiting with sputum but no thirst:
+ Four-Milled Herb Decoction
Si Mo Tang
- Cx. Magnoliae Officinalis
For more Phlegm and saliva:
- Fol. Perillae Zi Su Ye + Per. Citri Reticulatae Chen Pi
- Poria
 Fu Ling + Rx. Glycyrrhizae Gan Cao
For fullness and distention in the chest and hypochondrium:
For cough and dyspnea:
+ Rx. Aucklandiae Mu Xiang + Bul. Fritillariae Thunbergii Zhe Bei Mu
+ Per. Citri Reticulatae Viride Qing Pi + Sm. Armeniacae Xing Ren
+ Fr. Aurantii Zhi Ke
For hoarseness:
For Phlegm Accumulation and Stagnation:
+ Rx. Scrophulariae Xuan Shen
+ Two-Cured Decoction
Er Chen Tang
+ Rx. Ophiopogonis Mai Men Dong
For Food Stagnation:
+ Rx. Platycodi Jie Geng
+ Harmonize the Six Decoction
Liu He Tang
+ Rx. Asteris Zi Wan
For depression:
or
+ Escape Restraint Pill
Yue Ju Wan
+ Loud Sound Resembling Broken Flute Powder
Xiang Sheng Po Di San
For chest pain:
For palpitations and insomnia
+ Fr. Trichosanthis Gua Lou
+ Licorice, Wheat and Jujube Decoction
Gan Mai Da Zao Tang
+ Bul. Allii Macrostemi Xie Bai
For throat spasms and tightness:
For Deficiency Cold of the Stomach:
+ Fr. Aurantii Immaturus Zhi Shi
+ Fr. Evodiae Wu Zhu Yu + Rx. Platycodi Jie Geng
For snoring due to Wind-Cold:
For snoring due to Wind-Heat:
+ Magnolia Flower Powder
Xin Yi San
+ Xanthium Powder
Cang Er Zi San
For Parkinson's disease:
For severe nausea and vomiting:
- Rz. Zingiberis Recens Sheng Jiang +12-15g Flos Inulae Xuan Fu Hua
- Fol. Perillae Zi Su Ye + 15g Haematitum Dai Zhe Shi
+ 9g Rx. Bupleuri Chai Hu
For vomiting of bile:
+ 9g Rx. Paeoniae Alba Bai Shao + 9-12g Fr. Aurantii Zhi Ke
+9g Fr. Aurantii Zhi Ke + 9-12g Rx. Curcumae Yu Jin
+ 9g Rz. Chuanxiong Chuan Xiong + 18g Hb. Lysimachiae Jin Qian Cao
+ 9g Rz. Atractylodis Macrocephalae Bai Zhu
For nausea and vomiting with constipation:
+ 3-9g Rx. et Rz. Rhei Da Huang
+ 9g Bombyx Batryticatus Jiang Can + 9-12g Fr. Aurantii Immaturus Zhi Shi
+ 9g Arisaemae cum Bile Dan Nan Xing
For nausea and vomiting with Food Stagnation:
+ 9g Periostracum Cicadae Chan Tui + 15g Fr. Crataegi Shan Zha
+ 15-30g Fr. Hordei Germinatus Mai Ya
+ 5g Rx. Glycyrrhizae Gan Cao
For nausea and vomiting with Stagnant Heat and acid reflux:
 + 12g Endothelium Corneum Gigeriae Galli Ji Nei Jin
+ 6-9g Rz. Coptidis Huang Lian
For chronic nausea and vomiting with damaged Yin:
+ 2-5g Fr. Evodiae Wu Zhu Yu
For "Plum-Pit Qi Stagnation:
 + less Rz. Pinelliae Preparatum Zhi Ban Xia
+ Fr. Evodiae Wu Zhu Yu
+ Rz. Coptidis Huang Lian + less Rz. Zingiberis Recens Sheng Jiang
For pharyngeal paresthesia with emotional instability and stress with fullness and distention in the chest and hypochondrium:
+ less Fol. Perillae Zi Su Ye
+ 12-15g Rx. Glehniae/ Adenophorae Sha Shen
+ Rz. Cyperi Xiang Fu
+ Per. Citri Reticulatae Chen Pi + 12-15g Hb. Dendrobii Shi Hu
+ Fr. Trichosanthis Gua Lou
For pharyngeal paresthesia with Qi and Yin Deficiency:
For Parkinson's disease:
+ Restrain the Liver Powder
Yi Gan San
+ Rx. Astragali Huang Qi
+ Rx. Glehniae/ Adenophorae Sha Shen
For enteritis:
- Rz. Zingiberis Recens Sheng Jiang + Rz. Coptidis Huang Lian
- Fol. Perillae Zi Su Ye + Rx. Scutellariae Huang Qin
+ Caulis Perillae Zi Su Geng + Cx. Moutan Mu Dan Pi
+ Rz. Atractylodis Cang Zhu + Fr. Jujube Da Zao
For bi-polar disorder:
For "plum-pit Qi Stagnation" with depression:
- Rz. Zingiberis Recens Sheng Jiang
+ Rambling Powder
Xiao Yao San
- Fol. Perillae Zi Su Ye
+ Caulis Perillae Zi Su Geng
For "plum-pit Qi Stagnation" with structural changes in the throat:
+ 10g Concha Margaritaferae Zhen Zhu Mu
+ Rz. Belamcandae She Gan
+ 10g Cx. Albizziae He Huan Pi + Pseudobulbus Cremastrae/Pleiones Shan Ci Gu
+ 10g Rz. Anemones Altaicae Jiu Jie Chang Pu
For "plum-pit Qi Stagnation" with polyps on the vocal cords:
+ 5g Hb. Lophatheri Dan Zhu Ye
+ 10g Plumula Nelumbinis Lian Zi Xin

+ Ophiopogonis Decoction
Mai Men Dong Tang

For nerve related mental disorders without productive coughing:
For hyperthyroidism:
+ Spica Prunellae Xia Ku Cao
+ Fr. Jujube Da Zao + Rx. Paeoniae Alba Bai Shao
For Deficiency conditions:
 + Rz. Cyperi Xiang Fu
+ Rx. Ginseng Ren Shen
For hysteria with depression, somnolence or catatonia:
+ Rx. Glycyrrhizae Gan Cao
or
 - Rz. Zingiberis Recens Sheng Jiang
+ Rx. Ginseng Ren Shen - Fol. Perillae Zi Su Ye
+ Rx. Glycyrrhizae Gan Cao + 9g Caulis Perillae Zi Su Geng
+ Ram. Cinnamomi Gui Zhi + 9g Rz. Cyperi Xiang Fu
+ Rx. Scutellariae Huang Qin + 9g Lignum Aquilariae Resinatum Chen Xiang
For dysphagia:
- Rz. Zingiberis Recens Sheng Jiang + 9g Rz. Acori Tatarinowii Shi Chang Pu
+ 12-15g Flos Inulae Xuan Fu Hua
+ 18-30g Haematitum Dai Zhe Shi + 9g Fr. Gardeniae Zhi Zi
+ 9-12g Caulis Bambusae in Taeniam Zhu Ru + 6-9g Rx. Curcumae Yu Jin
+ 6-9g Rx. Polygalae Yuan Zhi
+ 9-12g Fr. Akebiae Ba Yue Zha + 2-5g Arisaemae cum Bile Dan Nan Xing
+ 12-18g Rx. Clematidis Wei Ling Xian
For dysphagia with signs of Dryness:
For dysphagia with fullness and discomfort in the chest:
- Rz. Zingiberis Recens Sheng Jiang
- Poria Fu Ling - Rz. Zingiberis Recens Sheng Jiang
+ 18-30g Haematitum Dai Zhe Shi + 12-15g Flos Inulae Xuan Fu Hua
+ 9-12g Caulis Bambusae in Taeniam Zhu Ru + 18-30g Haematitum Dai Zhe Shi
+ 9-12g Caulis Bambusae in Taeniam Zhu Ru
+ 9-12g Fr. Akebiae Ba Yue Zha
+ 12-18g Rx. Clematidis Wei Ling Xian + 9-12g Fr. Akebiae Ba Yue Zha
+ 9-12g Rx. Ophiopogonis Mai Men Dong + 12-18g Rx. Clematidis Wei Ling Xian
+ 12-15g Sm. Impatientis Ji Xing Zi
+ 18-24g Rx. Scrophulariae Xuan Shen
+ 12-15g Flos Inulae Xuan Fu Hua
+ 9-12g Rx. Trichosanthis Tian Hua Fen + 18-30g Haematitum Dai Zhe Shi
+ 1 spoonful Mel Feng Mi + 9-12g Caulis Bambusae in Taeniam Zhu Ru
For dysphagia with Phlegm nodule encroaching on the esophagus:
+ 9-12g Fr. Akebiae Ba Yue Zha
- Rz. Zingiberis Recens Sheng Jiang + 12-18g Rx. Clematidis Wei Ling Xian
+ 12-15g Flos Inulae Xuan Fu Hua + 18-24 Fr. Trichosanthis Gua Lou
+ 18-30g Haematitum Dai Zhe Shi
+ 9-12g Caulis Bambusae in Taeniam Zhu Ru + 9-12g Per. Citri Reticulatae Chen Pi
+ 9-12g Fr. Akebiae Ba Yue Zha
For dysphagia with Blood Stagnation:
+ 12-18g Rx. Clematidis Wei Ling Xian - Rz. Zingiberis Recens Sheng Jiang
+ 18-24g Rx. Scrophulariae Xuan Shen + 12-15g Flos Inulae Xuan Fu Hua
+ 18-30g Haematitum Dai Zhe Shi
+ 24-30g Concha Ostreae Mu Li + 9-12g Caulis Bambusae in Taeniam Zhu Ru
+ 9-12g Rz. Dioscoreae Bulbiferae Huang Yao Zi + 9-12g Fr. Akebiae Ba Yue Zha
+ 12-18g Rx. Clematidis Wei Ling Xian
+ 9-12g Bul. Fritillariae Thunbergii Zhe Bei Mu + 9-12g Sm. Persicae Tao Ren
+ 9-12g Flos Carthami Hong Hua
For dysphagia with frequent belching:
+ 6-9g Rz. Chuanxiong Chuan Xiong
- Rz. Zingiberis Recens Sheng Jiang    
+ 12-15g Flos Inulae Xuan Fu Hua    
+ 18-30g Haematitum Dai Zhe Shi    
+ 9-12g Caulis Bambusae in Taeniam Zhu Ru    
   
+ 9-12g Fr. Akebiae Ba Yue Zha    
+ 12-18g Rx. Clematidis Wei Ling Xian    
+ 9-12g Per. Citri Reticulatae Chen Pi    
   
+ 3-6g Lignum Aquilariae Tan Xiang