Tong Xie Yao Fang 痛瀉要方
Important Formula for Painful Diarrhea

Tradition:


TCM

Source / Author:


Collected Treatises of Jing-Yue (Jing Yue Quan Shu)

Herb Name

Bai Zhu (Atractylodes) *
Bai Shao (White Peony) *
Chen Pi (Tangerine peel) *
Fang Feng (Saposhnikovia)

Latin


Atractylodes macrocepahla
Paeonia lactiflora
Citrus reticulata
Saposhnikovia divaricata

Amount


90 grams
60 grams
45 grams
30 grams

* Atractylodes Bai Zhu, Paeonia Bai Shao and Tangerine peel (Chen Pi) are all stir-fried until aromatic and yellow.

Preparation:


Powder. Also used in pill form or as a decoction.

Function:


Moves Liver Qi, Strengthens Spleen

Use:


Wind, bloating, abdominal pain, diarrhea with pain, white tongue coat
1. Acute Gastroenteritis
2. Chronic Diarrhea
3. Irritable Bowel Disease
4. Crohn’s disease
5. Chronic Colitis

Dose:


The above decoction is divided into 3 equal doses to be taken over the course of a day.

Cautions:


None noted

Modifications:


1. Chronic Diarrhea, add Cimicifuga Sheng Ma
2. Watery Diarrhea add Plantain seed (Che Qian Zi), Water Plantain (Ze Xie), Ginger (Gan Jiang)
3. Diarrhea associated with Food Stagnation, add Hawthorn fruit (Shan Zha)
4. Marked weakness from Qi deficiency, add Codonopsis Dang Shen and Astragalus Huang Qi

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