BAI ZHU WAN JIA JIAN - 白术囊加減 - MODIFIED ATRACTYLODES PILLS

English:	Modified Atractylodes Pills
Also Known As:

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Rz. Atractylodis Macrocephalae	Bai Zhu	9g	Tonifies the Spleen, augments Qi, dries Dampness and promotes water metabolism. With Fu Ling and Gan Cao, for Spleen and Stomach Qi Deficiency.
Rz. Pinelliae Preparatum	Zhi Ban Xia	9g	Dries Dampness, transforms Phlegm, descends Rebellious Qi and stops vomiting. With Chen Pi, for epigastric and abdominal distention or pain due to disharmony of the Stomach Qi. With Fu Ling, for Phlegm, thin mucus and turbid Dampness.
Poria	Fu Ling	9g	Promotes urination, leaches out Dampness and strengthens the Spleen. With Bai Zhu, strengthens the Spleen and resolves Dampness. With Zhi Ban Xia and Chen Pi, for nausea, vomiting, chest fullness and distention and anorexia due to congested fluids.
Rz. Arisaemae Preparatum	Zhi Tian Nan Xing	6g	Dries Dampness, expels Phlegm, reduces swelling and alleviates pain.
Per. Citri Reticulatae	Chen Pi	6g	Regulates Qi, adjusts the Middle, descends Qi, relieves the diaphragm, dries Dampness and transforms Phlegm. With Zhi Ban Xia, for a stifling sensation in the chest and coughing with excessive white, viscous sputum due to Phlegm-Damp Obstruction. With Bai Zhu, for anorexia and other symptoms of Damp Obstruction due to Spleen Deficiency. With Zhi Ban Xia and Fu Ling, for coughing due to accumulation of Dampness and Phlegm.
Massa Medicata Fermentata	Shen Qu	6g	Reduces Food Stagnation, promotes digestion, moves Qi, and harmonizes the Stomach. With Bai Zhu, for Food Stagnation and diarrhea due to Spleen Deficiency.
Rx. Glycyrrhizae Preparata	Zhi Gan Cao	3g	Moderates and harmonizes the harsh properties of other herbs and guides the herbs to all twelve channels.

Formula Actions

• Dries Dampness
• Transforms Phlegm
• Regulates Qi
• Harmonizes the Middle Jiao

Syndromes

• Phlegm-Damp Obstructing the Middle

Clinical Manifestations

A clamoring Stomach Cough with copious, dilute, white frothy or lumpy sputum Chest and epigastric congestion Chest and abdominal oppression Palpitations Headache Pain and full feeling in chest Dyspnea - worse lying down Profuse Phlegm Asthma Throat rattle \Reduced appetite Maybe anorexia Lassitude

Fatigue, especially after eating Somnolence, especially after eating Nausea / vomiting Dizziness / vertigo Shortness of breath Wheezing Acute attack of panting with high pitched sound and rapid exhalation Head distention Facial edema Weak extremities T: Pale C: Thick, white and greasy or sticky P: Slippery or Soft or Slippery and wiry

Treats

Peptic ulcer

Contraindications And Herb/Drug Interactions

Notes

Modifications

For vomiting of clear Fluids:		For Phlegm-Heat:
+ 9g Rz. Zingiberis Recens	Sheng Jiang	+ 9g Rx. Scutellariae	Huang Qin
		+ 6g Rz. Coptidis	Huang Lian
+ 9g Flos Inulae	Xuan Fu Hua