Bie Jia Wan - 鳖甲丸 - Turtle Shell Pills

English:	Turtle Shell Pills
Also Known As:

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Honey-fried Carapax Trionycis	Zhi Bie Jia	120g	Nourishes Yin, anchors Yang, activates the Blood, promotes menstruation, softens hardness and dissipates nodules. With San Leng, E Zhu and Qing Pi, for hard immobile masses of the epigastrium and abdomen.
Calcined Concha Arcae	Duan Wa Leng Zi	120g	Activates the Blood, Dissipates nodules, Dissolves Phlegm, Resolves Stagnation, Softens hardness.
Dry-fried Fr, Hordei Germinatus	Chao Mai Ya	60g	Reduces Food Stagnation, improves digestion, strengthens the Stomach and facilitates the smooth flow of Liver Qi.
Vinegar-fried Rz. Sparganii	Cu San Leng	60g	Forcefully breaks up Blood Stasis, regulates Qi, dissolves accumulations and alleviates pain.
Vinegar-fried Rz. Curcumae	E Zhu	60g	Activates Blood circulation, dispels Blood Stasis, regulates Qi, dissolves accumulations and alleviates pain. With Qing Pi, for stagnant Qi with chest and abdominal fullness and pain. With San Leng, for hepatosplenomegaly with distention, pain and immobile, palpable epigastric, sub costal and abdominal masses.
Eupolyphaga/Steleophaga	Tu Bie Chong	60g	Breaks up and drives out Blood Stasis, activates Blood circulation and disperses lumps and masses.
Rz. Cyperi Preparata	Zhi Xiang Fu	30g	Spreads and regulates Liver Qi and alleviates pain.
Per. Citri Reticulatae Viride	Qing Pi	30g	Spreads Liver Qi, breaks up Stagnant Qi, dissipates accumulations and reduces Food Stagnation. With Xiang Fu, for pain and distention of the flanks due to Liver Qi Stagnation. With San Leng and E Zhu, for masses where prolonged Qi Stagnation has led to Blood Stagnation.

Formula Actions

• Activates the Blood
• Regulates Qi
• Breaks up Stagnant Qi and Blood
• Reduces abdominal masses

Syndromes

• Abdominal masses due to Qi and Blood Stagnation

Clinical Manifestations

Pain that is fixed, stabbing and /or severe or Pains that move around Distention Depression Irritability Pan is worse with pressure Dark complexion Fixed, palpable masses Bleeding with clots Purple lips Purple nails

Dry skin Blue, dark or purplish discoloration of skin in small or large areas, Varicose and spider veins Cold hands and feet Tendency to hemorrhage dark blood or clots T: Purple, possible purple or red spots Red purple if there is Heat Blue purple if there is Cold C: White P: Choppy or Wiry and choppy

Treats

Abdominal masses

Dry skin

Contraindications And Herb/Drug Interactions

Notes

Modifications