Hua Ji Wan - 化积囊 - Mass Dissipating Pill

English:	Mass Dissipating Pill
Also Known As:

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Rz. Sparganii	San Leng	6g	Forcefully breaks up Blood Stasis, regulates Qi, dissolves accumulations and alleviates pain.
Rz. Curcumae	E Zhu	6g	Activates Blood circulation, dispels Blood Stasis, regulates Qi and alleviates pain. With San Leng, for Qi and Blood Stagnation with clumping and accumulation leading to pain and hepatosplenomegaly with distention, pain, and immobile, palpable epigastric, sub costal, and abdominal masses. With Su Mu, harmonizes the Blood.
Lignum Sappan	Su Mu	6g	Activates Blood circulation, dispels Blood Stasis, reduces swellings, opens the channels and alleviates pain. With E Zhu, strongly promotes the movement of Qi and Blood, breaks up Blood Stagnation and stops pain for abdominal pain from Qi Stagnation and Blood Stasis.
Asafoetida	A Wei	6g	Activates the Blood, Clears Heat, Disperses abdominal distention due to constipation, Kills parasites, Regulates Qi.
Faeces Trogopterori	Wu Ling Zhi	10g	Activates the Blood, dispels Blood Stasis and Alleviates pain. With Xiang Fu, for epigastric pain.
Rz. Cyperi	Xiang Fu	10g	Spreads and regulates Liver Qi and alleviates pain.
Sm. Arecae	Bing Lang	6g	Drains downward, Kills parasites, Reduces accumulations, Regulates Qi, Unblocks the bowels and relieves nausea.
Pumex	Fu Shi	6g	Softens hardness and dissipates Phlegm nodules.
Concha Arcae	Wa Leng Zi	6g	Activates the Blood, dissolves Phlegm, resolves Stagnation, softens hardness and dissipates nodules. With San Leng and E Zhu, for fixed abdominal masses.
Realgar	Xiong Huang	3g	Dries Dampness and expels Phlegm, Kills parasites, Relieves toxicity.

Formula Actions

• Activates the Blood
• Breaks up Stasis
• Moves Qi
• Softens hardness
• Dissipates Phlegm nodules

Syndromes

• Qi and Blood Stagnation with hard masses

Clinical Manifestations

A hard mass Progressively worsening pain Anorexia A sallow or dusky complexion

Extreme emaciation T: Pale purple C: None P: Thready and rapid or Taut and thready

Treats

Abdominal masses

Cirrhosis of the Liver

Contraindications And Herb/Drug Interactions

Notes

Modifications

For marked Qi Deficiency:		For Yin damage:
+ Rx. Astragali	Huang Qi	+ Rx. Rehmanniae	Sheng Di Huang
+ Rz. Dioscoreae	Shan Yao	+ Rx. Scrophulariae	Xuan Shen
+ Sm. Coicis	Yi Yi Ren	+ Rx. Ophiopogonis	Mai Men Dong
+ + Hb. Dendrobii	Shi Hu