Jia Wei Xi Sha San - 加味硒砂散 - Modified Salmiacum Powder

English:	Modified Salmiacum Powder
Also Known As:

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Borax	Peng Sha	10g	Clears Heat, Dissolves Phlegm, Dries Dampness, Reduces swellings, Resolves toxicity, Transforms stones and prevents putrefication.
Salmiacum	Xi Sha	6g	Disperses Accumulation and stagnant Blood.
Fr. Amomi	Sha Ren	18g	Promotes the movement of Qi, aromatically transforms Dampness, strengthens the Spleen and stops vomiting.
Rx. et Rz. Rhei	Da Huang	7g	Drains Heat, purges accumulations, drains Fire, transforms Dampness, promotes urination, invigorates the Blood, dispels Blood Stasis, reduces Fire toxicity and eliminates Phlegm. With Mang Xiao, for abscess, swellings and toxic sores.
Rx. Ginseng	Ren Shen	10g	Tonifies Qi.
Indigo Naturalis	Qing Dai	15g	Clears Lung Heat, Cools the Blood, Disperses Stagnation, Reduces swelling, Resolves Fire toxicity.
Concha Meretricis/ Cyclinae	Ge Qiao	30g	Clears Lung Heat, transforms Phlegm, descends Lung Qi, softens hardness and dissipates nodules. With Qing Dai, for red eyes, bitter taste, pain in the ribs, paroxysmal cough and viscous sputum that is difficult to expectorate due to Lung Heat.
Rx. Asteris	Zi Wan	6g	Relieves coughs, resolves Phlegm, promotes diuresis and softens hardness.
Scolopendrae	Wu Gong	10g	Attacks and relieves Fire toxins, relieves abdominal masses, dissipates nodules, unblocks collaterals and stops pain. With Quan Xie, for toxic, swollen sores and scrofula.
Scorpio	Quan Xie	10g	Attacks and relieves Fire toxins and dissipates nodules and rashes. With Jiang Can, for Wind-Dampness.
Bombyx Batryticatus	Jiang Can	10g	Transforms Phlegm, softens hardness, eliminates toxins and dissipates nodules.
Calyx Kaki	Shi Di	10g	Descends Qi and stops hiccups.
Natrii Sulfas	Mang Xiao	15g	Purges accumulations, guides out Stagnation, reduces swelling, softens hardness, clears Heat and drains Fire. With Da Huang, for constipation due to Heat in the Stomach and Intestines. With Peng Sha, topically for redness and swelling of the throat and ulcerations of the mouth.

Formula Actions

• Clears Lung Heat
• Resolves toxicity
• Reduces swellings
• Dissolves Phlegm
• Promotes the movement of Qi
• Invigorates the Blood
• Dispels Blood Stasis
• Softens hardness

Syndromes

• Lung Heat with Qi and Blood Stagnation

Clinical Manifestations

Progressive dysphagia Vomiting after eating Fixed, palpable masses High fever or Fever Aversion to Heat Irritability Restlessness (neither activity nor resting brings relief) Heat sensation in the chest Thirst Has urge to vomit but cannot May have dark yellow urine Pain that is fixed, stabbing and /or severe or Pains that move around Distention Depression Irritability

Pan is worse with pressure Dark complexion 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: Red or Purple with possible purple or red spots C: Yellow P: Rapid or Forceful and rapid or Choppy and rapid or Wiry and choppy and rapid

Treats

Esophageal cancer

Contraindications And Herb/Drug Interactions

Notes

• Take 2g three times a day.

Modifications

For diarrhea:
- Rx. et Rz. Rhei	Da Huang
- Natrii Sulfas	Mang Xiao