Kai Yu Zheng Yuan San - 闓瘀症援散 - Atractylodes And Hai-Ko Formula

English:	Atractylodes and Hai-ko Formula
Also Known As:

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Rz. Atractylodis Macrocephalae	Bai Zhu	3g	Tonifies the Spleen, augments Qi, dries Dampness and promotes water metabolism. With Fu Ling and Gan Cao, for Spleen and Stomach Qi Deficiencies. With Fu Ling and Sheng Jiang, for edema with Kidney Yang Deficiency.
Per. Citri Reticulatae	Chen Pi	3g	Regulates Qi, adjusts the Middle, relieves the diaphragm, dries Dampness, transforms Phlegm and descends Qi. With Sheng Jiang. for vomiting and hiccups due to Disharmony of the Stomach Qi and Cold-Dampness Obstructing the Middle with nausea and hiccup. With Qing Pi, for flank pain and chest and abdominal distention due to Liver Qi Stagnation. With Bai Zhu, for anorexia and other symptoms of Damp-Obstruction due to Spleen Deficiency.
Per. Citri Reticulatae Viride	Qing Pi	2g	Spreads Liver Qi, breaks up Stagnant Qi, dissipates accumulations, reduces Food Stagnation, dries Dampness and transforms Phlegm. With Xiang Fu, for pain and distention of the flanks due to Liver Qi Stagnation. With Shan Zha, Mai Ya and Shen Qu, for pain and distention of the epigastrium due to Food Stagnation.
Rz. Cyperi	Xiang Fu	3g	Spreads, regulates Liver Qi, regulates menstruation and alleviates pain. With Yan Hu Suo, treats everything from Liver Qi Stagnation to Deep Blood Stasis with pain anywhere in the body including stabbing chest pain, distending pain in the breast, Cold pain in the epigastrium, pain due to bulging disorder in the lower body and dysmenorrhea.
Fr. Crataegi	Shan Zha	3g	Reduces and guides out Food Stagnation, transforms accumulations, transforms Blood Stasis, invigorates Blood circulation, dissipates clumps and stops diarrhea. With Shen Qu, for general indigestion and Food Stagnation. With Mai Ya and Shen Qu, for abdominal distention, belching, diarrhea and anorexia due to Food Stagnation.
Concha Meretricis/Cyclinae	Ge Qiao	3g	Clears Lung Heat, Descends Lung Qi, Expels Dampness, Promotes urination, Softens hardness, Transforms Phlegm.
Rx. Platycodi	Jie Geng	3g	Opens the Lungs, spreads Lung Qi and expels Phlegm. With Gan Cao, disseminates Lung Qi, expels Phlegm, resolves toxicity, and expels pus for productive cough with hoarseness, pain and swelling of the throat due to Wind-Heat and Lung abscess with expectoration of pus and pain in the chest and flanks.
Poria	Fu Ling	3g	Harmonizes the Middle Jiao and transforms Phlegm, Leaches out Dampness, Promotes urination, Strengthens the Spleen.
Fr. Amomi	Sha Ren	1.5g	Promotes the movement of Qi, aromatically transforms Dampness, strengthens the Spleen, stops vomiting, warms the Middle and stops diarrhea. With Chen Pi, for Dampness obstructing the Spleen's transforming and transporting functions with reduced intake of food and diarrhea, belching, nausea and a stifling sensation in the epigastrium due to Disharmony of the Stomach Qi and vomiting of unadulterated, or scanty but viscous fluids.
Rz. Corydalis	Yan Hu Suo	3g	Circulates Qi, Disperses extravasation, Invigorates the Blood, Stops pain.
Fr. Hordei Germinatus	Mai Ya	3g	Reduces Food Stagnation, improves digestion, strengthens the Stomach and facilitates the smooth flow of Liver Qi. With Shen Qu, for indigestion due to Food Stagnation.
(Fr. Oryzae Germinatus)	(Gu Ya)	(3g)	(Substitutes for Mai Ya in some versions.)
Rx. Glycyrrhizae	Gan Cao	1.5g	Tonifies the Spleen, augments Qi, moistens the Lungs, resolves Phlegm and moderates and harmonizes the harsh properties of other herbs.
Massa Medicata Fermentata	Shen Qu	3g	Reduces Food Stagnation, promotes digestion, harmonizes the Stomach and moves Qi. With Mai Ya and Shan Zha, for abdominal distention, belching, diarrhea and anorexia due to Food Stagnation.
Rz. Zingiberis Recens	Sheng Jiang	3g	Adjusts the Ying and Wei, Normalizes the flow of Qi at the center, Reduces the toxicity of other herbs, Stops cough, Stops vomiting, Warms the Lungs, Warms the Middle.

Formula Actions

• Tonifies the Spleen
• Augments Qi
• Dries Dampness
• Regulates Qi
• Adjusts the Middle
• Transforms Phlegm
• Descends Qi
• Dissipates accumulations
• Reduces Food Stagnation
• Invigorates the Blood
• Stops pain

Syndromes

• Qi Stagnation and Food Stagnation with Phlegm Accumulation

Clinical Manifestations

Epigastric fullness, distention and pain with dislike of pressure Abdominal distension Belching with rotten food smell Acid regurgitation Detests food or Vomits after eating Distention is reduced after vomiting Unformed stools or Knotted constipation Heaviness Anorexia Feverish Chest discomfort Coughing up Phlegm Uncomfortable bowel movements Nausea and vomiting Lower abdominal distension Excruciating abdominal pain Mania Delirious speech from extreme pain Afternoon fever

Amenorrhea Dysmenorrhea Irregular menstruation Chills and fever Headache Hard stool Sharp, stabbing epigastric pain with fixed location Pain is severe after eating Dislike of pressure and heat on epigastrium Pain predominates over distention or Pain but no distention Epigastric rumbling Vomiting purple/black blood Stools with blood like tar (melaena) May be abdominal or epigastric lumps or masses T: Pink or Dark purple with purple spots or dots C: Thick and greasy white or yellow P: Slippery, maybe rapid or Wiry and choppy

Treats

Uterine fibroids Neurosis Intestinal obstruction Acid reflux Amenorrhea

Abdominal masses Acute pelvic inflammatory disease Abdominal fullness and distention Anorexia Constipation

Contraindications And Herb/Drug Interactions

Notes

Modifications