Mu Li San - 牡蠣散 - Oyster Shell Powder

English:	Oyster Shell Powder
Also Known As:

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Calcined Concha Ostreae	Duan Mu Li	15-30g	Prevents leakage of fluids. With Huang Qi, Ma Huang Gen and Fu Xiao Mai, for spontaneous sweating and night sweats.
Rx. Astragali	Huang Qi	9-30g	Tonifies Wei Qi, stabilizes the Exterior and tonifies the Lungs. With Fu Xiao Mai, for spontaneous sweating due to Qi Deficiency and nightsweats due to Yin Deficiency. With Mu Li and Fu Xiao Mai, for sweating that occurs during the day but worsens at night.
Rx- Ephedrae	Ma Huang Gen	3-30g	Stops sweat due to Deficiency. With Mu Li and Huang Qi, for spontaneous sweating which is worse at night. With Huang Qi and Fu Xiao Mai, for spontaneous sweating.
Fr. Tritici Levis	Fu Xiao Mai	15-30g	Stops excessive sweating due to Deficiency.

Formula Actions

• Inhibits sweating
• Stabilizes the Exterior

Syndromes

• Spontaneous sweating due to Qi Deficiency
• Night sweats due to Yin Deficiency
• Sweating due to Qi and Yin Deficiency
• Unstable protective Qi with injury to the Heart Yin (Secondary source)

Clinical Manifestations

Spontaneous sweating worse at night Palpitations Easily startled Shortness of breath Irritability

General debility Lethargy T: Pale-red C: White or Little or None P: Thready and weak

Treats

Excessive postpartum sweating Spontaneous perspiration Night sweats Lochiorrhea

Autonomic dystonia Pulmonary tuberculosis Palpitations Dyspnea

Contraindications And Herb/Drug Interactions

Notes

• Its action is to stop sweating; the formula itself does not tonify.

Modifications

For a stronger effect:		For strengthening Ying Qi:
+ Fr. Schisandrae	Wu Wei Zi	+ Rz. Atractylodis Macrocephalae	Bai Zhu
For Blood Deficiency:
+ Rx. Polygoni Multiflori	He Shou Wu	+ Rx. Ginseng	Ren Shen
+ Rx. Rehmanniae Preparata	Shu Di Huang	For strengthening Yang:
+ Rz. Atractylodis Macrocephalae	Bai Zhu
For insomnia:
+ Sm. Zizyphi Spinosae	Suan Zao Ren	+ Rx. Aconiti Lateralis Preparatum	Zhi Fu Zi
+ Sm. Platycladi	Bai Zi Ren
For pronounced Yin Deficiency:		For Spleen Deficiency:
+ Rx. Paeoniae Alba	Bai Shao	+ Sm. Lablab Album	Bai Bian Dou
+ Rx. Rehmanniae	Sheng Di Huang	+ Rz. Dioscoreae	Shan Yao
Or		For irritability and insomnia:
+ Rx. Paeoniae Alba	Bai Shao	+ Rz. Anemarrhenae	Zhi Mu
+ Rx. Rehmanniae Preparata	Shu Di Huang	+ Cx. Phellodendri	Huang Bai