Ren Shen Ge Jie San - 人參蛤蚧散 - Ginseng And Gecko Powder

English:	Ginseng and Gecko Powder
Also Known As:	Shen Jie San

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Gecko	Ge Jie	1 pair	Tonifies Kidneys and Lungs, relieves cough and dyspnea and strengthens Yang . With Chuan Bei Mu, for chronic cough and wheezing due to Lung Deficiency with Phlegm Heat. With Ren Shen, tonifies both Lungs and Kidneys to treat wheezing and coughs due to Deficiency of both the Lungs and Kidneys and disorders of the Kidney Qi such as impotence and premature ejaculation.
Rx. Ginseng	Ren Shen	60g	Strongly tonifies Yuan Qi and augments Lung and Spleen Qi. With Ge Jie, restores the mutually supportive and proper action the Lungs and kidneys to treat weak inhalation with wheezing that is worse on exertion.
Poria	Fu Ling	60g	Benefits the Spleen by draining Dampness and trans-forms Phlegm. With Sang Bai Pi and Xing Ren, regulates and descends rebellious Lung Qi.
Cx. Mori	Sang Bai Pi	60g	Stops cough and wheezing and drains Heat from the Lungs.
Sm. Armeniacae	Xing Ren	150g	Stops cough and wheezing. With Chuan Bei Mu, for wheezing and cough from externally contracted Lung disorders, non-productive cough from Lung Deficiency disorders and coughing of thick, yellow sputum due to Phlegm-Fire.
Bul. Fritillariae Cirrhosae	Chuan Bei Mu	60g	Clears Heat, Disperses stagnation, Moistens the Lungs, Stops cough, Transforms Phlegm. With Zhi Mu, for Lung Heat cough due to Yin Deficiency Fire Flaring with scanty, difficult to expectorate sputum.
Rx. Anemarrhenae	Zhi Mu	60g	Clears Heat from the Lungs, clears Deficiency Fire and nourishes the Kidneys to grasp Qi.
Rx. Glycyrrhizae Preparata	Zhi Gan Cao	150g	Aids in tonifying Yuan Qi, moistens the Lungs, resolves Phlegm, stops cough and moderates and harmonizes the harsh properties of other herbs. With Xing Ren and Chuan Bei Mu, for Heat induced dry cough.

Formula Actions

• Tonifies Qi
• Replenishes Jing
• Strengthens the Kidneys
• Clears the Lungs
• Clears Heat
• Transforms Phlegm
• Stops cough
• Arrests wheezing

Syndromes

• Kidney Yang Deficiency: Kidney Not Grasping Qi
• Lung and Kidney Qi Deficiency with Phlegm-Heat
• Lung Qi Deficiency with Heat in the Lungs (especially good in winter)
• Lung Heat
• Chronic Consumptive Lung Disease due to Deficiency Heat
• Lung and Kidney Qi deficiency with Phlegm-Heat collecting internally (Secondary source)

Clinical Manifestations

Chronic cough Wheezing Thick, yellow sputum Sensation of Heat and irritability in the chest Gradual emaciation Facial edema Chronic Lung atrophy

Coughing of pus and Blood Dyspnea T: Purple C: Thin and white or Thin, yellow and greasy P: Superficial and Deficient especially in the first position

Treats

Bronchial asthma Chronic asthma Asthmatic bronchitis Chronic bronchitis Pulmonary Heart disease Hay fever Weakness Gasping Spontaneous perspiration Urinary incontinence on coughing

Emphysema Pulmonary tuberculosis Bronchiectasis Upper respiratory tract infection Cough Chronic obstructive pulmonary disease (COPD) Facial edema Dyspnea

Contraindications And Herb/Drug Interactions

Notes

• This formula is most appropriate when there is Heat.

Modifications

For asthma due to Lung Deficiency:		For more Lung and Kidney Deficiencies:
+ Sm. Juglandis	Hu Tao Ren	+ Cordyceps	Dong Chong Xia Cao
+ Rx. Ophiopogonis	Mai Men Dong	For more Phlegm Accumulation:
+ Fr. Schisandrae	Wu Wei Zi	+ Sm. Raphani	Lai Fu Zi
+ Bul. Lilii	Bai He	+ Sm. Sinapis	Bai Jie Zi
+ Rz. Atractylodis Macrocephalae	Bai Zhu	For Yin Deficiency:
+ Exocarpium Citri Reticulatae Rubrum	Ju Hong	+ Rx. Ophiopogonis	Mai Men Dong
For an acute asthma attack due to Heat:
Or		+ Ephedra, Apricot Kernel, Gypsum and Licorice Decoction Ma Xing Shi Gan Tang
- Cx. Mori	Sang Bai Pi
- Sm. Armeniacae	Xing Ren
- Bul. Fritillariae Cirrhosae	Chuan Bei Mu	For an acute asthma attack due to Cold:
+ Minor Blue-Green Dragon Decoction Xiao Qing Long Tang
- Rz. Anemarrhenae	Zhi Mu
+ 15g Sm. Juglandis	Hu Tao Ren	For a chronic cough without Heat signs:
+ 10g Rx. Ophiopogonis	Mai Men Dong	- Cx. Mori	Sang Bai Pi
+ 10g Fr. Schisandrae	Wu Wei Zi	- Rz. Anemarrhenae	Zhi Mu
+ 12g Rx. Astragali	Huang Qi	For profuse bleeding with or without pus:
+ 12g Cordyceps	Dong Chong Xia Cao	+ Rz. Imperatae	Bai Mao Gen
+ 15g Bul. Lilii	Bai He	+ Rx. Sanguisorbae	Di Yu
+ Charred Cacumen Platycladi	Chao Bai Zi Ren