Run Chang Wan - 潤腸丸 - Moisten The Intestines Pill

English:	Moisten the Intestines Pill (from Master Shen's Book)
Also Known As:	Pill for Lubricating the Intestines

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Rx. et Rz. Rhei	Da Huang	10-15g	Dispels Blood Stasis, Drains Heat, Invigorates the Blood, Purges accumulations.
Rx. Angelicae Sinensis Cauda	Dang Gui Wei	10-15g	Tonifies, invigorates and harmonizes the Blood, moistens the Intestines and unblocks the bowels.
Rz. seu Rx. Notopterygii	Qiang Huo	10-15g	Releases the exterior and expels Wind.
Sm. Persicae	Tao Ren	10-30g	Breaks up Blood Stasis, Invigorates Blood circulation, Moistens the Intestines, Unblocks the bowels.
Sm. Cannabis	Huo Ma Ren	30-37.5g	Nourishes, moistens and lubricates the Intestines and nourishes the Yin. With Tao Ren and Dang Gui, for habitual constipation.
Mel	Feng Mi	30g	Moistens the Intestines.

Formula Actions

• Moistens the Intestines
• Promotes defecation
• Invigorates the Blood
• Disperses Wind

Syndromes

• Constipation (usually severe) due to Wind-Heat entering the Intestines and injuring the Spleen and Stomach
• Constipation due to improper diet or overwork
• Constipation due to combined Blood Deficiency, Blood Stasis and Internal Wind due to Blood Deficiency
• Constipation due to Heat Attacking the Lungs and Intestines and consuming Body Fluids

Clinical Manifestations

Habitual constipation Lusterless skin and nails Dry mouth Unquenchable thirst Constipation in the elderly or weak individuals Dizziness

Dry stools that are not difficult to pass Palpitations Lack of appetite Lethargy T: Dry and thin C: Little or None P: Thready

Treats

Chronic constipation Constipation in the initial stage of trauma to the lumbar vertebrae Constipation as sequela to cerebrovascular accident Constipation associated with hypertension Dry skin

Constipation in anemic or elderly people Constipation in association with prolapse of the lumbar intervertebral discs or compressed fracture of the intervertebral discs Hemorrhoids

Contraindications And Herb/Drug Interactions

Notes

• This formula is stronger than Run Chang Wan #1 and is used for more severe conditions.

Modifications

For fever:		For abdominal pain:
+ Rx. Bupleuri	Chai Hu	+ Rx. Aucklandiae	Mu Xiang
For Blood Deficiency:		For Wind and Dryness:
+ More Rx. Angelicae Sinensis	Dang Gui	+ Sm. Pruni	Yu Li Ren
+ More Sm. Persicae	Tao Ren	+ Spina Gleditsiae	Zao Jiao Ci
+ Rx. Rehmanniae Preparata	Shu Di Huang	+ More Rz. seu Rx. Notopterygii	Qiang Huo
+ Flos Carthami	Hong Hua	For Qi Deficiency:
For Qi Stagnation:		+ Rx. Ginseng	Ren Shen
+ Sm. Arecae	Bing Lang	+ Sm. Pruni	Yu Li Ren
+ Rx. Aucklandiae	Mu Xiang	For accumulation of Hot Phlegm:
For Body Fluid Deficiency:		+ Fr. Trichosanthis	Gua Lou
+ Rx. Ginseng	Ren Shen	+ Succus Bambusae	Zhu Li
+ Rx. Ophiopogonis	Mai Men Dong	For eliminating Wind without consuming Body Fluids:
For fibromyalgia due to Blood Deficiency:		- Rz. seu Rx. Notopterygii	Qiang Huo
+ Drive out Stasis in the Mansion of Blood Decoction Xue Fu Zhu Yu Tang		+ Rx. Saposhnikoviae	Fang Feng
+ Tangkuei Decoction to Tonify the Blood Dang Gui Bu Xue Tang		+ Rx. Gentianae Macrophyllae	Qin Jiao
For constipation due to Blood Deficiency:		For constipation due to severe Blood Deficiency with weakness and fatigue:
+ 12-15g Rx. Rehmanniae	Sheng Di Huang
- Rx. et Rz. Rhei	Da Huang
+ 10g Fr. Aurantii	Zhi Ke	+ 12-15g Rx. Rehmanniae	Sheng Di Huang
+ 10g Fr. Lycii	Gou Qi Zi
+ 12g Rx. Polygoni Multiflori	He Shou Wu	+ 10g Fr. Aurantii	Zhi Ke
+ 10g Fr. Lycii	Gou Qi Zi
+ 10g Sm. Platycladi	Bai Zi Ren	+ 12g Rx. Polygoni Multiflori	He Shou Wu
For constipation due to Blood Deficiency with dry Intestines:
+ 10g Sm. Platycladi	Bai Zi Ren
+ 12-15g Rx. Rehmanniae	Sheng Di Huang	For constipation due to Qi and Blood Deficiency:
+ 12-15g Rx. Rehmanniae	Sheng Di Huang
+ 10g Fr. Aurantii	Zhi Ke
+ 10g Fr. Lycii	Gou Qi Zi	+ 10g Fr. Aurantii	Zhi Ke
+ 12g Rx. Polygoni Multiflori	He Shou Wu	+ 10g Fr. Lycii	Gou Qi Zi
+ 12g Rx. Polygoni Multiflori	He Shou Wu
+ 10g Sm. Platycladi	Bai Zi Ren
+ Hb. Cistanches	Rou Cong Rong	+ 10g Sm. Platycladi	Bai Zi Ren
For constipation due to Yin and Blood Deficiency:		+ Rx. Astragali	Huang Qi
+ Rx. Codonopsis	Dang Shen
+ 12-15g Rx. Rehmanniae	Sheng Di Huang	For bleeding hemorrhoids:
+ Flos Sophorae Immaturus	Huai Hua Mi
+ 10g Fr. Aurantii	Zhi Ke
+ 10g Fr. Lycii	Gou Qi Zi	+ Rx. Sanguisorbae	Di Yu
+ 12g Rx. Polygoni Multiflori	He Shou Wu	Or
+ Sophora Japonica Powder Huai Hua San
+ 10g Sm. Platycladi	Bai Zi Ren
+ 10g Rx. Scrophulariae	Xuan Shen
+ 15g Raw Rx. Polygoni Multiflori	Sheng Shou Wu
+ 10g Rz. Anemarrhenae	Zhi Mu