San Jia Fu Mai Tang -三甲復脈湯 - Three Shell Decoction To Restore The Pulse

English:	Three Shell Decoction to Restore the Pulse
Also Known As:

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Rx. Glycyrrhizae Preparata	Zhi Gan Cao	9-18g	Clears Heat, Relieves toxicity, Tonifies Heart Qi and restores the pulse, Tonifies Qi, Tonifies the Spleen.
Rx. Rehmanniae	Sheng Di Huang	15-30g	Clears Heat, Cools the Blood, Generates Fluids and anchors Yang, Nourishes the Yin and Blood. With Bai Shao, Mai Men Dong, Huo Ma Ren and E Jiao, nourishes Yin and Blood to eliminate Deficiency Heat. With E Jiao, for coughing, hematemesis, epistaxis, and uterine hemorrhage due to Heat from Deficiency. With Bai Shao, for Blood Deficiency Heat.
Rx. Paeoniae Alba	Bai Shao	9-18g	Calms Liver Yang, alleviates pain, nourishes Blood and astringes Yin. With Sheng Di Huang and E Jiao, for Internal stirring of Liver Wind, as in the aftermath of a febrile disease.
Tub. Ophiopogonis	Mai Men Dong	9-15g	Clears the Heart, Generates Fluids, Moistens the Lungs, Nourishes Stomach Yin.
Sm. Cannabis	Huo Ma Ren	9-12g	Nourishes Yin and clears Heat. With Sheng Di Huang and Mai Men Dong, for Yin Deficiency with constipation.
Colla Corii Asini	E Jiao	9-15g	Nourishes the Blood and nourishes and moistens Yin. With Gui Ban and Mu Li, for muscle spasms and contractures due to Yin Deficiency. With Sheng Di Huang, for hematemesis or epistaxis due to Blood Heat.
Concha Ostreae	Mu Li	15-30g	Anchors Yang and prevents leakage of Fluids, Benefits Yin, Settles and calms the Shen. With Bie Jia and Gui Ban, for movement of Liver Wind after a fever, manifesting as tremors and spasms. With Sheng Di Huang and Bie Jia, for Internal stirring of Wind from deficiency.
Carapax Trionycis	Bie Jia	15-30g	Nourishes Yin and anchors Yang. With Gui Ban , calms the Liver, subdues Yang and extinguishes Wind to treat vertigo and tinnitus associated with Yin Deficiency with Yang Rising and deficient Wind moving internally and steaming bones and nightsweats due to Liver and Kidney Yin Deficiencies with Heat Rising.
Plastrum Testudinis	Gui Ban	15-30g	Anchors Yang, Benefits the Kidneys, Cools and nourishes the Blood, Nourishes Yin. With Bie Jia and E Jiao, for low grade afternoon fever and night sweats due to Yin Deficiency with Yang rising. With Mu Li, for irregular uterine bleeding.

Formula Actions

• Nourishes Yin
• Restores the pulse
• Clears Heat
• Anchors Yang
• Extinguishes Wind

Syndromes

• Liver Wind Stirring Internally: Liver Blood Deficiency Generates Wind (late stage fevers)
• Liver Yin Deficiency with Liver Yang Rising
• Late-stage warm pathogen disorder where the Yin has been injured (Secondary source)

Clinical Manifestations

Spasms Fatigue Quivering fingers Five Sole heat Spasms of hands and feet Chronic convulsions Dizziness Tinnitus

Night sweats Palpitations, maybe severe Vertigo Dry throat T: Pink or pale, dry, glossy and peeled or Deep red and dry P: Thready and wiry or Tight or Forceless and rapid or Weak

Treats

Encephalitis (late stage) Meningitis (late stage) Hypocalcemia Carpopedal spasms Dizziness Palpitations Numbness Fever Heat stroke Fatigue Red eyes

Spasms of the facial muscles Vertigo Convulsions Anemia Meniere’s disease Paresthesia Parkinson' disease Tinnitus Hypertension Night sweats

Contraindications And Herb/Drug Interactions

Notes

Modifications

For prostration:
+ Fr. Schisandrae	Wu Wei Zi
+ Egg Yolk	Ji Zi Huang