Sundance Acupuncture

Herb & Acupuncture Database

(This is my own personal database of teachers, teachings and notes that I use in my practice. I’ve decided to share it freely with anyone who would like to reference it.)

San Wu Bei Ji Wan - 三物辈急囊 - Three Substance Pill For Emergencies

English: Three Substance Pill for Emergencies
Also Known As: Rhubarb, Ginger and Croton Formula
Pills of Three Ingredients fo Sudden Syncope

Herbs And Actions

Pharmaceutical Latin Pin Yin Dosage Actions
Sm. Crotonis Ba Dou 30g Warmly unblocks and vigorously purges accumulated Cold, drives out water and reduces edema.
Rz. Zingiberis Gan Jiang 30g Expels Cold, Rescues Devastated Yang and expels Interior Cold, Warms the Middle.
Rx. et Rz. Rhei Da Huang 30g Drains Heat and purges accumulations.

Formula Actions

  • Harshly Purges Cold Accumulation
  • Alleviates pain

Syndromes

  • Sudden onset of severe Cold Accumulation due to Cold Food Stagnation in the Stomach and Intestines

Clinical Manifestations

  • Sudden epigastric and abdominal pain and distention
  • The pain is so intense that it feels like an awl is piercing the abdomen
  • Rough, uneven breathing
  • Stabbing pain in the chest
  • Lockjaw
  • A cyanotic complexion
  • Asthma
  • Dyspnea
  • Oliguria
  • A pale face
  • No bowel movements
  • Rapid breathing
  • Constipation
  • Cold limbs
  • Possible loss of consciousness (severe cases)
  • T: Bluish-purple
  • C: White or White and slippery
  • P: Deep and tight or Deep and slow

Treats

  • Post-operative adhesions
  • Intestinal obstruction
  • Acute cholecystitis
  • Sudden syncope
  • Ascites
  • Liver cancer
  • Recalcitrant constipation
  • Acute appendicitis
  • Food poisoning
  • Lockjaw
  • Cirrhosis of the Liver

Contraindications And Herb/Drug Interactions

CONTRAINDICATIONS
  • Sm. Crotonis Ba Dou is a toxic substance that should be used with extreme caution.
  • Contraindicated for elderly or weak patients.
  • Contraindicated during pregnancy.
  • Contraindicated for those with acute abdominal pain due to Heat or Summerheat.
  • Use only when absolutely necessary and in small doses.
HERB/DRUG INTERACTIONS

Notes

Modifications

For educational reference only; not a substitute for care from a qualified practitioner.