Shi Liu Wei Liu Qi Yin - 十六味流氣飲 - Sixteen Ingredient Drink For Qi Flow

English:	Sixteen Ingredient Drink for Qi Flow
Also Known As:	Smooth Sixteen Combination Dang Gui Sixteen Herbs Combination Sixteen Ingredients Regulate Qi Special Formula

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Rx. Angelicae Sinensis	Dang Gui	3g	Tonifies, invigorates and harmonizes the Blood, disperses Cold, reduces swelling, expels pus, generates flesh and alleviates pain. With Huang Qi, for ulcerated abscesses with insufficient drainage or which drain a clear thin discharge. With Bai Shao, regulates and harmonizes Qi and Blood.
Rz. Chuanxiong	Chuan Xiong	3g	Invigorates the Blood, promotes the movement of Qi, expels Wind and alleviates pain. With Dang Gui, harmonizes, nourishes and invigorates the Blood and disperses Blood Stasis. With Rou Gui, for irregular menstruation with Cold in the Blood.
Rx. Paeoniae Alba	Bai Shao	3g	Nourishes the Blood, regulates menstruation, astringes Yin, adjusts the Ying and Wei, softens the Liver and relieves pain. With Gan Cao, regulates the relationship between the Liver and Spleen. With Dang Gui, nourishes Yin and Blood. With Huang Qi and Ren Shen, restrains sweating from Deficiency.
Rx. Astragali	Huang Qi	2g	Tonifies Qi and Blood, promotes the discharge of pus, generates flesh and expels toxins. With Ren Shen, for Qi Deficiency. With Dang Gui and Rou Gui, for flat sores that do not pustulate or ulcers that do not heal. With Ren Shen, Dang Gui, Chuan Xiong, Bai Zhi and Fang Feng, for chronic sores with underlying Deficiency.
Rx. Ginseng	Ren Shen	3g	Tonifies Qi. With Zi Su Ye, for External Wind-Cold with underlying Qi Deficiency.
Cx. Cinnamomi	Rou Gui	3g	Disperses deep Cold, warms the channels, unblocks the channels and vessels and alleviates pain. With Huang Qi and Dang Gui, for Yin-type boils due to Qi and Blood Deficiency especially those that form but do not ulcerate.
Cx. Magnoliae Officinalis	Hou Po	2g	Promotes the movement of Qi in the Middle Jiao, resolves Stagnation, promotes the movement of Qi downward, dries Dampness and transforms Phlegm. With Zhi Ke, for abdominal distention due to Qi and Food Stagnation.
Rx. Platycodi	Jie Geng	3g	Expels pus and opens and raises Lung Qi, directing the effects of other herbs to the upper body. With Gan Cao, disseminates Lung Qi, expels Phlegm, resolves toxicity, and expels pus.
Fr. Aurantii	Zhi Ke	2g	Promotes the movement of Qi, reduces distention and pressure and resolves hardenings.
Rx. Linderae	Wu Yao	2g	Promotes movement of Qi, warms the Kidneys, disperses Cold and alleviates pain. With Mu Xiang and Zhi Ke, for epigastric and abdominal pain and distention due to Cold Stagnation and Qi Obstruction. With Dang Gui, disperses Cold and stops pain, for abdominal pain due to External Cold..
Rx. Aucklandiae	Mu Xiang	2g	Promotes the movement of Qi, strengthens the Spleen, prevents Stagnation and alleviates pain.
Rx. Angelicae Dahuricae	Bai Zhi	2g	Reduces swelling, eliminates toxins and expels pus. With JIe Geng, for ulcerated boils when pus has not been discharged.
Sm. Arecae	Bing Lang	2g	Drains downward, Reduces accumulations, Regulates Qi, Unblocks the bowels.
Rx. Saposhnikoviae	Fang Feng	2g	Releases the Exterior and expels External Wind.
Fol. Perillae	Zi Su Ye	2g	Releases the Exterior, disperses Cold and promotes the movement of Spleen and Stomach Qi. With Jie Geng and Zhi Ke, eases the diaphragm and Intestines. With Chuan Xiong and Dang Gui, harmonizes the Blood and disperses Blood Stasis.
Rx. Glycyrrhizae	Gan Cao	2g	Clears Heat and relieves Fire toxicity and moderates and harmonizes the harsh properties of other herbs.

Formula Actions

• Tonifies Qi
• Nourishes the Blood
• Promotes the movement of Qi and Blood
• Disperses Stagnation
• Expels pus
• Dissipates swelling

Syndromes

• Qi, Blood and Phlegm Stagnation
• External and Internal Disharmony

Clinical Manifestations

Noxious swellings Abscesses Flat abscesses Red face Chest pain Ulceration of the tumor

Maybe a bloody secretion Foul odor Short urine T: Reddish purple C: Little or Yellow P: Wiry and rapid or Flooding or Tight or Thin

Treats

Initial stage of neck tumors Breast abscesses Chronic conjunctivitis Fibrocystic breast disease Goiter Lymphadenitis Cervical lymphadenoma Premenstrual breast distention

Breast cancer Tumors of pox disorders Enlarged thyroid Chronic skin abscesses Lymphadenopathy Intraductal papillomas Emphysema Thyroid cancer

Contraindications And Herb/Drug Interactions

Notes

• The primary External disharmony is usually Heat or Qi and Blood Stagnation.
• The primary Internal disharmony is usually is Deficiency.
• Many feel that this formula is best used as a follow-up to more aggressive initial treatment.

Modifications

For stubborn sores:		For anorexia:
+ Poria	Fu Ling	+ Fr. Amomi	Sha Ren
+ Rz. Atractylodis Macrocephalae	Bai Zhu	+ Rz. Cyperi	Xiang Fu
For pain:
+ Rx. Rehmanniae Preparata	Shu Di Huang	+ Olibanum	Ru Xiang
+ Myrrh	Mo Yao
For leaking sores that fail to dry:		For swellings that are slow to come to a head and burst:
+ Bul Fritillariae Thunbergii	Zhe Bei Mu
+ Spina Gleditsiae	Zao Jiao Ci
+ Rz. Anemarrhenae	Zhi Mu	For breast abscesses:
For cancerous breast tumors:		+ Sm. Vaccariae	Wang Bu Liu Xing
+ Pseudobulbus Cremastrae/Pleiones	Shan Ci Gu	+ Hb. Taraxaci	Pu Gong Ying
For swollen lymph nodes:
+ Hb. Scutellariae Barbatae	Ban Zhi Lian	+ Spica Prunellae	Xia Ku Cao
+ Rx. Scutellariae	Huang Qin
+ Per. Citri Reticulatae Viride	Qing Pi	+ Rx. Scrophulariae	Xuan Shen
For enlarged thyroid:
+ Hb. Hedyotis Diffusae	Bai Hua She She Cao	+ Spica Prunellae	Xia Ku Cao
For various swellings, nodules lumps, fibroids and carbuncles:		+ Rx. Scutellariae	Huang Qin
+ Bul Fritillariae Thunbergii	Zhe Bei Mu
+ Disperse the Swelling and Break the Hardness Decoction San Zhong Kui Jian Tang
+ Thallus Eckloniae	Kun Bu
For fibrocystic growths related to estrogen intake:		For Blood Stagnation:
+ Rx. Curcumae	Yu Jin
+ Rx. Arnebiae/ Lithospermi	Zi Cao	+ Rx. Corydalis	Yan Hu Suo
For soft accumulations:
+ Rx. Trichosanthis	Tian Hua Fen	+ Bul Fritillariae Thunbergii	Zhe Bei Mu
For breast lumps:
+ Rz. Cyperi	Xiang Fu	+ Thallus Eckloniae	Kun Bu
+ Per. Citri Reticulatae Viride	Qing Pi	For skin and lymphatic swelling:
+ Rx. Arnebiae/ Lithospermi	Zi Cao
+ Concha Ostreae	Mu Li