Shu Gan San Jie Fang - 舒肝散结方 - Dredge The Liver And Scatter Nodulation Formula

English:	Dredge the Liver and Scatter Nodulation Formula
Also Known As:

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Rx. Salviae Miltiorrhizae	Dan Shen	15g	Cools the Blood, Dispels Blood Stasis, Invigorates the Blood, Reduces abscesses.
Spica Prunellae	Xia Ku Cao	15g	Clears Hot Phlegm and dissipates nodules. With Xuan Shen, Kun Bu and Mu Li, for nodules due to Phlegm Fire. With Chai Hu, for neck nodules due to Liver Qi Stagnation. With Zhe Bei Mu, cools and relieves toxicity to disperse and transform Phlegm and treat goiter, scrofula and swollen or inflamed lymph glands. With Xiang Fu and Chai Hu, for Liver Qi Stagnation.
Rx. Scrophulariae	Xuan Shen	15g	Clears Heat, cools the Blood, nourishes Yin, softens hardness and dissipates nodules. With Mu Li and Zhe Bei Mu, for scrofula, goiter, and other nodules due to Phlegm.
Concha Ostreae	Mu Li	12g	Anchors Floating Yang, Benefits Yin, Calms the Liver, Dissipates nodules, Softens hardness. With Chai Hu, Dan Shen and chi Shao, for sub-costal pain and swelling.
Pumex	Fu Shi	12g	Softens hardness and dissipates Phlegm nodules. With Mu Li, Hai Zao, Kun Bu and Zhe Bei Mu, for scrofula and goiter from Phlegm-Heat.
Rx. Bupleuri	Chai Hu	9g	Disperses Wind-Heat, Relieves Stagnation, Resolves Phlegm and congestion, Spreads Liver Qi.
Rx. Paeoniae Rubra	Chi Shao	9g	Invigorates the Blood, dispels Blood Stasis, relieves pain and reduces swelling from sores and abscesses.
Rx. Angelicae Sinensis	Dang Gui	9g	Tonifies, invigorates and harmonizes the Blood, reduces swelling, expels pus, generates flesh and alleviates pain.
Rx. Achyranthis Bidentatae	Niu Xi	9g	Invigorates the Blood, expels Blood Stasis and nourishes Liver and Kidney Yin.
Thallus Eckloniae	Kun Bu	9g	Resolves Phlegm and softens Phlegm nodules. With Hai Zao, for goiter and scrofula. With Hai Zao, Xia Ku Zao, Xuan Shen and Zhe Bei Mu, for scrofula, goiter and other nodules.
Sargassum	Hai Zao	9g	Reduces Phlegm and softens areas of hardness.
Bul. Fritillariae Thunbergii	Zhe Bei Mu	9g	Clears Heat, transforms Phlegm and dissipates nodules. With Xuan Shen, Mu Li and Xia Ku Cao, for scrofula due to Phlegm-Fire with swelling and pain at multiple sites. With Xuan Shen and Mu Li, for nodules without abscess.

Formula Actions

• Dredges the Liver
• Regulates Qi
• Transforms Phlegm
• Scatters nodulation

Syndromes

• Liver Stagnation with Phlegm Nodulation

Clinical Manifestations

Urinary strangury and obstruction which is worse with emotional upset or stress Lower abdominal distention Irritability A quick temper

Insomnia Maybe flatulence T: Normal or Slightly dark C: White and slimy P: wiry and slippery

Treats

Benign prostatic hypertrophy

Strangury

Contraindications And Herb/Drug Interactions

Notes

Modifications

For severe Liver Stagnation:		For inhibited urination which is worse with stress or upset:
+ 9g Rz. Cyperi	Xiang Fu
+ 9g Rx. Paeoniae Alba	Bai Shao	+ 12g Fr. Ziziphi Spinosae	Suan Zao Ren
+ 9g Fr. Toosendan	Chuan Lian Zi
For severe Blood Stasis:		+ 12g Cx. Albizziae	He Huan Pi
+ 9g Rz. Curcumae	E Zhu	+ 12g Caulis Polygoni Multiflori	Ye Jiao Teng
+ 9g Rz. Sparganii	San Leng
For Damp-Heat:		For more Heat:
+ 9g Sm. Plantaginis	Che Qian Zi	+ 9g Rx. Scutellariae	Huang Qin
+ 9g Rz. Alismatis	Ze Xie	+ 9g Rx. Gentianae	Long Dan Cao
+ 9g Rz. Smilacis Glabrae	Tu Fu Ling	+ 9g Cx. Phellodendri	Huang Bai
For marked Cold:
For Qi Deficiency:		+ 9g Cx. Cinnamomi	Rou Gui
+ 15g Rx. Astragali	Huang Qi	+ 3g Fr. Evodiae	Wu Zhu Yu
For bacterial prostatitis:		+ 9g Fr. Foeniculi	Xiao Hui Xiang
+ 12g Hb. Taraxaci	Pu Gong Ying	For hematuria:
+ 12g Hb. Patriniae	Bai Jiang Cao	+ 15g Hb. Cirsii	Xiao Ji
+ 12g Fr. Forsythiae	Lian Qiao	+ 15g Rz. Imperatae	Bai Mao Gen
For Kidney Deficiency:		+ 15g Pollen Typhae	Pu Huang
+ 9g Fr. Lycii	Gou Qi Zi
+ 9g Rx. Dipsaci	Xu Duan
+ 9g Sm. Cuscutae	Tu Si Zi