Tai Shan Pan Shi San / Tai Shan Pan Shi San - 泰山盤石散 - Tai Shan Bedrock Powder

English:	Tai Shan Bedrock Powder
Also Known As:	Great Mountain Bedrock Powder Powder that Gives the Stability of Mount Tai

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Rx. Ginseng	Ren Shen	3-6g	Powerfully tonifies Yuan Qi, tonifies Spleen Stomach, Lung and Heart Qi and calms the Spirit. With Shu Di Huang, for severe Qi and Blood Deficiencies. With Bai Zhu, tonifies the transformation and transportation functions of the Spleen.
Rx. Astragali	Huang Qi	12-15g	Tonifies Qi and Blood and strengthens the Spleen. With Ren Shen, for Qi Deficiency with general debility, anorexia, fatigue, tired extremities and spontaneous sweat. With Bai Zhu, for Spleen Qi Deficiency with weakness, lassitude and loose stools. With Dang Gui, for thirst in patients with a weak pulse due to Qi and Blood Deficiencies.
Rz. Atractylodis Macrocephalae	Bai Zhu	1.5-10g	Tonifies the Spleen, augments Qi, dries Dampness, promotes water metabolism and calms the fetus. With Huang Qin, for restless fetus with internal Heat and unstable pregnancy with Qi Deficiency and Interior Heat. With Ren Shen and Huang Qi, for restless fetus due to Qi Deficiency. With Shu Di Huang and Bai Shao, for restless fetus due to Blood Deficiency, often with palpitations.
Rx. Glycyrrhizae Preparata	Zhi Gan Cao	1.5-6g	Tonifies the Spleen, augments Qi and moderates and harmonizes the harsh properties of other herbs. With Bai Shao, moderates spasms and alleviates pain, for painful spasms of the leg or abdomen. With Ren Shen, relieves palpitations and anxiety.
Rx. Angelicae Sinensis	Dang Gui	3-8g	Tonifies, invigorates and harmonizes the Blood and regulates the menses. With Huang Qi, for Qi and Blood Deficiencies. With Bai Shao, Chuan Xiong and Shu Di Huang, for menstrual irregularity, amenorrhea, and dysmenorrhea due to Blood Deficiency or Blood Stasis. With Bai Shao, regulates and harmonizes Qi and Blood and treats Blood Deficiency Heat. With Shu Di Huang, for Heat symptoms due to Yin Deficiency and Devastated Blood. With Chuan Xiong, harmonizes, nourishes and invigorates the Blood and disperses Blood Stasis. With Ren Shen, Bai Shao, Shu Di Huang and Bai Zhu, for general menstrual disorders with fatigue and weakness due to Qi and Blood Deficiencies.
Rz. Chuanxiong	Chuan Xiong	3-6g	Invigorates the Blood and promotes the movement of Qi.
Rx. Paeoniae Alba	Bai Shao	3-6g	Nourishes the Blood and regulates menstruation. With Dang Gui, nourishes Yin and Blood. With Dang Gui and Shu Di Huang, for dizziness, blurred vision, and dysmenorrhea due to Blood Deficiency or Stasis. With Huang Qin, cools Heat and nourishes the Blood for calming the fetus which is disturbed by Heat . With Ren Shen, Huang Qi and Bai Zhu, for menstrual disorders with Qi Deficiency signs such as fatigue, weakness, and pale and scanty menstrual Blood.
Rx. Rehmanniae Preparata	Shu Di Huang	12-15g	Nourishes the Blood, Nourishes Liver and Kidney Yin, nourishes Jing and Blood and fills the Marrow. With Dang Gui, for Blood Deficiency marked by dizziness, palpitations, insomnia and menstrual dysfunction. With Sha Ren, for Blood loss with Spleen Deficiency. With Bai Shao, Dang Gui and Chuan Xiong, for anemia. With Ren Shen, Bai Zhu, Dang Gui, Xu Duan and Sha Ren, for Restless fetus or habitual miscarriage.
Rx. Dipsaci	Xu Duan	3-6g	Calms the fetus and prevents miscarriage, Stops uterine bleeding, Tonifies the Liver and Kidneys.
Rx. Scutellariae	Huang Qin	3-6g	Clears Heat, dries Dampness and calms the fetus. With Bai Zhu and Dang Gui, for restless fetus due to Heat.
Fr. Amomi	Sha Ren	1.5-6g	Promotes the movement of Qi, aromatically transforms Dampness, strengthens the Spleen, warms the Middle, calms the fetus and prevents miscarriage. With Huang Qin, for restless fetus due to Heat. With Bai Zhu and Ren Shen, for Spleen and Stomach Deficiencies.
Rx. Oryzae Glutinosae	Nuo Dao Gen	5g	Stops sweat due to Deficiency and reduces low-grade fevers.

Formula Actions

• Tonifies Qi
• Strengthens the Spleen
• Nourishes the Blood
• Calms the fetus

Syndromes

• Qi and Blood Deficiency failing to nourish the fetus
• Qi & Blood deficiency with unsecured Chong & Ren vessels (Secondary source)

Clinical Manifestations

A history of miscarriage or threatened miscarriage Fatigue Anorexia Restless fetus General weakness Light red Blood Constant lower abdominal pain Insomnia

A pale or sallow complexion Lassitude Palpitations Dizziness Low back pain T: Pale C: Slippery or Thin and white P: Slippery and forceless or Deep and weak Malpositioned fetus Difficult delivery

Treats

Threatened miscarriage Habitual miscarriage Painful menstruation Uterine prolapse

Fetal restlessness Pernicious vomiting Amenorrhea Weakness during pregnancy

Contraindications And Herb/Drug Interactions

Notes

• This formula secures the fetus by nourishing the Chong and Ren channels
• Composition: Ren Shen 5g, Shu Di Huang 10g, Xu Duan 5g, Huang Qin 5g, Bai Zhu 10g, Huang Qi 15g, Dang Gui 8g, Bai Shao 6g, Chuan Xiong 4g, Sha Ren 4g, Zhi Gan Cao 4g (Secondary source)
• Also taken preventively against miscarriage and difficult labor.
• Ba Zhen Tang minus Fu Ling, plus Huang Qin, Sha Ren, Huang Qi and Xu Duan: augments Qi, strengthens the Spleen, nourishes Blood and calms the fetus.

Modifications

For more severe Heat:		For a weak Stomach:
+ Less Fr. Amomi	Sha Ren	+ More Fr. Amomi	Sha Ren
+ More Rx. Astragali	Huang Qi	+ Less Rx. Scutellariae	Huang Qin
For nausea and vomiting:		For unstable pregnancy:
- Rz. Pinelliae Preparatum	Zhi Ban Xia	+ Cx. Eucommiae	Du Zhong
+ Colla Corii Asini	E Jiao
+ Rz. Zingiberis Recens	Sheng Jiang	For more severe Deficiency with soreness of the back and knees:
+ Caulis Bambusae in Taeniam	Zhu Ru
+ Cx. Eucommiae	Du Zhong
Or		+ Sm Cuscutae	Tu Si Zi
- Rz. Pinelliae Preparatum	Zhi Ban Xia	For insomnia and palpitations:
+ Sm. Zizyphi Spinosae	Suan Zao Ren
+ Rz. Zingiberis Recens	Sheng Jiang	+ Arillus Longan	Long Yan Rou
+ Fol. Eriobotryae	Pi Pa Ye	- Rz. Pinelliae Preparatum	Zhi Ban Xia
For threatened miscarriage with vaginal bleeding:
+ Rz. Zingiberis Recens	Sheng Jiang
+ Colla Corii Asini	E Jiao	For severe vomiting:
+ Fol. Artemisiae Argyi	Ai Ye	+ Caulis Bambusae in Taeniam	Zhu Ru
For low back pain:
+ Cx. Eucommiae	Du Zhong	+ Fol. Eriobotryae	Pi Pa Ye
+ Hb. Taxilli	Sang Ji Sheng	- Rz. Pinelliae Preparatum	Zhi Ban Xia
For excessive bleeding:
+ Colla Corii Asini	E Jiao	+ Rz. Zingiberis Recens	Sheng Jiang
+ Hb. Agrimoniae	Xian He Cao	For vomiting of yellow or greenish bile:
For uterine prolapse:		+ Rz. Coptidis	Huang Lian
+ Rz. Cimicifugae	Sheng Ma	For dysmenorrhea:
- Rz. Atractylodis Macrocephalae	Bai Zhu
- Rx. Glycyrrhizae Preparata	Zhi Gan Cao
- Rx. Dipsaci	Xu Duan
- Rx. Scutellariae	Huang Qin
- Fr. Amomi	Sha Ren
- Rx. Oryzae Glutinosae	Nuo Dao Gen
+ 12g Rz. Cyperi	Xiang Fu
+ 12g Rz. Corydalis	Yan Hu Suo