Xiang Sha Zhi Zhu Wan - 香砂枳术囊 - Aucklandia, Amomum, Unripe Bitter Orange And Atractylodes Pill

English:	Aucklandia Amomum Unripe Bitter Orange and Atractylodes Pill
Also Known As:	Aucklandia, Amomum, Citrus and Atractylodes Pills

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Rz. Atractylodis Macrocephalae	Bai Zhu	10-18g	Tonifies the Spleen, augments Qi, dries Dampness and promotes water metabolism. With Zhi Shi, for Spleen Deficiency with Qi Stagnation with anorexia, epigastric focal distention, and fullness.
Fr. Aurantii Immaturus	Zhi Shi	5-9g	Breaks up Stagnant Qi, Descends Qi, Reduces accumulation, Reduces distention, Removes Stagnant Food, Resolves hardenings, Transforms Phlegm, Unblocks the bowels.
Rx. Aucklandiae	Mu Xiang	1.5-10g	Promotes the movement of Qi, alleviates pain and adjusts and regulates stagnant Qi in the Intestines. With Sha Ren, for distention, epigastric and abdominal pain, anorexia, nausea, vomiting, diarrhea, dysentery, or tenesmus due to Qi Obstruction and/or Food Stagnation. With Bai Zhu, for anorexia with epigastric and abdominal pain and distention.
Fr. Amomi	Sha Ren	1.5-7g	Promotes the movement of Qi, aromatically transforms Dampness, strengthens the Spleen, stops vomiting, warms the Middle and stops diarrhea. With Mu Xiang, increases the flow of Qi in the digestive system while reducing distention and Food Stagnation, alleviating pain and strengthening the Spleen. With Mu Xiang and Zhi Shi, for Qi Stagnation due to Food Stagnation. With Bai Zhu and Zhi Shi, for Spleen and Stomach Qi Stagnation with indigestion.

Formula Actions

• Tonifies the Spleen
• Moves Qi
• Reduces focal distention

Syndromes

• Spleen Qi Deficiency with epigastric and abdominal distention
• Spleen Qi Deficiency with Qi Stagnation and Food Retention

Clinical Manifestations

Loss of appetite Chest, epigastric and abdominal focal distention Acid regurgitation

Headache T: Normal C: White or Yellow and greasy P: Deficient or Slippery

Treats

Headache

Contraindications And Herb/Drug Interactions

Notes

• Grind into a powder and mix with rice fried in Fol Nelumbinis He Ye and form into pills.
• Take 6-9g twice per day.

Modifications

For headaches due to Food Stagnation:		For headaches due to Food Stagnation with abdominal distention and constipation:
+ 6g Fr. Crataegi	Shan Zha
+ 6g Fr. Hordei Germinatus	Mai Ya	+ 6g Fr. Crataegi	Shan Zha
+ 6g Fr. Hordei Germinatus	Mai Ya
+ 6g Massa Medicata Fermentata	Shen Qu
+ 6g Massa Medicata Fermentata	Shen Qu
+ 6g Sm. Raphani	Lai Fu Zi
For headaches due to alcoholic Food Stagnation:		+ 6g Sm. Raphani	Lai Fu Zi
+ 6g Fr. Crataegi	Shan Zha	+ 9g Cx. Magnoliae Officinalis	Hou Po
+ 6g Massa Medicata Fermentata	Shen Qu
+ 6g Rx. et Rz. Rhei	Da Huang
+ 15g Flos Puerariae	Ge Gen Hua	+ 6g Natrii Sulfas	Mang Xiao
+ 15g Fol. Nelumbinis	He Ye
+ 12g Fol. Camillae	Lu Cha
+ 6g Poria	Fu Ling
+ 6g Polyporus	Zhu Ling