Yan Nian Ban Xia Tang - 延年半夏汤 - Pinellia Decoction To Extend Life

English:	Pinellia Decoction to Extend Life
Also Known As:	Evodia and Pinellia Combination

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Rx. Ginseng	Ren Shen	2g	Tonifies Yuan Qi and Qi of the Spleen, Stomach, Lung and Heart.
Fr. Aurantii Immaturus	Zhi Shi	1g	Breaks up Stagnant Qi, Descends Qi, Reduces accumulation, Reduces distention, Resolves hardenings, Transforms Phlegm, Unblocks the bowels and removes Stagnant Food.
Fr. Evodiae	Wu Zhu Yu	1g	Warms the Middle Jiao, disperses Cold, promotes the movement of Qi, relieves Stagnation in the Liver channel and alleviates pain. With Gan Jiang, for acid reflux after meals due to Deficiency and Cold in the Stomach.
Rz. Pinelliae Preparatum	Zhi Ban Xia	5g	Dries Dampness, transforms Phlegm, descends Rebellious Qi, stops vomiting, harmonizes the Stomach, dissipates nodules and reduces Stagnation. With Gan Jiang and Wu Zhu Yu, for vomiting with clear signs of Cold in the Middle Jiao. With Ren Shen, for vomiting due to Stomach Deficiency.
Rz. Zingiberis	Gan Jiang	2g	Warms the Middle, expels Cold, dispels Wind-Dampness seeping into the Lower Jiao, rescues Devastated Yang, expels Interior Cold, warms the Lungs, transforms thin mucus and warms the channels. With Zhi Ban Xia and Ren Shen, for vomiting due to Deficiency Cold.
Carapax Trionycis	Bie Jia	3g	Anchors Yang, Dissipates nodules, Invigorates Blood, Nourishes Yin, Softens hardness.
Rx. Platycodi	Jie Geng	3g	Opens the Lungs, spreads Lung Qi, expels Phlegm and benefits the throat. With Zhi Ban Xia, for cough due to Wind-Cold Invasion or long-standing Phlegm-Dampness.
Sm. Arecae	Bing Lang	3g	Drains downward, Reduces accumulations, Regulates Qi, Unblocks the bowels.
Rx. Peucedani	Qian Hu	3g	Expels Phlegm and descends Qi.

Formula Actions

• Tonifies Qi
• Breaks up Stagnant Qi
• Reduces accumulation
• Descends Qi
• Warms the Middle Jiao
• Disperses Cold
• Transforms Phlegm

Syndromes

• Internal Cold leading to Stagnation of Fluids Generating Phlegm and blocking the Descent of Qi

Clinical Manifestations

Chest pain Shoulder stiffness Abdominal distention and pain Constipation Cold feet An aversion to Cold Pale face

Fatigue Headaches with heavy headedness Abdominal weakness Anorexia T: Pale C: Greasy, white P: Weak or Weak and wiry

Treats

Chronic pancreatitis Intercostal neuralgia Digestive disorders often with a psychosomatic component Duodenal ulcer Sour Stomach Abdominal fullness and distention Weakness Indigestion

Fibromyalgia Chronic gastrointestinal disorders Gastroptosis Gastric ulcer Chronic gastritis Neurosis Anorexia Fatigue Constipation

Contraindications And Herb/Drug Interactions

Notes

• This formula is thought to be particularly effective for left-sided symptoms.

Modifications

For fibromyalgia due to Damp Stagnation Blocking the Channels:	For fibromyalgia due to Cold Stagnation Blocking the Channels:
+ Ginseng, Poria and Atractylodis Macrocephalae Powder Shen Ling Bai Zhu San	+ Ephedra, Prepared Aconite and Asarum Decoction Ma Huang Fu Zi Xi Xin Tang
+ Three Painful Obstruction Decoction San Bi Tang	+ Drive out Stasis in the Mansion of Blood Decoction Xue Fu Zhu Yu Tang
Or
+ Ephedra, Prepared Aconite and Asarum Decoction Ma Huang Fu Zi Xi Xin Tang
+ Bolster the Spleen Decoction Shi Pi Yin
Or
+ Drive Out Blood Stasis from a Painful Body Decoction Shen Tong Zhu Yu Tang
+ Aconite and Cinnamon Twig Decoction Wu Tou Gui Zhi Tang