Yi Gan San - 抑肝散 - Restrain The Liver Decoction

English:	Restrain the Liver Powder
Also Known As:	Bupleurum Formula

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Fried Rz. Atractylodis Macrocephalae	Chao Bai Zhu	3g	Tonifies the Spleen, tonifies Qi and dries Dampness.
Poria	Fu Ling	3g	Harmonizes the Middle Jiao, Promotes urination, Resolves Dampness, Strengthens the Spleen. With Bai Zhu, strengthens the Spleen and resolves Dampness.
Rx. Angelicae Sinensis	Dang Gui	3g	Tonifies, harmonizes and invigorates the Blood and regulates menses.
Rx. Chuanxiong	Chuan Xiong	2.4g	Activates the Blood and regulates Qi. With Dang Gui, for Blood Deficiency.
Ram. cum Uncis Uncariae	Gou Teng	3g	Drains Liver Heat and pacifies Liver Yang, Extinguishes Wind, Stops spasms.
Rx. Bupleuri	Chai Hu	1.5g	Raises Yang Qi, Reduces fever, Relieves Stagnation, Resolves Shao Yang disorders, Spreads Liver Qi.
Rx. Glycyrrhizae	Gan Cao	1.5g	Moderates and harmonizes the effects of the other herbs.

Formula Actions

• Calms the Liver
• Regulates the Liver Qi and Blood
• Relieves spasms
• Dispels Heat
• Strengthens the Spleen

Syndromes

• Liver Channel Deficiency Heat in children
• Liver Blood Deficiency with Liver Heat in children
• Liver Wind

Clinical Manifestations

Muscle spasms Feverishness Bruxism Palpitations Anxiety Fever and chills Alternating chills and fever Spitting of sputum or saliva Abdominal distention Reduced appetite Restless sleep Nervousness

Rigidity and pain of the neck and head Opisthotonos Numbness of the limbs Vertigo Dizziness Hemiplegia Irritability Insomnia Clenching or grinding of teeth Easily frightened Restlessness

Treats

Seizure disorders Hysteria Night seizures Hyperthyroidism Night terrors Hypertension Neurosis Menopausal disturbance Indigestion Hemiplegia Visual hallucinations

Epilepsy Neurasthenia Climacteric disorders Excitability Anxiety Infantile night crying Insomnia Palpitations Stroke Aphasia

Contraindications And Herb/Drug Interactions

Notes

• Originally used for Liver Blood Deficiency with Liver Heat in infants, today it is used to treat adults who lead stressful lifestyles, with insomnia.

Modifications

For gallbladder congestion with digestive disturbance, Phlegm and mental disturbance:		For more severe Heat and tension:
+ 4.5g Rz. Pinelliae Preparatum	Zhi Ban Xia	+ Rx. Paeoniae Alba	Bai Shao
+ 3g Per. Citri Reticulatae	Chen Pi	+ Fr. Aurantii Immaturus	Zhi Shi
For depression and mental disorders:		For headaches:
+ Rx. Paeoniae Alba	Bai Shao	+ Rx. Puerariae	Ge Gen
+ Hb. Menthae Haplocalycis	Bo He	For headache and dizziness:
+ Rz. Zingiberis	Sheng Jiang	+ Rx. Paeoniae Alba	Bai Shao
For Qi and Blood Deficiencies:		+ Rz. Coptidis	Huang Lian
+ Rx. Ginseng	Ren Shen	For a feeling of oppression and fullness in the abdomen:
+ Rx. Astragalus	Huang Qi	+ Fr. Aurantii Immaturus	Zhi Shi
+ Rx. Paeoniae Alba	Bai Shao	+ Cx. Magnoliae Officinalis	Hou Po
+ Rx. Rehmanniae Preparata	Shu Di Huang	For restless sleep, irritability and insomnia:
+ Rx. Rehmanniae	Sheng Di Huang	+ Sm. Zizyphi Spinosae	Suan Zao Ren
For vomiting of sputum and saliva:		+ Sm. Platycladi	Bai Zi Ren
+ Warm the Gallbladder Decoction Wen Dan Tang		For dizziness, headache and a disturbed Shen:
+ Rx. Paeoniae Alba	Bai Shao
+ Sm. Zizyphi Spinosae	Suan Zao Ren