Yue Ju Wan - 越鞠丸 - Escape Restraint Pill

English:	Escape Restraint Pill
Also Known As:

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Rz. Atractylodes	Cang Zhu	3-10g	Strongly dries Dampness and tonifies the Spleen. With Xiang Fu, for chest, epigastric and abdominal pain, distention and discomfort due to Dampness and Qi Obstruction.
Rz. Chuanxiong	Chuan Xiong	3-10g	Invigorates the Blood and promotes the movement of Qi. With Xiang Fu, for Qi Stagnation combined with Blood Stasis.
Rz. Cyperi	Xiang Fu	6-14g	Spreads and regulates Liver Qi. With Cang Zhu, for indigestion, pain and distention in the flanks and abdomen, nausea, vomiting, and acid regurgitation.
Fr. Gardeniae	Zhi Zi	3-12g	Clears Heat, reduces Fire, eliminates irritability, and resolves Dampness. With Chuan Xiong, Xiang Fu and Shen Qu, for depression with irritability.
Massa Medicata Fermentata	Shen Qu	6-16g	Harmonizes the Stomach, Moves Qi, Promotes digestion, Reduces Food Stagnation. With Bai Zhu, for Food Stagnation and diarrhea due to Spleen Deficiency.

Formula Actions

• Regulates Qi
• Releases all types of Stagnation (Qi, Blood, Phlegm, Fire, Food and Dampness)

Syndromes

• Qi Stagnation in the Middle Jiao
• Liver Qi Stagnation Invading the Stomach
• Six Stagnations of Qi, Blood, Phlegm, Damp, Fire and Food (Secondary source)

Clinical Manifestations

Chest and abdominal distention A stifling sensation in the chest and abdomen Fixed pain in the hypochondria Belching with a fetid odor Nausea Vomiting

Epigastric and abdominal fullness and pain Acid reflux Mild coughing with copious sputum Reduced appetite Indigestion T: Normal C: Thin and white or Greasy or Slippery, P: Wiry and taut or Running T: Red-purple with a yellow, greasy coat (Secondary source) P: Wiry, slippery, rapid (Secondary source)

Treats

Peptic ulcer Irritable bowel syndrome Chronic gastritis Biliary tract infection Gallstones Chronic hepatitis Dysmenorrhea Hypocalcemia Pelvic inflammatory disease Gastric neurosis Cholecystitis Acid reflux Pertussis Chronic tonsillitis Nausea/Vomiting Morning sickness Abdominal fullness and distention Anorexia Indigestion

Intercostal neuralgia Migraines Globus hystericus Epilepsy Cerebral thrombosis Some types of neurosis Depression Coronary artery disease Schizophrenia Infectious hepatitis Cholelithiasis Chronic bronchitis Chronic cough Fever Otitis media Meniere's disease Neurosis Hiatus hernia Infertility

Contraindications And Herb/Drug Interactions

Notes

• This formula is selected when the primary symptoms are in the Stomach and the Liver Stagnation is secondary.
• Composition: Cang Zhu 6-12g, Chuan Xiong 6-12g, Xiang Fu 6-12g, Zhi Zi 6-12g, Shen Qu 6-12g (Secondary source)
• The Six Stagnations start from Liver Qi Stagnation disturbing the function of the Spleen.
• Each herb targets a stagnation: Xiang Fu for Qi, Chuan Xiong for Blood, Cang Zhu for Damp (and Phlegm), Zhi Zi for Heat/Fire, Shen Qu for Food.
• Liver Qi Stagnation formulas compared (all with pain/distention and a wiry pulse): Si Ni San for Liver-Spleen disharmony with cold extremities; Xiao Yao San for Blood and Qi Deficiency with irregular menstruation; Yue Ju Wan for all six stagnations with pain, indigestion and vomiting.

Modifications

For Qi Stagnation predominating:		For Liver Fire predominating:
+ Rx. Curcumae	Yu Jin	- Rz. Atractylodes	Cang Zhu
+ Rx. Aucklandiae	Mu Xiang	+ Rx. Paeoniae Alba	Bai Shao
+ Rx. Linderae	Wu Yao	+ Cx. Moutan	Mu Dan Pi
For Blood Stasis predominating:		For Phlegm predominating:
+ Sm. Persicae	Tao Ren	+ Rz. Pinelliae Preparatum	Zhi Ban Xia
+ Flos Carthami	Hong Hua	+ Rz. Arisaematis Preparatum	Zhi Tian Nan Xing
For Dampness predominating:		Or
+ Cx. Magnoliae Officinalis	Hou Po	+ Rz. Pinelliae Preparatum	Zhi Ban Xia
+ Poria	Fu Ling	+ Fr. Trichosanthis	Gua Lou
For concurrent Cold in the Middle Jiao:		For severe bloating and distention:
- Fr. Gardeniae	Zhi Zi	+ Per. Citri Reticulatae Viride	Qing Pi
+ Fr. Evodiae	Wu Zhu Yu	+ Fr. Aurantii Immaturus	Zhi Shi
+ Rz. Zingiberis	Gan Jiang	+ Sm. Arecae	Bing Lang
For severe Qi Stagnation with bloating, distention and sighing:		For severe Blood Stagnation:
+ Rx. Aucklandiae	Mu Xiang	+ Sm. Persicae	Tao Ren
+ Fr. Aurantii	Zhi Ke	+ Flos Carthami	Hong Hua
+ Cx. Magnoliae Officinalis	Hou Po	+ Rx. Paeoniae Rubra	Chi Shao
Or		Or
+ Rambling Powder Xiao Yao San		Drive out Stasis in the Mansion of Blood Decoction Xue Fu Zhu Yu Tang
For Excess Dampness:		For Liver Heat disturbing the Stomach with hypochondriac pain, indeterminate gnawing hunger, acid regurgitation, vomiting, belching and a bitter taste in the mouth:
+ Poria	Fu Ling	+ Rz. Coptidis	Huang Lian
+ Rz. Alismatis	Ze Xie	+ Fr. Evodiae	Wu Zhu Yu
For Liver Qi Stagnation:		For expectoration and epigastric upset due to Phlegm Stagnation:
+ Rx. Bupleuri	Chai Hu	+ Rz. Zingiberis Recens	Sheng Jiang
+ Rx. Paeoniae Alba	Bai Shao	+ Per. Citri Reticulatae	Chen Pi
For more Food Stagnation:		For fullness, distention and oppression:
+ Preserve Harmony Pill Bao He Wan		+ Fr. Aurantii	Zhi Ke
For dysmenorrhea or depression:		+ Cx. Magnoliae Officinalis	Hou Po
+ Rx. Curcumae	Yu Jin	Or
+ Fr. Citri Sarcodactylis	Fo Shou	+ Fr. Aurantii	Zhi Ke
For abdominal pain due to Coldness and Qi Stagnation:		+ Rx. Aucklandiae	Mu Xiang
+ Galangal and Cyperus Pill Liang Fu Wan		For Heat and Stasis in the Liver with hypochondriac pain, a yellow tongue coat and a wiry and rapid pulse:
For stabbing pain over the chest and hypochondrium due to Blood Stagnation:		+ Rz. Corydalis	Yan Hu Suo
+ Flos Carthami	Hong Hua	For flatulence due to Dampness Accumulation:
+ Rx. Curcumae	Yu Jin	+ Poria	Fu Ling
For anorexia, vomiting and nausea due to Food Stagnation:		+ Ram. Cinnamomi	Gui Zhi
+ Fr. Hordei Germinatus	Mai Ya	For Excess Fire:
+ Caulis Perillae	Zi Su Geng	+ Rx. Scutellariae	Huang Qin
For Excess Phlegm:		+ Rz. Coptidis	Huang Lian
+ Rz. Pinelliae Preparatum	Zhi Ban Xia	Or
+ Fr. Trichosanthis	Gua Lou	+ 60g Rz. Coptidis	Huang Lian
Or		+ 20g Indigo Naturalis	Qing Dai
+ Rz. Pinelliae Preparatum	Zhi Ban Xia	For Fluid Retention:
+ Fr. Trichosanthis	Gua Lou	+ Poria	Fu Ling
+ Pulvis Arisaemae cum Felle Bovis	Dan Nan Xing	+ Rz. Alismatis	Ze Xie
For severe pain, add two or three of the following:		+ Sm. Plantaginis	Che Qian Zi
+ 9g Fr. Toosendan	Chuan Lian Zi	For nausea and vomiting:
+ 9g Rz. Corydalis	Yan Hu Suo	+ 9g Flos Inulae	Xuan Fu Hua
+ 6 g Myrrh	Mo Yao	+ 9g Rz. Pinelliae Preparatum	Zhi Ban Xia
+ 6g Olibanum	Ru Xiang	+ 6g Rz. Zingiberis Recens	Sheng Jiang
+ 6g per. Citri Reticulatae Viride	Qing Pi	For acid reflux:
+ Endoconcha Sepiae	Hai Piao Xiao
+ 6g Sm. Sinapis	Bai Jie Zi	+ Concha Ostreae	Mu Li
For Qi stagnation generating Heat with increased hypochondriac pain, irritability, facial flushing, dry mouth, red and sore eye,s a yellow tongue coat and a wiry and rapid pulse, add two or three of the following:		Or
+ 10g Rz. Coptidis	Huang Lian
+ 10g Fr. Evodiae	Wu Zhu Yu
+ 10g Fr. Toosendan	Chuan Lian Zi
+ 9g Cx. Moutan	Mu Dan Pi	For Food Stagnation predominating:
+ 9g Rx. Curcumae	Yu Jin	+ Fr. Crataegi	Shan Zha
+ 9g Fr. Gardeniae	Zhi Zi	+ Fr. Hordei Germinatus	Mai Ya
+ 9g Fr. Toosendan	Chuan Lian Zi	For a stronger effect on Qi Stagnation:
+ 9g Flos Chrysanthemi	Ju Hua	+ 10g Fr. Aurantii Immaturus	Zhi Shi
+ 9g Ram. Uncariae cum Uncis	Gou Teng
+ 10g Rx. Platycodi	Jie Geng
For fever due to Heat in the Liver channel with congested Qi and Phlegm-Damp-Heat:		For psychiatric disorders with more Dampness:
+ Poria	Fu Ling
+ 6g Rx. Bupleuri	Chai Hu	+ Rx. Angelicae Dahuricae	Bai Zhi
+ 6g Rx. Scutellariae	Huang Qin
For psychiatric disorders with more Fire:		For psychiatric disorders with more Phlegm:
+ Indigo Naturalis	Qing Dai	+ Rz. Pinelliae Preparatum	Zhi Ban Xia
For psychiatric disorders with more Blood Stagnation:
+ Arisaema cum Bile	Dan Nan Xing
+ Sm. Persicae	Tao Ren	For psychiatric disorders with more Qi Stagnation:
+ Flos Carthami	Hong Hua
For psychiatric disorders with more Food Stagnation:		+ Rx. Aucklandiae	Mu Xiang
+ Sm. Arecae	Bing Lang
+ Fr. Crataegi	Shan Zha	For "plum-pit" Qi Stagnation (globus hystericus) with profuse Phlegm:
+ Fr. Amomi	Sha Ren
For "plum-pit" Qi Stagnation with a dry throat:		+ Two-Cured Decoction Er Chen Tang
+ Rx. Ophiopogonis	Mai Men Dong
+ Rx. Scrophulariae	Xuan Shen	For "plum-pit" Qi Stagnation (globus hystericus) with decreased food intake:
For "plum-pit" Qi Stagnation (globus hystericus) with chest oppression:
+ Endothelium Gigeriae Galli	Ji Nei Jin
+ Cx. Magnoliae Officinalis	Hou Po
+ Massa Hordei Germinatus	Mai Ya
+ Caulis Perillae	Zi Su Geng
For "plum-pit" Qi Stagnation (globus hystericus)with irritability:		For peptic ulcers:
+ 10g Rx. Bupleuri	Chai Hu
+ Sm. Sojae Preparatum	Dan Dou Chi	+ 20g Rx. Paeoniae Alba	Bai Shao
+ Rx. Curcumae	Yu Jin	+ 6g Per. Papaveris	Ying Su Ke
For severe nausea and vomiting:		For vomiting of bile:
+12-15g Flos Inulae	Xuan Fu Hua	+ 9-12g Fr. Aurantii	Zhi Ke
+ 15g Haematitum	Dai Zhe Shi	+ 9-12g Rx. Curcumae	Yu Jin
For nausea and vomiting with constipation:		+ 18g Hb. Lysimachiae	Jin Qian Cao
+ 3-9g Rx. et Rz. Rhei	Da Huang	For nausea and vomiting with Food Stagnation:
+ 9-12g Fr. Aurantii Immaturus	Zhi Shi	+ 15g Fr. Crataegi	Shan Zha
+ 15-30g Fr. Hordei Germinatus	Mai Ya
For nausea and vomiting with Stagnant Heat and acid reflux:
+ 12g Endothelium Corneum Gigeriae Galli	Ji Nei Jin
+ 6-9g Rz. Coptidis	Huang Lian
+ 2-5g Fr. Evodiae	Wu Zhu Yu	For chronic nausea and vomiting with damaged Yin:
For hiatus hernia:
+ 2g Fr. Evodiae	Wu Zhu Yu	+ 12-15g Rx. Glehniae/ Adenophorae	Sha Shen
+ 6g Rz. Coptidis	Huang Lian
+ 12-15g Hb. Dendrobii	Shi Hu