Zhen Ren Yang Zang Tang / Zhen Ren Yang Zang Tang - 真人養臟湯 - True Man'S Decoction To Nourish The Organs

English:	True Man’s Decoction to Nourish the Organs
Also Known As:	Yang Zang Tang Viscera’s Nourishing Decoction with Ginseng

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Rx. Ginseng	Ren Shen	3-20g	Tonifies Yuan Qi and Spleen, Lung and Heart Qi. With Bai Zhu, strengthens the Spleen and augments Qi.
Rz. Atractylodis	Bai Zhu	9-20g	Tonifies the Spleen, tonifies Qi and dries Dampness.
Cx. Cinnamomi	Rou Gui	3-24g	Alleviates pain, Strengthens Yang, Warms the Kidneys, Warms the Spleen. With Chao Rou Dou Kou, warms Kidney and Spleen Yang to Dispel Cold and helps Ren Shen and Bai Zhu strengthen the Spleen.
Fried Sm. Myristicae	Chao Rou Dou Kou	6-30g	Astringes the Intestines, Moves Qi and alleviates pain, Stops diarrhea, Warms the Middle Jiao. With Ren Shen, Bai Zhu and Rou Gui, for chronic diarrhea due to Spleen and Stomach Deficiency Cold. With He Zi, for chronic diarrhea and dysenteric disorders With Ren Shen, Zhi Ying Su Ke and Rou Gui for severe diarrhea with slippage of Qi.
Fr. Chebulae	He Zi	6-36g	Astringes the Intestines and stops diarrhea. With Zhi Ying Su Ke, binds the Intestines and stops diarrhea. With Ren Shen, Bai Zhu and Chao Rou Dou Kou, for long-term dysenteric disorders that have seriously injured the normal Qi leading to a prolapsed rectum. With Mu Xiang, for poor appetite, diarrhea, and Cold abdominal pain due to Spleen and Stomach Deficiency Cold leading to constrained Middle Jiao Cold.
Per. Papaveris	Zhi Ying Su Ke	6-108g	Astringes the Intestines, stabilizes the Lower Jiao and alleviates pain.
(Per. Granati)	(Shi Liu Pi)	(9-15g)	(Substitutes for Zhi Ying Su Ke.)
Rx. Paeoniae Alba	Bai Shao	9-48g	Alleviates pain, nourishes the Blood and astringes Yin. With Dang Gui, nourishes Yin and Blood.
Rx. Angelicae Sinensis	Dang Gui	6-18g	Alleviates pain, Moistens the Intestines, Nourishes the Blood, Unblocks the bowels. With Bai Shao, regulates and harmonizes Qi and Blood and treats Blood Deficiency Heat.
Rx. Aucklandiae	Mu Xiang	6-42g	Helps revive the Spleen, regulates Qi, prevents Stagnation and alleviates tenesmus. With Bai Zhu, for anorexia with epigastric and abdominal pain and distention.
Fried Rx. Glycyrrhizae	Zhi Gan Cao	3-24g	Helps tonify the Middle Jiao and harmonizes. With Bai Shao, alleviates abdominal pain.

Formula Actions

• Warms the Middle
• Tonifies the Spleen and Stomach
• Astringes the Intestines
• Stops diarrhea

Syndromes

• Colon Deficiency with Slippery Prolapse
• Spleen and Stomach Deficiency Cold
• Chronic diarrhea
• Dysenteric disorders with unremitting diarrhea
• Spleen & Kidney Yang deficiency causing unremitting diarrhea (Secondary source)

Clinical Manifestations

Chronic unremitting diarrhea Chronic dysentery Maybe fecal incontinence Prolapsed rectum (severe) Diarrhea may contain pus and Blood May be tenesmus Mild persistent abdominal pain Pain better with warmth and pressure Lethargy

Red or white dysentery Reduced appetite Weak legs Low back soreness Pale (wan) complexion T: Pale C: White P: Thready and slow

Treats

Chronic colitis Chronic enteritis Chronic diarrhea in children Ulcerative colitis Irritable bowel syndrome Abdominal pain Low back pain Fatigue

Crohn's disease Chronic dysentery Rectal prolapse Celiac syndrome Abdominal fullness and distention Diarrhea Reduced appetite

Contraindications And Herb/Drug Interactions

Notes

• Addresses both the manifestation (diarrhea) and the root (Spleen and Kidney Yang Deficiency).
• Diarrhea formulas compared: Zhen Ren Yang Zang Tang treats unremitting diarrhea from Spleen and Kidney Yang Deficiency; Si Shen Wan treats daybreak (cock-crow) diarrhea from the same Yang Deficiency; Shen Ling Bai Zhu San treats Spleen Qi Deficiency with Dampness (fatigue, weak limbs); Tong Xie Yao Fang treats Liver Qi Stagnation invading the Spleen (stress-related diarrhea).

Modifications

For diarrhea due to Spleen and Kidney Yang Deficiency with undigested food:		For prolapsed rectum:
+ Rz. Zingiberis	Gan Jiang	+ Rx. Astragali	Huang Qi
+ Rx. Lateralis Aconiti Preparata	Zhi Fu Zi	+ Rz. Cimicifugae	Sheng Ma
Or		Or
+ Prepared Aconite Pill to Regulate the Middle Fu Zi Li Zhong Wan		+ Tonify the Middle and Augment the Qi Decoction Bu Zhong Yi Qi Tang
For severe abdominal pain:		For chronic colitis:
+ Sm. Arecae	Bing Lang	- Rx. Ginseng	Ren Shen
For chronic colitis with Stomach Cold and cold extremities:		+ 12-30g Rx. Codonopsis	Dang Shen
- Rx. Ginseng	Ren Shen	- Per. Papaveris	Ying Su Ke
+ 12-30g Rx. Codonopsis	Dang Shen	+ 12-15g Rx. Astragali	Huang Qi
- Per. Papaveris	Ying Su Ke	+ 15-30g Halloysitum Rubrum	Chi Shi Zhi
+ 12-15g Rx. Astragali	Huang Qi
+ 15-30g Halloysitum Rubrum	Chi Shi Zhi	+ 9-15g Rz. Corydalis	Yan Hu Suo
+ 9-15g Fr. Mume	Wu Mei
+ 9-15g Rz. Corydalis	Yan Hu Suo	For chronic colitis with Stomach Cold and cold extremities:
+ 9-15g Fr. Mume	Wu Mei
+ Rz. Zingiberis	Gan Jiang	- Rx. Ginseng	Ren Shen
For chronic colitis with Yang Deficiency and hematochezia:		+ 12-30g Rx. Codonopsis	Dang Shen
- Rx. Ginseng	Ren Shen	- Per. Papaveris	Ying Su Ke
+ 12-30g Rx. Codonopsis	Dang Shen	+ 12-15g Rx. Astragali	Huang Qi
+ 15-30g Halloysitum Rubrum	Chi Shi Zhi
- Per. Papaveris	Ying Su Ke
+ 12-15g Rx. Astragali	Huang Qi	+ 9-15g Rz. Corydalis	Yan Hu Suo
+ 15-30g Halloysitum Rubrum	Chi Shi Zhi	+ 9-15g Fr. Mume	Wu Mei
+ Fr. Amomi	Sha Ren
+ 9-15g Rz. Corydalis	Yan Hu Suo	+ Cx. Magnoliae Officinalis	Hou Po
+ 9-15g Fr. Mume	Wu Mei
+ Charred Rx. Sanguisorbae	Di Yu Tan	For chronic colitis with Spleen and Kidney Yang Deficiency:
For chronic colitis with ulceration of the intestinal mucous membrane:		- Rx. Ginseng	Ren Shen
+ 12-30g Rx. Codonopsis	Dang Shen
- Rx. Ginseng	Ren Shen
+ 12-30g Rx. Codonopsis	Dang Shen	- Per. Papaveris	Ying Su Ke
+ 12-15g Rx. Astragali	Huang Qi
- Per. Papaveris	Ying Su Ke	+ 15-30g Halloysitum Rubrum	Chi Shi Zhi
+ 12-15g Rx. Astragali	Huang Qi
+ 15-30g Halloysitum Rubrum	Chi Shi Zhi	+ 9-15g Rz. Corydalis	Yan Hu Suo
+ 9-15g Fr. Mume	Wu Mei
+ 9-15g Rz. Corydalis	Yan Hu Suo	+ Hb. Epimedii	Yin Yang Huo
+ 9-15g Fr. Mume	Wu Mei	+ Fr. Psoraliae	Bu Gu Zhi
+ Catechu	Er Cha	For chronic dysentery:
For diarrhea with clear watery stools, 5 am diarrhea or abdominal pain which is better with pressure:		+ 5-30g Rx. Lateralis Aconiti Preparata	Zhi Fu Zi
+ 10-30g Halloysitum Rubrum	Chi Shi Zhi
- Rx. Angelicae Sinensis	Dang Gui	For diarrhea:
+ 15g Rx. Morindae Officinalis	Ba Ji Tian	- Rx. Angelicae Sinensis	Dang Gui
+ 15g Fr. Psoraliae	Bu Gu Zhi	For diarrhea with severe Cold:
For Spleen and Kidney Yang Deficiency:		- Rx. Angelicae Sinensis	Dang Gui
+ Peach Blossom Decoction Tao Hua Tang		+ Rx. Lateralis Aconiti Preparata	Zhi Fu Zi
- Nonglutinous Rice	Geng Mi	+ Rz. Zingiberis	Gan Jiang
+ Poria	Fu Ling	For chronic diarrhea with Blood Stagnation:
For Spleen and Kidney Yang Deficiency with severe prolapse:		- Rx. Angelicae Sinensis	Dang Gui
+ 12g Faeces Trogopterori	Wu Ling Zhi
+ Peach Blossom Decoction Tao Hua Tang		+ 12g Pollen Typhae	Pu Huang
+ 6g Rx. Asari	Xi Xin
- Nonglutinous Rice	Geng Mi	For Spleen and Kidney Yang Deficiency with severe Cold:
+ Poria	Fu Ling
+12-15g Limonitum	Yu Yu Liang	+ Peach Blossom Decoction Tao Hua Tang
+ 30-50g Rx. Astragali	Huang Qi
+ 6-9g Rx. Bupleuri	Chai Hu	- Nonglutinous Rice	Geng Mi
+ 6-12g Rz. Cimicifugae	Sheng Ma	+ Poria	Fu Ling
Or		+ 9-15g Rx. Aconiti Lateralis Preparata	Zhi Fu Zi
+ Peach Blossom Decoction Tao Hua Tang
- Nonglutinous Rice	Geng Mi	For rectal prolapse:
+ Poria	Fu Ling	+ 5-30g Rx. Lateralis Aconiti Preparata	Zhi Fu Zi
+ Tonify the Middle and Augment the Qi Decoction Bu Zhong Yi Qi Tang
+ Rx. Astragali	Huang Qi
+ A topical solution consisting of:
Per. Granati	Shi Liu Pi
Alumen	Ming Fan
Galla Chinensis	Wu Bei Zi
Or
- Rx. Ginseng	Ren Shen
+ 12-15g Rx. Codonopsis	Dang Shen
+ 30-60g honey-fried Rx. Astragali	Mi Zhi Huang Qi
+ 9-12g Rz. Cimicifugae	Sheng Ma