Zi Gen Mu Li Tang - 紫根牡蛎汤 - Arnebia/Lithospermum And Oyster Shell Decoction

English:	Arnebia/Lithospermum and Oyster Shell Decoction
Also Known As:	Lithospermum and Oyster Shell Decoction Arnebia and Oyster Shell Decoction Zi Cao Gen Mu Li Tang

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Rx, Angelicae Sinensis	Dang Gui	9-12g	Tonifies, invigorates and harmonizes the Blood, regulates the menses, disperses Cold, stops pain due to Blood Stasis, reduces swelling, expels pus, generates flesh and alleviates pain. With Huang Qi, for many Blood Deficiency patterns. With Bai Shao, regulates and harmonizes Qi and Blood. With Chuan Xiong, harmonizes, nourishes and invigorates the Blood and disperses Blood Stasis. With Jin Yi Hua, reduces obstruction and toxicity for swollen, painful sores and necrosis of surrounding tissue.
Rx. Paeoniae Alba	Bai Shao	6-9g	Nourishes the Blood, regulates menstruation, astringes Yin, softens the Liver and relieves pain. With Gan Cao, regulates the relationship between the Liver and Spleen. With Bai Shao, nourishes Yin and Blood.
Rx. Arnebiae/Lithospermi	Zi Cao	3-9g	Clears Heat, cools the Blood, invigorates Blood circulation, relieves Fire toxins, encourages rashes and clears Damp-Heat from the skin. With Da Huang, for constipation
Rx. et Rz. Rhei	Da Huang	1-3g	Drains Heat, purges accumulations, drains Fire, transforms Dampness, drains Heat from the Blood, invigorates the Blood, dispels Blood Stasis and reduces Fire toxicity. With Dang Gui, for Blood Stasis.
Caulis Lonicerae	Ren Dong Teng	6-9g	Clears Heat, resolves toxicity, cools the Blood, clears Damp-Heat from the Lower Jiao and expels Wind-Heat.
(Flos Lonicerae)	(Jin Yin Hua)	(2-6g)	(Used instead of Ren Dong Teng in some versions.)
Rz. Cimicifugae	Sheng Ma	1-3g	Releases the exterior, vents measles, clears Heat, relieves toxicity, raises Yang and lifts Sunken Qi. With Dang Gui, raises the clear Qi, allowing turbidity to descend and moistening the Intestines. With Bai Shao and Gan Cao, for incomplete expression of measles.
Rx. Astragali	Huang Qi	6-9g	Tonifies Qi and Blood, strengthens the Spleen, raises the Yang Qi of the Spleen and Stomach, promotes the discharge of pus, generates flesh and expels toxins. With Dang Gui, for Qi and Blood Deficiency with chronic non-healing sores. With Sheng Ma, raises the Yang Qi of the Spleen.
Concha Ostreae	Mu Li	6-9g	Heavily settles and calms the Spirit, calms the Liver, benefits Yin, anchors Floating Yang, softens hardness and dissipates nodules.
Rz. Chuanxiong	Chuan Xiong	3-9g	Invigorates the Blood and promotes the movement of Qi.
Rx. Glycyrrhizae	Gan Cao	1-3g	Tonifies the Spleen, augments Qi and moderates and harmonizes the harsh properties of other herbs.

Formula Actions

• Clears Blood Heat
• Resolves toxicity
• Dissipates swellings
• Dispels noxious sores
• Disperses nodules and hardness
• Moderately tonifies Qi and Blood

Syndromes

• Toxic Heat in the Blood
• Malignant abscesses and sores
• Chronic deep red bayberry sore toxin

Clinical Manifestations

Chronic, stubborn skin lesions Sores Enlarged lymph nodes Nodules Malignant abscesses and sores

Syphilitic sores Red itching skin Hardness T: Pale with red spots P: Rapid and pecking

Treats

Breast cancer Mastitis Lymphadenitis Appendicitis Gangrene Syphilitic skin lesions Impetigo Lung cancer Stomach cancer

Colorectal cancer Systemic lymph carcinoma Painful hemorrhoids Anogenital warts Herpes Recalcitrant and chronic swelling of unknown origin Malignant abscesses and sores

Contraindications And Herb/Drug Interactions

Notes

Modifications

For deficient patients:		For patients with more Excess symptoms:
- Rx. et Rz. Rhei	Da Huang	- Rx. Astragali	Huang Qi
For breast disorders:		For painful bruises and swelling:
+ Sm. Vaccariae	Wang Bu Liu Xing	+ Olibanum	Ru Xiang
+ Fr. Liquidamberis	Lu Lu Tong	+ Myrrh	Mo Yao
For Lung abscess:		For impetigo:
+ Hb. Houttuyniae	Yu Xing Cao	+ Hb. Taraxaci	Pu Gong Ying
For herpes:		+ Fr. Forsythiae	Lian Qiao
+ Hb. Schizonepetae	Jing Jie	For swelling caused by Wind-Dampness:
+ Rx. Saposhnikoviae	Fang Feng	+ Rx. Angelicae Dahuricae	Bai Zhi
+ Fr. Forsythiae	Lian Qiao
For herpes affecting the eyes:		+ Rz. Atractylodis Macrocephalae	Bai Zhu
+ Flos Chrysanthemi	Ju Hua
+ Sm. Plantaginis	Che Qian Zi	For herpes with neuralgia:
+ Rx. Platycodi	Jie Geng	+ Ram. Cinnamomi	Gui Zhi
+ Rx. Saposhnikoviae	Fang Feng	+ Sm. Pharbitidis	Qian Niu Zi
+ Fr. Forsythiae	Lian Qiao	+ Rx. Aconiti Lateralis Preparata	Zhi Fu Zi
For stronger detoxification and anti-tumor effects:
For a hard mass in the lymphatic system:
+ Hb. Hedyotis Diffusae	Bai Hua She She Cao	+ Sargassum	Hai Zao
+ Hb. Houttuyniae	Yu Xing Cao	+ Thallus Eckloniae	Kun Bu
+ Sm. Coicis	Yi Yi Ren	For more severe Blood Stasis:
For leukorrhea:		+ Rx. Salviae Miltiorrhizae	Dan Shen
+ Rx. Smilacis Glabrae	Tu Fu Ling
+ Per. Citri Reticulatae	Chen Pi	+ Myrrh	Mo Yao
+ Caulis Akebiae	Mu Tong
+ Poria	Fu Ling