Zuo Jin Wan - 左金丸 - Left Metal Pill

English:	Left Metal Pill
Also Known As:	Left Gold Pill Coptis and Evodia Pills

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Ginger-juice fried Rz. Coptidis	Huang Lian	15-180g	Clears Stomach Heat, Descends rebellious Qi, Drains Liver Fire. With Wu Zhu Yu, for Liver or Stomach Fire with epigastric and abdominal upset and pain and acid regurgitation.
Fr. Evodiae	Wu Zhu Yu	2-30g	Circulates Qi, relieves Stagnation, warms the Middle Jiao, disperses Cold and descends rebellious Stomach Qi. With Huang Lian, for Heat induced disharmony between Liver and Stomach.

Formula Actions

• Clears Liver Heat (Fire)
• Descends Rebellious Qi
• Stops vomiting

Syndromes

• Liver Qi Stagnation
• Liver Qi Invades the Stomach (with Heat)
• Heat in the Liver Channel with Stomach Disharmony
• Excess Fire in the Liver Channel with Heat in Stomach
• Liver Fire burning Stomach causing Liver & Stomach disharmony (Secondary source)

Clinical Manifestations

Hypochondriac pain and distention Indeterminate gnawing hunger Epigastric distention and pain Vomiting Acid regurgitation Belching Bitter taste

Dry mouth Nausea Dry lips Hiccups T: Red C: Yellow P: Wiry and rapid

Treats

Acute gastritis Peptic ulcer Esophageal reflux Hiatus hernia Acid regurgitation Cholecystitis Pernicious vomiting Gastralgia Uterine fibroids Fever Hypertension Cirrhosis of the Liver

Nausea/Vomiting Chronic gastritis Bacillary dysentery Allergic colitis Esophagitis H. pylori infection Hepatitis Morning sickness Hiccups Stress Indigestion Hangover

Contraindications And Herb/Drug Interactions

Notes

• Can also be used for hernial disorders.

Modifications

For diarrhea or dysentery with abdominal pain and spasm due to Liver and Stomach Disharmony:		For Damp-Heat dysentery:
+ Rx. Paeoniae Alba	Bai Shao	- Fr. Evodiae	Wu Zhu Yu
For severe distention:		+ Rx. Aucklandiae	Mu Xiang
+ Fr. Toosendan	Chuan Lian Zi	For pronounced acid reflux:
For Liver Qi Stagnation with lack of vitality:		+ Endoconcha Sepiae	Hai Piao Xiao
+ Frigid Extremities Powder Si Ni San		+ Concha Arecae	Wa Leng Zi
For severe hypochondriac pain:		For abdominal pain:
+ Rz. Cyperi	Xiang Fu	+ Rx. Paeoniae Alba	Bai Shao
+Fr. Citri Sarcodactylis	Fo Shou	For stress ulcers:
Or		+ Rambling Powder Xiao Yao San
+ Frigid Extremities Powder Si Ni San		Or
For H. pylori infection:		+ Augmented Rambling Powder Jia Wei Xiao Yao San
+ Hb. Hedyotis	Bai Hua She She Cao	For pernicious vomiting:
For a peptic ulcer with stabbing pain in the Stomach due to Blood Stagnation:		+ Rz. Pinelliae Preparatum	Zhi Ban Xia
+ Rambling Powder Xiao Yao San		+ Caulis Bambusae in Taeniam	Zhu Ru
+ 9g Rx. Salviae Miltiorrhizae	Dan Shen	For a peptic ulcer with severe acid regurgitation:
+ Rambling Powder Xiao Yao San
+ 9g Rx. Paeoniae Rubra	Chi Shao
+ 12g Endoconcha Sepiae	Hai Piao Xiao
For a peptic ulcer with rib and/or severe pain:
+ Rambling Powder Xiao Yao San		+ 12g Concha Arcae	Wa Leng Zi
For a peptic ulcer with constipation:
+ 9g Fr. Toosendan	Chuan Lian Zi	+ Rambling Powder Xiao Yao San
+9 Rz. Corydalis	Yan Hu Suo
For a peptic ulcer with thirst:		+ 6g Rx. et Rz. Rhei	Da Huang
+ Left Metal Pill Zuo Jin Wan
+ 9g Rx. Trichosanthis	Tian Hua Fen
+ 9g Rz. Phragmitis	Lu Gen