Sundance Acupuncture

Herb & Acupuncture Database

(This is my own personal database of teachers, teachings and notes that I use in my practice. I’ve decided to share it freely with anyone who would like to reference it.)

Bie Jia - 鳖甲 - Carapax Trionycis - Tortoise Shell

Pharmaceutical Latin: Carapax Amydae
Carapax Trionycis
Common English: Chinese Soft-Shell Turtle Shell
Tortoise Shell (Dorsal Side)

Category

Herbs that Tonify the Yin

Properties

Taste Temperature Entering Meridians Dosage
Salty Slightly Cold
(Cold)
Liver
Spleen
(Kidney)
9-30g
Crush, and cook 30 minutes longer than the other herbs.

Actions And Indications

Actions Indications/Syndromes

Nourishes Yin and anchors Yang

Yin Deficiency with fever, steaming bone disorder, night sweats or consumption

Internal stirring of Liver Wind

Dissipates nodules, Invigorates the Blood, Promotes menstruation, Softens hardness

Chest and flank accumulations with pain and amenorrhea

Excessive menstruation due to Hot Blood

Malarial disorders with palpable masses

Heavily anchors, descends, unblocks and facilitates the functions of the Blood vessels

Problems in children due to internal clumping

Contraindications, Incompatibilities And Herb/Drug Interactions

CONTRAINDICATIONS
  • Contraindicated during pregnancy.
  • Contraindicated for those with Spleen Deficiency Cold with anorexia and diarrhea.
  • Contraindicated for those with Liver Deficiency without Heat.
  • Contraindicated for those with unresolved Exterior Invasion.
  • Use caution for those with impotence.
  • Use of this herb is occasionally associated with allergic response.
INCOMPATIBILITIES
  • Antagonizes Alum Ming Fan.
HERB/DRUG INTERACTIONS

Major Combinations

Plastrum Testudinis
Gui Ban

Plastrum Testudinis
Gui Ban
Rx. Rehmanniae
Sheng Di Huang
Rx. Paeoniae Alba
Bai Shao

Rx. Rehmanniae
Sheng Di Huang
Rz. Anemarrhenae
Zhi Mu
Hb. Artemisiae Annuae
Qing Hao
(Cx. Moutan)
(Mu Dan Pi)

Steaming bones and night sweats due to Liver and Kidney Yin Deficiency with Heat Rising.

Calms the Liver, subdues Yang and extinguishes Wind to treat vertigo and tinnitus associated with Yin Deficiency with Yang Rising and deficient Wind moving internally.

Extreme injury to Yin leading to internal stirring of Liver Wind and tremors.

Injured Yin in the aftermath of a febrile disease with fever and night sweats followed by a sense of cooling in the morning.

Cx. Lycii Radicis
Di Gu Pi
Hb. Artemisiae Annuae
Qing Hao
(Rx. Stellariae)
(Yin Chai Hu)

Cx. Lycii Radicis
Di Gu Pi
Rx. Scutellariae
Huang Bai
Rx. Ginseng
Ren Shen

Fossilia Ossis Mastodi
Long Gu
Rx. Paeoniae Alba
Bai Shao
Colla Corii Asini
E Jiao

Afternoon fever, night sweats and steaming bone disorder due to Yin Deficiency.

Steaming bone disorder in children with irritability around the diaphragm and palpitations.

Yin Deficiency with Internal movement of Wind manifesting in general or localized tremors.

Rz. Sparganii
San Leng
Rz. Curcumae
E Zhu
Per. Citri Reticulatae Viride
Qing Pi

Rx. et Rz. Rhei
Da Huang
Succinum
Hu Po

Gel. Corii Asini
E Jiao
Fol. Artemisiae Argyi
Ai Ye
Charred Rx. Angelicae Sinensis
Dang Gui

Hard immobile masses of the epigastrium and abdomen.

Amenorrhea with abdominal masses.

Excessive menstruation and uterine bleeding.

Rx. Bupleuri
Chai Hu
Eupolyphaga/Steleophaga
Tu Bie Chong

Rx. Gentianae Macrophyllae
Qin Jiao
Rx. et Rz. Rhei
Da Huang

Sm. Persicae
Tao Ren
Sm. Arecae
Bing Lang
Rz. Atractylodis Macrocephalae
Bai Zhu

Chronic malarial disorders with organomegaly and hypochondriac pain.

An unreleased exterior problem and Interior Fire from constraint marked by fever that becomes higher in the afternoon with incomplete bowel movements.

Accumulation of Food Stagnation and buildup of Blood giving rise to long-term alternating chills and fever.

Rx. Astragali
Huang Qi
Fossilia Ossis Mastodi
Long Gu

Rx. Paeoniae Alba (high dose)
Bai Shao
Rx. Rehmanniae
Sheng Di Huang
Colla Corii Asini
E Jiao
Rx. Ophiopogonis
Mai Men Dong

Rx. Gentianae Macrophyllae
Qin Jiao
Cx. Lycii
Di Gu Pi

Rx. Bupleuri
Chai Hu
Rz. Anemarrhenae
Zhi Mu

Chronic non-healing sores and ulcerations.

Liver Wind.

Coughing and fatigue, Night fever, Night sweats, Steaming bones, Weight loss.

Rx. Stellariae
Yin Chai Hu
Rx. Gentianae Macrophyllae
Qin Jiao
Hb. Artemisiae Annuae
Qing Hao
Cx. Lycii
Di Gu Pi
Rz. Anemarrhenae
Zhi Mu
Rx. Angelicae Sinensis
Dang Gui
Fr. Mume
Wu Mei
Rx. Paeoniae Alba
Bai Shao
Rx. Rehmanniae
Sheng Di Huang
Rx. Scrophulariae
Xuan Shen

Rx. et Rz. Rhei
Da Huang
Sm. Persicae
Tao Ren
Flos Carthami
Hong Hua
Extremitas Radicis Angelicae Sinensis
Dang Gui Wei
Rx. Paeoniae Rubra
Chi Shao
Rz. Sparganii
San Leng
Rz. Curcumae
E Zhu
Ram. Cinnamomi
Gui Zhi
Squama Manitis
Chuan Shan Jia

Rz. Belamcandae
She Gan
Tabanus
Meng Chong
Sm. Persicae
Tao Ren
Rx. et Rz. Rhei
Da Huang

Tuberculosis with chronic consumptive dry cough and blood-streaked sputum.

Amenorrhea or masses from Blood Stagnation.

Abdominal masses from malaria.

Rx. Dichroae
Chang Shan
Rz. Cimicifugae
Sheng Ma
Rz. Aconiti Lateralis Preparata
Zhi Fu Zi
Endoconcha Sepiae
Hai Piao Xiao

Rx. Dichroae
Chang Shan
Rx. Anemarrhenae
Zhi Mu
Cx. Lycii
Di Gu Pi
Hb. Phylostachys
Zhu Ye
Gypsum Fibrosum
Shi Gao

Rx. Salviae Miltiorrhizae
Dan Shen
Rz. Polygoni Cuspidati
Hu Zhang
Rx. Curcumae
Yu Jin
Rx. Scrophulariae
Xuan Shen
Rx. Paeoniae Alba
Bai Shao

Chronic malarial disorders.

Warm malarial disorders.

Hepatomegaly or splenomegaly.

Rx. Scrophulariae
Xuan Shen
Rx. Anemarrhenae
Zhi Mu
Fr. Gardeniae
Zhi Zi
Spica Prunellae
Xia Ku Cao

Rx. Cyathulae
Chuan Niu Xi
Concha Ostreae
Mu Li

Goiter.

Notes

  1. For abdominal pain and Intestinal Abscesses, use this substance in calcined, powdered form.
  2. The glue prepared from Bie Jia - Colla Carapax Trionycis Bie Jia Jiao is richer and more cloying, and is very effective for tonifying Blood and Yin. Its most common use is for consumption from Deficiency, or exhaustion of Blood and Yin with tidal fevers and Internal stirring of Liver Wind. The dosage is 3-9 gm. Dissolve it in hot water, then add it to the decoction.
  3. It is reported to cure hard abdominal masses.
  4. Research has shown this substance to be effective against Stomach and Liver cancers and lympholeukemia.
  5. It dispels Blood Stasis, leukorrhagia, hard abdominal masses and undigested food.
  6. In Japan, various cancers are treated with a decoction of the whole turtle.
  7. Bie Jia and Concha Ostreae Mu Li are both heavy substances that subdue ascendant Yang or anchor floating Yang. Both are salty, benefit Yin and soften hardness. Bie Jia tonifies Yin more strongly and cools at a deeper level, treating night sweats and steaming bones. Mu Li anchors and subdues Yang more strongly and is astringent, preventing the leakage of fluids such as sweat, vaginal discharge and seminal emissions. It also calms the Spirit.
  8. Bie Jia and Plastrum Testudinis Gui Ban are both shells that soften hardness, enrich Yin and subdue Yang. Bie Jia enters mainly the Liver channel, enriches Yin and softens hardness more strongly, and is used for gynecological conditions such as clumping around the flanks and abdominal masses. Being salty, cold and green, it enters the Liver and treats illnesses of the Blood level of the Liver channel. It travels through the Chong channel. Gui Ban enters mainly the Kidneys; because it is sweet, it is better at enriching the Yin to anchor the Yang, and it also unblocks the Ren channel to treat gynecological problems such as continuous uterine bleeding. Being black, it enters the Kidneys and treats all illnesses of the Blood level of the Kidney channel. It also unblocks the Heart.
  9. Vinegar-fried Soft-Shell Turtle Shell Cu Chao Bie Jia enters the Liver and is stronger at dispersing clumping and softening hardness. It is excellent for attacking hard areas without depleting Qi, and is used for accumulations and abdominal masses.
  10. Dui Yao pair with Qing Hao: for steaming bone fever, night sweats and cough from Yin Deficiency, for malaria, and for the later stage of Warm-febrile disease. Used together in Qing Hao Bie Jia Tang.

From Class

  • Yu Zhu, turtle shells (Bie Jia, Gui Ban): Yu Zhu generates fluid and releases external wind; turtle shells anchor yang, tonify, move a little blood; stomach yin needed to release exterior. (Shea)

For educational reference only; not a substitute for care from a qualified practitioner.