HERB FORMULAS

HEI XIAO YAO SAN - 黑逍遙散 - BLACK RAMBLING POWDER

English: Black Rambling Powder
Also Known As:  

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Rx. Bupleuri Chai Hu 3-9g Relieves Liver Qi Stagnation, pacifies the Liver, relieves the Shao Yang and reduces fever.
With Bo He, for depression, a stifling sensation in the chest and irregular menstruation due to Liver Blood Deficiency with Stagnation.
Rx. Angelicae Sinensis Dang Gui 3-9g Nourishes the Blood, regulates menses and invigorates and harmonizes the Blood.
 With Bai Shao, nourishes Blood and eases anxiety due to Liver Stagnation.
Rx. Rehmanniae Preparata Shu Di Huang 15g Nourishes the Blood, nourishes Liver and Kidney Yin, nourishes Jing and fills the Marrow.
With Dang Gui, for Blood Deficiency marked by dizziness, palpitations, insomnia and menstrual dysfunction.
(Rx. Rehmanniae) (Sheng Di Huang) 15g (Substitutes for Shu Di Huang if significant Heat.)
Rx. Paeoniae Alba Bai Shao 3-12g Calms Liver Yang, alleviates pain, nourishes Blood and regulates menstruation.
With Chai Hu, for flank pain due to Liver Qi Stagnation.
Rz. Atractylodis Macrocephalae Bai Zhu 3-9g Tonifies the Spleen and tonifies Qi.
With Fu Ling, strengthens the Spleen and resolves Dampness.
Poria Fu Ling 3-15g Strengthens the Spleen and harmonizes the Middle Jiao.
Rx. Glycyrrhizae Preparata Zhi Gan Cao 1.5-6g Tonifies Spleen Qi, stops pain and harmonizes the other herbs.
 With Bai Shao, moderates spasmodic abdominal pain.
Hb. Menthae Haplocalycis Bo He 1-3g Relieves Liver Qi Stagnation, disperses stagnant Heat and enhances Chai Hu's ability to relieve the Liver.
 With Bai Shao and Chai Hu, for chest and flank distention due to Liver Qi Stagnation.
Rz. Zingiberis Recens Sheng Jiang 1-6g Harmonizes, prevents rebellious Qi and normalizes the flow of Qi at the center.
(Fr. Citri Aurantii Immaturus) (Zhi Shi) (2-6g) (May be added to enhance Chai Hu's function of dispersing the Liver.)

FORMULA ACTIONS

  • Pacifies the Liver
  • Spreads Liver Qi
  • Strengthens the Spleen
  • Nourishes the Blood
  • Harmonizes the Liver and Spleen

SYNDROMES

  • Liver Qi Stagnation Invades Stomach
  • Liver Qi Stagnation Invades the Spleen (Liver and Spleen Disharmony)
  • Liver Qi Stagnation with Blood Deficiency
  • Qi and Blood Stagnation
  • Blood Deficiency with fatigue
  • Disharmony between the Ying and Wei with Phlegm, cough, tidal fever and wasting of limbs which may lead to Bone Steaming
  • Gu Syndrome

CLINICAL MANIFESTATIONS

  • Hypochondriac pain
  • Headache
  • Vertigo
  • Bitter taste in the mouth
  • Dizziness
  • Frequent sighing
  • Epigastric pain and distention
  • Flatulence
  • Dry mouth and throat
  • Fatigue
  • Anorexia
  • Alternating chills and fever
  • Irregular menstruation
  • Breast distention
  • Lassitude
  • Insomnia
  • Shoulder and back pain
  • Rib pain
  • Various types of menstrual discharges
  • Premenstrual cramps
  • Excessive menstrual bleeding
  • Tightness or fullness in the chest
  • Cold extremities
  • Pain in the arms and legs
  • Heaviness of the head
  • Night sweats
  • Bloating and pain at the umbilicus and abdomen
  • Diarrhea alternating with constipation
  • Five Sole heat
  • Palpitations
  • Malar flush
  • Depression
  • Irritability
  • Increased desire to sleep
  • Flatulence
  • T: Pink
  • C: Thin white or yellow
  • P: Wiry and deficient or Wiry, and rapid

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Use with caution during pregnancy.
  • Use with caution for those with Qi Stagnation with underlying Liver and Kidney Yin Deficiency.
HERB/DRUG INTERACTIONS

NOTES

  • This formula treats the same conditions as Xiao Yao Wan but with more severe Blood Deficiency.

MODIFICATIONS

For more severe hypochondriac pain with distention : For intense fixed pain due to Blood Stasis:
- Rz. Atractylodis Macrocephalae Bai Zhu + Cx. Moutan Mu Dan Pi
+ Rz. Cyperi Xiang Fu + Tub. Curcumae Yu Jin
For vaginal discharge:
+ Rz. Sparganii San Leng
+ Flos Lonicerae Jin Yin Hua For pain over the Liver with fatigue and reduced appetite:
+ Rz. Dryopteris
- Rz. Zingiberis Recens Sheng Jiang
For enlarged Liver and Spleen:
- Hb. Menthae
+ Endoconcha Sepiae Hai Piao Xiao + Rz. Cyperi Xiang Fu
+ Carapax Trionycis
 + Fr. Sarcodactylis Fo Shou
+ Concha Ostreae Mu Li
+ Rx. Salviae Miltiorrhizae
For chronic hepatitis: + Rx. Codonopsis Dang Shen
+ Rx. Rubiae Qian Cao Gen
For fibrocystic breasts:
+ Endoconcha Sepiae
 - Fried Rz. Glycyrrhizae Zhi Gan Cao
+ Rx. Codonopsis Dang Shen + Sm. Vaccariae Wang Bu Liu Xing
For menstrual irregularities (post-period) (tonify Yin and Blood) (if clots, activate):
 + Caul. Spatholobi Ji Xue Teng
- Rx. Bupleuri Chai Hu
For menstrual irregularities with Spleen Deficiency:
+ Rz. Atractylodis Macrocephalae Bai Zhu - Rx. Bupleuri Chai Hu
+ Fr. Lycii Gou Qi Zi + Rz. Atractylodis Macrocephalae Bai Zhu
+ Fr. Ligustri Lucidi Nu Zhen Zi + Fr. Lycii Gou Qi Zi
+ Fr. Mori Sang Shen

+ Fr. Ligustri Lucidi

Nu Zhen Zi
For delayed menstruation:
+ Fr. Mori Sang Shen
+ Rz. Cyperi Xiang Fu + Poria Fu Ling
+ Tub. Curcumae Yu Jin
For irritability, a short temper and other signs of Heat:
+ Rx. Salviae Miltiorrhizae Dan Shen + Cx. Moutan Mu Dan Pi
Fr. Sarcodactylis Fo Shou + Fr. Gardeniae Zhi Zi
+ Fr. Mume Wu Mei
For pain in the chest and hypochondriac region:
For a poor appetite:
+ Rz. Sparganii San Leng
+ Massa Medicata Fermentata Shen Qu + Rz. Curcumae E Zhu
+ Endothelium Corneum Gigeriae Galli Ji Nei Jin
For vertigo and a headache:
For Qi Deficiency:
 + Rx. Chuanxiong Chuan Xiong
+ Rx. Astragali Huang Qi + Rx. Angelicae Dahuricae Bai Zhi
+ Rx. Ginseng Ren Shen
For Blood Deficiency:
For menstrual pain and cramps:
+ Rx. Rehmanniae Preparata Shu Di Huang
+ Rz. Corydalis Yan Hu Suo
For irregular menstruation:
+ Rz. Cyperi Xiang Fu + Hb. Leonuri Yi Mu Cao
+ Rx. Aucklandiae Mu Xiang + Rx. Salviae Miltiorrhizae Dan Shen
For severe breast distention:
For Stagnant Heat:
+ Bupleurum Powder to Spread the Liver
Chai Hu Shu Gan Tang
+ 9g Cx. Moutan Mu Dan Pi
For fullness and discomfort in the chest and hypochondrium:
+9g Fr. Gardeniae Zhi Zi
+ 6g Prepared Rz. Cyperi Zhi Xiang Fu
For waking easily, or being frightened or startled easily, add one or two of the following:
+ 9g Rx. Curcumae Yu Jin + 30g Concha Margaritaferae Zhen Zhu Mu
+ 6g Fr. Aurantii Zhi Ke + 15g Dens Draconis Long Chi
For severe pain, add two or three of the following:
+ 12g Magnetitum Ci Shi
+ 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 Liver Heat disturbing the Stomach with hypochondriac pain, indeterminate gnawing hunger, acid regurgitation, vomiting, belching and a bitter taste in the mouth:
+ 6g Sm. Sinapis Bai Jie Zi + Rz. Coptidis Huang Lian
For acid reflux:
+ Fr. Evodiae Wu Zhu Yu
+ Endoconcha Sepiae Hai Piao Xiao
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:
+ Concha Ostreae Mu Li + 9g Cx. Moutan Mu Dan Pi
For insomnia due to Liver Qi Stagnation with Stagnant Fire:
+ 9g Rx. Curcumae Yu Jin
+ 15 g. Sm. Zizyphi Spinosae Suan Zao Ren + 9g Fr. Gardeniae Zhi Zi
+ 12g Cx. Albizziae He Huan Pi + 9g Fr. Toosendan Chuan Lian Zi
For severe cases of insomnia due to Liver Qi Stagnation with Stagnant Fire:
+ 9g Flos Chrysanthemi Ju Hua
+ 15 g. Sm. Zizyphi Spinosae Suan Zao Ren + 9g Ram. Uncariae cum Uncis Gou Teng
+ 12g Cx. Albizziae He Huan Pi For fullness and distention in the chest and hypochondrium due to Liver Qi Stagnation with Stagnant Fire:
+ 12g Sm. Platycladi Bai Zi Ren + 15 g. Sm. Zizyphi Spinosae Suan Zao Ren
For being startled or frightened easily due to Liver Qi Stagnation with Stagnant Fire:
+ 12g Cx. Albizziae He Huan Pi
+ 15 g. Sm. Zizyphi Spinosae Suan Zao Ren + 6g Rz. Cyperi Xiang Fu
+ 12g Cx. Albizziae He Huan Pi + 9g Rx. Curcumae Yu Jin
+ 10g Dens Draconis Long Chi + 6g Fr. Aurantii Zhi Ke
+ 10g Magnetitum Ci Shi
For insomnia:
For Gu Syndrome:
 + 12g Sm. Platycladi Bai Zi Ren
+ Fol. Perillae Zi Su Ye
For depression:
+ Hb. Menthae Bo He + Caulis Perillae Zi Su Geng
+ Rx. Angelicae Dahuricae Bai Zhi + Rx. Curcumae Yu Jin