HERB FORMULAS

YUE JU WAN - 越鞠丸 - ESCAPE RESTRAINT PILL

English: Escape Restraint Pill
Also Known As:

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Rz. Atractylodes Cang Zhu 3-10g Strongly dries Dampness and tonifies the Spleen.
With Xiang Fu, for chest, epigastric and abdominal pain, distention and discomfort due to Dampness and Qi Obstruction.
Rz. Chuanxiong Chuan Xiong 3-10g Invigorates the Blood and promotes the movement of Qi.
With Xiang Fu, for Qi Stagnation combined with Blood Stasis.
Rz. Cyperi Xiang Fu 6-14g Spreads and regulates Liver Qi.
With Cang Zhu, for indigestion, pain and distention in the flanks and abdomen, nausea, vomiting, and acid regurgitation.
Fr. Gardeniae Zhi Zi 3-12g Clears Heat, reduces Fire, eliminates irritability, and resolves Dampness.
With Chuan Xiong, Xiang Fu and Shen Qu, for depression with irritability.
Massa Medicata Fermentata Shen Qu 6-16g Reduces Food Stagnation, promotes digestion, harmonizes the Stomach and moves Qi.
With Bai Zhu, for Food Stagnation and diarrhea due to Spleen Deficiency.

FORMULA ACTIONS

  • Regulates Qi
  • Releases all types of Stagnation (Qi, Blood, Phlegm, Fire, Food and Dampness)

SYNDROMES

  • Qi Stagnation in the Middle Jiao
  • Liver Qi Stagnation Invading the Stomach

CLINICAL MANIFESTATIONS

  • Chest and abdominal distention
  • A stifling sensation in the chest and abdomen
  • Fixed pain in the hypochondria
  • Belching with a fetid odor
  • Nausea
  • Vomiting
  • Epigastric and abdominal fullness and pain
  • Acid reflux
  • Mild coughing with copious sputum
  • Reduced appetite
  • Indigestion
  • T: Normal
  • C: Thin and white or Greasy or Slippery,
  • P: Wiry and taut or Running

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Contraindicated for those with Stagnation due to Deficiency.
HERB/DRUG INTERACTIONS

NOTES

  • This formula is selected when the primary symptoms are in the Stomach and the Liver Stagnation is secondary.

MODIFICATIONS

For Qi Stagnation predominating: For Liver Fire predominating:
+ Rx. Curcumae Yu Jin - Rz. Atractylodes Cang Zhu
+ Rx. Aucklandiae Mu Xiang + Rx. Paeoniae Alba Bai Shao
+ Rx. Linderae Wu Yao + Cx. Moutan Mu Dan Pi
For Blood Stasis predominating:
For Phlegm predominating:
+ Sm. Persicae Tao Ren + Rz. Pinelliae Preparatum Zhi Ban Xia
+ Flos Carthami Hong Hua + Rz. Arisaematis Preparatum Zhi Tian Nan Xing
For Dampness predominating:
or
+ Cx. Magnoliae Officinalis Hou Po + Rz. Pinelliae Preparatum Zhi Ban Xia
+ Poria Fu Ling + Fr. Trichosanthis Gua Lou
For concurrent Cold in the Middle Jiao:
For severe bloating and distention:
- Fr. Gardeniae Zhi Zi + Per. Citri Reticulatae Viride Qing Pi
+ Fr. Evodiae Wu Zhu Yu + Fr. Aurantii Immaturus Zhi Shi
+ Rz. Zingiberis Gan Jiang + Sm. Arecae Bing Lang
For severe Qi Stagnation with bloating, distention and sighing:
For severe Blood Stagnation:
+ Rx. Aucklandiae Mu Xiang + Sm. Persicae Tao Ren
+ Fr. Aurantii Zhi Ke + Flos Carthami Hong Hua
+ Cx. Magnoliae Officinalis Hou Po + Rx. Paeoniae Rubra Chi Shao
or
or
+ Rambling Powder
Xiao Yao San
Drive out Stasis in the Mansion of Blood Decoction
 Xue Fu Zhu Yu Tang
For Excess Dampness:
For Liver Heat disturbing the Stomach with hypochondriac pain, indeterminate gnawing hunger, acid regurgitation, vomiting, belching and a bitter taste in the mouth:
+ Poria Fu Ling + Rz. Coptidis Huang Lian
+ Rz. Alismatis Ze Xie + Fr. Evodiae Wu Zhu Yu
For Liver Qi Stagnation:
For expectoration and epigastric upset due to Phlegm Stagnation:
+ Rx. Bupleuri Chai Hu + Rz. Zingiberis Recens Sheng Jiang
+ Rx. Paeoniae Alba Bai Shao + Per. Citri Reticulatae Chen Pi
For more Food Stagnation:
For fullness, distention and oppression:
+ Preserve Harmony Pill
Bao He Wan
+ Fr. Aurantii Zhi Ke
For dysmenorrhea or depression:
+ Cx. Magnoliae Officinalis Hou Po
+ Rx. Curcumae Yu Jin
or
+ Fr. Citri Sarcodactylis Fo Shou + Fr. Aurantii Zhi Ke
For abdominal pain due to Coldness and Qi Stagnation:
 + Rx. Aucklandiae Mu Xiang
+ Galangal and Cyperus Pill
Liang Fu Wan
For Heat and Stasis in the Liver with hypochondriac pain, a yellow tongue coat and a wiry and rapid pulse:
For stabbing pain over the chest and hypochondrium due to Blood Stagnation:
+ Rz. Corydalis Yan Hu Suo
+ Flos Carthami Hong Hua
For flatulence due to Dampness Accumulation:
+ Rx. Curcumae Yu Jin + Poria Fu Ling
For anorexia, vomiting and nausea due to Food Stagnation:
+ Ram. Cinnamomi Gui Zhi
+ Fr. Hordei Germinatus Mai Ya
For Excess Fire:
+ Caulis Perillae Zi Su Geng + Rx. Scutellariae Huang Qin
For Excess Phlegm:
+ Rz. Coptidis Huang Lian
+ Rz. Pinelliae Preparatum Zhi Ban Xia
or
+ Fr. Trichosanthis Gua Lou + 60g Rz. Coptidis Huang Lian
or
 + 20g Indigo Naturalis Qing Dai
+ Rz. Pinelliae Preparatum Zhi Ban Xia
For Fluid Retention:
+ Fr. Trichosanthis Gua Lou + Poria Fu Ling
+ Pulvis Arisaemae cum Felle Bovis + Rz. Alismatis Ze Xie
For severe pain, add two or three of the following:
+ Sm. Plantaginis Che Qian Zi
+ 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 acid reflux:
+ Endoconcha Sepiae Hai Piao Xiao
+ 6g Sm. Sinapis Bai Jie Zi + Concha Ostreae Mu Li
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:
or
+ 10g Rz. Coptidis Huang Lian
+ 10g Fr. Evodiae Wu Zhu Yu
+ 10g Fr. Toosendan Chuan Lian Zi
+ 9g Cx. Moutan Mu Dan Pi
For Food Stagnation predominating:
+ 9g Rx. Curcumae Yu Jin + Fr. Crataegi Shan Zha
+ 9g Fr. Gardeniae Zhi Zi + Fr. Hordei Germinatus Mai Ya
+ 9g Fr. Toosendan Chuan Lian Zi
For a stronger effect on Qi Stagnation:
+ 9g Flos Chrysanthemi Ju Hua + 10g Fr. Aurantii Immaturus Zhi Shi
+ 9g Ram. Uncariae cum Uncis Gou Teng
+ 10g Rx. Platycodi Jie Geng
For fever due to Heat in the Liver channel with congested Qi and Phlegm-Damp-Heat:
For psychiatric disorders with more Dampness:
+ Poria Fu Ling
+ 6g Rx. Bupleuri Chai Hu + Rx. Angelicae Dahuricae Bai Zhi
+ 6g Rx. Scutellariae Huang Qin
For psychiatric disorders with more Fire:
For psychiatric disorders with more Phlegm:
+ Indigo Naturalis Qing Dai + Rz. Pinelliae Preparatum Zhi Ban Xia
For psychiatric disorders with more Blood Stagnation:
+ Arisaema cum Bile Dan Nan Xing
+ Sm. Persicae Tao Ren
For psychiatric disorders with more Qi Stagnation:
+ Flos Carthami Hong Hua
For psychiatric disorders with more Food Stagnation:
 + Rx. Aucklandiae Mu Xiang
+ Sm. Arecae Bing Lang
+ Fr. Crataegi Shan Zha
For "plum-pit" Qi Stagnation (globus hystericus) with profuse Phlegm:
+ Fr. Amomi Sha Ren
For "plum-pit" Qi Stagnation with a dry throat:
+ Two-Cured Decoction
Er Chen Tang
+ Rx. Ophiopogonis Mai Men Dong
+ Rx. Scrophulariae Xuan Shen
For "plum-pit" Qi Stagnation (globus hystericus) with decreased food intake:
For "plum-pit" Qi Stagnation (globus hystericus) with chest oppression:
+ Endothelium Gigeriae Galli Ji Nei Jin
+ Cx. Magnoliae Officinalis Hou Po
+ Massa Hordei Germinatus Mai Ya
+ Caulis Perillae Zi Su Geng
For "plum-pit" Qi Stagnation (globus hystericus)with irritability:
For peptic ulcers:
+ 10g Rx. Bupleuri Chai Hu
+ Sm. Sojae Preparatum Dan Dou Chi + 20g Rx. Paeoniae Alba Bai Shao
+ Rx. Curcumae Yu Jin + 6g Per. Papaveris Ying Su Ke
For severe nausea and vomiting:
For vomiting of bile:
+12-15g Flos Inulae Xuan Fu Hua + 9-12g Fr. Aurantii Zhi Ke
+ 15g Haematitum Dai Zhe Shi + 9-12g Rx. Curcumae Yu Jin
For nausea and vomiting with constipation:
 + 18g Hb. Lysimachiae Jin Qian Cao
+ 3-9g Rx. et Rz. Rhei Da Huang
For nausea and vomiting with Food Stagnation:
+ 9-12g Fr. Aurantii Immaturus Zhi Shi + 15g Fr. Crataegi Shan Zha
+ 15-30g Fr. Hordei Germinatus Mai Ya
For nausea and vomiting with Stagnant Heat and acid reflux:
+ 12g Endothelium Corneum Gigeriae Galli Ji Nei Jin
+ 6-9g Rz. Coptidis Huang Lian
+ 2-5g Fr. Evodiae Wu Zhu Yu
For chronic nausea and vomiting with damaged Yin:
For hiatus hernia:
+ 2g Fr. Evodiae Wu Zhu Yu + 12-15g Rx. Glehniae/ Adenophorae Sha Shen
+ 6g Rz. Coptidis Huang Lian
    + 12-15g Hb. Dendrobii Shi Hu