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Title
San Zi Yang Qin Tang (Three-Seed Decoction to Nourish One''s Parents)
Writer
Acuworld
View
768
Date
2020-07-15 09:05:42
San Zi Yang Qin Tang
(Three-Seed Decoction to Nourish One''s Parents)
The three seeds refer to the ingredients of this formula, which are all small seeds. It is commonly used in treating the elderly, whose appetites are reduced, hence to ''nourish one''s parents''.
Source:
Comprehensive Medicine According to Master Han (Han Shi Yi Tong)
Semen Sinapis Albae (Bai Jie Zi)
6-9g
Fructus Perillae Frutescentis (Su Zi)
6-9g
Semen Raphani Sativi (Lai Fu Zi)
6-9g
Preparation:
Decoction. Crush the seeds and place in a cheesecloth gab before decocting.
The source text does not specify dosage.
Actions:
Direct the qi downward
Relax the diaphragm
Transform phlegm
Reduce food stagnation
INDICATIONS:
Coughing and wheezing, copious sputum, focal distention in the chest, loss of appetite, digestive difficulties, a white, greasy tongue coating, and a slippery pulse.
This is cold in the Lungs with food stagnation. The stagnation of food is both a caused and an effect of Spleen deficiency, and can lead to the production of phlegm. The cold and phlegm in the Lungs disturbs the Lung qi, which manifests as coughing and wheezing. This disturbance, together with the obstruction caused by phlegm and food stagnation, gives rise to focal distention in the chest. The food stagnation and deficiency of the Spleen suppresses the appetite and caused digestive difficulties. The white tongue coating relects the presence of cold, and the greasy tongue coating and slippery pulse are signs of food stagnation and phlegm.
ANALYSIS OF FORMULA:
Semen Sinapis Albae (Bai Jie Zi)
:
warm and disseminate the Lung qi, reduce phlegm, and relax the diaphragm.
Fructus Perillae Frutescentis (Su Zi)
:
direct the Lung qi downward and thereby stop the coughing and wheezing.
Semen Raphani Sativi (Lai Fu Zi):
very effective in reducing food stagnation, and indirecting qi downward and transforming phlegm.
All of these herbs regulate the qi, which demonstrates the principle that in treating phlegm, it is necessary to regulate the qi. Because of the close interaction of these herbs, it serves no purpose to distinguish them as chief, deputy, or assistant.
COMMENTARY:
Although the disorder for which this formula is indicates is most commonly found in the elderly (becaused of the deficiency of middle burner qi and blood), its use is by no means limited to this group. While the formula does increase the level of energy by unclogging the upper and middle burners, it is important to remember that it addresses the manifestations and not the root of this disorder.
This formula is not a tonic and should not be taken long-term. If it is, its mobilizing actions may injure the middle qi. This was aptly described by the famous Yuan-dynasty physician, Zhu Zhen-Heng: "Whenever herbs that promote [flow] are overused in the treatment of phlegm, it may result in Spleen qi deficiency which can easily lead to the generation of phlegm." More appropriate for long-term use are Two-Cured Decoction (Er Chen Tang) or Six-Gentlemen Decoction (Liu Jun Zi Tang). The former is, in fact, often combined with this formula to improve its efficacy by simultaneously treating the manifestations and root.
BIOMEDICALLY-DEFINED DISORDERS:
acute and chronic bronchitis, bronchial asthma, emphysema, pediatric asthma, and spasms of the diaphragm
MODIFICATIONS:
Severe cold:
increase the dosage of Semen Sinapis Albae (Bai Jie Zi)
Severe coughing and wheezing:
increase the dosage of Fructus Perillae Frutescentis (Su Zi)
Severe food stagnation:
increase the dosage of Semen Raphani Sativi (Lai Fu Zi)
Hard, firm stools:
(+) honey to the strained decoction
Copious, watery sputum and nausea and vomiting due to Spleen yang deficiency:
(+) Rhizoma Pinelliae Ternatae (Ban Xia), Rhizoma Zingiberis Officinalis (Gan Jiang) and Fructus Amomi (Sha Ren)
Severe Wheezing with a stifling sensation in the chest and difficulty in expectorating:
(+) Semen Pruni Armeniacae (xing Ren), Cortex Magnoliae Officinalis (Hou Po)
Concurrent wind-cold:
(+) Radix Peucedani (Qian Hu), Folium Perillae Fructescentis (Zi Su Ye)
Reference
: Formulas & Strategies, Dan Bensky and Randall Barolet, Eastland Press, 1990. p. 445-446