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Zhi zhu wan(Unripened Bitter Orange and Atractylodes Pills)--- 枳术丸
【SOURCE】: Created by Zhang Jiegu, quoted from the book Treatise on Spleen and Stomach
【INGREDIENTS】: Unripened bitter orange 30g, Bighead atractylodes rhizome 60g
【DIRECTIONS】: Grind tKe above two Kerbs into line powder .TKen mix it witli water to make into form of pills as large as Chinese parasol seed. 6 to 9 gram with lotus leaf decoction each time.
【EFFECT】:Strengthening the spleen for resolving stuffiness.
【INDICATIONS】: Deficiency of the spleen with qi stagnation and food retention manifested by stuffiness and fullness of chest and epigastrium, anorexia.
【ANALYSIS OF FORMULA】: This is a formula with stronger resolving effect and lighter reinforcing effect. As the main herb, bighead atractylodes rhizome strengthens the spleen and stomach for dispelling dampness. Unripened bitter orange is the assistant herb to lower qi and resolve accumulation for relieving stuffiness and fullness. The purpose that the dosage of bighead atractylodes rhizome is twice than that of unripened bitter orange is to lift the lucid qi and to lower the turbid qi. Lotus leaf can assist bighead atractylodes rhizome in strengthening the spleen and stomach.
This formula can be modified in clinic to treat gastroptosis, gastroneurosis and chronic gastritis pertaining to deficiency of the spleen with qi stagnation.
【ASSOCIATED FORMULAE】:
(1) Peptogenic Pills (qu mai zhi zhu wan),(Orthodox Medical Book):
On the basis of Unripened Bitter Orange and Atractylodes Pills medicated leaven (30g) and germinated barley(30g) are added. Effect: strengthening the spleen to promote digestion. Indication: epigastrium and abdominal distention due to overeating.
(2) Tangerine, Pinellia, Orange and Atractylodes Pills (ju ban zhi zhu wan), (Elementary Medicine):
On the basis of Unripened Bitter Orange and Atractylodes Pills tangerine peel(30g) and pinellia tuber(3〇g) are added. Effects: strengthening the spleen to resolve phlegm and regulating qi to resolve stuffiness. Indication:improper diet injuring the spleen with retention of phlegm marked by chest distress and epigastrium stuffiness.
(3) Aucklandia, Amomum, Orange and Atractylodes Pills (xiang sha zhi zhu wan),(Analysis on the Secrets of Life-Preserving):
On the basis of Unripened Bitter Orange and Atractylodes Pills amomum fruit(30g) and aucklandia root(30g) are added. Effect: strengthening the spleen and activating qi. Indications: poor appetite due the spleen deficiency, or chest distress and epigastrium stuffiness due to retention of old food.
NOTES: All the above three formulae are modified from Unripened Bitter Orange and Atractylodes Pills and all have effect of strengthening the spleen to resolve stuffiness. The Peptogenic Pills stresses on promoting digestion and resolving stasis; Aucklandia, Amomum, Orange and Atractylodes Pills lay stresses on resolving turbidity by its aroma property and activation qi to assuage pain; while Tangerine, Pinellia, Orange and Atractylodes Pills stresses on drying dampness and resolving phlegm