For the Chinese, syndrome-based prescriptions are one of the most popular healing approaches. The prescriptions are usually recommended to be taken in decocting form, which are characterized by quick absorption, favorable therapeutic outcomes and few toxic side effects. The ingredients in the decoctions can be modified, increased or decreased on a daily basis, allowing physicians to tailor treatment to the patient's changing conditions and needs. Flexibility is one of the main reasons why the decoction method is still being used as the clinical mainstay after thousands of years.
1. Mood Swings
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Heart-blood Deficiency |
Therapeutic aim: to replenish the blood and qi (vital energy), soothe the heart and calm the spirit. |
Basic prescription: Decoction of Nourishing the Heart and Spirit (甘麥大棗湯合養心湯) |
Radix Glycyrrhizae |
gan cao |
Liquorice root |
Fructus Tritici Levis |
xiao mai |
Wheat |
Fructus Ziziphi Jujubae |
da zao |
Common jujube fruit |
Radix Salviae Miltiorrhizae |
dan shen |
Red sage root |
Poria preparated with cinnabar |
fu shen |
Poria processed by cinnabar |
Semen Ziziphi Spinosae |
suan zao ren |
Spine date seed |
Radix Salviae Miltiorrhizae |
dan shen |
Red sage root |
Fructus Schisandrae |
wu wai zi |
Schisandra |
Radix Polygalae |
yuan zhi |
Chinese senega |
Medulla junci |
deng xin cao |
Common rush |
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Heart Nourishing Decoction: liquorice root, wheat and common jujube. |
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In the prescription, the liquorice, wheat and jujube fruit nourish the heart and spleen. The red sage root removes stasis. The poria, spine date, schisandra, arborvitae kernel and Chinese senega enrich the blood and nourish heart. The common rush expels heart fire. The whole combination works together to soothe the heart so as to settle the spirit and maintain calmness.
Fire Accumulated in the Liver Meridian |
Therapeutic aim: to clear the liver to disperse stagnation and purge fire to soothe the spirit. |
Basic prescription: The Free and Easy Wanderer Plus (加味消遙散加減) |
Source: Neike Zhaiyao (A Synopsis of Internal Medicine) |
Radix Bupleuri |
chai hu |
Bupleurum root |
Radix Angelicae Sinensis |
dang gui |
Chinese angelica root |
Radix Paeoniae |
Bai shao |
White peony root |
Rhizoma Atractylodis Macrocephalae |
bai shu |
Largehead Atractylodes rhizome |
Poria |
fu ling |
Indian bread |
Radix Glycyrrhizae Praeparata |
zhi gan cao |
Roasted liquorice root |
Crotex Moutan Radicis |
dan pi |
Peony tree root bark |
Fructus Gardeniae |
zhi zi |
Cape jasmine fruit |
In the prescription, bupleurum root serves as the monarch herb, which soothes the liver to relieve the stagnation. The angelica and white peony assist the monarch herb's work. atractylodes rhizome, Indian bread and liquorice fortify spleen to replenish qi. The peony root bark clears away heat in the blood; Cape jasmine fruit expels the liver heat. The whole combination regulates the menses by dispersing liver stagnation, fortifying the spleen and harmonizing the blood.
Phlegm and Fire Harassing Upwards |
Therapeutic aim: to clear heat and resolve phelgm to remove blockages in the orifices and to tranquilize. |
Basic prescription:Gallbladder Warming Decoction (溫膽湯加減) |
Source: Sanyin Jiyi Bingzheng Fanglun (Treatise on Three Causes of Diseases with Syndromes and Remedies) |
Rhizoma Pinellae |
ban xia |
Pinellia tuber |
Caulis Bambusae in Taeniam |
zhu ru |
Bamboo shavings |
Fructus Aurantii Immaturus |
zhi shi |
Immature bitter orange |
Pericarpium citri Reticulatae |
chen pi |
Tangerine peel |
Rhizoma Zingiberis Recens |
sheng jiang |
Fresh ginger |
Radix Glycyrrhizae |
gan cao |
liquorice root |
Poria |
fu ling |
Indian bread |
In the prescription, pinellia tuber brings downward the reversed flow of qi in the stomach and dries dampness to resolve phlegm. They serve as monarch herbs together. Bamboo shavings clear heat in the gallbladder and harmonize the stomach; the two herbs act as the minister herbs. The bitter orange and tangerine peel regulate the movement of qi to resolve phlegm. Indian bread fortifies the spleen to eliminate dampness and stops further phlegm production. The ginger promotes the spleen and stomach while also counteracts the side effects of pinellia tuber. Liquorice serves as buffer. |
2. Breast Tenderness
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Phlegm and Fire Harassing Upwards |
Therapeutic aim: to soothe the liver, regulate the flow of qi to remove blockages in the meridians and to relieve pain. |
Basic prescription:Bupleurum Liver-Soothing Powder (柴胡疏肝散加減) |
Source:Jingyue Quanshu (The Complete Work of Zhang Jingyue) |
Radix Bupleuri |
chai hu |
Bupleurum root |
Pericarpium citri Reticulatae |
chen pi |
Tangerine peel |
Radix Paeoniae |
bai shao |
White peony root |
Fructus Aurantii |
zhi ke |
Bitter orange |
Radix Glycyrrhizae Praeparata |
zhi gan cao |
Roasted liquorice root |
Rhizoma Ligustici Chuanxiong |
chuan xiong |
Sichuan lovage |
Rhizoma Cyperi |
xiang fu |
Nutgrass flatsedge rhizome |
In the prescription, bupleurum root soothes the liver to disperse the stagnation, which serves as the monarch herb. The tangerine peel, bitter orange, lovage and nutgrass rhizome activate the qi (vital energy) and blood, which are the minister herbs. The white peony assists to smooth the liver; liquorice roots acts as buffer.
Stomach Deficiency and Phelgm Stagnation |
Therapeutic aim: To fortify the stomach and activate the blood to expel phelgm and relieve pain. |
Basic prescription:Modified Four Herbs Plus Two Vintage Herbs Decoction (四物合二陳湯) |
Radix Angelicae Sinensis |
dang gui |
Chinese angelica root |
Radix Paeoniae Rubra |
chi shao |
Red peony root |
Rhizoma Ligustici Chuanxiong |
chuan xiong |
Sichuan lovage |
Rhizoma Rehmanniae |
sheng di |
Rhemannia rhizome |
Pericarpium citri Reticulatae |
chen pi |
Tangerine peel |
Rhizoma Pinellae |
ban xia |
Pinellia tuber |
Crotex Moutan Radicis |
dan pi |
Peony tree root bark |
Poria |
fu ling |
Indian bread |
Sargassum |
hai zao |
Seaweed |
Rhizoma Cyperi |
xiang fu |
Nutgrass flatsedge rhizome |
Flos Carthami |
hong hua |
Safflower |
Radix Glycyrrhizae |
gan cao |
liquorice root |
In the prescription, the tangerine peel, pinellia tuber and Indian bread fortify the stomach to expel the phlegm. Angelica, red peony, lovage and safflower activate the blood, remove blockages and smooth the meridians; Rhemannia and peony root bark cool the blood and relieve the stagnation. Nutgrass rhizome soothes the liver and regulates the flow of qi; seeweed resolves the accumulation. The whole formula has the effect of fortifying the stomach, expelling phlegm, activating qi and blood circulation, smoothing the meridian system and resolving accumulations inside the body. |
3. Headache
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Blood and Qi Deficiencies |
Therapeutic aim: to replenish the blood and qi (vital energy) to nourish the orifices and relieve pain. |
Basic prescription:Eight Treasures Decoction (八珍湯加減) |
Source:Zhengti Leiyao (A Repertory of Traumatology) |
Radix Angelicae Sinensis |
dang gui |
Chinese angelica root |
Radix Ginseng |
ren shen |
Ginseng |
Radix Paeoniae |
bai shao |
White peony root |
Rhizoma Atractylodis Macrocephalae |
bai shu |
Largehead atractylodes root |
Poria |
fu ling |
Indian bread |
Rhizoma Rehmanniae Praeparatae |
shu di |
Processed rhemannia root |
Rhizoma Ligustici Chuanxiong |
chuan xiong |
Sichuan lovage |
Radix Glycyrrhizae Praeparata |
zhi gan cao |
Roasted liquorice root |
In the prescription, ginseng and rhemannia root invigorate the qi and nourish the blood; both of them are the monarch herbs. The Indian bread and atractylodes root fortify the spleen to eliminate the dampness; angelica and peony nourish the blood so as to harmonize the organs. The lovage activates the blood and qi flows; liquorice acts as buffer.
Yin Deficiency and Hyperactive Liver |
Therapeutic aim: to enrich the yin to suppress the yang and soothe the liver to ease pain. |
Basic prescription:Six Rehmannia Pills Plus Wolfberry and Chrysanthemum (杞菊地黃丸加減) |
Source:Yi Ji (Medicine Rank) |
Rhizoma Rehmanniae Praeparatae |
shu di |
Processed rhemannia rhizome |
Fructus Corni |
shan yu rou |
Dogwood fruit |
Rhizoma Dioscoreae |
shan yao |
Chinese yam |
Rhizoma Alismatis |
ze xie |
Oriental water plantain |
Poria |
fu ling |
Indian bread |
Crotex Moutan Radicis |
dan pi |
Peony tree root bark |
Fructus Lycii |
gou qi chi |
Wolfberry fruit |
Flos Chrysanthemi |
ju hua |
Chrysanthemum |
In the prescription, the monarch herbs, rhemannia rhizome and wolfberry fruit nourish the kidney yin and tonifies the essence to engender the blood. The Dogwood's sour and warm properties help to arrest excessive consumption of yin; Chinese yam replenishes the spleen yin. All four ingredients exert tonifying effects that may produce extra endogenous pathogens, thus water plantain is used for expelling the turbid in the kidneys, peony bark and chrysanthemum are used for eliminating the liver-fire and Indian bread helps to diffuse the dampness. The whole formula exerts both tonification and reduction actions, which serve as a mild tonic for general weakness especially for the liver-yin and kidney-yin deficiencies.
Blood Stasis Obstruction |
Therapeutic aim: to activate the blood and dissolve stasis to smooth the meridians and ease pain. |
Basic prescription:Orifice Dredging and Blood Activating Decoction (通竅活血湯加減) |
Source:Yilin Gaicuo (Correction of Errors in Medical Circles) |
Semen Persicae |
tao ren |
Peach kernel |
Flos Carthami |
hong hua |
Safflower |
Radix Paeoniae Rubra |
chi shao |
Red peony root |
Rhizoma Ligustici Chuanxiong |
chuan xiong |
Sichuan lovage |
Bulbus Allii Fistulosi |
lao cong |
Spring onion |
Rhizoma Zingiberis Recens |
sheng jiang |
Fresh ginger |
Fructus Ziziphi Jujubae |
da zao |
Chinese date |
Moschus |
she xiang |
Musk |
In the prescription, kernel and safflower are the monarch herbs for activatng blood circulation. The peony, lovage and dates assist to nourish the blood; spring onion, ginger and musk remove the blockages in the orifices so as to relieve the pain.
Phlegm and Dampness Obstructed in the Middle Burner |
Therapeutic aim: to dry dampness and dissolve phlegm to smooth the meridians and ease pain. |
Basic prescription:Pinellia, Largehead Atractylodes and Gastrodia Decoction (半夏白術天麻湯加減) |
Source:Yixue Xinwu (Medicine Comprehended) |
Rhizoma Pinelliae |
ban xia |
Pinella tuber |
Rhizoma Gastrodiae |
tian ma |
Gastrodia tuber |
Poria |
fu ling |
Indian bread |
Pericarpium Citri Reticulatae |
ju hong |
Tangerine peel |
Rhizoma Atractylodis Macrocephalae |
bai shu |
Largehead Atractylodes root |
Radix Glycyrrhizae |
gan cao |
Liquorice root |
This is a common formula for dizziness and headache due to wind or phlegm influences. In the prescription, pinella tuber dries the dampness and resolves the phlegm. Gastrodia tuber soothes the liver. Both herbs are monarch herbs. Atractylodes root and Indian bread fortify the spleen to expel dampness while tangerine peel regulates the qi movement to facilitate phlegm dissolving. Liquorice acts as buffer. |
4. Edema
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Spleen Deficiency |
Therapeutic aim: to replenish the blood and qi (vital energy) to nourish the orifices and relieve pain. |
Basic prescription:Atractylodes, Indian Bread, Cassia Twig and Liquorice Decoction (白術散合苓桂術甘湯) |
Rhizoma Atractylodis Macrocephalae |
bai shu |
Largehead Atractylodes root |
Rhizoma Ligustici Chuanxiong |
chuan xiong |
Sichuan lovage |
Fructus Piperis |
hu jiao |
Pepper fruit |
Cohcha Ostreae |
mu li |
Oyster shell |
Poria |
fu ling |
Indian bread |
Ramulus Cinnamomi |
gui zhi |
Cassia twig |
Radix Glycyrrhizae |
gan cao |
Liquorice root |
In the prescription, the Atractylodes root invigorates the spleen to eliminate the dampness; lovage activates the blood and qi to ease pain; pepper warms the middle burner and stops pain, oyster shell soothes the liver, Indian bread and cassia twig warms the yang to facilitate diuresis. Liquorice acts as buffer.
Kidney Deficiency |
Therapeutic aim: to warm the kidneys and enhance vaporization to faciliate diuresis and relieve edema. |
Basic prescription:Divine Black Bird Decoction (真武湯) |
Source:Shanghanlun (Treatise on Cold-induced Diseases) |
Poria |
fu ling |
Indian bread |
Radix Paeoniae |
bai shao |
White peony root |
Rhizoma Atractylodis Macrocephalae |
bai shu |
Largehead Atractylodes root |
Rhizoma Zingiberis Recens |
sheng jiang |
Fresh ginger |
Radix Aconiti Praeparata |
shu fu zi |
Prepared aconite lateral root |
This is a classic formula for warming the yang to excrete water. Being extremely pungent and hot in nature, the aconite acts as the monarch herb to warm the kidneys and strongly enhance its vaporization. The atractylodes root and Indian bread promote the spleen to expel dampness; fresh ginger disperses the lung energy to other parts of the body and warms the middle burner; these three herbs serve as minister herbs to ensure the effect of the aconite. White peony works as buffer.
Qi Stagnation |
Therapeutic aim: to regulate the qi and remove stagnation to diffuse dampness and relief edema. |
Basic prescription: Decoction of Eight Ingredients (八物湯加減) |
Source:Jiyin Gangmu (A Synopsis of Female Diseases) |
Radix Angelicae Sinensis |
dang gui |
Chinese angelica root |
Rhizoma Ligustici Chuanxiong |
chuan xiong |
Sichuan lovage |
Radix Paeoniae |
bai shao |
White peony root |
Rhizoma Rehmanniae Praeparatae |
shu di |
Processed rhemannia rhizome |
Rhizoma corydalis |
yan hu suo |
Corydalis tube |
Fructus Meliae Toosendon |
chuan lian zi |
Sichuan Chinaberry |
Radix Aucklandiae |
mu xiang |
Costus root |
Semen Arecae |
bing lang |
Areca seed |
Herba Lycopi |
ze lan |
Hirsute shiny bugleweed herb |
In the prescription, the first four ingredients nourish and activate blood circulation. Corydalis tube removes the stagnation of blood, bugleweed herb activates the blood to relieve edema while Sichuan chinaberry, costus root and areca seed soothe the liver to regulate the movement of qi. |
5. Oral Sores
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Hyperactive Fire and Yin Deficiency |
Therapeutic aim: to nourish yin to depress fire |
Basic prescription: Bolus of Anemarrhena, Phellodendron and Rehmannia ( 知柏地黃丸加減 ) |
Source: Yizong Jinjian (Golden Mirror of Medicine) |
Rhizoma Rehmanniae Praeparatae |
shu di |
Processed rhemannia rhizome |
Fructus Corni |
shan yu rou |
Dogwood fruit |
Rhizoma Dioscoreae |
shan yao |
Chinese yam |
Rhizoma Alismatis |
ze xie |
Oriental water plantain |
Poria |
fu ling |
Indian bread |
Crotex Moutan Radicis |
dan pi |
Peony tree root bark |
Rhizoma Anemarrhenae |
zhi mu |
Anemarrhena |
Cortex Phellodendri |
huang bai |
Phellodendron |
In the prescription, a high dosage of rhemannia is used to nourish the kidney yin and replenish the essence. The dogwood fruit and anemanrrhena invigorate the liver and kidney to arrest further essence exhaustion. The Chinese yam promotes the spleen to ensure nourishing sources. The water plantain dispels the turbid dampness; peony bark and phellodendron eliminate excessive fire; Indian bread promotes diursis; these four herbs also counteract the side effects of the main ingredients.
Heat Accumulated in the Stomach |
Therapeutic aim: to clear the stomach and purge fire. |
Basic prescription: Powder for Clearing Heat Above the Diaphram ( 涼膈散加減 ) |
Source: Taiping Huimin Heji Jufang (Formulary of the Taiping Welfare Dispensary Bureau) |
Radix et Rhizoma Rhei |
da huang |
Chinese rhubarb |
Natrii Sulfas |
mang xiao |
Sodium sulfate |
Fructus Gardeniae |
zhi zi |
Cape jasmine fruit |
Herba Ephedrae |
bo he |
Pepper mint |
Radix Scutellariae |
huang qin |
Bacial skullcap |
Fructus Forsythiae |
lian qiao |
Forsythia |
Herba Lophatheri |
zhu ye |
Bamboo leaf |
Radix Glycyrrhizae |
gan cao |
Liquorice root |
In the prescription, forsythia is used in high dosage to clear heat and counteract toxics. The bacial skullcap disperses the heat in the chest; cape jasmine fruit induces the heat throughout the triple burner downwards while rhubarb and sodium sulfate promote bowel movement to expel the heat. Bamboo leaf and peppermint disperse the heat in an upward direction. |
6. Skin Rash
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Blood Deficiency |
Therapeutic aim: to nourish the blood and disperse wind to stop itching. |
Basic prescription: Angelica Drink ( 當歸飲子加減 ) |
Source: Zhengzhi Zhunsheng (Standards for Diagnosis and Treatment) |
Radix Angelicae Sinensis |
dang gui |
Chinese angelica root |
Radix Paeoniae |
bai shao |
White peony root |
Rhizoma Ligustici Chuanxiong |
chuan xiong |
Sichuan lovage |
Radix Polygoni Mulitflori |
shou wu |
Fleece flower root |
Radix Astragali seu Hydysari |
huang qi |
Astragalus root |
Spica Schizonepetae |
jing jie |
Schizonepeta |
Radix Ledebouriellae |
fang feng |
Ledebouriella root |
Fructus Tribuli |
bai ji li |
Caltrop |
Radix Glycyrrhizae |
gan cao |
Liquorice root |
This formula is for heat accumulation due to blood deficiency with a simultaneous attack by wind evils. The first three ingredients act as a blood tonic. Others like fleece flower root, schizonepeta and ledebouriella root expel wind evils; the caltrop disperses the wind in the liver; astragalus and liquorice replenish qi and consolidate the bodily surface to facilitate the elimination of evils.
Wind-heat Accumulated in the Skin |
Therapeutic aim: to disperse wind and clear heat to stop itching. |
Basic prescription: Wind Dispelling Powder ( 消風散加減 ) |
Source: Waike Zhengzong (Orthodox External Medicine) |
Spica Schizonepetae |
jing jie |
Schizonepeta |
Radix Ledebouriellae |
fang feng |
Ledebouriella root |
Fructus Arctii |
niu bang zi |
Arctium fruit |
Periostracum Cicadae |
chan tui |
Cicada slough |
Rhizoma Atractylodis |
cang zhu |
Atractylodes rhizome |
Radix Sophorae Flavescentis |
ku shen |
Flavescent sophora root |
Gypsum Fibrosum |
shi gao |
Gypsum |
Rhizoma Anemarrhenae |
zhi mu |
Anemarrhena rhizome |
Radix Angelicae Sinensis |
dang gui |
Chinese angelica root |
Semen Sesamum |
hu ma ren |
Sesame seed |
Radix Rehmanniae |
sheng di |
Rehmannia root |
Radix Glycyrrhizae |
gan cao |
Liquorice root |
Caulis Akebiae |
mu tong |
Akebia stem |
This is a common formula for dealing with skin rashes and eczema. In the prescription, schizonepeta, ledebouriella root, cicada slough and arctium fruit are the monarch herbs, which dispel the wind evils in the skin to stop itching. The atractylodes rhizome expels wind and dries dampness; sophora root clears away heat and removes dampness; akebia stem induces urination to eliminate damp-heat. Gypsum and anemrrhena rhizome clear away heat and purge fire. Angelica, sesame seed and rehmannia root nourish and activate the blood. Liquorice root acts as buffer. The whole combination focuses on dispelling wind, but also helps to remove dampness, clear heat and nourish the blood. |
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