| 【Chinese Name】 |
越鞠丸
|
| 【Phonetic】 |
Yue Ju Wan
|
| 【English Name】 |
Constraint-Resolving Pill |
| 【Classification】 |
Qi-regulating formulas |
| 【Source】 |
《Teachings of [Zhu] Dan-xi》Dan Xi Xin Fa《丹溪心法》 |
| 【Combination】 |
Cyperi Rhizoma (Xiang Fu) 6-9g, Chuanxiong Rhizoma (Chuan Xiong) 6-9g, Atractylodis Rhizoma (Cang Zhu) 6-9g, Gardeniae Fructus (Zhi Zi) 6-9g, Medicata Massa Fermentata (Shen Qu) 6-9g |
| 【Method】 |
Grind all of the ingredients into powder. Form the powder into pills the size of a mung bean using water. (Modern use: Process into water pills. One dose is approximately six to nine grams, taken with warm water. It can also be prepared as a decoction.) |
| 【Action】 |
Moves qi and resolves constraint. |
| 【Indication】 |
Yue Ju Wan is indicated for the pattern of six constraints. The symptoms are chest oppression, epigastric and abdominal distention or pain, eructation with fetid odor, acid swallowing, nausea, vomiting, and indigestion. |
| 【Pathogenesis】 |
Yue Ju Wan treats the pattern of six constraints: qi constraint, blood constraint, phlegm constraint, fire constraint, damp constraint, and food constraint.
Of these, qi constraint is the major pathomechanism as qi is the root of human life. When qi movement is balanced and its perpetual circulation of ascending, descending, exiting, and entering is in order, the zang-fu organ functions can be regulated and the extremities and joints soothed. Irregular bouts of happiness and anger, excessive worry, being too hot or too cold, or an imbalanced diet can cause a qi movement disorder to develop into a disease. Qi stagnation can hinder blood circulation and lead to blood constraint. When qi stagnation affects the body fluid distribution, it leads to damp and phlegm constraint. When it affects the transformation and transportation of the spleen and the receiving of the stomach, it leads to food constraint. If qi constraint is not resolved, it will generate heat and transform into fire. All of the constraints follow qi constraint. Here, the six constraints are already established, so there is chest oppression, epigastric and abdominal pain and distention, acid swallowing, vomiting, and indigestion. Qi constraint is the primary pattern of this formula, yet qi constraint, blood constraint, fire constraint, damp constraint, phlegm constraint, and food stagnation are related with each other. The primary therapeutic principle is to move qi and resolve constraint. Resolving the other constraints is secondary. The smooth flow of qi promotes blood circulation and resolves phlegm, fire, damp, and food constraint simultaneously. |
| 【Application】 |
1. Essential pattern differentiation
Yue Ju Wan is the representative formula used to treat six constraints. This clinical pattern is marked by chest oppression, epigastric and abdominal pain and distention, indigestion.
2. Modern applications
This formula may be used in the following biomedically defined disorders, when the patient shows signs of the six constraints pattern: gastric neurosis, gastric and duodenal ulcers, chronic gastritis, cholelithiasis, cholecystitis, hepatitis, intercostal neuralgia, women's dysmenorrhea, and irregular menstruation.
3. Cautions and contraindications
Most of the medicinals in this formula are warm and dry with the action to move and disperse; therefore, it should be used cautiously in cases of yin deficiency. |
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