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 Chinese Medicinal Material
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| 【Chinese Name】 |
九仙散
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| 【Phonetic】 |
Jiu Xian San
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| 【English Name】 |
Nine Immortals Powder |
| 【Classification】 |
Astringent formulas |
| 【Source】 |
《Precious Mirror of Health》Wei Sheng Bao Jian《衛生寶鑒》 |
| 【Combination】 |
Ginseng Radix et Rhizoma (Ren Shen) 1 liang (30g), Farfarae Flos (Kuan Dong Hua) 1 liang (30g), Mori Cortex (Sang Bai Pi) 1 liang (30g), Platycodonis Radix (Jie Geng) 1 liang (30g), Schisandrae Chinensis Fructus (Wu Wei Zi) 1 liang (30g), Asini Corii Colla (E Jiao) 1 liang (30g), Mume Fructus (Wu Mei) 1 liang (30g), Fritillariae Bulbus (Bei Mu) 0.5 liang (15g), Papaveris Pericarpium (Ying Su Qiao honey-fried) 8 liang (240g) |
| 【Method】 |
Grind the medicinals into a powder and for each dose take 9g with boiled warm water. It is also possible to prepare it as a decoction. The doses of the medicinals are decided according to clinical presentation while considering the original dosage ratios. |
| 【Action】 |
Astringes the lung, relieves cough, boosts qi and nourishes yin. |
| 【Indication】 |
Jiu Xian San is designed for a pattern of chronic cough caused by lung deficiency. The main symptoms include a chronic, unremitting cough that may be accompanied by labored breathing in severe cases, spontaneous sweating, scanty, sticky phlegm, and a deficient, rapid pulse. |
| 【Pathogenesis】 |
The disease mechanism addressed by this formula is qi and yin deficiency caused by a prolonged cough that has damaged the lung. Chronic coughing consumes and exhausts the lung qi and yin, which in turn, further aggravates coughing. Lung qi deficiency results in lingering coughs (and even labored breathing in severe cases) along with a deficient pulse. The lung governs the skin and body hair; therefore, insufficient lung qi leaves the striae and interstices open which results in spontaneous sweating. Long-term coughing exhausts lung yin and results in deficient heat which burns the body fluids to produce scanty, sticky phlegm. Astringing the lung to stop coughing; boosting qi and nourishing yin; and directing the qi downward and dissolving phlegm are the appropriate therapeutic principles for this condition. |
| 【Application】 |
1. Essential pattern differentiation
Jiu Xian San is a common formula applicable for chronic coughs with lung deficiency. This clinical pattern is marked by chronic, unremitting cough, labored breathing, spontaneous sweating, typically deficient and rapid pulse.
2. Modern applications
Jiu Xian San is frequently used for the following biomedically defined disorders such as chronic bronchitis, emphysema, pulmonary tuberculosis, bronchial asthma, and pertussis, when the patient shows signs of lung qi and yin deficiency due to chronic and unremitting cough.
3. Cautions and contraindications
This formula should not be used for chronic coughs complicated by excessive interior phlegm-drool or with an invasion of exterior pathogens in order to avoid trapping the pathogens within. It is not suggested to take this formula for a long time or in a large dosage. Stop taking it immediately once the cough is relieved. |
| 【Remark】 |
Ginseng (Panax ginseng) is listed in the Convention on International Trade in Endangered Species of Wild Fauna and Flora (CITES) Appendix II. Its trade is allowed but subject to licensing controls. |
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