【Chinese Name】 |
鱉甲煎丸
|
【Phonetic】 |
Bie Jia Jian Wan
|
【English Name】 |
Turtle Shell Decocted Pill |
【Classification】 |
Blood-regulating formulas |
【Source】 |
《Essentials from the Golden Cabinet》Jin Gui Yao Lue《金匱要略》 |
【Combination】 |
Trionycis Carapax (Bie Jia processed and burned) 3 fen (22.5g), Blackberry Lily Rhizome (Wu Shan (She Gan)) 3 fen (22.5g), Scutellariae Radix (Huang Qin) 3 fen (22.5g), Armadillidium Vulgare (Shu Fu) 3 fen (22.5g), Zingiberis Rhizoma (Gan Jiang) 3 fen (22.5g), Rhei Radix et Rhizoma (Da Huang) 3 fen (22.5g), Cinnamomi Ramulus (Gui Zhi) 3 fen (22.5g), Pyrrosiae Folium (Shi Wei) 3 fen (22.5g), Magnoliae Officinalis Cortex (Hou Po) 3 fen (22.5g), Trumpetcreeper Cortex (Zi Wei) 3 fen (22.5g), Asini Corii Colla (E Jiao) 3 fen (22.5g), Bupleuri Radix (Chai Hu) 6 fen (45g), Catharsius Molossus (Qiang Lang) 6 fen (45g),Paeoniae Radix Alba (Shao Yao) 5 fen (37g), Moutan Cortex (Mu Dan Pi) 5 fen (37g), Eupolyphaga Steleophaga (Zhe Chong) 5 fen (37g), Nidus Vespae (Feng Fang) 4 fen (30g), Natrii Sulfas (Mang Xiao) 12 fen (90g), Persicae Semen (Tao Ren) 2 fen (15g), Dianthi Herba (Qu Mai) 2 fen (15g), Ginseng Radix et Rhizoma (Ren Shen) 1 fen (7.5g), Pinelliae Rhizoma (Ban Xia) 1 fen (7.5g), Lepidii Semen (Ting Li Zi) 1 fen (7.5g) |
【Method】 |
The source text states to first mix 3 kg of burnt ash with 10 kg of grain-based liquor. Then filter out and discard the burnt ash. Add bie jia to the strained liquid and cook it until the mixture becomes a thick paste. The remain 22 medicinals are ground into a fine powder, then mixed with this paste and honey to make pills into pills the size of phoenix tree seed. Take 7 pills 3 times per day. (Modern use: excluding xiao shi, bie jia, and e jiao, bake and break the remaining twenty medicinals, mix them up with 600 g of yellow wine, seal and boil till the wine is completely volatilized. Dry the dregs and mix with xiao shi, bie jia, and e jiao, make 3 g honey pills. Take 1 or 2 pills 2 or 3 times a day with warm water). |
【Action】 |
Moves qi, invigorates blood, dispels dampness, dissolves phlegm, softens hardness, and disperses concretions. |
【Indication】 |
Bie Jia Jian Wan is indicated for chronic malaria with masses below the costal region and abdominal masses. Long-lasting malaria causes masses to gather underneath the costal region. It is called chronic malaria with masses. Symptoms include: Masses underneath the costal region that stay firm when pushed, abdominal pain, weak muscles, decreased appetite, occasional cold or fever, and inhibited menses. |
【Pathogenesis】 |
Bie Jia Jian Wan historically was used to treat malaria with splenomegaly. Today, it is used to treat abdominal masses. Because of the chronic nature of this illness, there will be signs of qi and yang deficiencies, qi and blood stagnation, and damp and phlegm accumulation. The formation of masses may occur in the abdomen, hypochondrium, or in the form of splenomegaly. |
【Application】 |
1. Essential pattern differentiation Bie Jia Jian Wan is commonly indicated for chronic malaria with masses below the costal region and abdominal masses. This clinical pattern is marked by masses underneath the costal region that stay firm when pushed, abdominal pain, weak muscles, decreased appetite, occasional cold or fever, and inhibited menses. 2. Modern applications The formula may be used in the following biomedically defined disorders showing signs and symptoms of qi stagnation and blood stasis with decline of healthy qi: liver cirrhosis, hepatocellular carcinoma, hepatosplenomegaly, uterine fibroids, ovarian cyst. |
【Remark】 |
1. Chinese soft-shelled turtle (Trionyx sinensis / Pelodiscus sinensis) is listed as "Vulnerable" in the International Union for the Conservation of Nature and Natural Resources (IUCN) Red List of Threatened Species. Also, it is protected by |
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