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Moutan & Gardenia Rambling Powder
 

This formula is a modification of Xiao Yao San (Rambling Powder) from the Tai Ping Hui Min He Ji Ju Fang (Tai Ping Imperial Grace Formulary). As such, it comes from the late Qing dynasty Nei Ke Zhai Yao (The Selected Essentials of Internal Medicine) published in the mid 19th century. Our version is a 10:1 powdered extract in 500 mg gelatin capsules.

Rx:
Dan Pi (Cortex Moutan)
Zhi Zi (Fructus Gardneiae)
Chai Hu (Radix Bupleuri)
Dang Gui (Radix Angelicae Sinensis)
Bai Shao (Radix Paeoniae Albae)
Bai Zhu (Rhizoma Atractylodis Macrocephalae)
Fu Ling (Poria)
Gan Cao (Radix Glycyrrhizae) 22.6 mg

Functions: Harmonizes the liver and spleen, clears heat and resolves depression, clears heat from the blood aspect or division

Indications: A liver-spleen disharmony with depressive heat, especially depressive heat which has entered the blood aspect or division manifesting as irregular menstruation, uterine bleeding, dysmenorrhea, abnormal vaginal discharge, breast distention, premenstrual syndrome (PMS), climacteric disorders, chronic hepatitis, pleurisy, chronic gastritis, peptic ulcer, insomnia, central retinitis, and psycho-emotional depression

Signs & symptoms of liver depression include:

• Irritability

• PMS

• Breast distention and pain

• Possible rib-side distention and pain

• A bowstring pulse

Signs & symptoms of spleen vacuity include:

• Fatigue

• Lack of strength

• Possible lack of appetite

• Possible loose stools

• An enlarged tongue with teeth-marks on its edges and/or cracks in its center

Signs & symptoms of depressive heat:

• A dark red tongue with yellow fur

• Possible swelling and redness of the rims of the tongue

• A bitter taste in the mouth on arising

• A rapid pulse

Signs & symptoms of heat entering the blood aspect:

• The above signs and symptoms of liver depression and depressive heat, plus

• Pathological bleeding

• Red, possibly dark skin rashes

• Vexation and agitation

Formula explanation: Within this formula, Dan Pi and Zhi Zi clear heat and resolve depression and especially clear heat from the blood aspect. Chai Hu courses the liver and resolves depression. The combination of Dang Gui and Bai Shao nourishes the blood and emolliates the liver. Because Dang Gui is somewhat aromatic, it moves the qi, but because it is sweet, it also relaxes tension. Therefore, it is an essential medicinal for treating liver depression with blood vacuity. Bai Zhu and Fu Ling fortify the spleen and eliminate dampness. Mix-fried Gan Cao boosts the qi and supplements the center as well as relaxes the liver's tension. It is the assistant medicinal in this formula.

Dosage: According to Him-che Yeung in Handbook of Chinese Herbs and Formulas, Vol. 2, the standard daily dose in decoction for this formula is 81 grams. Because of the 10:1 concentration ratio and the efficiency of our manufacturing process it would take only 11 capsules per day of Blue Poppy's version of this formula to equal the standard daily dose. The actual prescribed dose should be determined by the practitioner on a case by case basis.

My patient does present the signs and symptoms of:

Liver depression qi stagnation Yes No
Spleen qi vacuity Yes No
Depressive heat Yes No
 

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