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Rambling Powder
This formula comes from the Song Dynasty Tai Ping Hui Men He Hi Ju Fang (Tai Ping Imperical Grace Formulary). Our version is a 10:1 powdered extract in 500 mg gelatin capsules.

Rx:
Chai Hu (Radix Bupleuri)
Bai Zhu (Rhizoma Atractylodis Macrocephalae)
Fu Ling (Poria)
Dang Gui (Radix Angelicae Sinensis)
Bai Shao (Radix Paeoniae Albae)
Sheng Jiang (uncooked Rhizoma Zingiberis)
Bo He (Herba Menthae Haplocalycis)
mix-fried Gan Cao (Radix Glycyrrhizae)

Functions: Courses the liver and resolves depression, fortifies the spleen and supplements the qi, nourishes the blood and eliminates dampness

Indications: Liver depression-spleen vacuity with blood vacuity and possible dampness manifesting as irregular menstruation, uterine bleeding, abnormal vaginal discharge, breast distention, premenstrual tension, climacteric disorders, chronic hepatitis, pleurisy, chronic gastritis, peptic ulcer, neurosis, anemia, insomnia, optic nerve atrophy, central retinitis, depression, etc.

Signs & symptoms of liver depression include:

• Irritability

• Breast and/or rib-side depression

• PMS

• Sighing

• A normal or darkish tongue with thin, white fur

• A bowstring pulse

Signs & symptoms of spleen qi vacuity include:

• Fatigue

• Lack of strength

• Possible lack of appetite

• Possible loose stools or diarrhea

• Easy bruising

• Orthostatic hypotention

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

Signs & symptoms of blood vacuity include:

• A pale facial complexion

• Scanty or delayed menstruation of amenorrhea

• Pale nails, lips, under-eyelids

• Brittle nails

• Dry skin and hair

• Night-blindness

• A pale tongue

• A fine pulse

Signs & symptoms of dampness include:

• Swelling or edema

• Bodily heaviness

Formula explanation: Within this formula, 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, urgency, or cramping. Therefore, it is an essential medicinal for treating liver depression with blood vacuity. Bai Zhu and Fu Ling fortify the spleen and eliminate dampness, thus promoting movement and transformation and, ultimately, the source of engenderment of the qi and blood. Bai Zhu aromatically dries dampness, while Fu Ling blandly seeps it. 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. The two envoys or guides in this formula are Sheng Jiang and Bo He. Sheng Jiang harmonizes the center and eliminates dampness. Bo He, when used in small amounts, assists Chai Hu­’s scattering and resolution of liver depression.

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 66 grams. Because of the 10:1 concentration ratio and the efficiency of our manufacturing process it would take only 9 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
Blood vacuity Yes No
Dampness Yes No

(The last two patterns are no absolutely necessary to prescribe this formula.)
 

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