HERBAL FORMULA FOR "ANGER ILLNESS"
ZHU RU WEN DAN TANG (Bamboo Decoction to Warm the Gallbladder)
6g Chai Hu (Bupleuri Rx.)
6g Fu Ling (Poria)
6g Ban Xia (Pinelliae Rz. Preparatum)
4g Chen Pi (Citri Reticulatae Peri)
4g Jie Geng (Platycodi Rx.)
4g Xiang Fu (Cyperi Rz.)
4g Zhu Ru (Bambusae Caulis in Taeniam)
2g Ren Shen (Ginseng Rx.)
2g Huang Lian (Coptidis Rz.)
4g Zhi Shi (Aurantii Fr. Immaturus)
2g Gan Cao (Glycyrrhizae Rx.)
4g Da Zao (Jujubae Fr.)
4g Sheng Jiang (Zingiberis Rz.)
Zhu Ru Wen Dan Tang (Restrain the Liver Powder) is from Wen Bing Hui Chun (Restoration of Health from the Myriad Diseases) by Gong Ting-Xian in 1587, (Ming dynasty). Wen Bing Hui Chun is composed of 8 books total. Book 1 includes herbal songs, body types, Zang Fu and the Meridians. Books 2-8 include patterns and treatments for various diseases. Gong Ting-Xian added his interpretation for many previous herbalists and acupuncturists throughout history including Huang Di, Zhu Dan Xi and Li Dong Yuen, etc.
Zhu Ru Wen Dan Tang is one of my favorite Wen Dan Tang variations. It has the idea of Wen Dan Tang (Zhu Ru, Zhi Shi, Ban Xia, Chen Pi); Er Chen Tang (Ban Xia, Chen Pi, Fu Ling); Xiao Chai Hu Tang (Chai Hu, Huang Qin, Ren Shen); and Ban Xia Xie Xin Tang (Ban Xia, Huang Lian, Ren Shen), Xiang Su San (Xiang Fu, Chen Pi).
GB/LV herbs: Chai Hu & Xiang Fu regulate LV and GB
HT herb: Huang Lian clears HT heat
Phlegm herbs: Zhu Ru clears GB heat, Ban Xia regulates ST Qi, Ji Geng relieves chest congestion
Qi herbs: Zhi Shi, Chen Pi remove the Qi stagnation
Tonic herbs: Ren Shen and Fu Ling strengthen SP Qi
Harmonizing herbs: Gan Cao, Sheng Jiang, Da Zao harmonize the ST and the Ying & Wei
SIGNS & SYMPTOMS:
1. Chest discomfort
2. Chubby or overweight
3. Hypochondriac fullness and pain
4. Dry tongue, slippery pulse
5. Neurasthenia, anger, anxiety, depressed mood, cough, dry throat
6. Insomnia, possibly slight cough.
Abdominal palpation for Zhu Ru Wen Dan Tang is very similar to Da Chai Hu Tang. Abdomen can be chubby; can be tender below both ribs, xiphoid process and chest.
CLINICAL APPLICATION FOR MODERN PRACTICE:
1. Neurasthenia: this is a psycho-pathological term first used by George Miller Beard during 1869 and it is currently a diagnosis in the WHO's International Classification of Disease. The symptoms include fatigue, anxiety, headache, impotence, neuralgia and depressed mood.
2. Hwabyung (Anger illness): a wide range of physical symptoms in response to emotional disturbance, such as stress from troublesome interpersonal relationships or life crises.
3. Alcoholism: alcohol is a potent CNS depressant with a range of side effects. Alcoholism as a kind of umbrella term can cover addiction, alcohol related diseases, dependence, intoxication and symptoms of withdrawal.
4. Insomnia: with neurasthenia, hwabyung, alcoholism; with dry throat and chest discomfort; with chronic cough or hypertension; with lung or breast cancer
Mai Men Dong can be added to this formula in general. It clears heat, relieves irritability and generates fluids. For severe thirst, 15-20g of Shi Gao can be added. Ban Xia, Mai Men Dong and Shi Gao together can effectively descend heat. Gou Teng San uses this combination.
For major skeletal treatments, the best Gate Opening prescription is HT7 + GB40. By TCM point indication, compatible points for this this formula are HT8, ST40, GB40 (accumulation of heat & phlegm in the HT & GB); HT7, SP6, Anmian (insomnia, fear, fright, fluid damage); PC6, RN17 (palpitations, chest discomfort) .