Tong Xie Yao Fang (Painful Diarrhea Formula)

[Guest guest]

Hi Eric,

 

Eric wrote [re failure of CM formula to improve IBS significantly]:

> It was variation on Tong Xie Yao Fang, as below (doses are g/d).

 

Machixian 30

Baizhu* 15

Huangqi 15

Baishao* 15

Cangzhu 12

Chaihu* 9

Chenpi* 9

Fangfeng 9

Jiulixiang 9

Shiliupi 9

Huanglian* 6

TOTAL 138

* meds present in a previous study cited (Bensoussan's formula)

 

Eric, can that be correct? 138g of Hbs = circa 5 ounces - an awful lot of

powder to take per day for weeks on end!

 

See Subhuti's article on the formula at:

http://www.itmonline.org/arts/ibs.htm

 

> Inclusion criteria required patients to have diarrhea-predominant

> presentation, as opposed to primarily constipation or alternating

> constipation and diarrhea.

 

http://tcm.health-info.org/formulas/singles/tong-xie-yao-fang.htm says:

 

Tong Xie Yao Fang: Calm LV Qi, Tone SP, Stop painful diarrhea

 

Tong Xie Yao Fang ¨C Jing Yue Quan Shu (powder doses)

 

Chaobaizhu 90g

Chaobaishao 60g

Chaochenpi 45g

Fangfeng 30-60g

 

Indications: LV overacting on SP causing Xu, recurrent abdominal pain,

borborygmus (seen as Wind in abdomen, hence the use of Fangfeng

which also directs other herbs to LV & SP, producing direct affect on the

diarrhea), painful diarrhea (the pain comes with the urge to go to the

bathroom and subsides after the bowel movement), T- thin white

coating (i.e. diarrhea is not dt Damp Shi), P- wiry thin.

 

Most believe that SP Xu comes first, although the problem recurs during

times of LV Qi Stag (dt stress or emotional/mental factors).

 

says:

 

Another example is LV effulgence & SP Xu, causing SP QI not

upbearing. [in that case,] necessarily there must be painful diarrhea.

One should Restrain LV & Fortify SP. The formula to use is Tong Xie

Yao Fang (Painful Diarrhea Essential Formula).

Within this,

Baishao Harmonizes & Restrains LV.

Fangfeng Courses LV & Upbears SP Yang.

Baizhu Fortifies SP & Supplements Qi.

Chenpi Harmonizes ST.

 

Thus LV Depression is coursed and resolved, SP Qi obtains upbearing,

and painful diarrhea is stopped automatically.

 

See also:

http://content.nhiondemand.com/moh/media/TCMF1.asp?objID=10087

4 & ctype=tcmf

and

http://www.sacredlotus.com/formulas/formula.cfm/fid/81

 

Best regards,