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San Wu Bei Ji Wan三物辈急囊

Three Substance Pill for Emergencies

Also known asRhubarb, Ginger and Croton Formula · Pills of Three Ingredients fo Sudden Syncope

Medicinals
3

Composition

  • Ba DouSm. Crotonis30 g

    Warmly unblocks and vigorously purges accumulated Cold, drives out water and reduces edema.

  • Gan JiangRz. Zingiberis30 g

    Warms the Middle, expels Cold, rescues Devastated Yang and expels Interior Cold.

  • Da HuangRx. et Rz. Rhei30 g

    Drains Heat and purges accumulations.

Actions

  • Forcefully expels accumulated Cold
  • Eases painful sensation

Patterns treated

An abrupt, severe Cold Accumulation arising from Cold-natured food stagnating in the Stomach and Intestines

Manifestations

  • Abrupt distention and pain across the epigastrium and abdomen
  • Pain severe enough to feel like a sharp awl boring into the belly
  • Coarse, irregular respiration
  • Sharp, piercing chest pain
  • Clenched jaw (trismus)
  • Bluish discoloration of the face
  • Asthmatic breathing
  • Difficulty breathing
  • Diminished urine output
  • Facial pallor
  • Complete absence of defecation
  • Quickened respiration
  • Stool that fails to move
  • Chilled extremities
  • Severe presentations may include unconsciousness
Tongue body
Purplish-blue coloration
Coating
White, or a slippery white
Pulse
Sunken and taut, or sunken and slowed

Indications

  • Adhesions following surgery
  • Blockage of the intestines
  • Acute inflammation of the gallbladder
  • Abrupt fainting
  • Fluid accumulation in the abdominal cavity
  • Hepatic carcinoma
  • Stubborn, treatment-resistant constipation
  • Acute inflammation of the appendix
  • Poisoning from contaminated food
  • Trismus (jaw clenching)
  • Hepatic cirrhosis

Cautions

  • Sm. Crotonis Ba Dou is toxic and requires extremely careful handling.
  • Must not be used in elderly or physically weakened patients.
  • Must not be used during pregnancy.
  • Must not be used for acute abdominal pain caused by Heat or Summerheat.
  • Employ only when strictly required, and then in minimal amounts.