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Neijing

Knowledge baseFormulas

Shu Gan San Jie Fang舒肝散结方

Dredge the Liver and Scatter Nodulation Formula

Medicinals
12

Composition

  • Dan ShenRx. Salviae Miltiorrhizae15 g

    Invigorates the Blood, dispels Blood Stasis, cools the Blood and reduces abscesses.

  • Xia Ku CaoSpica Prunellae15 g

    Clears Hot Phlegm and dissipates nodules.

    • Xuan Shen, Kun Bu
    Mu Li,* for nodules due to Phlegm Fire.
    for neck nodules due to Liver Qi Stagnation.
    • Zhe Bei Mu
    cools and relieves toxicity to disperse and transform Phlegm and treat goiter, scrofula and swollen or inflamed lymph glands.
    for Liver Qi Stagnation.
  • Xuan ShenRx. Scrophulariae15 g

    Clears Heat, cools the Blood, nourishes *Yin, softens hardness and dissipates nodules.*

    for scrofula, goiter, and other nodules due to Phlegm.
  • Mu LiConcha Ostreae12 g

    Calms the Liver, benefits Yin, anchors Floating *Yang, softens hardness and dissipates nodules.*

    • Chai Hu, Dan Shen
    chi Shao,* for sub-costal pain and swelling.
  • Fu ShiPumex12 g

    Softens hardness and dissipates Phlegm nodules.

    • Mu Li, Hai Zao, Kun Bu
    Zhe Bei Mu,* for scrofula and goiter from Phlegm-Heat.
  • Chai HuRx. Bupleuri9 g

    Spreads Liver Qi, relieves Stagnation, disperses Wind-Heat and resolves Phlegm and congestion.

  • Chi ShaoRx. Paeoniae Rubra9 g

    Invigorates the Blood, dispels Blood Stasis, relieves pain and reduces swelling from sores and abscesses.

  • Dang GuiRx. Angelicae Sinensis9 g

    Tonifies, invigorates and harmonizes the Blood, reduces swelling, expels pus, generates flesh and alleviates pain.

  • Niu XiRx. Achyranthis Bidentatae9 g

    Invigorates the Blood, expels Blood Stasis and nourishes Liver and Kidney Yin.

  • Kun BuThallus Eckloniae9 g

    Resolves Phlegm and softens Phlegm nodules.

    for goiter and scrofula.
    • Hai Zao, Xia Ku Zao, Xuan Shen
    Zhe Bei Mu,* for scrofula, goiter and other nodules.
  • Hai ZaoSargassum9 g

    Reduces Phlegm and softens areas of hardness.

  • Zhe Bei MuBul. Fritillariae Thunbergii9 g

    Clears Heat, transforms Phlegm and dissipates nodules.

    • Xuan Shen, Mu Li
    Xia Ku Cao,* for scrofula due to Phlegm-Fire with swelling and pain at multiple sites.
    for nodules without abscess.

Actions

  • Frees the flow of the Liver
  • Harmonizes Qi flow
  • Brings about transformation of Phlegm
  • Disperses nodular accumulations

Patterns treated

Liver Stagnation, complicated by Phlegm Nodulation

Manifestations

  • Painful, obstructed urination that intensifies with emotional upset or stress
  • Distention in the lower abdomen
  • A tendency to become easily irritated
  • A tendency toward sudden anger
  • Difficulty sleeping
  • Flatulence that may be present
Tongue body
Unremarkable, or slightly darkened in color
Coating
White in color and slimy in texture
Pulse
Wiry in character and slippery in quality

Indications

  • Non-cancerous enlargement of the prostate gland
  • Painful, difficult urination

Modifications