Theory

Ban Xia Bai Zhu Tian Ma Wan Pinellia, Atractylodis and Gastrodia Combination - TCM Herbal Formula


Ban Xia Bai Zhu Tian Ma Wan Names

  • English Name: Pinellia, Atractylodis and Gastrodia Combination
  • Pinyin Name: Ban Xia Bai Zhu Tian Ma Wan
  • Chinese Character: 半夏白术天漫湾



Ban Xia Bai Zhu Tian Ma Wan Clinical Usages and Indications

  • Nausea with possible vomitting from combination of damp with liver qi stagnation causing rebellious qi.
  • Dizziness, migraines, and vertigo from damp and liver wind rising.
  • Heavy or oppressed sensation of the chest.

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Ban Xia Bai Zhu Tian Ma Wan Cautions

    Contraindication Notes:

    This formula should not be used to treat dizziness or vertigo due to liver yang rising patterns.



Clinical Formula Combinations and Modifications


Clinician Notes

For damp accumulation due to spleen qi deficiency with concurrent liver qi stagnation.  Generally the spleen qi is weakened first, potentially from chronic liver qi stagnation where the liver invades the spleen but not necessarily.  The liver qi stagnation prevents the liver from promoting the smooth flow of qi from top to bottom and the liver wind results in relatively too much upward movement.  This upward excess draws damp and phlegm into the upper [jiao].


Ban Xia Bai Zhu Tian Ma Wan Has 11 Ingredients

Bai Zhu

Ban Xia

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  • Pinellia Rhizome
    • Dries dampness, transforms cold-phlegm, descends rebellious qi - cough with copious sputum especially due to dampness of spleen.
    • Harmonizes stomach, stops vomiting due to lingering phlegm-dampness in the stomach.
    • Dissipates nodules, reduces distension - phlegm in chest or neck or anywhere in the body, focal distention in the chest.
  • Herbs That Transform Phlegm Cold
  • Cautions

Cang Zhu

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  • Atractylodes
    • Strongly dries dampness, strengthens spleen - low appetite, diarrhea, epigastric distention, fatigue, vomiting, greasy tongue coat.
    • Expels wind-damp-cold (bi-syndrome) in extremities.
    • Clears damp-heat from lower burner (combine with clear-heat herbs, however, as this has a warm nature (for example, Er Miao San) - vaginal discharge, swollen and sore joints.
    • Induces sweating, release the exterior.
    • Improves vision.
  • Aromatic Herbs That Transform Dampness

Chen Pi

  • Tangerine Peel
    • Regulates Qi, improves transportive function of the spleen, relieves diaphragm - epigastric/abdominal distention, fullness, bloating, belching, nausea, vomiting (promotes movement of qi in general; specifically directing it downward - good for different types of nausea/vomiting).
    • Important herb for drying dampness and the transformation of phlegm - coughs with stifling sensation in the chest/diaphragm, and copious viscous sputum (qi-level herb).
    • Prevents stagnation - prevents cloying of tonifying herbs.
    • Ju Hong is the red part of the tangerine peel - it is more drying and aromatic.
  • Herbs That Regulate The Qi

Gan Cao

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  • Licorice Root
    • Tonifies the spleen and augments qi - spleen deficiency w/shortness of breath, fatigue, loose stools (si jun zi tong).
    • Qi and/or blood deficiency w/irregular pluse or palpitations (Zhi Gan Cao Tang).
    • Moistens the lungs and stops cough - heat/cold in the lungs (Ma Xing Shi Gan Tang).
    • Clears heat and toxic fire (raw) - carbuncles, sores, sore throat due to fire toxin (internally or topically).
    • Alleviates pain and stops spasms - abdomen or legs (Shao Yao Gan Cao Tang).
    • Often used to harmonize and/or moderate characteristics of other herbs.
    • Antidote for toxic substances (internally and topically).
  • Herbs That Tonify Qi
  • Cautions
    • Avoid with excess dampness, nausea, vomiting.
    • Incompatible with Gan Sui, Da Ji, Yuan Hua, Hai Zao (although used in some formulas with Hai Zao).
    • If taken for long periods of time, may cause hypertension and/or edema.

Gan Jiang

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  • Dried Ginger Root
    • Warms the middle and expels cold - warms spleen and stomach both in conditions of excess due to externally contacted cold, as well as cold from deficiency due to yang qi deficiency.
    • Rescues devastated yang, expels interior cold - very weak pulse and cold limbs.
    • Warms the lungs and transforms phlegm - lung cold with thin, watery or white sputum.
    • Warms the channels, stops bleeding - hemorrhage of various types, especially for uterine bleeding (must be due to cold - chronic and pale in color, with cold limbs, soggy pulse).
  • Herbs That Warm the Interior and Expel Cold

Huang Qi

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  • Astragalus Root
    • Tonifies spleen qi - lack of appetite, fatigue, diarrhea.
    • Raises yang qi of spleen and stomach - prolapse of uterus, stomach, rectum, uterine bleeding.
    • Augments the wei qi and stabilizes the exterior - deficiency w/spontaneous sweating, frequent colds or shortness of breath.
    • Tonify qi and blood due to loss of blood - postpartum fever.
    • Edema from deficiency.
    • Promote discharge of pus, generate flesh - sores due to deficiency.
  • Herbs That Tonify Qi

Ren Shen

  • Ginseng Root
    • Strongly tonify yuan qi - extreme collapse of qi, shortness of breath, cold limbs, profuse sweating, weak pulse (often used alone for this condition after severe blood loss).
    • Tonify lung qi - wheezing, shortness of breath, w/kidneys failing to grasp the qi.
    • Strengthen the middle warmer - lethargy, no appetite, chronic diarrhea, prolapse of organs, distended chest/abdomen.
    • Generates fluids, stops thirst - xiao ke, damaged fluid due to high dever and profuse sweating.
    • Benefits heart qi, calms the spirit - palpitations, anxiety, insomnia, poor memory, restlessness due to qi and/or blood deficiency.
  • Herbs That Tonify Qi
  • Cautions
    • Avoid tea and turnips while taking ginseng.
    • Antagonist with Wu Ling Zhi, Incompatible with Li Lu.
    • Avoid with high blood pressure and/or liver yang rising.

Shen Qu

Tian Ma

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  • Gastrodia Root
    • Calms the liver, extinguishes liver wind from either heat or cold patterns - spasms, tremors, headache, epilepsy, numbness, dizziness, wind-stroke, childhood convulsion, can be used for problems due to heat or blood deficiency.
    • Extinguishes wind, alleviates pain - headache, dizziness, migraine headaches that occur with wind-phlegm patterns, hemiplegia, dizziness, numbness.
    • Disperse painful obstruction due to wind phlegm - numbness and pain of the lower back and extremities.
  • Herbs That Extinguish Wind and Stop Tremors

Ze Xie




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