Theory

Ban Xia Xie Xin Wan Pinellia Drain Epigastrium Pills - TCM Herbal Formula


Ban Xia Xie Xin Wan Names

  • English Name: Pinellia Drain Epigastrium Pills
  • Pinyin Name: Ban Xia Xie Xin Wan
  • Chinese Character: 半夏泻心 丸



Ban Xia Xie Xin Wan Clinical Usages and Indications

  • Distension and fullness of the epigastrium usually without pain.
  • Borborygmus (gurgling sounds), and diarrhea if spleen qi is affected.
  • Vomiting with possible dry heaves due to rebellious stomach qi.

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Ban Xia Xie Xin Wan Cautions

    Contraindication Notes:

    Do not use for epigastric distention due to food stagnation.  Use with caution if patient has yin deficiency.



Clinician Notes

For stomach qi disharmony and rebellious stomach qi disorders. The normal flow of the stomach qi is downward [to the spleen]. Rebellious stomach qi simply refers to the reversal of the normal flow, which often will also involve the spleen due to the close functional relationship.


Ban Xia Xie Xin Wan Has 7 Ingredients

Bai Shao

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  • White Peony Root
    • Nourishes the blood and regulates menstrual problems due to blood deficiency (pale, lusterless complexion and nails) - menstrual dysfunction, vaginal discharge, uterine bleeding - very common herb for gynecological disorders (Si Wu Tang).
    • Calms liver yang, alleviates pain from constrained liver qi or disharmony between the liver and the spleen due to liver yang rising - cramping and spasms (limbs and abdomen), abdominal pain from dysentery, headache and dizziness.
    • Preserves yin, adjusts ying and wei levels - vaginal discharge and spermatorrhea, exterior wind-cold from deficiency with continuous sweating, spontaneous sweating, night sweats.
  • Herbs That Tonify Blood
  • Cautions
    • Incompatible with Li Lu
    • Avoid in cases of yang deficiency and cold in the middle jiao - diarrhea, cold sensation in the stomach.

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

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

Dang Shen

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  • Codonopsis Root
    • Tonifies the middle warmer, augments the qi - lack of appetite, fatigue, diarrhea, vomiting, any spleen qi deficiency issues, prolapse of uterus, stomach, rectum.
    • Tonifies the lungs - lung deficiency w/chronic cough, shortness of breath, copious sputum due to spleen qi deficiency.
    • Nourishes fluids - xiao ke, thirst due to injury to fluids.
    • Often used with herbs that release the exterior when patient has significant qi deficiency.
  • Herbs That Tonify 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.

Huang Lian

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  • Coptis Rhizome
    • Drains fire, relieves toxicity - high fever, irritability, disorientation, delirium, painful, red eyes, red tongue, sore throat, boils, carbuncles, abscesses.
    • Clears heat, drains dampness - for damp-heat in the stomach or intestine, diarrhea or dysenteric disorder, vomiting and/or acid regurgitation due to stomach heat.
    • Clears heart fire - irritability, insomnia.
    • Clears heat and stops bleeding - nosebleed, blood in the urine, stool, vomiting due to hot blood.
    • Topically for red, painful eyes and ulcerations of the tongue and mouth.
  • Herbs That Clear Heat and Dry Dampness

Huang Qin

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  • Baical Skullcap Root, Scutellaria
    • Clears heat, drains fire, especially from the upper warmer - heat patterns with fever, irritability, thirst, cough, thick, yellow sputum, hot sores and swellings.
    • Clears heat, dries dampness - damp-heat in the stomach or intestines, diarrhea, dysentery; damp warm-febrile disease with fever, stifling sensation in the chest, thirst with no desire to drink; damp-heat in the lower jiao - lin syndrome; damp-heat jaundice.
    • Clears heat, stops bleeding - vomiting and/or coughing of blood, nosebleed, blood in the stool.
    • Clears heat, calms the fetus - restless fetus due to heat.
    • Sedates liver yang rising - headache, irritability, red eyes, bitter taste, flushed face.
  • Herbs That Clear Heat and Dry Dampness



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