Ginseng, Angelica (de-reeded), Atractylodes (baked), each 18 gm; Nutmeg (wrapped in flour, simmered) 15 gm; Cinnamon (coarse bark-removed), Licorice (roasted), each 24 gm; White Peony Root 48 gm; Costus Root (indirect heat) 42 gm; Chebulic Myrobalan (pitted) 36 gm; Poppy Shell (stem and cap-removed, honey-roasted) 108 gm.

bubble_chart Preparation and Dosage

Grind the above ingredients into coarse powder. Take 6 grams each time, boil with 225 ml of water until reduced to 180 ml, remove the dregs, and administer warm before meals.

bubble_chart Efficacy

Astringing intestines and checking diarrhea, warming and tonifying spleen and kidney.

bubble_chart Indications

Chronic diarrhea with spleen and kidney deficiency and cold, occurring day and night without limit, abdominal pain relieved by warmth and pressure, fatigue, poor appetite, and prolapse of the rectum.

bubble_chart Formula Principles

The formula heavily utilizes Poppy Capsule to astringe the intestines and check diarrhea, and Cassia Bark to warm the kidneys and spleen, serving as the sovereign medicinal. Nutmeg assists Cassia Bark in warming and tonifying the spleen and kidney, while Chebula Fruit aids foxtail millet husk in astringing the intestines and checking diarrhea. Ginseng and White Atractylodes Rhizome tonify the spleen and replenish qi, acting as the minister medicinal. Prolonged diarrhea depletes yin and blood, hence Chinese Angelica and Peony Root are used to nourish blood and harmonize the nutrient qi, with Aucklandia Root regulating qi and moving stagnation, serving as the assistant medicinal. Liquorice Root harmonizes the formula and moderates the middle, and when combined with Peony Root, it can also alleviate pain and relieve urgency, acting as the guiding medicinal. The combination has the effects of astringing the intestines and checking diarrhea, as well as warming and tonifying the spleen and kidney.

bubble_chart Formula Modification

For zang-fu organs efflux diarrhea that occurs at night and does not heal for a long time, 3 to 4 slices of processed Aconite Lateral Root can be added.

bubble_chart Cautions and Contraindications

During medication, avoid alcohol, noodles, raw and cold foods, fishy foods, and greasy foods.