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formulaHemp Seed Pill Ma Zi Ren Wan
aliasHemp Seed Pill Ma Ren Wan, Splenic Constipation Pill Pi Yue Wan
sourceShanghan Zabing Lun
smart_toy
bubble_chart Preparation and Dosage

Hemp Seed (Semen Cannabis) 100gm (2 shēng)
Peony Root (Radix Paeoniae Alba) 25gm (8 liǎng)
Immature Orange Fruit (Fructus Aurantii Immaturus) roasted 25gm (8 liǎng)
Rhubarb Rhizoma (Radix et Rhizoma Rhei) peeled 50gm (1 jīn)
Magnolia Bark (Cortex Magnoliae Officinalis) roasted, peeled 30gm (1 jīn)
Bitter Apricot Seed (Semen Armeniacae Amarum) peeled and de-pointed, boiled 50gm (1 shēng)

The above six ingredients are mixed with honey to form pills the size of phoenix tree seeds. Take ten pills with water, three times a day, gradually increasing the dosage until the desired effect is achieved.

bubble_chart Efficacy

Moistens the intestines, relieves dryness, and gently promotes bowel movements.

bubble_chart Indications

Dryness-heat constipation syndrome. Symptoms include hard stools, frequent urination, hard and dry stools or no bowel movements for several days, difficulty in defecation, with normal appetite and urination.

bubble_chart Formula Principles

According to the theory of cold-damage disease, Hemp Seed Pill is used to treat spleen constrained pattern, which is caused by dryness-heat in the stomach and insufficient spleen fluid. Therefore, the treatment should focus on moistening the intestines and purging heat, as well as moving qi to promote bowel movements. In the formula, Hemp Seed is rich in oil and moistens the intestines to relieve constipation; Rhubarb Rhizoma purges fire and promotes bowel movements; Bitter Apricot Seed descends qi and moistens the intestines; Peony Root nourishes yin and harmonizes the interior; Immature Orange Fruit, Magnolia Bark move qi and break up stagnation to enhance the descending and purging effects for bowel movements; honey is used to harmonize the ingredients and form the pills, which moisten dryness and lubricate the intestines.

bubble_chart Pattern Identification

For those with constipation and no other symptoms, it can be used.

bubble_chart Formula Modification

  1. Blood deficiency constipation: add Chinese Angelica, Peach Kernel.
  2. Bloody defecation perianal abscess: add Sophora Flower, Platycladus, Schizonepeta.
  3. Severe constipation: add Mirabilite.
  4. Dryness-heat damage to fluid: add Trichosanthes Seed, Platycladi Seed.
  5. Hemorrhoids constipation: add Coptis Rhizome, Cimicifuga Rhizome, Peach Kernel, Chinese Angelica.

bubble_chart Modern Application

Elderly constipation, habitual constipation, intestinal obstruction.

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