ChinaMed Irritable Bowel 1 Formula 78c

This is a combination of the two classic formulas:

1. 'Important Formula for Painful Diarrhoea' (tong xie yao fang), devised by Zhang Jie-bing (a.k.a. Zhang Jing-yue), which appears in the collection of his writings, 'Complete Works of (Zhang) Jing-yue' (jing yue quan shu), 1624. It is designed as a 'branch', or secondary aspect, (biao) treatment for painful diarrhoea that occurs due to Liver Qi invasion of the Spleen, hence the formula's name.
2. Ginseng Poria & Atractylodes Powder-Formula (shen ling bai zhu san), from the Formulary of the Tai Ping Welfare Dispensary Bureau (tai ping hui min he ji ju fang) (1151 CE), a compilation of popular and effective formulas that were used in the public dispensaries of the Song dynastic period. This formula tonifies the Spleen. In addition it promotes the astringing action of the Qi and dries Damp to alleviate diarrhea or loose stools.

Stress or prolonged emotional strain generally leads to Liver Qi constraint. In patients with pre-existing deficiency of the Spleen, this scenario readily leads to invasion of the Spleen by the Liver Qi. The resulting disruption to Spleen function causes acute diarrhoea, accompanied by spasmodic abdominal pain.

This formula effectively targets both of the above pathodynamics and thus addresses the distressing symptoms as well as the underlying organ imbalances in cases with irritable bowel syndrome that presents with recurrent episodes of diarrhea or loose stools together with cramping abdominal pain.

TCM ACTIONS
Strengthens the Spleen, dries Damp, soothes the Liver and harmonises the Liver and Spleen.

TCM SYNDROMES

• Liver Qi invasion of the Spleen
• Spleen Qi deficiency with retention of Damp.

INDICATIONS
Irritable bowel syndrome with diarrhea.

SIGNS & SYMPTOMS
(Key clinical features in bold)

• Cramping pain in the abdomen
• Diarrhea
• Swollen or bloated abdomen
• Tenesmus
• Mucus in the stool
• Swollen tongue with tooth marks, possibly with raised edges, thick white coat
• Wiry and weak pulse

 

Ingredients

 

Each capsule contains:

Paeonia lactiflora (White Peony) root equiv. to dry 189mg Codonopsis pilosula (Codonopsis) root equiv. to dry 189mg Atractylodes macrocephala (Atractylodes) rhizome equiv. to dry 158.4mg Atractylodes lancea (Black Atractylodes) rhizome equiv. to dry 158.4mg Dolichos lablab seed equiv. to dry 158.4mg Coix lachryma-jobi seed (Job's tears) equiv. to dry 158.4mg Dioscorea oppositifolia (Chinese Yam) root equiv. to dry 158.4mg Hordeum vulgare sprout equiv. to dry 156.6mg Ziziphus jujuba (Zizyphus) fruit equiv. to dry 156.6mg Saussurea costus root equiv. to dry 142.2mg Citrus reticulata (Citrus peel) fruit peel equiv. to dry 95.4mg Glycyrrhiza uralensis (Licorice) root equiv. to dry 79.2mg

 

Cautions

• Contains gluten. Not to be used in cases with allergy to gluten.
• Avoid stimulants such as coffee, cola containing drinks, guarna etc.
• Contains Glycyrrhiza, which potentiates prednisone and corticosteroids by prolonging steroid biological half-life; caution in patients with hypertension.

 

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