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Xiang Sha Liu Jun Zi Tang

From "Zang Fu Syndromes," by McDonald and Penner

English: Six Gentlemen Decoction with Aucklandia and Amomum

Also known as: Saussurea and Cardamon Combination or Saussurea, Cardamon and the Six Gentlemen Decoction

• Ingredients
• Actions
• Syndromes
• Clinical Manifestations
• Treats
• Modifications

Latin	Pinyin	Dosage	Actions
Rx. Ginseng	Ren Shen	3-9g	Tonifies Qi and strengthens SP / ST. With Bai Zhu, tonifies the transformation and transportation functions of SP. With Bai Zhu and Fu Ling, for SP / ST Qi Xu.
(Rx. Codonopsis)	(Dang Shen)	(9-27g)	(Substitute for Ren Shen.)
Rz. Atractylodis Albae	Bai Zhu	4-9g	Strengthens SP and dries Dampness.
Scl. Poriae Cocos	Fu Ling	4-9g	Dries Dampness, strengthens SP and moderates the drying nature of Zhi Gan Cao. With Ban Xia, stops nausea and vomiting. With Ban Xia and Chen Pi, for nausea, vomiting and anorexia due to congested Fluids. With Mu Xiang, for diarrhea and borborygmus due to Dampness.
Rx. Glycyrrhizae (fried)	Zhi Gan Cao	1.5-6g	Harmonizes, warms and strengthens MJ and moderates the draining properties of Fu Ling.
Per. Citri Reticulatae	Chen Pi	2.4-6g	Circulates Qi, dries Dampness, tonifies SP and adjusts the middle. With Bai Zhu, for manifestations of Damp-Obstruction due to SP Xu.
Rz. Pinelliae	Ban Xia	3-9g	Dries Dampness, resolves Phlegm, harmonizes ST and stops vomiting. With Chen Pi, for ST Qi disharmony with epigastric and abdominal distention or pain.
(Rz. Zingiberis)	(Gan Jiang)	(2-6g)	(Warms the middle.)
(Fr. Zizyphi Jujube)	(Da Zao)	(3-6g)	(Harmonizes Ying and Wei.)
Fr. Amomi	Sha Ren	1.5-6g	Dries Dampness, stops vomiting, moves Qi, warms and strengthens SP / ST and stops diarrhea.
Rx. Aucklandiae	Mu Xiang	1.5-6g	Circulates Qi, stops pain, strengthens SP and dispels Heat and Dampness. With Sha Ren, for Qi Stagnation. With Bai Zhu, for anorexia with epigastric and abdominal pain and distention.

Tonifies Qi, Strengthens SP, Harmonizes ST, Regulates Qi and Stops pain.

SP Qi Xu (with Phlegm-Damp and pain)

ST Qi Xu

ST Cold

Nausea / vomiting Sallow complexion Weak abdomen Belching Rolled lips Stiff tongue Heavy limbs Acid regurgitation Loose stools or diarrhea Thin muscles. Does not like to speak Maybe enuresis Maybe borborygmus

Emaciation Anorexia with a full feeling after very little food Abdominal distention or pain (subtle) Pale lips Tired limbs Chest fullness Muscle weakness in arms and legs Maybe bleeding Lethargy-fatigue Weak, soft voice Maybe cold extremities

T: Pale and flabby - may have teethmarks
C: Thin and white.
P: Weak and Xu

Indigestion Gastric or duodenal ulcer Gastroptosis Emotional instability Rickets Gastralgia Morning sickness

Acute or chronic gastritis Acute or chronic gastroenteritis Gastric distention Chronic peritonitis Nervous exhaustion Delayed menstruation due to Phlegm Obstruction Chronic bronchitis

For severe cases of ST Cold: + Pills of Galanga and Cyperus / Liang Fu Wan

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