sample monograph yu ping feng san

8/10/2019 Sample Monograph Yu Ping Feng San

1/4

773

hinese erbal ormulas and pplications

A S T R I N G E N T F O R M U L A S11

Y Png Fng Sn (Jade Windscreen Powder)

Pinyin Name : Yu Ping Feng San Literal Name : Jade Windscreen PowderAlternate Names : Jade Wind-Barrier Formula, Jade Screen Powder, Astragalus and Siler FormulaOriginal Source : Dan Xi Xin Fa( eachings o [Zhu] Dan-Xi) by Zhu Zhen-Heng in 1481

COMPOSITIONHuang Qi (Radix Astragali) 30g [6g]Bai Zhu (Rhizoma Atractylodis Macrocephalae) 60g [12g]Fang Feng (Radix Saposhnikoviae) 30g [6g]

DOSAGE / PREPARATION / ADMINISTRATION

he source text states to grind the ingredients intopowder. Cook 9g o the powdered herbs and 3 slices oSheng Jiang (Rhizoma Zingiberis Recens) in 1.5 largebowls o water or decoction. oday, this ormula maybe prepared as a decoction with the doses suggestedin brackets, with addition o 3 slices o Sheng Jiang (Rhizoma Zingiberis Recens) and 1 piece o Da Zao (Fructus Jujubae). 1

CHINESE THERAPEUTIC ACTIONS1. onies wei (de ensive) qi2. Consolidates the exterior

3. Stops spontaneous sweating

CLINICAL MANIFESTATIONSWei (de ensive) qi de iciency: spontaneous sweating,aversion to wind and cold, increased susceptibility toinvasion o exterior pathogens, pale ace, pale tongue,white tongue coating, and a oating, decient pulse.

CLINICAL APPLICATIONSPrevention o respiratory tract in ection, allergic rhinitis,abnormal perspiration, nephritis, and acial paralysis.

EXPLANATION

Yu Ping Feng San (Jade Windscreen Powder) is commonlyused to treat spontaneous sweating or increased suscepti-bility to invasion o exterior pathogens due to deciencyo wei (de ensive) qi. Wei qi resides at the exterior o thebody to regulate skin pores and protect the body romthe invasion o exterior pathogenic actors. I wei qi becomes decient, body uids may leak out o the bodythrough the open skin pores, resulting in spontaneoussweating. Deciency o wei qi may lower the de ensiveunction o the skin, increasing the patients susceptibilityto invasion o exterior pathogens. Pale ace, pale tongue,and a decient pulse all indicate qi deciency.

his ormula uses a large dose o Huang Qi (RadixAstragali) to strengthen wei (de ensive) qi at the exteriorand increase the bodys de ense against oreign pathogenicactors. Bai Zhu (Rhizoma Atractylodis Macrocephalae)assists Huang Qi (Radix Astragali) in strengthening theexterior to stop spontaneous sweating. Fang Feng (RadixSaposhnikoviae) dispels any exterior pathogenic actors,especially wind. Tis ormula has a unique check andbalance: the use o an exterior-releasing herb, Fang Feng (Radix Saposhnikoviae) , prevents retention o pathogenicactors trapped by a qi-toni ying herb, Huang Qi (Radix

Section 1

Exterior-Stabilizing Formulas to Stop Perspi


2/4

774

hapter 11 stringent ormulas ection 1 xterior- tabilizing ormulas to top erspiration

Astragali); and the use o a qi-toni ying herb prevents anydamage to the body that may be induced by the use o anexterior-releasing herb. Tus, using an exterior-releasingherb in conjunction with a tonic herb prevents exteriorpathogenic actors rom being trapped in the interior andcausing harm.

Yu Ping Feng San has unctions to toni y wei (de ensive)qi, protect the exterior, release exterior pathogenic ac-tors, and stop perspiration. It is commonly used to treatindividuals with spontaneous perspiration due to exte-rior deciency, or individuals who requently contract

common colds and inuenza.

MODIFICATIONS For common cold characterized by wind-cold, add Cang

Zhu (Rhizoma Atractylodis) and Qiang Huo (Rhizoma etRadix Notopterygii).

For common cold in a constitutionally decient person,add Jing Jie (Herba Schizonepetae), Zi Su Ye (FoliumPerillae), and Dang Shen (Radix Codonopsis).

With dizziness due to blood deciency, add Dang Gui (Radix Angelicae Sinensis) and Chuan Xiong (RhizomaChuanxiong).

With skin eruptions, add Dang Gui (Radix AngelicaeSinensis) and Bai Shao (Radix Paeoniae Alba).

With chronic or allergic sinusitis, add Xin Yi Hua (FlosMagnoliae) and Cang Er Zi (Fructus Xanthii).

With spontaneous perspiration due to yang deciency,add Fu Zi (Radix Aconiti Lateralis Praeparata).

With severe spontaneous sweating, add Fu Xiao Mai (Fructus ritici Levis), calcined Mu Li (Concha Ostreae),and Ma Huang Gen (Radix et Rhizoma Ephedrae).

With atigue due to qi de iciency, add Ren Shen (Radixet Rhizoma Ginseng) and Gan Cao (Radix et RhizomaGlycyrrhizae).

With generalized weakness and deciency, add Xiao JianZhong Tang (Minor Construct the Middle Decoction).

CAUTIONS / CONTRAINDICATIONS Yu Ping Feng San is contraindicated in patients with

exterior syndrome with spontaneous sweating. It shouldbe used only or spontaneous sweating without exteriorsyndrome.

Tis ormula is inappropriate or individuals with nightsweating caused by yin deciency.

Individuals who take this ormula should avoid exposureto cold and wind, and re rain rom raw, cold, oily andgreasy oods.2

According to one report, the use o this ormula wasassociated with mild dry mouth in 8 out o 127 patients.

Dry mouth appeared within the rst 10 days o use, andwas sel -limiting and resolved between days 11 to 20. Noother abnormalities were noted. 3

PHARMACOLOGICAL EFFECTS1. Immunostimulant : Administration o Yu Ping Feng San

has been associated with increased immunity. Accordingto one study, the use o this ormula increased IgG andIgA in mice.4 Another study reported that the use o thisormula or 2 to 3 months increased NK cell count andactivities.5

2. Antiviral : According to one in vitro study, Yu Ping Feng

San has demonstrated inhibition on the replication oinuenza A viruses.6

3. Nephroprotective : According to one study, administra-tion o Yu Ping Feng San in rabbits was associated withmarked reduction o creatinine in comparison with thecontrol group which did not receive any herbs. Yu Ping FengSan, however, did not have any statistically-signicanteffect on proteinuria in the same subjects. 7

CLINICAL STUDIES AND RESEARCH1. Prevention of respiratory tract infection : According to

one study, Yu Ping Feng San was evaluated or its effectin preventing recurrent respiratory tract in ection in 32children who have had a history o requent in ections.

Yu Ping Feng San (Jade Windscreen Powder)

Diagnosis Signs and Symptoms Treatment Herbs

Wei (de ensive)qi deciency

Spontaneous sweating: leakage obody uids due to deciency o wei qi

Aversion to wind and cold andincreased susceptibility to exteriorconditions: deciency o wei qi unable to protect the exterior

Pale ace, pale tongue, white tonguecoating and a decient pulse: qideciency

onieswei qi

Protects theexterior

Stopsspontaneoussweating

Huang Qi (Radix Astragali) strengthenswei qi at the exterior and increases thebodys de ense.

Bai Zhu (Rhizoma AtractylodisMacrocephalae) strengthens theexterior and stops spontaneous sweating.

Fang Feng (Radix Saposhnikoviae)dispels any exterior pathogenic actors.



3/4

775

hinese erbal ormulas and pplications

A S T R I N G E N T F O R M U L A S11

Te treatment protocol was to administer Yu Ping FengSan or 14 weeks prior to winter. Te study reported anoverall effectiveness o 96.9%. Furthermore, the studynoted that there was an increase in IgA, but no signicantchanges to IgG or IgM.8

2. Allergic rhinitis : According to one study, the use omodied Yu Ping Feng San was associated with goodresults to treat 495 patients with allergic rhinitis char-acterized by deciency o the exterior. O 495 patients,the study reported signicant improvement in 293 cases,improvement in 120 cases, and no effect in 79 cases. Terate o effectiveness was 84%. In ormation was unavailableon 3 individuals who did not complete the study. 9

3. Perspiration : In one study, 88 children with pro useperspiration were treated with satis actory results using

modied Yu Ping Feng San. Modications were madebased on traditional Chinese medical diagnosis. For qideciencies, Da Zao (Fructus Jujubae) 15g, Nuo Mi Gen (Radix Oryzae Glutinosae) 9g, calcined Mu Li (ConchaOstreae) 30g, and calcined Long Gu (Os Draconis) 30gwere added. For qi and yin deciencies, Wu Wei Zi (Fructus Schisandrae Chinensis) 4.5g and Dang Gui (Radix Angelicae Sinensis) 9g were added.10

4. Nephritis : According to one study, administration omodied Yu Ping Feng San was associated with benecialeffect in 29 o 33 patients. Te treatment protocol was toadminister the herbs in powder orm, 9 grams three timesdaily or 3 consecutive days ollowed by 4 days o rest perweek, or 6 months. Te herbal ormula contained HuangQi (Radix Astragali) 20g, Bai Zhu (Rhizoma AtractylodisMacrocephalae) 15g, Fang Feng (Radix Saposhnikoviae)12g, Chen Pi (Pericarpium Citri Reticulatae) 9g, LianQiao (Fructus Forsythiae) 40g, Tu Fu Ling (RhizomaSmilacis Glabrae) 50g, and Qiang Huo (Rhizoma et RadixNotopterygii) 10g.11

5. Facial paralysis : According to one study, concurrent useo Yu Ping Feng San and Bu Yang Huan Wu Tang ( oni ythe Yang to Restore Five Decoction) or treatment o acial

paralysis in 49 patients was associated with completerecovery in 32 cases, signicant improvement in 15 cases,and moderate improvement in 2 cases. 12

TOXICOLOGYYu Ping Feng San has very little toxicity. According to onestudy on acute toxicology, administration o this ormulaat 100 g/kg in mice did not cause any abnormal reactionsor atalities. 13 According to another study on chronic toxi-cology in mice, oral administration o this ormula at 15g/kg/day or 14 days did not cause any abnormal reac-tions o the internal organs (heart, lung, liver, kidney, andstomach). However, some mild side effects were observed,such as diarrhea. 14

RELATED FORMULAHung Q Fng Fng Tng (Astragalus Decoction to Guard the Wind)

Pinyin Name : Huang Qi Fang Feng TangLiteral Name : Astragalus Decoction to Guard the WindOriginal Source : Tian Jin Zhong Yi Da Xue ( ianjinUniversity o Chinese Medicine) in 1989

Huang Qi (Radix Astragali)Fang Feng (Radix Saposhnikoviae)Bai Zhu (Rhizoma Atractylodis Macrocephalae)Dong Chong Xia Cao (Cordyceps)Ling Zhi (Ganoderma)

Wu Wei Zi (Fructus Schisandrae Chinensis)

Huang Qi Fang Feng Tang (Astragalus Decoction toGuard the Wind) specically tonies wei (de ensive) qi andprevents the invasion o liu yin (six exogenous actors).Clinically, it treats individuals with a compromised immunesystem, and can be used prophylactically to preventin ectious diseases by boosting the immune system.

AUTHORS COMMENTSYu Ping Feng San is the key ormula or toni ying andconsolidating wei (de ensive) qi. Key symptoms includespontaneous sweating, weakness, pale complexion, paletongue, and a de icient pulse. hese patients, due towei qi deciency, ofen catch in ections more ofen thanothers. oday, this ormula is commonly used to preventin ection in individuals who are weak, decient, or havecompromised immunity.

Yu Ping Feng San, Sheng Mai San (Generate the PulsePowder), and Ren Shen Yang Ying Tang (Ginseng Decoc-tion to Nourish the Nutritive Qi) can all be used toenhance the immune system o those individuals who

requently catch colds. Yu Ping Feng San tonies wei (de ensive) qi. Sheng Mai San (Generate the Pulse Powder) tonies qi

and generates body uids. Ren Shen Yang Ying Tang tonies qi and blood.

Yu Ping Feng San and Gui Zhi Tang (Cinnamon wigDecoction) both treat spontaneous perspiration andaversion to wind, but have completely different clinicalapplications.

Yu Ping Feng San is an astringent ormula that treatsspontaneous perspiration and aversion to wind. However,these symptoms are due to wei (de ensive) qi deciencywith inability to consolidate the exterior. Besides leakage



4/4

776

hapter 11 stringent ormulas ection 1 xterior- tabilizing ormulas to top erspiration

o body uids, other symptoms include requent catchingo common colds, pale complexion, generalized weak-ness, and a decient pulse. Yu Ping Feng San is designedor patients who have not yet contracted an exteriorcondition.

Gui Zhi Tang is an exterior-releasing ormula designedto treat wind-cold invasion with disharmony betweenthe ying (nutritive) and wei (de ensive) levels, causingsymptoms such as ever, aversion to cold, perspiration,headache, stuffy nose, and a supercial pulse. Gui ZhiTang is ormulated to treat patients who are now sufferingrom an exterior wind-cold condition. 15

ReferencesWei YL. Shi Yi De Xiao Fang (Effective Formulas rom Generations

o Physicians) 1345.Zhong Yao Ming Fang Yao Li Yu Ying Yong(Pharmacology andApplications o Famous Herbal Formulas) 1989;349-350.

1.

2.

Zhong Yao Ming Fang Yao Li Yu Ying Yong(Pharmacology andApplications o Famous Herbal Formulas) 1989;349-350.Zhong Yao Yao Li Yu Lin Chuang (Pharmacology and ClinicalApplications o Chinese Herbs) 1990;6(3):7.

Zhong Xi Yi Jie He Za Zhi (Journal o Integrated Chinese and WesternMedicine) 1990;12:22. Jiang Xi Zhong Yi Yao (Jiangxi Chinese Medicine and Herbology)1989;6:40.Zhong Xi Yi Jie He Za Zhi(Journal o Integrated Chinese and WesternMedicine) 1986;4:299.Zhong Yi Za Zhi (Journal o Chinese Medicine) 1982;1:37.Zhong Yi Za Zhi (Journal o Chinese Medicine) 1989;10:32.Zhe Jiang Zhong Yi Za Zhi (Zhejiang Journal o Chinese Medicine)1992;8:378.Zhong Yi Za Zhi (Journal o Chinese Medicine) 1992;33(5):24.Shan Xi Zhong Yi (Shanxi Chinese Medicine) 1989;11:496.Zhong Yi Fang Ji Xian Dai Yan Jiu (Modern Study o Medical Formulaein raditional Chinese Medicine) 1997;786.

Zhong Yi Fang Ji Xian Dai Yan Jiu (Modern Study o Medical Formulaein raditional Chinese Medicine) 1997;1:5.Wang MZ, et al. Zhong Yi Xue Wen Da Ti Ku (Questions and Answerson raditional Chinese Medicine: Herbal Formulas).

3.

4.

5.

6.

7.

8.9.10.

11.12.13.

14.

15.

M L Sn (Oyster Shell Powder)

Pinyin Name : Mu Li SanLiteral Name : Oyster Shell PowderOriginal Source : Tai Ping Hui Min He Ji Ju Fang(Imperial Grace Formulary o the ai Ping Era) by the Imperial MedicalDepartment in 1078-85

COMPOSITION Mu Li (Concha Ostreae), jin (soaked) in rice water to remove soil and shao (burned) till red 30gHuang Qi (Radix Astragali) 30g

Ma Huang Gen (Radix et Rhizoma Ephedrae), xi (washed) 30g

DOSAGE / PREPARATION / ADMINISTRATIONTe source text states to grind the three ingredients intocoarse powder. Cook 9g o the powder and approximately100 pieces [15-30g] o Xiao Mai (Fructus ritici) in 1.5bowls o water until it is reduced down to 80%. akethe warm, strained decoction in two equally-divideddoses at anytime during the day. oday this ormula isprepared by cooking 9g o the coarsely-powdered herbswith 30g o Xiao Mai (Fructus ritici) in water. It mayalso be prepared as a decoction with addition o Xiao Mai (Fructus ritici) and proportional adjustment odoses o herbs.

CHINESE THERAPEUTIC ACTIONS1. Protects the exterior2. Stops spontaneous and night sweating

CLINICAL MANIFESTATIONSYin and qi deciencies: spontaneous sweating, pro useand continuous sweating while sleeping at night, palpita-tions, irritability, shortness o breath, and lethargy.

CLINICAL APPLICATIONSPost-surgical sweating, postpartum sweating, and sweatingin pulmonary tuberculosis.


sample monograph yu ping feng san

Documents