[Source]

Treatise on Cold Damage Diseases

 [Composition]

Chi Shi Zhi, Gan Jiang, Geng Mi
(3)

 [Category]

<Warming the Interior>: Gan Jiang

<Astringent>: Chi Shi Zhi

<External Use and Others>: Geng Mi

[Formula Analysis]

Medical Prescriptions: This is a formula for Shaoyin disease. (1) Chi Shi Zhi: Heavy and astringent, enters the blood of the lower jiao and secures collapse. (2) Gan Jiang: Pungent and warm, warms the qi of the lower jiao and tonifies deficiency. (3) Geng Mi: Sweet and warm, assists Chi Shi Zhi and Gan Jiang to moisten the intestines and stomach.

 [Functions]

Warms the middle, secures the lower, astringes the intestines to dispel cold, stops diarrhea.

 [Efficacy]

Diarrhea with abdominal pain, chronic and unhealed, abdomen prefers warmth and pressure; stools with pus and blood, dark and not fresh; difficult urination, pale tongue with white coating, delayed weak or fine and weak pulse. Medical Prescriptions: Treats Shaoyin disease on the second to third day, progressing to the fourth or fifth day, with abdominal pain, difficult urination, persistent diarrhea, and stools containing pus and blood.

 [Indications]

Bacterial dysentery, amoebic dysentery, diarrhea, stools with pus and blood, abdominal pain, enteritis, chronic colitis, cancer pain, etc.

 [Contraindications]

(1) For heat-type diarrhea, use Bai Tou Weng Tang. For Shaoyin deficiency cold and slippery collapse, use Taohua Tang. (2) Taohua Tang cannot be used in the early stages of dysentery; accumulated putrid matter in the intestines should be cleared first.

 [Mnemonics]

Peach blossom is red — Chi Shi Zhi — Rice eaten dry (Mi Chi Gan).

 [Modifications]

(1) For Qi deficiency, add Ren Shen, Bai Zhu to tonify Qi and secure collapse. (2) For Blood deficiency, add Dang Gui, Bai Shao to nourish Blood and harmonize Ying. (3) For Spleen and Kidney Yang deficiency with internal Yin cold stagnation, add Rou Gui, Fu Zi to strengthen warming the Kidney and Spleen. (4) For severe abdominal pain, add Gui Zhi, Bai Shao to unblock Yang and relieve spasms and pain. (5) For chronic diarrhea with slippery collapse, add Dang Shen, roasted Rou Dou Kou to tonify Qi, astringe the intestines, and secure collapse. (6) This formula, with Gan Jiang and Geng Mi removed and replaced with Yu Yu Liang, becomes Chi Shi Zhi Yu Yu Liang Tang from Treatise on Cold Damage Diseases, which astringes the intestines and stops diarrhea, primarily treating persistent diarrhea and dysentery. (7) This formula, with Chi Shi Zhi and Geng Mi removed and replaced with He Zi, Ying Suo Gu, Chen Pi, and He Zi San from Lan Shi Mi Cang, treats chronic deficiency cold diarrhea, purging, long-term unhealed, undigested food, abdominal pain and borborygmus, or prolapse of the rectum, pale tongue with white coating, and deep and fine pulse.

 [Pharmacology]

It has antibacterial, astringent, hemostatic, analgesic, sedative, and antiemetic effects.