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Modified Eleven Flavors Warm the Gallbladder

This formula is a modification of Wan Ken-tang’s Ming dynasty Shi Wei Wen Dan Tang (Ten Flavors Warm the Gallbladder Decoction) and Xu You-ling’s contemporary Shi Yi Wei Wen Dan Tang (Eleven Flavors Warm the Gallbladder Decoction). Our version is a 10:1 extract.

Rx:
Concha Ostreae (Mu Li)
Caulis Polygoni Multiflori (Ye Jiao Teng)
Sclerotium Poriae Cocos (Fu Ling)
Semen Zizyphi Spinosae (Suan Zao Ren)
Caulis Bambusae In Taeniis (Zhu Ru)
Rhizoma Pinelliae Ternatae (Ban Xia)
Rhizoma Acori Graminei (Shi Chang Pu)
Radix Codonopsitis Pilosulae (Dang Shen)
Fructus Schisandrae Chinensis (Wu Wei Zi)
Radix Angelicae Sinensis (Dang Gui)
Fructus Zizyphi Jujubae (Da Zao)
mix-fried Radix Glycyrrhizae (Gan Cao)
Pericarpium Citri Reticulatae (Chen Pi)
Fructus Immaturus Citri Aurantii
Radix Polygalae Tenuifoliae (Yuan Zhi)
uncooked Rhizoma Zingiberis (Sheng Jiang)
Rhizoma Coptidis Chinensis (Huang Lian)

Indications: This formula is for heart-gallbladder qi timidity with depressive heat in the heart, liver, and possibly stomach and intestines. Heart-gallbladder qi timidity is the shorthand name for a more complex pattern. The entire pattern is made up of a liver-spleen disharmony, i.e., liver depression and spleen qi vacuity, with depressive heat and phlegm harassing the heart spirit as well as heart qi and blood vacuity due to enduring spleen vacuity. In terms of disease indications, it mainly treats insomnia, heart palpitations, anxiety, depression, PMS, and perimenopausal syndrome. However, patients with this complex set of patterns also typically have digestive complaints, possible asthma or sinusitis, TMJ syndrome, and other liver-spleen disharmony diseases.

Signs and symptoms of spleen qi vacuity include:

• fatigue, especially after eating
• cold hands and feet
• abdominal bloating after eating
• lack of strength in the four extremities
• tendency to loose stools but possibly constipation
• dizziness when standing up
• a swollen tongue with teeth marks on its edges
• easy bruising
• fine pulse which is often soggy a or soft in the right bar position

The signs and symptoms of liver depression include:

• lower abdominal distention/cramping
• irritability
• rib-side pain
• premenstrual breast distention and pain
• a bowstring pulse
• chest oppression

The signs and symptoms of depressive heat include:

• greater irritability
• a dry mouth and throat
• vexatious heat
• a red tongue with possible yellow fur and/or possible swollen edges
• a rapid pulse
• a bitter taste in the mouth (primarily in the morning on awakening)

The signs and symptoms of phlegm dampness include:

• profuse phlegm
• swollen glands
• mucous in the stools
• a wet tongue with possibly slimy fur
• postnasal drip
• slippery pulse
• a tendency towards runny nose
• plum pit qi

The signs and symptoms of heart qi and blood vacuity include:

• insomnia
• lassitude of the spirit
• vexation and agitation
• disquieted spirit; anxiety
• heart palpitations
• easy fright
• a swollen, pale tongue with a crack or crease down
• impaired memory its center reaching to the tip
• possible shortness of breath or spontaneous perspiration

Note: The key to discriminating the complex pattern of heart-gallbladder qi timidity is a combination of fatigue, PMS, a bowstring, slippery pulse, and a tendency to wake in the middle of the night in a fright or with heart palpitations plus phlegm in the back of the throat. To use this formula, the patient must also have signs of heat.

Combinations: If there is more marked liver depression and spleen vacuity, this formula can be combined with either Xiao Chai Hu Tang Wan (Minor Bupleurum Decoction Pills). If liver-spleen disharmony is marked and there is also more marked blood vacuity, it can be combined with Xiao Yao Wan (Rambling Pills). If there is more marked phlegm, it can be combined with Er Chen Wan (Two Aged [Ingredients] Pills). If there is more marked great or chest qi vacuity, it can be combined with Bu Zhong Yi Qi Wan (Supplement the Center & Boost the Qi Pills). If there is concomitant damp heat in the stomach and intestines, it can be combined with Ban Xia Xie Xin Wan (Pinellia Drain the Heart Decoction Pills). If heart fire shifts to the small intestines and bladder, it can be combined with Dao Chi Wan (Abduct the Red Pills). If there is concomitant yin vacuity, it can be combined with Liu Wei Di Huang Wan (Six Flavors Rehmannia Pills). If there is dual yin and yangf vacuity, it can be combined with either Shen Qi Wan (Kidney Qi Pills) or Er Xian Wan (Two Immortals Pills). If there is concomitant blood stasis, it can be combined with Tong Qiao Huo Xue Wan (Free the Flow of the Orifices & Quicken the Blood Pills). If there is more marked heart qi and blood vacuity, it can be combined with Gan Mai Da Zao Wan (Licorice, Wheat & Red Date Pills).

Formula explanation: Within this formula, Codonopsis, Poria, and mix-fried Licorice all fortify the spleen and boost the qi. The heart receives its qi from the clear upborne by the spleen. Therefore, supplementing the spleen qi automatically supplements the heart qi. In addition, Schisandra and Polygala both also supplement the heart qi, while Red Dates, Dang Gui, Zizyphus Spinosa, and Caulis Polygoni supplement heart blood. Further, Schisandra protects stomach, lung, and heart yin from damage due to enduring heat. Orange Peel, Caulis Bambusae, Immature Aurantium, and uncooked Ginger all course the liver and rectify the qi, disinhibit and harmonize the qi mechanism and resolve depression. In addition, if the liver receives sufficient nourishment by the blood due to Dang Gui and Zizyphus Spinosa above, it will therefore be enabled to do its duty of coursing and discharging. Pinellia, Caulis Bambusae, Acorus, Polygala, Orange Peel, and uncooked Ginger all transform phlegm. Caulis Bambusae also eliminates vexation, while both Acorus and Polygala free the flow of the heart orifices and quiet the spirit. Other spirit-quieting medicinals in this formula include Caulis Polygoni, Poria, Zizyphus Spinosa, Licorice, Red Dates, and Oyster Shell. Polygala also frees the flow between the heart and kidneys, while Oyster Shell subdues yang. Hence upward stirring ministerial fire is led back to its lower source. Coptis clears depressive heat in the heart, liver, gallbladder, stomach, and intestines, and Licorice, Red Dates, and uncooked Ginger all harmonize the other ingredients in this formula.

Dosage: Three capsules two times per day equal not less than 30g of raw medicinals. However, because our extraction process is far more efficient than stove-top decoction, we believe that this amount of extract is actually more like the equivalent of 40-60g of bulk dispensed herbs.

To get the most out of this treatment, the patient also needs to adhere to a yeast-free, sugar-free, clear bland diet for at least three months, and better for 6-12 months. In particular, the patient should avoid chilled, uncooked foods, greasy, fatty foods, and sweets. In addition they should get regular physical exercise combined with regular deep relaxation and stress reduction.

500 mg per capsule - 60 capsules per bottle