It's been a while since we've had a teeny tiny formula post. I am writing today about a favorite of mine, one that really packs some power: Chi Xiao Dou Dang Gui San. This formula is written about in two places in the Jin Gui Yao Lue. Firstly it is in Chapter 3 on Pulses, Patterns and Treatment of Bai He (Lilly) Disease, Hu Huo Disease and Yin Yang Toxin Disease. Line thirteen says: "The patient has rapid pulses, no fever, slight vexation, reticent but with a desire to lay down, and sweating. Three or four days after the initial onset, the eyes are red as those of a turtle dove. After seven or eight days, the four corners of the eyes turn dark. If the patient is able to eat, this indicates that pus has developed. Chi Xiao Dou Dang Gui San is indicated." Secondly, it is in chapter 16: Pulses, Patterns and Treatment of Fright palpitations, Purgation of Blood, Fullness in the Chest and Static Blood where line 16 says: "With bleeding in the bowel, first there is bleeding followed by defecation. This is called proximal bleeding. Chi Xiao Dou Dang Gui San is indicated." Ah, the Jin Gui text.....it can be difficult to determine how to use a formula in the clinic well with just these lines [...]
With an eye for this, you may notice patients that put their hands on their chests during your time with them. I've had patients tell me that they always fall asleep with their hands on their chests or that they love for their partner to place their hands on their chest.
So, here is a bow to Liu Han-Tang, a bow to Yu Guo-Jun and a bow to Shao Yao Gan Cao Tang.