ji chuan jian

Name: ji chuan jian
Creator: Bencao Index

Benefit the River [ Flow ] Decoction

About ji chuan jian

Ji Chuan Jian, Benefit the River Flow Decoction, is Rou Cong Rong, Dang Gui, Huai Niu Xi, Ze Xie, Zhi Ke and Sheng Ma. The catalogue classes it among the formulas that moisten the Intestines and unblock the bowels, and records it as warming Kidney Yang while it does so.

Ingredients

Herb	Amount
rou cong rong	6 g
dang gui	9 g
huai niu xi	6 g
ze xie	4.5 g
zhi ke	3 g
sheng ma	1.5 g

Actions and indications

Warms and tonifies Kidney Yang and strengthens Jing

Pattern: deficiency of Kidney Yang and Essence with dryness of the Intestines
Aching, weak lower back and knees
Cold back, cold hands and feet, and dislike of cold
Dizziness and vertigo
Clear, copious urine; or scanty urine with pitting edema
Tongue pale with a thin white coat; pulse thready, or deep and slow, often weak at the rear (chi) position

Nourishes the Blood

Moistens the Intestines and unblocks the bowels

Constipation from Kidney Yang deficiency: stool hard to pass and often dry despite straining or an urge, or passed easily but infrequently
Seen especially in older people, after childbirth, and in recovery from illness that has drained Yang and Essence
No heat signs such as thirst, fever or a red tongue behind the dryness

Modern uses

Constipation
Habitual constipation
Constipation in the elderly
Postpartum constipation
Functional constipation
Slow-transit constipation
Oliguria
Polyuria
Dizziness
Vertigo
Intestinal tuberculosis
Anemia

Symptoms

Aversion to cold
Clear profuse urine
Cold limbs
Cold sensation
Constipation
Difficult defecation
Dizziness
Dry stools
Edema
Scanty urination
Sore and weak low back and knees

Modifications

Marked Qi deficiency: + ren shen, + huang qi
Presence of Fire: + huang qin
Fatigue, lethargy and reluctance to talk: + dang shen, + huang qi
Severe Qi deficiency: − zhi ke
Kidney Yin deficiency: + shu di huang, + tian men dong
Severe Kidney deficiency: + shu di huang
To moisten the Intestines more strongly: + huo ma ren
Habitual constipation with Cold and Dryness in the Intestines: + suo yang, + huo ma ren, − ze xie
Severe lower back pain: + gou qi zi, + du zhong, − ze xie
Constipation: + rou gui
Constipation, as an alternative: + du zhong, + sang ji sheng, + xu duan
Qi deficiency: + huang qi

Show all 16 modifications

Cold that is more severe, with more Dryness: + rou gui, − ze xie, − zhi ke
More marked Cold: + rou gui, + zhi fu zi
Stronger laxative effect: + wu yao, + huo ma ren, − zhi ke
Stronger laxative effect, as an alternative: + huang jing, + zhi fu zi, + bu gu zhi, + zhi gan cao, − ze xie, − huai niu xi, − sheng ma

Cautions

contraindication Constipation from Heat, such as dry stool with thirst, a red tongue or a yellow coat; its Yang-warming herbs would make the Heat worse
contraindication Excess-type constipation from food or Qi stagnation when there is no underlying Kidney deficiency
pregnancy Contains Dang Gui, which moves the Blood; use during pregnancy only with professional guidance
caution It treats the root deficiency and is not a standing laxative: adjust or stop it once the bowels are regular, and reassess constipation that persists

Preparation

Decoction of all six herbs simmered together, taken warm

Names

Pinyin	ji chuan jian
English Name	Benefit the River [ Flow ] Decoction

Classification

Category: Moisten Intestines and Unblock Bowels

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