zuo jin wan

Name: zuo jin wan
Creator: Bencao Index

Left Metal Pill

About zuo jin wan

Zuo Jin Wan, Left Metal Pill, pairs Huang Lian with Wu Zhu Yu. The catalogue classes it among the formulas that clear Heat from the organs, and records it as clearing Liver Fire and descending rebellious Qi to stop vomiting.

Ingredients

Herb	Amount
huang lian	15 g
wu zhu yu	2 g

Actions and indications

Clears Liver Fire

Liver Fire invading the Stomach, so that Stomach Qi no longer descends
Stagnant Liver Qi, or Liver channel Heat upsetting the Stomach
Distending, burning pain in the flanks and epigastrium
Bitter taste, dry mouth and lips, thirst and irritability
Red tongue, yellow coat; rapid, wiry pulse

Descends rebellious Qi and stops vomiting

Sour regurgitation and heartburn, with belching and hiccups
Nausea and vomiting
A vague, gnawing hunger

Modern uses

Gastro-oesophageal reflux disease (GERD)
Reflux esophagitis
Esophageal reflux
Esophagitis
Acid regurgitation
Hiatus hernia
Acute gastritis
Chronic gastritis
Gastralgia
Peptic ulcer
H. pylori infection
Indigestion
Nausea and vomiting
Pernicious vomiting
Morning sickness
Hiccups
Hangover
Cholecystitis
Hepatitis
Cirrhosis of the liver
Bacillary dysentery
Allergic colitis
Uterine fibroids
Hypertension
Fever
Stress

Symptoms

Acid regurgitation
Belching
Bitter taste in the mouth
Dry lips
Dry mouth
Epigastric distention
Epigastric pain
Gnawing hunger
Heartburn
Hiccups
Hypochondriac distention
Hypochondriac pain
Irritability
Nausea
Thirst
Vomiting

Modifications

Diarrhoea or dysentery with cramping abdominal pain from Liver-Stomach disharmony: + bai shao
Damp-Heat dysentery: + mu xiang, − wu zhu yu
Severe distension: + chuan lian zi
Marked acid reflux: + hai piao xiao, + wa leng zi
Liver Qi stagnation with low vitality (combined with Si Ni San)
Severe flank pain: + xiang fu, + fo shou
Abdominal pain: + bai shao
Stress ulcers (combined with Xiao Yao San or Si Ni San)
H. pylori infection (combined with Jia Wei Xiao Yao San): + bai hua she she cao
Pernicious vomiting: + zhi ban xia, + zhu ru
Peptic ulcer with stabbing Stomach pain from Blood stasis (combined with Xiao Yao San): + dan shen, + chi shao
Peptic ulcer with marked acid regurgitation (combined with Xiao Yao San): + hai piao xiao, + wa leng zi

Show all 16 modifications

Peptic ulcer with severe pain or pain in the ribs (combined with Xiao Yao San): + chuan lian zi, + yan hu suo
Peptic ulcer with constipation (combined with Xiao Yao San): + da huang
Peptic ulcer with thirst: + tian hua fen, + lu gen
Augmented version, to course the Liver and regulate Qi more strongly: + chai hu, + bai shao

Cautions

contraindication Acid reflux or vomiting from Stomach Cold, deficiency Cold or Spleen and Stomach deficiency; its cold herbs can further harm Stomach Yang
contraindication Flank pain arising from deficiency of the Liver, Gallbladder or Blood
caution Bitter and cold, it can weaken digestion; where the Spleen and Stomach are weak use it cautiously and usually only for a short time
pregnancy Avoid in pregnancy, or use only under professional guidance
caution With aspirin: it may help protect the Stomach lining from aspirin-induced damage

Preparation

Classically pills; now often a small decoction, and also sold as ready-made pills or granules

Names

Pinyin	zuo jin wan
English Name	Left Metal Pill

Classification

Category: Clear Heat from Organs

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