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Zhi Shi Dao Zhi Wan: a good recipe for digestion, relieving stagnation, clearing away heat and removing dampness

Writer: Hongji MedicalHongji Medical

Zhi Shi Dao Zhi Wan comes from the book Neiwai Shangbianhuo Lun written by Li Gao, a famous doctor in the Jin and Yuan Dynasties. Li Gao, also known by his courtesy name Dongyuan, is a famous representative of the "Bu Tu School" in the history of Chinese medicine. He emphasized the importance of the spleen and stomach in health, believed that the spleen and stomach are the foundation of acquired constitution, and advocated treating diseases by regulating the spleen and stomach. Zhi Shi Dao Zhi Wan is the prescription he created for damp-heat food accumulation syndrome, which aims to digest food, remove stagnation, clear away heat and remove dampness.


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枳實導滯丸

Explanation of the prescription of Zhi Shi Dao Zhi Wan


The ingredients of Zhi Shi Dao Zhi Wan include Rhubarb, Citrus aurantium, Shenqu, Poria, Scutellaria baicalensis, Coptis chinensis, Atractylodes macrocephala and Zexie. According to the theory of "monarch, minister, assistant and envoy" in traditional Chinese medicine, these herbs can be divided into four groups, each of which has different effects.

  1. Main medicine : Rhubarb

    • Rhubarb is the main ingredient of this prescription and is used in the heaviest amount. It has the effects of purging and attacking stagnation, clearing away heat and fire, and promoting blood circulation and removing blood stasis. The main function of rhubarb is to break up stagnation, purge evil heat, and discharge accumulated heat through stool, thereby achieving the effect of digesting food and relieving stagnation.

  2. Assistant medicine : Zhishi, Shenqu

    • Zhishi has the functions of breaking up Qi and eliminating stagnation, resolving phlegm and dispersing lumps, which can help the circulation of Qi, dredge stagnation, eliminate the feeling of abdominal distension and pain, and at the same time enhance the laxative effect of Dahuang. Shenqu has the functions of digesting food and harmonizing the stomach, strengthening the spleen and eliminating stagnation, which can eliminate food stagnation, eliminate dampness and turbidity, and help digestion.

  3. Adjuvant : Scutellaria baicalensis, Coptis chinensis

    • Both Scutellaria and Coptis chinensis are bitter and cold medicines, which have the effects of clearing away heat and drying dampness, purging fire and detoxifying. Scutellaria baicalensis is good at clearing dampness and heat in the middle and upper Jiao, while Coptis chinensis is good at clearing dampness and heat in the middle Jiao, especially for dampness and heat in the intestines and stomach. The combination of the two can enhance the power of clearing heat and drying dampness, and eliminate the pathological basis of dampness and heat accumulation.

  4. Adjuvant drugs : Poria, Zexie, Atractylodes macrocephala

    • Poria cocos has the function of promoting water and moisture, and can guide the evil of dampness and heat to be discharged from urine, and relieve dampness and heat stagnation. Atractylodes macrocephala has the function of strengthening the spleen and replenishing qi, drying dampness and promoting water, and can nourish the spleen and replenish qi, dry dampness and promote water, consolidate the surface and stop sweating, prevent excessive attack, and eliminate evil without hurting the body.


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枳實導滯丸

Pathogenesis of Zhi Shi Dao Zhi Wan


The pathogenesis of Zhi Shi Dao Zhi Wan is mainly related to food stagnation and endogenous dampness and heat . When people eat excessively and eat too much fatty and sweet food, it is easy to cause food to stagnate in the intestines and stomach, blocking the movement of qi, thus causing abdominal distension and pain . If this stagnation is not cleared in time, it will further generate dampness and heat, forming dampness and heat food stagnation.


Damp-heat and food accumulation can affect the normal function of the stomach and intestines, leading to diarrhea or dysentery, or even constipation . Damp-heat pressing down on the large intestine can cause diarrhea or dysentery, while heat blocking the qi can cause constipation. In addition, internal damp-heat can also manifest as short and dark urine, yellow and greasy tongue coating, and deep and strong pulse. These are all typical manifestations of damp-heat and food accumulation.


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The key to treating damp-heat food accumulation is to digest food and remove stagnation, clear away heat and remove dampness. Zhi Shi Dao Zhi Wan achieve the effects of removing stagnation, clearing away heat and removing dampness through the laxative effect of rhubarb, the qi-moving and dissipating effect of Zhishi, and the heat-clearing and dampness-drying effect of Scutellaria baicalensis and Coptis chinensis. In this way, damp-heat can be cleared and stagnation can be eliminated, thereby relieving symptoms such as abdominal distension and pain, diarrhea or dysentery.


Effects of Zhi Shi Dao Zhi Wan


The main effect of Zhi Shi Dao Zhi Wan is to help the digestive system eliminate stagnant food . When we eat too much or too greasy food, food tends to accumulate in the stomach and intestines, leading to indigestion and bloating. The rhubarb and citrus aurantium in Zhi Shi Dao Zhi Wan can effectively promote gastrointestinal motility, help expel these stagnant foods , and thus relieve the symptoms of bloating and indigestion.


In addition, Zhi Shi Dao Zhi Wan also have the effect of clearing away heat and removing dampness. When food accumulates in the stomach and intestines for too long, it is easy to generate dampness and heat, resulting in excessive dampness and heat in the body. Dampness and heat can cause a series of uncomfortable symptoms, such as diarrhea, constipation, short and dark urine, etc. The scutellaria baicalensis and coptis chinensis in Zhishi Daotun Pills have the effect of clearing away heat and removing dampness, which can effectively remove dampness and heat in the body and improve these uncomfortable symptoms.


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In general, Zhi Shi Dao Zhi Wan can effectively improve various digestive system problems caused by food stagnation and endogenous dampness and heat through its dual effects of digestion and heat removal. It not only helps digestion, but also regulates the balance of dampness and heat in the body, thereby achieving a comprehensive health improvement effect.


Modern Application of Zhi Shi Dao Zhi Wan


In modern Chinese medicine clinics, Zhi Shi Dao Zhi Wan are widely used to treat a variety of diseases. According to modern pharmacological research, Zhi Shi Dao Zhi Wanhave antibacterial, anti-inflammatory, gastrointestinal motility promoting, and intestinal flora regulating effects, which are consistent with its traditional efficacy.




Here are some specific applications:

  1. Digestive system diseases : such as acute and chronic gastritis, indigestion, enteritis, bacterial dysentery, etc.

  2. Nervous system diseases : such as neurosis, Meniere's syndrome, menopausal syndrome, epilepsy, etc.

  3. Respiratory system diseases : such as acute and chronic bronchitis, etc.

  4. Others : such as fatty liver, chronic hepatitis, gastric ulcer, acne, Crohn's disease, lymphadenopathy, cholecystitis, pancreatitis, gastroptosis, amebiasis, bacterial food poisoning, Shigella oxytoca, dysentery, etc.


Notes


When using Zhi Shi Dao Zhi Wan, you need to pay attention to the following points:

  1. It should not be used by patients with weak constitution, chronic dysentery, diarrhea without stagnation : These patients have weak constitutions and should not use attacking drugs, otherwise it may aggravate the condition.

  2. Not for use by pregnant women : Pregnant women should avoid using this medicine as it may have adverse effects on the fetus.

  3. Not to be used by patients with diarrhea without stagnation : This prescription is mainly for patients with stagnation. For patients with diarrhea without stagnation, this prescription may be ineffective or even harmful.


Conclusion


Zhi Shi Dao Zhi Wan is a traditional Chinese medicine with a long history. It was created by Li Gao, a famous doctor in the Jin and Yuan Dynasties. It aims to eliminate food stagnation, clear away heat and remove dampness. It uses the principle of monarch, minister, assistant and envoy to target damp-heat food accumulation syndrome and play the role of eliminating accumulation, relieving stagnation, clearing away heat and removing dampness. In modern Chinese medicine clinics, Zhi Shi Dao Zhi Wan are widely used in the treatment of many diseases and show good therapeutic effects. However, when using this prescription, you need to pay attention to the indications and contraindications to ensure safety and effectiveness.

 
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