Chinese Patent Medicines - Part 1

Depending on where you live, the situation with regard to obtaining herbal medicines and your access to a qualified practitioner will vary. In some countries you may be able to obtain a variety of ready-made Chinese formulae in pill and powder form. We will look at some of the most widely used patent medicines for the treatment of allergic rhinitis. It is strongly advised that you seek professional advice when taking Chinese herbal medicines.

Cang Er Zi San

This formula is named after its main ingredient, xanthium seeds. It is available as a desiccated, powdered extract under the name Xanithium Formula. Its ingredients include: Fructus Xanthii Sibirici (Cang Er Zi), Flos Magnoliae Liliflorae (Xin Yi Hua), Radix Angelicae Dahuricae (Bai Zhi) and Herba Menthae Haplocalycis (Bo He).

All four of these ingredients dispel externally invading 'wind' from the body and specifically open the nasal passageways. This formula is for the symptomatic relief of acute allergic rhinitis. The ingredients in this formula are often added to other formulae that address the underlying root mechanisms of allergic rhinitis. As this formula only relieves symptoms such as sneezing, nasal congestion and an itchy or runny nose, it is not meant to be taken between attacks. It will not prevent the attacks from coming back again.



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Chinese Medicine External Treatment For Allergic Rhinitis

1. Bi Yun San (Jade Cloud Powder)

30 g Herba Centipedae (E Bu Shi Cao)
30 g Radix Ligustici Wallichii (Chuan Xiong)
6 g Flos Magnoliae Liliflorae (Xin Yi Hua)
6 g Herba Asari Cum Radice (Xi Xin)
3 g Pulvis Indigonis (Qing Dai)

Grind these into a fine powder and blow into the nose three times a day.


2. Yu Nao Shi Ruan Gao Pian (Fish Brain Stone Soft Ointment Tablet)

9 g Powdered Otolith Pseudosciaenae (Yu Nao Shi)
0.9 g Borneol (Bing Pian)
6 g Flos Magnoliae Liliflorae (Xin Yi Hua)
3 g Herba Asari Cum Radice (Xi Xin)

Grind into a fine powder and mix with petroleum jelly. Make into a soft ointment tablet and insert into the nose once a day.


3. Massage Ying Xiang (an acupuncture point on either side of the wings of the nose) once each day.

The above treatments are given as examples of typical multi-ingredient Chinese herbal formulae for an acute episode of allergic rhinitis. Patients may receive quite different formulae depending on the main characteristics of their individual pattern. The basic formula for internal administration (Bu Zhong Yi Qi Tang) is one of the most well-known Chinese herbal formulae for spleen qi vacuity complicated by liver depresssion qi stagnation. During times of remission where treatment of the root of this condition is required, i.e. spleen vacuity and liver depression, this standard formula is often a very good choice.



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Chinese Medicine Internal Treatment For Allergic Rhinitis

Main Symptoms
Paroxysmal nasal itching, soreness, distension, sneezing and a great amount of nasal mucus which is clear and watery in consistency, intermittent greyish white nasal obstruction and the possible accompaniment of fatigue, weakness, shortness of breath, disinclination to speak, loss of appetite, loose stools, fear of cold and chilled limbs, back pain, frequent night-time urination, a pale red tongue with thin, white fur and a fine pulse.

Treatment principles
Fortify the spleen and boost the qi, scatter cold and open the portals or orifices (i.e. clear the nostrils of mucus).

Prescription for internal treatment
Bu Zhong Yi Qi Tang (Supplement the Centre and Boost the Qi Decoction) plus Cang Er Zi San (Xanthium Powder).

• 18 g Radix Astragali Membranacei (Huang Qi)
• 9 g Radix Panacis Ginseng (Ren Shen)
• 9 g Radix Angelicae Sinensis (Dang Gui)
• 9 g Fructus Xanthii Sibirici (Cang Er Zi)
• 9 g Flos Magnoliae Liliflorae (Xin Yi)
• 9 g Herba Menthae Haplocalycis (Bo He)
• 9 g Rhizoma Cimicifugae (Sheng Ma)
• 9 g Pericarpium Citri Reticulatae (Chen Pi)
• 9 g Rhizoma Atractylodis Macrocephalae (Bai Zhu)
• 9 g Mix-fried Radix Glycyrrhizae (Gan Cao)
• 9 g Radix Bupleuri (Chai Hu)
• 15 g Radix Angelicae Dahuricae (Bai Zhi)

The above quantities make up one day's dosage, to be decocted in water. This formula is for treatment during an acute attack. Then, depending on the individual patient's pattern and symptoms, this basic formula is modified with various additions and subtractions.

If lung qi vacuity is marked, increase the dose of Radix Astragali to 30 g/l oz and add 9 g Radix Ledebouriellae Divaricatae (Fang Feng).

If there is simultaneous abdominal distension and loose stools, add 15 g per 1/2 oz Semen Dolichoris Lablab (Bai Bian Dou), and 18 g Semen Coicis Lachryma-jobi (Yi Yi Ren).

If there is lower back pain and frequent night-time urination, add 6 g Rhizoma Curculiginis Orchioidis (Xian Mao) and 6 g Radix Lateralis Praeparatus Aconiti Carmichaeli (Fu Zi) or also administer Jin Gui Shen Qi Wan (Golden Cabinet Kidney Qi Pills).

If the soft tissue inside the nose is swollen, add 15 g per 1/2 oz Radix Rubrus Paeoniae Lactiflorae (Chi Shao), 9 g Radix Ligustici Wallichii (Chuan Xiong) and 9 g Fructus Liquidambaris Taiwaniae (Lu Lu Tong).

If the amount of clear nasal mucus is profuse, add 9 g Fructus Schisandrae Chinensis (Wu Wei Zi), 9 g Fructus Pruni Mume (Wu Mei) and 3 g Herba Asari Cum Radice (Xi Xin).



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