C O P T I S / E V O D I A . T A B L E T S

General Activities
purge fire, disperse stagnant qi

Sample Indications for Use
stomach acid reflux, gastric ulcer, intestinal infection

To Personalise, Add
Bupleurum S for liver qi attacking the stomach
Picrorrhiza 11 for diarrhea due to infection
Peony 9 for irritable bowel syndrome
Ginseng 18 or Atractylodes Tablets for chronic intestinal inflammation or irritation
Shen Chu 16 or Ardisia 16 for acid regurgitation
Corydalis 5 for abdominal pain
Cyperus 18 for abdominal or chest distention
Fu Shen 16 for oral ulcerations, insomnia, mental agitation

This formula is intended for short term administration, typically a few days or a few weeks; its use can be followed up by other prescriptions that have less fire-purging action.

Manufacturing Specifications
Crude herbs are powdered and then extract of jujube is added; the mixture is then formed into 700 mg tablets. Bottling of 100 tablets.

Explanatory Notes
Coptis/Evodia Tablets is based on Zuojin Wan (Pill of Left Gold), made with just two ingredients, coptis and evodia. Coptis is a cold bitter agent that purges fire, while evodia is a hot spicy agent that disperses stagnant qi. The combination is usually prescribed for cases in which the stomach function is distressed by liver qi stagnation and invading fire from the liver. A common manifestation is burning sensation, either in the stomach, in the chest (due to acid reflux), or in the intestines (often accompanied by diarrhea). The formula also incorporates Xian Lian Wan (saussurea and coptis) for fullness and distention in the upper abdomen, and Huangqin Tang (scute, peony, licorice, jujube) for abdominal pain due to pathogenic heat. Unlike the bupleurum-based formulas that are applied for liver/stomach disharmonies, the potent combination of bitter cold herbs and hot spicy evodia more quickly alleviate symptoms (to be followed up by standard harmonising therapies). The formula Bupleurum S, which also addresses liver qi stagnation affecting the stomach, is used when there is fullness with little or no burning sensation, reflux, or infection. Evodia and coptis are strongly antiseptic; they inhibit Heliobacter pylori, associated with gastric ulcer (see also Propol- Gold, White Tiger range). The three gold herbs (huang = yellow) are effective as antiseptics in the gastro-intestinal tract. The antispasmodic pair, peony and licorice, aids the treatment of spastic reflux, intestinal spasms, and pain. To address significant qi stagnation, combine with Cyperus 18, Peony 9, or Shu Gan Wan (Pine Mountain range). To relieve stomach irritation and acid reflux, add Altarulm (White Tiger range).

Coptis, Phellodendron, Sankezhen, Evodia, Peony, Saussurea, Licorice
Pin Yin
huanglian, huangbai, sankezhen, wuzhuyu, baishao, muxiang, gancao