F U . S H E N . 1 6

General activities
calm spirit, purge fire, settle wind

Sample Indications for Use
mental agitation, insomnia, spasms/convulsions, oral ulceration, post-stroke syndrome,dizziness, vertigo

To Personalise, Add
Zizyphus 18 for chronic insomnia
Acorus Tablets for hyperactivity
Gastrodia 9 or Lapis 16 for convulsion
Ardisia for severe agitation
Gentiana 12 for oral herpes eruption
Nuphar 14 for agitation associated with menstrual tension

This formula is intended for long-term therapy of persons who have chronic heart fire syndrome. However, the dosage can be increased temporarily to address acute manifestation of the disorder, such as anxiety attack, outbreak of oral sores, or insomnia.

Manufacturing Specifications
Crude herbs are powdered and formed into 700 mg tablets. Bottling of 100 or 250 tablets.

Explanatory Notes
Fu Shen 16 is inspired by Bupleurum & Dragon Bone Combination (Chaihu Jia Longgu Muli Tang) and Achyranthes & Hematite Combination (Zhengan Xifeng Tang); see Ancient and Modern Formulas. These formulas aimed at treating liver agitation causing both mental and physical distress. The common ingredients with these two base formulas are the heavy sedative agents dragon bone, oyster shell, and hematite (with haliotis added here). The formula was modified in light of another formula with similar application: Iron Filing Decoction (Sheng Tieluo Yin), which uses hematite (iron filings), polygala, fu-shen, and uncaria to help treat a depressive and/or manic-type disorder due to flaring of fire. Fu Shen 16 also includes the hot/cold pair of cinnamon bark and coptis; it is believed that these ingredients used together not only harmonise their own divergent natures and tastes, but also settle a conflict between the heart and kidney. The yang energy of the kidney can agitate the fire of the heart, but this is not always treated by cooling the kidney yang; in this case, the kidney is warmed slightly to aid rooting of the yang, thus protecting the heart, which is cooled by coptis. This formula is useful for persons who suffer from mental and physical agitation that results from excessive fire of the liver and heart and who might not tolerate stirring of the liver (as can occur when administering bupleurum-based formulas). If there is liver yin and blood deficiency, one should add a tonic formula (eg Tortoise Shell Tablets, Shou Wu Tablets, Tang kuei 18) at the same time.

Fu shen, Dragon bone, Oyster shell, Zizyphus, Red peony, Pinellia, Uncaria, Scute, Hematite, Haliotis, Polygala, Rehmannia, Ginseng, Coptis, Cinnamon bark, Licorice
Pin Yin
fu shen, longgu, muli, xuanzaoren, chishao, banxia, gouteng, huangqin, daizhesi, shijueming, yuanzhi, shengdi, renshen, huanglian, rougui, gancao