R H U B A R B . 1 7

General Activities
purge intestines, moisten dryness

Sample Indications for Use
constipation

To Personalise, Add
Diagnostic Tablets for abdominal bloating associated with constipation
Forsythia 18 or Coix Tablets for skin eruptions
Gentiana 12 for red eyes and facial blushing
Rehmannia 16 for dryness
Tang Kuei 18 for associated blood deficiency
Zhu Dan Tablets for constipation associated with liver/gallbladder stagnation
Picrorrhiza 11 for intestinal inflammation or infection

This formula is suitable for long-term use in treating chronic constipation. The dosage should be adjusted to attain the desired effect.

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

Explanatory Notes
Rhubarb 17 is an expanded version of the Ming Dynasty formula Linum & Rhubarb Combination (Runchang Tang) that was used for chronic constipation, especially as occurs with aging. In turn, that formula is based on the ancient Apricot Seed & Linum formula (Maziren Wan), the Han Dynasty Formula for dry constipation that results from intestinal dryness associated with faulty distribution of moisture. This type of constipation does not require potent stimulant purgatives (a high dose of rhubarb or similar herbs) or agents to retain lots of water in the intestine (a high dose of mirabilitum). Instead, a gentle purgative action is attained by using only a small amount of Minor Rhubarb Combination (Xiao Chengqi Tang; rhubarb, magnolia bark, chih-shih) to provide a mild downward push, coupled with herbs that moisturise the intestines, such as oily seeds ( persica, apricot, sesame) and blood nourishing herbs (tang kuei, ho shou wu, cistanche). This formulation does not cause intestinal cramping or diarrhea that is characteristic of the stronger purgatives and it is suited to long term use. It has been used for many years in the US without reports of adverse reactions. The amount of anthraquinones (the active components of rhubarb and other stimulant purgatives) in this formula meets with the currently recommended limits to avoid potential intestinal distress from prolonged use; it is recommended that a few weeks break be taken after 9-12 months regular use, however. If intestinal cramping is a pre-existing problem, add Shu Gan Wan (Pine Mountain) or Peony 9.


Ingredients
English
Rhubarb, Magnolia bark, Chih shih, Tang kuei, Rehmannia, Persica, Apricot seed, Cassia seed, Sesame, Ho shou wu, Cistanche, Hu chang, Prunus, Peony, Licorice, Cardamon, Saussurea
Pin Yin
dahuang, houpo, zhishi, danggui, dihuang, taoren, xingren, juemingzi, humaren, heshouwu, roucongrong, huzhange, yuliren, baishao, gancao, sharen, muxiang