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Pinellia, Ban Xia 半夏

Prepared Pinellia: Zhi Ban Xia 制半夏

Ban Xia (TCM)
Picture
Picture
Blume, Rumphia, 1835

Picture
Picture
Three Different preparations of Pinellia Ban Xia
Left: Lime-prepared Pinellia   Right: Ginger-prepared Pinellia (Jiang Ban Xia)
(Adam, 2017)

Picture
Fa Ban Xia, Prepared Pinellia as commonly used in the West (Adam, 2017)

Botanical name:
Pinellia ternata

Parts used:
Prepared Rhizome

Temperature & Taste:
Very Warm, dry. Pungent. Toxic

Uses:
1. Dries Damp, Clears Cold-Phlegm:
-Cough with copious sputum; Thick white sputum
-Phlegm or Damp associated with Spleen deficiency
-main medicine for Phlegm and Damp diseases in TCM

2. Stops Vomiting and Nausea, Directs Qi Downward:
-Nausea and Vomiting from excess Phlegm and rising Stomach Qi
-can be used for any type of Nausea and Vomiting depending on the medicines its combined with
-focal distention in the chest and epigastrium

3. Clears Phlegm, Reduces Masses:
-Phlegm-type Scrofula, Nodes and Kernels in the skin


DOSE:
Only the prepared product should be used internally.
In Decoction: 3–9 grams
In Powder: 500mg–2 grams

PREPARATION:
A number of different preparations are used. Only prepared Pinellia Ban Xia is used internally, and that is also obtained from the market:
1. Raw (unprocessed) Pinellia (Sheng Ban Xia): toxic, only used externally for swelling and pain.
2. Purified Pinellai (Qing Ban Xia): purified by being soaked and boiled, or soaked in Alum solution to remove toxicity. It is drying and used for Damp and Cold-Phlegm.
3. Prepared Pinellia (Fa Ban Xia): raw Ban Xia rhizome (100 parts) is soaked to reduce the numbing sensation, then it is soaked in a decoction of Lime (10 parts) and Licorice (15 parts) until the center becomes yellow and the rhizome is semi-transparent and horn-like. This is the standard product available in the west.
4. Ginger Pinellia (Jiang Ban Xia): the rhizome is soaked as before; then it is boiled with fresh Ginger and Alum until cooked through. This is more warming, more drying, and better for Cold-Phlegm.
5. Lime-processed Pinellia; processed with Lime powder after soaked and boiled.
6. Bamboo juice Pinellia (Zhu Li Ban Xia): raw or processed Pinellia Ban Xia is soaked in Bamboo juice and dried. This reduces its heat and makes it effective for Phlegm-Heat Cough, Vomiting due to Stomach Phlegm-Heat and Phlegm-Heat blocking internally.
7. There are other variations of preparation

Main Combinations:
1. Cold-Phlegm and Damp diseases:
i. Pinellia Ban Xia with Tangerine peel Chen Pi and Poria Fu Ling.
ii. with Spleen and Qi deficiency, Pinellia Ban Xia with Ginseng, Atractylodes Bai Zhu, Tangerine peel Chen Pi
2. Cold-Phlegm with Nausea, Vomiting, combine Pinellia Ban Xia with dry Ginger.
3. Phlegm-Heat of the Lungs with Coughing of yellow sputum:
i. Pinellia Ban Xia with Scutellaria Huang Qin.
ii. Pinellia Ban Xia with Platycodon Jie Geng, Coltsfoot (Kuan Dong Hua), Scutellaria Huang Qin
4. Phlegm and Qi obstruction with feeling of obstruction in the Throat, nausea, vomiting, Pinellia Ban Xia with Magnolia bark (Hou po), Poria Fu Ling, fresh Ginger, Perilla leaf Zi Su Ye (as in Ban Xia Hou Po Tang)
5. Nausea and Vomiting:
i. Pinellia Ban Xia with fresh Ginger
ii. from Stomach Heat, Pinellia Ban Xia with Coptis Huang Lian.
6. Wind-Phlegm Dizziness and Vertigo, Pinellia Ban Xia with Atractylodes Bai Zhu, Gastrodia Tian Ma, Citrus Chen Pi, fresh Ginger (as in Ban Xia Bai Zhu Tian Ma Tang)

Major Formulas:
Er Chen Tang (TCM)
Da Chai Hu Tang
Ban Xia Hou Po Tang
Xiao Qing Long Tang
Ban Xia Bai Zhu Tian Ma Tang
Liu Jun Zi Tang
Xiang Sha Liu Jun Zi Tang

Cautions:
1. Very drying. Not suitable for Yin deficiency
2. Not suitable for Dry Cough and Coughing Blood

Main Preparations used:
There are a number of different preparations used

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