Sichuan Pepper and Aconite Pills，*Formulae of the Imperial Bureau*, Volume 5 (Supplementary Collection of Empirical Formulas from Various Bureaus).，Deficiency of the Lower Jiao with internal accumulation of cold; a taut and tight sensation in the abdomen and navel; pain radiating to the lower back; fatigue in the limbs; a sallow, dark complexion; dry lips and mouth; blurred vision and tinnitus; palpitations and shortness of breath; frequent strange dreams at night; low energy during the day; occasional night sweats; frequent, thin urination; dribbling of white, turbid discharge; weakness in the feet and knees; lack of strength in movement; distension and fullness in the chest and abdomen; inability to eat or drink;In women: cold in the Blood Sea (Xuehai), diarrhea, cold dysentery, and bloody dysentery; in men: deficiency of kidney qi and lower back pain.
Sichuan Pepper and Aconite Pills
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Formulas Name : Sichuan Pepper and Aconite Pills
Chinese Name : 椒附丸
Drug Formulation
Aconite (roasted, with skin and navel removed) half liang, Sichuan pepper (seeds removed, stir-fried until sweating) half liang, areca nut half liang, tangerine peel (white pith removed) 1 liang, pharbitis (lightly stir-fried) 1 liang, schisandra 1 liang, acorus 1 liang, dried ginger (roasted) 1 liang.
Source
*Formulae of the Imperial Bureau*, Volume 5 (Supplementary Collection of Empirical Formulas from Various Bureaus).
Processing
Coarsely chop the ingredients; place them in a porcelain vessel with good-quality rice vinegar and simmer over alternating low and high heat until dry. Roast to produce a fine powder. Form into pills the size of a paulownia seed using a paste made from vinegar-cooked flour.
Benefits
Deficiency of the Lower Jiao with internal accumulation of cold; a taut and tight sensation in the abdomen and navel; pain radiating to the lower back; fatigue in the limbs; a sallow, dark complexion; dry lips and mouth; blurred vision and tinnitus; palpitations and shortness of breath; frequent strange dreams at night; low energy during the day; occasional night sweats; frequent, thin urination; dribbling of white, turbid discharge; weakness in the feet and knees; lack of strength in movement; distension and fullness in the chest and abdomen; inability to eat or drink;In women: cold in the Blood Sea (Xuehai), diarrhea, cold dysentery, and bloody dysentery; in men: deficiency of kidney qi and lower back pain.
Instructions for Use
Take 30 pills per dose, swallowed on an empty stomach before meals with salted wine or salted broth. For women with a cold Blood Sea, take with Angelica wine; for diarrhea, take with rice or water; for cold dysentery, take with ginger broth; for bloody dysentery, take with licorice broth.
Copyright: Excerpt from *Formulae of the Imperial Bureau*, Volume 5 (Supplementary Collection of Empirical Formulas from Various Bureaus)., Copyright belongs to the Original Author and all original sources, This article was shared by DeDe on August 26, 2026, Please credit the source and include a link to the original article when reposting.
Terminology Proofreading: [Cheng Bo] | August 26, 2026 Reviewed by: [Wang Zhongxiang, Associate Chief TCM Physician (China)] | August 26, 2026
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Sichuan Pepper and Aconite Pills,Deficiency of the Lower Jiao with internal accumulation of cold; a taut and tight sensation in the abdomen and navel; pain radiating to the lower back; fatigue in the limbs; a sallow, dark complexion; dry lips and mouth; blurred vision and tinnitus; palpitations and shortness of breath; frequent strange dreams at night; low energy during the day; occasional night sweats; frequent, thin urination; dribbling of white, turbid discharge; weakness in the feet and knees; lack of strength in movement; distension and fullness in the chest and abdomen; inability to eat or drink;In women: cold in the Blood Sea (Xuehai), diarrhea, cold dysentery, and bloody dysentery; in men: deficiency of kidney qi and lower back pain.