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Rhubarb 17 is an expanded version of the Mind Dynasty formula Linum and 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 and 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 (such as 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 peristaltic activity of the intestines, coupled with herbs that moisturize the intestines, such as oily seeds (persica, apricot, prunus, 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 U.S. 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 to 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.
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