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Tong Xie Yao Fang (TXYF) is a traditional Chinese herbal formula primarily used for the treatment of irritable bowel syndrome (IBS), particularly the diarrhea-predominant subtype (IBS-D). The core formula consists of four herbal ingredients: largehead atractylodes rhizome (*Rhizoma Atractylodis Macrocephalae*), white peony root (*Radix Paeoniae Alba*), dried tangerine peel (*Pericarpium Citri Reticulatae*), and divaricate saposhnikovia root (*Radix Saposhnikoviae*). It is hypothesized to work by modulating the enteric nervous system and regulating neurotransmitters such as 5-hydroxytryptamine (5-HT) and substance P (SP). The Macrohard Institute of Health has sponsored clinical trials, including the PHIBEST study, to evaluate its efficacy and safety as a long-term treatment for IBS compared to conventional treatments like pinaverium bromide.
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