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AboutChinese MedicineCaution/Notes
| Health Benefits |
| For: |
| Atributes: |
| Products |
|
Tablets |
Pills |
Capsules |
Granules |
| Other Names: |
| Category: Downward Draining ⌕ |
| Subcategory: Purge Heat Accumulation Source: Jin Gui Yao Lue |
| Actions: Drains heat, breaks up blood stasis,
disperses clumping, and reduces swelling
[31] |
| Diagnosis |
| Tongue: yellow greasy coat Pulse: slippery, rapid Other: |
| Patterns: Damp Heat Accumulation |
| Indications: Beginning of Intestinal carbuncle with damp-heat accumulation syndrome. Right lower abdominal pain, tenderness, yellow
greasy tongue coating, slippery rapid pulse
[31]
|
| Contraindications: Not suitable for after venting of Intestinal carbuncle, old patient, pregnancy, post partum , weak body constitution[31] |
| Description |
| Name Variations: Da Huang Mu Dan Pi Tang, 大黄牡丹皮汤, Rhubarb and Moutan Decoction, |
| Herb List: Da Huang(K) • Mu Dan Pi(K) • Mang Xiao(M) • Tao Ren(M) • Dong Gua Ren(A) |
| Commentary: Modifications
• Severe heat toxin: Pu Gong Ying, Jin Yin Hua, Zi Hua Di Ding
• Severe blood stagnation: Chi Shao, Ru Xiang, Mo Yao. |
| Related Formulas: |
| NCCAOM: There are 2 NCCAOM formulas that treat Internal Abscess. They are Wěi Jīng Tāng and Dà Huáng Mǔ Dān Tāng. Wei Jing Tang is for Lung abscess while Da Huang Mu Dan Tang is for intestinal abscess. These abscesses are caused by stagnant, damp heat so both have red tongue with yellow greasy coat and slippery rapid pulse. Wei Jing Tang has Lu Gen, Dong Gua Zi, Yi Yi Ren and Tao Ren. Wei Jing is another name for Lu Gen. Da Huang Mu Dan Tang has the Da Huang + Mang Xiao + Tao Ren (as seen in Tao He Cheng Qi Tang which clears Lower Jiao heat), Mu Dan Pi, Dong Gua Ren. Dong Gua Zi treats abscesses and expel pus, which makes sense for the Lung and Dong Gua Pi is more for damp heat. They are both diuretics. |
| Herbs |
Cat/Dosage |
Actions |
Attributes |
Qiang Huo •
Notopterygium Root • 羌活 |
Release Exterior Wind Cold |
relieve occipital headaches • ease bi zheng in upper body • dispel cold • release exterior • dry superficial dampness • guide herbs to Tai Yang jingBest for occipital headaches |
antipyretic, analgesic, vasodilator |
Du Huo •
Pubescent Angelica Root • 独活 |
Wind Damp Cold |
Dispel wind damp cold • Alleviate pain • Release exteriorHerb pair: Du Huo/Qiang Huo for headaches. Du Huo for lower body Shao Yin headache and Qiang Huo for upper body Tai Yang headache |
hypotensive • antibiotic • anti-platelet • anti-inflammatory • analgesic |
Chuan Xiong •
Szechuan Lovage • 川芎 |
Invigorate Blood |
Relieve pain • Expel Wind • Invigorate blood • Moves qi • Guide herbs to Jue Yin JingDao Di: Si Chuan • Available as injections |
Anticoagulant • Antiplatelet • Analgesic • Antitussive • Anti-inflammatory • Hypotensive • Sedative |
Chai Hu •
Thorowax • 柴胡 |
Release Exterior Wind Heat |
Harmonize interior and exterior • Reduce fevers • Reduce chills • Soothe liver Qi • Clear muscle layer heat • Tonify stomach Qi • Guide herbs to Shao Yang Jing |
Antibiotic • Antipyretic • Anti-inflammatory • Antibaterial • Antiviral • Analgesic • Hepatoprotective • Immunemodulatory • Chemoprotective • Anti-tumor • Cholagogic • Sedative • Immunostimulate |
Jie Geng •
Platycodon Root • 桔梗 |
Phlegm Cold |
Disperse Lung qi • Expel mucus • Soothe sore throat • Guide other herbs to upper body • Treat abscesses • Move Qi upward • Guide herbs upward |
Expectorant • Hypoglycemic • Anticholesterol • Antifungal |
| Zhǐ Ké • Ripe Bitter Orange • 枳壳 |
Regulate Qi |
Dissolves Qi stagnation • Clear congestion • Relieve abdominal distention For moving Qi: Epigastric area - Chen Pi • Intestinal area - Mu Xiang • From epigastric all the way to the abdominal area - Zhi Shi and Zhi Ke • Lateral side area -Chai Hu, Xiang Fu, Qing Pi, and Fo Shou • Lower abdomen: Wu Yao warms kidney • Upper chest area: Tan Xiang, Xie Bai • REN4 & REN6 area: Chen Xiang |
antiplatelet • antithrombatic • hypertensive • diuretic • bronchodilator • antineoplastic |
Qian Hu •
Peucedanum • 前胡 |
Phlegm Heat |
Expel phlegm • Descend Lung Qi • Release exterior wind heat |
|
Fu Ling •
Poria Mushroom • 茯苓 |
Drain Dampness |
Dry dampness • Tonify spleen • Calm spirit • Relief edema • Detox food poisoning • Promote urination Dao Di: Yun Nan |
Diuretic • Antibacterial • Anti-inflammatory • Anti-allergic • Hypoglycemic • Antacid • Sedative • Immunity booster |
Ren Shen •
Ginseng • 人参 |
Tonify Qi |
Tonify yuan qi • Tonify lung qi • Tonify heart qi • Calms Shen • Stop thirst • Helps impotence • Treats qi collapse • Tonify Spleen • Generate fluid • Stop thirst • Strengthen anti-pathogenic qi • Can go to all 5 zang organsUnlike Huang Qi, Ren Shen is adaptogenic and may be used by people with autoimmune disorders. |
adaptogen • anti-aging • anticoagulant • antiplatelet • antioxidant • adrenalcortical • immunity booster • anti-inflammatory • antidepressant • hepatoprotective • stimulant |
Gan Cao •
Licorice Root • 甘草 |
Tonify Qi |
Tonify Spleen Qi • Tonify Heart qi • Clear heat • Resolve toxicity • Stop cough • Dispel phlegm • Lubricate lungs • Stop wheezing • Reduce spasm • Relieve pain • Harmonize other herb effects • enters 12 channelsEnters all 12 channels, often serve as envoy in a formula. |
Hypoglycemic • Antiarrhythmic • Hypertensive • Expectorant • Antidiarrheal • Antiulcer • Hepatoprotective • Immunostimulant • Antitussive • Antiviral • Detox • Demulcent • Anti-inflammatory • Laxative • Emmenagogue • Antimicrobial • Spasmolytic • Corticosteroidal |
| ♠ King/Chief ♥ Minister/Deputy ♣ Assistant ♦ Envoy |
| Directions: |
| Caution |
ALERT: Contraindications of each herb - use with caution under these conditions:
Qiang Huo: Yin deficiency • Blood deficiency, Bi Zheng with red tongue and light/no coat
Du Huo: Yin deficient heat
Chuan Xiong: Pregnancy • Blood thinners • Fire from yin deficiency • Dry tongue • Dry mouth • Fever • Profuse menstrual bleeding • Spleen deficiency • caution: LV yang xu since this herb tends to move Qi upward.
Chai Hu: Dries Yin and can exacerbate the Yin deficiency • Do not use as intramuscular injections • Liver fire • Hyperactive liver yang • Cytochrome P450, 2C9, 2E1, 2D6, and 3A4 • Greater than 19g may lead to liver injury
Jie Geng : Blood-stained mucus • Hypoglycemia • Tuberculosis • Anti-diabetic drugs
Zhǐ Ké: pregnancy • anticoagulant or antiplatelet drugs • Spleen/Stomach deficiencies • gastric ulcers • duodenal ulcers
Qian Hu: Yin deficient cough
Fu Ling: Foods: Vinegar, pickled food
Ren Shen: Blood thinner medication • Diabetes medication • Blood pressure medication • Caffeine • Yin deficiency • Stagnant fire • Hypertension • Bleeding disorders • Pain in chest • Excess heat • food: onion, garlic, radishes, tea, turnips
Gan Cao: High blood pressure • Low potassium • Seaweed • Medications: Gan Cao can interact with various medication. See Pharma Interaction section. |
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