Èr Chén Tāng

Two-Cured Decoction

 

 Disclaimer    For educational purposes only.  Do not use as medical advice

AboutChinese MedicineCaution/Notes
Health Benefits
For:
Atributes: Qing Qi Hua Tan WanSi Jun Zi Tang • Li Zhong Hua Tang Wan • Liu An Jian • Jia Wei Er Chen Tang
Constituents:
Products (online examples)
 

 

 

 

 

 

 

 

Research

Category: Treat Damp Phlegm ⌕ 
Subcategory: Damp Phlegm               Source: Tai Ping Hui Min He Ji Ju Fang  
Actions: Dries dampness, transforms phlegm, regulates the qi, and harmonizes the middle Jiao [Song]
Diagnosis
Tongue: white slippery, greasy coating      Pulse: Slippery    Other: 
Patterns: Damp phlegm • Phlegm disturbing the heart • Damp phlegm in Lungs • Phlegm dampness in the Spleen 
Indications: Cough, nausea & vomiting, easy to expectorate white phlegm, white greasy tongue coating, slippery pulse • Damp-phlegm syndrome (Sp fails to trans., damp accumulation forms phlegm) • Phlegm attacks LU: cough with large amount of white phlegm • ST fails to descend: nausea, vomiting • Phlegm obstruct qi movement: chest and epigastrium oppressed • Phlegm dampness obstructed SP: heaviness • Phlegm blocks clear yang: dizzy • Phlegm disturbs heart: palpitation [Song]
Contraindications: 
Description
Name Variations: Er Chen Tang, 二陈汤, Two-Cured Decoction,
Herb List: Ban Xia(K) • Chen Pi(M) • Fu Ling(A) • Gan Cao(E) • [Wu Mei(E) • Sheng Jiang(E)]
Commentary: "chen" means the longer you keep the herbs, the more potent they are. There are 6 "chen" herbs in the materia medica: Ban Xia, Chen Pi, Ma Huang, Wu Zhu Yu, Zhi Shi, and Long Du(poisonous, no longer used). Xin Hui Chen Pi is the known for being the best quality. Ginger reduces the toxicity of Ban Xia. The basic processed form is Fa Ban Xia to eliminate dampness and phlegm. The most efficient way to get rid of dampness is to promote urination. Fu Ling promotes urination. Some formulas remove Wu Mei because it's sour and from the stabilize and bind category so it's contra to the purpose of the formula. However, some thinks that Wu Mei is used to gather the phlegm and expel it.[Song]
Related Formulas:
Herbs Cat/Dosage Actions Attributes
Zhi Ban XiaPinellia Root • 半夏 Phlegm Cold

15g

Transforms damp-phlegm • Direct stomach Qi downward• Stop cough/ wheezing • Relieve nausea & vomiting • Dissolve nodules and swellingsFan Ban Xia - deep fried with vinegar, Ming Fan, and Sheng JiangJiang Ban Xia - fried with ginger juice reprotoxic, warming, drying, antitussive, antiemetic
Chen PiDried Tangerine Rind • 陈皮♥  Regulate Qi

15g

Stop cough • Stop vomiting • Regulate Qi • Harmonize middle burner • Transform phlegm • Dry dampnessDao Di: Guang Dong • The older the Chen Pi, the better the quality • For moving Qi, Chen Pi is focus on moving Qi in the epigastric area regulate gastrointestinal smooth muscles, clear phlegm, hypertensive, aid digestion, hepatoprotective, anti-inflammatory, antioxidant, antiviral, expectorant
Fu LingPoria Mushroom • 茯苓 Drain Dampness

9g

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
Gan CaoLicorice Root • 甘草 ♦  Tonify Qi

4.5g

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 effectsEnters all 12 channels, often serve as envoy in a formula. Hypoglycemic • Antiarrhythmic • Expectorant • Antidiarrheal • Antiulcer • Hepatoprotective • Immunostimulant • Antitussive • Antiviral • Detox • Demulcent • Anti-inflammatory • Laxative • Emmenagogue • Antimicrobial • Spasmolytic • Corticosteroidal
Wu MeiMume Fruit • 乌梅 ♦  Stabilize + Bind

1 piece

Sheng Jiang • Ginger (Raw) • 生姜 ♦   Release Exterior Wind Cold

7 slices

Release exterior • Stops vomiting • Relieve Nausea • Stops cough • Reduce herb toxicity • Regulate central flow of Qi Expectorant • Cough Suppressant • Digestive • Hypotensive • Antiplatelet • Stimulant • Analgesic • Anti-inflammatory • Antipyretic • Cholagogic • Antiemetic • Antimutagenic
King/Chief    ♥ Minister/Deputy      Assistant     ♦ Envoy
Directions: Original text: take 12g with 7 pieces of Sheng Jiang and 1 piece of Wu Mei. Many modern prescriptions discount this step and substitute Chen pi for Ju Hong. If decoted, the dosage should be reduced by 1/3.
Modifications For
+ Cang Zhu + Hou Po Damp Phlegm 31
+ Dan Nan Xing + Gua Lou Heat Phlegm 31
+ Gan Jiang + Xi Xin Cold Phlegm 31
+ Tian Ma + Jiang Can Wind Phlegm 31
+ Lai Fu Zi + Mai Ya Food Stagnation 31
+ Xiang Fu + Qing Pi + Yu Jin Qi Stagnation 31
+ Hai Zao + Kun Bu + Mu Li Goiter 31

Caution

ALERT: Contraindications of each herb - use with caution under these conditions:
Ban Xia: Yin deficiency cough • Bleeding • Dehydration • Heat • Pregnancy • Incompatible with Wu Tou and Fu Zi • Antidepressant drugs • Blood pressure medication • Terfenadine (antihistamine) • Foods: lamb, goat
Chen Pi: Excess internal heat • Dry cough from heat, yin deficiency or qi deficiency • Cough with blood • Red tongue • Fluid deficiency
Fu Ling: Foods: Vinegar, pickled food
Gan Cao: High blood pressure • Low potassium • Seaweed • Medications: Gan Cao can interact with various medication. See Pharma Interaction section.
Wu Mei:
Sheng Jiang: Lung heat • Dry cough • Phlegm heat • Full heat • Yin deficiency with heat • Vomiting from stomach heat • Gallstones • Exterior deficiency with unexplained sweating • Horse meat

Notes

 

Bibliography: [3], [8], [9], [14]

Information in this post came from many sources, including class notes, practitioners, websites, webinars, books, magazines, and editor's personal experience.  While the original source often came from historical Chinese texts,  variations may result from the numerous English translations.   Always consult a doctor prior to using these drugs.  The information here is strictly for educational purposes. 

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