Bái Tóu Wēng Tāng

白头翁汤

Pulsatilla Decoction

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Category: Clear Heat - Zang Fu Organs ⌕ 
Subcategory:   Source: Shang Han Lun  
Actions: clear heat toxin, cool blood, stop diarrhea [31]
Diagnosis
Tongue: red with yellow greasy coat      Pulse: wiry, rapid    Other: 
Patterns: Middle Jiao Toxic Heat Dysentery 
Indications: Dysentery due to Toxic-Heat in the ST & Intestine [35] • Heat toxin dysentery: abdominal pain, tenesmus, burning anus, more bleeding than pus in stools. Thirst , red tongue with yellow coating, wiry rapid pulse [31]
Contraindications: 
Description
Name Variations: Bai Tou Weng Tang, 白头翁汤, Pulsatilla Decoction,
Herb List: Bai Tou Weng(K) • Huang Lian(M) • Huang Bai(M) • Qin Pi(A)
Commentary:
Related Formulas:
NCCAOM: The 10 NCCAOM formulas that clear organ heat are Má Xìng Shí Gān Tāng, Xiè Bái Sǎn, Xiè Huáng Sǎn, Qīng Wèi Sǎn, Yù Nǚ Jiān, Dǎo Chì Sǎn, Lóng Dǎn Xiè Gān Tāng, Zuǒ Jīn Wán, Sháo Yào Tāng, and Bái Tóu Wēng Tāng. • Ma Xing Shi Gan Tang is for excess Lung heat from Wind attack. • Xie Bai San is also for Lung heat but more for constrained Lung heat causing cough and wheezing. • Xie Huang San is for smoldering Fire in the Spleen/Stomach with mouth ulcers, bad breath, dryness, thirst, frequent hunger and epistaxis. • Qing Wei San is for Stomach fire with foul/dry mouth, toothache, headache, fever with red cheeks, bleeding and ulcerated gums. • Yu Nu Jian is for Stomach heat with Yin deficiency with loose teeth, thirst, bleeding gums, thirst, fever. • Dao Chi San is for Heart heat transferring to Small Intestine. • Long Dan Xie Gan Tang is for Liver and Gall Bladder Damp Heat with hypochondriac pain, red eyes, bitter taste, difficult urination, and shingles. • Zuo Jin Wan is for Liver Fire invading the Stomach with bitter taste, acid regurgitation and vomiting. • Shao Yao Tang is for Large Intestine Damp-Heat with Qi & Blood stagnation causing dysentery, tenesmus, and burning anus. • Bai Tou Weng Tang is also for dysentery, tenesmus and burning anus but the cause is from toxic heat in both the Stomach and the Intestines.
Herbs Cat/Dosage Actions Attributes
Bai Tou WengPulsatilla • 白头翁  Clear Heat Resolve Toxins Clear heat • Resolve toxins • Cool blood heat • Drain damp heat • Reduce abscess antiamoebic • analgesic • antibiotic • cardiotonic • sedative
Huang LianCoptis Root • 黄连  Clear Heat Dry Dampness Drain Stomach fire, Heart heat, and intestinal heat • Dry intestine dampness • Sedate fire • Stop bleeding Antibiotic • anti-inflammatory • anti-pyretic • hypotensive • anti-ulcer • anti-diarrhea chologogic
Huang BaiChinese Cork Tree • 黄柏  Clear Heat Dry Dampness Clear deficiency heat • Dry dampness • Sedate fire • Resolve toxins Antibiotic • Antitussive • Expectorant • Hypotensive
Qin PiFraxinus • 秦皮  Clear Heat Dry Dampness Dry dampness • Clear heat • Sedate liver fire • Benefit eyes • Calm wheezing • Stop cough • Stop diarrhea Anti-inflammatory • Analgesic • Diurectic • Expectorant • Sedative • Antitussive • Anticonvulsant
King/Chief    ♥ Minister/Deputy      Assistant     ♦ Envoy
Directions:

Caution

ALERT: Contraindications of each herb - use with caution under these conditions:
Bai Tou Weng: Diarrhea or dysentery from deficiency cold
Huang Lian: Yang deficiency, yin deficiency, Spleen or Stomach deficiency, pork[42] • Pregnancy, newborns, lactation[49]
Huang Bai: Spleen or kidney yang deficiency • Not for long term use • Spleen and stomach deficiency cold
Qin Pi: Spleen and stomach deficiency cold

Notes

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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