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AboutChinese MedicineCaution/Notes
| Health Benefits |
| For: |
| Atributes: |
| Products |
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Tablets |
Pills |
Capsules |
Granules |
| Other Names: |
| Category: Clear Heat Resolve Toxicity |
| Subcategory: Source: Dong Yuan Shi Xiao Fang |
| Actions: Expel wind pathogen, clear heat and detoxification
[31] |
| Diagnosis |
| Tongue: red with yellow coating Pulse: rapid Other: |
| Patterns: Wind Heat Toxins in Upper Jiao |
| Indications: Epidemic Toxin with Wind-Heat & Damp-Phlegm [35] • Wind heat toxin in Upper Jiao: swollen in face, aversion to cold, fever, sore throat, dry mouth, thirst, red
tongue with yellow coating, rapid pulse [31]
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| Contraindications: |
| Description |
| Name Variations: Pu Ji Xiao Du Yin, 普济消毒饮, Universal Benefit Decoction to Eliminate Toxin, |
| Herb List: Huang Qin(K) • Huang Lian(K) • Niu Bang Zi(M) • Bo He(M) • Lian Qiao(M) • Jiang Can(M) • Ban Lan Gen(A) • Ma Bo(A) • Xuan Shen(A) • Jie Geng(A) • Chen Pi(A) • Chai Hu(A) • Sheng Ma(A) • Gan Cao(E) |
| Commentary: Constipation: Da Huang (if severe heat w/o constipation,
also could be added)
|
| Related Formulas: |
| NCCAOM: The 4 NCCAOM formula for clearing toxic heat from a system level are Huáng Lián Jiě Dú Tāng, Xiè Xīn Tāng, Pǔ Jì Xiāo Dú Yǐn and Liáng Gé Sǎn. • Huang Lian Jie Du Tang is for Fire-Toxin from excessive Heat in the San Jiao leading to high fever, incoherent speech, dark urine and dryness. Huang Lian Jie Du Tang has all 3 Huangs + Zhi Zi, and therefore, toxin in all 3 Jiaos. • Xie Xin Tang is also for excess Heat in the San Jiao, but focuses more on the upper and middle Jiao. Xie Xin Tang has Huang Lian + Huang Qin + Da Huang and focuses more on upper and middle Jiao symptoms like epistaxis, hematemesis, damp-heat jaundice, sores and carbuncles, and basically interior excessive fire forcing blood movement. • Pu Ji Xiao Du Yin is for epidemic Wind Heat and damp phlegm toxin in the upper Jiao causing facial edema, sore throat, dryness, fever, and aversion to cold. • Liang Ge San is for heat stagnation in the 3 Jiaos, particularly in the diaphragm region. This leads to chest heat, restlessness, mouth ulcers, sore throat, hematemesis, and constipation. |
| Herbs |
Cat/Dosage |
Actions |
Attributes |
| 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 |
| Huang Qin • Baical Skullcap Root • 黄芩 |
Clear Heat Dry Dampness |
Clear heat • Dry dampness • Stop bleeding • Calm fetus • Calm liver yang rising • Clear damp heat • Guide herbs to Shao Yang Jing |
Antibiotic • Anti-inflammatory • Antioxidative • Antipyretic • Cholagogic • Hepatoprotective • Hypoglycemic • Hypotensive • Neuroprotective • Sedative |
| Da Huang • Rhubarb • 大黄 |
Downward Draining |
Drain downward • Promote menstruation • Reduce accumulation • Drain fire • Cools blood • Clear heat • Dry dampness • Resolve blood stasis (add near end of decoction) |
Anti-inflammatory • Antibiotic • Antipyretic • Choleretic • Cholagogic • Hemostatic • Immunity booster • Laxative • Nephroprotective |
| Zhi Shi • Immature Bitter Orange • 枳实 |
Regulate Qi |
Breaks up Qi stagnation, clear accumulation, resolve phlegm obstruction, unblock bowelsFor moving Qi: from epigastric all the way to the abdominal area - Zhi Shi and Zhi Ke |
hypertensive, acidic, enhances circulation, diuretic, increase intestinal peristalsis, uterine stimulant |
| Sheng Jiang • Ginger (Raw) • 生姜 |
Release Exterior Wind Cold |
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 |
| Ban Xia • Pinellia Root • 半夏 |
Phlegm Cold |
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 Jiang • Jiang Ban Xia - fried with ginger juice |
reprotoxic, warming, drying, antitussive, antiemetic |
| Bai Shao • White Root Peony • 白芍 |
Tonify Blood |
Nourish blood • Regulate menses • Soothes liver • Relieve pain • Preserve yin • Reduce spasms • Harmonize Ying and Wei QiDao Di: Zhe Jiang • AKA Shao Yao |
analgesic • antibacterial • anti-inflammatory • hepatoprotective • immune system boost • sedative |
| Da Zao • Jujube • 大枣 |
Tonify Qi |
Tonify spleen • Tonify qi • Calm the spirit • Harmonize other herb's properties • Nourish blood |
antibaterial • antidepressant • anti-inflammatory • anodyne • antifungal • hepatoprotective • hypotensive • sedative |
| ♠ King/Chief ♥ Minister/Deputy ♣ Assistant ♦ Envoy |
| Directions: |
| Modifications |
For |
| + |
S 31 |
| + |
St 31 |
| + |
Q 31 |
| + |
G 31 |
| Caution |
|
ALERT: Contraindications of each herb - use with caution under these conditions:
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
Huang Qin: Pregnancy • Children • Breast feeding • Deficiency heat in lungs • Middle burner cold • Restless fetus from cold • Edema • Blood deficiecy abdominal pain • Spleen deficiency • Kidney deficiency diarrhea • Poor appetite • Blood deficiency • High risk pregnancy • Fetal heat
Da Huang: Qi deficiency • Blood deficiency • Stomach deficiency cold • Spleen deficiency cold • Normal or loose stool • Normal blood flow • Postpartum • Caution with pregnancy, lactation, menstruation [21]
Zhi Shi: pregnancy, Spleen and Stomach deficiencies, gastric or duodenal peptic ulcers[18]
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
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
Bai Shao: Deficiency cold • Breast feeding • Pregnancy • Bleeding Disorder • Scheduled Surgery
Da Zao: Epigastric discomfort and bloating • Food stagnation • Damp excess • Damp Phlegm • Intestinal worms |
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