Xiè Xīn Tāng

 

 

Drain the Epigastrium Decoction

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Category: Clear Heat Resolve Toxicity ⌕ 
Subcategory: Resolve Toxicity  Source: Jin Gui Yao Lue 
Actions: drain fire and detoxification, dry dampness
Diagnosis
Tongue: Greasy • yellow      Pulse: rapid    Other: 
Patterns: Fire toxins, damp heat toxins 
Indications: Excess Heat in the San Jiao [35] • Interior excessive fire forced blood movement:Vomiting blood, epistaxis, constipation and redness, accumulation of heat in the triple burner, red and swollen eyes, sores on the mouth and tongue, depression in the chest and chest, constipation, damp-heat jaundice, irritability and fullness in the chest, yellow and greasy tongue coating, and rapid pulse. [31] • Used externally for sores and carbuncles.[42]
Contraindications: 
Description
Name Variations: Xie Xin Tang, , Drain the Epigastrium Decoction,
Herb List: Huang LianDa HuangHuang Qin
Commentary: Modification • Jaundice: + Yin Chen Hao, Zhi Zi • Sores: Jin Yin Hua, Zi Hua Di Ding, Lian Qiao
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 QinBaical 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 ShiImmature 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 XiaPinellia 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 JiangJiang Ban Xia - fried with ginger juice reprotoxic, warming, drying, antitussive, antiemetic
Bai ShaoWhite 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 ZaoJujube • 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

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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