Yáng Hé Tāng

阳和汤

Yang Heartening Decoction

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Category: Treat Abscess and Sores ⌕ 
Subcategory: Late Stage Abscess and Sores  Source: Wai Ke Zheng Zhi Quan Sheng Ji 
Actions: Warm Yang, tonify Blood, disperse cold, clear stagnation [22]
Diagnosis
Tongue: deep, fine      Pulse: pale white coat    Other: 
Patterns: Late Stage Abscess and Sores, Qi and Blood Deficiency 
Indications: Yin type sores from Yang deficiency and interior cold stagnation. Swelling, soreness, pain without local heat. No change to skin color, no thirst, pale white tongue, deep fine pulse. Cellulitis, gangrene, multiple abscesses, subcutaneous nodules. Mastitis, cystic hyperplasia, Raynaud's disease, sciatica, rheumatoid arthritis [22]
Contraindications: 
Description
Name Variations: Yang He Tang, 阳和汤, Yang Heartening Decoction,
Herb List: Shu Di Huang(30g) • Lu Jiao Jiao(9g) • Pao Jiang(1.5g) • Rou Gui(3g) • Ma Huang{1.5g) • Bai Jie Zi(6g) • Gan Cao(3g)
Commentary:
Related Formulas:
NCCAOM: There are 2 NCCAOM formulas that treat External Abscess. They are Wǔ Wèi Xiāo Dú Yǐn and Yáng Hé Tāng. Wu Wei Xiao Du Yin is for toxic heat sores while Yang He Tang is for Yin type sores that comes from Yang deficiency. Yin type sores have no redness or heat, slow to form and slow to heal, (cellulitis, gangrene, mastitis, old scars keeps reopening). Toxic heat sores are Yang sores (acute, inflamed), although not all Yang sores are due to toxic heat.
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.
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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