Herb Formulas Notebook

Gun Tan Wan

Vaporise Phlegm Pill

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Source: Essential Teachings of Dan-Xi (1481)
Author: Zhu Dan-Xi

Category: Formulas that Dispel Phlegm

Pattern: Chronic and stubborn Phlegm-Heat

Key Symptoms: Dian Kuang (mania and withdrawal or bipolar disorder), severe palpitations with unconsciousness, coughing and wheezing with thick sputum, dysphagia with irritability and oppressive fullness in the chest and epigastrium, dizziness and tinnitus, nodules around the neck, erratic movements of the eyes and mouth, insomnia or sleep disturbed with bizarre dreams, severe stabbing pain in the joints, constipation.

Tongue: Thick yellow coating
Pulse: Slippery, rapid and forceful

Meng Shi 30g
Da Huang 240g
Huang Qin 240g
Chen Xiang 15g

In the UK Meng Shi must be substituted. Xia Ku Cao and Tian Zhu Huang are the best substitutes. If Tian Zhu Huang cannot be obtained then Tian Nan Xing and Zhu Ru will suffice.
Chen Xiang is usually also substituted due to expense. The typical substitution in Hou Po and Bu Gu Zhi.

Preparation: Ground into a fine powder and formed into small pills with water, approx 5mm in diameter. 40-50 pills are taken with tea or warm boiled water after meals and at bedtime. Dosage is adjusted according to severity of condition. Today it may be prepared as pills and taken in 5-9g doses or prepared as a decoction with appropriate reduction in dosages.

Actions: Purges Fire and eliminates Phlegm

Obviously some of the symptoms are severe and a few are red flags so this should not be the only line of treatment being followed.

Research Links:
Science Direct
Google Scholar
Journal of Chinese Medicine
American Dragon

Reference Notes: (click to display)

These pages are intended to assist clinicians and are not intended for self-diagnosis or treatment for which a qualified professional should be consulted.