Herb Formulas Notebook

Hua Ban Tang

Transform Maculae Decoction

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Source: Systematic Differentiation of Warm Pathogen Diseases (1798)
Author: Wu Tang / Ju-Tong

Category: Formulas that Clear Heat

Pattern: Warm Pathogen disorder with Heat entering the Qi and Blood levels

Key Symptoms: Macular rash, fever that worsens at night, thirst

Tongue: Yellow tongue coating
Pulse: Rapid

Shi Gao 30g
Zhi Mu 12g
Gan Cao 9g
Xuan Shen 9g
Shui Niu Jiao 30-120g
Jing Mi 9-15g

Shui Niu Jiao, which is a substitute for Xi Jiao advised in the source text, must also be substituted in the UK. Increasing Xuan Shen and adding Huang Lian to make a 3:1 ratio is the usual substitution.
Shi Gao must also be substituted which is harder to achieve.
Herbs like Sheng Di, Chi Shao and Mu Dan Pi are often added to the formula to increase its effectiveness so adding these may help but they are more Blood level herbs. Herbs like Huang Qin, Lian Qiao, Zhi Zi and Dan Zhu Ye may be more appropriate if the Qi level heat is strong.

Preparation: Decoction. The source text advises boiling the herbs in 8 cups of water until 3 remain which are taken warm througout the day. The dregs are then cooked once more with less water and taken again at night. Dosages may be adjusted according to the relative severity of Qi or Blood symptoms.

Actions: Clears Qi level Heat and cools the Blood

Contraindications: This formula is for a strong pathogen with a strong constitution and so it is contraindicated for people with Yang deficiency or weakness of the Spleen and Stomach

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.