Herb Formulas Notebook

San Zhong Kui Jian Tang

Decoction to Disperse Swelling and Ulcerate What is Hard

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Source: Secrets from the Orchid Chamber (1336)
Author: Li Gao / Dong-Yuan

Category: Formulas that Treat Abscesses and Sores

Pattern: Hard knotted lumps and sores

Key Symptoms: Saber sores (Ma Dao Chuang), knotted hard lumps as hard as stones usually on the neck and shoulders and down to the armpit on the path of the Shaoyang or Yangming channels.
Secondary Symptoms: Scrofula, goiter, neck tumours

Kun Bu 12g
Huang Bai 9g (wine fried)
Zhi Mu 9g (wine fried)
Tian Hua Fen 12g
Jie Geng 9g
San Leng 9g (wine fried)
E Zhu 9g (wine fried)
Long Dan Cao 6g (wine fried)
Huang Lian 3g
Huang Qin 9g (half wine-fried, half untreated)
Ge Gen 9g
Bai Shao 6g
Lian Qiao 9g
Sheng Ma 9g
Chai Hu 9g
Zhi Gan Cao 9g
Dang Gui Wei 6g

Preparation: Originally half the ingredients were ground into powder and taken 24-27g doses by soaking in 2.8 cups of water for half a day, decocting down to one cup and drinking warm. It is advised to imbibe slowly (10 swallows to every mouthful) and lay down so the head is lower than the legs after to keep the decoction above the diaphragm as long as possible. The other half is ground into a fine powder and formed into mung bean sized honey pills with 100-150 pills taken per day, washed down with the decocted herbs.
At present it is currently just decocted in the normal manner.

Actions: Clears Heat, resolves toxicity, reduces swelling, induces ulceration, moves the Blood, dispels stasis

Contraindications: Care must be taken to protect the patient's Yin and Qi due to the bitter, draining nature of this formula. Simultaneous or intermittent tonification may be required in elderly or debilitated patients.

Research Links:
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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.