Herb Formulas Notebook

Jia Jian Dao Chi Xie Xin Tang

Modified Guide Out the Red and Drain the Epigastrium Powder

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Source: Selected Formulas for Warm-Heat Pathogen Diseases (c. 1900)

Category: Formulas that Clear Heat

Pattern: Wind-Warmth that has transformed into Fire and entered the Heart channel with deficiency of the Shen Qi of the Heart Zang.

Key Symptoms: Impaired consciousness without speech and the appearance of being drunk, speaking in one or two sentences during sleep, red eyes, burnt lips, thirst with no desire to drink, eating only when offered food but no epigastric focal obstruction, fullness or constipation, reduced urination, blood in the urine

Tongue: Dry red tongue with a crimson tip
Pulse: Thin and rapid on the left, not large and flooding on the right.

Huang Lian 3g
Zhi Zi 3g
Shui Niu Jiao 12-15g
Xi Yang Shen 3g
Huang Qin 3g
Sheng Di Huang 15g
Fu Shen 6g
Lian Zi Xin 30pcs
Deng Xin Cao 1.5g
Yi Yuan San 9g (Augment the Primal Powder)

In the UK Shui Niu Xiao must be substituted, usually with Xuan Shen and Huang Lian in a 3:1 ratio. Adding 9g of Xuan Shen could be the simplest solution.
Yi Yuan San consists of Hua Shi, Zhi Gan Cao and Zhu Sha so this also needs to be substituted. If Summerheat is suspected then Hua Shi should be substituted with Xiang Ru and Bai Bian Dou, if not then Chi Fu Ling and Ze Xie. Zhu Sha should be substituted with Hu Po.

Preparation: Decoction.

Actions: Clears Heat from and nourishes the Heart, cools the Blood, calms the Shen, promotes urination

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.