Herb Formulas Notebook

Er Chen Tang

Two Aged Decoction


Author: Tai Yi Ju (Imperial Medical Bureau), 太醫局

Year: 1107

Source: Formulary of the Pharmacy Service for Benefiting the People of the Taiping Era (Tai Ping Hui Min He Ji Ju Fang, 太平惠民和劑局方)


Category: Formulas that Dispel Phlegm

Pattern: Damp-Phlegm from Spleen Deficiency, Fox-like Bulging disorders of the Ren Mai

Key Symptoms: Focal distention, nausea or vomiting
Secondary Symptoms: Cough with copious white sputum that is easy to expectorate, stifling sensation in the chest and diaphragm, palpitations, dizziness, heaviness of the limbs

Tongue: White, greasy coating
Pulse: Slippery
Abdomen: Discomfort in epigastrium, splashing sounds in upper abdomen


Ingredients

Zhi Ban Xia 10g
Ju Hong 10g
Fu Ling 6g
Zhi Gan Cao 3g

Subsitutions:
Original source included Sheng Jiang and Wu Mei. These are often omitted today and Ju Hong may be replaced with Chen Pi.


Preparation: Decoction.


Actions: Dries Dampness, transforms Phlegm, regulates the Qi, harmonises the Middle Burner

Contraindications: Cough associated with Yin deficiency. Improper use can result in excessive thirst and dry throat.



Notes:
Extraordinary Vessel attributions come from Li Shi-Zhen's (1577-8) Exposition on the Eight Extraordinary Vessels (Qi Jing Ba Mai Kao), trans. Chace & Shima (2009). This formula is given by Shen Jin-Ao in the commentary.

---------------------------------------

Similar to other fundamental formulas, this is the basis for a number of other Phlegm-related formulas including:

Liu Jun Zi Tang: Add Ren Shen and Bai Zhu to combine with Si Jun Zi Tang for Spleen Qi Deficiency accompanied by Phlegm.
Fu Ling Wan: Remove Ju Hong and add Gan Jiang, Ren Shen and Bai Zhu, to combine with Li Zhong Wan to treat Cold thin mucus due to Spleen Yang Deficiency.

Wen Dan Tang: Add Zhu Ru and Zhi Shi for Phlegm-Heat obstructing the Qi dynamic and disturbing the Shen. Huang Lian can also be added for Phlegm-Fire.
Jia Wei Er Chen Tang: Add Huang Lian, Huang Qin and Bo He for Phlegm-Fire causing incessant tinnitus and deafness.
Zhu Li Da Tan Wan: Add Ren Shen, Bai Zhu, Huang Qin, Da Huang, Chen Xiang and Meng Shi for Dian Kuang due to chronic and stubborn Phlegm-Heat in a person with a weak constitution.

Ban Xia Bai Zhu Tian Ma Tang: Add Tian Ma and Bai Zhu for Wind-Phlegm causing severe dizziness or headaches.
Dao Tan Tang: Add Tian Nan Xing and Zhi Shi for Phlegm Inversion causing fainting.
Di Tan Tang: Add Tian Nan Xing, Shi Chang Pu, Zhu Ru, Ren Shen and Zhi Shi for Phlegm obstructing the orifices of the Heart and Collaterals of the tongue due to Wind-Stroke.

Fu Ling Wan: Change Ju Hong for Zhi Ke, add Mang Xiao, and remove Zhi Gan Cao to treat Phlegm in the Middle Jiao overflowing into the Channels and Collaterals causing pain and immobility the arms.
Er Zhu Tang: Add Cang Zhu, Bai Zhu, Huang Qin, Tian Nan Xing, Xiang Fu, Wei Ling Xian and Qiang Huo for pain in the upper arm due to Phlegm-Dampness in the Upper Jiao that enters the Channels and Collaterals.
Qing Shi Hua Tan Wan: Add Cang Zhu, Tian Nan Xing, Huang Qin, Qiang Huo, Bai Jie Zi, Bai Zhi and Gan Jiang for joint dysfunction due to Phlegm-Dampness in the Channels.

Jiang Qi Hua Tan Tang: Add Zi Su Zi, Qian Hu, Sang Bai Pi, Xing Ren and Jie Geng for cough and wheezing due to phlegm obstructing the Lungs.
Jiang Shen Su Yin: Change Chen Pi for Zhi Ke and add Zi Su Ye, Ren Shen, Ge Gen, Qian Hu, Mu Xiang and Jie Geng for Wind-Cold with thin mucus and a weak constitution.
Qing Qi Hua Tan Wan: Add Dan Nan Xing, Gua Lou Ren, Huang Qin, Xing Ren and Zhi Shi for stubborn productive cough due to Internal Clumping of Phlegm-Heat.

---------------------------------------

Ploberger (2017), in Westliche und traditionell chinesische Heilkräuter, offers the following alternative using western herbs:

Pericarpium Citri ret.(Orange peel)9g(Emperor)
Radix Angelicae archangelicae(Angelica)4g(Minister)
Herba Thymi(Thyme)3g(Minister)
Radix Glycyrrhizae(Licorice root)2g(Assistant)
Rhizoma Zingiberis recens(Fresh Ginger)2g(Envoy)
Herba Menthae(Peppermint)3g(Minister)



Research Links:



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.