Herb Formulas Notebook

Da Huang Mu Dan Tang

Rhubarb and Moutan Decoction

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Source: Essentials from the Golden Cabinet (c. 220)
Author: Zhang Ji / Zhong-Jing

Category: Formulas that Treat Abscesses and Sores

Pattern: Early stage of intestinal abscess due to clumping of Heat and Blood in the Large Intestine

Key Symptoms: Lower abdominal distention and pain (usually on the right). Pain in the groin that is relieved by flexing the hip and knee and aggravated by extending the hip.
Secondary Symptoms: Intermittent fever followed by chills and sweating

Tongue: Thin, yellow and greasy coating
Pulse: Slippery, rapid
Abdomen: Pain increases with pressure with rebound tenderness and guarding. May be a mass in the lower right quadrant.

Da Huang 12-18g
Mu Dan Pi 3-9g
Tao Ren 9-15g
Mang Xiao 9-12g
Dong Gua Zi 15-30g

Preparation: Decoction.

Actions: Drains Heat, breaks up Blood stasis, disperses clumping, reduces swelling

Contraindications: Necrotic appendicitis, appendicitis with peritonitis, appendicitis in infants, appendicitis during pregnancy, or appendicitis due to parasites. Caution in the weak and elderly.

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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.