Formula Database

Huang Hu Tang

(Yellow Earth Decoction)

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

Category: Formulas that Regulate Blood

Pattern: Spleen Yang deficiency failing to control Blood

Key Symptoms: Blood in the stool, vomiting or spitting up of blood, nosebleeds, abnormal uterine bleeding
Secondary Symptoms: cold extremities, wan complexion, general fatigue, lack of taste and no particular thirst

Tongue: Pale with white coating
Pulse: Submerged, thin and forceless

Zao Xin Tu 18g
Sheng di Huang 9g
E Jiao 9g
Bai Zhu 9g
Zhi Fu Zi 9g
Gan Xao 9g
Bao Fu Zi 9g
Huang Qin 9g

In the UK some substitutions must be made:
E Jiao == Han Lian Cao + Gou Qi Zi
Fu Zi == Gan Jiang + Rou Gui

Zao Xin Tu is also often increased to 30-60g or substituted with Chi Shi Zhi at 3-4 the dosage. Both may require substitution if the patient dislikes the idea of drinking muddy water for which the best may be He Zi and Ji Guan Hua.

Preparation: Decoction. Zao Xin Tu is usually decocted for 30-40 minutes before the other ingredients are added and E Jiao is stirred into the strained decoction.

Actions: Warms the Yang, strengthens the Spleen, nourishes the Blood, stops bleeding

Contraindications: Bleeding from excess Heat or where External Pathogens are present

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.