Herb Formulas Notebook

溫膽湯 Wen Dan Tang

Warm the Gallbladder Decoction


Author: Sun Si Miao, 孫思邈

Year: 650

Source: Important Formulas Worth a Thousand Gold Pieces (Bei Ji Qian Jin Yao Fang, 備急千金要方)


Category: Formulas that Dispel Phlegm

Pattern: Cold in the Gallbladder following a severe illness

Key Symptoms: Fatigue and insomnia.


Ingredients

Zhu Ru 6g
Zhi Shi 6g
Zhi Ban Xia 6g
Chen Pi 9g
Zhi Gan Cao 4.5g
Sheng Jiang 12g


Preparation: Decoction.


Actions: Warms the Gallbladder.



Notes:
This is the original Wen Dan Tang formula that is directed at warming a cold Gallbladder using the same herbs but minus Fu Ling and Da Zao, and a higher dose of Zhi Gan Cao and Sheng Jiang.

Will Ceurvels, in An Archaeology of the Qiao Vessels makes a convincing argument that the purpose of this formula is to warm a deficient, cold and shrunken Gallbladder which is unable to maintain its function as the Shaoyang pivot between the upper and lower Jiao, resulting in Stomach Qi rebelling upwards (nausea, vomiting), Spleen Qi failing to ascend (dizziness) and fluids to congeal into Phlegm in the centre (abdominal distension, chest oppression, palpitations). In this analysis, the large dose of Sheng Jiang provides the warming action, while the combination of acrid, dispersing and bitter, descending herbs helps to re-establish the vertical Qi mechanism.



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These pages are intended to assist clinicians and are not intended for self-diagnosis or treatment for which a qualified professional should be consulted.