Herb Formulas Notebook

Da Huang Fu Zi Tang

Rhubarb and Aconite Decoction


Author: Zhang Zhong-Jing, 張仲景

Year: c. 220

Source: Essentials from the Golden Cabinet (Jin Gui Yao Lue, 金匱要略)


Category: Formulas that Drain Downward

Pattern: Cold accumulation in the interior causing stagnation of Qi and clumping of fluids

Key Symptoms: Acute abdominal pain, hypochondriac pain, chest pain
Secondary Symptoms: Chills, low grade fever, cold hands and feet

Tongue: Greasy, white coating
Pulse: Submerged, tight and wiry
Abdomen: Pain and tenderness in the hypochondrium and abdomen


Ingredients

Zhi Fu Zi 9-12g
Da Huang 9g
Xi Xin 6g

Subsitutions:
For legal reasons most of this formula may be difficult to obtain. Fu Zi may be substituted with Rou Gui and Gan Jiang, while Xi Xin may be substituted with Wei Ling Xian.


Preparation: Decoction.


Actions: Warms the interior, disperses Cold, unblocks the bowels, alleviates pain

Contraindications: Interior Heat excess patterns



Notes:
One liang is taken as 3g in modern sources but in Eastern Han times it was equivalent to 13.875g. This means that the dosages in classical formulae could have been more than 4x what is given today making them far higher than recommended safe dosages today but prompts consideration of what an effective dose may be (He, 2013).



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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.