Herb Formulas Notebook

Da Huang Huang Lian Xie Xin Tang

Rhubarb and Coptis Decoction to Drain the Heart


Author: Zhang Zhong-Jing, 張仲景

Year: c. 220

Source: Discussion of Cold Damage (Shang Han Lun, 傷寒論)


Category: Formulas that Clear Heat

Pattern: Hot Focal Distention due to Heat pathogen without form collecting in the epigastrium

Key Symptoms: Focal distention in the epigastrium that is soft when pressed
Secondary Symptoms: All kinds of Heat and inflammation in the upper body, head and throughout the digestive tract, bleeding form the upper orifices, irritability, insomnia, Heat Excess rashes, sores and skin disorders.

Pulse: Floating in the middle position


Ingredients

Da Huang 12g
Huang Lian 6g


Preparation: Decoction.


Actions: Drains Fire, resolves Toxicity, dries Dampness, treats Hot Focal Distention



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.