Author: Xu Xiangcai
Source: Complete External Therapies of Chinese Drugs
Category: Formulas that are Applied Externally
Pattern: Acne due to Wind-Heat, Blood Heat, Toxic Heat or Blood stasis
Key Symptoms: Fen Ci (White Horns), the Chinese term for acne as a description of the raised white heads.
Ingredients
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Da Huang
| 7.5g | |
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Pinyin: Da Huang
Chinese: 大黄
Pharmaceutical: Radix et Rhizoma Rhei
Taxonomy: Rheum palmatum
English: Chinese Rhubarb Root |
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Tastes: Bitter, cold
Meridians Entered: Large Intestine, Spleen, Stomach, Liver and Heart |
Actions & Indications:
- Drains Heat and purges accumulations
Intestinal Heat Excess, with high fever, profuse sweating, thirst, constipation, abdominal distention and pain, delirium, a yellow tongue coat and a full pulse
Yang-Ming Fu Stage
Qi Level Heat in the Intestines
- Drains Fire
Fire from Excess with intense fever, sore throat, and painful eyes and constipation
Fire toxin sores due to Xue Level Heat, especially with constipation
- Clears Heat, transforms Dampness and promotes urination
Damp-Heat with oedema, jaundice, painful urinary dysfunction and acute, hot dysenteric disorders
- Drains Heat from the Blood
Bloody stool either from hemorrhoids or Heat in the Intestines
Chaotic movement of hot Blood with hemoptysis or epistaxis with constipation
It can be powdered and administered orally for bleeding in the upper digestive tract
- Invigorates the Blood and dispels Blood Stasis
Blood Stasis with amenorrhea, fixed abdominal masses or fixed pain
Blood Stasis due to traumatic injury
Intestinal abscess
- Clears Heat and reduces Fire toxicity
Topically or internally for burns or skin lesions (Chuang Yung) due to Heat
- Clears Heat and eliminates Phlegm
Chronic Accumulation of Phlegm-Heat with cough, dyspnea, mania, disorientation and other symptoms of Phlegm Misting the Heart
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Standard Dosage: 10-15g in decoction. Excessive decoction will reduce the purgative action. Therefore it should be added at end to achieve this purpose and over-decocted to eliminate this action.
Cautions: It should be used with caution in case of spleen and stomach deficiency for its bitter and cold property which is easily to damage stomach qi. It is contraindicated to women during pregnancy, menstruation or lactation for it has actions of activating blood and resolving stasis, and can make the purged substances follow lactating out. |
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Liu Huang
| 7.5g | | |
Pinyin: Liu Huang
Chinese: 硫黄
Pharmaceutical: Sulfur grundum
Taxonomy: S8
English: Sulphur granules |
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Tastes: Sour, warm, toxic
Meridians Entered: Kidney and Large Intestine |
Actions & Indications:
- Relieves toxicity, kills Parasites and stops itching
Important topically for scabies, tinea, Damp-festering sores, ulcers, carbuncles and recalcitrant Yin flat abscess and furuncles and itching
Internally for Gu Sydnrome (Fruehauf, 1998)
- Tonifies Ming Men Fire and strengthens Yang
Kidney Yang Deficiency with painful lower back and knees and impotence Kidney and Spleen Yang Deficiencies with diarrhoea
Asthma due to Kidneys unable to grasp Qi
Constipation or diarrhoea in the elderly caused by Cold
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Standard Dosage: 1.5-3g in pill or powder form for internal use but usually used externally.
Cautions: It is contraindicated for pregnant women because of its toxicity. It should not be combined with Mang Xiao, according to nineteen incompatibilities. |
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Subsitutions:
Although Liu Huang (Sulphur) is not allowed for internal consumption, mineral products can be used in external formulas.
Preparation: Grind into a fine powder and either apply directly onto the area, or mix with 100ml of lime water and use as a wash 3-4 times daily.
Actions: Clears Heat, cools Blood
Research Links:
Reference Notes: (click to display)
Most formulas are found in Scheid, Bensky, Ellis & Barolet (2009): Chinese Herbal Medicine: Formulas & Strategies and Chen & Chen (2015) Chinese Herbal Formulas and Applications. Others are from translations of primary sources. It is recommended that the original material is cross-referenced for mistakes and additional information.
Substitutions have been taken from Ken Lloyd & Prof. Leung (2004): Mayway UK Substitution List or the above publications and are intended as suggestions to help navigate the tight restrictions in the UK quickly. More applicable substitutions may be appropriate in specific situations.
Individual herb information has initially been sourced from TCM Wiki and American Dragon for basic data and then updated manually with my own notes.
These pages are intended to assist clinicians and are not intended for self-diagnosis or treatment for which a qualified professional should be consulted.