Herb Formulas Notebook

Dian Kuang Meng Xing Tang

Decoction to Wake from the Nightmare of Insanity


Author: Wang Qing-Ren, 王清任

Year: 1830

Source: Correction of Errors Among Physicians (Yi Lin Gai Cuo , 醫林改錯)


Category: Formulas that Regulate Blood

Pattern: Qi stagnation forming Phlegm that obstructs the Blood

Key Symptoms: Mania that persists for an extended period of time, agitation, restlessness, incoherent speech and constant anger, bizarre behaviour.
Secondary Symptoms: Dark complexion, pain and fullness of the chest and flanks, headache, palpitations

Tongue: Purple
Pulse: Wiry and fine, or rough and fine


Ingredients

Tao Ren 24g
Chai Hu 9g
Xiang Fu 6g
Mu Tong 6g
Chi Shao 9g
Zhi Ban Xia 6g
Da Fu Pi 9g
Qing Pi 6g
Chen Pi 9g
Sang Bai Pi 9g
Zi Su Zi 12g
Gan Cao 6g

Subsitutions:
In the UK a few herbs must be substituted:

Mu Tong is often substituted with Qu Mai as it also enters the Heart, Small Intestine and Bladder channels but has little effect on emotions. Deng Xin Cao or Dan Zhu Ye do help to eliminate irritability and clear Heat from the Heart by promoting urination so may be a better choice, or a combination of these.

Da Fu Pi is also banned in the UK and must be substituted. It is often substituted with Zhi Shi and Yu Li Ren although Da Huang might also be considered instead of Yu Li Ren for its cooling, blood activating and delirium reducing properties which can be either added at the end for an extremely draining formula, or cooked for a long time to focus more on cooling and moving.


Preparation: Decoction.


Actions: Invigorates the Blood, transforms stasis, regulates the Qi, transforms Phlegm



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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.