Herb Formulas Notebook

Fu Zi Xie Xin Tang

Aconite Decoction to Drain the Heart


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 Clear Heat

Pattern: Jueyin Syndrome with Heat Above and severe Deficiency Cold Below; Damp-Heat excess clumping in the Interior with Yang deficiency

Key Symptoms: Focal distention, vomiting and diarrhoea with sweating, aversion to cold, cold extremities

Tongue: Greasy, yellow tongue coating
Pulse: Submerged and thin


Ingredients

Zhi Fu Zi 3g
Da Huang 6g
Huang Lian 3g
Huang Qin 3g

Subsitutions:
In the UK Fu Zi must be substituted with Rou Gui and Gan Jiang. Other Yang tonics that stop diarrhoea and vomiting like Bu Gu Zhi, Yi Zhi Ren, Rou Dou Kou or Wu Zhu Yu might also be suitable.


Preparation: Decoction.


Actions: Drains Fire, resolves toxicity, dries Dampness, warms Yang

Contraindications: Spleen deficiency Cold 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).



Research Links:



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.