Herb Formulas Notebook

Xie Xin Tang

Drain the Epigastrium 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 Clear Heat

Pattern: Damp-Heat excess clumping in the Interior

Key Symptoms: Fever, irritability, flushed face, red eyes, dark urine, constipation
Secondary Symptoms: In severe cases delirious speech. Also for epigastric focal distention, jaundice, diarrhoea and dysentery, vomiting of blood and nosebleed, ulcers of the mouth and tongue, abscesses, haemorrhoids

Tongue: Greasy, yellow tongue coating
Pulse: Rapid


Ingredients

Da Huang 6g
Huang Lian 3g
Huang Qin 3g


Preparation: Decoction.


Actions: Drains Fire, resolves toxicity, dries Dampness

Contraindications: Spleen deficiency Cold patterns



Notes:
Also known as San Huang Xie Xin Tang (Three Yellows Drain the Epigastrium Decoction).

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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Ploberger (2017), in Westliche und traditionell chinesische Heilkräuter, offers the following alternative using western herbs:

Radix et Rhizoma Rhei(Rubarb root)3g(Emperor)
Stobulus Lupuli(Hops)2g(Minister)
Herba Millefolii(Yarrow)3g(Minister)
Radix Glyrrhizae (Licorice root)2g(Assistant)



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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.