Herb Formulas Notebook

Yin Chen Hao Tang

Virgate Wormwood Decoction


Author: Zhang Zhong-Jing, 張仲景

Year: c. 220

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


Category: Formulas that Expel Dampness

Pattern: Damp-Heat Jaundice due to Yangming Heat accumulating in the Interior and sweat being obstructed by Dampness

Key Symptoms: Whole-body jaundice with a colour that resembles a 'fresh tangerine', slight abdominal distention, little or no sweating, or sweating from the head only that stops at the neck
Secondary Symptoms: Can also be used for other Damp-Heat skin and gynaecological disorders such as eczema, psoriasis, dermatitis, acne, uterine bleeding, vaginal itching and painful menstruation.

Tongue: Yellow, greasy coating
Pulse: Slippery, rapid
Abdomen: Slightly distended


Ingredients

Yin Chen Hao 18g
Zhi Zi 9-12g
Da Huang 6g


Preparation: Decoction.


Actions: Clears Heat, resolves Dampness, reduces jaundice



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

Herba et Radix Taraxaci(Dandelion)8g(Emperor)
Herba Alchemillae(Lady's Mantle)5g(Minister)
Radix et Rhizome Rhei (Rhubarb root)5g(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.