Drain the Epigastrium Decoction
Chinese Prescription: Xie Xin Tang
English Translation: Drain the Epigastrium Decoction
Formula Type: Clear Heat and Relieve Toxicity
Actions: Drains fire, resolves toxicity, & dries dampness.
Indications: Fever, irritability, & restlessness, flushed face, red eyes, dark urine, constipation, a greasy, yellow tongue coating, & in severe cases, delirious speech. Also for epigastric focal distention, jaundice, diarrhea, & dysenteric disorders; or vomiting of blood or nosebleed; or red & swollen eyes & ears; or ulcerations of the tongue & mouth; or abscesses.
Contraindications: Contraindicated in those with Spleen deficiency cold.
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Da Huang / Rhubarb Rhizome |
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Taste: Bitter • Temperature: Cold • Category: Downward Draining • Sub Category: Purgative |
Dosage3-12g |
Actions1. Drains heat & purges accumulations: for high fever, profuse sweating, thirst, constipation, abdominal pain & distention, delirium, yellow tongue coating, & a full pulse. This presentation is referred to either as Intestinal heat excess or the yang brightness organ-stage of the six stages of disease.
2. Drains damp-heat via the stool, especially in cases of damp-heat jaundice or acute, hot dysentric disorders. Also for painful urinary dysfunction.
3. Drains heat from the blood: for blood in the stool either from bleeding hemorrhoids or heat accumulating in the Intestines. Also for reckless movement of hot blood that overflows, manifested in vomiting blood or nosebleed accompanied by constipation.
4. Invigorates the blood & dispels blood stasis: for amenorrhea, immobile abdominal masses, or fixed pain due to blood stasis. Also for blood stasis due to traumatic injury or Intestinal abscess. This is an important herb for treating both recent & long-terms blood stasis.
5. Clears heat obstructing the blood level: for fever, hot, swollen & painful eyes, or fire toxin sores due to heat excess obstructing the blood level.
6. Clears heat & reduces fire toxicity: used either topically or internally for burns or hot skin lesions. |
MeridiansHeart, Large Intestine, Liver, Stomach |
CautionsContraindicated in cases of exterior disorders, qi or blood deficiency, cold from deficiency of the Spleen & Stomach. Use with exteme caution during pregnancy, menstruation, or post partum. Contraindicated for nursing mothers because the active ingredients enter the milk. |
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Huang Lian / Coptis Rhizome |
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Taste: Bitter • Temperature: Cold • Category: Clear Heat • Sub Category: Drain Damp |
Dosage1.5-9g |
Actions1. Drains fire & relieves toxicity for heat with blazing fire with such symptoms as high fever, irritability, disorientation, delirium, red tongue, & a rapid full pulse. Also for exessive heat with toxicity with such symptoms as painful, red eyes & sore throat & for boils, carbuncles, & abscesses.
2. Clears heat & drains dampness: for damp-heat in the Stomach or Intestines that presents with diarrhea or dysenteric disorder. Also for vomiting &/or acid regurgitation due to Stomach heat.
3. Clears Heart fire: for irritability & insomnia due to lack of communication between the Heart & Kidneys.
4. Clears heat & stops bleeding: for nosebleed, or blood in the urine, stool, or vomit due to reckless moevement of the blood.
5. Drains Stomach fire: for digestive dysfunction with bad breath & belching with a putrid odor.
6. Clears heat topically: used topically for red & painful eyes & ulcerations of the tongue & mouth. |
MeridiansHeart, Large Intestine, Liver, Stomach |
CautionsContraindicated in cases of yin deficiency, nausea or vomiting due to Stomach cold from deficiency, & diarrhea due to Spleen or Kidney deficiency. Long-term use is discouraged as it can injure the Spleen & Stomach. This herb may antagonize ju hua, xuan shen, bai xian pi, & jiang can, & may counteract kuan dong hua & niu xi. Some also say that it should not be taken with pork. |
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Huang Qin / Scute or Baical Skullcap Root |
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Taste: Bitter • Temperature: Cold • Category: Clear Heat • Sub Category: Drain Damp |
Dosage6-15g |
Actions1. Clears heat & drains fire, especially from the upper burner: for heat patterns with high fever, irritability, thirst, cough, & expectoration of thick, yellow sputum, or hot sores & swellings. In treating the latter it can be applied topically or taken internally.
2. Clears heat & dries dampness: a major herb for damp-heat in the Stomach or Intestines, which manifests as diarrhea or dyenteric disorder; damp warm-febrile disease, which presents with fever, stifling senstaion in the chest, & thirst but inability to drink; or for damp-heat in the lower burner with painful urinary dysfunction. Used as a an auxiliary herb for damp-heat jaundice. |
MeridiansGallbladder, Large Intestine, Lung, Stomach |
CautionsContraindicated in cases of heat from deficiency in the Lungs, cold diarrhea o any other condition with cold in the middle burner, & restless fetus due to cold in the blood. May counteract mu dan pi & li lu. |