End Discharge Decoction
Chinese Prescription: Wan Dai Tang
English Translation: End Discharge Decoction
Formula Type: Stabilize the Womb
Actions: Tonifies the middle burner, strengthens the Spleen, transforms dampness, & stops vaginal discharge.
Indications: Profuse vaginal discharge that is white or pale yellow in color, thin in consistency, not particularly foul-smelling, & unusually continuous. Accompanying signs & symptoms include fatigue, lethary, a shiny, pale complexion, loose stools, a pale tongue with a white coating, & a soggy & frail or moderate pulse.
Contraindications: This formula should not be used if the discharge is dark yellow, contains blood, & is thick, sticky, & foul-smelling, & the patient has a yellow tongue coating & a wiry pulse. This pattern is one of Liver constraint that has transformed into heat or damp-heat. The use of this formula in treating that disorder will only make it worse.
Pinyin | English | Suggested Dosage |
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view: Bai Zhu |
Earth-fried White Atractylodes | 30g |
view: Shan Yao |
Dry-fried Chinese Yam | 30g |
view: Ren Shen |
Panax Ginseng | 6g |
view: Cang Zhu |
White Atractylodes | 9g |
view: Chen Pi |
Tangerine / Citrus Peel | 1.5g |
view: Che Qian Zi |
Wine-fried Plantago Seed | 9g |
view: Bai Shao Yao |
Wine-fried White Peony | 15g |
view: Chai Hu |
Bupleruem | 1.8g |
view: Jing Jie Tan |
Charred Schizonepeta | 1.5g |
view: Gan Cao |
Licorice | 3g |
Bai Zhu / Atractylodes (White) Rhizome | |||
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Taste: Bitter, Sweet • Temperature: Warm • Category: Tonic • Sub Category: Tonify Qi | |||
Dosage4.5-9g |
Actions1. Tonifies the Spleen & augments the qi: for Spleen or Stomach deficiency with such symptoms as diarrhea, fatigue, lack of appetite, & vomiting.2. Strengthens the Spleen & dries dampness: for digestive disorders due to Spleen yang failing to rise, with loss of its ability to transform & subsequent accumulation of dampness. Also for edema & reduced urination associated with Spleen deficiency. Used as an auxiliary herb for damp painful obstruction. 3. Stabilizes the exterior & stops sweating: for spontaneous sweating due to qi deficiency. 4. Strengthens the Spleen & calms the fetus: for restless fetus disorder, especially when due to Spleen deficiency. Also for other types of this disorder when combined with appropriate herbs. |
MeridiansSpleen, Stomach |
CautionsContraindicated in cases of yin deficiency with heat signs, or injured fluids. |
Shan Yao / Dioscorea Opposita | |||
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Taste: Sweet • Temperature: Neutral • Category: Tonic • Sub Category: Tonify Qi | |||
Dosage9-30g, 250g decoction daily |
Actions1. Tonifies & augments the Spleen & Stomach: for Spleen & Stomach deficiency with such symptoms as diarrhea, fatigue, spontaneous sweating, & lack of appetite.2. Tonifies the Lung qi & augments the Lung yin: for chronic cough or wheezing due to Lung deficiency. 3. Tonifies the Kidneys & also stabilizes & binds: because this herb moistens & is neither hot nor cold, it benefits both the yin & the yang of the Lungs & Kidneys. It is therefore often used in treating wasting & thirsting disorder. It also binds the essence & treats spermatorrhea, frequent urination, & vaginal discharge. |
MeridiansKidney, Lung, Spleen |
CautionsContraindicated in cases of excess, especially when there is fullness due to dampness, stagnation, or accumulation. May antagonize gan sui. |
Ren Shen / Panax Ginseng | |||
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Taste: Sweet, Slightly Bitter • Temperature: Slightly Warm • Category: Tonic • Sub Category: Tonify Qi | |||
Dosage1-9g, up to 30 grams (hemorrhagic shock) |
ActionsRen Shen / Panax Ginseng is used in treating patterns of qi, yang & yin deficiency.1. Strongly tonifies the basal qi: for extreme collapse of the qi or abandoned conditions that manifest in shallow respiration, shortness of breath, cold limbs, profuse sweating, & a minute or weak pulse. The herb is used alone for this condition after severe loss of blood. 2. Tonifies the Lungs & augments the qi: for wheezing, shortness of breath, & labored breathing with exertion caused by Lung qi deficiency. There is usually also a concurrent failure of the Kidneys to grasp the qi. 3. Strengthens the Spleen & tonifies the Stomach: for lethargy, lack of appetite, chest & abdominal distention, chronic diarrhea, & in severe cases, prolapse of the stomach, uterus, or rectum. 4. Generates fluids & stops thirst: for wasting & thirsting disorders, as well as in cases when the qi & fluids have been injured by high fever & profuse sweating. 5. Benefits the Heart qi & calms the spirit: for palpitations with anxiety, insomnia, forgetfulness, & restlessness due to qi & blood deficiency. Notes: Red Ginseng is more warming than White Ginseng. American Ginseng is considered cool and is better suited for those patients having a tendency towards heat signs. |
MeridiansLung, Spleen |
CautionsContraindicated in cases of yin deficiency with heat signs, heat excess, or in the absence of significant qi deficiency. Contraindicated for hypertensive patient with ascendant Liver yang, & in cases of very high blood pressure (systolic over 180mmHg). Overdose can lead to headache, insomnia, palpitations, & a rise in blood pressure. The traditional antidote is mung bean soup. This herb may antagonize wu ling zhi & may be incompatible with li lu. Patients taking this herb are advised to abstain from drinking tea & eating tunips, as this may reduce the effect of the herb. |
Cang Zhu / Atractylodes (Black) Rhizome | |||
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Taste: Acrid, Bitter • Temperature: Warm • Category: Transform Damp - Aromatic • Sub Category: | |||
Dosage4.5-9g |
Actions1. Strongly dries dampness & strengthens the Spleen: for dampness obstructing the middle burner & blocking the transportive & transformative functions of the Spleen. Symptoms include reduced appetite, diarrhea, epigastric distention & pressure, fatigue, nausea & vomting, & a thick, greasy tongue coating.2. Expels wind-dampness: for painful obstruction due to wind-cold-dampness in the extremities. 3. Clears dampness in the lower burner: for damp-heat pouring downward (as in leg qi), vaginal discharge, & swollen, sore joints. Although this herb is warm, it is very effective in drying dampness; when combined with herbs that clear heat, it is used for damp-heat disorders. 4. Induces sweating & releases exterior disorders: for headache, body aches, absence of sweating & /or oozing yin sores due to wind-damp-cold pathogenic influence. |
MeridiansSpleen, Stomach |
CautionsContraindicated in cases with excessive sweating due to qi deficiency, or yin deficiency with interior heat. Use with caution in cases of loose, watery stools. |
Chen Pi / Citrus (Tangerine) Peel - Aged, Matured | |||
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Taste: Acrid, Bitter • Temperature: Warm • Category: Regulate Qi • Sub Category: | |||
Dosage3-9g |
Actions1. Regulates the qi, improves the transportive funaction of the Spleen, adjusts the middle, & relieves the diaphragm: for Spleen or Stomach, stagnant qi patterns with such symptoms as epigastic or abdominal distention, fullness, bloating, belching, & nausea & vomiting. This herb promotes the movement of qi in general while specifically directing it downward. Its is therefore commonly used in treating many different types of nausea & vomiting.2. Dries dampness & transforms phlegm: an important herb for phlegm-damp coughs with a stifling sensation in the chest & /or diaphragm, & copious, viscous sputum. Also used for damp turbidity obstructing the middle with a stifling sensation in the chest, abdominal distention, loss of appetite, fatigue, loose stool, & a thick, greasy tongue coating. An important qi-level herb of both the Spleen & Lung channels, it is especially appropriate for disorders involving both channels. 3. Helps prevent stagnation: used with tonifying herbs to prevent their cloying nature from causing stagnation. |
MeridiansLung, Spleen, Stomach |
CautionsContraindicated in cases of dry cough due to yin or qi deficiency. Use with caution when the tongue is red, & in cases with hot phlegm or dry heat coughs, or spittting of blood. |
Che Qian Zi / Plantago Seeds | |||
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Taste: Sweet • Temperature: Cold • Category: Drain Damp • Sub Category: | |||
Dosage4.5-9g |
Actions1. Promotes urination & clears heat: for any type of edema or painful urinary dysfunction due to damp-heat. Generally used for damp-heat pouring into the lower burner.2. promotes urination to solidify the stool: for diarrhea associated with either damp-heat or damp-summerheat. 3. Clears the eyes: for eye problems associated with either Liver & Kidney deficiency (e.g., dry eyes or cataracts), or heat in the Liver channel (e.g., red, painful, swollen eyes & sensitivity to light) depending on which other herbs it is combined with. 4. Expels phlegm & stops cough: for Lung heat-induced cough with copious sputum. |
MeridiansBladder, Kidney, Liver, Lung |
CautionsContraindicated during pregnancy. Use with caution in cases of exhausted yang qi, or spermatorrhea due to Kidney yang deficiency or exhaustion from overwork. |
Bai Shao Yao / Peony (White) | |||
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Taste: Bitter, Sour • Temperature: Cool • Category: Tonic • Sub Category: Tonify Blood | |||
Dosage6-15g, very large doses up to 30 g |
Actions1. Nourishes the blood & regulates the menses: for blood deficiency with such symptoms as menstrual dysfunction, vaginal discharge, & uterine bleeding. This is a very commonly used herb for treating women's disorders.2. Calms & curbs the Liver yang & alleviates pain: for such symptoms as flank, chest, or abdominal pain from either constrained Liver qi or disharmony between the Liver & Spleen. In general, this herb is used to "soften & comfort" the Liver, stop painful spasms in the abdomen, stop cramping pain or spasms in the hands & feet, & alleviate abdominal pain associated with dysentric disorders. It is also used for headache & dizziness due to ascendant Liver yang. 3. Preserves the yin & adjusts the nutritive & protective levels: for vaginal discharge & spermatorrhea, as well as exterior wind-cold from deficiency patterns with continuous sweating that does not resolve the problem. It is also used for yin deficiency where the yang floats to the surface causing spontaneous sweating or night sweats. |
MeridiansLiver, Spleen |
CautionsUse with caution in cases of diarrhea due to cold from deficiency, & in patients with weak yang & cold from deficiency. May antagonize shi hu & mang xiao, may counteract with bie jia & xiao ji, & may be incompatible with li lu. |
Chai Hu / Bupleurum Root | |||
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Taste: Bitter, Acrid • Temperature: Cool • Category: Exterior Releasing - Cool • Sub Category: | |||
Dosage3-12g |
Actions1. Resolves lesser yang disorders & reduces fever: for alternating chills & fever accompanied by a bitter taste in the mouth, flank pain, irritability, vomiting, & a stifling sensation in the chest associated with the lesser yang stage of externally contracted disorders.2. Spreads Liver qi & relieves constraint: for constrained Liver qi with such symptoms as dizziness, vertigo, chest & flank pain, emotional instability, or menstrual problems. Also used for disharmonies between the Liver & the Spleen with such symptoms as epigastric & flank pain, a stifling sensation in the chest, abdominal bloating, nausea, & indigestion. 3. Raises the yang qi in patterns of Spleen or Stomach deficiency: for hemorrhoids, anal or uterine prolapse, & diarrhea due to collapse of the Spleen qi. |
MeridiansGallbladder, Liver, Pericardium, Triple Burner |
CautionsContraindicated in cases of yin deficiency cough or Liver fire ascending to the head. May occasionally cause nausea or vomiting; should this occur, use only a very small dose. |
Jing Jie Tan / Schizonepeta, Charred | |||
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Taste: Acrid • Temperature: Slightly Warm • Category: Exterior Releasing - Warm • Sub Category: Aromatic | |||
Dosage3-9g |
ActionsReleases the exterior & expels wind: for exterior patterns of either wind-cold or wind-heat (depending on the herbs with which it is combined). Also for carbuncles or boils when they first erupt, especially when accompanied by chills & fever.2. Vents rashes & alleviates itching: for the initial stage of measles & pruritic skin eruptions. 3. Stops bleeding: as an auxiliary herb for hemorrhage, e.g. blood in the stool or uterine bleeding. |
MeridiansLung, Liver |
CautionsContraindicated for Liver wind patterns, & for fully-erupted measels or open sores. |
Gan Cao / Licorice Root (Chinese) | |||
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Taste: Sweet • Temperature: Neutral (raw root) • Category: Tonic / Harmonize • Sub Category: Tonify Qi | |||
Dosage2-12g |
Actions1. Tonifies the Spleen & augments the qi: commonly used for Spleen deficiency with shortness of breath, lassitude, & loose stools. Also for qi or blood deficiency patterns with an irregular or intermittent pulse & /or palpitations.2. Moistens the Lungs & stops coughing: for coughing & wheezing. Because of its neutral properties, it can be used for either heat or cold in the Lungs. 3. Clears heat & relieves fire toxicity: used raw for carbuncles, sores, or sore throat due to fire toxin. For this purpose, it can be taken internally or applied topically. 4. Moderates spasms & alleviates pain: for painful spasms of the abdomen or legs. 5. Moderates & harmonizes the characteristics of other herbs: by virtue of its sweet, neutral, & moderating properties, this herb moderates hot & cold herbs, & mitigates the violent properties of other herbs. Since it is said to enter all 12 primary channels, it can lead & conduct other herbs into the channels. 6. Used as an antidote for a variety of toxic substances, both internally & topically. 7. The raw root clears heat & relieves toxicity, the honey-fried tonifies the middle & moderates spasms. |
MeridiansAll 12 channels (principally the Heart, Lung, Spleen, & Stomach) |
CautionsContraindicated in cases of excess dampness, nausea, or vomiting. May be in compatible with jing da ji, yuan hua, gan sui, & hai zao, & may antagonize yuan zhi. The toxicity of gan cao is very low, but if taken long-term it may cause hypertension &/or edema. Glycyrrhetinic acid has been reported to cause a reduction in the activity of the thyroid & a reducation in the basal metabolic rate. |