HERB FORMULAS

DI TAN TANG

English: Scour Phlegm Decoction
Also Known As:

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Rz. Pinelliae Preparatum Zhi Ban Xia 6.6g Dries Dampness, transforms Phlegm, descends Qi, stops vomiting and harmonizes the Stomach.
With Chen Pi, for epigastric and abdominal distention or pain due to disharmony of the Stomach Qi and productive cough and a stifling sensation in the chest due to Phlegm-Damp Obstruction or Spleen Qi Deficiency.
With Fu Ling, expels Phlegm and stops nausea and vomiting, hiccoughs, coughs with clear, profuse Phlegm and loose and watery stools, prevents turbid Phlegm and Dampness from disturbing the Heart with dizziness, palpitations and insomnia and treats Phlegm, thin mucus and turbid Dampness.
With Sheng Jiang, for vomiting due to Cold, thin mucus.
With Ren Shen, for vomiting due to Stomach Deficiency.
With Chen Pi, Fu Ling and Gan Cao, comprises Er Chen Tang.
Per. Citri Erythrocarpi Ju Hong 6g Regulates Qi, dries Dampness, transforms Phlegm, descends Qi, harmonizes the Middle and regulates the Stomach to treat vomiting, belching and Phlegm-Damp coughs.
With Sheng Jiang, for vomiting and hiccups due to Disharmony of Stomach Qi and Cold-Dampness Obstructing the Middle with nausea and hiccough.
With Zhi Ban Xia, for a stifling sensation in the chest and cough with excessive white, viscous sputum due to Phlegm-Damp Obstruction.
With Zhi Ban Xia and Fu Ling, for cough due to accumulation of Dampness and Phlegm.
With Sheng Jiang, Zhu Ru and Zhi Ban Xia, for nausea and vomiting due to rebellious Stomach Qi.
(Per. Citri Reticulatae) (Chen Pi) 6g (Regulates Qi, adjusts the Middle, dries Dampness, transforms Phlegm and relieves the diaphragm - Substitutes for Ju Hong.)
Poria Fu Ling 6g Strengthens the Spleen, drains Dampness, harmonizes the Middle Jiao and transforms Phlegm.
With Zhi Ban Xia, expels Phlegm and stops nausea and vomiting.
With Zhi Ban Xia, Chen Pi and Sheng Jiang, for congested Fluids in the Stomach manifesting as nausea and vomiting.
Fr. Aurantii Immaturus Zhi Shi 6g Regulates and descends Qi, transforms Phlegm and reduces distention.
With Zhu Ru, for Phlegm-Heat obstructing the flow of Qi with focal distention in the chest and epigastrium, hiccough, dry retching, nausea and acid regurgitation and palpitations, irritability, insomnia and emotional problems due to Gallbladder Stagnation with Phlegm Disturbing the Heart.
With Zhu Ru and Dan Nan Xing, strongly disperses and descends stagnant Qi, clears Heat, expels accumulations, dries Dampness and resolves Wind-Phlegm in the channels.
With Ju Hong, strengthens the Middle Jiao.
Caul. Bambusae In Taenium Zhu Ru 2.1g Clears Heat, transforms Hot Phlegm and stops vomiting.
With Zhi Ban Xia and Zhi Shi, for insomnia, palpitations and irritability due to Phlegm Heat leading to Disharmony between the Gallbladder and Stomach with a stifling sensation in the chest and restlessness.
With Chen Pi, Sheng Jiang and Ren Shen, for vomiting or hiccough due to Stomach Deficiency Heat.
With Zhi Ban Xia, Chen Pi, Zhi Shi and Fu Ling, for Gallbladder Fire with Phlegm.
Rz. Arisaematis Preparatum Zhi Tian Nan Xing 7.5g Dries Dampness and expels Phlegm.
With Zhi Ban Xia, Chen Pi and Zhi Shi , for Phlegm-Dampness Obstruction that will not dissipate with fainting from Wind-stroke, cough with copious sputum, a cold upper back, a stifling sensation in the chest and a thick, gummy nasal discharge.
With Zhi Ban Xia and Shi Chang Pu, for Phlegm turbidity deranging the orifices of the head and veiling them leading to seizures and convulsions.
(Pulvis Arisaematis cum Felle Bovis) (Dan Nan Xing) (6.6g) (Clears and transforms Phlegm-Heat, extinguishes Wind and stops tremors - used in some versions instead of Zhi Tian Nan Xing.)
Rz. Acori Tatarinowii Shi Chang Pu 3g Harmonizes the Middle Jiao, aromatically opens the Orifices, vaporizes Phlegm, disperses Wind, removes filth and calms the Shen.
With Ren Shen and Fu Ling, for forgetfulness and dulled senses.
Rx. Ginseng Ren Shen 3g Supports Qi, strengthens the Spleen, tonifies the Heart and Lungs and calms the Shen.
Rx. Glycyrrhizae Gan Cao 1.5g Tonifies the Spleen and augments Qi, resolves Phlegm and moderates and harmonizes the harsh properties of other herbs.
With Ren Shen, relieves palpitations and anxiety.
Rz. Zingiberis Recens Sheng Jiang 1.5g Disperses Cold, warms the Middle, stops vomiting and detoxifies other herbs.
With Da Zao, alleviates epigastric pain, nausea, and vomiting by strengthening the Spleen, protects the Stomach Qi and reduces irritation of the gastrointestinal. tract by other herbs and prevents Phlegm accumulation.
With Zhi Ban Xia and Zhu Ru, for vomiting.
With Zhu Ru , for vomiting due to Heat in patients with Stomach Qi Deficiency.
With Zhi Tian Nan Xing and Zhi Ban Xia, for detoxification.
Fr. Zizyphi Jujube Da Zao 1.5g Tonifies Qi, protects the Stomach and moderates and harmonizes the harsh properties of other herbs.

FORMULA ACTIONS

  • Scours out Phlegm,
  • Opens the sensory orifices
  • Tonifies Qi

SYNDROMES

  • Phlegm Obstructs the Heart Orifice - Yin Obstruction (Tense Type with Cold Signs)

CLINICAL MANIFESTATIONS

  • Stiffness of the tongue
  • Inability to speak

TREATS

  • Cerebrovascular accident
  • Seizure disorder
  • Motor aphasia
  • Bronchial asthma
  • Chronic obstructive pulmonary disease
  • Acute and chronic bronchitis
  • Bronchiectasis
  • Multiple sclerosis

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Contraindicated during pregnancy.
  • Use caution with weak patients.
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For Phlegm that is not Hot: For severe Heat:
- Caul Bambusae in Taenium Zhu Ru + Rx. Scutellariae Huang Qin
- Pul. Arisaemae cum Felle Bovis Dan Nan Xing + Rz. Coptidis Huang Lian
+ Rz. Arisaematis Preparatum Zhi Tian Nan Xing + Succus. Zingiberis Recens Jiang Zhi
    + Succus Bambusae Zhu Li