HERB FORMULAS

HUANG LIAN WEN DAN TANG

English: Warm Gallbladder Decoction with Coptis
Also Known As:

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Caulis Bambusae In Taenium Zhu Ru 2-15 Clears Heat and Phlegm from the Gallbladder and Stomach, cools Blood and descends rebellious Qi.
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 Zhi Ban Xia, Chen Pi and Huang Lian, for .Phlegm-Heat in the Stomach with a stifling feeling in the epigastrium and vomiting.
With Zhi Shi, 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 constraint with Phlegm Disturbing the Heart.
With Zhi Ban Xia, Chen , Pi, Zhi Shi and Fu Ling, for Gallbladder Fire with Phlegm.
Fr. Aurantii Immaturus Zhi Shi 1.5-15g Reduces accumulation, descends Qi, transforms Phlegm and reduces distention.
With Chen Pi, strengthens the Middle Jiao.
Rz. Pinelliae Preparatum Zhi Ban Xia 6-12g Transforms Phlegm, descends rebellious Qi, harmonizes ST and stops vomiting.
With Chen Pi, for Spleen and Stomach Qi Disharmony with epigastric and abdominal distention or pain.
With Fu Ling, expels Phlegm and stops nausea and vomiting, hiccoughs, coughs with clear, profuse Phlegm and loose and watery stools, treats Phlegm, thin mucus and turbid Dampness and prevents turbid Phlegm and Dampness from disturbing the Heart with dizziness, palpitations and insomnia.
With Huang Lian, for epigastric distention and indigestion due to a simultaneous invasion of Hot and Cold pathogenic influences into the Stomach.
With Huang Lian and Zhu Ru, for vomiting from Stomach Heat.
Per. Citri Reticulatae Chen Pi 2.5-9g Regulates Qi, tonifies the Spleen, transforms Phlegm and descends Qi.
With Ban Xia, for excessive white, viscous sputum due to Phlegm-Damp Obstruction.
With Sheng Jiang, for manifestations of Stomach Qi Disharmony and Cold-Dampness Obstructing the Middle with nausea and hiccough.
With Zhu Ru and Huang Lian, for Phlegm-Heat induced vomiting.
With Zhi Ban Xia, Zhu Ru and Sheng Jiang, for nausea and vomiting due to rebellious Stomach Qi.
Poria Fu Ling 4.5-12g Resolves Dampness, strengthens the Spleen, harmonizes the Middle Jiao and transforms Phlegm.
With Zhi Gan Cao, strengthens the Spleen, drains Dampness, harmonizes the Middle Jiao and calms the Shen.
With Chen Pi, for nausea and vomiting due to congested Fluids.
With Zhi Ban Xia and Chen Pi, for nausea, vomiting, chest fullness and distention, and anorexia due to congested fluids.
With Zhi Ban Xia, Chen Pi and Sheng Jiang, for Congested fluids in the Stomach causing nausea and vomiting.
Rx. Glycyrrhizae Zhi Gan Cao 1-3g Resolves Phlegm, clears Heat, tonifies the Spleen and harmonizes and moderates the harsh properties of the other herbs.
Fr. Jujube Da Zao 1-3g Tonifies the Spleen and Stomach, augments Qi, protects the Stomach and moderates and harmonizes the harsh properties of other herbs .
With Sheng Jian, alleviates epigastric pain, nausea, and vomiting by strengthening the Spleen.
Rz. Zingiberis Recens Sheng Jiang 1-6g Regulates the relationship between the Gallbladder and the Stomach and assists in stopping vomiting.
With Da Zao, protects the Stomach Qi.
With Zhi Ban Xia, for vomiting due to Cold, Thin Mucus.
With Zhu Ru, for vomiting due to Heat in patients with Stomach Qi Deficiency. .
With Zhu Ru and Huang Lian, for vomiting due to Heat.
With Chen Pi, for Cold-Dampness Obstructing the Middle with nausea and hiccough.
Rz. Coptidis Huang Lian (1-3g) Clears Heart Heat and calms the Shen.

FORMULA ACTIONS

  • Regulates Qi
  • Transforms Phlegm
  • Clears the Gallbladder
  • Harmonizes the Stomach
  • Clears Heat

SYNDROMES

  • Phlegm-Fire Disturbs the Heart
  • Gallbladder Deficiency Heat
  • Disharmony Between the Gallbladder and Stomach with Severe Phlegm Heat
  • Qi Level Gallbladder Damp-Heat

CLINICAL MANIFESTATIONS

  • Dizziness
  • Vertigo
  • Nausea and vomiting
  • Insomnia
  • Dream-disturbed sleep with unusual dreams
  • Palpitations
  • Anxiety
  • Profuse white foamy sputum
  • Restlessness
  • Timidity
  • Indecisiveness
  • Indeterminate gnawing hunger
  • Seizures accompanied by copious sputum
  • Chest distention
  • Expectoration of yellow Phlegm
  • Bitter taste in the mouth
  • Chills and fever
  • Abdominal distention
  • Frequent dark, scanty urine
  • Irritability
  • Depression
  • Slight thirst
  • Anorexia after serious illness
  • T: Pink or Red tip
  • C: Yellow and greasy
  • P: Slippery and rapid or Wiry and rapid

TREATS

  • Chronic gastritis
  • Peptic ulcer
  • Chronic hepatitis
  • Neurosis
  • Early stages of schizophrenia
  • Psychosis
  • Meniere's disease
  • Chronic bronchitis
  • Hypertension
  • Myocarditis
  • Pericarditis
  • Morning sickness
  • Depression
  • Sequelae of stroke
  • Male menopause
  • Epilepsy
  • Nephropathy
  • Diabetic retinopathy
  • Diabetic foot
  • Organophosphorus poisoning
  • Laryrinthitis
  • Vegetative nervous dysfunction with palpitations
  • Gastroptosis
  • Hysteria
  • Side effects of chemotherapy
  • Manic depression
  • Acute or chronic tracheitis
  • Pulmonary emphysema
  • Asthma
  • Timidity
  • Angina
  • Premature atrial contractions
  • Cholecystitis
  • Severe insomnia
  • Autonomic dystonia
  • Alopecia
  • Tinnitus
  • Melancholia
  • Diabetes mellitus
  • Diabetic retinopathy
  • Pneumonia
  • Hyperthyroidism with insomnia
  • Vestibular neuronitis with dizziness

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
HERB/DRUG INTERACTIONS

NOTES

  • This formula treats the same conditions as Wen Dan Tang, but with more severe Heat including more restlessness, irritability and a more intense bitter taste.

MODIFICATIONS

For severe vertigo: For insomnia:
+ Rx. Paeoniae Alba Bai Shao + Sm. Zizyphi Spinosae Suan Zao Ren
+ Hematitum Dai Zhe Shi + Concha Ostreae Mu Li
+ Rx. Scutellariae Huang Qin + Succinum Hu Po
For tinnitus and hearing loss due to retention of Damp-Heat in the Gallbladder:
For severe insomnia due to Heart and Gallbladder Deficiency:
+ Rx. Bupleuri Chai Hu + Rx. Ginseng Ren Shen
+ Ram. cum Uncis Uncariae Gou Teng + Gypsum Fibrosum Shi Gao
+ Flos Chrysanthemi Ju Hua + Tub. Ophiopogonis Mai Men Dong.
+ Rz. Acori Tatarinowii Shi Chang Pu + Arillus Longan Long Yan Rou
+ Medulla Tetrapanacis Tong Cao + Sm. Zizyphi Spinosae Suan Zao Ren
For Summer Heat and Dampness:
For pacifying the Heart and calming the Shen:
+ Hb. Artemisiae Annuae Qing Hao + Sm. Zizyphi Spinosae Suan Zao Ren
+ Rx. Scutellariae Huang Qin + Rx. Polygalae Yuan Zhi
For nourishing Yin and subduing Yang:
For a dry mouth and tongue:
+ Fossilia Ossis Mastodi Long Gu - Rz. Pinelliae Preparatum Zhi Ban Xia
+ Concha Ostreae Mu Li + Rx. Ophiopogonis Mai Men Dong
For dark, yellow urine and dysuria:
+ Rx. Trichosanthis Tian Hua Fen
+ Hb. Artemisiae Scopariae Yin Chen Hao + Fr. Schisandrae Wu Wei Zi
+ Medulla Tetrapanacis Tong Cao
For vomiting:
For nausea, vomiting and chest oppression:
+ Fol. Perillae Zi Su Ye
+ Hb. Agastaches Huo Xiang
For insomnia due to Excess worries:
+ Rz. Acori Tatarinowii Shi Chang Pu
+ Rambling Powder
Xiao Yao San
For insomnia due to depression:
For insomnia due to fear and fright:
+ Escape Restraint Pill
Yue Ju Wan
+ Sm. Zizyphi Spinosae Suan Zao Ren
For palpitations:
For epilepsy:
+ Rx. Polygalae Yuan Zhi + Rx. Curcumae Yu Jin
+ Rz. Acori Tatarinowii Shi Chang Pu + Rz. Acori Tatarinowii Shi Chang Pu
For epilepsy and convulsions:
For hearing difficulty due to Damp-Heat Attacking the Gallbladder channel:
+ Pulvis Arisaemae cum Felle Bovis Dan Nan Xing + Rx. Bupleuri Chai Hu
+ Ram. Uncariae cum Uncis Gou Teng + Rx. Scutellariae Huang Qin
+ Scorpio Quan Xie + Rz. Acori Tatarinowii Shi Chang Pu
For dizziness and vertigo:
+ Medulla Tetrapanacis Tong Cao
+ Flos Chrysanthemi Ju Hua    
+ Rx. Scutellariae Huang Qin