HERB FORMULAS

SAN HUANG XIE XIN TANG

English: Drain the Epigastrium Powder
Also Known As: Xie Xin Tang
Coptis and Rhubarb Combination
Decoction to Purge Heat from the Heart and Stomach
Yellow Purge the Heart Decoction

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Rx. et Rz. Rhei Da Huang 1-15g Purges and drains Fire and treats upper body bleeding.
With Huang Lian and Huang Qin, drains Heat from the San Jiao mainly through the stool.
Rz. Coptidis Huang Lian 1-9g Drains Fire, dries Dampness, clears Heart and Stomach Fire and stops bleeding.
With Huang Qin, drains Heat from the Upper and Middle Jiaos.
Rx. Scutellariae Huang Qin 1-12g Drains Fire, dries Dampness, detoxifies and stops bleeding.

FORMULA ACTIONS

  • Drains Fire
  • Relieves toxicity
  • Drains Dampness (Dispels noxious Heat and toxins from the Heart and Stomach)

SYNDROMES

  • Heart Fire Flaring Up
  • Toxic Heat or Fire of the Heart and Stomach
  • Damp-Heat Accumulation

CLINICAL MANIFESTATIONS

  • Fever
  • Irritability
  • Restlessness
  • Anxiety
  • Flushed face
  • Constipation
  • Abdominal distention
  • Delirious speech
  • Epigastric distention
  • Jaundice
  • Gastric distention
  • Dysenteric disorders
  • Hematemesis
  • Epistaxis
  • Red, swollen, painful eyes
  • Chest oppression
  • Red, swollen ears
  • Restlessness
  • Insomnia
  • Thirst
  • Dark, concentrated urine
  • Tinnitus
  • Hemoptysis
  • Vomiting
  • Shoulder stiffness
  • Bleeding
  • Diarrhea
  • Suppurative skin infection
  • Tongue and mouth ulcerations
  • T: Red tip
  • C: Yellow and greasy
  • P: Rapid

TREATS

  • Acute gastroenteritis
  • Hepatitis
  • Cholecystitis
  • Dysentery
  • Gastritis
  • Conjunctivitis
  • Stomatitis
  • Vascular headache
  • Trigeminal neuralgia
  • Hematemesis associated with pulmonary tuberculosis
  • Arteriosclerosis
  • Recovery from apoplexy
  • Liver disorders
  • Hemorrhoids
  • Hematemesis
  • Intestinal bleeding
  • Uterine bleeding
  • Sleep apnea
  • Neurosis
  • Cerebrovascular accident
  • Hemorrhoidal bleeding
  • Habitual constipation
  • Ophthalmia
  • Hypertension
  • Encephalemia
  • Congestion
  • Peptic ulcer
  • Gastrorrhagia
  • Mental instability
  • Septicemia due to boils, furuncles or carbuncles
  • Erysipelas
  • Oral ulcers
  • Febrile disease
  • Hemoptysis
  • Epistaxis
  • Gastrointestinal bleeding
  • Subcutaneous bleeding
  • Neurasthenia
  • Schizophrenia

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Contraindicated during pregnancy.
  • Contraindicated during nursing.
  • Contraindicated for those with Spleen and Stomach Deficiency Cold.
  • Do not take large doses or for an extended period of time.
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For trigeminal neuralgia: For Yang Ming and Jue Yin headaches:
+ Scorpio Quan Xie
+ Frigid Extremities Powder
Si Ni San
+ Scolopendrae
For focal distention due to Damp-Heat, vomiting and diarrhea with sweating, aversion to Cold, cold extremities, a deep, thin pulse and other signs of Yang Deficiency:
+ Periostracum Cicadae Chan Tui + 3g Rx. Lateralis Aconiti Preparata Zhi Fu Zi
For a dry mouth and tongue:
For increased Heat and Dampness:
+ Rx. Trichosanthis
+ Cx. Magnoliae Officinalis Hou Po
+ Rz. Phragmitis Lu Gen
+ Rz. Pinelliae Preparatum
For severe abdominal pain:
for thirst due to Dryness and Heat:
+ Rz. Corydalis
+ Rz. Anemarrhenae Zhi Mu
+ Rx. Aucklandiae Mu Xiang
+ Gypsum Fibrosum
+ Fr. Toosendan
For delirium:
+ Fr. Aurantii Zhi Ke + Rz. Acori Tatarinowii Shi Chang Pu
For icteric jaundice:
Rx. Curcumae Yu Jin
+ Hb. Artemisiae Scopariae Yin Chen Hao
For bleeding gums:
+ Fr. Gardeniae Zhi Zi + Natrii Sulfas Mang Xiao
+ Hb. Plantaginis Che Qian Cao
For severe constipation:
For bleeding due to Heat in the Blood Level:
+ Natrii Sulfas Mang Xiao
+ Cx. Moutan Mu Dan Pi + Fr. Aurantii Immaturus Zhi Shi
+ Rx. Rehmanniae Sheng Di Huang + Cx. Magnoliae Officinalis Hou Po
For severe abscesses and sores:
   
+ Flos Lonicerae Jin Yin Hua    
+ Fr. Forsythiae Lian Qiao    
+Hb. Viola Zi Hua Di Ding