HERB FORMULAS

SAN HUANG XIE XIN TANG - 三黃瀉心湯 - DRAIN THE EPIGASTRIUM POWDER

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 1-15g 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
  • Stomach Fire
  • Damp-Heat Accumulation
  • San Jiao Damp-Heat

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

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
+ Scolopendra
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:
For amenorrhea:
+ Flos Lonicerae Jin Yin Hua + 9g Cx. Phellodendri Huang Bai
+ Fr. Forsythiae Lian Qiao + 12-15g Rx. Rehmanniae Sheng Di Huang
+Hb. Viola Zi Hua Di Ding
For upper gastrointestinal bleeding:
+ 9g Rx. Angelicae Sinensis Dang Gui
+ 10g Hb. Agrimoniae Xian He Cao
+ 15g Cacumen Platycladi Ce Bai Ye + 9g Rx. Paeoniae Alba Bai Shao
+ 9-15g Rz. Chuanxiong Chuan Xiong
+ 15g Cx, Moutan Mu Dan Pi + 9-15g Rx. Rubiae Qian Cao Gen
+ 15g Hb. Cirsii Xiao Ji + 6-9g Rx Aucklandiae Mu Xiang
For lower gastrointestinal bleeding:
+ 9g Rx. Polygalae Yuan Zhi
+ 15g Rx. Rubiae Qian Cao Gen + 9-15g Caulis Polygoni Multiflori Ye Jiao Teng
+ 10g Fr. Gardeniae Zhi Zi
+ 10g Nodus Nelumbinis Ou Jie + 9-12g Rx. Glehniae Bei Sha Shen
+ 10g Cacumen Platycladi Ce Bai Ye
For lower gastrointestinal bleeding with a desire to drink:
+ 12g Rx. Sanguisorbae Di Yu + 15g Rx. Rubiae Qian Cao Gen
For pterygium spreading from the inner canthus + 10g Fr. Gardeniae Zhi Zi
+ 10g Nodus Nelumbinis Ou Jie
For hemafecia:
+ 10g Cacumen Platycladi Ce Bai Ye
+ Ten Partially-Charred Substances Powder
Shi Hui San
+ 12g Rx. Sanguisorbae Di Yu
- Fol. Nelumbinis He Ye + Rx. Rehmanniae Sheng Di Huang
- Petiolus Trachycarpi Zong Lu Pi + Caulis Dendrobii Shi Hu
+ 15-30g Rz. Bletillae Bai Ji
For hemafecia with Blood Stagnation:
For hemafecia with epigastric pain:
+ Ten Partially-Charred Substances Powder
Shi Hui San
+ Ten Partially-Charred Substances Powder
Shi Hui San
- Fol. Nelumbinis He Ye
- Fol. Nelumbinis He Ye - Petiolus Trachycarpi Zong Lu Pi
- Petiolus Trachycarpi Zong Lu Pi + 15-30g Rz. Bletillae Bai Ji
+ 15-30g Rz. Bletillae Bai Ji + 3-6g Rx. Notoginseng San Qi
+ 9-12g Rz. Corydalis Yan Hu Suo
For hemafecia with epigastric pain and persistent focal gnawing pain and bleeding:
+ 9g Rx. Aucklandiae Mu Xiang
+ Ten Partially-Charred Substances Powder
Shi Hui San
For hemafecia with nausea:
+ Ten Partially-Charred Substances Powder
Shi Hui San

 - Fol. Nelumbinis He Ye
- Petiolus Trachycarpi Zong Lu Pi
- Fol. Nelumbinis He Ye + 15-30g Rz. Bletillae Bai Ji
- Petiolus Trachycarpi Zong Lu Pi + 3g Endoconcha Sepiae Hai Piao Xiao
+ 15-30g Rz. Bletillae Bai Ji + 3g Rx. Glycyrrhizae Gan Cao
+ 9-12g Caulis Bambusae in Taeniam Zhu Ru
For hemafecia with severe thirst:
+ Ten Partially-Charred Substances Powder
Shi Hui San
+ 12-15g Flos Inulae Xuan Fu Hua
+ 15 Haematitum Dai Zhe Shi - Fol. Nelumbinis He Ye
For hemafecia with constipation or dry stools:
- Petiolus Trachycarpi Zong Lu Pi
+ Ten Partially-Charred Substances Powder
Shi Hui San

 + 15-30g Rz. Bletillae Bai Ji
+ 12-15g Hb. Dendrobii Shi Hu
- Fol. Nelumbinis He Ye + 12-15g Rx. Trichosanthis Tian Hua Fen
- Petiolus Trachycarpi Zong Lu Pi
+ 15-30g Rz. Bletillae Bai Ji For Alzheimer's disease:
+ 18-24g Rx. Scrophulariae Xuan Shen
+ Guide Out the Red Powder
Dao Chi San
+ 9-12g Rx. Ophiopogonis Mai Men Dong + 15g Magnetitum Ci Shi
+ 15g Rx. Scrophulariae Xuan Shen
+ 12-18g Rx. Rehmanniae Sheng Di Huang + 12g Fossilia Ossis Mastodi Long Gu
For Alzheimer's disease with a dry mouth and throat:
+ 9g Fr. Gardeniae Zhi Zi
+ 9g Cx. Moutan Mu Dan Pi
+ Guide Out the Red Powder
Dao Chi San
+ 9g Rx. Curcumae Yu Jin
For Alzheimer's disease insomnia and profuse dreams:
+ 15g Magnetitum Ci Shi
+ 15g Rx. Scrophulariae Xuan Shen
+ Guide Out the Red Powder
Dao Chi San
+ 12g Fossilia Ossis Mastodi Long Gu
+ 15g Magnetitum Ci Shi
+ 9g Fr. Gardeniae Zhi Zi + 15g Rx. Scrophulariae Xuan Shen
+ 9g Cx. Moutan Mu Dan Pi + 12g Fossilia Ossis Mastodi Long Gu
+ 9g Rx. Curcumae Yu Jin
+ 12g Rx. Ophiopogonis
+ 9g Fr. Gardeniae Zhi Zi
+ 12g Rx. Asparagi
+ 9g Cx. Moutan Mu Dan Pi
+ 12g Bul. Lilii
+ 9g Rx. Curcumae Yu Jin
+ 9g Hb. Dendrobii
+ 12g Sm Zizyphi Spinosae Suan Zao Ren
For acid reflux:
+ 15-30g Hb. Taraxaci Pu Gong Ying + 12g Caulis Polygoni Multiflori Ye Jiao Teng
+ 9-12g Fr. Citri Sarcodactylis Fo Shou
+ 9g Poria Pararadicis Fu Shen
+ 9-12g Fr. Aurantii Immaturus Zhi Shi For acid reflux with nausea or vomiting:
+ 15-30g Hb. Taraxaci Pu Gong Ying
+ 9-12g Cx. Magnoliae Officinalis Hou Po + 9-12g Fr. Citri Sarcodactylis Fo Shou
+ 12-15g Endoconcha Sepiae Hai Piao Xiao + 9-12g Fr. Aurantii Immaturus Zhi Shi
+ 9-12g Bul Fritillariae Thunbergii Zhe Bei Mu + 9-12g Cx. Magnoliae Officinalis Hou Po
For acid reflux with epigastric pain: + 12-15g Endoconcha Sepiae Hai Piao Xiao
+ 15-30g Hb. Taraxaci Pu Gong Ying
+ 9-12g Fr. Citri Sarcodactylis Fo Shou + 9-12g Bul Fritillariae Thunbergii Zhe Bei Mu
+ 9-12g Fr. Aurantii Immaturus Zhi Shi + 15g Caulis Bambusae in Taeniam Zhu Ru
+ 9-12g Cx. Magnoliae Officinalis Hou Po + 12g Rz. Pinelliae Preparatum Zhi Ban Xia
+ 12-15g Endoconcha Sepiae Hai Piao Xiao For acid reflux with epigastric pain:
+ 15-30g Hb. Taraxaci Pu Gong Ying
+ 9-12g Bul Fritillariae Thunbergii Zhe Bei Mu + 9-12g Fr. Citri Sarcodactylis Fo Shou
+ 12g Rz. Corydalis Yan Hu Suo + 9-12g Fr. Aurantii Immaturus Zhi Shi
For hematemesis:

+ Ten Partially-Charred Substances Powder
Shi Hui San

 + 9-12g Cx. Magnoliae Officinalis Hou Po
- Fol. Nelumbinis He Ye + 12-15g Endoconcha Sepiae Hai Piao Xiao
- Petiolus Trachycarpi Zong Lu Pi
For hematemesis with prolonged Heat causing Blood Stagnation: + 9-12g Bul Fritillariae Thunbergii Zhe Bei Mu

+ Ten Partially-Charred Substances Powder
Shi Hui San

 + 15g Massa Medicata Fermentata Shen Qu
- Fol. Nelumbinis He Ye + 30g Fr. Hordei Germinatus Ma Ya
- Petiolus Trachycarpi Zong Lu Pi
+ 3-6g Rx. Notoginseng San Qi For hematemesis with Fire:

+ Ten Partially-Charred Substances Powder
Shi Hui San
For hematemesis with persistent focal distention and bleeding:
+ Ten Partially-Charred Substances Powder
Shi Hui San
 - Fol. Nelumbinis He Ye
- Petiolus Trachycarpi Zong Lu Pi
- Fol. Nelumbinis He Ye
+ 2 or 3 of the following:
- Petiolus Trachycarpi Zong Lu Pi 9-12g Hb. Violae Zi Hua Di Ding
+ 3-6g Powdered Endoconcha Sepiae Hai Piao Xiao 15-30g Hb. Taraxaci Pu Gong Ying
24-30g Rz. Phragmitis Lu Gen
+ 3-6g Powdered Rz. Bletillae Bai Ji 9-12g Fructus Luffae Retinervus Si Gua Luo
+ 3-6g Powdered Rx. Glycyrrhizae Gan Cao 9-12g Sm. Phaseoli Lu Dou
For hematemesis with excess gastric acid or heartburn:
For hematemesis with epigastric pain:
+ Ten Partially-Charred Substances Powder
Shi Hui San
+ Ten Partially-Charred Substances Powder
Shi Hui San
- Fol. Nelumbinis He Ye - Fol. Nelumbinis He Ye
- Petiolus Trachycarpi Zong Lu Pi - Petiolus Trachycarpi Zong Lu Pi
+ 9-12g Rz. Corydalis Yan Hu Suo + 15g Endoconcha Sepiae Hai Piao Xiao
+ 6-9g Rx. Aucklandiae Mu Xiang
For hematemesis with nausea: + 15g Concha Ostreae Mu Li
+ Ten Partially-Charred Substances Powder
Shi Hui San
 For hematemesis with severe thirst:
+ Ten Partially-Charred Substances Powder
Shi Hui San
- Fol. Nelumbinis He Ye
- Petiolus Trachycarpi Zong Lu Pi - Fol. Nelumbinis He Ye
+ 9-12g Caulis Bambusae in Taeniam Zhu Ru - Petiolus Trachycarpi Zong Lu Pi
+ 12-15g Hb. Dendrobii Shi Hu
+ 12-15g Flos Inulae Xuan Fu Hua + 12-15g Rx. Trichosanthis Tian Hua Fen
+ 15g Haematitum Dai Zhe Shi
For hematemesis with constipation or dry stools:
For subarachnoid hemorrhage:
+ Ten Partially-Charred Substances Powder
Shi Hui San
 + 30g Gypsum Fibrosum Shi Gao
+ 15g Rx. Achyranthis Bidentate Niu Xi
- Fol. Nelumbinis He Ye
- Petiolus Trachycarpi Zong Lu Pi + 12g Rz. Anemarrhenae Zhi Mu
+ 18-24g Rx. Scrophulariae Xuan Shen
+ 9g Fr. Aurantii Immaturus Zhi Shi
+ 9-12g Rx. Ophiopogonis Mai Men Dong
+ 9g Rx. Curcumae Yu Jin
+ 12-18g Rx. Rehmanniae Sheng Di Huang +9g Rx. Angelicae Sinensis Dang Gui
For subarachnoid hemorrhage with an unbearable headache:
 + 9g Caulis Bambusae in Taeniam Zhu Ru
+ 30g Gypsum Fibrosum Shi Gao
For subarachnoid hemorrhage without constipation:
+ 15g Rx. Achyranthis Bidentate Niu Xi
- Rx. ety Rz. Rhei Da Huang
+ 12g Rz. Anemarrhenae Zhi Mu + 30g Gypsum Fibrosum Shi Gao
+ 15g Rx. Achyranthis Bidentate Niu Xi
+ 9g Fr. Aurantii Immaturus Zhi Shi
+ 12g Rz. Anemarrhenae Zhi Mu
+ 9g Rx. Curcumae Yu Jin
+9g Rx. Angelicae Sinensis Dang Gui + 9g Fr. Aurantii Immaturus Zhi Shi
+ 9g Caulis Bambusae in Taeniam Zhu Ru + 9g Rx. Curcumae Yu Jin
+9g Rx. Angelicae Sinensis Dang Gui
+ 20g Rx. Angelicae Dahuricae Bai Zhi
+ 9g Caulis Bambusae in Taeniam Zhu Ru
+ 3g Scolopendra Wu Gong
+ 3g Scorpio Quan Xie