HERB FORMULAS

WAN DAI TANG

English: End Discharge Decoction
Also Known As: Astragalus and Schizonepeta Combination
Decoction to Treat Leukorrhagia
Decoction for Morbid Leukorrhea

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Earth-Fried Rz. Atractylodis Macrocephalae Tu Chao Bai Zhu 20-30g Tonifies the Spleen, augments Qi, dries Dampness, promotes water metabolism and calms the fetus.
With Che Qian Zi, for diarrhea due to Dampness.
With Cang Zhu, for vaginal discharge.
with Shan Yao, Che Qian zi and Can Zhu, for clear, watery vaginal discharge due to Spleen and Stomach Deficiencies with Dampness.
Dry-Fried Rz. Dioscoreae Chao Shan Yao 20-30g Tonifies the Spleen, nourishes Stomach Yin, stops diarrhea, tonifies Kidney Yin and astringes Jing.
With Chai Hu and Bai Shao, for vaginal discharge due to Spleen Deficiency and Liver Qi Stagnation.
With Ren Shen and Bai Zhu, for Decreased appetite and lack of energy due to Spleen Deficiency.
With Bai Zhu, Cang Zhu, Bai Shao and Chai Hu, for Leukorrhea due to Spleen Qi Deficiency with Liver Qi Stagnation.
Rx. Ginseng Ren Shen 6-9g Powerfully tonifies Qi.
With Bai Zhu, tonifies the transformation and transportation functions of the Spleen.
(Rx. Codonopsis) (Dang Shen) (15g) (May substitute for Ren Shen.)
Prepared Rz. Atractylodis Zhi Cang Zhu 6-9g Strongly dries Dampness, tonifies the Spleen and clears Dampness from the Lower Jiao.
Per. Citri Reticulatae Chen Pi 1.5-3g Regulates Qi, adjusts the Middle, relieves the diaphragm, dries Dampness, transforms Phlegm and helps prevent Stagnation from tonic herbs.
With Bai Zhu, for anorexia and other symptoms of Damp-Obstruction due to Spleen Deficiency.
Wine-Fried Sm. Plantaginis Jiu Chao Che Qian Zi 6-9g Promotes urination, clears Damp-Heat and clears Liver Heat.
With Cang Zhu, for Damp-Heat vaginal discharge with Spleen Deficiency.
Wine-Fried Rx. Paeoniae Alba Jiu Chao Bai Shao 12-15g Nourishes the Blood, regulates menstruation, calms Liver Yang and softens the Liver.
With Gan Cao, for abdominal pain due to disharmony between the Liver and Stomach.
With Chai Hu, for flank pain due to Liver Qi Stagnation.
Rx. Bupleuri Chai Hu 1.8-3g Spreads Liver Qi, relieves Stagnation and raises Yang Qi.
With Bai Shao, for Liver Blood Deficiency with Liver Qi Stagnation and vertigo, dizziness, thoracic and costal pain, and menstrual irregularity due to Liver Qi Stagnation.
With Gan Cao, for hepatitis and upper right quadrant pain.
Charred Sp. Schizonepetae Jing Jie Sui Tan 1.5-3g Stops bleeding.
Rx. Glycyrrhizae Gan Cao 2-3g Tonifies the Spleen, augments Qi and moderates and harmonizes the harsh properties of other herbs.
With Bai Shao, moderates spasms and alleviates pain, for painful spasms of the leg or abdomen.

FORMULA ACTIONS

  • Tonifies the Spleen
  • Tonifies the Middle Jiao
  • Disperses Liver Qi Stagnation
  • Transforms Dampness
  • Stops vaginal discharge

SYNDROMES

  • Spleen Deficiency and Liver Qi Stagnation with Dampness and turbidity in the Lower Jiao
  • Dai channel dysfunction

CLINICAL MANIFESTATIONS

  • Profuse vaginal discharge that is white or pale-yellow
  • The discharge is thin in consistency, not foul smelling and usually continuous
  • Fatigue
  • Lethargy
  • A shiny, pale complexion
  • Loose stools
  • Diarrhea
  • T: Pale
  • C: White
  • P: Soggy and frail or Moderate or Slow or Soft and floating

TREATS

  • Leukorrhea
  • Otitis media
  • Tinnitus
  • Impotence
  • Subdural hematoma
  • Rhinitis
  • Pre eclampsia
  • Vaginitis
  • Edema during pregnancy
  • Irritable bowel syndrome
  • Vaginal fungus
  • Vulvitis
  • Chronic gastritis
  • Hepatitis
  • Colitis
  • Chronic bacillary dysentery
  • Chronic pyelonephritis
  • Nephritis with proteinuria
  • Cervicitis
  • Infertility
  • Glomerulonephritis
  • Streptococci
  • Hemophilus vaginitis

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Contraindicated for those with yellow, bloody, thick, sticky or foul smelling discharge due to Liver Stagnation transforming into Heat or Damp-Heat.
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For a stronger effect: For chronic problems with very thin discharge:
+ Calcined Fossilia Ossis Mastodi Duan Long Gu + Cornu Cervi Degelatinatum Lu Jiao Shuang
+ Calcined Concha ostreae Duan Mu Li + Rx. Morindae Officinalis Ba Ji Tian
For soreness of the lower back:
For lower abdominal and hypochondriac pain:
+ Hb. Taxilli Sang Ji Sheng + Rz. Corydalis Yan Hu Suo
+ Cx. Eucommiae Du Zhong + Rz. Cyperi Xiang Fu
+ Rz. Cibotii Gou Ji
For pain and a feeling of Cold in the lower abdomen:
or
 + Rx. Linderae Wu Yao
+ Cx. Eucommiae Du Zhong + Fr. Foeniculi Xiao Hui Xiang
+ Sm. Cuscutae Tu Si Zi + Rz. Zingiberis Preparata Pao Jiang
+ Rx. Dipsaci Xu Duan
For vaginal discharge secondary to chronic illness and Deficiency:
For yellow vaginal discharge characterized by Heat:
+ Fossilia Ossis Mastodi Long Gu
+ Cx. Phellodendri Huang Bai + Concha Ostreae Mu Li
+ Rx. Gentianae Long Dan Cao
For Spleen Deficiency:
or
 + Rx. Astragali Huang Qi
+ Coptis Decoction to Relieve Toxicity
Huang Lian Jie Du Tang
+ Sm. Lablab Album Bai Bian Dou
For vaginal discharge characterized by Cold:
For abdominal pain:
+ Regulate the Middle Decoction
Li Zhong Tang
+ Fol. Artemisiae Argyi Ai Ye
For prolonged Deficiency and Cold:
+ Rz. Cyperi Xiang Fu
+ Cornu Cervi Degelatinatum Lu Jiao Shuang + Rx. Linderae Wu Yao
+ Cx. Cinnamomi Rou Gui
For prolonged leukorrhagia with damage to the Kidneys:
+ Rx. Morindae Officinalis Ba Ji Tian + Fr. Corni Shan Zhu Yu
+ Endoconcha Sepiae Hai Piao Xiao