HERB FORMULAS

WU WEI XIAO DU YIN

English: Five Ingredient Decoction to Eliminate Toxin
Also Known As: The Antiseptic Decoction with Five Ingredients
The Releasing Toxins Decoction of five Ingredients
Decoction of Five Ingredients for Antiphlogistic

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Flos Lonicerae Jin Yin Hua 9-20g Clears Heat from the Qi and Blood levels, disperses swelling and relieves toxicity.
With Pu Gong Ying, Ye Ju Hua, and Zi Hua Di Ding for sores and furuncles.
Hb. Taraxaci Pu Gong Ying 3-15g Clears Heat, relieves Fire toxicity, reduces abscesses and dissipates nodules.
With Jin Yin Hua and Zi Hua Di Ding, for all hot, painful, hard, and deep-rooted boils.
With Jin Yin Hua and Ye Ju Hua, for sores, lesions and ulcerations of the skin.
Hb. Violae Zi Hua Di Ding 3-15g Clears Heat, relieves toxicity and clears hot sores.
With Pu Gong Ying, for breast abscesses, furuncles, boils, and carbuncles and Damp-Heat jaundice.
With Jin Yin Hua, Pu gong Ying and Ye Ju Hua, for various toxic swellings such as erysipelas, abscesses and deep-rooted sores.
Flos Chrysanthemi Indici Ye Ju Hua 3-15g Drains Fire and resolves toxicity.
Rx. Semiaquilegiae Tian Kui Zi 3-15g Clears Heat, resolves toxicity, reduces swelling and disperses Stagnation.
With Jin Yin Hua, Zi Hua Di Ding and ye Ju Hua, for abscesses and furuncles with localized redness, swelling, heat and pain.
Wine   2-3 tbs Invigorates Blood and helps reduce swelling.

FORMULA ACTIONS

  • Clears Heat
  • Purges Fire
  • Relieves toxicity
  • Cools the Blood
  • Reduces swelling
  • Reduces external carbuncles and furuncles

SYNDROMES

  • Boils and carbuncles with inflammation (Chuang Yung)
  • Fire toxin due to an External Heat invasion which has lodged in the channels

CLINICAL MANIFESTATIONS

  • Local inflammation with pus
  • Deep-rooted, hard and painful boils
  • Erythema
  • Swelling
  • Heat
  • Carbuncles
  • Furuncles
  • Fever and chills
  • Pain
  • T: Red
  • C: Yellow and greasy
  • P: Rapid

TREATS

  • Urinary tract infection
  • Acute pyelonephritis
  • Chronic pyelonephritis
  • Lymphangitis
  • Acute cellulitis
  • Pyogenic cholangitis
  • Septicemia
  • Contact dermatitis
  • Bartholinitis
  • Viral hepatitis
  • Pelvic inflammation
  • Burns
  • Shingles
  • Boils
  • Folliculitis
  • Purulent otitis media

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Contraindicated for those with Yin type boils.
  • Use caution for those with Spleen Deficiency.
  • Use caution for those with Qi and Blood Deficiency.
HERB/DRUG INTERACTIONS

NOTES

  • The patient should bundle up to promote sweating.
  • The dregs may be applied topically.

MODIFICATIONS

For high fever and other signs of severe Heat: For severe swelling:
+ Rz. Coptidis Huang Lian + Rx. Saposhnikoviae Fang Feng
+ Fr. Forsythiae Lian Qiao + Periostricum Cicadae Chan Tui
or
For purulent otitis media - early stage:
+ Rz. Coptidis Huang Lian
Honeysuckle and Forsythia Powder
Yin Qiao San
+ Rx. Scutellariae Barbatae Ban Zhi Lian
For concurrent Damp-Heat rash:
For dark red, painful sores (Heat in the Blood Level):
 + Cx. Dictamni Bai Xian Pi
+ Cx. Moutan Mu Dan Pi + Fr. Kochiae Di Fu Zi
+ Rx. Paeoniae Rubra Chi Shao + Zaocys Wu Shao She
For breast abscess:
For septicemia:
+ Fr. Trichosanthis Gua Lou + Large dose Fol. Isatidis Da Qing Ye
+ Bul. Fritillariae Zhe Bei Mu + Rx. Scutellariae Barbatae Ban Zhi Lian
+ Per. Citri Viride Qing Pi
or
or
 + Cx. Moutan Mu Dan Pi
+ Fr. Trichosanthis Gua Lou + Rx. Paeoniae Rubra Chi Shao
+ Bul. Fritillariae Zhe Bei Mu + Rx. Rehmanniae Sheng Di Huang
+ Cx. Moutan Radicis Mu Dan Pi
For acute pyelonephritis:
For initial stage of edema due to Wind with aversion to Wind, fever, a red tongue, a rapid pulse with furuncles:
 + Rz. Imperatae Bai Mao Gen
+ Fol. Perillae Zi Su Ye + Stigma Maydis Yu Mi Xu
+ Rz. Imperatae Bai Mao Gen
For deficient patients:
For swelling and pus that does not perforate or sores that have perforated and ulcerated but do not heal:
+ Rx. Ginseng Ren Shen
Spina Gleditsiae Zao Jiao Ci
or
For acute tonsillitis:
Tangkuei Decoction to Tonify the Blood
Dang Gui Bu Xue Tang
+ Rx. Platycodi Jie Geng
For acute nephritis with edema, swelling dysuria, a red tongue and a rapid pulse:
+ Rz. Belamcandae She Gan + Rz. Alismatis Ze Xie
+ Rx. Glycyrrhizae Gan Cao + Fr. Gardeniae Zhi Zi
For purulent otitis media:
+ Sm. Plantaginis Che Qian Zi
Honeysuckle and Forsythia Powder
Yin Chao San