HERB FORMULAS

XIAO XIAN XIONG TANG

English: Minor Decoction for (Pathogens) Stuck in the Chest
Also Known As: Minor Sinking into the Chest Decoction
Minor Trichosanthis Combination

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Fr. Trichosanthis Gua Lou 20-30g Clears Lung Heat, transforms Hot Phlegm, regulates Qi (unbinds the chest), reduces abscesses, dissipates nodules and eliminates pus.
With Huang Lian and Jiang Ban Xia, for Phlegm-Heat accumulating in the chest and epigastrium that is painful when pressed with coughing of thick, yellow sputum (Xiong Bi due to Phlegm and Heat Accumulation Beneath the Heart).
Rz. Coptidis Huang Lian 3-6g Clears Heat, drains Dampness, drains Fire and resolves Fire toxicity.
Ginger-fried Rz. Pinelliae Preparatum Jiang Ban Xia 9-12g Dries Dampness, transforms Phlegm, descends Qi and alleviates nausea.

FORMULA ACTIONS

  • Clears Heat
  • Transforms Phlegm
  • Expands the chest
  • Dissipates Stagnation

SYNDROMES

  • Phlegm and Heat Accumulation Beneath the Heart
  • Phlegm-Heat Stagnation in the chest

CLINICAL MANIFESTATIONS

  • Focal distention in the chest and epigastrium with or without nodules which is painful when pressed
  • Coughing up yellow, viscous sputum
  • Constipation
  • A bitter taste in the mouth
  • T: Normal
  • C: Yellow and greasy
  • P: Slippery and floating or Slippery and rapid

TREATS

  • Hepatitis
  • Cholecystitis
  • Pancreatitis
  • Biliary reflux gastritis
  • Erosive gastritis
  • Peptic ulcer
  • Biliary ascariasis
  • Pyloric obstruction
  • Upper respiratory tract infection
  • Pleurisy
  • Reflux esophagitis
  • Pulmonary heart disease
  • Pleurisy
  • Exudative pleurisy
  • Dyspepsia
  • Pleurisy with effusion
  • Pneumonia
  • Bronchitis
  • Asthma
  • Bronchiectasis
  • Spontaneous pneumothorax
  • Cerebrovascular disease
  • Psychosis
  • Insomnia
  • Gastritis
  • Acid reflux
  • Silicosis
  • Tuberculosis
  • Cholelithiasis
  • Intercostal neuralgia

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Contraindicated for those with significant Spleen and Stomach Deficiency.
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For vomiting: For very gummy sputum that cannot be expectorated:
+ Caul. Bambusae in Taenium Zhu Ru + Bul. Fritillariae Cirrhosae Chuan Bei Mu
+ Rz. Zingiberis Recens Sheng JIang + Arisaema cum Bile Dan Nan Xing
For severe distention and pain:
For indeterminate gnawing hunger:
+ Rx. Curcumae Yu Jin + Fr. Aurantii Immaturus Zhi Shi
+ Fr. Aurantii Immaturus Zhi Shi + Fr. Gardeniae Zhi Zi
For severe cough and a high fever with or without wheezing:
For myocardial infarction:
+ Ephedra, Apricot Kernel, Gypsum and Licorice Decoction
Ma Xing Shi Gan Tang
+ Sm. Persicae Tao Ren
For hepatitis:
+ Faeces Trogopterori Wu Ling Zhi
+ Virgate Wormwood Decoction
Yin Chen Hao Tang
+ Pollen Typhae Pu Huang
or
For intercostal or hypochondriac pain:
+ Major Bupleurum Decoction
Da Chai Hu Tang
+ Rx. Curcumae Yu Jin
For Phlegm-Fire:
+ Rx. Bupleuri Chai Hu
+ Rx. Glycyrrhizae Gan Cao
For alternating chills and fever:
+ Rz. Zingiberis Recens Sheng JIang + Rx. Bupleuri Chai Hu
For intermittent fever and hypochondriac pain:
+ Rx. Scutellariae Huang Qin
+ Bupleurum Decoction for Sinking Into the Chest
Chai Hu Xian Xiong Tang