HERB FORMULAS

BAI TOU WENG TANG - 白頭翁湯 - PULSATILLA DECOCTION

English: Pulsatilla Decoction
Also Known As: Anemone Combination

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Rx. Pulsatillae Bai Tou Weng 3-30g Principle herb for treating dysenteric disorders, relieves Fire toxin, especially at the Blood level, clears Damp-Heat and stops diarrhea.
With Huang Lian and Qin Pi, for Damp-Heat or epidemic dysenteric disorders.
Rz. Coptidis Huang Lian 3-10g Clears Damp-Heat, especially from the Stomach and Intestines.
Cx. Phellodendri Huang Bai 3-12g Clears Damp-Heat from the Lower Jiao.
With Huang Lian, assists Bai Tou Weng in clearing Damp-Heat and relieving dysentery.
Cx. Fraxini Qin Pi 3-15g Astringes diarrhea, drains Damp-Heat and enhances the actions of the other herbs.
With Bai Tou Weng and Huang Bai, for hot dysenteric disorders.
With Bai Tou Weng and Huang Lian, for diarrhea or dysentery with tenesmus due to Damp-Heat.

FORMULA ACTIONS

  • Clears Heat
  • Relieves toxicity
  • Cools the Blood
  • Alleviates dysenteric disorders

SYNDROMES

  • Damp-Heat in Colon (Damp-Heat Dysentery)
  • Hot dysenteric disorder due to Heat and toxin searing the Stomach and Intestines
  • Jue Yin Stage dysenteric disorder due to Heat

CLINICAL MANIFESTATIONS

  • Abdominal pain
  • Tenesmus
  • A burning sensation around the anus
  • Leukorrhea with a reddish discharge
  • Diarrhea containing more blood than pus
  • Thirst with a desire to drink
  • Maybe short, dark urination
  • T: Red
  • C: Yellow
  • P: Wiry and rapid

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Do not use long term.
  • Contraindicated for those with Spleen and Stomach Yang Deficiency.
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For indigestion: For Wind-Cold attack with chills and fever:
+ Fr. Crataegi Shan Zha + Rx. Puerariae Ge Gen
+ Fr. Citri Aurantii Immaturus Zhi Shi + Flos Lonicerae Jin Yin Hua
+ Sm. Arecae Bing Lang + Fr. Forsythiae
Lian Qiao
For tenesmus with abdominal pain:
+ Rx. Scutellariae
Huang Qin
+ Rx. Aucklandiae Mu Xiang
or
+ Sm. Arecae Bing Lang + Rx. Puerariae Ge Gen
for severe tenesmus:
+ Hb. Schizonepetae Jing Jie
+ Rx. Aucklandiae Mu Xiang + Flos Lonicerae Jin Yin Hua
+ Sm. Arecae Bing Lang + Fr. Forsythiae
Lian Qiao
+ Rx. Paeoniae Alba Bai Shao
For dysentery with dark bloody stool:
or
 + Rx. Rehmanniae Sheng Di Huang
+ Rx. Aucklandiae Mu Xiang + Cx. Moutan Mu Dan Pi
+ Sm. Arecae Bing Lang
For hot, swollen, painful eyes:
+ Rx. Paeoniae Alba Bai Shao + Flos Chrysanthemi Ju Hua
+ Rx. Glycyrrhizae Gan Cao + Cx. Moutan Mu Dan Pi
+ Fr. Aurantii Zhi Ke + Flos Carthami Hong Hua
or
For severe fever and Heat:
+ Rx. Aucklandiae Mu Xiang + Hb. Portulacae Ma Chi Xian
+ Fr. Aurantii Zhi Ke + Flos Lonicerae Jin Yin Hua
+ Rx. Paeoniae Alba Bai Shao
For food-denial dysentery:
+ Rx. Angelicae Sinensis Dang Gui - Cx. Phellodendri Huang Bai
For urinary frequency:
+ Rx. Codonopsis Dang Shen
+ Caul. Akebiae Mu Tong + Rx. Ophiopogonis Mai Men Dong
+ Rz. Imperatae Bai Mao Gen + Hb. Sinocrassulae Indicae Shi Lian Zi
+ Hb Lysimachiae Jin Qian Cao
For Blood Deficiency:
 + Rz. Acori Tatarinowii Shi Chang Pu
+ Colla Corii Asini E Jiao
For bacillary dysentery:
+ Rx. Glycyrrhizae Gan Cao + Rx. Sanguisorbae Di Yu
For coma and convulsion:
+ Hb. Agrimoniae Xian He Cao
+ Calm the Palace Pill with Cattle Gallstone
An Gong Niu Huang Wan
+ Rx. Aucklandiae Mu Xiang
For amoebic dysentery:
or
 + Per. Granati Shi Liu Pi
+ Purple Snow Pill
Zi Xue Dan
or
- Rz. Coptidis Huang Lian
For amoebic dysentery with nausea and vomiting:
+ Rx. Sanguisorbae Di Yu
+ Kudzu, Scutellaria and Coptis Decoction
Ge Gen Huang Qin Huang Lian Tang
+ Rx. Sophorae Flavescentis Ku Shen
+ Rz. Pinelliae Preparatum Zhi Ban Xia
or
+ Kudzu, Scutellaria and Coptis Decoction
Ge Gen Huang Qin Huang Lian Tang
For amoebic dysentery with abdominal pain:
For amoebic dysentery with high fever and aversion to Cold:
+ Kudzu, Scutellaria and Coptis Decoction
Ge Gen Huang Qin Huang Lian Tang
+ Rx. Paeoniae Alba Bai Shao
+ Kudzu, Scutellaria and Coptis Decoction
Ge Gen Huang Qin Huang Lian Tang
For amoebic dysentery with Blood in the stools:
+ Kudzu, Scutellaria and Coptis Decoction
Ge Gen Huang Qin Huang Lian Tang
+ Flos Lonicerae Jin Yin Hua
For acute colitis:
+ Flos Lonicerae Jin Yin Hua + Cx. Moutan Mu Dan Pi
For colitis in remission:
 + Rx. Angelicae Sinensis Dang Gui
+ Rz. Corydalis Yan Hu Suo + Charred Flos Lonicerae Jin Yin Hua Tan
+ Rz. Atractylodis Macrocephalae Bai Zhu
For pneumonia due to Wind-Heat Attacking the Lungs:
+ Sm. Persicae Tao Ren
For pneumonia with damaged Yin and Fluids:
 + Sm. Armeniacae Xing Ren
+ Rx. Rehmanniae Sheng Di Huang + Hb Ephedrae Ma Huang
+ Rx. Scrophulariae Xuan Shen + Hb. Houttuyniae Yu Xing Cao
+ Cx. Lycii Di Gu Pi + Fol. Isatidis Da Qing Ye
+ Rx. Trichosanthis Tian Hua Fen
For pneumonia with Heat in the Qi and Blood levels:
For pelvic inflammatory disease with postpartum bleeding:
+ Rx. Rehmanniae Sheng Di Huang
+ Charred Rz. Dryopteris Guan Zhong Tan + Rx. Scrophulariae Xuan Shen
+ Rx. Glehniae/ Adenophorae Sha Shen
+ Hb. Leonuri Yi Mu Cao
For pelvic inflammatory disease with spontaneous perspiration due to Qi Deficiency:
 + Rx. Salviae Miltiorrhizae Dan Shen
+ Rx. Astragali Huang Qi + Hb. Hedyotis Bai Hua She She Cao
+ Rx. Codonopsis Dang Shen
For pelvic inflammatory disease with Stomach Heat:
For pelvic inflammatory disease with lower abdominal pain:
+ Flos Lonicerae Jin Yin Hua
+ Rz. Cyperi Xiang Fu + Hb. Taraxaci Pu Gong Ying
+ Sm. Citri Reticulatae Ju He
For pelvic inflammatory disease with Fluid Accumulation in the pelvic region:
For pelvic inflammatory disease with anorexia:
+ Per. Citri Reticulatae Chen Pi + Sm. Coicis Yi Yi Ren
+ Poria Fu Ling + Hb. Dianthi Qu Mai
+ Fr. Amomi Sha Ren
For pelvic inflammatory disease with dry stools :
For Toxic-Heat dysentery:
 + Rx. et Rz. Rhei Da Huang
+ 30g Flos Lonicerae Jin Yin Hua
For Toxic-Heat dysentery with muscle spasms, cramps or convulsions:
+ 30g Hb. Patriniae Bai Jiang Cao
+ 18-30g Rx. Rehmanniae Sheng Di Huang + 30g Flos Lonicerae Jin Yin Hua
+ 30g Hb. Patriniae Bai Jiang Cao
+ 12-15g Rx. Paeoniae Rubra Chi Shao + 18-30g Rx. Rehmanniae Sheng Di Huang
+ 9-12g Cx. Moutan Mu Dan Pi + 12-15g Rx. Paeoniae Rubra Chi Shao
+ 12-15g Flos Sophorae Immaturus Huai Hua Mi
+ 9-12g Cx. Moutan Mu Dan Pi
+ 3-6g Rx. Glycyrrhizae Gan Cao + 12-15g Flos Sophorae Immaturus Huai Hua Mi
For Toxic-Heat dysentery with severe abdominal pain and cramping:
+ 3-6g Rx. Glycyrrhizae Gan Cao
+ 30g Flos Lonicerae Jin Yin Hua + 12g Ram. cum Uncis Uncariae Gou Teng
+ 30g Hb. Patriniae Bai Jiang Cao
+ 18-30g Rx. Rehmanniae Sheng Di Huang + 15g Concha Haliotidis Shi Jue Ming
For Toxic-Heat dysentery with watery, bloody diarrhea:
+ 6-9g Rx. Aucklandiae Mu Xiang
+ 9-12g Sm. Arecae Bing Lang + 30g Flos Lonicerae Jin Yin Hua
+ 9-12g Cx. Moutan Mu Dan Pi + 30g Hb. Patriniae Bai Jiang Cao
+ 12-15g Flos Sophorae Immaturus Huai Hua Mi + 18-30g Rx. Rehmanniae Sheng Di Huang
+ 12-15g Rx. Paeoniae Rubra Chi Shao
+ 3-6g Rx. Glycyrrhizae Gan Cao
+ 15-18g Rx. Paeoniae Alba Bai Shao
+ 9-12g Cx. Moutan Mu Dan Pi
For Toxic-Heat Exterior signs:
 + 24-30g Flos Sophorae Immaturus Huai Hua Mi
+ 30g Flos Lonicerae Jin Yin Hua
+ 30g Hb. Patriniae Bai Jiang Cao + 3-6g Rx. Glycyrrhizae Gan Cao
+ 15g Rx. Puerariae Ge Gen + 15g Fr. Mume Wu Mei
+ 12g Hb. Schizonepetae Jing Jie + 15g Charred Rx. Scutellariae Huang Qin Tan
+ 15g Fr. Forsythiae Lian Qiao + 30g Rx. Sanguisorbae Di Yu
+ 3-6g Rx. Glycyrrhizae Gan Cao
For abdominal pain due to Damp-Heat toxin:
+ 12-15g Rx. Paeoniae Rubra Chi Shao + 9g Rx. Angelicae Sinensis Dang Gui
+ 12-15g Flos Sophorae Immaturus Huai Hua Mi + 9g Rx. Paeoniae Alba Bai Shao
+ 6g Rx. Aucklandiae Mu Xiang
For abdominal pain due to Damp-Heat toxin with fever:
 + 6g Rz. Corydalis Yan Hu Suo
For abdominal pain due to Damp-Heat toxin with discharge of more Blood than mucus in the stool:
+ 9g Rx. Angelicae Sinensis Dang Gui
+ 9g Rx. Angelicae Sinensis Dang Gui
+ 9g Rx. Paeoniae Alba Bai Shao
+ 6g Rx. Aucklandiae Mu Xiang + 9g Rx. Paeoniae Alba Bai Shao
+ 6g Rz. Corydalis Yan Hu Suo + 6g Rx. Aucklandiae Mu Xiang
+ 12g Flos Lonicerae Jin Yin Hua + 6g Rz. Corydalis Yan Hu Suo
+ 18g Hb. Portulacae Ma Chi Xian + 12g Rx. Arnebiae/ Lithospermi Zi Cao
6g Rx. et Rz. Rhei Da Huang
For abdominal pain due to Damp-Heat toxin with discharge of more mucus than Blood in the stool:
 + 9g Flos Sophorae Huai Hua Mi
+ 9g Rx. Sanguisorbae Di Yu
+ 9g Rx. Angelicae Sinensis Dang Gui
For abdominal pain due to Damp-Heat toxin with pronounced tenesmus:
+ 9g Rx. Paeoniae Alba Bai Shao + 9g Rx. Angelicae Sinensis Dang Gui
+ 6g Rx. Aucklandiae Mu Xiang
+ 6g Rz. Corydalis Yan Hu Suo + 12g Rx. Paeoniae Alba Bai Shao
+ 12g Poria Fu Ling + 6g Rx. Aucklandiae Mu Xiang
+ 12g Sm. Coicis Yi Yi Ren + 6g Rz. Corydalis Yan Hu Suo
For abdominal pain due to Damp-Heat toxin with Spleen Deficiency:
For abdominal pain due to Damp-Heat toxin with Liver Qi Stagnation:
+ 9g Rx. Angelicae Sinensis Dang Gui + 9g Rx. Angelicae Sinensis Dang Gui
+ 9g Rx. Paeoniae Alba Bai Shao + 9g Rx. Paeoniae Alba Bai Shao
+ 6g Rx. Aucklandiae Mu Xiang + 6g Rx. Aucklandiae Mu Xiang
+ 6g Rz. Corydalis Yan Hu Suo + 6g Rz. Corydalis Yan Hu Suo
+ 12g Rx. Codonopsis Dang Shen + 9g Rz. Cyperi Xiang Fu
+ 9g Rz. Atractylodis Macrocephalae Bai Zhu + 9g Rx. Bupleuri Chai Hu
For acute bacillary dysentery:
For acute bacillary dysentery with coma, convulsions or toxic shock:
 + 10g Rz. Coptidis Huang Lian
+ 10g Cx. Moutan Mu Dan Pi
+ 10g Rz. Coptidis Huang Lian + 10g Rx. Paeoniae Rubra Chi Shao
+ 10g Cx. Moutan Mu Dan Pi
+ 10g Rx. Paeoniae Rubra Chi Shao + 15g Rx. Sanguisorbae Di Yu
+ 15g Rx. Puerariae Ge Gen
+ 15g Rx. Sanguisorbae Di Yu    
+ 15g Rx. Puerariae Ge Gen    
+ Calm the Palace Pill with Cattle Gallstone
An Gong Niu Huang Wan