HERB FORMULAS

DA HUANG FU ZI TANG - 大黃附子湯 - RHUBARB AND PREPARED ACONITE DECOCTION

English: Rhubarb and Prepared Aconite Decoction
Also Known As: Rhubarb and Aconite Combination
Decoction of Rhei and Aconiti Preparata

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Rx. Aconiti Lateralis Preparata Zhi Fu Zi 5-15g Warms the Yang, disperses Cold and Dampness, warms the channels and stops pain.
With Xi Xin,disperses Cold and stops pain, for both Internal and External Cold damage with aversion to Cold, headache and generalized body aches with aching joints.
Rx. et Rz. Rhei Da Huang 1-10g Cleans the Intestines, purges Stagnation, treats hypochondriac pain and directs the actions of the other herbs to the intestines.
Hb. Asari Xi Xin 1-6g Expels Cold and disperses accumulations.

FORMULA ACTIONS

  • Warms the Interior
  • Disperses Cold
  • Unblocks the bowels
  • Alleviates pain

SYNDROMES

  • Cold Accumulation in the Interior
  • Shao-Yang - Yang-Ming (Xu with Fu)

CLINICAL MANIFESTATIONS

  • Abdominal pain
  • Constipation
  • Hypochondriac pain
  • Chills
  • Low-grade fever
  • Cold hands and feet
  • Intolerance of Cold
  • Pain in the armpits
  • Unilateral pain in the abdomen and hypochondrium
  • Stiffness and spasms beside and below the umbilicus
  • Pain in the waist and legs
  • T: Normal
  • C: Greasy and white
  • P: Deep, tight and wiry

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Contraindicated for those with Interior Heat Excess.
  • Contraindicated for those with Deficiency Cold.
HERB/DRUG INTERACTIONS

NOTES

  • If application causes a bowel movement, the prognosis is good, if it causes vomiting, increased chills or a thin pulse, it indicates a worsening of the condition which requires urgent attention.

MODIFICATIONS

For severe abdominal pain which is better with warmth: For severe distension and a thick, dirty tongue coat:
+ Ram. Cinnamomi Gui Zhi + Fr. Aurantii Immaturus Zhi Shi
+ Rx. Paeoniae Alba Bai Shao + Massa Medicata Fermentata Shen Qu
For abdominal fullness,distention and a greasy tongue coat:
For general debility or mild accumulation:
+ Cx. Magnoliae Officinalis Hou Po - Rx. et Rz. Rhei Da Huang
+ Rx. Aucklandiae Mu Xiang + Rx. et Rz. Rhei (treated) Zhi Da Huang
For Cold hernial disorders or colicky, hypochondriac pain:
For a weak constitution:
+ Cx. Cinnamomi Rou Gui + Rx. Codonopsis Dang Shen
+ Fr. Foeniculi Xiao Hui Xiang + Rx. Angelicae Sinensis Dang Gui
For Qi Deficiency:
For Spleen and Stomach Yang Deficiency:
+ Rx. Codonopsis Dang Shen + Rx. Ginseng Ren Shen
Rx. Astragali Huang Qi + Rx. Glycyrrhizae Gan Cao
For the elderly or those who are weak:
For severe pain:
- Rx. et Rz. Rhei Da Huang + Cx. Cinnamomi Rou Gui
+ Rx. et Rz. Rhei (treated) Zhi Da Huang
For severe Stagnation with flatulence and a turbid, greasy tongue coat:
+ Ram. Cinnamomi Gui Zhi + Rx. Aucklandiae Mu Xiang
For chronic colitis with Cold-Damp:
+ Sm. Arecae Bing Lang
+ Fr. Foeniculi Xiao Hui Xiang
For chronic colitis with Damp-Heat:
+ Rz. Zingiberis Gan Jiang + Rz. Coptidis Huang Lian
+ Rx. Linderae Wu Yao + Rx. Pulsatillae Bai Tou Weng
For chronic colitis with Spleen and Kidney Yang Deficiency:
For chronic colitis with Liver Excess and Spleen Deficiency:
+ Hb. Cistanches Rou Cong Rong + Rx. Bupleuri Chai Hu
+ Rx. Morindae Officinalis Ba Ji Tian + Rz. Cyperi Xiang Fu
+ Cx. Albizziae He Huan Pi
+ Fr. Psoraliae Bu Gu Zhi + Dry-fried Rz. Atractylodis Macrocephalae Chao Bai Zhu
For chronic renal failure:
+ Hb. Leonuri Yi Mu Cao
For uremia:
+ Calcined Concha Ostreae Duan Mu Li + Hb. Leonuri Yi Mu Cao
+ Natrii Sulfas Mang Xiao
For uremia with severe edema:
   
+ Hb. Leonuri Yi Mu Cao    
+ Natrii Sulfas Mang Xiao    
+ Sm. Plantaginis Che Qian Zi    
+ Rz. Imperatae Bai Mao Gen