HERB FORMULAS

English: Rhubarb and Moutan Decoction
Also Known As: Rhubarb and Moutan Combination
Decoction of Rhubarb and Moutan Bark
Decoction of Rhei and Moutan Radicis
Pharmaceutical Latin
Pin Yin
Dosage
Actions
Rx. et Rz. Rhei Da Huang 2-12g Drains Heat and breaks up Blood Stasis.
Natrii Sulfas Mang Xiao 4-12g Purges, softens hardness, eliminates stagnation, clears Heat and moistens Dryness.
With Da Huang, for constipation due to Stomach and Intestinal Heat.
Cx. Moutan Mu Dan Pi 3-9g Cools Blood, clears Heat and eliminates masses due to Blood Stasis.
With Da Huang, for unsuppurated abdominal abscess with pain, constipation and low grade fever.
Sm. Persicae Tao Ren 4-15g Breaks up Blood Stasis, invigorates Blood, moistens Intestines and unblocks bowels.
With Da Huang, for severe abdominal infection.
With Da Huang and Mang Xiao, for Intestinal Abscess with pain and swelling.
Sm. Benincasae Dong Gua Ren 6-30g Expels pus, eliminates Heat and reduces abscesses, especially in the Intestines.
With Da Huang and Mu Dan Pi, for Intestinal Abscess.
  • Drains Heat
  • Breaks up Blood Stasis
  • Invigorates the Blood
  • Disperses nodules
  • Reduces swelling
  • Early Stage Intestinal Abscess
  • Heat and Blood Stagnation
  • Lower abdominal distention and pain (usually on right)
  • Pain increases on pressure with rebound tenderness
  • Guarding of the abdominal musculature
  • Groin pain resembling urinary dysfunction without urinary difficulty
  • Groin pain relieved by flexing hip and knee
  • Groin pain intensified by extending hip
  • Perspiration
  • Irregular or intermittent fever followed by chills and perspiration
  • May be mass in lower right quadrant of abdomen
  • Aversion to Cold
  • Hard lumps
  • T: Pink
  • C: Thin, white or yellow and greasy
  • P: Slippery and rapid or Tight or Wiry and tight or Tight and rapid
CONTRAINDICATIONS
  • Contraindicated for those with necrotic appendicitis.
  • Contraindicated for those with appendicitis with peritonitis.
  • Contraindicated for infants with appendicitis.
  • Contraindicated for those with appendicitis due to parasites.
  • Contraindicated during Pregnancy.
  • Use extreme caution in the weak and elderly.
HERB/DRUG INTERACTIONS
  • Before pus is formed, the pain is severe with localized hardness and Heat. When fully formed, the Heat and pain diminish, the tissues are more relaxed and the pulse is tight.
For a palpable mass in the lower abdomen: For intestinal abscess with pus:
+ Rx. Angelicae Sinensis Dang Gui + Flos Lonicerae Jin Yin Hua
+ Rx. Paeoniae Rubra Chi Shao + Hb. Taraxaci Pu Gong Ying
+ Hb. Violae Zi Hua Di Ding + Hb. Hedyotis Bai Hua She She Cao
For Blood Deficiency:
For Qi Deficiency:
+ Rx. Angelicae Sinensis Dang Gui + Rx. Pseudostellariae Tai Zi Shen
+ Rx. Salviae Miltiorrhizae Dan Shen
For rough dysenteric diarrhea with a red tongue and a thin, rapid pulse:
For more severe pain:
- Natrii Sulfas Mang Xiao
+ Rz. Corydalis Yan Hu Suo + Rx. Scrophulariae Xuan Shen
+ Fr. Toosendan Chuan Lian Zi + Rx. Rehmanniae Sheng Di Huang
+ Rx. Aucklandiae Mu Xiang For abdominal fullness:
or
+ Fr. Aurantii Immaturus Zhi Zi
+ Rz. Corydalis Yan Hu Suo + Cx. Magnoliae Hou Po
+ Fr. Toosendan Chuan Lian Zi + Sm. Arecae Bing Lang
+ Olibanum Ru Xiang
For high fever:
+ Myrrh Mo Yao + Rz. Coptidis Huang Lian
or
or
+ Rx. Paeoniae Rubra Chi Shao + Rz. Coptidis Huang Lian
+ Sm. Persicae Tao Ren + Gypsum Fibrosum Shi Gao
+ Fr. Toosendan Chuan Lian Zi
For a feeling of incomplete evacuation of the stools due to Yin Deficiency:
For a stronger effect:
+ Rx. Scrophulariae Xuan Shen
+ Rz. Coptidis Huang Lian + Rx. Rehmanniae Sheng Di Huang
+ Flos Lonicerae Jin Yin Hua
For Intestinal Abscess without pus or periappendicular abscess:
+ Hb. Taraxaci Pu Gong Ying + Sp. Gleditsiae Zao Jiao Ci
+ Hb. Patriniae Bai Jiang Cao + Rx. Angelicae Dahuricae Bai Zhi
+ Rx. Paeoniae Rubra Chi Shao
Prior to the formation of pus:
For Heat toxin with a yellowish, dry tongue coat:
+ Flos Lonicerae Jin Yin Hua
+ Hb. Violae Zi Hua Di Ding + Hb. Taraxaci Pu Gong Ying
or
+ Hb. Patriniae Bai Jiang Cao
+ Hb. Hedyotis Bai Hua She She Cao + Fr. Forsythiae Lian Qiao
For acute appendicitis with stagnation and accumulation:
+ Rx. Paeoniae Rubra Chi Shao
+ Caulis Sargentodoxae Hong Teng
+ Fr. Toosendan Chuan Lian Zi
For acute appendicitis with Damp-Heat:
+ Rx. Paeoniae Rubra Chi Shao + Flos Lonicerae Jin Yin Hua
For acute appendicitis with Toxic Heat:
+ Sm. Coicis Yi Yi Ren
+ Rz. Coptidis Huang Lian
For acute appendicitis with toxic sores:
+ Hb. Patriniae Bai Jiang Cao + Rz. Coptidis Huang Lian
For acute appendicitis with Damp-Heat masses:
+ Rz. Polygoni Cuspidati Hu Zhang
+ Squama Manitis Chuan Shan Jia
For chronic appendicitis:
+ Rx. Paeoniae Rubra Chi Shao + Hb. Patriniae Bai Jiang Cao
For ruptured appendix with peritonitis:
For ruptured appendix with peritonitis with a high fever:
+ Flos Lonicerae Jin Yin Hua
+ Fr. Toosendan Chuan Lian Zi + Flos Lonicerae Jin Yin Hua
+ Sm. Persicae Tao Ren + Fr. Toosendan Chuan Lian Zi
+ Antibiotic drugs
+ Sm. Persicae Tao Ren
For ruptured appendix with peritonitis with nausea and vomiting:
+ Gypsum Fibrosum Shi Gao
+ Rx. Trichosanthis Tian Hua Fen
+ Flos Lonicerae Jin Yin Hua
+ Antibiotic drugs
+ Fr. Toosendan Chuan Lian Zi
For ruptured appendix with peritonitis with severe pain:
+ Sm. Persicae Tao Ren
+ Caulis Bambusae in Taeniam Zhu Ru
+ Flos Lonicerae Jin Yin Hua
+ Fr. Toosendan Chuan Lian Zi
+ Rz. Phragmitis Lu Gen + Sm. Persicae Tao Ren
+ Antibiotic drugs
+ Olibanum Ru Xiang
For ruptured appendix with peritonitis with abscess and swelling:
+ Myrrh Mo Yao
+ Rz. Corydalis Yan Hu Suo
+ Flos Lonicerae Jin Yin Hua
+ Antibiotic drugs
+ Fr. Toosendan Chuan Lian Zi
For Periappendicular abscess:
+ Sm. Persicae Tao Ren
+ Antibiotic drugs
+ Borneolum Bing Pian
For Periappendicular abscess with stagnation and accumulation:
+ Natrii Sulfas Mang Xiao + Rz. Corydalis Yan Hu Suo
+ Antibiotic drugs
+ Rx. Paeoniae Rubra Chi Shao
For Periappendicular abscess with Excess Heat:
+ Antibiotic drugs
+ Flos Lonicerae Jin Yin Hua
For pelvic inflammatory disease:
+ Fr. Gardeniae Zhi Zi + Flos Lonicerae Jin Yin Hua
+ Hb. Taraxaci Pu Gong Ying + Fr. Forsythiae Lian Qiao
+ Antibiotic drugs
+ Cx. Phellodendri Huang Bai
For chronic prostatitis with frequent, painful urination (rectal installation):
+ Hb. Taraxaci Pu Gong Ying
+ Hb. Polygoni Avicularis Bian Xu + Rx. Rehmanniae Sheng Di Huang
+ Hb. Dianthi Qu Mai + Hb. Patriniae Bai Jiang Cao
For chronic prostatitis with testicular pain (rectal installation):
+ Rx. Glycyrrhizae Gan Cao
+ Antibiotic drugs
+ Fr. Toosendan Chuan Lian Zi
For chronic prostatitis with lower abdominal pain (rectal installation):
+ Rz. Corydalis Yan Hu Suo
For chronic prostatitis with nodules and hardening of the prostate (rectal installation):
+ Cx. Eucommiae Du Zhong
+ Rx. Dipsaci Xu Duan
+ Squama Manitis Chuan Shan Jia
For chronic prostatitis with presence of red or white blood cells in the seminal fluids (rectal installation):
+ Rz. Curcumae E Zhu
For suppurated tonsillitis:
+ Hb. Taraxaci Pu Gong Ying
+ Fr. Forsythiae Lian Qiao + Hb. Ecliptae Mo Han Lian
+ Rz. Coptidis Huang Lian
For suppurated tonsillitis with seizures:
+ Flos Lonicerae Jin Yin Hua + Fr. Forsythiae Lian Qiao
+ Rx. Glycyrrhizae Gan Cao + Rz. Coptidis Huang Lian
For suppurated tonsillitis with abdominal pain:
+ Flos Lonicerae Jin Yin Hua
+ Fr. Forsythiae Lian Qiao + Rx. Glycyrrhizae Gan Cao
+ Rz. Coptidis Huang Lian + Ram. Uncariae cum Uncis Gou Teng
+ Flos Lonicerae Jin Yin Hua
+ Rx. Glycyrrhizae Gan Cao + Scorpio Quan Xie
+ Rx. Aucklandiae Mu Xiang
For suppurated tonsillitis with submandibular lymphadenitis:
+ Rz. Corydalis Yan Hu Suo
For incarcerated Internal hemorrhoids:
+ Fr. Forsythiae Lian Qiao
+ 9g Natrii Sulfas Mang Xiao + Rz. Coptidis Huang Lian
+ 30g Hb. Taraxaci Pu Gong Ying + Flos Lonicerae Jin Yin Hua
+ 10g Flos Carthami Hong Hua + Rx. Glycyrrhizae Gan Cao
+ 12g Rx. Sanguisorbae Di Yu + Squama Manitis Chuan Shan Jia
15g Fr. Aurantii Zhi Shi + Sp. Prunellae Xia Ku Cao
For Crohn's disease:
For Crohn's disease with Heat damaging the Yin:
+ 15g Rz. Corydalis Yan Hu Suo + 15g Rz. Corydalis Yan Hu Suo
+ 15g Flos Lonicerae Jin Yin Hua + 15g Flos Lonicerae Jin Yin Hua
+ 15g Caulis Sargentodoxae Hong Teng + 15g Caulis Sargentodoxae Hong Teng
+ 9g Hb. Patriniae Bai Jiang Cao + 9g Hb. Patriniae Bai Jiang Cao
+ 9g Fr. Forsythiae Lian Qiao + 9g Fr. Forsythiae Lian Qiao
+ 6g Olibanum Ru Xiang + 6g Olibanum Ru Xiang
+ 6g Myrrh Mo Yao + 6g Myrrh Mo Yao
For Crohn's disease with severe abdominal distention:
+ 12g Rx. Rehmanniae Sheng Di Huang
+ 12g Hb. Dendrobii Shi Hu
+ 15g Rz. Corydalis Yan Hu Suo
For enhancing the accumulation clearing effect:
+ 15g Flos Lonicerae Jin Yin Hua + 30g Caulis Sargentodoxae Hong Teng
+ 15g Caulis Sargentodoxae Hong Teng
+ 30g Hb. Patriniae Bai Jiang Cao
+ 9g Hb. Patriniae Bai Jiang Cao
For Intestinal Abscess or diverticulitis with Qi Stagnation predominant:
+ 9g Fr. Forsythiae Lian Qiao
+ 6g Olibanum Ru Xiang + 9-12g Per. Citri Reticulatae Viride Qing Pi
+ 6g Myrrh Mo Yao
+ 9g Cx. Magnoliae Officinalis Hou Po + 9-12g Rx. Linderae Wu Yao
For Intestinal Abscess or diverticulitis with Blood Stagnation predominant:
+ 9gEx. Aucklandiae Mu Xiang
For Intestinal Abscess or diverticulitis with an obvious palpable mass:
+ 18- 30g Rx. Salviae Miltiorrhizae Dan Shen
+ 9-12g Rz. Curcumae E Zhu
For Intestinal Abscess or diverticulitis with severe abdominal distention:
+ 9-12g Rz. Sparganii San Leng
For Intestinal Abscess or diverticulitis with severe pain:
+ 9-12g Fr. Aurantii Immaturus Zhi Shi
+ 9-12g Rz. Corydalis Yan Hu Suo + 18-24g Fr. Trichosanthis Gua Lou
+ 9-12g Fr. Toosendan Chuan Lian Zi
+ 6-9g Rx. Aucklandiae Mu Xiang
For Intestinal Abscess or diverticulitis with External signs and symptoms:
For Intestinal Abscess or diverticulitis with nausea:
+ 9-12g Fol. Perillae Zi Su Ye
12-15g Caulis Bambusae in Taeniam Zhu Ru
For Intestinal Abscess or diverticulitis with developing Internal Heat:
For subacute Intestinal abscess:
+ 15-30g Hb. Taraxaci Pu Gong Ying
+ Less Rx. et Rz. Rhei Da Huang + 9-12g Fr. Forsythiae Lian Qiao
+ Less Natrii Sulfas Mang Xiao + 15-30g Flos Lonicerae Jin Yin Hua