HERB FORMULAS

DA HUANG ZHE CHONG WAN - 大黃蛰虫丸 - RHUBARB AND GROUND BEETLE PILL

English: Rhubarb and Ground Beetle Pill
Also Known As: Rhubarb and Eupolyphaga Pill
Bolus of Rhei and Eupolyphaga seu Steleophaga

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Steamed Rx. et Rz. Rhei Zheng Da Huang 300g (8g) Drains Heat, purges accumulations, drains Fire, drains Heat from the Blood, invigorates the Blood, dispels Blood Stasis, clears Heat and reduces Fire toxicity.
With Meng Chong and Tu Bie Chong, for amenorrhea.
Eupolyphaga/ Steleophaga Tu Bie Chong 30g (6g) Breaks and drives out up Blood Stasis, invigorates Blood circulation and disperses lumps and masses.
With Da Huang, breaks up fixed abdominal masses from Blood Stasis.
With Da Huang, Shui Zhi and Meng Chong, for amenorrhea caused by Blood Stasis.
With Da Huang and Tao Ren, for menstrual pain or postpartum abdominal pain due to Blood Stasis.
Sm. Persicae Tao Ren 60g (6g) Breaks up Blood Stasis and activates Blood circulation.
With Da Huang, for severe abdominal infection.
With Xing Ren, for Blood Stasis with pain in the chest, abdomen or throughout the body.
Resina Toxicodendri Gan Qi 30g (3g) Breaks up Blood Stasis, opens the channels and purges hardness.
With Da Huang and Tu Bie Chong, for amenorrhea with emaciation, abdominal fullness and tidal fever.
With Da Huang, Shui Zhi and Tao Ren, for amenorrhea due to Blood Stasis.
(Resina Daemonoropis) (Xue Jie) (30g) (3g) (Substitutes for Gan Ji)
Holotrichia Qi Cao 60g (6g) Activates the Blood, breaks up Blood Stasis, disperses clumps, stops pain and resolves Fire toxicity.
Hirudo Shui Zhi 60g (6g) Breaks up and drives out Blood Stasis and reduces fixed masses.
With Meng Chong, resolves severe Blood Stasis with mania, and abdominal masses or severe Blood accumulation following trauma.
With Tao Ren and Meng Chong, for abdominal pain and hardness with black tarry stools.
Tabanus Meng Chong 60g (6g) Breaks up Blood Stasis, reduces abdominal masses and unblocks the Blood vessels.
Rx. Scutellariae Huang Qin 60g (6g) Clears Heat, dries Dampness, drains Fire, detoxifies and calms ascending Liver Yang.
With Da Huang, for constipation.
Sm. Armeniacae Xing Ren 60g (6g) Moistens the Intestines and unblocks bowels
Rx. Rehmanniae Sheng Di Huang 300g (30g) Clears Heat and cools the Blood.
With Da Huang, for Blazing Heart and Stomach Fire with epistaxis, and hemoptysis.
Rx. Paeoniae Alba Bai Shao 120g (12g) Nourishes the Blood and regulates menstruation
(Rx. Paeoniae Rubra) (Chi Shao) (12g) (May substitute for Bai Shao.)
(Rx. Glycyrrhizae) (Gan Cao) (6g) (Included in some versions.)

FORMULA ACTIONS

  • Invigorates the Blood
  • Strongly breaks up Blood Stasis
  • Nourishes the Blood
  • Generates new Blood

SYNDROMES

  • Blood Stagnation
  • Concurrent Blood Stasis and consumption

CLINICAL MANIFESTATIONS

  • Emaciation
  • Abdominal fullness
  • Anorexia
  • Rough, dry and scaly skin
  • May be localized abdominal pain and tenderness
  • Amenorrhea
  • A dull, dark appearance of the eyes
  • Tidal fever
  • May be dry stools
  • T: Petechiae or Purplish or Reddish
  • P: Wiry and choppy or Wiry, small and smooth

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Contraindicated during pregnancy.
  • Contraindicated for women with amenorrhea due to Blood Deficiency.
HERB/DRUG INTERACTIONS

NOTES

  • Grind into a powder and make into pills with honey.

MODIFICATIONS

For cirrhosis of the Liver: For Spleen Deficiency:
+ Rx. Bupleuri Chai Hu
+ Six-Gentlemen Decoction with Aucklandia and Amomum
Xiang Sha Liu Jun Zi Tang
for severe Qi and Blood Deficiencies:
For fibroids with Cold in the Lower Jiao:
+ Eight-Treasure Decoction
Ba Zhen Tang
+Drive out Stasis from the Lower Abdomen Decoction
Shao Fu Zhu Yu Tang
or
or
+ All Inclusive Great Tonifying Decoction
Shi Quan Da Bu Tang
+ Flow Warming Decoction
Wen Jing Tang
or
For lumps and swellings in the flanks and chest with distention and pain:
+ Restore the Spleen Decoction
Gui Pi Tang
+ Rambling Powder
Xiao Yao San