HERB FORMULAS

HUANG TU TANG - 黃土湯 - YELLOW EARTH DECOCTION

English: Yellow Earth Decoction
Also Known As: Decoction of Ignited Yellow Earth
Decoction of Baked Yellow Earth
Decoction of Terra Flava Usta
Fu Long Gan (Fu Lung Kan) Combination

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Terra Flava Usta Zao Xin Tu 18-50g Warms the Blood, stops bleeding, warms and harmonizes the Stomach (Middle Jiao) and stops vomiting and diarrhea.
 With E Jiao and Huang Qin, for hematochezia with Cold in the Lower Jiao.
Rx. Rehmanniae Sheng Di Huang 9-12g Clears Heat, cools the Blood, Nourishes Yin and generates fluids.
With E Jiao, for coughing, hematemesis, epistaxis, and uterine hemorrhage due to Heat from Deficiency.
Colla Corii Asini E Jiao 9-12g Nourishes the Blood, stops bleeding and nourishes and moistens Yin.
Rz. Atractylodis Macrocephalae Bai Zhu 6-9g Tonifies the Spleen, augments Qi, dries Dampness and promotes water metabolism.
Rx. Aconiti Lateralis Preparata Zhi Fu Zi 3-9g Warms Ming Men Fire, assists Heart, Kidney and Spleen Yang, disperses Cold and Dampness, warms the channels and stops pain.
 With Bai Zhu, for Spleen Yang Deficiency with a Cold, painful abdomen, vomiting and watery diarrhea.
Rx. Glycyrrhizae Gan Cao 6-9g Tonifies the Spleen, augments Qi and moderates and harmonizes the harsh properties of other herbs.
Baked Rx. Aconiti Lateralis Bao Fu Zi 6-9g Warms the Spleen and Kidneys, for Cold pain in the epigastrium and abdomen, nausea and diarrhea due to Deficiency Cold.
Rx. Scutellariae Huang Qin 6-9g Clears Heat, dries Dampness, cools the Blood and stops bleeding.

FORMULA ACTIONS

  • Warms Yang
  • Strengthens the Spleen
  • Nourishes the Blood
  • Stops bleeding

SYNDROMES

  • Spleen Yang Deficiency
  • Middle Jiao Deficiency Cold

CLINICAL MANIFESTATIONS

  • Hematochezia
  • Hematemesis
  • Hemoptysis
  • Epistaxis
  • Metrorrhagia
  • Cold extremities
  • A wan or sallow complexion
  • Dark red or pale Blood
  • General fatigue
  • Hematuria
  • A lack of taste
  • No thirst
  • Pale face
  • T: Pale or Dull red
  • C: White
  • P: Deep, thready and weak

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Contraindicated for those with bleeding due to Excess Heat
  • Contraindicated when External pathogens are present.
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

To strengthen the hemostatic effect: For more severe hemorrhaging:
- Rx. Scutellariae Huang Qin + Rx. Notoginseng San Qi
+ Charred Rx. Scutellariae Huang Qin Tan + Rz. Bletillae Bai Ji
+ Fol. Artemisiae Argyi Ai Ye
For severe Qi Deficiency:
For loose stools:
+ Rx. Codonopsis Dang Shen - Rx. Scutellariae Huang Qin
or
+ Charred Rx. Scutellariae Huang Qin Tan
+ Rx. Ginseng Ren Shen
+ Rx. Codonopsis Dang Shen
or
+ Rx. Astragali Huang Qi - Rx. Scutellariae Huang Qin
For palpitations:
+ Dry-fried Rx. Astragali Chao Huang Qi
- Rx. Scutellariae Huang Qin
or
+ Arillus Longan Long Yan Rou + Rz. Zingiberis Preparata Pao Jiang
+ Sm. Zizyphi Spinosae Suan Zao Ren
For upper gastrointestinal bleeding:
For duodenal bleeding:
+ Hb. Agrimoniae Xian He Cao + Ophicalcitum Hua Rui Shi
+ Rz. Bletillae Bai Ji + Fr. Psoraliae Bu Gu Zhi
For Deficiency-Cold type hematochezia:
+ Hb. Agrimoniae Xian He Cao
+ Rx. Notoginseng San Qi
For relatively severe hemafecia:
+ Hb. Agrimoniae Xian He Cao + 6-9g Quick-fried Rz. Zingiberis Pao Jiang
+ Rx. Rubiae Qian Cao Gen
+ Crinis Carbonisatus Xue Yu Tan + 3-6g Rx. Notoginseng San Qi
For relatively severe hemafecia with Kidney Yang Deficiency:
For thrombocytopenic purpura:
+ 15g Fr. Corni Shan Zhu Yu
+ 6-9g Quick-fried Rz. Zingiberis Pao Jiang + 9g Rx Dioscoreae Shan Yao
+ 9g Poria Fu Ling
+ 3-6g Rx. Notoginseng San Qi + 9g Rx. Scutellariae Huang Qin
+ 12-15g Hb Epimedii Yin Yang Huo + 9g Cx. Moutan Mu Dan Pi
+ 9-12g Rz. Curculiginis Xian Mao + 6g Cx. Cinnamomi Rou Gui
+ 12-15g Fr. Psoraliae Bu Gu Zhi + 6g Rz. Alismatis Ze Xie
For thrombocytopenic purpura with severe Qi Deficiency:
For thrombocytopenic purpura with menorrhagia:
+ 15g Fr. Corni Shan Zhu Yu + 15g Fr. Corni Shan Zhu Yu
+ 9g Rx Dioscoreae Shan Yao + 9g Rx Dioscoreae Shan Yao
+ 9g Poria Fu Ling + 9g Poria Fu Ling
+ 9g Rx. Scutellariae Huang Qin + 9g Rx. Scutellariae Huang Qin
+ 9g Cx. Moutan Mu Dan Pi + 9g Cx. Moutan Mu Dan Pi
+ 6g Cx. Cinnamomi Rou Gui + 6g Cx. Cinnamomi Rou Gui
+ 6g Rz. Alismatis Ze Xie + 6g Rz. Alismatis Ze Xie
+ 9g Rx. Astragali Huang Qi + 9g Fol. Artemisiae Argyi Ai Ye
+ 9g Rx. Codonopsis Dang Shen
For thrombocytopenic purpura with black stools:
 + 9g quick-fried Rz. Zingiberis Pao Jiang
+ 15g Fr. Corni Shan Zhu Yu
+ 9g Rx Dioscoreae Shan Yao + 9g Fr. Schisandrae Wu Wei Zi
+ 9g Poria Fu Ling
For thrombocytopenic purpura with diarrhea:
+ 9g Rx. Scutellariae Huang Qin + 15g Fr. Corni Shan Zhu Yu
+ 9g Cx. Moutan Mu Dan Pi + 9g Rx Dioscoreae Shan Yao
+ 6g Cx. Cinnamomi Rou Gui + 9g Poria Fu Ling
+ 6g Rz. Alismatis Ze Xie + 9g Rx. Scutellariae Huang Qin
+ 3g Rz. Bletillae Bai Ji + 9g Cx. Moutan Mu Dan Pi
For thrombocytopenic purpura with severe bleeding:
 + 6g Cx. Cinnamomi Rou Gui
+ 6g Rz. Alismatis Ze Xie
+ 15g Fr. Corni Shan Zhu Yu + 12g Fr. Psoraliae Bu Gu Zhi
+ 9g Rx Dioscoreae Shan Yao + 12g Sm. Cuscutae Tu Si Zi
+ 9g Poria Fu Ling + 6g Sm. Myristicae Rou Dou Kou
+ 9g Rx. Scutellariae Huang Qin
For thrombocytopenic purpura with marked Kidney Yang Deficiency:
+ 9g Cx. Moutan Mu Dan Pi
+ 6g Cx. Cinnamomi Rou Gui + 15g Fr. Corni Shan Zhu Yu
+ 6g Rz. Alismatis Ze Xie + 9g Rx Dioscoreae Shan Yao
+ 9g Colla Cervi Cornus Lu Jiao Jiao + 9g Poria Fu Ling
    + 9g Rx. Scutellariae Huang Qin
    + 9g Cx. Moutan Mu Dan Pi
    + 6g Cx. Cinnamomi Rou Gui
    + 6g Rz. Alismatis Ze Xie
    + 0.3g Cornu Cervi Pantotrichum Lu Rong