HERB FORMULAS

KAI YU ER CHEN TANG - 闓瘀二陈汤 - TWO-CURED DECOCTION TO REMOVE PAINFUL OBSTRUCTION

English: Two-Cured Decoction to Remove Painful Obstruction
Also Known As:

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Poria Fu Ling 9-18g Promotes urination, leaches out Dampness, strengthens the Spleen, harmonizes the Middle Jiao and transforms Phlegm.
With Mu Xiang, for diarrhea and borborygmus due to Dampness.
With Zhi Ban Xia, treats Phlegm, thin mucus and turbid Dampness.
With Zhi Ban Xia and Chen Pi, for nausea, vomiting, chest fullness and distention and anorexia due to congested fluids.
With Zhi Ban Xia, Sheng Jiang and Chen Pi, for congested fluids in the Stomach causing nausea and vomiting
Rz. Pinelliae Preparatum Zhi Ban Xia 9-12g Dries Dampness, transforms Phlegm, dissipates nodules and reduces Stagnation.
With Chen Pi, for epigastric and abdominal distention or pain due to disharmony of the Stomach Qi.
With Sheng Jiang, for vomiting due to Cold, thin mucus.
Rz. Cyperi Xiang Fu 9-12g Spreads and regulates Liver Qi and alleviates pain.
With Cang Zhu, for indigestion, pain and distention in the flanks and abdomen, nausea, vomiting, and acid regurgitation.
With Chuan Xiong, for Qi Stagnation combined with Blood Stasis.
Rx. Aucklandiae Mu Xiang 6-12g Promotes the movement of Qi, adjusts and regulates stagnant Qi in the Intestines, strengthens the Spleen, dispels Damp-Heat, harmonizes the Liver and Spleen and alleviates pain.
With Bing Lang, for Qi Stagnation in the Stomach and Intestines due to Food Stagnation with abdominal distention, fullness and distention, anorexia, aversion to the smell of food, nausea without the ability to vomit and an uncomfortable urge to defecate which is often unsuccessful.
Sm. Arecae Bing Lang 6-12g Regulates Qi, reduces accumulations, drains downward, unblocks the bowels, promotes urination and relieves nausea.
With Mu Xiang and Qing Pi, for Food Accumulation and Qi Stagnation.
Rz. Chuanxiong Chuan Xiong 6-15g Invigorates the Blood, promotes the movement of Qi and alleviates pain.
Rz. Curcumae E Zhu 9-12g Invigorates Blood circulation, dispels Blood Stasis, regulates Qi, dissolves accumulations and alleviates pain.
With Mu Xiang, for Food Stagnation with abdominal distention, fullness, and pain.
With Qing Pi, for stagnant Qi with chest and abdominal fullness and pain.
Per. Citri Reticulatae Chen Pi 6-9g Regulates Qi, adjusts the Middle, relieves the diaphragm, dries Dampness, transforms Phlegm and Descends Qi.
With Sheng Jiang, for Cold-Dampness Obstructing the Middle with nausea and hiccup.
With Qing Pi, for flank pain and chest and abdominal distention due to Liver Qi Stagnation.
With Cang Zhu, for a thick white tongue coat with no desire to drink.
Per. Citri Reticulatae Qing Pi 6-9g Spreads Liver Qi, breaks up Stagnant Qi, dissipates accumulations, reduces Food Stagnation, dries Dampness and transforms Phlegm.
With Xiang Fu, for pain and distention of the flanks due to Liver Qi Stagnation.
Rz. Atractylodis Cang Zhu 6-9g Strongly dries Dampness, tonifies the Spleen and clears Dampness from the Lower Jiao.
Rz. Zingiberis Recens Sheng Jiang 3-6g Warms the Middle, stops vomiting and normalizes the flow of Qi at the center.
Rx. Glycyrrhizae Gan Cao 3-9g Tonifies the Spleen, augments Qi and moderates and harmonizes the harsh properties of other herbs.

FORMULA ACTIONS

  • Resolves Damp-Phlegm
  • Eliminates hardness
  • Eliminates abdominal masses
  • Eliminates Blood Stasis

SYNDROMES

  • Phlegm-Damp Accumulation with Qi and Blood Stagnation, particularly in the abdominal and genital areas

CLINICAL MANIFESTATIONS

  • Fullness of the abdomen
  • Fullness of the epigastrium
  • Painful abdominal lump which is rather soft
  • Sticky leukorrhea
  • Uterine fibroma
  • White leukorrhea
  • Obesity
  • Pain in the abdomen or low back
  • Infertility
  • Irregular vaginal bleeding
  • Irregular menses
  • Miscarriage
  • May be tumor, or cancer
  • Dizziness
  • T: Purple
  • C: Greasy and white
  • P: Slippery and Deep

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For profuse, yellowish, and foul-smelling leukorrhea: For Spleen and Stomach Deficiency:
+ 7g Rx. et Rz. Rhei Da Huang - Sm. Arecae Bing Lang
+ 10g Cx. Moutan Mu Dan Pi + 15g Rx. Codonopsis Dang Shen
+ 15g Caulis Sargentodoxae Hong Teng + 15g Rz. Atractylodis Macrocephalae Bai Zhu
+ 20g Hb. Patriniae Bai Jiang Cao
For Qi and Phlegm Stagnation resulting in either scanty menstruation of amenorrhea:
   
    - Per. Citri Reticulatae Chen Pi
    + 9g Exocarpium Citri Rubrum Ju Hong