HERB FORMULAS

LAN WEI JIE DU TANG - 阑尾解毒湯 - DETOXIFY THE APPENDIX DECOCTION

English: Detoxify the Appendix Decoction
Also Known As:

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Caulis Sargentodoxae Hong Teng 30g Clears Heat, resolves toxicity, reduces abscesses, stops pain, invigorates the Blood and disperses Stasis.
Hb. Patriniae Bai Jiang Cao 30g Clears Heat, resolves toxicity, expels pus, reduces abscesses, dispels Blood Stasis and stops pain.
With Jin Yin Hua, for suppurative abscesses.
With Jin Yin Hua and Pu Gong Ying, for Intestinal abscess with fever, abdominal and costal pain, postpartum abdominal pain and eye redness, swelling and pain.
with Chi Shao, for unsuppurated Intestinal abscess with an immobile abdominal mass.
Flos Lonicerae Jin Yin Hua 30-60g Clears Heat, resolves Fire toxicity and clears Damp-Heat from the Lower Jiao.
With Huang Qin, for suppurating boils that have not ulcerated, or have ulcerated but are not discharging pus.
Hb. Taraxaci Pu Gong Ying 30g Reduces abscesses, dissipates nodules, relieves Fire toxicity and clears Heat in the Blood.
With Bai Jiang Cao, disperses Stagnation due to Heat Toxin with abdominal pain and distention, abdominal masses and jaundice.
Sm. Benincasae Dong Gua Ren 15-18g Clears Heat, expels Phlegm, expels pus and drains Dampness.
Rx. Paeoniae Rubra Chi Shao 9-12g Invigorates the Blood, dispels Blood Stasis, relieves pain and reduces swelling from sores and abscesses.
Processed Rz. et Rx. Rhei Zhi Da Huang 6-9g Drains Damp-Heat and clears Heat through the stool.
With Chi Shao, for chronic accumulation in the abdomen, blockage of urine, constipation, Qi rushing upward to the Heart, abdominal distention and rebellious damage from food and drink.
Rx. Aucklandiae Mu Xiang 6-9g Promotes the movement of Qi, alleviates pain, adjusts and regulates stagnant Qi in the Intestines, strengthens the Spleen, prevents Stagnation, dispels Damp-Heat and harmonizes the Liver and Spleen.
Rx. Scutellariae Huang Qin 9-12g Clears Heat, dries Dampness, drains Fire and detoxifies.
With Zhi Da Huang, for constipation.
Sm. Persicae Tao Ren 9-12g Breaks up Blood Stasis, invigorates Blood circulation, moistens the Intestines, unblocks the bowels and drains abscesses.
With Zhi Da Huang, for severe abdominal infections.
Fr. Toosendan Chuan Lian Zi 9-12g Dredges Liver Qi, releases Stagnation, stops pain and conducts Heat out from below.

FORMULA ACTIONS

  • Clears Toxic Heat
  • Invigorates the Blood
  • Breaks up Blood Stasis
  • Dissipates accumulation
  • Resolves the abscess

SYNDROMES

  • Toxic Heat

CLINICAL MANIFESTATIONS

  • Severe localized pain or
  • Pain that is spreading to involve the whole abdomen
  • Abdominal rigidity
  • Abdominal guarding
  • Epigastric and abdominal hardness and distention
  • Constipation
  • No passing of gas
  • High fever or Chills and fever
  • Thirst
  • Dry mouth, throat and lips
  • A red complexion
  • Red eyes
  • Malaise
  • A headache
  • Nausea/Vomiting
  • Halitosis
  • Concentrated urine
  • T: Deep red or Scarlet
  • C: Greasy and yellow or Dry and yellow
  • P: Flooding and rapid

TREATS

  • Acute Intestinal abscess (appendicitis)
  • Suppurative salpingitis
  • Acute peritoneal abscess
  • Constipation

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For vomiting that prevents ingestion of herbs (decoct separately and sip slowly): For a high fever and massive thirst:
+ 30g Gypsum Fibrosum Shi Gao
+ 12-15g Caulis Bambusae in Taeniam Zhu Ru + 15g Rz. Anemarrhenae Zhi Mu
+ 9-12g Rz. Pinelliae Preparatum Zhi Ban Xia + 15g Rz. Trichosanthis Tian Hua Fen
For signs of Yin Deficiency:
+ 15g Haematitum Dai Zhe Shi + 12g Rz. Polygoni Odorati Yu Zhu
   
    + 12g Rx. Ophiopogonis Mai Men Dong
    + 12g Rx. Rehmanniae Sheng Di Huang
    + 15g Rx. Scrophulariae Xuan Shen