HERB FORMULAS

TONG YOU TANG - 通疣汤 - DECOCTION FOR DYSPHAGIA

English:	Decoction for Dysphagia
Also Known As:

HERBS AND ACTIONS

Pharmaceutical Latin	*Pin Yin*	Dosage	Actions
Rx. Rehmanniae Preparata	*Shu Di Huang*	3-20g	Nourishes the Blood and nourishes Liver and Kidney Yin. With Dang Gui, for Blood Deficiency.
Rx. Rehmanniae	*Sheng Di Huang*	3-30g	Clears Heat, cools the Blood, *nourishes Yin* and generates fluids.** With Shu Di Huang, for Heat symptoms due to Yin Deficiency and Devastated Blood. With Sheng Ma, cools Heat in the Lungs and Stomach, stopping hemoptysis and hematemesis.
Rx. Angelicae Sinensis	*Dang Gui*	6-12g	Tonifies, invigorates and harmonizes the Blood, reduces swelling, expels pus, generates flesh and alleviates pain. With Tao Ren and Hong Hua, for amenorrhea, pain, swelling and other symptoms associated with Blood Stasis. With Shu Di Huang, for Heat symptoms due to Yin Deficiency and Devastated Blood.
Sm. Persicae	*Tao Ren*	6-12g	Breaks up Blood Stasis, invigorates Blood circulation and drains abscesses.
Flos Carthami	*Hong Hua*	3-12g	Invigorates the Blood, dispels Blood Stasis, opens the channels, unblocks menstruation and alleviates pain. With Tao Ren, invigorates the Blood for all types of Blood Stagnation.
Sm. Arecae	*Bing Lang*	3-6g	*Regulates Qi,* reduces accumulations, drains downward and unblocks the bowels.**
Rz. Cimicifugae	*Sheng Ma*	3-12g	Clears Heat and relieves toxicity.
Rx. Glycyrrhizae Preparata	*Zhi Gan Cao*	3-6g	Moderates and harmonizes the harsh properties of other herbs and guides the herbs to all twelve channels.

FORMULA ACTIONS

Nourishes the Blood
Invigorates the Blood
Dispels Blood Stasis
Clears Heat
Cools the Blood

SYNDROMES

Blood Stagnation with Blood Deficiency and Heat
Dysphagia due to Blood Dryness with Blood Stasis in the chest

CLINICAL MANIFESTATIONS

Progressive dysphagia
Ingestion of food is prevented
Vomiting immediately after eating
Vomiting of saliva and undigested food
Vomiting with constipation (severe)
Chest pain (severe)
Swallowing eventually becomes impossible
Emaciation with dry skin (severe)
Loss of appetite, especially for meat
Stomach distention
A sensation of obstruction in the throat
Diminished saliva
Maybe fever due to pulmonary infection
Maybe aortic erosion
Liquids or semi-solids are sustained
Dizziness
Dry muscles and skin

Definite obstruction between the pharynx and diaphragm
Hard stools
Dull pain
Burning pain
A rancid taste in the mouth
Precordial discomfort
Constipation
A pale complexion
Pale nails
Pale lips
Maybe severe coughing
Maybe aspiration of Fluids
T: Normal or Cyanotic or Red or Pale
C: Little or Non
P: Weak and choppy or Thready and rapid

TREATS

Dysphagia
Esophageal ulcer
Esophagitis

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS

HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For esophageal cancer with Phlegm Obstruction:		For esophageal cancer with marked Phlegm Obstruction:
- Rx. Rehmanniae	Sheng Di Huang
- Rz. Cimicifugae	Sheng Ma	- Rx. Rehmanniae	Sheng Di Huang
- Rx. Glycyrrhizae Preparata	Zhi Gan Cao	- Rz. Cimicifugae	Sheng Ma
		- Rx. Glycyrrhizae Preparata	Zhi Gan Cao
+ 3g Rx. Glycyrrhizae	Gan Cao
+ 12g Rx. Salviae Miltiorrhizae	Dan Shen	+ 3g Rx. Glycyrrhizae	Gan Cao
		+ 12g Rx. Salviae Miltiorrhizae	Dan Shen
+ 10g Faeces Trogopterori	Wu Ling Zhi
		+ 10g Faeces Trogopterori	Wu Ling Zhi
+ 10g Bul. Fritillariae Cirrhosae	Chuan Bei Mu
		+ 10g Bul. Fritillariae Cirrhosae	Chuan Bei Mu
+ 3g Rx. Notoginseng	San Qi
+ 10g Catharsius	Qiang Lang	+ 3g Rx. Notoginseng	San Qi
+ 10g Rx. Curcumae	Yu Jin	+ 10g Catharsius	Qiang Lang
+ 20g Fr. Trichosanthis	Gua Lou	+ 10g Rx. Curcumae	Yu Jin
For esophageal cancer with extreme Phlegm Obstruction:		+ 20g Fr. Trichosanthis	Gua Lou
		+ Rz. Sparganii	San Leng
- Rx. Rehmanniae	Sheng Di Huang	+ Rz. Curcumae	E Zhu
- Rz. Cimicifugae	Sheng Ma	+ Vinegar-fried Squama Manitis	Chuan Shan Jia
- Rx. Glycyrrhizae Preparata	Zhi Gan Cao
		For vomiting immediately after ingestion of this formula:
+ 3g Rx. Glycyrrhizae	Gan Cao
+ 12g Rx. Salviae Miltiorrhizae	Dan Shen	- Tong You Tang
		+ Jade Pivot Special Pill Yu Shu Dan
+ 10g Faeces Trogopterori	Wu Ling Zhi
		For dysphagia with Phlegm Obstruction where Blood Stagnation is predominant, select 2 or 3 of the following:
+ 10g Bul. Fritillariae Cirrhosae	Chuan Bei Mu
+ 3g Rx. Notoginseng	San Qi	3-6g Rx. Notoginseng	San Qi
+ 10g Catharsius	Qiang Lang	12-18g Rx. Salviae Miltiorrhizae	Dan Shen
+ 10g Rx. Curcumae	Yu Jin
+ 20g Fr. Trichosanthis	Gua Lou	9-12g Rx. Paeoniae Rubra	Chi Shao
+ Rz. Pinelliae Preparatum	Zhi Ban Xia
		9-12g Hb. Artemisiae Anomalae	Liu Ji Nu
+ Concha Meretricis/ Cyclinae	Ge Qiao
		9-12g Faeces Trogopterori	Wu Ling Zhi
For dysphagia with Phlegm Obstruction and severe Blood Stagnation is predominant, select 2 or 3 of the following:
		For dysphagia with Phlegm Obstruction where Phlegm and nodules are predominant, select 2 or 3 of the following:
3-6g Hirudo	Shui Zhi
1.5-3g Tabanus	Meng Chong	12-15g Sargassum	Hai Zao
6-12g Eupolyphaga/ Steleophaga	Tu Bie Chong	12-15g Thallus Eckloniae	Kun Bu
20ml Bul. Allii Juice	Jiu Cai Zhi	15-30g Concha Arcae	Wa Leng Zi
For dysphagia with Phlegm Obstruction with mucus-like vomiting:		12-15g Bul. Fritillariae Thunbergii	Zhe Bei Mu
+ 9-12g Sm. Raphani	Lai Fu Zi	18-24g Fr. Trichosanthis	Gua Lou
+ 9-12g Rz. Zingiberis Recens	Sheng Jiang	15-30g Concha Ostreae	Mu Li
		9-12g Rz. Dioscoreae Bulbiferae	Huang Yao Zi
For dysphagia with Phlegm Obstruction with copious mucus:
		For dysphagia with Phlegm Obstruction with Qi Deficiency:
+ 12-15g Succus Bambusae	Zhu Li
		+15-24g Rx. Codonopsis	Dang Shen
+ 9-12g Pumex	Fu Shi	+ 18-30g Rx. Astragali	Huang Qi
+ 15-30g Concha Ostreae	Mu Li	For dysphagia and esophageal cancers with esophageal tumors, Toxic Heat and hardness + 2 or 3 of the following:
15-30g Concha Arcae	Wa Leng Zi
		30g Hb. Bidentis	Xian Feng Cao
		30g Sm. Impatientis	Ji Xing Zi
		30g Hb. Solani Lyrati	Long Kui
		0.6-0.9g Pseudobulbus Cremastrae/Pleiones	Shan Ci Gu

		60-120g Hb. Hedyotis Diffusae	Bai Hua She She Cao

		30g Hb. Scutellariae Barbatae	Ban Zhi Lian

		9-12g Rz. Dioscoreae Bulbiferae	Huang Yao Zi