HERB FORMULAS

TUO LI XIAO DU YIN - 托裡消毒飲 - DRAIN THE INTERIOR AND DETOXIFY DECOCTION

English: Drain the Interior and Detoxify Decoction
Also Known As: Support the Interior and Eliminate Toxin Drink
Expel Pus from Within Detoxifying Powder
Gleditsia Combination

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Rx. Ginseng Ren Shen 3g Tonifies Qi and strengthens the Spleen and Stomach.
With Bai Zhu, tonifies the transformation and transportation functions of the Spleen.
With Bai Zhu, Gan Cao and Fu Ling for Spleen and Stomach Deficiency with diarrhea, abdominal distention and fatigue.
Rz. Atractylodes Macrocephalae Bai Zhu 3g Tonifies Qi, strengthens the Spleen and dries Dampness.
With Huang Qi for Spleen Qi Deficiency with weakness, lassitude and loose stools.
With Fu Ling and Gan Cao, for Spleen and Stomach Qi Deficiency.
Rx. Glycyrrhizae Gan Cao 1-2g Tonifies Qi, strengthens the Spleen, clears Heat, relieves Fire toxicity and harmonizes.
With Bai Zhi for pain associated with ulcers.
With Jie Geng, for pain and swelling of the throat.
With Jin Yin Hua, for damp rashes or acne.
Rx. Angelicae Sinensis Dang Gui 3-5g Nourishes Blood, reduces swelling, expels pus and generates flesh.
With Huang Qi for ulcerated abscesses with insufficient drainage or draining only a clear thin discharge.
With Bai Shao, regulates and harmonizes Qi and Blood and treats Blood Deficiency Heat.
With Chuan Xiong, harmonizes, nourishes and invigorates the Blood and disperses Blood Stasis.
with Jin Yin Hua, reduces obstruction and toxicity for swollen, painful sores and necrosis of surrounding tissue.
Rx. Chuanxiong Chuan Xiong 3g Invigorates the Blood and promotes the movement of Qi.
With Dang Gui, Huang Qi and Zao Jiao Ci, for chronic non-healing sores with or without pus in deficient patients.
Rx. Paeoniae Alba Bai Shao 3g Nourishes Blood and preserves Yin.
With Dang Gui, nourishes Yin and Blood.
With Ren Shen and Huang Qi, restrains sweating from Deficiency.
Flos Lonicerae Jin Yin Hua 1-3g Clears Heat and relieves Fire toxicity.
With Zao Jiao Ci, for the initial stage of abscesses and boils.
With Gan Cao, for Toxic swelling and sores.
Rx. Angelicae Dahuricae Bai Zhi 1-2g Reduces swelling, expels pus, expels Dampness and alleviates discharge.
With Jie Geng and Bai Zhi, for ulcerated boils where pus is not discharged. With Gan Cao for pain associated with ulcers.
With Jin Yin Hua and Dang Gui, for early-stage sores and carbuncles.
Rx. Platycodi Jie Geng 2-3g Resolves Phlegm, promotes discharge of pus, aids suppuration and directs formula to the upper body.
With Bai Zhi for ulcerated boils where pus is not discharged.
With Gan Cao disseminates Lung Qi, expels Phlegm, resolves toxicity, and expels pus for productive cough with hoarseness, pain and swelling of the throat due to Wind-Heat.
Rx. Astragali Huang Qi 1.5-3g Tonifies Qi and Blood, nourishes the muscles, tonifies the Spleen, promotes the discharge of pus and generates flesh.
With Bai Zhu, for Spleen Qi Deficiency with weakness, lassitude and loose stools. With Dang Gui , for ulcerated abscesses with insufficient drainage or draining only a clear thin discharge.
With Ren Shen, for Qi Deficiency with general debility, anorexia, fatigue, tired extremities and spontaneous sweat.
Sp. Gleditsiae Zao Jiao Ci 2g Dispels Phlegm, dissipates Stagnation, reduces swelling and aids suppuration.
With Bai Zhi, for difficulty discharging pus from abscesses.
Poria Fu Ling 3-5g Tonifies Qi, strengthens the Spleen and transforms Phlegm.
With Ren Shen and Bai Zhu, for weak and deficient Spleen with fatigue, anorexia and loose stools.

FORMULA ACTIONS

  • Strengthens the Spleen
  • Tonifies Qi and Blood
  • Eliminates Dampness
  • Expels pus
  • Draws out toxicity
  • Promotes the generation of flesh

SYNDROMES

  • Spleen Deficiency with Accumulation of Pathogenic Dampness
  • Toxic sores in deficient patients

CLINICAL MANIFESTATIONS

  • Intermittent discharge of pus
  • The sores either do not suppurate or only leak pus slowly and fail to heal
  • Viscous, thin fluid
  • Mental and physical fatigue
  • Lassitude
  • Lack of luster
  • Poor appetite
  • Loose stools
  • Fever
  • T: Pale
  • C:Thin white
  • P:Thready and weak or Rapid and weak

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Contraindicated during pregnancy because it contains Sp. Gleditsiae Zao Jiao Ci.
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For breast abscesses: For markedly Spleen Deficient patients:
+ Sm. Vaccariae Wang Bu Liu Xing - Rx. Angelicae Dahuricae Bai Zhi
+ Hb. Taraxaci Pu Gong Ying + Twice as much Rx. Ginseng Ren Shen
+ Fr. Liquidamberis Lu Lu Tong
For flat, broad swellings, reduced food intake, bland taste, nausea, vomiting or diarrhea due to Middle Jiao Yang Deficiency:
For sores that are slowly oozing pus due to Yang Deficiency:
+ Rx. Aconiti Lateralis Preparata Zhi Fu Zi
+ Cx. Cinnamomi Rou Gui + Rz. Zingiberis Preparata Pao Jiang
For a patient who has a perforated sore who suffers from Stagnation and Ying Qi Deficiency and is in a great deal of pain:
For ulcerations with constant discharge of pus:
+ Rx. Rehmanniae Sheng Di Huang + Rx. Puerariae Ge Gen
+ Olibanum Ru Xiang + Rz. Coptidis Huang Lian
+ Myrrh Mo Yao
For swelling and pain with fever:
For severe pain:
+ Coptis Decoction to Relieve Toxicity
Huang Lian Jie Du Tang
+ Olibanum Ru Xiang
For cellulitis with swelling and pain:
+ Myrrh Mo Yao
+ Drain the Pus Powder
Pai Nong San
For itching:
For reducing the warming effect:
+ Periostracum Cicadae Chan Tui - Rx. Ginseng Ren Shen
+ Zaocys Wu Shao She + Rx. Pseudostellariae Tai Zi Shen
For high fever:
For constipation:
+ Gypsum Fibrosum Shi Gao + Rx. et Rz. Rhei Da Huang
+ Rz. Anemarrhenae Zhi Mu
For mastitis with alternating swelling and softness, local brightness of the skin and hot sensations over the area with thick, yellow pus:
For clear discharge of abundant pus which is reluctant to heal:
- Flos Lonicerae Jin Yin Hua + Squama Manitis Chuan Shan Jia
- Spica Gleditsiae Zao Jiao Zi
For post-rupture stage Qi and Blood Deficiency:
+ Double Rx. Ginseng Ren Shen -- Rx. Paeoniae Alba Bai Shao
+ Double Rx. Angelicae Sinensis Dang Gui - Rz. Atractylodis Macrocephalae Bai Zhu
+ Rx. Aconiti Lateralis Preparatum Zhi Fu Zi _ Rz. Chuanxiong Chuan Xiong
- Flos Lonicerae Jin Yin Hua
For hordeolum:
 - Rx. Angelicae Dahuricae Bai Zhi
- Rx. Ginseng Ren Shen
- Rx. Paeoniae Alba Bai Shao - Poria Fu Ling
- Rx. Angelicae Dahuricae Bai Zhi + Squama Manitis Chuan Shan Jia
For hordeolum with obvious redness and swelling:
- Rx. Platycodi Jie Geng
+ Rx. Scutellariae Huang Qin - Rx. Ginseng Ren Shen
+ Rx. Saposhnikoviae Fang Feng - Rx. Paeoniae Alba Bai Shao
For diverticulitis:
 - Rx. Angelicae Dahuricae Bai Zhi
- Rx. Paeoniae Alba Bai Shao
+ 15g Rx. Astragali Huang Qi - Rx. Platycodi Jie Geng
+ 15g Flos Lonicerae Jin Yin Hua + Rx. Scutellariae Huang Qin
+ 15g Fr. Forsythiae Lian Qiao + Rx. Saposhnikoviae Fang Feng
+ 9g Fr. Aurantii Immaturus Zhi Shi + 15g Hb. Taraxaci Pu Gong Ying
+ 10g Fr. Forsythiae Lian Qiao
+ 9g Squama Manitis Chuan Shan Jia
For diverticulitis with nausea and vomiting:
+ 9g Spina Gleditsiae Zao Jiao Ci - Rx. Paeoniae Alba Bai Shao
+ 9g Sm. Trichosanthis Gua Lou Ren + 15g Rx. Astragali Huang Qi
+ 6g Rx. Angelicae Dahuricae Bai Zhi + 15g Flos Lonicerae Jin Yin Hua
+ 15g Fr. Forsythiae Lian Qiao
3g Rz. Cimicifugae Sheng Ma + 9g Fr. Aurantii Immaturus Zhi Shi
For gingivitis and periodontitis:
- Rx. Ginseng Ren Shen + 9g Squama Manitis Chuan Shan Jia
- Rx. Paeoniae Alba Bai Shao + 9g Spina Gleditsiae Zao Jiao Ci
- Flos Lonicerae Jin Yin Hua + 9g Sm. Trichosanthis Gua Lou Ren
- Rx. Platycodi Jie Geng + 6g Rx. Angelicae Dahuricae Bai Zhi
- Poria Fu Ling
+ 9g Rx. Codonopsis Dang Shen + 12g Rz. Phragmitis Lu Gen
+ 6g Sm. Vaccariae Wang Bu Liu Xin + 9g Caulis Bambusae in Taeniam Zhu Ru
+ 6g Concha Arcae Wa Leng Zi
+ 3g Rz. Cimicifugae Sheng Ma + 6g Rz. Zingiberis Recens Sheng Jiang