HERB FORMULAS

YI HUANG TANG - 易黃湯 - CHANGE YELLOW DECOCTION

English: Change Yellow (Discharge) Decoction
Also Known As: Decoction for Yellow Discharge

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Dry-fried Rz. Dioscoreae Shan Yao 30g Tonifies the Spleen, nourishes Stomach Yin, stops diarrhea, tonifies Kidney Yin and astringes Jing.
Dry-fried Sm. Euryales Qian Shi 12-30g Strengthens the Spleen, stops diarrhea, stabilizes the Kidneys, astringes Jing, expels Dampness and stops discharge.
With Bai Guo, for Damp-Heat vaginal discharge.
Sm. Plantaginis Che Qian Zi 3-12g Promotes urination and clears Damp-Heat.
With Shan Yao and Huang Bai, for chronic vaginal discharge due to Spleen Deficiency with Damp-Heat.
Cx. Phellodendri Huang Bai 6-10g Drains Damp-Heat especially from the Lower Jiao.
With Che Qian Zi, for Burning, painful, hesitant urination.
Sm. Gingko Bai Guo 10g Stabilizes the Lower Jiao, eliminates Dampness, stops discharge and astringes the urine.
With Qian Shi and Shan Yao, for vaginal discharge due to Spleen Deficiency with Dampness.
With Huang Bai and Che Qian Zi, for Damp-Heat induced, yellow vaginal discharge with a foul odor.
With Shan Yao, for spermatorrhea.

FORMULA ACTIONS

  • Clears Heat
  • Dries Dampness
  • Strengthens the Spleen
  • Stops vaginal discharge

SYNDROMES

  • Spleen or Kidney Qi Deficiency with Dampness Stagnation leading to Damp-Heat
  • Spleen Deficiency with Damp-Heat

CLINICAL MANIFESTATIONS

  • Long-term, unremitting fishy-smelling, viscous vaginal discharge that is yellow white in color
  • A pale yellow complexion
  • Dizziness
  • A sensation of heaviness in the head
  • Anorexia
  • Occasional loose stools
  • Delayed menstruation with pale Blood
  • A weak lower back and knees
  • T: Pale
  • C: Thin and white
  • P: Soft and slippery and may be deep

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Do not use for those without Damp-Heat.
  • Contraindicated for those with severe Damp-Heat.
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For darker (almost tea-like in color) and more profuse discharge: For severe Spleen Qi Deficiency:
+ Rx. Sophorae Flavescentis Ku Shen + Rx. Astragali Huang Qi
+ Rz. Coptidis Huang Lian + Rx. Ginseng Ren Shen
+ Endoconcha Sepiae Hai Piao Xiao + Rz. Cimicifugae Sheng Ma
For wet beriberi:
For persistent chyluria:
- Sm. Gingko Bai Guo + Rz. Dioscoreae Hypoglaucae Bei Xie
+ Rz. Atractylodis Cang Zhu
For vaginal discharge due to Spleen Deficiency:
+ Sm. Arecae Bing Lang + 9g Rz. Alismatis Ze Xie
    + 9g Caulis Akebiae Mu Tong