HERB FORMULAS

YI ZI TANG - 乙字湯 - DECOCTION "B"

English: Decoction "B"
Also Known As: Yi Word Decoction
Cimicifuga Combination

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Rz. Cimicifugae Sheng Ma 1-4.5g Clears Heat, relieves toxicity, raises Yang and lifts Sunken Qi.
With Chai Hu, for chronic dysenteric disorders, rectal prolapse, and uterine prolapse due to Yang Deficiency.
with Dang Gui, raises the clear Qi, allowing turbidity to descend and moistening the Intestines.
Rx. Glycyrrhizae Gan Cao 3-6g Moderates spasms, alleviates pain, clears Heat, relieves Fire toxicity and moderates and harmonizes the harsh properties of other herbs.
Rx. Bupleuri Chai Hu 5-15g Reduces fever, harmonizes the Exterior and Interior, spreads Liver Qi, relieves Stagnation and raises Yang Qi.
With Huang Qin, restores the normal function of the Liver and Gallbladder and treats Heat in the Womb with fever, chills and delirium.
With Gan Cao, for hepatitis and upper right quadrant pain.
Rx. Scutellariae Huang Qin 3-9g Clears Heat, dries Dampness, drains Fire, detoxifies, cools the Blood and calms ascending Liver Yang.
With Da Huang, for constipation.
Rx. Angelicae Sinensis Dang Gui 6-16g Tonifies Blood, regulates the menses, invigorates and harmonizes the Blood, disperses Cold and stops pain due to Blood Stasis.
With Gan Cao, moderates spasms and relieves abdominal pain.
Rx. et Rz. Rhei Da Huang 1-3g Drains Heat, purges accumulations, drains Fire, transforms Dampness, promotes urination, drains Heat from the Blood, invigorates the Blood, dispels Blood Stasis and reduces Fire toxicity.
With Dang Gui, for Blood Stasis.

FORMULA ACTIONS

  • Clears Heat
  • Drains Stagnation
  • Cools the Blood
  • Resolves toxicity
  • Removes Damp-Heat in the lower abdomen
  • Alleviates hemorrhoid pain
  • Promotes bowel movement
  • Raises Yang Qi

SYNDROMES

  • Damp-Heat in the Lower Abdomen
  • Damp-Heat and Toxins in the lower body
  • Heat and Stasis in the lower body

CLINICAL MANIFESTATIONS

  • Abdominal pain due to Blood Stasis
  • Uterine bleeding
  • Bleeding hemorrhoids (slight)
  • Fever
  • Periumbilical pain
  • Vaginal bleeding with dark Blood and clots
  • Prolapsed rectum
  • Anal ache
  • Vaginal itch
  • Vaginal pain
  • Swelling
  • Constipation
  • Severe local pain

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For prominent Heat: For extreme Stasis with hard swellings and pain:
+ Cx. Phellodendri Huang Bai + Sm. Persicae Tao Ren
+ Hb. Houttuyniae Yu Xing Cao + Cx. Moutan Mu Dan Pi
+ Rx. Rehmanniae Sheng Di Huang
For Damp-Heat:
For severe bleeding:
+ Cx. Phellodendri Huang Bai
+ Rx. Sanguisorbae Di Yu + 30g Sm. Coicis Yi Yi Ren
or
For painful hemorrhoids:
+ Charred Rx. Sanguisorbae Di Yu + Fr. Aurantii Zhi Ke
+ Rx. Rehmanniae Sheng Di Huang + Rx. Linderae Wu Yao
+ Rz. Coptidis Huang Lian + Rz. Cyperi Xiang Fu
For severe constipation:
For Heat Stasis vaginal itching or pain:
+ More Rx. et Rz. Rhei Da Huang + Rx. Paeoniae Rubra Chi Shao
+ Fr. Aurantii Immaturus Zhi Shi + Medulla Tetrapanacis Tong Cao
For dry stools:
+ Cx. Phellodendri Huang Bai
+ Sm. Pruni Yu Li Ren
For vaginal itch:
+ Fr. Cannabis Huo Ma Ren + Flos Lonicerae Jin Yin Hua
For severe hemorrhoid pain:
+ Fr. Forsythiae Lian Qiao
+ Olibanum Ru Xiang
For weak patients or those with loose stools or diarrhea:
+ Rx. Linderae Wu Yao - Rx. et Rz. Rhei Da Huang
+ Rz. Cyperi Xiang Fu
For hemorrhoids with accumulation of Stagnant Blood in the abdomen
For rectal prolapse due to Qi Deficiency:
+ Cinnamon Twig and Poria Pill
Gui Zhi Fu Ling Wan
+ Tonify the Middle and Augment the Qi Decoction
Bu Zhong Yin Qi Tang
For rectal prolapse with Excess bleeding:
   
+ Sophora Japonica Powder
Huai Hua San
   
or
    + Charred Rx. Sanguisorbae Di Yu
    + Rx. Rehmanniae Sheng Di Huang
    + Rz. Coptidis Huang Lian