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Neijing

Knowledge baseFormulas

Da Huang Huang Qin Xie Xin Tang大簧黄芩瀉心湯

Rhubarb and Scute Decoction to Drain the Epigastrium

Medicinals
3

Composition

  • Da HuangRx. et Rz. Rhei6–9 g

    Drains Heat, purges accumulations, drains Heat from the Blood, invigorates the Blood, dispels Blood Stasis and reduces Fire toxicity.

    for hematemesis or epistaxis due to Blood Heat.
  • Huang QinRx. Scutellariae9–12 g

    Drains Fire, detoxifies, cools the Blood and stops bleeding.

    drains pathogenic Heat from the Upper and Middle Jiaos.
  • Huang LianRz. Coptidis6–9 g

    Drains Fire, resolves Fire toxicity, clears Heat and stops bleeding.

Actions

  • Eliminates Heat
  • Activates the Blood
  • Exerts a cooling action on the Blood
  • Brings bleeding to a stop

Patterns treated

Stagnant Blood combined with an accumulation of Heat

Manifestations

  • Pain of a fixed, stabbing, and/or severe character
  • Pain worsens when pressure is applied
  • The complexion appears dark
  • Masses that are fixed in place and can be felt on palpation
  • Bleeding accompanied by clots
  • The lips appear purple in color
  • The nails appear purple in color
  • Discoloration of the skin — blue, dark, or purplish — over areas both small and large
  • The skin is dry
  • Veins that are varicose or spider-like in appearance
  • The hands and feet feel cold
  • A predisposition toward hemorrhaging blood that is dark or clotted
  • Occasional bleeding from the intestines involving fresh Blood
Tongue body
Reddish-purple, at times showing red or purple spots when Heat is present
Coating
A yellow-colored coating
Pulse
Taut and quickened on palpation

Indications

  • Cancer of the stomach
  • Nosebleeds
  • Long-standing inflammation of the stomach
  • Ulceration of the stomach or duodenum
  • Skin that is dry
  • Vomiting of blood
  • Pain in the upper abdomen
  • Long-standing pancreatic inflammation
  • Varices of the esophagus
  • A cirrhotic condition of the liver

Modifications