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Neijing

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Dan Dao Pai Shi Fang #2-胆道排石汤

Gallstone Expelling Formula #2

Medicinals
7

Composition

  • Zhi KeFr. Aurantii15 g

    Promotes the movement of Qi, reduces distention and pressure, resolves hardenings and removes stagnated food.

  • Mu XiangRx. Aucklandiae15 g

    Promotes the movement of Qi, adjusts and regulates stagnant Qi in the Intestines, dispels Damp-Heat, harmonizes the Liver and Spleen and alleviates pain.

    for epigastric and abdominal pain and distention due to Qi Stagnation.
  • Yan Hu SuoRz. Corydalis25 g

    Invigorates the Blood, circulates Qi, stops pain and disperses extravasation.

  • Zhi ZiFr. Gardeniae20 g

    Clears Heat, reduces Fire, eliminates irritability and drains Damp-Heat.

    for constipation.
  • Hu ZhangRz. Polygoni Cuspidati50 g

    Invigorates the Blood, dispels Blood Stasis, unblocks the channels, clears Heat, resolves Dampness and stops pain.

    for biliary or urinary tract stones.
    for biliary or urinary tract stones.
  • Jin Qian CaoHb. Lysimachiae50 g

    Clears Liver and Gallbladder Damp-Heat and expels gallstones.

  • Da HuangRx. et Rz. Rhei10 g

    Drains Heat, purges accumulations, invigorates the Blood and dispels Blood Stasis.

Actions

  • Works to clear Heat
  • Brings Dampness to resolution
  • Gets Qi moving
  • Is of benefit to the Gallbladder
  • Eliminates stones
  • Halts pain

Patterns treated

Damp-Heat in the Liver and Gallbladder

Manifestations

  • Distention and pain over the ribs on the right side
  • A distended, full abdomen
  • Pain in the Gallbladder region elicited by pressure
  • Yang-type jaundice (the sclera and skin a vivid yellow)
  • Possibly bilateral rib pain accompanied by fullness
  • A full sensation in the epigastrium
  • Possibly pain in the right hypochondriac region
  • The mouth tastes bitter
  • A nauseated feeling
  • Vomit consisting of sour, bitter fluid
  • Appetite is absent
  • Has an aversion to greasy food
  • Possibly fever, or else fever and chills that alternate
  • Urine that is dark, concentrated and small in quantity
  • The abdomen is distended
  • The patient is thirsty
  • Tiredness
  • A sensation of heaviness through the body
  • Dryness of the stools
  • The bowels are constipated
  • In women: yellow, foul-smelling vaginal discharge; itching of the vulva
  • In men: the testicles are painful, swollen and burning
  • Heat exceeding Dampness: Yang jaundice (the sclera, mucous membranes and skin a vivid orange-yellow) Fever or Fever alternating with chills Thirst with a wish for cold fluids A burning, uncomfortable feeling through the chest and epigastrium Scanty, concentrated urination Constipation or Loose stools Nausea Vomiting Aversion to cigarette smoke T: Pink body C: Greasy, yellow coat P: Wiry and rapid, or else Greasy Slippery and rapid
  • Dampness exceeding Heat: Jaundice No fever or Slight fever A head that feels heavy and full A headache with a wrapped quality A feeling of obstruction, fullness, or discomfort through the chest and epigastrium Appetite absent Nausea Vomiting Distention of the abdomen Loose stools Thirst without any desire to drink Concentrated, scanty urine Aversion to cigarette smoke T: Flabby body C: A thick yellow coat or a whitish greasy one P: Soggy with a moderate rate, or else Wiry and slippery
Tongue body
Pink in color, or else Red
Coating
A yellow, greasy coat, or else a sticky one
Pulse
Wiry with a rapid rate, or Slippery and rapid, or else Deep, full and slippery

Indications

  • Gallstones
  • Icterus

Modifications