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Knowledge baseFormulas

Lan Wei Jie Du Tang阑尾解毒湯

Detoxify the Appendix Decoction

Medicinals
11

Composition

  • Hong TengCaulis Sargentodoxae30 g

    Clears Heat, resolves toxicity, reduces abscesses, stops pain, invigorates the Blood and disperses Stasis.

  • Bai Jiang CaoHb. Patriniae30 g

    Clears Heat, resolves toxicity, expels pus, reduces abscesses, dispels Blood Stasis and stops pain.

    for suppurative abscesses.
    for Intestinal abscess with fever, abdominal and costal pain, postpartum abdominal pain and eye redness, swelling and pain.
    • Chi Shao
    for unsuppurated Intestinal abscess with an immobile abdominal mass.
  • Jin Yin HuaFlos Lonicerae30–60 g

    Clears Heat, resolves Fire toxicity and clears Damp-Heat from the Lower *Jiao*.

    for suppurating boils that have not ulcerated, or have ulcerated but are not discharging pus.
  • Pu Gong YingHb. Taraxaci30 g

    Reduces abscesses, dissipates nodules, relieves Fire toxicity and clears Heat in the Blood.

    disperses Stagnation due to Heat Toxin with abdominal pain and distention, abdominal masses and jaundice.
  • Dong Gua RenSm. Benincasae15–18 g

    Clears Heat, expels Phlegm, expels pus and drains Dampness.

  • Chi ShaoRx. Paeoniae Rubra9–12 g

    Invigorates the Blood, dispels Blood Stasis, relieves pain and reduces swelling from sores and abscesses.

  • Zhi Da HuangProcessed Rz. et Rx. Rhei6–9 g

    Drains Damp-Heat and clears Heat through the stool.

    • Chi Shao
    for chronic accumulation in the abdomen, blockage of urine, constipation, Qi rushing upward to the Heart, abdominal distention and rebellious damage from food and drink.
  • Mu XiangRx. Aucklandiae6–9 g

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

  • Huang QinRx. Scutellariae9–12 g

    Clears Heat, dries Dampness, drains Fire and detoxifies.

    • Zhi Da Huang
    for constipation.
  • Tao RenSm. Persicae9–12 g

    Breaks up Blood Stasis, invigorates Blood circulation, moistens the Intestines, unblocks the bowels and drains abscesses.

    • Zhi Da Huang
    for severe abdominal infections.
  • Chuan Lian ZiFr. Toosendan9–12 g

    Dredges Liver Qi, releases Stagnation, stops pain and conducts Heat out from below.

Actions

  • Eliminates Toxic Heat
  • Activates the Blood
  • Disperses Blood Stasis
  • Scatters areas of accumulation
  • Reduces the abscess

Patterns treated

A pattern of Toxic Heat

Manifestations

  • Intense pain confined to one area, or
  • Pain extending outward to affect the entire abdomen
  • A rigid, tense abdomen
  • Muscular guarding of the abdomen
  • A hard, distended sensation in the epigastrium and abdomen
  • Difficulty passing stool
  • Failure to pass flatus
  • A high fever, or alternating chills and fever
  • A sensation of thirst
  • Dryness of the mouth, throat and lips
  • Redness of the face
  • Redness of the eyes
  • A general sense of unwellness
  • Head pain
  • Nausea, with or without vomiting
  • Foul breath odor
  • Urine that is markedly concentrated
Tongue body
Deep red, or alternatively Scarlet
Coating
A yellow coating that is either greasy or dry
Pulse
Surging and rapid

Indications

  • Acute abscess of the intestine (appendicitis)
  • Salpingitis with pus formation
  • Acute abscess of the peritoneum
  • Difficulty defecating
  • Acute inflammation of diverticula
  • Acute inflammatory disease of the pelvis
  • Bad breath
  • Reddened eyes

Modifications