da huang fu zi tang

Name: da huang fu zi tang
Creator: Bencao Index

Rhubarb and Prepared Aconite Decoction

About da huang fu zi tang

Da Huang Fu Zi Tang, Rhubarb and Prepared Aconite Decoction, is Zhi Fu Zi, Da Huang and Xi Xin. The catalogue classes it among the formulas that warm Yang and guide out accumulation, and records it as warming the interior, dispersing Cold and unblocking the bowels by warm purgation.

Ingredients

Herb	Amount
zhi fu zi	6 g
da huang	9 g
xi xin	6 g

Actions and indications

Warms the interior and disperses Cold

Cold accumulating and clumping in the interior, blocking the bowels and the flow of Yang Qi; also listed for combined Shao Yang and Yang Ming disorder
Chills, cold hands and feet and dislike of cold, sometimes with a low fever that reflects Qi struggling against the blockage rather than true Heat
Tongue with a greasy white coat; pulse deep, tight and wiry

Unblocks the bowels by warm purgation

Constipation with abdominal pain, often worse for pressure

Relieves pain

One-sided pain of the abdomen and flank, reaching up to the armpit
Stiffness and cramping beside and below the navel
Waist and leg pain

Modern uses

Chronic dysentery
Bacillary dysentery
Ulcerative colitis
Chronic colitis
Enteritis
Uncomplicated appendicitis
Uncomplicated or partial intestinal obstruction
Intestinal colic
Intestinal spasms
Gastric spasms
Abdominal pain
Constipation
Hernia
Cholelithiasis
Biliary colic
Chronic pancreatitis
Uremia
Chronic renal failure
Cold-pattern constipation with chronic kidney disease
Pyelonephritis
Renal calculi
Polyuria
Orchitis
Chronic pelvic inflammation
Hypertension
Phlebitis
Periarthritis of the shoulder
Lumbar disc disease
Sciatica
Intercostal neuralgia
Trigeminal neuralgia
Migraine
Keratitis
Conjunctivitis
Sties
Tonsillitis
Purulent gingivitis
Urticaria
Drug allergy dermatitis
Eczema
Fever

Symptoms

Abdominal pain
Abdominal rigidity
Abdominal spasms
Aversion to cold
Axillary pain
Chills
Cold limbs
Constipation
Fever
Hypochondriac pain
Leg pain
Low back pain
Low-grade fever
Pain aggravated by pressure

Modifications

Severe abdominal pain eased by warmth: + gui zhi, + bai shao
Marked distention with a thick, grimy tongue coat: + zhi shi, + shen qu
Abdominal fullness and distention with a greasy coat: + hou po, + mu xiang
General weakness or mild accumulation: + zhi da huang, − da huang
Cold hernia-type pain or colicky flank pain: + rou gui, + xiao hui xiang
Weak constitution: + dang shen, + dang gui
Qi deficiency: + dang shen, + huang qi
Yang deficiency of Spleen and Stomach: + ren shen, + gan cao
Elderly or weak patients: + zhi da huang, + gui zhi, − da huang
Severe pain: + rou gui
Marked stagnation with gas and a turbid, greasy coat: + mu xiang, + bing lang
Chronic colitis, Cold-Damp: + xiao hui xiang, + gan jiang, + wu yao

Show all 18 modifications

Chronic colitis, Damp-Heat: + huang lian, + bai tou weng
Chronic colitis, Yang deficiency of Spleen and Kidney: + rou cong rong, + ba ji tian, + bu gu zhi
Chronic colitis, Liver excess with Spleen deficiency: + chai hu, + xiang fu, + he huan pi, + chao bai zhu
Chronic renal failure: + yi mu cao, + mu li duan
Uremia: + yi mu cao, + mang xiao
Uremia with marked edema: + yi mu cao, + mang xiao, + che qian zi, + bai mao gen

Cautions

contraindication Excess Heat in the interior
contraindication Deficiency Cold
contraindication Not for Yang Ming Heat-excess constipation with high fever, thirst and a red tongue with dry yellow coat
caution Fu Zi is toxic: use only properly processed Fu Zi, never the raw root, cooked on its own and longer than the other herbs; sourcing, dosing and preparation belong with a trained practitioner, not self-treatment
caution A bowel movement after taking it is a good sign; vomiting, worsening chills or a thin pulse mean the condition is getting worse and needs urgent attention
pregnancy Contraindicated in pregnancy: Fu Zi, Da Huang and the strong purging action are all unsafe

Preparation

Decoction: processed Fu Zi goes in alone and cooks longest; Da Huang and Xi Xin join it later

Names

Pinyin	da huang fu zi tang
English Name	Rhubarb and Prepared Aconite Decoction

Classification

Category: Warm Yang and Guide out Accumulation

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