di tan tang

Scour Phlegm Decoction

About di tan tang

Di Tan Tang, Scour Phlegm Decoction, is Ban Xia, Ju Hong, Fu Ling, Zhi Shi, Zhu Ru, Dan Nan Xing, Shi Chang Pu, Ren Shen and Gan Cao. The catalogue classes it among the formulas that scour Phlegm and open the orifices.

Ingredients

Herb	Amount
ban xia	6.6 g
ju hong	6 g
fu ling	6 g
zhi shi	6 g
zhu ru	2.1 g
dan nan xing	6.6 g
shi chang pu	3 g
ren shen	3 g
gan cao	1.5 g

Actions and indications

Scours out Phlegm and opens the sensory orifices

Wind-Phlegm misting the Heart orifices on a background of Qi deficiency
Phlegm blocking the Heart orifice, Yin (Cold) type of closed disorder
After Wind-stroke: a stiff tongue and inability to speak, or slurred speech
Sudden collapse with loss of consciousness, and convulsions
Spitting saliva, and a lot of Phlegm, sometimes rattling in the throat
Cough with sputum, dizziness and a stifling feeling in the chest
Screaming, a hot temper, irritability and poor sleep
Bitter taste and a dry pharynx
Scanty, dark urine and constipation
Tongue stiff, pink, with a greasy white coat; pulse deep, slippery and even

Tonifies Qi

Modern uses

Cerebrovascular accident
Stroke after-effects, including motor aphasia or dysarthria, heavy secretions and dizziness
Motor aphasia
Hemiplegia
Facial paralysis
Seizure disorder
Multiple sclerosis
Numbness
Paresthesia
Cervical spondylosis
Low back pain
Hysteria
Narcolepsy
Chronic fatigue syndrome
Fatigue
Tinnitus
Bronchial asthma
Acute and chronic bronchitis
Bronchiectasis
Chronic obstructive pulmonary disease
Hypoglycemia
Obesity
Constipation
Candidiasis
Uterine fibroids
AIDS

Symptoms

Aphasia
Bitter taste in the mouth
Chest oppression
Constipation
Convulsions
Copious sputum
Dark urine
Dizziness
Dry throat
Excessive salivation
Insomnia
Irritability
Loss of consciousness
Productive cough
Rattling sputum in the throat
Restlessness
Scanty urination
Shouting
Slurred speech
Stiff tongue

Modifications

Phlegm without Heat: + zhi tian nan xing, − zhu ru, − dan nan xing
Marked Heat: + huang qin, + huang lian, + jiang zhi, + zhu li
Phlegm-Heat: + dan nan xing, + long dan cao, + mu tong, + zhi zi, + shi jue ming, + gou teng, + di long, + da huang, − zhi tian nan xing, − ju hong, − fu ling, − zhu ru, − ren shen, − sheng jiang, − da zao
Wind-stroke: + shi chang pu, + tian ma, + gou teng, + di long, − zhu ru
Stronger action (choose two or three): + tian zhu huang, + zhu li, + jiang can, + di long, + tian ma
Hysteria: + dan nan xing, + ci shi, + di long, − ju hong, − fu ling, − zhi tian nan xing, − ren shen, − gan cao
Hysteria with marked convulsions: + dan nan xing, + ci shi, + di long, + quan xie, + wu gong, − ju hong, − fu ling, − zhi tian nan xing, − ren shen, − gan cao
Hysteria with trembling: + dan nan xing, + ci shi, + di long, + dan shen, − ju hong, − fu ling, − zhi tian nan xing, − ren shen, − gan cao
Frequent hysteria episodes, Qi and Blood both deficient: + dan nan xing, + ci shi, + di long, + dang shen, + dang gui, − ju hong, − fu ling, − zhi tian nan xing, − ren shen, − gan cao
Somnolence: + dan nan xing, + dang shen, − zhi tian nan xing, − ren shen
Somnolence with no Heat signs: + dang shen, − ren shen, − zhu ru
Somnolence with Heat signs: + dan nan xing, + dang shen, + huang lian, + qing dai, + huang qin, − zhi tian nan xing, − ren shen

Show all 26 modifications

Low blood sugar: + dang shen, + cang zhu, − ju hong, − zhi shi, − sheng jiang, − da zao, − ren shen, − zhu ru
Low blood sugar with marked dizziness and heavy head: + dang shen, + cang zhu, + bai zhu, + tian ma, − ju hong, − sheng jiang, − da zao, − zhi shi, − ren shen, − zhu ru
Low blood sugar with drooling or vomiting of clear fluid: + dang shen, + cang zhu, + sheng jiang, + hou po, − ju hong, − zhi shi, − ren shen, − da zao, − zhu ru
Low blood sugar with marked fatigue and weakness: + dang shen, + cang zhu, + huang qi, + sheng ma, − ju hong, − zhi shi, − sheng jiang, − da zao, − ren shen, − zhu ru
Low blood sugar with trembling limbs: + dang shen, + cang zhu, + chan tui, + tian ma, − ju hong, − zhi shi, − sheng jiang, − da zao, − ren shen, − zhu ru
Cervical spondylosis, stagnant Blood: + dan nan xing, + dang gui, − zhi tian nan xing, − ren shen
Multiple sclerosis from Phlegm-Heat: + dan nan xing, + di long, + si gua luo, + zhu li, − zhu ru, − zhi tian nan xing, − gan cao, − ren shen, − shi chang pu
Multiple sclerosis from Phlegm-Heat, yellow sputum: + dan nan xing, + di long, + si gua luo, + zhu li, + huang qin, − zhu ru, − zhi tian nan xing, − gan cao, − ren shen, − shi chang pu
In place of Zhu Li: + tian zhu huang, + zao jiao
Multiple sclerosis from Phlegm-Heat, chest distention: + dan nan xing, + di long, + si gua luo, + zhu li, + zhi bai fu zi, − zhu ru, − zhi tian nan xing, − gan cao, − ren shen, − shi chang pu
Multiple sclerosis from Phlegm-Heat, chest oppression: + dan nan xing, + di long, + si gua luo, + zhu li, + jie geng, − zhu ru, − zhi tian nan xing, − gan cao, − ren shen, − shi chang pu
Multiple sclerosis from Phlegm-Heat, nausea and vomiting: + dan nan xing, + di long, + si gua luo, + zhu li, + sheng jiang, − zhi tian nan xing, − gan cao, − ren shen, − shi chang pu
Multiple sclerosis from Phlegm-Heat with Qi Deficiency: + dan nan xing, + di long, + si gua luo, + zhu li, + bai zhu, + dang shen, + huang qi, − zhu ru, − zhi tian nan xing, − gan cao, − ren shen, − shi chang pu
Low back pain from accumulated Phlegm: + chen pi, + dang gui, + ting li zi, + gua lou, + bai jie zi, − ju hong, − zhi tian nan xing, − ren shen, − gan cao

Cautions

pregnancy Contraindicated in pregnancy; it contains Zhi Shi, which breaks Qi and directs downward
caution Use carefully in weak patients
caution Ban Xia is toxic raw and Dan Nan Xing must be properly bile-processed; use only correctly processed herbs
caution Under the Eighteen Incompatibles, keep Ban Xia apart from Wu Tou, Fu Zi and other aconites
contraindication Avoid or modify in Yin or fluid deficiency, dryness, or when there is little or no Phlegm; the drying herbs can worsen a dry mouth, dry cough or constipation
caution Supports recovery after Wind-stroke but does not replace emergency assessment and medical treatment of stroke

Preparation

Decoction of the herbs cooked together, classically with a few slices of fresh Sheng Jiang

Names

Pinyin	di tan tang·di tan tang
English Name	Scour Phlegm Decoction

Classification

Category: Scour Phlegm and Open Orifices