xie xin tang

Name: xie xin tang
Creator: Bencao Index

drain the epigastrium decoction

About xie xin tang

Xie Xin Tang, Drain the Epigastrium Decoction, is Da Huang, Huang Lian and Huang Qin. The catalogue classes it among the formulas that clear Heat and relieve toxicity, and records it as draining Fire and resolving Damp-Heat focal distension.

Ingredients

Herb	Amount
da huang	6 g
huang lian	3 g
huang qin	3 g

Actions and indications

Drains Fire and purges Heat

Excess Heat or Fire in the Upper and Middle Jiao
Sudden bleeding forced by Heat, bright or dark red: nosebleed or vomiting blood
With it a flushed face, agitation, thirst, dark urine and constipation
Tongue red with a yellow, often greasy coat; pulse rapid and forceful, sometimes floating and rapid at the right middle position

Resolves Damp-Heat focal distension

A stuffy, full feeling under the breastbone; on palpation the area is soft and painless
Often a bitter taste, nausea or a heavy feeling from accompanying Damp

Resolves toxicity

Heat-toxin signs such as mouth and tongue sores, red painful eyes, sore throat, or skin sores and carbuncles

Modern uses

Gastritis and irritation of the stomach lining
Hyperlipidaemia
Obesity
Gut dysbiosis
Heat-type presentations with a red face and agitation, sometimes seen with high blood pressure

Symptoms

Bitter taste in the mouth
Bleeding
Carbuncles
Epigastric distention
Epistaxis
Flushed face
Heavy body
Hematemesis
Irritability
Mouth ulcers
Nausea
Red eyes
Sore throat

Cautions

contraindication Patterns of Cold or deficiency (pale tongue, weak thin pulse, cold limbs, loose stools), where it can harm digestion and drain Yang
caution Not for long or unsupervised use: Da Huang is a stimulant laxative, and overuse can harm Spleen and Stomach Yang Qi, with cramping, diarrhoea and cold limbs
caution The fullness it treats is soft and painless; a hard, painful or persistent mass needs medical assessment
caution Any active or unexplained bleeding (nosebleed, vomiting blood, blood in the stool) should be medically assessed before or alongside herbal treatment
caution With other medicines: its herbs interact with one another in action and absorption, as other formulas containing anthraquinones and berberine do; review use with a practitioner
pregnancy Da Huang is a purgative that may stimulate the uterus; generally avoided in pregnancy, and used only under professional guidance
lactation Generally avoided while breastfeeding, and used only under professional guidance

Preparation

Brief infusion in just-boiled water, strained and drunk warm; a short decoction instead when stronger purging or control of bleeding is needed; for a limited course only

Names

Pinyin	xie xin tang
English Name	drain the epigastrium decoction

Classification

Category: Clear heat and Relieve Toxicity

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