Indication
This formula is from the ‘Golden Mirror of Medicine’ (yi zong jin jian), 1742 CE, a 90 volume treatise on general medicine, written by a staff of 80 persons, headed by Wu Qian, under the commission of the Qing imperial government. It is simple formula with a clear-cut single action: clearing Heat Toxin (or Fire Toxin).
It was originally prepared as a decoction to be drunk cold, together with about a half cup of rice wine. The latter served two purposes: a) to counteract the Cold action of the herbs on the Stomach and thus promote absorption into the bloodstream; b) to activate the Blood and enhance the local action of the formula.
Clinically this formula may be used alone, or as a base for more complex formulations in the treatment of localised superficial purulent infections. In regards to pathogenesis, these conditions may arise due to external contraction or from internally generated Heat due to overindulgence in rich, spicy or otherwise heating foods.
This formula is mainly applied in acute conditions, in which the health Qi (zheng qi) is robust, i.e. purely excess type syndromes. It is suitable for both internal as well as external abscesses.
The synergistic actions of the herbs are as follows:
Lonicera flower (jin yin hua): clears Heat Toxin to reduce inflammation and expel pus.
Taraxacum herb (pu gong ying), Begonia herb (tian kui zi), Chrysanthemum indicum flower (ye ju hua), Viola herb (zi hua di ding): clear-Heat toxin and cool the Blood.
Indications:
Early stage carbuncle or furuncle
Cellulitis
Erysipelas
Acute lymphangitis
Mastitis
Appendicitis
Conjunctivitis
Urinary tract infection
Acute pyelonephritis
Abscess
Signs & Symptoms:
Localised inflammatory lesions with erythema, swelling, heat and pain
Fever possibly also with chills
Red tongue with a yellow coat
Rapid pulse that may also be forceful
Combinations –
Acne:
LONG DAN XIE GAN TANG
SI MIAO YONG AN WAN (Jia Wei)
YIN CHEN HAO WAN (Jia Wei)
A C Skin Formula (formerly Acne)
ANTI-INFLAMM. Formula
Acute stage infection with alternating fever and chills:
XIAO CHAI HU WAN
RESISTANCE 2 Formula
Acute stage infections with high fever:
HUANG LIAN JIE DU WAN
ANTITOX 2 Formula
Carbuncle or furuncle, early stage:
NEI XIAO LUO LI WAN
SI MIAO YONG AN WAN (Jia Wei)
Fully erupted furuncles and carbuncles:
HUO LUO XIAO LING DAN
SI MIAO YONG AN WAN (Jia Wei)
Herpes zoster or herpes simplex, early stage:
LONG DAN XIE GAN TANG
SI MIAO YONG AN WAN (Jia Wei)
ANTI-INFLAMM. Formula
Skin infections:
SI MIAO YONG AN WAN (Jia Wei)
Vaginitis or cervicitis with dark coloured and malodorous discharge:
LONG DAN XIE GAN TANG
ANTI-INFLAMMATION Formula
TCM Syndromes: Localised Heat Toxin.
TCM Actions: Clears Heat and resolves Toxin, cools the Blood and reduces swelling.
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