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Chinese Angelica Six Yellow Decoction

Chinese Angelica Six Yellow DecoctionFormula Image

Chinese Angelica Six Yellow Decoction
ChiefDang Gui
    • nourish yin, nourish blood, and keep yin in the interior
Clear heat to prevent heat from harassing the interior, and save yin to prevent sweating.
ChiefSheng Di
    • nourish yin, nourish blood, and keep yin in the interior
Clear heat to prevent heat from harassing the interior, and save yin to prevent sweating.
ChiefShu Di
    • nourish yin, nourish blood, and keep yin in the interior
Clear heat to prevent heat from harassing the interior, and save yin to prevent sweating.
DeputyHuang Lian
    • drain fire to save yin and prevent heat from harassing the interior
Clear heat to prevent heat from harassing the interior, and save yin to prevent sweating.
DeputyHuang Qin
    • drain fire to save yin and prevent heat from harassing the interior
Clear heat to prevent heat from harassing the interior, and save yin to prevent sweating.
DeputyHuang Bai
    • drain fire to save yin and prevent heat from harassing the interior
Clear heat to prevent heat from harassing the interior, and save yin to prevent sweating.
AssistantHuang Qin
    • boosts qi to consolidate wei, consolidates the exterior to arrest sweating
    • coupled with dang gui and shu di huang to boost qi and nourish blood

Chinese Angelica Six Yellow DecoctionPrescription Information

Name
Chinese Angelica Six Yellow Decoction
Chinese Name

当归六黄汤

Classification

Heat-clearing formulas

Combination
Angelicae Sinensis Radix (Dang Gui) 6g, Rehmanniae Radix (Sheng Di Huang) 6g, Scutellariae Radix (Huang Qin) 6g, Phellodendri Chinensis Cortex (Huang Bai) 6g, Coptidis Rhizoma (Huang Lian) 6g, Rehmanniae Radix Praeparata (Shu Di Huang) 6g, Astragali Radix (Huang Qi) 12g
Method
Grind the medicinals into a crude powder. Decoct one dose of the formula (5 qian/15g) with 2 zhan of water, and boil it until the volume reduces to about 1 zhan. Take the decoction before meals. The dose should be cut in half for children. (Modern use: use water to decoct the medicinals.)
Action
Nourishes yin, drains fire, consolidates the exterior, and arrests sweating.
Indication
This formula is indicated for night sweating caused by yin deficiency and intense fire. The symptoms are night sweating with fever, red complexion, vexation, thirst and dry lips, dry stool, dark urine, a red tongue body with a yellow coating, and a rapid pulse.
Pathogenesis
This is a pattern of night sweating caused by yin deficiency and intense fire. The phase of the heart is fire, and the phase of the kidney is water. Normally, fire and water are coordinated with each other, and the heart and kidney interact with each other in a harmonious relationship. If the kidney yin becomes deficient, the kidney water fails to coordinate with the heart fire. The fire of heart will then intensify because of the lack of water, causing the pattern of yin deficiency and intense fire. The fire will become more intense as more yin is consumed over time. Yin will not be able to stay inside as the intense fire forces fluids to leak outward, causing night sweating with fever. Deficiency-heat flames up causing a red complexion and vexation. Yin and fluids are consumed, which leads to thirst and dry lips, dry stool, and dark urine. A red tongue with a yellow coating, and a rapid pulse are signs of interior heat. The characteristic features of the pattern are deficiency of yin and blood, intense heart fire, outward leaking of yin forced by fire, and damage to the wei qi. Therefore, the therapeutic method is to nourish yin and blood, clear heat and drain fire, and boost qi to consolidate the exterior.
Clarification
Why is sweet-warm huang qi included in Dang Gui Liu Huang Tang, a formula for yin deficiency with intense fire harassing the interior?
Application
1. Essential pattern differentiation Dang Gui Liu Huang Tang is a commonly used formula applicable for night sweating caused by yin deficiency and intense fire. This clinical pattern is marked by night sweating, red complexion, vexation and thirst, red tongue body, and a rapid pulse. 2. Modern applications This formula may be used in the following biomedically defined disorders when the patient shows signs of yin deficiency and intense fire: hyperthyroidism, tuberculosis, diabetes mellitus, and menopausal syndrome. 3. Cautions and contraindications Do not use the formula for patterns of yin deficiency without intense fire, or for patients with poor digestion and thin, unformed stools caused by deficiency of the spleen and stomach.
Source
《Secrets from the Orchid Chamber》Lan Shi Mi Cang《蘭室秘藏》

Chinese Angelica Six Yellow DecoctionFormulation composition herbal medicine

Baikal Skullcap Root

Baikal Skullcap Root

Scutellariae Radix
Functions：Clears heat, dries dampness, drains fire, resolves toxin, stops bleeding, calms fetus, reduces blood pressure. Apply to damp-warm diseases, chest retention and vomiting due to summer-warm, retention and fullness due to damp and heat, diarrhea, jaundice, cough with lung heat, polydipsia with high fever, hematemesis and non-traumatic hemorrhage due to blood heat, abscess and sore toxin, fetal movement.
Mongolian Milkvetch Root|Membranous Milkvetch Root

Mongolian Milkvetch Root|Membranous Milkvetch Root

Astragali Radix
Functions：Supplements qi, secures the exterior, promotes urination, outthrusts toxin, expels pus, closes sore, engenders flesh. Apply to deficiency of vital energy causing debilitation, anorexia and loose stools, collapse of middle-warmer energy, anal prolapse due to long term diarrhea, hemafecia, metrorrhagia and metrostaxis, continuous persipiration due to superficial deficiency, persistent superficial infection, persistent ulcers, wilting due to blood deficiency, internal heat dispersion-thirst.
Chinese Goldthread Rhizome

Chinese Goldthread Rhizome

Coptidis Rhizoma
Functions：Clears heat, dries dampness, drains fire, resolves toxin. Damp-heat distention and fullness, vomiting and acid regurgitation, diarrhea, jaundice, dizziness with high fever, excess of heart fire, insomnia due to vexation, haematemesis and epistaxis due to blood heat, red eye, toothache, diabetes, abscess, sore and boil swelling, externally used to eczema, ear pus.
Amur Corktree Bark

Amur Corktree Bark

Phellodendri Chinensis Cortex
Functions：Clears heat, dried dampness, drains fire, eliminates steaming, resolves toxin, treats sore. Apply to dysentery due to damp-heat pathogen, jaundice, leukorrhea, pyretic stranguria, beriberi, osteopyrexia, night sweat, emissions, burns and scalds and swelling, eczema and pruritus.
Adhesive Rehmannia Root Tuber

Adhesive Rehmannia Root Tuber

Rehmanniae Radix
Functions：Xian di huang: Clears heat, engenders fluids, cools blood, stops bleeding. Sheng di haung: clears heat, cools blood, nourishes yin, and engenders fluids. Shu di huang: nourishes yin, supplements bloods, boosts essence, and fills the marrow. Apply to yin deficiency and hectic fever, diabetes, hematemesis, non-traumatic hemorrhage, metrorrhagia, irregular menstruation, threatened miscarriage, diarrhea due to yin damage.
Chinese Angelica

Chinese Angelica

Angelicae Sinensis Radix
Functions：Supplements the blood, invigorates the blood, regulates menstruation, relieves pain, moistens the intestines, frees the stool. Apply to chlorosis due to hemopenia, vertigo and palpitation, irregular menstrual periods, amenorrhea and painful menstruation, deficiency cold abdominalgia, constipation induced by dryness of the intestine, rheumatic arthralgia, injuries from falls, superficial infection and burns and scalds.
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