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Rhubarb and Aconite Decoction

Rhubarb and Aconite DecoctionFormula Image

Rhubarb and Aconite Decoction
ChiefFu Zi
    • warms the interior and expels cold
    • relieves pain due to cold coagulation in the abdomen and rib-side
Warming the interior is combined with promoting defecation.
This combination is the foundation for warming purgation.
ChiefDa Huang
    • promotes defecation
    • clears up stagnation and accumulation
Warming the interior is combined with promoting defecation.
This combination is the foundation for warming purgation.
DeputyXi Xin
    • warms channels and expels cold to stop pain
    • assists fu zi to warm the interior and expel cold
Common combination when there is cold pathogen hiding in yin level.

Rhubarb and Aconite DecoctionPrescription Information

Name
Rhubarb and Aconite Decoction
Chinese Name

大黄附子汤

Classification

Purgative formulas

Combination
Rhei Radix et Rhizoma (Da Huang) 3 liang (9g), Aconiti Lateralis Radix Praeparata (Pao Fu Zi) 3 pieces (12g), Asari Radix et Rhizoma (Xi Xin) 2 liang (3g)
Method
Prepare it as a decoction.
Action
Warms the interior, dissipates cold, promotes defecation, and relieves pain.
Indication
This formula is designed for an excess pattern of cold stagnation in the interior. The symptoms are abdominal pain, constipation, rib-side pain, fever, reversal cold of the hands and feet, a white and greasy tongue coating, and a wiry, tight pulse.
Pathogenesis
This is an excessive pattern caused by yin cold and stagnation blocking the intestines. The interior excess yin cold prevents yang qi from warming and flowing freely, which causes qi and blood to become blocked. The symptoms include abdominal pain and reversal cold of the limbs; and when cold accumulation blocks the qi of the intestines, there is constipation. The white, greasy tongue coating and wiry, tight pulse are also evidence of excess cold. Warming the interior, dissipating cold, promoting defecation, and expelling accumulation treat the interior excess cold accumulation.
Clarification
Why is da huang, a medicinal with a bitter and cold property, included in this formula when its action is to expel cold accumulation?
Application
1. Essential pattern differentiation Da Huang Fu Zi Tang serves as the representative warm purgation prescription and is a common formula used to treat excess patterns of constipation due to cold accumulation. This clinical pattern is marked by abdominal pain, constipation, and cold limbs. 2. Modern applications This formula may be used in the following biomedically defined disorders when the patient shows signs of interior excess cold accumulation: acute appendicitis, acute ileus, swollen and painful testis, cholecystalgia, post cholecystectomy syndrome, chronic dysentery, and uremia. 3. Cautions and contraindications This formula is prohibited to use in patterns of interior excess due to heat. The dosage of da huang is not supposed to surpass that of fu zi.
Source
《Essentials from the Golden Cabinet》Jin Gui Yao Lue《金匱要略》

Rhubarb and Aconite DecoctionFormulation composition herbal medicine

Manchurian Wildginger Herb

Manchurian Wildginger Herb

Asari Radix et Rhizoma
Functions：Resolvers exterior, disperses cold, dispels wind, stops pain, warms lung, transforms fluids, frees nose. Apply to exterior disease induced by pathogenic wind-cold, headache, toothache, wind-damp impediment, dyspnea with cough due to phlegm and retained fluids, nasal obstruction, rhinorrhea with turbid discharge, mouth sore.
Prepared Common Monkshood Daughter Root

Prepared Common Monkshood Daughter Root

Aconiti Lateralis Radix Praeparata
Functions：Returns yang, rescues counter flow, supplements fire, assists yang, dispels cold, relieves pain. ‘First medicinal material of returns yang and rescues counter flow’. Apply to excessive yin refusing yang, loss of yang due to profuse perspiration, vomiting and diarrhea, counter flow limbs, cold limbs and faint pulse, chest and abdominal cold pain, cold diarrhea, beriberi and edema, wind-cold and damp impediment, impotence, cold uterine, vomit and diarrhea due to deficiency and cold, edema due to yin cold, exterior cold due to yang deficiency, yin carbuncle and sore, and all the diseases of chronic cold.
Rhubarb|Tangute Rhubarb

Rhubarb|Tangute Rhubarb

Rhei Radix et Rhizoma
Functions：Relieves stagnation, clears dampn-heat, reduces fire, cools blood, eliminates stasis, relieves toxin. Apply to constipation induced by sthenic fever, heat and distention and full of chest, damp-heat diarrhea, jaundice, strangury, edema and sbdominal fullness, difficulty of urination, conjunctival congestion, swelling pain of throat, sor of mouth and tongue, vomiting due to heat stomach, apostaxis, cough with blood, epistaxis, hematochezia, hematuria, blood stasis, amenorrhea, postpartum stasis and pain, abdominal mass accumulation, trsumatic injury, carbuncle and ulcer due to heat toxin, erysipelas, empyrosis.
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