Two Matured Substances Decoction

Two Matured Substances Decoction

Pinelliae Rhizoma (Ban Xia) 5 liang (15g), Poria (Fu Ling) 3 liang (9g), Citri Expocarpium Rubrum (Ju Hong) 5 liang (15g), Glycyrrhizae Radix et Rhizoma Praeparata cum Melle (Zhi Gan Cao) 1.5 liang (5g)

First add 7 pieces of sheng jiang and 1 piece of wu mei into the decoction, then add in the other medicinals to decoct together. The decoction should be taken while it is warm.

Dries dampness and dissolves phlegm, rectifies qi, and harmonizes the center.

Er Chen Tang is indicated for damp-phlegm patterns .The symptoms are cough with profuse white phlegm that is easy to be expectorated, nausea and vomiting, chest stuffiness, fatigue and heavy feelings of the body or limbs, vertigo and palpitation. The tongue coating is glossy white or white and greasy, and the pulse is slippery.

When the spleen is attacked by pathogenic factors, it fails to transport and transform food and fluids, which leads to dampness or phlegm accumulation. When dampness or phlegm accumulates within the lung, it becomes blocked and fails to disperse and descend normally. A cough with a lot of expectoration will result. When they accumulate in the stomach, nausea and vomiting occurs; when they accumulate in the chest and diaphragm to obstruct the normal qi movement, stuffiness or bloating occurs; when they lodge in the muscles, heaviness of the body or limbs occurs. When damp and phlegm obstruct the clear yang, vertigo occurs. When they attack the heart, palpitation occurs. In damp-phlegm diseases the tongue develops a glossy white or white and greasy tongue coating and the pulse becomes slippery. The treatment principle is to dry dampness and dissolve phlegm, rectify qi, and harmonize the center.

1. Essential pattern differentiation Er Chen Tang serves as a representative formula that is fundamental and commonly used to dry dampness and dissolve phlegm. This clinical pattern is marked by cough, profuse white phlegm that is easy to expectorate, white and greasy tongue coating, slippery pulse. 2. Modern applications This formula may be used in the following biomedically defined disorders when the patient shows signs of damp-phlegm: chronic bronchitis, acute or chronic gastritis, Meniere’s syndrome, and psychogenic vomiting. 3. Cautions and contraindications The property of this formula is dry. Use it with caution for patients with dryness-phlegm. It is prohibited to use for patients who are spitting blood, suffering from wasting-thirst, are yin deficient, and are blood deficient.

1. Dao Tan Tang (Phlegm-Expelling Decoction 导痰汤)