HERB FORMULAS

ZENG YE TANG - 增液湯 - INCREASE THE FLUIDS DECOCTION

English:	Increase the Fluids Decoction
Also Known As:	Scrophularia and Ophiopogon Combination

HERBS AND ACTIONS

Pharmaceutical Latin	*Pin Yin*	Dosage	Actions
Rx. Scrophulariae	Xuan Shen	3-30g	*Nourishes Yin, generates Fluids, clears Heat, cools the Blood, drains Fire* and moistens Dryness. With Sheng Di Huang, for Excess or Deficiency Heat patterns, late-stage febrile disease with irritability, thirst and constipation and Kidney Yin Deficiency with Fire Blazing with soreness and swelling in the throat, dry mouth and a parched tongue With Mai Men Dong and Sheng Di Huang, for constipation due to Dryness and sore, dry throat due to Deficiency Fire.
Rx. Ophiopogonis	Mai Men Dong	3-24g	*Moistens the Lungs, nourishes the Yin, stops cough,* *nourishes Stomach Yin,* generates fluids and moistens the Intestines.** With Xuan Shen and Sheng Di Huang, for thirst, constipation, irritability and low-grade fever due to Stomach Yin Deficiency in the aftermath of warm febrile disease where to the fluids have been injured and thirst, constipation, irritability and a low-grade fever due to severely injured fluids as in the later stages of a Warm pathogen disease.
Rx. Rehmanniae	Sheng Di Huang	3-24g	*Nourishes Yin, clears Heat, cools the Blood, increases saliva* and generates Fluids. With Xuan Shen and Mai Men Dong, for dry throat, irritability, a red tongue, and a fast thready pulse due to Devastated Yin with Blazing Fire, excessive thirst, irritability, and a scarlet tongue due to Ying Stage Heat, swelling of the throat and lymph nodes and constipation due to Excess Heat with Yin Deficiency.

FORMULA ACTIONS

Generates Fluids
Moistens Dryness
Unblocks the bowels
Nourishes Yin
Clears Heat

SYNDROMES

Deficiency of Fluid in Colon (Yang Ming Xu)
Constipation due to Yin Deficiency
Ying Stage Heat with Middle Jiao Dryness

CLINICAL MANIFESTATIONS

Thirst
Constipation
Dry throat
Dry nose
Dizziness

T: Red, dry and thin
C: None or Yellow and dry
P: Thready and slightly rapid or Weak and forceless or Deep and forceless

TREATS

Habitual constipation
Sequelae of infectious diseases
Hemorrhoids
Irritable bowel syndrome
Chronic pharyngitis
Cheilitis
Stomatitis
Post-surgical recovery
Viral infection
Erysipelas
Dizziness
Fever
Nausea/Vomiting
Tinnitus
Dysphagia
Reflux esophagitis
Bad breath

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS

Use only for constipation caused by Heat and Dryness severely damaging Yin and Body Fluids.

HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For severe constipation:		For a peeled tongue with a shiny coat and a *parched mouth and lips due to severe Stomach Yin* Deficiency:**
+ Rx. et Rz. Rhei	Da Huang	+ Rx. Adenophorae/ Glehniae	Sha Shen
+ Natrii Sulfas	Mang Xiao	+ Rz. Polygonati Odorati	Yu Zhu
For toothache:		+ Hb. Dendrobii	Shi Hu
+ Rx. Achyranthis Bidentatae	Niu Xi	For bleeding hemorrhoids:
+ Cx. Moutan	Mu Dan Pi	+ Sophora Powder Huai Hua San
+ Fr. Psoraliae	Bu Gu Zhi	For signs of more severe clumped Heat:
+ Nidus Vespae	Lu Feng Fang	+ Regulate the Stomach and Order the Qi Decoction Tiao Wei Cheng Qi Tang
For oral side effects of radiation therapy with dryness (worse at night), irritability, dry tongue and a thin rapid pulse:		For atrophic rhinitis:
+ Flos Chrysanthemi	Ju Hua	+ Eight Treasures Decoction Ba Zhen Tang
+ Rx. Trichosanthis	Tian Hua Fen	*For atrophic rhinitis with Stomach Yin* Deficiency:**
+ Rx. Adenophorae/ Glehniae	Sha Shen	+ Eight Treasures Decoction Ba Zhen Tang
+ Rx. Dioscoreae	Shan Yao	+ Rz. Polygonati Odorati	Yu Zhu
+ Cx. Moutan	Mu Dan Pi	+ Hb. Dendrobii	Shi Hu
+ Massa Medicata Fermentata	Shen Qu	For atrophic rhinitis with epistaxis:
For atrophic rhinitis with foul smells in the nose:		+ Eight Treasures Decoction Ba Zhen Tang
+ Eight Treasures Decoction Ba Zhen Tang		+ Hb. Ecliptae	Mo Han Lian
+ Cx. Phellodendri	Huang Bai	+ Hb. Agrimoniae	Xian He Cao
+ Rz. Anemarrhenae	Zhi Mu	For atrophic rhinitis which is more severe in the fall and winter:
*For Yin* Deficiency and Invasion by pathogenic Dryness and Heat with a sore throat:**		+ Eight Treasures Decoction Ba Zhen Tang
+ Rx. Scutellariae	Huang Qin	+ Rx. Paeoniae Rubra	Chi Shao
+ Fr. Forsythiae	Lian Qiao	+ More Rz. Chuanxiong	Chuan Xiong
For Heat in the Ying:		+ More Rx. Angelicae Sinensis	Dang Gui
+ Cornu Rhinoceri	Xi Jiao	For diphtheria:
(+Cornu Bubali - substitute for Xi Jiao)	(Shui Niu Jiao)	+ Rx. Paeoniae Alba	Bai Shao
+ Rz. Coptidis	Huang Lian	+ Cx. Moutan	Mu Dan Pi
+ Flos Lonicerae	Jin Yin Hua	+ Bul. Fritillariae Cirrhosae	Chuan Bei Mu
+ Fr. Forsythiae	Lian Qiao	+ Hb. Menthae	Bo He
Hb. Phylostachys Nigra	Zhu Ye	+ + Rx. Glycyrrhizae	Gan Cao
+ Rx. Salviae Miltiorrhizae	Dan Shen	For enhancing the formula's effectiveness:
For Heat Bi:		+ 9g Hb. Dendrobii	Shi Hu
+ Hb. Dendrobii	Shi Hu	+ 30g Rz. Phragmitis	Lu Gen
+ Rz. Anemarrhenae	Zhi Mu	For Heat Bi with macular-type eruptions of the skin:
+ Cx. Moutan	Mu Dan Pi	+ Hb. Dendrobii	Shi Hu
+ Cx. Lycii	Di Gu Pi	+ Rz. Anemarrhenae	Zhi Mu
For hyperthyroidism:		+ Cx. Moutan	Mu Dan Pi
+ 15g Rx. Trichosanthis	Tian Hua Fen	+ Cx. Lycii	Di Gu Pi
For morning sickness with Excess Heat:		+ Rx. Rehmanniae	Sheng Di Huang
+ Caul. Bambusae in Taeniam	Zhu Ru	+ Rx. Paeoniae Rubra	Chi Shao
+ Caul. Bambusae in Taeniam	Zhu Ru	+ Rx. Salviae Miltiorrhizae	Dan Shen
+ Rz. Coptidis	Huang Lian	+ Rx. Salviae Miltiorrhizae	Dan Shen
For morning sickness with rebellious Qi:		For pharyngitis:
+ Rz. Pinelliae Preparatum	Zhi Ban Xia	- Rx. Rehmanniae	Sheng Di Huang
+ Rz. Pinelliae Preparatum	Zhi Ban Xia	+ Rx. Platycodi	Jie Geng
or		+ Rx. Glycyrrhizae	Gan Cao
+ Minor Pinellia Decoction Xiao Ban Xia Tang		For cheilitis:
+ Minor Pinellia Decoction Xiao Ban Xia Tang		+ Flos Lonicerae	Jin Yin Hua
For varicose veins with hardness and nodules in the legs:		+ Hb. Dendrobii	Shi Hu
		+ Cx. Moutan	Mu Dan Pi
+ Hb. Sargassii	Hai Zao	For varicose veins with sores and ulcerations with profuse discharge:
+ Thallus Eckloniae	Kun Bu
+ Carapax Trionycis	Bie Jia	+ Rz. Alismatis	Ze Xie
For varicose veins with severe pain:		+ Rx. Stephanie Tetrandrae	Han Fang Ji
+ Fr. Toosendan	Chuan Lian Zi	+ Rx. Stephanie Tetrandrae	Han Fang Ji
+ Rz. Corydalis	Yan Hu Suo	For varicose veins with dark purple spots on the legs:
*For Yin* Deficiency constipation:**		For varicose veins with dark purple spots on the legs:
+ 12g Hb. Dendrobii	Shi Hu	+ Caulis Spatholobi	Ji Xue Teng
+ 10g Rz. Polygonati Odorati	Yu Zhu	+ Flos Carthami	Hong Hua
+ 10g Rz. Polygonati Odorati	Yu Zhu	For bleeding hemorrhoids:
10g Sm. Cannabis	Huo Ma Ren	+ Flos Sophorae Immaturus	Huai Hua Mi
Mel	Feng Mi	+ Flos Sophorae Immaturus	Huai Hua Mi
*For dysphagia, reflux esophagitis or esophageal cancer due to Yin* and Fluid Deficiency of the throat and esophagus due to Heat with severe dryness, lack of saliva and constipation:**		+ Rx. Sanguisorbae	Di Yu
		or
		+ Sophora Japonica Powder Huai Hua San
+ 9-12g Rz. Polygoni Odorati	Yu Zhu	For dysphagia, reflux esophagitis or esophageal cancer due to Yin and Fluid Deficiency of the throat and esophagus due to Heat with severe dryness, lack of saliva and constipation with esophageal tumors, Toxic Heat and hardness:
+ 12-15g Rx. Trichosanthis	Tian Hua Fen
+ 9-12g Rz. Anemarrhenae	Zhi Mu	+ 9-12g Rz. Polygoni Odorati	Yu Zhu
+ 9-12g Rz. Anemarrhenae	Zhi Mu	+ 12-15g Rx. Trichosanthis	Tian Hua Fen
+ 9-12g Hb. Dendrobii	Shi Hu	+ 12-15g Rx. Trichosanthis	Tian Hua Fen
+ 9-12g Rx. Sophorae Tonkinensis	Shan Dou Gen	+ 9-12g Rx. Sophorae Tonkinensis	Shan Dou Gen
+ 15-30g Rx. Rhapontici/ Echinopsis	Lou Lu	+ 15-30g Rx. Rhapontici/ Echinopsis	Lou Lu
+ 30-60g Hb. Hedyotis Diffusae	Bai Hua She She Cao	+ 30-60g Hb. Hedyotis Diffusae	Bai Hua She She Cao
For drug-induced dermatitis:		+ 2 or 3 of the following:
+ Dang Gui Drink Dang Gui Yin Zi		30g Hb. Bidentis	Xian Feng Cao
+ Dang Gui Drink Dang Gui Yin Zi		30g Sm. Impatientis	Ji Xing Zi
- Fr. Tribuli	Bai Ji Li	30g Hb. Solani Lyrati	Long Kui
- Hb. Schizonepetae	Jing Jie	0.6-0.9g Pseudobulbus Cremastrae/Pleiones	Shan Ci Gu
- Rx. Saposhnikoviae	Fang Feng	0.6-0.9g Pseudobulbus Cremastrae/Pleiones	Shan Ci Gu
- Rx. Polygoni Multiflori	He Shou Wu	30g Hb. Scutellariae Barbatae	Ban Zhi Lian
+ 15g Rx. Rehmanniae Preparata	Shu Di Huang	30g Hb. Scutellariae Barbatae	Ban Zhi Lian
+ 15g Rx. Rehmanniae Preparata	Shu Di Huang	9-12g Bul. Dioscoreae Bulbiferae	Huang Yao Zi
+ 15g Rz. Atractylodis Macrocephalae	Bai Zhu	9-12g Bul. Dioscoreae Bulbiferae	Huang Yao Zi
+ 15g Rz. Atractylodis Macrocephalae	Bai Zhu	For drug-induced dermatitis with dysphoria and Heat:
+ 30g Fr. Kochiae	Di Fu Zi	For drug-induced dermatitis with dysphoria and Heat:
+ 15g Cx. Dictamni	Bai Xian Pi	+ Dang Gui Drink Dang Gui Yin Zi
For drug-induced dermatitis with severe itching:		+ Dang Gui Drink Dang Gui Yin Zi
+ Dang Gui Drink Dang Gui Yin Zi		- Fr. Tribuli	Bai Ji Li
+ Dang Gui Drink Dang Gui Yin Zi		- Hb. Schizonepetae	Jing Jie
- Fr. Tribuli	Bai Ji Li	- Rx. Saposhnikoviae	Fang Feng
- Hb. Schizonepetae	Jing Jie	- Rx. Polygoni Multiflori	He Shou Wu
- Rx. Saposhnikoviae	Fang Feng	+ 15g Rx. Rehmanniae Preparata	Shu Di Huang
- Rx. Polygoni Multiflori	He Shou Wu	+ 15g Rx. Rehmanniae Preparata	Shu Di Huang
+ 15g Rx. Rehmanniae Preparata	Shu Di Huang	+ 15g Rz. Atractylodis Macrocephalae	Bai Zhu
+ 15g Rz. Atractylodis Macrocephalae	Bai Zhu	+ 30g Fr. Kochiae	Di Fu Zi
+ 15g Rz. Atractylodis Macrocephalae	Bai Zhu	+ 15g Cx. Dictamni	Bai Xian Pi
+ 30g Fr. Kochiae	Di Fu Zi	+ 15g Rx. Adenophorae	Nan Sha Shen
+ 15g Cx. Dictamni	Bai Xian Pi	+ 4.5 Plumula Nelumbinis	Lian Zi Xin
+ 9g Periostracum Cicadae	Chan Tui	+ 4.5 Plumula Nelumbinis	Lian Zi Xin
+ 9g Periostracum Cicadae	Chan Tui	+ 15g Hb. Dendrobii	Shi Hu
+ 9g Scorpio	Quan Xie