HERB FORMULAS

ZHI TONG RU SHEN TANG JIA WEI - 止痛儒神汤加味 - MODIFIED DIVINELY INSPIRED PAIN-STOPPING DECOCTION

English: Modified Divinely Inspired Pain-Stopping Decoction
Also Known As:

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Rx. Sanguisorbae Di Yu 9g Cools the Blood,stops bleeding and clears Toxic Heat.
With Huai Hua Mi, for hot, bleeding hemorrhoids or other Intestinal bleeding.
Flos Sophorae Immaturus Huai Hua Mi 9g Cools the Blood and stops bleeding.
With Huang Qin, for pathogenic Heat injuring the collaterals in Intestinal Wind with hemafecia, bleeding hemorrhoids or menorrhagia.
With Di Yu, for hot, bleeding hemorrhoids or other Intestinal bleeding.
Rz. Atractylodis Cang Zhu 9g Strongly dries Dampness, tonifies the Spleen and clears Dampness from the Lower Jiao.
With Huang Bai, for Damp-sores.
Rx. Angelicae Sinensis Dang Gui 9g Tonifies, activates and harmonizes the Blood, moistens the Intestines, unblocks the bowels, reduces swelling, expels pus, generates flesh and alleviates pain.
Cx. Phellodendri Huang Bai 9g Drains Damp-Heat especially from the Lower Jiao, drains Kidney Fire, drains Fire and relieves Fire toxicity.
With Cang Zhu, eliminates Dampness and clears Heat for Lower Jiao Damp-Heat and Damp-Heat sores.
With Huai Hua Mi, Di Yu and Fang Feng, for bleeding hemorrhoids.
Sm. Arecae Bing Lang 9g Regulates Qi, reduces accumulations, drains downward and unblocks the bowels.
Rx. Saposhnikoviae Fang Feng 6g Expels Wind-Dampness, alleviates pain, relieves diarrhea and stops bleeding.
Rz. Alismatis Ze Xie 6g Promotes urination, leaches out Dampness and drains Damp-Heat from the lower Jiao.
Rx. et Rz. Rhei Da Huang 6g Drains Heat, purges accumulations, clears Heat, transforms Dampness, promotes urination, activates the Blood, dispels Blood Stasis and reduces Fire toxicity.
With Dang Gui, for Blood Stasis.
Rx. Gentianae Macrophyllae Qin Jiao 6g Expels Wind-Dampness, clears Deficiency Heat, resolves Dampness, moistens the Intestines and unblocks the bowels.
With Huang Qi and Cang Zhu, for Damp-Heat jaundice.
Sm. Persicae Tao Ren 6g Breaks up Blood Stasis, activates Blood circulation, moistens the Intestines, unblocks the bowels and drains abscesses.
With Da Huang, for severe abdominal infections.

FORMULA ACTIONS

  • Clears Heat
  • Disinhibits Dampness
  • Dispels Stasis
  • Scatters nodulations

SYNDROMES

  • Damp-Heat

CLINICAL MANIFESTATIONS

  • Swollen, severely painful hemorrhoids
  • Possible protrusion which looks dull red in color and ulcerated
  • Discharge of turbid, colored Blood
  • Difficult defecation
  • A hot, burning distended feeling in the anus, winch is worse during defecation
  • Itchy anus
  • Tenesmus
  • Abdominal distention
  • Poor appetite
  • A heavy body
  • Fatigue
  • T: Normal
  • C: Slimy and yellow
  • P: Slippery and rapid

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For a severe, hot, burning, distended feeling in the anus: For uneasy defecation:
+ 9g Fr. Aurantii Immaturus Zhi Shi
+ 6g Rz. Coptidis Huang Lian
+ + 6g Rx. Scutellariae Huang Qin For severe hemorrhoids:
For severe bleeding: + 6g Sp. Schizonepetae Jing Jie Sui
+ 9g Hb. sive Rx. Cirsii Japonici Da Ji For severe pain:
+ 9g Rz. Corydalis Yan Hu Suo
+ 9g Rz. Imperatae Bai Mao Gen For a lack of constipation, uneasy defecation or dry stools:
   
    - Rx. et Rz. Rhei Da Huang