HERB FORMULAS

DAN DAO PAI SHI FANG #2- 胆道排石汤 - GALLSTONE EXPELLING FORMULA #2

English: Gallstone Expelling Formula #2
Also Known As:

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Fr. Aurantii Zhi Ke 15g Promotes the movement of Qi, reduces distention and pressure, resolves hardenings and removes stagnated food.
Rx. Aucklandiae Mu Xiang 15g Promotes the movement of Qi, adjusts and regulates stagnant Qi in the Intestines, dispels Damp-Heat, harmonizes the Liver and Spleen and alleviates pain.
With Zhi Ke and Yan Hu Suo, for epigastric and abdominal pain and distention due to Qi Stagnation.
Rz. Corydalis Yan Hu Suo 25g Invigorates the Blood, circulates Qi, stops pain and disperses extravasation.
Fr. Gardeniae Zhi Zi 20g Clears Heat, reduces Fire, eliminates irritability and drains Damp-Heat.
With Da Huang, for constipation.
Rz. Polygoni Cuspidati Hu Zhang 50g Invigorates the Blood, dispels Blood Stasis, unblocks the channels, clears Heat, resolves Dampness and stops pain.
With Mu Xiang and Zhi Ke, for biliary or urinary tract stones.
With Jin Qian Cao, for biliary or urinary tract stones.
Hb. Lysimachiae Jin Qian Cao 50g Clears Liver and Gallbladder Damp-Heat and expels gallstones.
Rx. et Rz. Rhei Da Huang 10g Drains Heat, purges accumulations, invigorates the Blood and dispels Blood Stasis.

FORMULA ACTIONS

  • Clears Heat
  • Resolves Dampness
  • Promotes the movement of Qi
  • Benefits the Gallbladder
  • Removes stones
  • Stops pain

SYNDROMES

  • Liver and Gallbladder Damp-Heat

CLINICAL MANIFESTATIONS

  • Right-sided rib distention and pain
  • Abdominal distention and fullness
  • Palpable pain in the Gallbladder region
  • Yang jaundice (sclera and skin bright yellow)
  • Maybe pain and fullness in ribs on both sides
  • Epigastric fullness
  • Maybe pain in the right hypochondrium
  • Bitter taste in mouth
  • Nausea
  • Vomiting sour and bitter fluids
  • Anorexia
  • Dislikes greasy foods
  • Maybe fever or alternating chills and fever
  • Scanty, concentrated, dark urine
  • Abdominal distention
  • Thirst
  • Fatigue
  • The body feels heavy
  • Dry stools
  • Constipation
  • Women:
    Yellow vaginal discharge with foul smell
    Pruritis vulvae
  • Men:
    Pain, swelling and burning sensations of testicles
  • T: Pink or Red
  • C: Yellow and greasy or sticky
  • P: Wiry and rapid or Slippery and rapid or Deep, slippery and full
  • Heat greater than Dampness:
    Yang jaundice (sclera, mucosal membranes and skin bright orange-yellow)Fever or
    Alternating fever and chills
    Thirst with a desire to drink cold fluids
    An uncomfortable, burning sensation in the chest and epigastrium
    Concentrated, scanty urination
    Constipation or
    Loose stools
    Nausea
    Vomiting
    Aversion to cigarette smoke
    T: Pink
    C: Greasy and yellow
    P: Wiry and rapid or Greasy Slippery and rapid
  • Dampness greater than Heat:
    Jaundice
    No fever or
    Mild fever
    The head is heavy and full
    Wrapping headache
    A sensation of obstruction, fullness, or discomfort in the chest and epigastrium
    Anorexia
    Nausea
    Vomiting
    Abdominal distention
    Loose stools
    Thirst with no desire to drink
    Scanty, concentrated urine
    Aversion to cigarette smoke
    T: Flabby
    C: Thick and yellow or Whitish and greasy
    P: Soggy and moderate or Wiry and slippery

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For fullness and distention in the chest or intercostal pain: For jaundice:
+ Hb. Artemisiae Scopariae Yin Chen Hao
+ Rx. Bupleuri Chai Hu
+ Rx. Paeoniae Rubra Chi Shao + Rx. Curcumae Yu Jin
+ Rx. Paeoniae alba Bai Shao + Fr. Gardeniae Zhi Zi
For strong Heat: For vomiting:
+ Flos Lonicerae Jin Yin Hua + Flos Inulae Xuan Fu Hua
+ Hb. Violae Zi Hua Di Ding + Caulis Bambusae in Taeniam Zhu Ru
For a deep red tongue with thirst:
+ Gypsum Fibrosum Shi Gao + Rz. Pinelliae Preparatum Zhi Ban Xia
+ Rz. Anemarrhenae Zhi Mu
+ Rx. Trichosanthis Tian Hua Fen For a poor appetite:
+ Hb. Dendrobii Shi Hu + Endothelium Corneum Gigeriae Galli Ji Nei Jin
   
    + Dry-fried Fr. Hordei Germinatus Chao Mai Ya
   
    + Massa Medicata Fermentata Shen Qu
   
    + Fr. Amomi Sha Ren
    + Fr. Crataegi Shan Zha