HERB FORMULAS

DING CHUAN TANG - 定喘汤 - ARREST WHEEZING DECOCTION

English: Arrest Wheezing Decoction
Also Known As: Ma Huang and Ginkgo Combination
Ma Huang and Ginkgo Combination for Stabilizing Dyspnea
Asthma Relieving Decoction
Decoction for Asthma

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Sm. Ginkgo Bai Guo 4.8-10g Astringes the Lungs, stops asthma, stops cough, transforms Phlegm and prevents Ma Huang from causing excessive dispersion and depletion.
With Ma Huang, calms wheezing
With Sang Bai Pi, Xing Ren and Ma Huang for cough and wheezing with excessive yellow sputum due to Lung Deficiency with Hot Phlegm.
Hb. Ephedrae Ma Huang 3-10g Releases the exterior, disperses Cold, unblocks and descends Lung Qi, warms and disperses Cold pathogens and stops wheezing.
With Xing Ren for Wind-Cold cough and wheezing with copious sputum due to congested fluids.
Fr. Perillae Zi Su Zi 1-12g Stops cough and wheezing, dissolves Phlegm and descends Lung Qi.
With Zhi Ban Xia and Kuan Dong Hua assists in descending Qi, stopping wheezing, and expelling Phlegm.
with Xing Ren, for cough and wheezing with constipation.
Rx. Glycyrrhizae Gan Cao 0.6-6g Resolves Phlegm, stops cough, clears Heat and moderates and harmonizes the harsh properties of other herbs.
With Ma Huang and Xing Ren, for coughing or wheezing due to Wind-Cold Attacks the Lungs.
Flos Farfare Kuan Dong Hua 3-12g Moistens the Lungs, descends Qi, stops cough and transforms Phlegm.
With Xing Ren for cough and wheezing due to Phlegm obstruction.
Sm. Armeniacae Xing Ren 1.8-12g Stops cough and asthma, resolves Phlegm and assists Ma Huang in arresting wheezing and expanding the Lungs.
With Sang Bai Pi, for productive cough, wheezing and hoarseness due to Lung Heat.
With Ma Huang and Gan Cao, for cough with profuse sputum, nasal obstruction and a hoarse voice.
Cx. Mori Sang Bai Pi 1.8-12g Drains Heat from the Lungs, stops cough and calms wheezing.
With Huang Qin, drains Heat from the Lungs, and stops cough and wheezing.
Rx. Scutellariae Huang Qin 0.6-9g Cleans the Lungs and sedates Heat.
Rz. Pinelliae Preparatum Zhi Ban Xia 3-12g Dries Dampness, transforms Phlegm, and stops cough.
With Huang Qin, for Phlegm-Heat induced Rebellious Qi with cough, nausea, and vomiting.

FORMULA ACTIONS

  • Disseminates and descends Lung Qi
  • Stops asthma (wheezing)
  • Stops cough
  • Clears Heat
  • Transforms Phlegm

SYNDROMES

  • Exogenous Wind-Cold Turning to Interior Phlegm-Heat

CLINICAL MANIFESTATIONS

  • Coughing and wheezing
  • Copious, thick yellow, difficult to expectorate sputum
  • Labored breathing
  • Aversion to Cold
  • Fever or fever and chills
  • Spontaneous sweat
  • Red face
  • Thirst with a preference for cold beverages
  • Fidgeting
  • Restlessness
  • Dyspnea
  • Thirst with a desire to drink
  • Headache
  • Rapid breathing
  • Dark, yellow urine
  • T: Normal
  • C: Greasy, yellow
  • P: Slippery, rapid - slightly floating

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Contraindicated for those with Wind-Cold with no sweat and internally contracted Phlegm-Heat.
  • Don't use too long in acute situations.
  • Contraindicated for those with chronic asthma with Qi Deficiency and a frail pulse.
  • Use with caution in early stages of a Wind Invasion showing dyspnea with Anhidrosis.
  • Contraindicated for those with chronic wheezing or cough caused by Lung and Kidney Yin Deficiency.
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For thick, yellow sputum that is difficult to expectorate: For a severe, stifling sensation in the chest:
+ Arisaemae cum Bile + Fr. Aurantii Immaturus Zhi Shi
+ Per. Trichosanthis Gua Luo Pi + Cx. Magnoliae Hou Po
or
or
+ Arisaemae cum Bile Dan Nan Xing + Fr. Aurantii Zhi Ke
+ Per. Trichosanthis Gua Luo Pi + Cx. Magnoliae Hou Po
+ Sm. Peucedani Qian Hu
or
or
 + Fr. Aurantii Zhi Ke
+ Arisaemae cum Bile Dan Nan Xing + Caul. Bambusae in Taeniam Zhu Ru
+ Per. Trichosanthis Gua Luo Pi
For cough with thick, yellow sputum due to Phlegm-Heat in the Lung:
+ Bul. Fritillariae Thunbergii Zhe Bei Mu - Sm. Gingko Bai Guo
For wheezing and dyspnea caused by Damp-Heat:
+ Sm. Trichosanthis Gua Lou Ren
+ Cool the Diaphragm Powder
Liang Ge San
For wheezing and dyspnea caused by excessive Phlegm:
For wheezing and dyspnea due to Wind-Cold:
+ Two-Cured Decoction
Er Chen Tang
+ Ephedrae Decoction
Ma Huang Tang
For more Heat in the Lungs:
For irritability and thirst:
+ Gypsum Fibrosum Shi Gao
+ Rx. Ophiopogonis Mai Men Dong + Hb. Houttuyniae Yu Xing Cao
+ Cx. Lycii Di Gu Pi
or
For profuse sputum:
+ Apricot Kernel, Licorice and Gypsum Decoction
Ma Xing Shi Gan Tang
+ Pumice Fu Hai Shi
For deep-seated sputum that is difficult to expectorate together with anorexia:
+ Exo. Citri Reticulatae Ju Hong + Sm. Raphani Lai Fu Zi
+ Per. Trichosanthis Gua Luo Pi + Sm. Sinapis Bai Jie Zi
For cough with yellow, thick sputum due to Phlegm-Heat Retention:
For a bacterial infection:
- Sm. Gingko Bai Guo + Hb. Houttuyniae Yu Xing Cao
+ Sm. Trichosanthis Gua Lou Ren + Hb. Taraxaci Pu Gong Ying
For chronic prostatitis: For chronic prostatitis increased white blood cells in the prostatic fluid:
+ Stop Coughing Powder
Zhi Sou San
+ Stop Coughing Powder
Zhi Sou San
For chronic prostatitis with increased white significant reduction of lecithin mass:
+ Cx. Phellodendri Huang Bai
+ Stop Coughing Powder
Zhi Sou San
+ Rz. Atractylodis Cang Zhu
For chronic prostatitis with Yin Deficiency:
+ Rz. Cibotii Gou Ji
+ Stop Coughing Powder
Zhi Sou San
+ Rx. Dipsaci Xu Duan
+ Rx. Morindae Officinalis Ba Ji Tian + Cx. Phellodendri Huang Bai
+ Rz. Anemarrhenae Zhi Mu
+ Hb Epimedii Yin Yang Huo + Rx. Rehmanniae Sheng Di Huang
For chronic prostatitis with Yang Deficiency:
For chronic prostatitis with Blood Stagnation:
+ Stop Coughing Powder
Zhi Sou San
+ Stop Coughing Powder
Zhi Sou San
+ Rx. Astragali Huang Qi + Rx. Salviae Miltiorrhizae Dan Shen
+ Rx. Codonopsis Dang Shen
+ Rz. Cimicifugae Sheng Ma + Rz. Corydalis Yan Hu Suo
For bronchial asthma with profuse yellow Phlegm and severe hasty panting:
For bronchial asthma with clear, watery Phlegm:
+ 6g Rz. Zingiberis Gan Jiang
+ 9g Sm. Lepidii/ Descuraniae Ting Li Zi + 3g Hb. cum Radice Asari Xi Xin
+ 9g Rz. Belamcandae She Gan
For bronchial asthma with severe Exterior Cold:
+ 6g Bul. Fritillariae Thunbergii Zhe Bei Mu + 9g Fol. Perillae Zi Su Ye
+ 6g Ram. Cinnamomi Gui Zhi
For bronchial asthma with thirst:
For bronchial asthma with constipation:
+ 9g Rz. Phragmitis Lu Gen + 6g Rx. et Rz. Rhei Da Huang
For bronchial asthma with Interior Heat:
For bronchial asthma with severe panting and wheezing:
+ 20g Gypsum Fibrosum Shi Gao
+ 9g Fol. Eriobotryae Pi Pa Ye + 3g Pheretima Di Long
+ 3g Pheretima Di Long + 9g Sm. Lepidii/ Descuraniae Ting Li Zi
or
+ 9g Sm. Sojae Preparata Dan Dou Chi + 9g Cx. Magnoliae Officinalis Hou Po
+ 9g Hb. Menthae Bo He
For bronchial asthma with profuse Phlegm:
+ 15g Flos Lonicerae Jin Yin Hua + 9g Rx. Platycodi Jie Geng
For asthma:
+ 9g Arisaema cum Bile Dan Nan Xing
- Rx. Glycyrrhizae Gan Cao    
+ 3g. Rx, Platycodi Jie Geng