HERB FORMULAS

GUN TAN WAN - 滾痰丸 - VAPORIZE PHLEGM PILL - LAPIS AND SCUTE FORMULA

English: Vaporize Phlegm Pill
Also Known As: Meng Shi Gun Tan Wan
Lapis and Scute Formula
Flushing Away Roiling Phlegm Pill

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Calcined Lapis Chloriti Duan Meng Shi 3-12g Drives out Phlegm, especially stubborn or recurrent Phlegm, descends Qi, calms wheezing and eliminates hidden accumulations of Phlegm.
With Huang Qin and Da Huang, for old, stubborn Phlegm causing wheezing, coughing, palpitations with anxiety, mania and constipation.
Rx. and Rz. Rhei Da Huang 9-24g Clears Heat, eliminates Phlegm and unblocks obstruction from the Yang organs.
Rx. Scutellariae Huang Qin 9-24g Clears Upper Jiao Fire to prevent scorching the Fluids and stops bleeding.
With Da Huang, for constipation.
Lignum Aquilariae Resinatum Chen Xiang 1.5-4.5g Regulates Qi, rapidly descends Qi and removes Phlegm.

FORMULA ACTIONS

  • Drains Fire
  • Drives out Phlegm

SYNDROMES

  • Phlegm-Fire Disturbs the Heart
  • Phlegm-Heat in the Liver and Gallbladder

CLINICAL MANIFESTATIONS

  • Mania (Kuang)-Withdrawal (Dian)
  • Palpitations
  • Anxiety
  • Maybe severe continuous palpitations leading to coma
  • Insomnia
  • Coughing and wheezing
  • Thick, viscous, yellow sputum
  • Distention of chest and epigastrium
  • Stifling sensation of chest and epigastrium
  • Dizziness
  • Vertigo
  • Tinnitus
  • Facial tics
  • Sudden, deep joint pain that is difficult to describe
  • Peristalsis-like movements of the eyes and mouth
  • Stuffy nose with turbid, foul, thick, yellow nasal discharge
  • Constipation
  • Severe, stabbing pain in the joints
  • Very strange dreams
  • Impaired consciousness
  • Nodules in the neck
  • Choking sensation
  • Restlessness
  • Agitation
  • Continuous shouting or singing
  • Maybe violent behavior
  • Dull complexion
  • Incoherent speech
  • Disinterest in food
  • Fright
  • Blank stare
  • Insanity
  • T: Red tip
  • C: Thick, yellow and greasy
  • P: Slippery, Excess and rapid or Wiry and rapid

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Do not take as a decoction.
  • Contraindicated for those with a weak constitution.
  • Contraindicated during pregnancy.
  • Contraindicated postpartum.
  • Contraindicated for those with a lack of Heat with stubborn Phlegm.
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For stroke including Internal Wind, Excess Yang, Phlegm and Fire: For stroke including Internal Wind, Excess Yang, and Phlegm:
+ Major Order the Qi Decoction
Da Cheng Qi Tang
+ Regulate the Stomach and Order the Qi Decoction
Tiao Wei Cheng Qi Tang
For stroke including Internal Wind and Excess Yang:
For coronary Heart disease due to Phlegm-Fire Disturbing the Heart:
+ Minor Decoction (for Pathogens) Stuck in the Chest
Xiao Xian Xiong Tang
+ Increase the Fluids and Order the Qi Decoction
Zeng Ye Cheng Qi Tang
For coronary Heart disease due to Phlegm-Fire Disturbing the Heart with severe pain:
+ Minor Decoction (for Pathogens) Stuck in the Chest
Xiao Xian Xiong Tang
 + Rx. Salviae Miltiorrhizae Dan Shen
+ Rx. Salviae Miltiorrhizae Dan Shen + Rx. Curcumae Yu Jin
+ Caulis Bambusae in Taeniam Zhu Ru
+ Rx. Curcumae Yu Jin
+ Caulis Bambusae in Taeniam Zhu Ru
For coronary Heart disease due to Phlegm-Fire Disturbing the Heart with mental confusion:
+ Minor Decoction (for Pathogens) Stuck in the Chest
Xiao Xian Xiong Tang
+ 9g Arisaema cum Bile Dan Nan Xing
+ 9g Bul. Fritillariae Thunbergii Zhe Bei Mu
+ 12g Fr. Aurantii Immaturus Zhi Shi + Rx. Salviae Miltiorrhizae Dan Shen
For coronary Heart disease due to Phlegm-Fire Disturbing the Heart with mental confusion or loss of consciousness:
+ Rx. Curcumae Yu Jin
+ Caulis Bambusae in Taeniam Zhu Ru
+ Minor Decoction (for Pathogens) Stuck in the Chest
Xiao Xian Xiong Tang
 + 6g Rz. Acori Tatarinowii Shi Chang Pu
+ Rx. Salviae Miltiorrhizae Dan Shen + 6g Rx. Polygalae Yuan Zhi
+ Rx. Curcumae Yu Jin
For coronary Heart disease due to Phlegm-Fire Disturbing the Heart with shortness of breath:
+ Caulis Bambusae in Taeniam Zhu Ru
+ Minor Decoction (for Pathogens) Stuck in the Chest
Xiao Xian Xiong Tang
+ Chinese Patent Medicine Zhi Bao Dan + Rx. Salviae Miltiorrhizae Dan Shen
For tongue pain:
 + Rx. Curcumae Yu Jin
+ 10g Arisaemae cum Bile Dan Nan Xing + Caulis Bambusae in Taeniam Zhu Ru
+ 10g Concretio Bambusae Silicea Tian Zhu Huang + 12g Cx. Mori Sang Bai Pi
+ 9g Sm. Lepidii/ Descurainiae Ting Li Zi
For severe tongue pain:
+ 10g Arisaemae cum Bile Dan Nan Xing
For tongue pain and numbness:
+ 10g Arisaemae cum Bile Dan Nan Xing
+ 10g Concretio Bambusae Silicea Tian Zhu Huang
+ 10g Concretio Bambusae Silicea Tian Zhu Huang
+ 6g Caulis Akebiae Mu Tong
+ 15g Rx. Rehmanniae Sheng Di Huang + 3g Scorpio Quan Xie
For tongue pain with a poor appetite:
 + 10g Hb. Lophatheri Dan Zhu Ye
+ 10g Arisaemae cum Bile Dan Nan Xing
For tongue pain with nausea:
+ 10g Arisaemae cum Bile Dan Nan Xing
+ 10g Concretio Bambusae Silicea Tian Zhu Huang
+ 10g Concretio Bambusae Silicea Tian Zhu Huang
+ 10g Sm. Amomi
Rotundus		 Bai Dou Kou
+ 10g Caulis Bambusae in Taeniam Zhu Ru
+ 10g Rz. Pinelliae Preparatum Zhi Ban Xia
+ 10g Exocarpium Citri Grandis Rubrum Hua Ju Hong