HERB FORMULAS

MAI MEN DONG TANG - 麥門冬湯 - OPHIOPOGONIS DECOCTION

English: Ophiopogonis Decoction
Also Known As: Decoction of Ophiopogonis Root

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Rx. Ophiopogonis Mai Men Dong 10-70g Nourishes Lung and Stomach Yin, clears Deficiency Heat from the Stomach, generates Fluid in the Stomach and Lungs and moistens the Intestines.
With Zhi Ban Xia and Dang Shen, for chronic, dry cough due to Lung Yin Deficiency.
With Zhi Ban Xia, Geng Mi and Gan Cao, for Stomach Yin Deficiency with hiccups and vomiting.
Rx. Ginseng Ren Shen 2-9g Revives Qi and Yin and generates Fluids.
With Mai Men Dong, strongly tonifies Qi and nourishes Lung and Stomach Yin.
(Rx. Codonopsis) (Dang Shen) (6-27g) (Substitutes for Ren Shen when the digestive system is weak.)
Nonglutinous Rice Geng Mi 5-20g Tonifies Qi and generates Fluids.
With Gan Cao and Da Zao, assists Stomach Qi and generates Fluids.
Fr. Jujube Da Zao 2-12g Strengthens the Spleen, tonifies Qi, nourishes Blood and harmonizes.
Rx. Glycyrrhizae Gan Cao 2-6g Clears Heat, relieves toxins, moistens the Lungs and harmonizes.
Rz. Pinelliae Preparatum Zhi Ban Xia 4.5-18g Moves Stomach Qi, descends Qi and assists distribution of Stomach Qi to the Lungs.
With Ren Shen, for vomiting due to Stomach Deficiency.

FORMULA ACTIONS

  • Benefits the Stomach
  • Generates Fluids
  • Descends Qi
  • Harmonizes the Middle Jiao

SYNDROMES

  • Stomach Fire Blazing
  • Stomach and Lung Yin Deficiency
  • Lung Wei Syndrome (atrophy)

CLINICAL MANIFESTATIONS

  • Cough with little yellow sputum
  • Spitting saliva
  • Wheezing
  • Shortness of breath
  • Dry, uncomfortable sensation in throat
  • Hiccups
  • Dry mouth
  • Coughing up difficult-to-extectorate Phlegm
  • Nausea
  • Scanty urination
  • Hoarseness
  • Thirst
  • Asthma
  • Flushed face
  • Five Sole Heat
  • Vomiting
  • T: Red and dry
  • C: Little or None
  • P: Thready and rapid or Deficient and rapid

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Use with caution for those with cough or hiccup due to Wind-Cold or Heat.
  • Contraindicated for those with Dampness.
  • Use with caution for those with high fever and irritability due to Exterior Heat.
  • Contraindicated for those with Lung atrophy due to Deficiency Cold.
HERB/DRUG INTERACTIONS
  • This formula was found to be effective in treating enalapril-induced cough.
  • This formula was found to be effective in treating capsaicinl-induced cough.

NOTES

MODIFICATIONS

For severe Yin Deficiency with depletion of Body Fluids:

For afternoon fever:
Rx. Stellariae

+ Rx. Adenophorae seu Glehniae Sha Shen + Cx. Lycii Radicis Di Gu Pi
For Stomach Fire:
+ Rz. Polygonati Odorati Yu Zhu + Rx. Paeoniae Alba Bai Shao
+ Gypsum Shi Gao
For severe depletion of Fluids:
+ Hb. Lophatheri Dan Zhu Ye + Rx. Adenophorae seu Glehniae Sha Shen
For severe cough:
+ Bul. Fritillariae Cirrhosae Chuan Bei Mu + Rz. Polygonati Odorati Yu Zhu
For oral side effects of radiation therapy with Dryness which is worse at night, irritability a dry tongue and a rapid pulse:
+ Sm. Trichosanthis Gua Lou Ren
For thirst and irritability:
 + Flos Chrysanthemi Ju Hua
+ Gypsum Fibrosum Shi Gao Rx. Trichosanthis Tian Hua Fen
+ Rz. Anemarrhenae Zhi Mu + Rx. Adenophorae seu Glehniae Sha Shen
For burning epigastric pain or dry heaves due to Stomach Yin Deficiency:
+ Rz. Dioscoreae Shan Yao
+ Bul. Lilii Bai He Cx. Moutan Mu Dan Pi
For stubborn nausea and vomiting due to Stomach Yin Deficiency:
For morning sickness:
+ Fr. Lycii Gou Qi Zi
+ Caulis Dendrobii Shi Hu + Caulis Bambusae in Taeniam Zhu Ru
+ Fol. Eriobotrya Pi Pa Ye
For gastritis due to Stomach Yin Deficiency with Liver and Stomach Disharmony:
+ Rz. Zingiberis Recens Sheng Jiang
For gastritis due to Stomach Yin Deficiency with the presence of both Cold and Heat:
+ Frigid Extremities Powder
Si Ni San
+ Pinellia Decoction to Drain the Epigastrium
Ban Xia Xie Xin Tang
For gastritis due to Stomach Yin Deficiency with Deficiency Cold of the Spleen and Stomach:
For drier coughs:
+ Regulate the Middle Decoction
Li Zhong Tang
+ Bul. Lilii Bai He
+ Rx. Asparagi Tian Men Dong
or
For productive coughs with thick mucus:
+ Minor Construct the Middle Decoction
Xiao Jian Zhong Tang
+ Bul Fritillariae Thunbergii Zhe Bei Mu
For accompanying digestive disorder:
+ Cx. Mori Sang Bai Pi
+ Rz. Zingiberis Recens Sheng Jiang + Caulis Bambusae in Taeniam Zhu Ru
+ Per. Citri Reticulatae Chen Pi
For Lung Heat and Blood Heat:
For asthma:
+ Gypsum Fibrosum Shi Gao + Fr. Perilla Zi Su Zi
+ Rz. Anemarrhenae Zhi Mu + Rx. Schisandrae Wu Wei Zi
For severe hacking cough:
For hypertension and arteriosclerosis:
+ Fol. Eriobotryae Pi Pa Ye + Ram. cum Uncis Uncariae Gou Teng
+ Sm. Armeniacae Xing Ren
For emphysema:
+ Gypsum Fibrosum Shi Gao
+ Hb. Lophatheri Dan Zhu Ye + Flos Chrysanthemi Ju Hua
+ Gypsum Fibrosum Shi Gao
For injury to Qi and Yin due to lingering pathogenic factors in the late stage of febrile diseases:
For a gastric ulcer
+ Hb. Dendrobii Shi Hu - Fr. Jujube Da Zao
+ Rx. Trichosanthis Tian Hua Fen + Hb. Lophatheri Dan Zhu Ye
+ Rx. Paeoniae Alba Bai Shao + Gypsum Fibrosum Shi Gao
+ Rx. Oryzae Glutinosae Nuo Dao Gen
For tidal fever:
For severe depletion of Body Fluids:
+ Rx. Stellariae Yin Chai Hu
+ Rx. Adenophorae seu Glehniae Sha Shen + Cx. Lycii Di Gu Pi
For severe cough:
+ Rz. Polygonati Odorati Yu Zhu + Bul Fritillariae Cirrhosae Chuan Bei Mu
+ Rx. Asparagi Tian Men Dong
For Stomach Fire:
+ Sm. Trichosanthis Gua Lou Ren
+ Rx. Paeoniae Alba Bai Shao
For asthma due to Yin Deficiency with Phlegm Obstruction:
For asthma due to severe Yin Deficiency with Phlegm Obstruction:
- Nonglutinous Rice Geng Mi
- Nonglutinous Rice Geng Mi + 9g Bul. Fritillariae Cirrhosae Chuan Bei Mu
+ 9g Bul. Fritillariae Cirrhosae Chuan Bei Mu
+ 9g Sm. Benincasae Dong Gua Zi
+ 9g Sm. Benincasae Dong Gua Zi + 9g Fr. Trichosanthis Gua Lou
+ 9g Fr. Trichosanthis Gua Lou + 6g Rx. Platycodi Jie Geng
+ 6g Rx. Platycodi Jie Geng + 6g Fr. Aurantii Zhi Ke
+ 6g Fr. Aurantii Zhi Ke
For asthma due to Kidney Yin Deficiency with Phlegm Obstruction:
+ 9g Rx. Adenophorae Nan Sha Shen
+ 0g Bul. Lilii Bai He - Nonglutinous Rice Geng Mi
For severe asthma due to Yin Deficiency with Phlegm Obstruction:
 + 9g Bul. Fritillariae Cirrhosae Chuan Bei Mu
- Nonglutinous Rice Geng Mi + 9g Sm. Benincasae Dong Gua Zi
+ 9g Bul. Fritillariae Cirrhosae Chuan Bei Mu + 9g Fr. Trichosanthis Gua Lou
+ 6g Rx. Platycodi Jie Geng
+ 9g Sm. Benincasae Dong Gua Zi + 6g Fr. Aurantii Zhi Ke
+ 9g Fr. Trichosanthis Gua Lou + 9g Rx. Angelicae Sinensis Dang Gui
+ 6g Rx. Platycodi Jie Geng
+ 6g Fr. Aurantii Zhi Ke + 9g Rx. Rehmanniae Preparata Shu Di Huang
+ 9g Honey-stir-fried Cx. Mori Sang Bai Pi
For nausea and vomiting with severely depleted Body Fluids:
+ 3g Pheretima Di Long
For nausea and vomiting with dry stools:
+ 9g Rz. Polygonati Odorati Yu Zhu
+ 9g Rx, Rehmanniae Sheng Di Huang
+ 9g Sm. Cannabis Huo Ma Ren + 12g Rx. Trichosanthis Tian Hua Fen
+ 9g. Sm Trichosanthis Gua Lou Ren + 30g Rz. Phragmitis Lu Gen
For nausea and vomiting with severe Yin Deficiency:
For frequent nausea and vomiting:
+ 9-12g Caulis Bambusae in Taeniam Zhu Ru
+ 12-15g Hb. Dendrobii Shi Hu
+ 12-15g Rx. Glehniae/ Adenophorae Sha Shen + 6-9g Per. Citri Reticulatae Chen Pi
+ 9-12g Rx. Trichosanthis Tian Hua Fen + 9-12g Fol. Eriobotryae Pi Pa Ye
For nausea and vomiting with dry stools or constipation:
For nausea and vomiting with mild Deficiency Heat symptoms:
+15-24g Rx. Scrophulariae Xuan Shen
+ 9-12g Rz. Picrorhizae Hu Huang Lian
+ 9-12g Cx. Lycii Di Gu Pi + 9-12g Sm. Cannabis Huo Ma Ren
For nausea and vomiting with epigastric pain:
+ 9-12g Mel Feng Mi
+ 12-24g Rx. Paeoniae Alba Bai Shao
For nausea and vomiting with acid reflux and heartburn:
+ 9g Rx. Glycyrrhizae Gan Cao + 15g Endoconcha Sepiae Hai Piao Shao
For nausea and vomiting with hypo-acidity:
+ 9-12g Fr. Mume Wu Mei
For nausea and vomiting with atrophy of the gastric mucosa:
+ 12-15g Hb. Dendrobii Shi Hu
+ 15g Fr. Crataegi Shan Zha + 12-18g Rx. Salviae Miltiorrhizae Dan Shen
For nausea and vomiting with Helicobacter pylori:
+ 18-30g Rx. Astragali Huang Qi
+ 15-30g Hb. Taraxaci Pu Gong Ying
For nausea and vomiting with Qi Stagnation:
For nausea and vomiting with deficient Kidney or Liver Yin:
+ 9-12g Fr. Citri Sarcodactylis Fo Shou
+ Pills of Six Ingredients with Rehmannia
Liu Wei Di Huang Wan
or
+ Linking Decoction
Yi Guan Jian
For a peptic ulcer with severe hiccups:
+ 9g Calyx Kaki Shi Di
For a peptic ulcer with vomiting due to Depressive Heat:
+ 9g Flos Caryophylli Ding Xiang
For a peptic ulcer with constipation:
 + 3g Rz. Coptidis Huang Lian
+ 12g Rx. Scrophulariae Xuan Shen = 9g Caulis Bambusae in Taeniam Zhu Ru
+ 12g Rx. Rehmanniae Sheng Di Huang