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Rhubarb and Moutan Decoction

Chinese Prescription: Da Huang Mu Dan Tang

English Translation: Rhubarb and Moutan Decoction

Formula Type: Purge Heat Accumulation

Actions: Drains heat, breaks up blood stasis, disperses clumping, & reduces swelling.

Indications: Lower abdominal distention & pain (usually on the right) that increases on pressure with rebound tenderness, guarding of the abdominal musculature, a thin, yellow, & greasy tongue coating, & a slippery, rapid pulse. There may also be pain in the groin (resembling painful urinary dysfunction without urinary difficutly) that is relieved by flexing the hip & knee (usually on the right) & increases when extending the hip. In addition, there may be a mass in the lower right quadrant of the abdomen & irregular, intermittent fever followed by chills & sweating.

Contraindications: Unsuitable for necrotic appendicitis, appendicitis with peritonitis, appendicitis in infants, appendicitis during pregnancy, or appendicitis due to parasites. It shoud be used with extreme caution in the weak & elderly.

PinyinEnglishSuggested Dosage
view: Da Huang
Rhubarb 12g
view: Mang Xiao
Glauber's Salt [dissolve in strained decoction] - 9-12g
view: Mu Dan Pi
Moutan Root Bark 3g
view: Tao Ren
Peach Kernel 9-15g
view: Dong Gua Ren
Wintermelon Seed 15-30g