Yellow Dragon Decoction
Chinese Prescription: Huang Long Tang
English Translation: Yellow Dragon Decoction
Formula Type: Purge Heat Accumulation
Actions: Purges heat from the interior & supports the normal qi.
Indications: Green, watery, & foul-smelling diarrhea, abdominal pain that increases upon pressure, fever, thirst, a dry tongue & mouth, shortness of breath, lethargy, delirious speech, a dry, yellow or black tongue coating, & a deficiency pulse. Some patients present with constipation or firm, painful abdominal distention. In severe cases, thre may be hallucinations & 'grabbing at the air' or impaired consciousness with frigid, contracted extremities.
Contraindications: Unknown.
Pinyin | English | Suggested Dosage |
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view: Da Huang |
Rhubarb | 9-12g |
view: Mang Xiao |
Glauber's Salt | 9-12g |
view: Zhi Shi |
Bitter Orange, Unripened | 6-9g |
view: Hou Po |
Magnolia Officinalis Bark | 3-12g |
view: Ren Shen |
Panax Ginseng | 6-9g |
view: Dang Gui |
Angelica Sinensis | 9-12g |
view: Jie Geng |
Platycodon | 3-6g |
view: Sheng Jiang |
Fresh Ginger | 9g |
view: Da Zao (Hong / Hei) |
Red or Black Date | 2 pieces |
view: Gan Cao |
Licorice | 3g |
Da Huang / Rhubarb Rhizome | |||
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Taste: Bitter • Temperature: Cold • Category: Downward Draining • Sub Category: Purgative | |||
Dosage3-12g |
Actions1. Drains heat & purges accumulations: for high fever, profuse sweating, thirst, constipation, abdominal pain & distention, delirium, yellow tongue coating, & a full pulse. This presentation is referred to either as Intestinal heat excess or the yang brightness organ-stage of the six stages of disease.2. Drains damp-heat via the stool, especially in cases of damp-heat jaundice or acute, hot dysentric disorders. Also for painful urinary dysfunction. 3. Drains heat from the blood: for blood in the stool either from bleeding hemorrhoids or heat accumulating in the Intestines. Also for reckless movement of hot blood that overflows, manifested in vomiting blood or nosebleed accompanied by constipation. 4. Invigorates the blood & dispels blood stasis: for amenorrhea, immobile abdominal masses, or fixed pain due to blood stasis. Also for blood stasis due to traumatic injury or Intestinal abscess. This is an important herb for treating both recent & long-terms blood stasis. 5. Clears heat obstructing the blood level: for fever, hot, swollen & painful eyes, or fire toxin sores due to heat excess obstructing the blood level. 6. Clears heat & reduces fire toxicity: used either topically or internally for burns or hot skin lesions. |
MeridiansHeart, Large Intestine, Liver, Stomach |
CautionsContraindicated in cases of exterior disorders, qi or blood deficiency, cold from deficiency of the Spleen & Stomach. Use with exteme caution during pregnancy, menstruation, or post partum. Contraindicated for nursing mothers because the active ingredients enter the milk. |
Mang Xiao / Mirabilite, Glauber's Salt | |||
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Taste: Acrid, Bitter, Salty • Temperature: Very Cold • Category: Downward Draining • Sub Category: Purgative | |||
Dosage3-9g |
Actions1. Purges accumulation & guides out stagnation: for heat in the Stomach & intestines with constipation, this substance moistens dryness & softens hardness.2. Clears heat & reduces swelling: for red, swollen, painful eys; painful, swollen, ulcerated mouth or throat; & red, swollen skin lesions including breast problems. |
MeridiansStomach, Large Intestine |
CautionsContraindicated in cases of heat excess, Spleen deficiency, in the elderly, during pregancy, post partum, & during menstruation. |
Zhi Shi / Orange (Bitter) unripened, immatured fruit | |||
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Taste: Bitter, Acrid • Temperature: Slightly Cold • Category: Regulate Qi • Sub Category: | |||
Dosage3-9g |
Actions1. Breaks up stagnant qi & reduces accumulation: for epigastric or abdominal pain & distention or indigestion with focal distention or gas.2. Directs the qi downward & unblocks the bowels: frequently used for abdominal pain & constipation caused by accumulation & stagnant qi. Also used for dystentric diarrhea that is difficult, with or without tenesmus. 3. Transforms phlegm & expels focal distention: for focal distention & fullness in the chest & epigastrium due tp phlegm obstructing the qi mechanism. 4. Also used with qi tonifying herbs for gastriectasis, gastroptosis, rectal prolapse, or uterine prolapse. recently used to raise blood pressure. |
MeridiansLarge Intestine, Spleen, Stomach |
CautionsUse with caution during pregnancy, or in cases where the normal qi is weak or there is Stomach cold from deficiency. |
Hou Po / Magnolia Bark | |||
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Taste: Bitter, Acrid • Temperature: Warm • Category: Qi Regulating / Moving; Transform Damp - Aromatic • Sub Category: | |||
Dosage3-9g |
Actions1. Regulates qi & reduces stagnation of the middle jiao: Key herb for treatment of qi stagnation of the Spleen & Stomach that is causing epigastric & abdominal fullness & distention, loss of appetite, & poor digestion. Indispensable herb when treating bloating, distention, & other related signs of qi stagnation.2. Regulates qi circulation & dries dampness. Clinically qi stagnation with accumulation of dampness in the middle jiao is characterized by epigastric & abdominal fullness, nausea, vomiting, decreased intake of food, & a greasy tongue coat. 3. Descends qi, dissolves phlegm, relieves wheezing: treats cough & wheezing when phlegm blacks the normal circulation of qi in the Lung. Best for tightness in the chest, dyspnea, & cough & wheezing accompanied by profuse phlegm. |
MeridiansLarge Intestine, Lung, Spleen, Stomach |
CautionsUse with caution during pregnancy or in cases of qi deficiency. Hou po has a mild anticoagulant effect, & should be used with caution in patients who take anticoagulant or antiplatelet medications. Unprocessed hou po is sometimes irritating to the throat & may cause nausea. Processing it with sheng jiang reduces bitterness & the stimulatory effect, & is less likely to cause nausea & stomach discomfort. |
Ren Shen / Panax Ginseng | |||
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Taste: Sweet, Slightly Bitter • Temperature: Slightly Warm • Category: Tonic • Sub Category: Tonify Qi | |||
Dosage1-9g, up to 30 grams (hemorrhagic shock) |
ActionsRen Shen / Panax Ginseng is used in treating patterns of qi, yang & yin deficiency.1. Strongly tonifies the basal qi: for extreme collapse of the qi or abandoned conditions that manifest in shallow respiration, shortness of breath, cold limbs, profuse sweating, & a minute or weak pulse. The herb is used alone for this condition after severe loss of blood. 2. Tonifies the Lungs & augments the qi: for wheezing, shortness of breath, & labored breathing with exertion caused by Lung qi deficiency. There is usually also a concurrent failure of the Kidneys to grasp the qi. 3. Strengthens the Spleen & tonifies the Stomach: for lethargy, lack of appetite, chest & abdominal distention, chronic diarrhea, & in severe cases, prolapse of the stomach, uterus, or rectum. 4. Generates fluids & stops thirst: for wasting & thirsting disorders, as well as in cases when the qi & fluids have been injured by high fever & profuse sweating. 5. Benefits the Heart qi & calms the spirit: for palpitations with anxiety, insomnia, forgetfulness, & restlessness due to qi & blood deficiency. Notes: Red Ginseng is more warming than White Ginseng. American Ginseng is considered cool and is better suited for those patients having a tendency towards heat signs. |
MeridiansLung, Spleen |
CautionsContraindicated in cases of yin deficiency with heat signs, heat excess, or in the absence of significant qi deficiency. Contraindicated for hypertensive patient with ascendant Liver yang, & in cases of very high blood pressure (systolic over 180mmHg). Overdose can lead to headache, insomnia, palpitations, & a rise in blood pressure. The traditional antidote is mung bean soup. This herb may antagonize wu ling zhi & may be incompatible with li lu. Patients taking this herb are advised to abstain from drinking tea & eating tunips, as this may reduce the effect of the herb. |
Dang Gui / Angelica (Chinese) Root | |||
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Taste: Sweet, Acrid, Bitter • Temperature: Warm • Category: Tonic • Sub Category: Tonify Blood | |||
Dosage3-15g |
Actions1. Tonifies the blood & regulates the meses: for patterns of blood deficiency with such symptoms as a pallid, ashen complexion, tinnitus, blurred vision, & palpitations. Also very commonly used fro blood deficiency associated with menstrual disorders such as irregular menstruation, amenorrhea, dysmenorrhea, etc.2. Invigorates & harmonizes the blood & disperses cold: an important herb for stopping pain due to blood stasis. Commonly used for abdominal pain, traumatic injury, & carbuncles due to blood stasis, especially when there is also cold from deficiency. Also used in the treatment of blood deficiency with chronic wind-damp painful obstruction. 3. Moistens the Intestiones & unblocks the bowels: for dry Intestines due to blood deficiency. 4. Reduces swelling, expels pus, generates flesh, & alleviates pain: used in treating sores & abscesses where its ability to both tonify & invigorate the blood leads to improvement. |
MeridiansHeart, Liver, Spleen |
CautionsUse with caution in cases of diarrhea or abdominal distention due to damp obstruction. Contraindicated for yin deficiency with heat signs. |
Jie Geng / Platycodon Root, balloon flower root | |||
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Taste: Bitter, Acrid • Temperature: Neutral • Category: Tranform Phlegm & Stop Coughing • Sub Category: Warm & Transform Phlegm Cold | |||
Dosage3-9g |
Actions1. Opens up & disseminates the Lung qi & expels phlegm: for cough. When combined with other appropriate herbs, it can be used for both wind-cold & wind-heat coughs.2. Promotes the discharge of pus: for expelling pus associated with Lung abscess or throat abscess. 3. Benefits the throat: used in manyy cases of sore throat or loss of voice, especially in those caused by external heat, but also when the condition is due to other factors such as phlegm-heat or yin deficiency with heat signs. 4. Directs the effect of other herbs to the upper regions of the body. |
MeridiansLung |
CautionsContraindicated for hemoptysis. May counteract long dan cao & long yan rou. |
Sheng Jiang / Ginger (market fresh) Rhizome | |||
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Taste: Acrid • Temperature: Warm • Category: Exterior Releasing - Warm • Sub Category: | |||
Dosage3-9g |
Actions1. Releases the exterior & disperses cold: for exterior cold patterns.2. Warms the middle burner & alleviates vomiting: for cold in the Stomach, especially where there is vomiting. 3. Disperses cold & stops coughing: for coughing due to both acute wind-cold cough patterns & chronic Lung disorders with phlegm. 4. Reduces the toxicty of other herbs: for detoxifying or treating overdoses from other herbs such as fu zi or ban xia. 5. Adjusts the nutritive & protective qi: for patients suffering from exterior deficiency who sweat without an improvement in their condition. |
MeridiansLung, Spleen, Stomach |
CautionsContraindicated in cases of Lung heat, or Stomach heat with vomiting. |
Da Zao (Hong / Hei) / Red or Black Jujube Date | |||
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Taste: Sweet • Temperature: Neutral • Category: Tonic / Harmonize • Sub Category: Tonify Qi | |||
Dosage3-12 pieces (10-30 grams) |
Actions1. Tonifies the Spleen & augments the qi: for weakness, shortness of breath, lassitude, reduced appetite, & loose stools due to Spleen & Stomach deficiency.2. Nourishes the blood & calms the spirit: for wan appearance, irritability, & severe emotional lability due to restless organ disorder. 3. Moderates & harmonizes the harsh properties of other herbs. |
MeridiansSpleen, Stomach |
CautionsSince hong zao aids dampness, generates heat, & may readily induce fullness in the middle burner, it is contraindicated in cases of excess dampness, food stagnation, intestinal parasites, or damp-phlegm disorders with such symptoms as epigastric distention & bloating. |
Gan Cao / Licorice Root (Chinese) | |||
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Taste: Sweet • Temperature: Neutral (raw root) • Category: Tonic / Harmonize • Sub Category: Tonify Qi | |||
Dosage2-12g |
Actions1. Tonifies the Spleen & augments the qi: commonly used for Spleen deficiency with shortness of breath, lassitude, & loose stools. Also for qi or blood deficiency patterns with an irregular or intermittent pulse & /or palpitations.2. Moistens the Lungs & stops coughing: for coughing & wheezing. Because of its neutral properties, it can be used for either heat or cold in the Lungs. 3. Clears heat & relieves fire toxicity: used raw for carbuncles, sores, or sore throat due to fire toxin. For this purpose, it can be taken internally or applied topically. 4. Moderates spasms & alleviates pain: for painful spasms of the abdomen or legs. 5. Moderates & harmonizes the characteristics of other herbs: by virtue of its sweet, neutral, & moderating properties, this herb moderates hot & cold herbs, & mitigates the violent properties of other herbs. Since it is said to enter all 12 primary channels, it can lead & conduct other herbs into the channels. 6. Used as an antidote for a variety of toxic substances, both internally & topically. 7. The raw root clears heat & relieves toxicity, the honey-fried tonifies the middle & moderates spasms. |
MeridiansAll 12 channels (principally the Heart, Lung, Spleen, & Stomach) |
CautionsContraindicated in cases of excess dampness, nausea, or vomiting. May be in compatible with jing da ji, yuan hua, gan sui, & hai zao, & may antagonize yuan zhi. The toxicity of gan cao is very low, but if taken long-term it may cause hypertension &/or edema. Glycyrrhetinic acid has been reported to cause a reduction in the activity of the thyroid & a reducation in the basal metabolic rate. |