Da Huang Fu Zi Tang - 大黃附子湯 - Rhubarb And Prepared Aconite Decoction

English:	Rhubarb and Prepared Aconite Decoction
Also Known As:	Rhubarb and Aconite Combination Decoction of Rhei and Aconiti Preparata

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Rx. Aconiti Lateralis Preparata	Zhi Fu Zi	5-15g	Warms the Yang, disperses Cold and Dampness, warms the channels and stops pain. With Xi Xin,disperses Cold and stops pain, for both Internal and External Cold damage with aversion to Cold, headache and generalized body aches with aching joints.
Rx. et Rz. Rhei	Da Huang	1-10g	Cleans the Intestines, purges Stagnation, treats hypochondriac pain and directs the actions of the other herbs to the intestines.
Hb. Asari	Xi Xin	1-6g	Expels Cold and disperses accumulations.

Formula Actions

• Warms the Interior
• Disperses Cold
• Unblocks the bowels
• Alleviates pain

Syndromes

• Cold Accumulation in the Interior
• Shao-Yang - Yang-Ming (Xu with Fu)
• Cold accumulation in the interior causing constipation (Secondary source)

Clinical Manifestations

Abdominal pain Constipation Hypochondriac pain Chills Low-grade fever Cold hands and feet Intolerance of Cold Pain in the armpits

Unilateral pain in the abdomen and hypochondrium Stiffness and spasms beside and below the umbilicus Pain in the waist and legs T: Normal C: Greasy and white P: Deep, tight and wiry

Treats

Chronic dysentery Uremia Ulcerative colitis Chronic colitis Uncomplicated appendicitis Uncomplicated intestinal obstruction Hernia Hypertension Gastric spasms Intestinal spasms Periarthritis of the shoulder Phlebitis Keratitis Tonsillitis Chronic renal failure Urticaria Dermatitis from allergies to drugs Uremia Fever Abdominal pain

Pyelonephritis Renal calculi Cholelithiasis Chronic pancreatitis Intestinal colic Sciatica Intercostal neuralgia Migraine Trigeminal neuralgia Orchitis Sties Conjunctivitis Purulent gingivitis Lumbar disc disease Eczema Bacillary dysentery Chronic pelvitis Polyuria Constipation Enteritis

Contraindications And Herb/Drug Interactions

Notes

• If application causes a bowel movement, the prognosis is good, if it causes vomiting, increased chills or a thin pulse, it indicates a worsening of the condition which requires urgent attention.

Modifications

For severe abdominal pain which is better with warmth:		For severe distension and a thick, dirty tongue coat:
+ Ram. Cinnamomi	Gui Zhi	+ Fr. Aurantii Immaturus	Zhi Shi
+ Rx. Paeoniae Alba	Bai Shao	+ Massa Medicata Fermentata	Shen Qu
For abdominal fullness,distention and a greasy tongue coat:		For general debility or mild accumulation:
+ Cx. Magnoliae Officinalis	Hou Po	- Rx. et Rz. Rhei	Da Huang
+ Rx. Aucklandiae	Mu Xiang	+ Rx. et Rz. Rhei (treated)	Zhi Da Huang
For Cold hernial disorders or colicky, hypochondriac pain:		For a weak constitution:
+ Cx. Cinnamomi	Rou Gui	+ Rx. Codonopsis	Dang Shen
+ Fr. Foeniculi	Xiao Hui Xiang	+ Rx. Angelicae Sinensis	Dang Gui
For Qi Deficiency:		For Spleen and Stomach Yang Deficiency:
+ Rx. Codonopsis	Dang Shen	+ Rx. Ginseng	Ren Shen
Rx. Astragali	Huang Qi	+ Rx. Glycyrrhizae	Gan Cao
For the elderly or those who are weak:		For severe pain:
- Rx. et Rz. Rhei	Da Huang	+ Cx. Cinnamomi	Rou Gui
+ Rx. et Rz. Rhei (treated)	Zhi Da Huang	For severe Stagnation with flatulence and a turbid, greasy tongue coat:
+ Ram. Cinnamomi	Gui Zhi	+ Rx. Aucklandiae	Mu Xiang
For chronic colitis with Cold-Damp:		+ Sm. Arecae	Bing Lang
+ Fr. Foeniculi	Xiao Hui Xiang	For chronic colitis with Damp-Heat:
+ Rz. Zingiberis	Gan Jiang	+ Rz. Coptidis	Huang Lian
+ Rx. Linderae	Wu Yao	+ Rx. Pulsatillae	Bai Tou Weng
For chronic colitis with Spleen and Kidney Yang Deficiency:		For chronic colitis with Liver Excess and Spleen Deficiency:
+ Hb. Cistanches	Rou Cong Rong	+ Rx. Bupleuri	Chai Hu
+ Rx. Morindae Officinalis	Ba Ji Tian	+ Rz. Cyperi	Xiang Fu
+ Cx. Albizziae	He Huan Pi
+ Fr. Psoraliae	Bu Gu Zhi	+ Dry-fried Rz. Atractylodis Macrocephalae	Chao Bai Zhu
For chronic renal failure:
+ Hb. Leonuri	Yi Mu Cao	For uremia:
+ Calcined Concha Ostreae	Duan Mu Li	+ Hb. Leonuri	Yi Mu Cao
+ Natrii Sulfas	Mang Xiao
For uremia with severe edema:
+ Hb. Leonuri	Yi Mu Cao
+ Natrii Sulfas	Mang Xiao
+ Sm. Plantaginis	Che Qian Zi
+ Rz. Imperatae	Bai Mao Gen