Dai Di Dang Wan - 代牴当囊 - Substituted Resistance Pill

English:	Substituted Resistance Pill
Also Known As:

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Rx. Angelicae Sinensis Tails	Dang Gui Wei	3-15g	Invigorates and harmonizes the Blood, moistens the Intestines, unblocks the bowels, reduces swelling and alleviates pain. With Tao Ren, for amenorrhea, pain, swelling and other symptoms associated with Blood Stasis.
Squama Manitis	Chuan Shan Jia	3-15g	Dispels Blood Stasis, Invigorates the Blood, Reduces swelling, Unblocks menstruation.
Sm. Persicae	Tao Ren	6-10g	Breaks up Blood Stasis, invigorates the Blood, moistens the Intestines, unblocks the bowels and drains abscesses. With Da Huang, for severe abdominal infections.
Rx. et Rz. Rhei	Da Huang	10-12g	Drains Heat, purges accumulations, invigorates the Blood and dispels Blood Stasis. With Dang Gui Wei, for Blood Stasis. With Mang Xiao, eliminates obstruction in the Intestines for severe constipation. With Sheng Di Huang, for parched, dry stools with damaged Yin. With Rou Gui, for chronic constipation.
Rx. Rehmanniae	Sheng Di Huang	3-6g	Clears Heat, Cools the Blood, Nourishes Yin and generates fluids.
Natrii Sulfas	Mang Xiao	3-10g	Guides out Stagnation, Moistens Dryness, Purges accumulations, Reduces swelling, Softens hardness.
Cx. Cinnamomi	Rou Gui	6-9g	Warms the Kidneys, Spleen and Heart, strengthens Yang and Ming Men Fire and assists in the generation of Qi and Blood. With Da Huang, invigorates the Blood.

Formula Actions

• Expels Blood Stagnation and Obstruction
• Promotes urination

Syndromes

• Blood Stagnation

Clinical Manifestations

Decreased urination or Interrupted urination or Constant urination or Anuria Maybe fixed, stabbing pain on urination Lower abdominal fullness Lower abdominal pain which may radiate to the genitals Maybe hematuria Tumor formation Purple urine with blood clots Abdominal spasms and tension Suprapubic fullness, distention and pain Maybe lower abdominal masses Pain in the iliac fossa on palpation Soider naevi on the abdomen, inner ankle and inner knee Headache

Sinus congestion Constipation Lower back ache Nervousness Fatigue Skin eruptions Scaly, dry skin Headache Shoulder stiffness Vertigo Cold low body and feet Flushed face T: Dark purple or with echymoses or petechiae or pale with purplish spots C: White P: Choppy or Wiry or Tense, deep and slow or Thin or Deep and choppy or Slow and choppy

Treats

Prostatic hypertrophy Difficult urination Infectious urethral stricture or stenosis Amenorrhea Bladder polyps Abdominal tension Dry skin Stranguria associated with AIDS/HIV

Endometriosis Urinary retention Sequelae of stroke Hyperlipidemia Abdominal spasms Constipation Lower abdominal masses

Contraindications And Herb/Drug Interactions

Notes

Modifications

For prostatic hypertrophy and endometriosis:		For prolonged prostatic hypertrophy and endometriosis with Qi and Blood Deficiency:
- Cx. Cinnamomi	Rou Gui
- Rx. Rehmanniae	Sheng Di Huang	- Cx. Cinnamomi	Rou Gui
+ 10g Flos Carthami	Hong Hua	- Rx. Rehmanniae	Sheng Di Huang
+ 15g Rx. Achyranthis Bidentatae	Niu Xi	- Rx. Angelicae Sinensis Tails	Dang Gui Wei
For prostatic hypertrophy and endometriosis with mild hematuria:
+ 15g Rx. Angelicae Sinensis	Dang Gui
- Cx. Cinnamomi	Rou Gui	+ 10g Flos Carthami	Hong Hua
- Rx. Rehmanniae	Sheng Di Huang	+ 15g Rx. Achyranthis Bidentatae	Niu Xi
+ 10g Flos Carthami	Hong Hua
+ 15g Rx. Achyranthis Bidentatae	Niu Xi	+ 12g Rx. Salviae Miltiorrhizae	Dan Shen
+ 6g powdered Rx. Notoginseng	San Qi Fen
+ 15g Rx. Astragali	Huang Qi
For prostatic hypertrophy and endometriosis with small stones or gravel in the urine :
+ 3g Succinum	Hu Po
For prostatic hypertrophy with a stronger effect:		- Cx. Cinnamomi	Rou Gui
+ Flos Carthami	Hong Hua	- Rx. Rehmanniae	Sheng Di Huang
+ Rx. Achyranthis Bidentatae	Niu Xi	+ 10g Flos Carthami	Hong Hua
For prostatic hypertrophy with Qi and Blood deficiency:		+ 15g Rx. Achyranthis Bidentatae	Niu Xi
+ Rx. Astragali	Huang Qi	+ 30-60g Hb. Lysimachiae	Jin Qian Cao
+ Rx. Codonopsis	Dang Shen
For stranguria associated with AIDS/HIV:		+ 30g Spora Lygodii	Hai Jin Sha
- Rx. Rehmanniae	Sheng Di Huang	+ 9g Sm. Abutili/Malvae	Dong Kui Zi
- Natrii Sulfas	Mang Xiao	+ 9g Hb. Dianthi	Qu Mai
+ Rx. Astragali	Huang Qi	+ 9g Hb. Polygoni Avicularis	Bian Xu
+ Rx. Codonopsis	Dang Shen
+ Rz. Atractylodis Macrocephalae	Bai Zhu
+ Sm. Plantaginis	Che Qian Zi
+ Rx. Bupleuri	Chai Hu
+ Rx. Achyranthis Bidentatae	Niu Xi