Di Dang Tang - 抵当汤 - Appropriate Decoction - Rhubarb And Leech Combination

English:	Appropriate Decoction
Also Known As:	Rhubarb and Leech Combination Resistance Decoction

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Hirudo	Shui Zhi	9-12g	Breaks up and drives out Blood Stasis and reduces fixed masses. With Da Huang, regulates Yin and Yang to quickly attack and break up Blood Stasis. With Meng Chong, resolves severe Blood Stasis with mania, and abdominal masses or severe Blood accumulation following trauma. With Tao Ren and Meng Chong, for abdominal pain and hardness with black tarry stools.
Tabanus	Meng Chong	9-12g	Breaks up Blood Stasis, reduces abdominal masses, unblocks the Blood vessels, heals injuries and stops pain. With Shui Zhi and Da Huang, for amenorrhea from Blood Stasis.
Sm. Persicae	Tao Ren	6-9g	Breaks up Blood Stasis, invigorates Blood circulation, moistens the Intestines, unblocks the bowels and drains abscesses. With Da Huang, for severe abdominal infection.
Wine-washed Rx. et Rz. Rhei	Jiu Xi Da Huang	9g	Cools Upper Jiao Fire and directs it downward to treat Large Intestine Heat toxin.

Formula Actions

• Breaks up and dispels Blood Stasis
• Clears Heat

Syndromes

• Blood Stagnation in the Lower Jiao due to Blood Heat

Clinical Manifestations

Firmness and distention in the lower abdomen which is painful and gives resistance on pressure Smooth urination Manic behavior Forgetfulness Black stools that are easy to expel Delayed menstruation Amenorrhea Irregular menstruation

Coagulated blood Thirst Dry mouth Polyuria Liver spots indicating stagnant blood found on the face, lips, tongue, limbs and finger nails T: Purplish C: Normal P: Deep, slow and irregular

Treats

Acute pelvic inflammatory disease Leiomyoma Endometriosis Dysmenorrhea Amenorrhea Lochioschesis Thrombophlebitis Postpartum thrombophlebitis Mania Epilepsy Schistosomiasis Intrauterine myxedema Anxiety Hyperglycemia Arteriosclerosis Stroke

Benign prostatic hypertrophy Testicular tuberculosis Acute urinary retention Angina pectoris Cerebrovascular disease Cor pulmonare Schizophrenia Icteric hepatitis Chronic colitis Habitual constipation Gangrene External trauma Coronary Heart disease Obesity Irregular menstruation

Contraindications And Herb/Drug Interactions

Notes

Modifications