Gun Tan Wan - 滾痰丸 - Vaporize Phlegm Pill - Lapis And Scute Formula

English:	Vaporize Phlegm Pill
Also Known As:	Meng Shi Gun Tan Wan Lapis and Scute Formula Flushing Away Roiling Phlegm Pill

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Calcined Lapis Chloriti	Duan Meng Shi	3-12g	Drives out Phlegm, especially stubborn or recurrent Phlegm, descends Qi, calms wheezing and eliminates hidden accumulations of Phlegm. With Huang Qin and Da Huang, for old, stubborn Phlegm causing wheezing, coughing, palpitations with anxiety, mania and constipation.
Rx. and Rz. Rhei	Da Huang	9-24g	Clears Heat, eliminates Phlegm and unblocks obstruction from the Yang organs.
Rx. Scutellariae	Huang Qin	9-24g	Clears Upper Jiao Fire to prevent scorching the Fluids and stops bleeding. With Da Huang, for constipation.
Lignum Aquilariae Resinatum	Chen Xiang	1.5-4.5g	Regulates Qi, rapidly descends Qi and removes Phlegm.

Formula Actions

• Drains Fire
• Drives out Phlegm

Syndromes

• Phlegm-Fire Disturbs the Heart
• Phlegm-Heat in the Liver and Gallbladder
• Combination of excessive Heat and chronic phlegm (Secondary source)

Clinical Manifestations

Mania (Kuang)-Withdrawal (Dian) Palpitations Anxiety Maybe severe continuous palpitations leading to coma Insomnia Coughing and wheezing Thick, viscous, yellow sputum Distention of chest and epigastrium Stifling sensation of chest and epigastrium Dizziness Vertigo Tinnitus Facial tics Sudden, deep joint pain that is difficult to describe Peristalsis-like movements of the eyes and mouth Stuffy nose with turbid, foul, thick, yellow nasal discharge

Constipation Severe, stabbing pain in the joints Very strange dreams Impaired consciousness Nodules in the neck Choking sensation Restlessness Agitation Continuous shouting or singing Maybe violent behavior Dull complexion Incoherent speech Disinterest in food Fright Blank stare Insanity T: Red tip C: Thick, yellow and greasy P: Slippery, Excess and rapid or Wiry and rapid

Treats

Hysteria Anxiety neurosis Bi-polar disorder Schizophrenia Pediatric seizure disorder Seizure disorder Meniere’s disease Benign paroxysmal positional vertigo Bronchial asthma Acute bronchitis Anxiety Viral encephalitis Hypertension Nasosinusitis Insomnia Dizziness Stomach cancer Constipation Palpitations Otitis externa Psychosis Ear pain Neurosis

Chronic obstructive pulmonary disease Acute gastritis Tracheitis Epilepsy Excessive secretion accompanying pharyngitis Fever with long standing congestion Tenacious sputum Various symptoms of tuberculosis Insanity Palpitations Stroke Migraines Chronic suppurative otitis media Cough Vertigo Esophageal cancer Mania Tinnitus Deafness Otorrhea Tongue pain

Contraindications And Herb/Drug Interactions

Notes

Modifications

For stroke including Internal Wind, Excess Yang, Phlegm and Fire:		For stroke including Internal Wind, Excess Yang, and Phlegm:
+ Major Order the Qi Decoction Da Cheng Qi Tang		+ Regulate the Stomach and Order the Qi Decoction Tiao Wei Cheng Qi Tang
For stroke including Internal Wind and Excess Yang:		For coronary Heart disease due to Phlegm-Fire Disturbing the Heart:
+ Minor Decoction (for Pathogens) Stuck in the Chest Xiao Xian Xiong Tang
+ Increase the Fluids and Order the Qi Decoction Zeng Ye Cheng Qi Tang
For coronary Heart disease due to Phlegm-Fire Disturbing the Heart with severe pain:
+ Minor Decoction (for Pathogens) Stuck in the Chest Xiao Xian Xiong Tang		+ Rx. Salviae Miltiorrhizae	Dan Shen
+ Rx. Salviae Miltiorrhizae	Dan Shen	+ Rx. Curcumae	Yu Jin
+ Caulis Bambusae in Taeniam	Zhu Ru
+ Rx. Curcumae	Yu Jin
+ Caulis Bambusae in Taeniam	Zhu Ru	For coronary Heart disease due to Phlegm-Fire Disturbing the Heart with mental confusion:
+ Minor Decoction (for Pathogens) Stuck in the Chest Xiao Xian Xiong Tang
+ 9g Arisaema cum Bile	Dan Nan Xing
+ 9g Bul. Fritillariae Thunbergii	Zhe Bei Mu
+ 12g Fr. Aurantii Immaturus	Zhi Shi	+ Rx. Salviae Miltiorrhizae	Dan Shen
For coronary Heart disease due to Phlegm-Fire Disturbing the Heart with mental confusion or loss of consciousness:		+ Rx. Curcumae	Yu Jin
+ Caulis Bambusae in Taeniam	Zhu Ru
+ Minor Decoction (for Pathogens) Stuck in the Chest Xiao Xian Xiong Tang		+ 6g Rz. Acori Tatarinowii	Shi Chang Pu
+ Rx. Salviae Miltiorrhizae	Dan Shen	+ 6g Rx. Polygalae	Yuan Zhi
+ Rx. Curcumae	Yu Jin	For coronary Heart disease due to Phlegm-Fire Disturbing the Heart with shortness of breath:
+ Caulis Bambusae in Taeniam	Zhu Ru	+ Minor Decoction (for Pathogens) Stuck in the Chest Xiao Xian Xiong Tang
+ Chinese Patent Medicine	Zhi Bao Dan	+ Rx. Salviae Miltiorrhizae	Dan Shen
For tongue pain:		+ Rx. Curcumae	Yu Jin
+ 10g Arisaemae cum Bile	Dan Nan Xing	+ Caulis Bambusae in Taeniam	Zhu Ru
+ 10g Concretio Bambusae Silicea	Tian Zhu Huang	+ 12g Cx. Mori	Sang Bai Pi
+ 9g Sm. Lepidii/ Descurainiae	Ting Li Zi
For severe tongue pain:
+ 10g Arisaemae cum Bile	Dan Nan Xing	For tongue pain and numbness:
+ 10g Arisaemae cum Bile	Dan Nan Xing
+ 10g Concretio Bambusae Silicea	Tian Zhu Huang
+ 10g Concretio Bambusae Silicea	Tian Zhu Huang
+ 6g Caulis Akebiae	Mu Tong
+ 15g Rx. Rehmanniae	Sheng Di Huang	+ 3g Scorpio	Quan Xie
For tongue pain with a poor appetite:		+ 10g Hb. Lophatheri	Dan Zhu Ye
+ 10g Arisaemae cum Bile	Dan Nan Xing	For tongue pain with nausea:
+ 10g Arisaemae cum Bile	Dan Nan Xing
+ 10g Concretio Bambusae Silicea	Tian Zhu Huang
+ 10g Concretio Bambusae Silicea	Tian Zhu Huang
+ 10g Sm. Amomi Rotundus	Bai Dou Kou
+ 10g Caulis Bambusae in Taeniam	Zhu Ru
+ 10g Rz. Pinelliae Preparatum	Zhi Ban Xia
+ 10g Exocarpium Citri Grandis Rubrum	Hua Ju Hong