JIA WEI ER CHEN TANG - 加味二陈汤 - MODIFIED DECOCTION OF TWO OLD DRUGS - CITRUS AND PINELLIA COMBINATION

English:	Modified Decoction of Two Old (Cured) Drugs
Also Known As:

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Rz. Pinelliae Preparatum	Zhi Ban Xia	15g	Descends Stomach Qi and reduces distention, Dries Dampness, Expels Phlegm. With Ju Hong, for Spleen Qi Deficiency or Phlegm-Damp Obstruction manifesting as productive cough and a stuffy chest. With Huang Qin,. for Phlegm-Heat induced Rebellious Qi with cough, nausea, and vomiting.
Exocarpium Citri Reticulatae Rubrum	Ju Hong	15g	Revives the Spleen, activates Middle Jiao Qi, dries Dampness, transforms Phlegm and treats vomiting, belching and Phlegm-Damp coughs.
Poria	Fu Ling	9g	Strengthens the Spleen, transforms Phlegm and drains Dampness from the Middle Jiao. With Bai Zhu, strengthens the Spleen and resolves Dampness. With Zhi Ban Xia, for Phlegm, thin mucus and turbid Dampness. With Zhi Ban Xia and Ju Hong, for nausea, vomiting, chest fullness and distention and anorexia due to congested fluids.
Rx. Glycyrrhizae Preparata	Zhi Gan Cao	4.5g	Tonifies the Spleen, resolves Phlegm and moderates and harmonizes the properties of other herbs. With Bai Shao and Huang Qin, for abdominal pain and dysenteric diarrhea from Damp-Heat.
Rz. Atractylodis Macrocephalae	Bai Zhu	9g	Tonifies the Spleen, augments Qi and dries Dampness. With Fu Ling and Zhi Gan Cao, for Spleen and Stomach Qi Deficiency.
Rx. Angelicae Sinensis	Dang Gui	6g	Alleviates pain, Nourishes and activates Blood, Regulates Liver and Kidneys, Regulates menses.
Rx. Scutellariae	Huang Qin	6g	Clears Heat and dries Dampness With Huang Lian, drains pathogenic Heat from the Upper and Middle Jiaos. With Huang Lian and Bai Shao, for Damp-Heat dysentery with fever and tenesmus. With Bai Shao, for dysenteric disorders with abdominal pain due to Heat entering the Interior.
Rz. Coptidis	Huang Lian	4.5g	Clears Heat and drains Dampness.
Cx. Phellodendri	Huang Bai	4.5g	Drains Damp-Heat especially from the Lower Jiao and drains Deficiency Heat.
Rx. Paeoniae Alba	Bai Shao	4.5g	Calms Liver Yang and alleviates pain, Nourishes Blood, Preserves Yin. With Dang Gui, nourishes Yin and Blood.
Cx. Ailanthi	Chun Pi	7.7g	Clears Heat, astringes the Intestines, dries Dampness, stops diarrhea and stops bleeding.
Fr. Corni	Shan Zhu Yu	7.7g	Stabilizes the Kidneys and astringes Jing and Body Fluids

Formula Actions

• Strengthens the Spleen
• Eliminates Dampness
• Clears Heat
• Stops the discharge

Syndromes

• Damp-Heat

Clinical Manifestations

Profuse, yellow, green or red sticky discharge with a foul odor In some patients the discharge is white but like bean curd Foul odor Vulvar itch or A burning sensation in the vagina Scanty dark urine Urine may be bright red A heavy head Chest tightness Palpitations Sticky mouth Dry mouth A bitter taste in the mouth Thirst with no desire to drink

Anxiety Insomnia Reduced appetite Vague pains in the lower abdomen Lower back pain Abnormal stools Dizziness Lassitude Fatigue Low-grade fever T: Red C: Yellow and greasy or Thick and yellow or Greasy and white P: Soft and mildly rapid or Slippery and rapid or Floating, small and rapid

Treats

Vaginal discharge

Contraindications And Herb/Drug Interactions

Notes

Modifications