Mai Men Dong Tang - 麥門冬湯 - Ophiopogonis Decoction

English:	Ophiopogonis Decoction
Also Known As:	Decoction of Ophiopogonis Root

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Rx. Ophiopogonis	Mai Men Dong	10-70g	Clears Deficiency Heat from the Stomach, Generates Fluid in the Stomach and Lungs, Moistens the Intestines, Nourishes Lung and Stomach Yin. With Zhi Ban Xia and Dang Shen, for chronic, dry cough due to Lung Yin Deficiency. With Zhi Ban Xia, Geng Mi and Gan Cao, for Stomach Yin Deficiency with hiccups and vomiting.
Rx. Ginseng	Ren Shen	2-9g	Revives Qi and Yin and generates Fluids. With Mai Men Dong, strongly tonifies Qi and nourishes Lung and Stomach Yin.
(Rx. Codonopsis)	(Dang Shen)	(6-27g)	(Substitutes for Ren Shen when the digestive system is weak.)
Nonglutinous Rice	Geng Mi	5-20g	Tonifies Qi and generates Fluids. With Gan Cao and Da Zao, assists Stomach Qi and generates Fluids.
Fr. Jujube	Da Zao	2-12g	Harmonizes, Nourishes Blood, Strengthens the Spleen, Tonifies Qi.
Rx. Glycyrrhizae	Gan Cao	2-6g	Clears Heat, Harmonizes, Moistens the Lungs, Relieves toxins.
Rz. Pinelliae Preparatum	Zhi Ban Xia	4.5-18g	Moves Stomach Qi, descends Qi and assists distribution of Stomach Qi to the Lungs. With Ren Shen, for vomiting due to Stomach Deficiency.

Formula Actions

• Benefits the Stomach
• Generates Fluids
• Descends Qi
• Harmonizes the Middle Jiao

Syndromes

• Stomach Fire Blazing
• Stomach and Lung Yin Deficiency
• Lung Wei Syndrome (atrophy)
• Lung/Stomach Qi & Yin deficiency (Secondary source)

Clinical Manifestations

Cough with little yellow sputum Spitting saliva Wheezing Shortness of breath Dry, uncomfortable sensation in throat Hiccups Dry mouth Coughing up difficult-to-extectorate Phlegm Nausea Scanty urination

Hoarseness Thirst Asthma Flushed face Five Sole Heat Vomiting T: Red and dry C: Little or None P: Thready and rapid or Deficient and rapid

Treats

Pertussis Pulmonary atelectasis Pneumonia Chronic tracheitis Acute and chronic pharyngitis Chronic laryngitis Esophageal cancer Tuberculosis of the pharynx Diabetes Bronchiectasis Reactive lymphoid hyperplasia Morning sickness Cough Cough from interstitial pneumonia Headache Hiccups Hyperglycemia Fever Bad breath Dyspnea Lip pain

Hoarseness Hypertension Arteriosclerosis Gastritis Atrophic gastritis Peptic ulcer Esophageal reflux Acute or chronic bronchitis Pulmonary tuberculosis Lung cancer Asthma Side effects of radiation therapy Stomach cramps Sjogren's syndrome Gastralgia Oliguria Chronic obstructive pulmonary disease Nausea/Vomiting Weakness Indigestion Radiotherapy for breast cancer

Contraindications And Herb/Drug Interactions

Notes

• Also used for belching or vomiting due to Stomach Yin Deficiency.

Modifications

For severe Yin Deficiency with depletion of Body Fluids:		For afternoon fever:
Rx. Stellariae	Yin Chai Hu
+ Rx. Adenophorae seu Glehniae	Sha Shen	+ Cx. Lycii Radicis	Di Gu Pi
For Stomach Fire:
+ Rz. Polygonati Odorati	Yu Zhu	+ Rx. Paeoniae Alba	Bai Shao
+ Gypsum	Shi Gao	For severe depletion of Fluids:
+ Hb. Lophatheri	Dan Zhu Ye	+ Rx. Adenophorae seu Glehniae	Sha Shen
For severe cough:
+ Bul. Fritillariae Cirrhosae	Chuan Bei Mu	+ Rz. Polygonati Odorati	Yu Zhu
For oral side effects of radiation therapy with Dryness which is worse at night, irritability a dry tongue and a rapid pulse:
+ Sm. Trichosanthis	Gua Lou Ren
For thirst and irritability:		+ Flos Chrysanthemi	Ju Hua
+ Gypsum Fibrosum	Shi Gao	Rx. Trichosanthis	Tian Hua Fen
+ Rz. Anemarrhenae	Zhi Mu	+ Rx. Adenophorae seu Glehniae	Sha Shen
For burning epigastric pain or dry heaves due to Stomach Yin Deficiency:
+ Rz. Dioscoreae	Shan Yao
+ Bul. Lilii	Bai He	Cx. Moutan	Mu Dan Pi
For stubborn nausea and vomiting due to Stomach Yin Deficiency:		For morning sickness:
+ Fr. Lycii	Gou Qi Zi
+ Caulis Dendrobii	Shi Hu	+ Caulis Bambusae in Taeniam	Zhu Ru
+ Fol. Eriobotrya	Pi Pa Ye
For gastritis due to Stomach Yin Deficiency with Liver and Stomach Disharmony:		+ Rz. Zingiberis Recens	Sheng Jiang
For gastritis due to Stomach Yin Deficiency with the presence of both Cold and Heat:
+ Frigid Extremities Powder Si Ni San
+ Pinellia Decoction to Drain the Epigastrium Ban Xia Xie Xin Tang
For gastritis due to Stomach Yin Deficiency with Deficiency Cold of the Spleen and Stomach:
For drier coughs:
+ Regulate the Middle Decoction Li Zhong Tang		+ Bul. Lilii	Bai He
+ Rx. Asparagi	Tian Men Dong
Or		For productive coughs with thick mucus:
+ Minor Construct the Middle Decoction Xiao Jian Zhong Tang		+ Bul Fritillariae Thunbergii	Zhe Bei Mu
For accompanying digestive disorder:		+ Cx. Mori	Sang Bai Pi
+ Rz. Zingiberis Recens	Sheng Jiang	+ Caulis Bambusae in Taeniam	Zhu Ru
+ Per. Citri Reticulatae	Chen Pi
For Lung Heat and Blood Heat:		For asthma:
+ Gypsum Fibrosum	Shi Gao	+ Fr. Perilla	Zi Su Zi
+ Rz. Anemarrhenae	Zhi Mu	+ Rx. Schisandrae	Wu Wei Zi
For severe hacking cough:		For hypertension and arteriosclerosis:
+ Fol. Eriobotryae	Pi Pa Ye	+ Ram. cum Uncis Uncariae	Gou Teng
+ Sm. Armeniacae	Xing Ren
For emphysema:		+ Gypsum Fibrosum	Shi Gao
+ Hb. Lophatheri	Dan Zhu Ye	+ Flos Chrysanthemi	Ju Hua
+ Gypsum Fibrosum	Shi Gao	For injury to Qi and Yin due to lingering pathogenic factors in the late stage of febrile diseases:
For a gastric ulcer
+ Hb. Dendrobii	Shi Hu	- Fr. Jujube	Da Zao
+ Rx. Trichosanthis	Tian Hua Fen	+ Hb. Lophatheri	Dan Zhu Ye
+ Rx. Paeoniae Alba	Bai Shao	+ Gypsum Fibrosum	Shi Gao
+ Rx. Oryzae Glutinosae	Nuo Dao Gen	For tidal fever:
For severe depletion of Body Fluids:		+ Rx. Stellariae	Yin Chai Hu
+ Rx. Adenophorae seu Glehniae	Sha Shen	+ Cx. Lycii	Di Gu Pi
For severe cough:
+ Rz. Polygonati Odorati	Yu Zhu	+ Bul Fritillariae Cirrhosae	Chuan Bei Mu
+ Rx. Asparagi	Tian Men Dong
For Stomach Fire:		+ Sm. Trichosanthis	Gua Lou Ren
+ Rx. Paeoniae Alba	Bai Shao	For asthma due to Yin Deficiency with Phlegm Obstruction:
For asthma due to severe Yin Deficiency with Phlegm Obstruction:
- Nonglutinous Rice	Geng Mi
- Nonglutinous Rice	Geng Mi	+ 9g Bul. Fritillariae Cirrhosae	Chuan Bei Mu
+ 9g Bul. Fritillariae Cirrhosae	Chuan Bei Mu
+ 9g Sm. Benincasae	Dong Gua Zi
+ 9g Sm. Benincasae	Dong Gua Zi	+ 9g Fr. Trichosanthis	Gua Lou
+ 9g Fr. Trichosanthis	Gua Lou	+ 6g Rx. Platycodi	Jie Geng
+ 6g Rx. Platycodi	Jie Geng	+ 6g Fr. Aurantii	Zhi Ke
+ 6g Fr. Aurantii	Zhi Ke	For asthma due to Kidney Yin Deficiency with Phlegm Obstruction:
+ 9g Rx. Adenophorae	Nan Sha Shen
+ 0g Bul. Lilii	Bai He	- Nonglutinous Rice	Geng Mi
For severe asthma due to Yin Deficiency with Phlegm Obstruction:		+ 9g Bul. Fritillariae Cirrhosae	Chuan Bei Mu
- Nonglutinous Rice	Geng Mi	+ 9g Sm. Benincasae	Dong Gua Zi
+ 9g Bul. Fritillariae Cirrhosae	Chuan Bei Mu	+ 9g Fr. Trichosanthis	Gua Lou
+ 6g Rx. Platycodi	Jie Geng
+ 9g Sm. Benincasae	Dong Gua Zi	+ 6g Fr. Aurantii	Zhi Ke
+ 9g Fr. Trichosanthis	Gua Lou	+ 9g Rx. Angelicae Sinensis	Dang Gui
+ 6g Rx. Platycodi	Jie Geng
+ 6g Fr. Aurantii	Zhi Ke	+ 9g Rx. Rehmanniae Preparata	Shu Di Huang
+ 9g Honey-stir-fried Cx. Mori	Sang Bai Pi
For nausea and vomiting with severely depleted Body Fluids:
+ 3g Pheretima	Di Long
For nausea and vomiting with dry stools:		+ 9g Rz. Polygonati Odorati	Yu Zhu
+ 9g Rx, Rehmanniae	Sheng Di Huang
+ 9g Sm. Cannabis	Huo Ma Ren	+ 12g Rx. Trichosanthis	Tian Hua Fen
+ 9g. Sm Trichosanthis	Gua Lou Ren	+ 30g Rz. Phragmitis	Lu Gen
For nausea and vomiting with severe Yin Deficiency:		For frequent nausea and vomiting:
+ 9-12g Caulis Bambusae in Taeniam	Zhu Ru
+ 12-15g Hb. Dendrobii	Shi Hu
+ 12-15g Rx. Glehniae/ Adenophorae	Sha Shen	+ 6-9g Per. Citri Reticulatae	Chen Pi
+ 9-12g Rx. Trichosanthis	Tian Hua Fen	+ 9-12g Fol. Eriobotryae	Pi Pa Ye
For nausea and vomiting with dry stools or constipation:
For nausea and vomiting with mild Deficiency Heat symptoms:
+15-24g Rx. Scrophulariae	Xuan Shen
+ 9-12g Rz. Picrorhizae	Hu Huang Lian
+ 9-12g Cx. Lycii	Di Gu Pi	+ 9-12g Sm. Cannabis	Huo Ma Ren
For nausea and vomiting with epigastric pain:		+ 9-12g Mel	Feng Mi
+ 12-24g Rx. Paeoniae Alba	Bai Shao	For nausea and vomiting with acid reflux and heartburn:
+ 9g Rx. Glycyrrhizae	Gan Cao	+ 15g Endoconcha Sepiae	Hai Piao Shao
For nausea and vomiting with hypo-acidity:
+ 9-12g Fr. Mume	Wu Mei	For nausea and vomiting with atrophy of the gastric mucosa:
+ 12-15g Hb. Dendrobii	Shi Hu
+ 15g Fr. Crataegi	Shan Zha	+ 12-18g Rx. Salviae Miltiorrhizae	Dan Shen
For nausea and vomiting with Helicobacter pylori:
+ 18-30g Rx. Astragali	Huang Qi
+ 15-30g Hb. Taraxaci	Pu Gong Ying	For nausea and vomiting with Qi Stagnation:
For nausea and vomiting with deficient Kidney or Liver Yin:		+ 9-12g Fr. Citri Sarcodactylis	Fo Shou
+ Pills of Six Ingredients with Rehmannia Liu Wei Di Huang Wan		Or
+ Linking Decoction Yi Guan Jian
For a peptic ulcer with severe hiccups:
+ 9g Calyx Kaki	Shi Di	For a peptic ulcer with vomiting due to Depressive Heat:
+ 9g Flos Caryophylli	Ding Xiang
For a peptic ulcer with constipation:		+ 3g Rz. Coptidis	Huang Lian
+ 12g Rx. Scrophulariae	Xuan Shen	= 9g Caulis Bambusae in Taeniam	Zhu Ru
+ 12g Rx. Rehmanniae	Sheng Di Huang