Qing Re Jie Du Hua Yu Tang - 淸熱 解毒化 郁湯 - Heat Clearing, Toxin Eliminating, Blood Stasis Transforming Decoction

English:	Heat Clearing, Toxin Eliminating Blood Stasis Transforming Decoction
Also Known As:

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Hb. Houttuyniae	Yu Xing Cao	18-30g	Clears Heat, Drains Damp-Heat, Expels pus, Promotes urination, Reduces swellings and abscesses, Relieves toxicity.
Rz. Smilacis Glabrae	Tu Fu Ling	18-30g	Relieves toxicity, eliminates Dampness, promotes normal urination and dispels Heat from the Lower Jiao. With Chuan Xiong, raises the clear Yang while directing turbid Qi downward, moves Qi, invigorates the Blood, clears Heat and removes Dampness.
Caulis Lonicerae	Ren Dong Teng	15-18g	Clears Damp-Heat from the Lower Jiao, Clears Heat, Cools the Blood, Relieves abdominal pain due to inflammation, Resolves toxicity.
Sm. Coicis	Yi Yi Ren	18-30g	Strengthens the Spleen, clears Damp-Heat, clears Heat and expels pus.
Rx. Angelicae Sinensis	Dang Gui	9-12g	Tonifies, invigorates and harmonizes the Blood, reduces swelling, expels pus, generates flesh and alleviates pain.
Rx. Paeoniae Rubra	Chi Shao	9-12g	Invigorates the Blood, dispels Blood Stasis, clears Heat, cools the Blood, reduces swelling from sores and abscesses and relieves pain. With Chuan Xiong and Dang Gui, for Blood-Stasis induced gynecological disorders such as immobile abdominal masses and amenorrhea with abdominal pain. With Tao Ren, for Blood Stasis induced menstrual disorders. With Xiang Fu, for flank pain, abdominal pain, and dysmenorrhea due to Qi and Blood Stagnation.
Rz. Cyperi	Xiang Fu	9-12g	Spreads and regulates Liver Qi, regulates menstruation and alleviates pain. With Dang Gui, tonifies the Blood and moves Qi, for premenstrual symptoms, menstrual pain and irregular menstruation. With Dang Gui and Chuan Xiong, for irregular menstruation and dysmenorrhea due to Qi and Blood Stasis. With Chuan Xiong, for Qi Stagnation combined with Blood Stasis.
Fr. Forsythiae	Lian Qiao	9-12g	Clears Blood Heat, Clears Heat, Dissipates clumps, Promotes urination, Reduces abscesses, Relieves toxicity.
Sm. Persicae	Tao Ren	9-12g	Breaks up Blood Stasis, Drains abscesses, Invigorates Blood circulation, Moistens the Intestines, Unblocks the bowels.
Rz. Curcumae	E Zhu	9-12g	Invigorates Blood circulation, dispels Blood Stasis, regulates Qi and alleviates pain.
Fr. Aurantii	Zhi Ke	6-9g	Promotes the movement of Qi, reduces distention and pressure and resolves hardenings.
Rz. Chuanxiong	Chuan Xiong	6-9g	Invigorates the Blood and promotes the movement of Qi. With Dang Gui, harmonizes, nourishes and invigorates the Blood and disperses Blood Stasis.
Rx. Glycyrrhizae	Gan Cao	3-6g	Clears Heat, relieves Fire toxicity and moderates and harmonizes the harsh properties of other herbs.

Formula Actions

• Clears Damp-Heat from the Uterus
• Activates the Blood

Syndromes

• Lingering Damp-Heat and Blood Stagnation in the Uterus

Clinical Manifestations

Chronic or recurrent lower abdominal pain and distention Low grade fever or Afternoon fever Lumbar soreness and pain worse with menstruation and fatigue Sacral soreness and pain worse with menstruation and fatigue Prolonged menstrual cycle

Heavy periods Yellowish, malodorous vaginal discharge Dry mouth with no desire to drink Constipation or Diarrhea Scanty, dark urine T: Red C: Greasy, yellow P: Wiry and rapid or Soft and rapid

Treats

Abdominal pain Lower abdominal pain Puerperal fever

Uterine pain Vaginal discharge

Contraindications And Herb/Drug Interactions

Notes

Modifications

For severe pain:		For postpartum alternating chills and fever:
+ 12g Rz. Corydalis	Yan Hu Suo	+ Rx. Scutellariae	Huang Qin
+ 6g Olibanum	Ru Xiang	+ Rx. Bupleuri	Chai Hu
+ 6g Myrrh	Mo Yao