QING YI TANG - 淸胰 汤 - CLEAR THE PANCREAS DECOCTION

English:	Clear the Pancreas Decoction
Also Known As:

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Rx. Bupleuri	Chai Hu	15g	Spreads Liver Qi and relieves Stagnation. With Huang Qin, for Heat in the Shao Yang. With Bao Shao, for vertigo, dizziness and thoracic and costal pain due to Liver Qi Stagnation.
Rx. Scutellariae	Huang Qin	9g	Clears Heat, Drains Fire, calms ascending Liver Yang and detoxifies. With Da Huang, for constipation.
Rz. Picrorhizae	Hu Huang Lian	9g	Clears Deficiency Heat.
Rx. Paeoniae Alba	Bai Shao	15g	Nourishes the Blood, astringes Yin, adjusts the Ying and Wei, calms Liver Yang and Liver Wind and alleviates pain. With Chai Hu, for flank pain due to Liver Qi Stagnation. With Huang Qin, for dysenteric disorders with abdominal pain due to Heat entering the Interior.
Rz. Corydalis	Yan Hu Suo	9g	Activates the Blood, circulates Qi and stops pain.
Rx. et Rz. Rhei	Da Huang	15g	Drains Heat, purges accumulations, transforms Dampness, promotes urination, activates the Blood and dispels Blood Stasis.
Rx. Aucklandiae	Mu Xiang	9g	Promotes the movement of Qi, alleviates pain, adjusts and regulates stagnant Qi in the Intestines, strengthens the Spleen and prevents Stagnation and harmonizes the Liver and Spleen. With Bai Shao, for diarrhea with profuse pus and Blood.
Natrii Sulfas	Mang Xiao	9g	Purges accumulations, guides out Stagnation, softens hardness, moistens Dryness, clears Heat and drains Fire. With Da Huang, for constipation due to Heat in the Stomach and Intestines.

Formula Actions

• Clears and drains Excess Heat
• Spreads Liver Qi
• Promotes the movement of Qi
• Alleviates pain

Syndromes

• Liver Qi Stagnation with Heat

Clinical Manifestations

Stabbing, diffuse pain in the epigastrium that extends to the back Anorexia Alternating chills and fever Abdominal pain

Constipation T: Normal or Darkish C: Yellow or Greasy and yellow P: Wiry and rapid

Treats

Acute pancreatitis

Chronic pancreatitis

Contraindications And Herb/Drug Interactions

Notes

Modifications

For severe Dampness with jaundice:		For severe vomiting:
+ Hb. Artemisiae Scopariae	Yin Chen Hao	+ Rz. Pinelliae Preparatum	Zhi Ban Xia
+ Fr. Gardeniae	Zhi Zi	+ Haematitum	Dai Zhe Shi
+ Rx. Gentianae	Long Dan Cao	For severe pain:
For Food Accumulation:		+ Fr. Toosendan	Chuan Lian Zi
+ Sm. Raphani	Lai Fu Zi	+ More Rz. Corydalis	Yan Hu Suo
+ Massa Medicata Fermentata	Shen Qu	For fullness in the chest:
		+ Cx. Magnoliae Officinalis	Hou Po
+ Fr. Hordei Germinatus	Mai Ya
+ Fr. Crataegi	Shan Zha	+ Fr. Aurantii Immaturus	Zhi Shi
For back pain:		For tapeworms in the bile duct:
+ Fr. Trichosanthis	Gua Lou	+ Sm. Arecae	Bing Lang
+ Bul. Allii Macrostemi	Xie Bai	+ Fr. Quisqualis	Shi Jun Zi
+ Rx. Saposhnikoviae	Fang Feng	+ Cx. Meliae	Ku Lian Pi
+ Rx. Gentianae Macrophyllae	Qin Jiao	For patients with a deficient constitution and Interior Cold:
For acute or chronic pancreatitis due to Liver Qi Stagnation that has transformed into Heat with Food Stagnation:		- Rx. et Rz. Rhei	Da Huang
		- Natrii Sulfas	Mang Xiao
		+ Rx. Aconiti Lateralis Preparata	Zhi Fu Zi
- Rx. et Rz Rhei	Da Huang
- Natrii Sulfas	Mang Xiao
+ 15g Fr. Crataegi	Shan Zha	+ Rz. Zingiberis	Gan Jiang
+ 12g Massa Medicata Fermentata	Shen Qu	For acute or chronic pancreatitis due to Liver Qi Stagnation that has transformed into Heat with Food Stagnation with constipation:
+ 6g Cx. Magnoliae Officinalis	Hou Po
		+ 15g Fr. Crataegi	Shan Zha
		+ 12g Massa Medicata Fermentata	Shen Qu
		+ 6g Cx. Magnoliae Officinalis	Hou Po