San Jin Tang - 三金湯 - Three Gold Decoction

English:	Three Gold Decoction
Also Known As:

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Hb. Desmodii Styracifolii	Guang Jin Qian Cao	30-60g	Clears Heat, Expels stones, Promotes urination, Unblocks painful urinary dysfunction.
(Hb. Lysimachiae)	(Jin Qian Cao)	(30-60g)	(Promotes urination, unblocks painful urinary dysfunction and expels stones from the urinary tract. - May substitute for Guang Jin Qian Cao.)
Sm. Abutili/Malvae	Dong Kui Zi	10-15g	Promotes urination and unblocks painful urinary dysfunction.
Hb. Lygodii	Jin Sha Teng	20-30g	Clears Toxic Heat, promotes urination and treats urodynia, dysuria and lumbar sprain.
(Spora Lygodii)	(Hai Jin Sha)	(20-30g)	(Clears Heat, promotes urination, unblocks painful urinary dysfunction and expels stones. - May substitute for Jin Sha Teng.)
Fol. Pyrrosiae	Shi Wei	6-9g	Clears Damp-Heat, unblocks painful urinary dysfunction and clears stones. With Guang Jin Qian Cao and Dong Kui Zi, for Stone Lin.
Hb. Dianthi	Qu Mai	10-15g	Drains Damp-Heat from the Urinary Bladder, promotes urination and unblocks painful urinary dysfunction. With Hai Jin Sha, Jin Qian Cao and Ji Nei Jin, for Stone Lin.
Endothelium Corneum Gigeriae Galli	Ji Nei Jin	6-9g	Transforms hardness and dissolves stones. With Guang Jin Qian Cao, for urinary or biliary calculi.

Formula Actions

• Promotes urination
• Expels stones
• Eliminates Heat and Dampness
• Circulates Qi

Syndromes

• Damp-Heat in the Urinary Bladder

Clinical Manifestations

Urinary frequency Urinary urgency Painful urination or Continuous dripping of urine or Sudden interruption to the urinary stream Sand and stones in the urine Oliguria Anuria Nausea Vomiting Fever Turbid urine or Bladder: Hematuria Obstruction of the flow Kidney: Slightly bloody urine Enlarged Kidney

Ureter: Slightly bloody urine Urethra: Pain in the penis In Damp-Heat Pouring Downward there may also be: Fever Thirst Dry mouth Low back pain In Damp-Heat Crystallizes in Urinary Bladder there may also be: Colicky pain in the low back, possibly radiating to the groin T: Red or Normal C: Yellow or Yellow and sticky P: Slippery and rapid or Deep and wiry or Rolling

Treats

Urolithiasis Anuria Jaundice Urinary tract infection Dysuria

Oliguria Hematuria Low back pain Gout

Contraindications And Herb/Drug Interactions

Notes

Modifications

For severe pain:		For hematuria:
+ Pollen Typhae	Pu Huang	+ Flos Sophorae	Huai Hua Mi
+ Faeces Trogopterori	Wu Ling Zhi	+ Nodus Nelumbinis Rhizomatis	Ou Jie
For jaundice with more Heat than Dampness and gallstones:
+ 30g Hb. Patriniae	Bai Jiang Cao	+ Hb. Agrimoniae	Xian He Cao
+ 30g Fr. Forsythiae	Lian Qiao	+ Hb. Cirsii	Xiao Ji
+ 15g Sm. Plantaginis	Che Qian Zi
+ 6g Rx. Glycyrrhizae	Gan Cao
+ Artemisiae Yinchenhao Decoction Yin Chen Hao Tang