Ti Gang Tang - 提肛汤 - Lift The Anus Decoction

English:	Lift the Anus Decoction
Also Known As:

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Rx. Astragali	Huang Qi	18g	Tonifies Qi and Blood, strengthens the Spleen, raises the Yang Qi of the Spleen and Stomach, promotes the discharge of pus, generates flesh and expels toxins. With Bai Zhu, for Spleen Qi Deficiency with weakness, lassitude and loose stools. With Sheng Ma, raises the Yang Qi of the Spleen, allowing turbid Yin to descend and be eliminated, treating chronic diarrhea, a dragging sensation in the abdomen, fatigue, shortness of breath, uterine bleeding and prolapses. With Bai Zhu and Sheng Ma, for Spleen Qi Sinking with rectal and/or uterine prolapse or excessive uterine bleeding.
Rz. Cimicifugae	Sheng Ma	15g	Raises Yang and lifts sunken Qi. With Bai Zhu, for Dai channel spasms manifested as dragging sensations in the lower body, usually accompanied by vaginal discharge.
Rx. Codonopsis	Dang Shen	12g	Tonifies the Middle Jiao,augments Qi and nourishes the Blood. With Huang Qi, for Qi Deficiency with general debility, anorexia, fatigue, tired extremities and spontaneous sweating. With Bai Zhu, for Spleen Qi Deficiency with anorexia, loose stools and vomiting.
Rz. Atractylodis Macrocephalae	Bai Zhu	9g	Tonifies the Spleen, augments Qi, dries Dampness and promotes water metabolism.
Rx. Angelicae Sinensis	Dang Gui	9g	Tonifies, activates and harmonizes the Blood, moistens the Intestines, unblocks the bowels, reduces swelling, expels pus, generates flesh and alleviates pain. With Huang Qi, for Qi and Blood Deficiency with chronic non-healing sores, numbness, painful obstruction and paresthesia. With Bai Shao, regulates and harmonizes Qi and Blood. With Chuan Xiong, harmonizes, nourishes and activates the Blood and disperses Blood Stasis.
Rx. Paeoniae Alba	Bai Shao	9g	Nourishes the Blood and regulates menstruation.
Flos Sophorae Immaturus	Huai Hua Mi	9g	Cools the Blood and stops bleeding. With Di Yu, for hot, bleeding hemorrhoids or other Intestinal bleeding.
Rx. Sanguisorbae	Di Yu	9g	Cools the Blood and stops bleeding.
Rz. Chuanxiong	Chuan Xiong	3g	Activates the Blood and promotes the movement of Qi. With Dang Gui, for Blood Deficiency causing menstrual problems including dysmenorrhea, scanty menses and amenorrhea.

Formula Actions

• Tonifies Middle Jiao Qi
• Benefits Qi
• Raises Sunken Yang
• Lifts prolapsed anus
• Nourishes the Blood

Syndromes

• Central Qi Sinking with Qi and Blood Deficiency

Clinical Manifestations

Protruding hemorrhoids when defecating or when walking, coughing, sneezing or standing for a long time Non-returning hemorrhoids unless assisted manually or by lying down Discharge of pale-colored Blood Forceless defecation Frequent defecation or Enduring diarrhea Fatigue Lassitude Prolapse of one or more organs Sallow complexion Anorexia Abdominal and epigastric distention after eating

Four limbs feel tired and heavy Maybe acid regurgitation or vomiting Loose stools Shortness of breath Dizziness Palpitations Insomnia Dry skin Dry hair Poor memory Paleness Scanty periods T: Pale and flabby - may have teethmarks C: Thin, white and dry P: Even or Soft and thready or Thready and rapid or Weak

Treats

Hemorrhoids

Anal prolapse

Contraindications And Herb/Drug Interactions

Notes

Modifications

For profuse, white vaginal discharge:		For accompanying Spleen Yang Deficiency:
+ 9g Sm. Nelumbinis	Lian Zi	+ 6g Rz. Zingiberis	Gan Jiang
+ 9g Sm. Euryales	Qian Shi	+ 3g Rx. Aconiti Lateralis Preparata	Zhi Fu Zi