Wan Dai Tang - 完帶湯 - End Discharge Decoction

English:	End Discharge Decoction
Also Known As:	Decoction to Treat Leukorrhagia Decoction for Morbid Leukorrhea

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Earth-Fried Rz. Atractylodis Macrocephalae	Tu Chao Bai Zhu	20-30g	Tonifies the Spleen, augments Qi, dries Dampness, promotes water metabolism and calms the fetus. With Che Qian Zi, for diarrhea due to Dampness. With Cang Zhu, for vaginal discharge. With Shan Yao, Che Qian Zi and Can Zhu, for clear, watery vaginal discharge due to Spleen and Stomach Deficiencies with Dampness.
Dry-Fried Rz. Dioscoreae	Chao Shan Yao	20-30g	Tonifies the Spleen, nourishes Stomach Yin, stops diarrhea, tonifies Kidney Yin and astringes Jing. With Chai Hu and Bai Shao, for vaginal discharge due to Spleen Deficiency and Liver Qi Stagnation. With Ren Shen and Bai Zhu, for Decreased appetite and lack of energy due to Spleen Deficiency. With Bai Zhu, Cang Zhu, Bai Shao and Chai Hu, for Leukorrhea due to Spleen Qi Deficiency with Liver Qi Stagnation.
Rx. Ginseng	Ren Shen	6-9g	Powerfully tonifies Qi. With Bai Zhu, tonifies the transformation and transportation functions of the Spleen.
(Rx. Codonopsis)	(Dang Shen)	(15g)	(May substitute for Ren Shen.)
Prepared Rz. Atractylodis	Zhi Cang Zhu	6-9g	Strongly dries Dampness, tonifies the Spleen and clears Dampness from the Lower Jiao.
Per. Citri Reticulatae	Chen Pi	1.5-3g	Regulates Qi, adjusts the Middle, relieves the diaphragm, dries Dampness, transforms Phlegm and helps prevent Stagnation from tonic herbs. With Bai Zhu, for anorexia and other symptoms of Damp-Obstruction due to Spleen Deficiency.
Wine-Fried Sm. Plantaginis	Jiu Chao Che Qian Zi	6-10g	Promotes urination, clears Damp-Heat and clears Liver Heat. With Cang Zhu, for Damp-Heat vaginal discharge with Spleen Deficiency.
Wine-Fried Rx. Paeoniae Alba	Jiu Chao Bai Shao	12-15g	Nourishes the Blood, regulates menstruation, calms Liver Yang and softens the Liver. With Gan Cao, for abdominal pain due to disharmony between the Liver and Stomach. With Chai Hu, for flank pain due to Liver Qi Stagnation.
Rx. Bupleuri	Chai Hu	1.8-3g	Spreads Liver Qi, relieves Stagnation and raises Yang Qi. With Bai Shao, for Liver Blood Deficiency with Liver Qi Stagnation and vertigo, dizziness, thoracic and costal pain, and menstrual irregularity due to Liver Qi Stagnation. With Gan Cao, for hepatitis and upper right quadrant pain.
Charred Sp. Schizonepetae	Jing Jie Sui Tan	1.5-3g	Stops bleeding.
Rx. Glycyrrhizae	Gan Cao	2-3g	Tonifies the Spleen, augments Qi and moderates and harmonizes the harsh properties of other herbs. With Bai Shao, moderates spasms and alleviates pain, for painful spasms of the leg or abdomen.

Formula Actions

• Tonifies the Spleen
• Tonifies the Middle Jiao
• Disperses Liver Qi Stagnation
• Transforms Dampness
• Stops vaginal discharge

Syndromes

• Spleen Deficiency and Liver Qi Stagnation with Dampness and turbidity in the Lower Jiao
• Dai channel dysfunction
• Leukorrhea due to Dai/Spleen deficiency with Damp & Qi stagnation (Secondary source)

Clinical Manifestations

Profuse vaginal discharge that is white or pale-yellow The discharge is thin in consistency, not foul smelling and usually continuous Fatigue Lethargy

A shiny, pale complexion Loose stools Diarrhea T: Pale C: White P: Soggy and frail or Moderate or Slow or Soft and floating

Treats

Leukorrhea Otitis media Tinnitus Impotence Subdural hematoma Rhinitis Pre-eclampsia Vaginitis Edema during pregnancy Irritable bowel syndrome Vaginal fungus Vulvitis Fatigue Vaginitis

Chronic gastritis Hepatitis Colitis Chronic bacillary dysentery Chronic pyelonephritis Nephritis with proteinuria Cervicitis Cervical polyps Infertility Chronic glomerulonephritis Streptococci Hemophilus vaginitis Diarrhea

Contraindications And Herb/Drug Interactions

Notes

• Composition: Bai Zhu 30g, Shan Yao 30g, Ren Shen 6g, Cang Zhu 9g, Che Qian Zi 9g, Bai Shao 15g, Chen Pi 1.5g, Chai Hu 1.8g, Jing Jie Sui 1.5g, Gan Cao 3g (Secondary source)
• Also used for edema during menstruation or pregnancy.
• Compared with Yi Huang San (Yi Huang Tang): both stop vaginal discharge. Wan Dai Tang treats Spleen Deficiency with Dampness and Qi Stagnation (white, non-fetid discharge); Yi Huang treats Spleen Deficiency with Damp-Heat (yellow, fetid discharge).

Modifications

For a stronger effect:		For chronic problems with very thin discharge:
+ Calcined Fossilia Ossis Mastodi	Duan Long Gu	+ Cornu Cervi Degelatinatum	Lu Jiao Shuang
+ Calcined Concha Ostreae	Duan Mu Li	+ Rx. Morindae Officinalis	Ba Ji Tian
For soreness of the lower back:		For lower abdominal and hypochondriac pain:
+ Hb. Taxilli	Sang Ji Sheng	+ Rz. Corydalis	Yan Hu Suo
+ Cx. Eucommiae	Du Zhong	+ Rz. Cyperi	Xiang Fu
+ Rz. Cibotii	Gou Ji	For pain and a feeling of Cold in the lower abdomen:
Or		+ Rx. Linderae	Wu Yao
+ Cx. Eucommiae	Du Zhong	+ Fr. Foeniculi	Xiao Hui Xiang
+ Sm. Cuscutae	Tu Si Zi	+ Rz. Zingiberis Preparata	Pao Jiang
+ Rx. Dipsaci	Xu Duan	For vaginal discharge secondary to chronic illness and Deficiency:
For yellow vaginal discharge characterized by Heat:		+ Fossilia Ossis Mastodi	Long Gu
+ Cx. Phellodendri	Huang Bai	+ Concha Ostreae	Mu Li
+ Rx. Gentianae	Long Dan Cao	For Spleen Deficiency:
Or		+ Rx. Astragali	Huang Qi
+ Coptis Decoction to Relieve Toxicity Huang Lian Jie Du Tang		+ Sm. Lablab Album	Bai Bian Dou
For vaginal discharge characterized by Cold:		For abdominal pain:
+ Regulate the Middle Decoction Li Zhong Tang		+ Fol. Artemisiae Argyi	Ai Ye
For prolonged Deficiency and Cold:		+ Rz. Cyperi	Xiang Fu
+ Cornu Cervi Degelatinatum	Lu Jiao Shuang	+ Rx. Linderae	Wu Yao
+ Cx. Cinnamomi	Rou Gui	For prolonged leukorrhagia with damage to the Kidneys:
+ Rx. Morindae Officinalis	Ba Ji Tian
+ Endoconcha Sepiae	Hai Piao Xiao	+ Fr. Corni	Shan Zhu Yu
For Blood Deficiency:		For Spleen and Kidney Deficiency:
+ Rx. Rehmanniae Preparata	Shu Di Huang	+ Sm. Cuscutae	Tu Si Zi
+ Rx. Morindae Officinalis	Ba Ji Tian
+ Rx. Angelicae Sinensis	Dang Gui
For lower abdominal pain:		For lower abdominal pain, Cold and Dampness:
+ Rx. Linderae	Wu Yao	+ Rz. Zingiberis Preparatum	Pao Jiang
+ Fr. Foeniculi	Xiao Hui Xiang	+ Fr. Foeniculi	Xiao Hui Xiang
For lower abdominal pain with a sore low back and knees:		For lower abdominal pain with low back pain:
+ Sm. Cuscutae	Tu Si Zi
+ Cx. Eucommiae	Du Zhong	+ Cx. Eucommiae	Du Zhong
+ Rx. Dipsaci	Xu Duan	For lower abdominal pain with a low libido:
For leukorrhea:		+ Rejuvenation Special Pill Huan Shao Dan
- Rx. Ginseng	Ren Shen
+ 10g Rx Pseudostellariae	Tai Zi Shen	For vaginitis with genital itching:
+ Fr. Kochiae	Di Fu Zi
+ 12g Sm. Euryales	Qian Shi	+ Cx. Dictamni	Bai Xian Pi
+ 12g Sm. Ginkgo	Bai Guo	For vaginitis with a burning sensation and pain:
Or		+ Caulis Akebiae	Mu Tong
- Rx. Paeoniae Alba	Bai Shao	+ Fr. Gardeniae	Zhi Zi
For a stronger effect:		+ Rz. Anemarrhenae	Zhi Mu
- Rx. Paeoniae Alba	Bai Shao	For vaginitis with low back pain:
+ Poria	Fu Ling	+ Rx. Dipsaci	Xu Duan
+ Sm. Euryales	Qian Shi	+ Cx. Eucommiae	Du Zhong
For vaginitis with frequent painful urination:		For colitis with hematochezia:
+ Talcum	Hua Shi	+ Rz. Coptidis	Huang Lian
+ Hb. Dianthi	Qu Mai	+ Rx. Sanguisorbae	Di Yu
For vaginitis with a yellow discharge:		+ Flos Sophorae	Huai Hua
+ Hb. Houttuyniae	Yu Xing Cao	For colitis with rectal tenesmus:
+ Cx. Phellodendri	Huang Bai	+ Rx. Aucklandiae	Mu Xiang
For vaginitis with low back pain:		For colitis with anorexia:
+ Fr. Psoraliae	Bu Gu Zhi	+ Massa Medicata Fermentata	Shen Qu
+ Fr. Schisandrae	Wu Wei Zi
+ Sm. Myristicae	Rou Dou Kou	+ Endothelium Corneum Gigeriae Galli	Ji Nei Jin
+ Fr. Evodiae	Wu Zhu Yu
For colitis with abdominal distention:		For irritable bowel syndrome with more Damp-Heat:
+ Cx. Magnoliae Officinalis	Hou Po
+ Rz. Atractylodis	Cang Zhu
+ Fr. Aurantii	Zhi Ke	+ Hb. Taraxaci	Pu Gong Ying
For colitis with chronic diarrhea:		For irritable bowel syndrome with abdominal distention:
+ Sm. Myristicae	Rou Dou Kou
+ Per. Granati	Shi Liu Pi	+ Rx. Aucklandiae	Mu Xiang
For irritable bowel syndrome with more Deficiency and Cold:		+ Fr. Trichosanthis	Gua Lou
For irritable bowel syndrome with constipation:
+ Fr. Evodiae	Wu Zhu Yu	+ Rx. et Rz. Rhei	Da Huang
+ Sm. Myristicae	Rou Dou Kou	For irritable bowel syndrome with chronic illness:
For irritable bowel syndrome with frequent diarrhea:		+ Fr. Alpiniae Oxyphyllae	Yi Zhi Ren
+ Fr. Psoraliae	Bu Gu Zhi
+ Rz. Cimicifugae	Sheng Ma	For cervicitis or cervical polyps which lasts a long time with thick sputum and leukorrhea:
+ Rx. Angelicae Dahuricae	Bai Zhi	+ Fr. Rosae Laevigatae	Jin Ying Zi
+ Stamen Nelumbinis	Lian Xu
For irritable bowel syndrome with a feeling of incomplete evacuation after defecation:		+ Endoconcha Sepiae	Hai Piao Xiao
+ Rx. Aucklandiae	Mu Xiang	+ Fossilia Ossis Mastodi	Long Gu
+ Sm. Arecae	Bing Lang	+ Concha Ostreae	Mu Li
For cervicitis or cervical polyps with severe Dampness, a headache, a fat tongue with a thick coat and a slippery pulse:
+ Rz. Pinelliae Preparatum	Zhi Ban Xia
+ Sm. Sinapis	Bai Jie Zi