Xi Xin Tang - 洗心汤 - Cleanse The Heart Decoction

English:	Cleanse the Heart Decoction
Also Known As:

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Rx. Ginseng	Ren Shen	12g	Tonifies Spleen, Stomach and Heart Qi and calms the Spirit. With Shi Chang Pu and Fu Shen, for confusion and forgetfulness.
Sm. Zizyphi Spinosae	Suan Zao Ren	12g	Nourishes Heart Yin, tonifies Liver Blood and calms the Spirit.
Poria Pararadicis	Fu Shen	12g	Calms the Spirit, Harmonizes the Middle Jiao, Quiets the Heart, Soothes the nerve, Strengthens the Spleen.
Rz. Pinelliae Preparatum	Zhi Ban Xia	9g	Descends Rebellious Qi and harmonizes the Stomach, Dries Dampness, Transforms Phlegm.
Rz. Acori Tatarinowii	Shi Chang Pu	9g	Opens the Orifices, vaporizes Phlegm, removes filth, calms the Spirit, transforms turbid Dampness, harmonizes the Middle Jiao, awakens the Spleen and promotes the movement of Qi.
Per Citri Reticulatae	Chen Pi	6g	Regulates Qi, adjusts the Middle, descends Qi, relieves the diaphragm, dries Dampness and transforms Phlegm. With Zhi Ban Xia, for a stifling sensation in the chest and cough with excessive white, viscous sputum due to Phlegm-Damp Obstruction.
Massa Medicata Fermentata	Shen Qu	6g	Moves Qi and harmonizes the Stomach, Promotes digestion, Reduces Food Stagnation.
Rx. Glycyrrhizae	Gan Cao	6g	Tonifies the Spleen, augments Qi, resolves Phlegm, moderates and harmonizes the harsh properties of other herbs and guides the herbs to all twelve channels.
Rx. Aconiti Lateral;is Preparata	Zhi Fu Zi	3g	Warms Ming Men Fire and assists Heart, Kidney and Spleen Yang.

Formula Actions

• Strengthens the Spleen
• Clears Phlegm
• Arouses the brain
• Opens the Orifices

Syndromes

• Phlegm-Damp Mists the Heart Orifices

Clinical Manifestations

Mental confusion Heavy headedness A yellow, stagnant facial complexion Superficial edema Fatigue Lack of strength Hypersomnia Sound of phlegm in throat with gurgling Alternating sorrow and joy for no reason Lack of discrimination between good and bad

Scanty or confused speech No care for appearance Profuse Phlegm-drool from the mouth Ductal oppression Abdominal distention Severe: Lack of sensitivity Inability to manage ones activities T: Pale and fat C: White and greasy P: Soggy and slippery

Treats

Alzheimer's disease

Contraindications And Herb/Drug Interactions

Notes

Modifications

For profuse Phlegm-drool:		For abdominal distention and anorexia:
+ 9g Bul. Fritillariae Thunbergii	Zhe Bei Mu	- Rx. Ginseng	Ren Shen
- Sm. Zizyphi Spinosae	Suan Zao Ren
+ 9g Rx. Polygalae	Yuan Zhi	+9g Hb. Agastaches/ Pogostemonis	Huo Xiang
+ 9g Arisaema cum Bile	Dan Nan Xing
+ 9g Hb. Eupatorii	Pei Lan
+ 9g Cx. Magnoliae Officinalis	Hou Po
+ 9g Sm. Raphani	Lai Fu Zi
+ 9g Fr. Aurantii	Zhi Ke
+ 9g Rx. Aucklandiae	Mu Xiang