Xiao Xian Xiong Tang - 小陷胸湯 - Minor Decoction (For Pathogens) Stuck In The Chest

English:	Minor Decoction (for Pathogens) Stuck in the Chest
Also Known As:	Minor Sinking into the Chest Decoction Minor Trichosanthis Combination

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Fr. Trichosanthis	Gua Lou	20-30g	Clears Lung Heat, Dissipates nodules, Eliminates pus, Reduces abscesses, Regulates Qi (unbinds the chest), Transforms Hot Phlegm. With Huang Lian and Jiang Ban Xia, for Phlegm-Heat accumulating in the chest and epigastrium that is painful when pressed with coughing of thick, yellow sputum (Xiong Bi due to Phlegm and Heat Accumulation Beneath the Heart).
Rz. Coptidis	Huang Lian	3-6g	Clears Heat, Drains Dampness, Drains Fire, Resolves Fire toxicity.
Ginger-fried Rz. Pinelliae Preparatum	Jiang Ban Xia	9-12g	Descends Qi and alleviates nausea, Dries Dampness, Transforms Phlegm.

Formula Actions

• Clears Heat
• Transforms Phlegm
• Expands the chest
• Dissipates Stagnation

Syndromes

• Phlegm and Heat Accumulation Beneath the Heart
• Phlegm-Heat Stagnation in the chest
• Clumping in the chest due to Phlegm and Heat in the epigastrium (Secondary source)

Clinical Manifestations

Focal distention in the chest and epigastrium with or without nodules which is painful when pressed Coughing up yellow, viscous sputum Constipation

A bitter taste in the mouth T: Normal C: Yellow and greasy P: Slippery and floating or Slippery and rapid

Treats

Hepatitis Cholecystitis Acute pancreatitis Biliary reflux gastritis Erosive gastritis Peptic ulcer Biliary ascariasis Pyloric obstruction Upper respiratory tract infection Pleurisy Reflux esophagitis Pulmonary Heart disease Cough Exudative pleurisy Dyspepsia Acid reflux Blepharitis Acne Acute pericarditis Costochondritis Chronic pancreatitis Congestive Heart failure Indigestion

Pleurisy with effusion Pneumonia Acute bronchitis Asthma Bronchiectasis Spontaneous pneumothorax Cerebrovascular disease Psychosis Insomnia Gastritis Acid reflux Silicosis Pulmonary tuberculosis Cholelithiasis Intercostal neuralgia Coronary Heart disease COPD Hiatus hernia Psychogenic chest pain Smoke inhalation Dysphagia Acute infectious gastroenteritis Constipation

Contraindications And Herb/Drug Interactions

Notes

Modifications

For vomiting:		For very gummy sputum that cannot be expectorated:
+ Caul. Bambusae in Taeniam	Zhu Ru	+ Bul. Fritillariae Cirrhosae	Chuan Bei Mu
+ Rz. Zingiberis Recens	Sheng JIang	+ Arisaema cum Bile	Dan Nan Xing
For severe distention and pain:		For indeterminate gnawing hunger:
+ Rx. Curcumae	Yu Jin	+ Fr. Aurantii Immaturus	Zhi Shi
+ Fr. Aurantii Immaturus	Zhi Shi	+ Fr. Gardeniae	Zhi Zi
For severe cough and a high fever with or without wheezing:		For myocardial infarction:
+ Ephedra, Apricot Kernel, Gypsum and Licorice Decoction Ma Xing Shi Gan Tang		+ Sm. Persicae	Tao Ren
For hepatitis:		+ Faeces Trogopterori	Wu Ling Zhi
+ Virgate Wormwood Decoction Yin Chen Hao Tang		+ Pollen Typhae	Pu Huang
Or		For intercostal or hypochondriac pain:
+ Major Bupleurum Decoction Da Chai Hu Tang		+ Rx. Curcumae	Yu Jin
For Phlegm-Fire:		+ Rx. Bupleuri	Chai Hu
+ Rx. Glycyrrhizae	Gan Cao	For alternating chills and fever:
+ Rz. Zingiberis Recens	Sheng JIang	+ Rx. Bupleuri	Chai Hu
For intermittent fever and hypochondriac pain:		+ Rx. Scutellariae	Huang Qin
+ Bupleurum Decoction for Sinking Into the Chest Chai Hu Xian Xiong Tang		For coronary Heart disease due to Food Stagnation:
For acne:		+ Salvia Drink Dan Shen Yin modified
+ Six Gentlemen Decoction Liu Jun Zi Tang
- Rz. Coptidis	Huang Lian
+ Rx. Scutellariae	Huang Qin	For coronary Heart disease due to Food Stagnation with abdominal distention and constipation:
For coronary Heart disease due to Food Stagnation with epigastric stuffiness and anorexia:
+ Salvia Drink Dan Shen Yin modified
+ Salvia Drink Dan Shen Yin modified
- Rz. Coptidis	Huang Lian
- Rz. Coptidis	Huang Lian	+Cx. Magnoliae Officinalis	Hou Po
+ Fr. Crataegi	Shan Zha
+ Fr. Hordei Germinatus	Mai Ya	+ Sm. Raphani	Lai Fu Zi
+ Stir-fried Sm. Raphani	Lai Fu Zi	For coronary Heart disease due to Food Stagnation with stabbing pain in the chest:
For bronchitis:
+ Ephedra, Apricot Kernel, Licorice and Gypsum Decoction Ma Xing Shi Gan Tang		+ Salvia Drink Dan Shen Yin modified
For silicosis:		- Rz. Coptidis	Huang Lian
+ Trichosanthis Fruit, Chinese Chive and Pinellia Decoction Gua Lou Xie Bai Ban Xia Tang		+ Rz. Cyperi	Xiang Fu
+ Stir-fried Eupolyphaga	Tu Bie Chong
For pulmonary Heart disease:		+ Rz. Curcumae	E Zhu
+ Fr. Aurantii	Zhi Shi	+ C Endothelium Corneum Gigeriae Galli	Ji Nei Jin
+ Rz. Alismatis	Ze Xie
+ Rx. Glycyrrhizae Preparata	Zhi Gan Cao	+ Rx. Notoginseng	San Qi
For pulmonary Heart disease with constipation:
For pulmonary Heart disease with burning, yellow urination:		+ Fr. Aurantii	Zhi Shi
+ Rz. Alismatis	Ze Xie
+ Fr. Aurantii	Zhi Shi	+ Rx. Glycyrrhizae Preparata	Zhi Gan Cao
+ Rz. Alismatis	Ze Xie
+ Rx. Glycyrrhizae Preparata	Zhi Gan Cao	+ Rx. et Rz. Rhei	Da Huang
For erosive gastritis:
+ Talcum	Hua Shi	+ Endoconcha Sepiae	Hai Piao Xiao
For erosive gastritis with hematochezia:		+ Hb. Agrimoniae	Xian He Cao
+ Endoconcha Sepiae	Hai Piao Xiao	For erosive gastritis with hematemesis:
+ Hb. Agrimoniae	Xian He Cao	+ Endoconcha Sepiae	Hai Piao Xiao
+ Rx. Sanguisorbae	Di Yu	+ Hb. Agrimoniae	Xian He Cao
For erosive gastritis with acid reflux:		+ Haematitum	Dai Zhe Shi
+ Endoconcha Sepiae	Hai Piao Xiao	For erosive gastritis with severe pain:
+ Hb. Agrimoniae	Xian He Cao	+ Endoconcha Sepiae	Hai Piao Xiao
+ Calcined Concha Ostreae	Duan Mu Li	+ Hb. Agrimoniae	Xian He Cao
+ Rx. Aristolochiae	Qing Mu Xiang
For erosive gastritis with superficial ulceration:		+ Rx. Paeoniae Alba	Bai Shao
+ Endoconcha Sepiae	Hai Piao Xiao	+ Rz. Corydalis	Yan Hu Suo
+ Hb. Agrimoniae	Xian He Cao	For reflux esophagitis:
+ Hb. Taraxaci	Pu Gong Ying	+ Minor Bupleurum Decoction Xiao Chai Hu Tang
+ Hb. Houttuyniae	Yu Xing Cao
For reflux esophagitis with chest and epigastric fullness and distention:		For reflux esophagitis with acid reflux:
+ Minor Bupleurum Decoction Xiao Chai Hu Tang
+ Minor Bupleurum Decoction Xiao Chai Hu Tang
+ Endoconcha Sepiae	Hai Piao Xiao
+ Fr. Aurantii	Zhi Ke	+ Calcined Concha Arcae	Duan Wa Leng Zi
+ Lignum Aquilariae	Tan Xiang
+ Cx. Magnoliae Officinalis	Hou Po	For reflux esophagitis with nausea and vomiting:
+ Minor Bupleurum Decoction Xiao Chai Hu Tang
For reflux esophagitis with difficulty swallowing:
+ Dry-fried Rx. Paeoniae Alba	Chao Bai Shao
+ Minor Bupleurum Decoction Xiao Chai Hu Tang
+ Fr. Amomi	Sha Ren
+ Rx. Platycodi	Jie Geng	For reflux esophagitis with dry mouth and throat and constipation:
+ Haematitum	Dai Zhe Shi
For coronary Heart disease due to Phlegm-Fire Disturbing the Heart:		+ Minor Bupleurum Decoction Xiao Chai Hu Tang
+ Vaporize Phlegm Pill Gun Tan Wan
+ Rx. Ophiopogonis	Mai Men Dong
+ Rx. Salviae Miltiorrhizae	Dan Shen	+ Rx. Glehniae/ Adenophorae	Sha Shen
+ Rx. Curcumae	Yu Jin	+ Hb. Dendrobii	Shi Hu
+ Caulis Bambusae in Taeniam	Zhu Ru	For coronary Heart disease due to Phlegm-Fire Disturbing the Heart with severe pain:
+ Vaporize Phlegm Pill Gun Tan Wan
For coronary Heart disease due to Phlegm-Fire Disturbing the Heart with mental confusion:
+ Vaporize Phlegm Pill Gun Tan Wan
+ Rx. Salviae Miltiorrhizae	Dan Shen
+ Rx. Salviae Miltiorrhizae	Dan Shen	+ Rx. Curcumae	Yu Jin
+ Rx. Curcumae	Yu Jin	+ Caulis Bambusae in Taeniam	Zhu Ru
+ Caulis Bambusae in Taeniam	Zhu Ru
+ 9g Arisaema cum Bile	Dan Nan Xing
+ 6g Rx. Polygalae	Yuan Zhi	+ 9g Bul. Fritillariae Thunbergii	Zhe Bei Mu
+ 6g Rz. Acori Tatarinowii	Shi Chang Pu
+ 12g Fr. Aurantii Immaturus	Zhi Shi
For coronary Heart disease due to Phlegm-Fire Disturbing the Heart with mental confusion or loss of consciousness:		For coronary Heart disease due to Phlegm-Fire Disturbing the Heart with shortness of breath:
+ Vaporize Phlegm Pill Gun Tan Wan
+ Vaporize Phlegm Pill Gun Tan Wan
+ Rx. Salviae Miltiorrhizae	Dan Shen	+ Rx. Salviae Miltiorrhizae	Dan Shen
+ Rx. Curcumae	Yu Jin	+ Rx. Curcumae	Yu Jin
+ Caulis Bambusae in Taeniam	Zhu Ru	+ Caulis Bambusae in Taeniam	Zhu Ru
+ Chinese Patent Medicine	Zhi Bao Dan	+ 12g Cx. Mori	Sang Bai Pi
+ 9g Sm. Lepidii/ Descurainiae	Ting Li Zi
For acute bronchitis:
+ Ephedra, Apricot Kernel, Licorice and Gypsum Decoction Ma Huang Shi Gan Tang		For chest pain, insomnia, anxiety and tongue ulcers due to Heat or Fire affecting the Heart:
+ 15g Rx. Rehmanniae	Sheng Di Huang
For chest pain with constipation:		+ 9g Hb. Lophatheri	Dan Zhu Ye
+ 6-9g Rx. et Rz. Rhei	Da Huang	+ 6g Rx. Glycyrrhizae	Gan Cao
+ 9g Fr. Aurantii Immaturus	Zhi Shi	+ 6g Caulis Akebiae	Mu Tong
For chest pain with Dryness due to Heat Damaging the Fluids:
+ 9g Cx. Magnoliae Officinalis	Hou Po
+ 12g Rx. Scrophulariae	Xuan Shen
For chest pain with signs of Blood Stasis:		+ 9-12g Rx. Ophiopogonis	Mai Men Dong
+ 9g Cx. Moutan	Mu Dan Pi
+ 12g Rx. Paeoniae Rubra	Chi Shao	+ 15g Rx. Rehmanniae	Sheng Di Huang
For epigastric pain:
+ 9g Pollen Typhae	Pu Huang	+ 9-12g Rx. Bupleuri	Chai Hu
+ 9g Rx. Curcumae	Yu Jin	+ 9-12g Rx. Scutellariae	Huang Qin
+ 9g Fr. Aurantii Immaturus	Zhi Shi	+ 9-12g Fr. Aurantii Immaturus	Zhi Shi
For dysphagia:		+ 12-18g Rx. Paeoniae Alba	Bai Shao
+ 6-9g Bul. Fritillariae Cirrhosae	Chuan Bei Mu
+ 9-12g Rz. Cyperi	Xiang Fu
+ 9-12g Rx. Curcumae	Yu Jin	+ 9-12g Rx. Curcumae	Yu Jin
+ 9-12 Fr. Aurantii	Zhi Ke	+ 9-12g Rz. Corydalis	Yan Hu Suo
+ 9-12g Fr. Gardeniae	Zhi Zi