Xie Huang San / Xie Huang San - 瀉黃散 - Drain The Yellow Powder

English:	Drain the Yellow Powder
Also Known As:	Xie Pi San Drain the Spleen Powder Ledebouriella and Gardenia Formula Powder for Expelling Hidden Fire of the Spleen and Stomach Spleen Heat Expelling Powder

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Gypsum Fibrosum	Shi Gao	5-30g	Clears Heat in the Qi Stage, Drains Fire, Quenches thirst and clears Blazing Stomach Fire, Relieves irritability.
Fr. Gardeniae	Zhi Zi	3-10g	Clears Heat, Eliminates irritability, Reduces Fire, Resolves Dampness.
Dry-fried Rx. Saposhnikoviae	Chao Fang Feng	10-120g	Alleviates pain, Expels External Wind, Expels Wind-Dampness, Raises Yang, Releases the exterior.
Hb. Agastaches/ Pogostemonis	Huo Xiang	5-21g	Aromatically transforms Dampness, releases the Exterior, dispels Summerheat and transforms turbidity.
Rx. Glycyrrhizae	Gan Cao	6-90g	Clears Heat and relieves Fire toxicity and moderates and harmonizes the harsh properties of other herbs.

Formula Actions

• Drains Latent Fire from the Spleen and Stomach

Syndromes

• Latent Fire in the Spleen and Stomach
• Smoldering Fire in the Spleen/Stomach (Secondary source)

Clinical Manifestations

Mouth ulcers Bad breath Thirst Frequent hunger Dry mouth and lips Epistaxis

Tongue thrusting in children Irritability T: Red C: Normal or Yellow P: Rapid Yellowing of the sclera T: Red and dry

Treats

Aphthous ulcers Acute gastritis with halitosis Behcet's disease Oral thrush Hordeolum Atopic dermatitis Myalgic encephalomyelitis Lip pain

Ulcerating stomatitis Halitosis Rosacea Eczema Fever Epistaxis Epstein-Barr virus syndrome Tongue pain

Contraindications And Herb/Drug Interactions

Notes

• Higher doses of Rx. Saposhnikoviae Fang Feng and Rx. Glycyrrhizae Gan Cao, may decrease the anti-inflammatory effect of the formula.
• This formula has shown to reduce fever, relieve inflammation, tranquilize the mind, promote diuresis and promote the secretion of gastric juice.
• Compared with Qing Wei San: Xie Huang San drains smoldering Fire in the Spleen and Stomach (mouth ulcers, bad breath), while Qing Wei San drains Stomach Fire and cools Blood-Heat (toothache, bleeding gums).

Modifications

For severe Heat:		For irritability and restlessness:
+ Rz. Coptidis	Huang Lian	+ Medulla Junci	Deng Xin Cao
For painful mouth ulcers:		Or
+ Drain the Red Powder Dao Chi San
+ Medulla Junci	Deng Xin Cao
+ Poria Rubra	Chi Fu Ling
+ 6g Rz. Coptidis	Huang Lian	For foul breath and mouth ulcers:
+ 2g Medulla Junci	Deng Xin Cao	+ Rz. Coptidis	Huang Lian
For irritability and thirst:		+ Rz. Cimicifugae	Sheng Ma
+ Rz. Anemarrhenae	Zhi Mu	For a feeling of warmth in the body and extremities:
+ Rx. Platycodi	Jie Geng
For dysuria and dark urine:		+ Hb. Artemisiae Scopariae	Yin Chen
+ Talcum	Hua Shi
For stomatitis with a sticky tongue coating and foul breath:		+ Rx. Scutellariae	Huang Qin
+ Sm. Plantaginis	Che Qian Zi	For stomatitis
+ Modified Six to One Powder Liu Yi San modified
+ Poria	Fu Ling
+ Rz. Atractylodis	Cang Zhu
For stomatitis with constipation:		+ Rz. Pinelliae Preparatum	Zhi Ban Xia
+ Rx. et Rz Rhei	Da Huang
For stomatitis with anorexia:		+ Sm. Coicis	Yi Yi Ren
+ Fr. Crataegi	Shan Zha	+ Rx. Scutellariae	Huang Qin
+ Massa Medicata Fermentata	Shen Qu	+ Per. Citri Reticulatae	Chen Pi
For fever in children:
For stomatitis affecting a large surface area with severe pain:		+ Hb. Artemisiae Annuae	Qing Hao
+ Rz. Coptidis	Huang Lian	+ Sm. Armeniacae	Xing Ren
+ Hb. Phylostachys Nigra	Zhu Ye	For thrush:
+ Medulla Junci	Deng Xin Cao
For rosacea		+ Rz. Smilacis Glabrae	Tu Fu Ling
+ Rx. Rehmanniae	Sheng Di Huang	For eczema:
+ Rx. Angelicae Sinensis	Dang Gui	- Dry-fried Rx Saposhnikoviae	Chao Fang Feng
For atopic dermatitis:
+ 10g Rx Rehmanniae	Sheng Di Huang	+ 9g Rx. Bupleuri	Chai Hu
+ 10g Hb. Artemisiae Scopariae	Yin Chen Hao	+ 10g Hb. Eupatorii	Pei Lan
+12g Poria	Fu Ling
+ 6g Hb. Schizonepetae	Jing Jie	+12g Rx. Scutellariae	Huang Qin
+6g Rx. Scutellariae	Huang Qin	+ 20g Rx. Sophorae Flavescentis	Ku Shen
+ 6g Poria Rubra	Chi Fu Ling
+ 3g Periostracum Cicadae	Chan Tui	For hordeolum due to Toxic Heat:
+ Clear the Stomach Powder Qing Wei San
+ 3g Medulla Junci	Deng Xin Cao
+ 3g Hb. Lophatheri	Dan Zhu Ye
+ 20g Rz. Imperatae	Bai Mao Gen
Or
+ 12g Cx. Phellodendri	Huang Bai
+ 12g Cx. Poria Cocos	Fu Ling Pi
+12g Rx. Scutellariae	Huang Qin
+ 9g Rz. Dioscoreae	Shan Yao
Or
- Gypsum Fibrosum	Shi Gao
- Dry-fried Hb. Saposhnikoviae	Chao Fang Feng
- Rx. Glycyrrhizae	Gan Cao
+ 9g Rz. Atractylodis	Cang Zhu
+ 9g Sm. Coicis	Yi Yi Ren
+ 3g Rz. Coptidis	Huang Lian
+ 3g Medulla Tetrapanacis	Tong Cao
+ 6g Rz. Alismatis	Ze Xie
+ 6g Fr. Forsythiae	Lian Qiao
+ 6g Sm. Plantaginis	Che Qian Zi
+ 20g Rz. Dioscoreae	Shan Yao
+ 6g Cx. Dictamni	Bai Xian Pi
+ 6g Flos Lonicerae	Jin Yin Hua
+6g Rx. Scutellariae	Huang Qin
+ 3g Ram. Mori	Sang Zhi