Yi Huang Tang - 易黃湯 - Change Yellow Decoction

English:	Change Yellow (Discharge) Decoction
Also Known As:	Decoction for Yellow Discharge

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Dry-fried Rz. Dioscoreae	Shan Yao	30g	Nourishes Stomach Yin, Stops diarrhea, Tonifies Kidney Yin and astringes Jing, Tonifies the Spleen.
Dry-fried Sm. Euryales	Qian Shi	12-30g	Strengthens the Spleen, stops diarrhea, stabilizes the Kidneys, astringes Jing, expels Dampness and stops discharge. With Bai Guo, for Damp-Heat vaginal discharge.
Sm. Plantaginis	Che Qian Zi	3-12g	Promotes urination and clears Damp-Heat. With Shan Yao and Huang Bai, for chronic vaginal discharge due to Spleen Deficiency with Damp-Heat.
Cx. Phellodendri	Huang Bai	6-10g	Drains Damp-Heat especially from the Lower Jiao. With Che Qian Zi, for Burning, painful, hesitant urination.
Sm. Gingko	Bai Guo	10g	Stabilizes the Lower Jiao, eliminates Dampness, stops discharge and astringes the urine. With Qian Shi and Shan Yao, for vaginal discharge due to Spleen Deficiency with Dampness. With Huang Bai and Che Qian Zi, for Damp-Heat induced, yellow vaginal discharge with a foul odor. With Shan Yao, for spermatorrhea.

Formula Actions

• Clears Heat
• Dries Dampness
• Strengthens the Spleen
• Stops vaginal discharge

Syndromes

• Spleen or Kidney Qi Deficiency with Dampness Stagnation leading to Damp-Heat
• Spleen Deficiency with Damp-Heat
• Spleen or Kidney Qi deficiency with Damp-Heat from Constraint (Secondary source)

Clinical Manifestations

Long-term, unremitting fishy-smelling, viscous vaginal discharge that is yellow white in color A pale yellow complexion Dizziness A sensation of heaviness in the head Anorexia

Occasional loose stools Delayed menstruation with pale Blood A weak lower back and knees T: Pale C: Thin and white P: Soft and slippery and may be deep

Treats

Leukorrhea due to Damp-Heat Cervical erosion Vaginitis Trichomonas vaginitis Lower urinary tract infection Filariasis Fibrocystic breast disease Leukorrhea due to Spleen Deficiency

Cervicitis Chronic pelvic inflammatory disease Leukorrhagia Suppurative vaginitis Prostatitis Vaginal pain Premenstrual breast distention

Contraindications And Herb/Drug Interactions

Notes

Modifications

For darker (almost tea-like in color) and more profuse discharge:		For severe Spleen Qi Deficiency:
+ Rx. Sophorae Flavescentis	Ku Shen	+ Rx. Astragali	Huang Qi
+ Rz. Coptidis	Huang Lian	+ Rx. Ginseng	Ren Shen
+ Endoconcha Sepiae	Hai Piao Xiao	+ Rz. Cimicifugae	Sheng Ma
For wet beriberi:		For persistent chyluria:
- Sm. Gingko	Bai Guo	+ Rz. Dioscoreae Hypoglaucae	Bei Xie
+ Rz. Atractylodis	Cang Zhu	For vaginal discharge due to Spleen Deficiency:
+ Sm. Arecae	Bing Lang	+ 9g Rz. Alismatis	Ze Xie
+ 9g Caulis Akebiae	Mu Tong