Yi Zi Tang - 乙字湯 - Decoction "B"

English:	Decoction "B"
Also Known As:	Yi Word Decoction Cimicifuga Combination

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Rz. Cimicifugae	Sheng Ma	1-4.5g	Clears Heat, relieves toxicity, raises Yang and lifts Sunken Qi. With Chai Hu, for chronic dysenteric disorders, rectal prolapse, and uterine prolapse due to Yang Deficiency. With Dang Gui, raises the clear Qi, allowing turbidity to descend and moistening the Intestines.
Rx. Glycyrrhizae	Gan Cao	3-6g	Alleviates pain, Clears Heat, Harmonizes the harsh properties of other herbs, Moderates spasms, Relieves Fire toxicity and moderates.
Rx. Bupleuri	Chai Hu	5-15g	Reduces fever, harmonizes the Exterior and Interior, spreads Liver Qi, relieves Stagnation and raises Yang Qi. With Huang Qin, restores the normal function of the Liver and Gallbladder and treats Heat in the Womb with fever, chills and delirium. With Gan Cao, for hepatitis and upper right quadrant pain.
Rx. Scutellariae	Huang Qin	3-9g	Clears Heat, dries Dampness, drains Fire, detoxifies, cools the Blood and calms ascending Liver Yang. With Da Huang, for constipation.
Rx. Angelicae Sinensis	Dang Gui	6-16g	Tonifies Blood, regulates the menses, invigorates and harmonizes the Blood, disperses Cold and stops pain due to Blood Stasis. With Gan Cao, moderates spasms and relieves abdominal pain.
Rx. et Rz. Rhei	Da Huang	1-3g	Drains Heat, purges accumulations, drains Fire, transforms Dampness, promotes urination, drains Heat from the Blood, invigorates the Blood, dispels Blood Stasis and reduces Fire toxicity. With Dang Gui, for Blood Stasis.

Formula Actions

• Clears Heat
• Drains Stagnation
• Cools the Blood
• Resolves toxicity
• Removes Damp-Heat in the lower abdomen
• Alleviates hemorrhoid pain
• Promotes bowel movement
• Raises Yang Qi

Syndromes

• Damp-Heat in the Lower Abdomen
• Damp-Heat and Toxins in the lower body
• Heat and Stasis in the lower body

Clinical Manifestations

Abdominal pain due to Blood Stasis Uterine bleeding Bleeding hemorrhoids (slight) Fever Periumbilical pain Vaginal bleeding with dark Blood and clots

Prolapsed rectum Anal ache Vaginal itch Vaginal pain Swelling Constipation Severe local pain

Treats

Intestinal Wind Bleeding fistulas Uterine bleeding Vaginal itch Carbuncles Ulcers Constipation

Bleeding hemorrhoids Rectal prolapse Bleeding during childbirth Vaginal pain Abscesses Infected sores

Contraindications And Herb/Drug Interactions

Notes

Modifications

For prominent Heat:		For extreme Stasis with hard swellings and pain:
+ Cx. Phellodendri	Huang Bai	+ Sm. Persicae	Tao Ren
+ Hb. Houttuyniae	Yu Xing Cao	+ Cx. Moutan	Mu Dan Pi
+ Rx. Rehmanniae	Sheng Di Huang	For Damp-Heat:
For severe bleeding:		+ Cx. Phellodendri	Huang Bai
+ Rx. Sanguisorbae	Di Yu	+ 30g Sm. Coicis	Yi Yi Ren
Or		For painful hemorrhoids:
+ Charred Rx. Sanguisorbae	Di Yu	+ Fr. Aurantii	Zhi Ke
+ Rx. Rehmanniae	Sheng Di Huang	+ Rx. Linderae	Wu Yao
+ Rz. Coptidis	Huang Lian	+ Rz. Cyperi	Xiang Fu
For severe constipation:		For Heat Stasis vaginal itching or pain:
+ More Rx. et Rz. Rhei	Da Huang	+ Rx. Paeoniae Rubra	Chi Shao
+ Fr. Aurantii Immaturus	Zhi Shi	+ Medulla Tetrapanacis	Tong Cao
For dry stools:		+ Cx. Phellodendri	Huang Bai
+ Sm. Pruni	Yu Li Ren	For vaginal itch:
+ Fr. Cannabis	Huo Ma Ren	+ Flos Lonicerae	Jin Yin Hua
For severe hemorrhoid pain:		+ Fr. Forsythiae	Lian Qiao
+ Olibanum	Ru Xiang	For weak patients or those with loose stools or diarrhea:
+ Rx. Linderae	Wu Yao	- Rx. et Rz. Rhei	Da Huang
+ Rz. Cyperi	Xiang Fu	For hemorrhoids with accumulation of Stagnant Blood in the abdomen
For rectal prolapse due to Qi Deficiency:		+ Cinnamon Twig and Poria Pill Gui Zhi Fu Ling Wan
+ Tonify the Middle and Augment the Qi Decoction Bu Zhong Yin Qi Tang		For rectal prolapse with Excess bleeding:
+ Sophora Japonica Powder Huai Hua San
Or
+ Charred Rx. Sanguisorbae	Di Yu
+ Rx. Rehmanniae	Sheng Di Huang
+ Rz. Coptidis	Huang Lian