Yin Hua Hu Zhang Tang Jia Jian - 银花胡杖汤加減 - Modified Lonicera And Polygoni Cuspidati Decoction

English:	Modified Lonicera and Polygoni Cuspidati Decoction
Also Known As:

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Flos Lonicerae	Jin Yin Hua	15g	Clears Heat, resolves Fire toxicity, vents and disperses External Wind-Heat and cools the Blood. With Dang Gui, reduces obstruction and toxicity for swollen, painful sores and necrosis of surrounding tissue.
Rz. Polygoni Cuspidati	Hu Zhang	15g	Clears Heat, Discharges toxins, Dispels Blood Stasis, Disperses swelling, Invigorates the Blood, Resolves Dampness, Stops pain, Unblocks the channels.
Rx. Salviae Miltiorrhizae	Dan Shen	15g	Invigorates, cools and nourishes the Blood, dispels Blood Stasis, clears Heat and soothes irritability. With Mu Dan Pi and Sheng Di Huang, for Ying Stage Heat.
Caulis Spatholobi	Ji Xue Tang	15g	Invigorates and tonifies the Blood.
Rx. Rehmanniae	Sheng Di Huang	15g	Clears Heat, Cools the Blood, Nourishes Yin and generates fluids.
Extremitas Radicis Angelicae Sinensis	Dang Gui Wei	12g	Invigorates and harmonizes the Blood, disperses Cold, reduces swelling, expels pus, generates flesh and stops pain due to Blood Stasis.
Rx. Paeoniae Rubra	Chi Shao	12g	Clears Heat, cools and Invigorates the Blood, dispels Blood Stasis, reduces swelling from sores and abscesses and relieves pain. With Mu Dan Pi and Sheng Di Huang, for Heat entering the Xue Stage causing maculae or hemorrhage.
Flos Sophorae Immaturus	Huai Hua Mi	12g	Cools the Blood.
Fol. Isatidis	Da Qing Ye	12g	Clears Heat, resolves Fire toxicity, cools the Blood and dissipates maculae. With Jin Yin Hua, for toxic Heat sores, and erysipelas.
Cx. Moutan	Mu Dan Pi	10g	Clears Deficiency Fire, Clears Heat, Cools and harmonizes the Blood, Dispels Blood Stasis, Drains pus, Invigorates the Blood, Reduces swelling. With Chi Shao, cools the Blood and disperses Stasis, for Ying Stage Heat with skin rashes. With Sheng Di Huang, for Ying and Xue Stage Heat.
Rx. Arnebiae/Lithospermi	Zi Cao	10g	Clears Heat, cools the Blood, invigorates Blood circulation, relieves Fire toxins, encourages rashes clears Damp-Heat from the skin and aids healing of tissues.
Rz. Menispermi	Bei Dou Gen	10g	Clears Heat, Dispels Wind, Reduces swelling, Resolves Dampness, Resolves toxicity, Stops pain.
Rx. Adenophora	Nan Sha Shen	10g	Clears Heat, Generates fluids, Moistens the Lungs, Nourishes the Stomach, Nourishes Yin.

Formula Actions

• Cools the Blood
• Relieves toxicity
• Invigorates the Blood
• Reduces erythema

Syndromes

• Blood Heat

Clinical Manifestations

This pattern occurs in the early stages of an initial attack or subsequent episode of guttate or plaque psoriasis. Small coin sized red maculae located on the scalp, body, extremities, and other areas that increase rapidly The lesions may manifest as bright red or dark red papules, maculopapules or macular patched of varying sizes scattered throughout the body or distributed mostly on the trunk and limbs Sometimes lesions start on the scalp before spreading gradually to other parts of the body New lesions appear continuously, The area involved is large There is a covered silvery-white scale The scales are heaped up The scales are easily shed when scratched The scales elicit the characteristic Auspitz’s sign on removal of the underlying moist layer. Usually affects people under age 40 Itching may be intense Worse during the summer

Aversion to Heat Irritability Restlessness Thirst Dry throat Dry tongue Bitter taste in the mouth Dry stools Constipation Yellow, scanty urine T: Red or Dark red C: Thin yellow or white or Yellow and grimy P: Slippery or Taut and rapid or Thin and rapid or Wiry and rapid, or Slippery and rapid. With Dryness: Lesions are on the elbows, knees or lumbar area They are reddish at the beginning White covered lesions become fissures Pain T: Red C: None or Thin yellow P: Thready and rapid

Treats

Psoriasis

Contraindications And Herb/Drug Interactions

Notes

Modifications