【Chinese Name】 |
陽和湯
|
【Phonetic】 |
Yang He Tang
|
【English Name】 |
Harmonious Yang Decoction |
【Classification】 |
Warming interior formulas |
【Source】 |
《Life-Saving Manual of Diagnosis and Treatment of External Diseases》Wai Ke Zheng Zhi Quan Sheng Ji《外科證治全生集》 |
【Combination】 |
Rehmanniae Radix Praeparata (Shu Di Huang) 1 liang (30g), Ephedrae Herba (Ma Huang) 5 fen (2g), Cervi Cornus Colla (Lu Jiao Jiao) 3 qian (9g), Brassicae Junceae Semen (Bai Jie Zi) 2 qian (6g), Cinnamomi Cortex (Rou Gui) 1 qian (3g), Glycyrrhizae Radix et Rhizoma (Gan Cao) 1 qian (3g), Zingiberis Rhizoma Praeparatum (Pao Jiang Tan) 5 fen (2g) |
【Method】 |
Prepare as a decoction. |
【Action】 |
Warms yang and reinforces blood, disperses cold and unblocks stagnation. |
【Indication】 |
This formula is indicated for yin carbuncles. For example, a deep-rooted abscess attached to the bone (suppurative osteomyelitis), sloughing deep-rooted abscess (digital gangrene), multiple abscesses, phlegm nodules, and arthroncus of the knee due to patterns of yin-cold. The affected area will have diffuse swelling without discoloration of the skin, aching pain without fever, lack of thirst, a pale tongue body with a white coating, and a deep, thin pulse or slow, thin pulse. |
【Pathogenesis】 |
Yin carbuncles are most often related to congenital yang deficiency and insufficient nutrient blood causing an accumulation of cold and phlegm stagnation blocking muscles, tendons, bones, and blood vessels. Due to the nature of yin and cold, the local swelling is diffuse with no discoloration, there is aching pain but without fever, and there may be a general pattern of deficiency cold. In addition, the tongue is pale with a white coating, and a deep, thin pulse, which are also signs of deficient cold. The treatment is to warm yang, reinforce blood, disperse cold, and unblock stagnation. |
【Application】 |
1. Essential pattern differentiation Yang He Tang is a commonly used formula for yin carbuncles. This clinical pattern is marked by the affected area has diffuse swelling without skin discoloration, aching pain without fever. 2. Modern applications This formula may be used in the following biomedically defined disorders when the patient shows signs of yin cold accumulation: bone tuberculosis, peritoneal tuberculosis, chronic osteomyelitis, periostitis, chronic lymphnoditis, rheumatoid arthritis, thromboangitis obliterans, and deep abscess. |
【Additonal formulae】 |
Xiao Jin Dan (Minor Metal Elixir 小金丹) [Source]《Life-Saving Manual of Diagnosis and Treatment of External Diseases》Wai Ke Zheng Zhi Quan Sheng Ji《外科證治全生集》 [Ingredients] Bai jiao xiang, cao wu, wu ling zhi, di long, mu bie. Grind the above medicinals into powder, each of them is 1 liang and 5 qian (150g). Mo yao, dang gui shen, ru xiang. Grind into powder, each of them is dosed at 7 qian 5 fen (75g). She xiang 3 qian (15g), mo tan 1 qian 2 fen (12g). Add sticky rice 1 liang and 2 qian (120g), [Preparation and Administration] Mix with all the medicinals above, and make 250 pills. Take one pill with warm wine. [Actions] Dissolves phlegm, removes dampness, removes stasis, and dredges the collaterals. [Applicable Patterns] Patterns of cold dampness, phlegm, and stasis. Symptoms include: multiple abscesses, phlegm nodules, scrofula, carcinoma of the breast, hard and painful lumps. |
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