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Da huang mu dan tang---大黄牡丹汤

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【组成】  大黄（12g）  牡丹（9g）  桃仁（12g） 瓜子（30g） 芒硝（9g）
 
【功用】  泻热破瘀，散结消肿。
 
【主治】  肠痈初起。右下腹疼痛拒按，或右足曲而不伸，伸则痛甚，甚则局部肿痞，或时时发热，自汗恶寒，舌苔薄腻而黄，脉滑数。
 
【歌诀】  金匮大黄牡丹汤，桃仁瓜子芒硝襄，肠痈初起腹按痛，苔黄脉数服之康。
 

Da huang mu dan tang(Rhubarb and Moutan Bark Decoction )

 

[INGREDIENTS]:Rhubarb 12g Moutan bark 6g Peach kernel 9g Waxgourd seed 30g Mirabilite 9g

[DIRECTIONS]: Decoct the above herbs in water for oral administration and dissolve the mirabilite in the decoction.

[EFFECTS]:Purging heat and stasis to dissolve accumulation and swelling.

[INDICATIONS]: The beginning of intestinal abscess without pus formation manifested by fever, sweating, pain of the right lower abdomen with tenderness and or flexion of the right leg.

[ANALYSIS OF FORMULA]:This is a common formula for intestinal abscess due to damp-heat. As the main herbs, rhubarb can purge intestinal damp-heat and poison as well as activating blood for dissipating stasis; moutan bark can clear away heat to cool blood and resolve stasis to diminish congestion. Mirabiliter as­sists rhubarb in softening hardness and dissolving accumulation; peach kernel acti­vates blood for breaking stasis. They both act as the assistant herbs, waxgourd seed as an important adjuvant herb for internal abscess disperses dampness for draining pus and resolving swelling and accumulation.

This formula is commonly applied to acute appendicitis, annexitis and pelvic inflammation pertaining to internal accumulation of damp-heat.

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