bubble_chart Efficacy

Clear heat, regulate blood, relieve stagnation, and alleviate pain.

bubble_chart Indications

Diarrhea with purulent and bloody stools, severe abdominal pain, tenesmus, burning sensation in the anus, scanty and dark urine, yellow tongue coating, and rapid pulse.

bubble_chart Formula Principles

This formula is suitable for the initial stage of dysentery [first stage] belonging to an excess pattern without an exterior pattern. In addition to its heat-clearing effect, it can also harmonize qi and blood, and promote bowel movement to relieve stagnation. In the formula, Peony Root is bitter, sour, and slightly cold, purges liver fire, regulates qi and blood, soothes the liver and spleen, clears fire and heat, and is used in large doses as the sovereign medicinal. Skullcap Root and Coptis Rhizome clear heat and dry dampness, clear heat and remove toxins, strengthen the intestines and stomach, and stop diarrhea and dysentery; Rhubarb Rhizoma is bitter and cold, dredges the interior, and is used as a method to treat incontinent syndrome with dredging, these three together serve as the minister medicinals. Additionally, Chinese Angelica is used to assist Peony Root in moving and harmonizing blood, "moving blood will naturally heal pus in the stool"; Aucklandia Root and Areca Seed move qi and remove food stagnation, break up hardness and disperse accumulation, to regulate qi, "regulating qi will naturally eliminate tenesmus", these three together serve as the assistant medicinals. In the formula, Cinnamon Bark is warm and moving, can assist Chinese Angelica and Peony Root in moving blood, and also moderates the excessive coldness of Skullcap Root and Coptis Rhizome, to avoid cold stagnation hindering the expulsion of pathogens, and when combined with Skullcap Root and Coptis Rhizome, it does not promote fire, and also serves as a method of using corrigent. Liquorice Root harmonizes all the medicinals, and when paired with Peony Root, can relieve spasms and stop abdominal pain.

1. dampness-heat dysentery tenesmus.
2. Stool with red and white discharge.
3. Yellow and greasy tongue coating.
4. Red tongue with rapid pulse.

bubble_chart Formula Modification

1. Food stagnation: add hawthorn fruit.
2. Qi stagnation abdominal distension and fullness: add Submature Bitter Orange.
3. If accompanied by more blood and less pus: remove Cassia Bark, add Peony Bark, chinese pulsatilla root, java brucea fruit.
4. If dysentery does not decrease: add Rhubarb Rhizoma.
5. If there is exterior pattern: add Pueraria Root.
6. If tenesmus is severe: add Immature Orange Fruit, Magnolia Bark.
7. If there is perianal abscess after defecation: add Phelloendron Bark.

bubble_chart Cautions and Contraindications

This formula is contraindicated for the initial stage of dysentery with an exterior pattern.

bubble_chart Modern Application

Acute large intestine inflammation, bacterial enteritis, dysentery, diarrhea.