📚Educational reference only — not medical advice.
Three Yellow Heart-Draining Decoction
金匱要略湯劑
Source-based · educational reference
Source
金匱要略
Original text
-- When heart qi is insufficient, with vomiting of blood and nosebleed, Xiexin Tang governs it. (Jin Gui Yao Lue (Essential Prescriptions of the Golden Cabinet))
Composition
Dahuang (Rhubarb) 2 liang, Huanglian (Coptis) 1 liang, Huangqin (Scutellaria) 1 liang. With water 3 sheng, boil to reduce to 1 sheng, take in one dose. In modern usage, decoct in water and take in three divided doses per day. (Shang Han Za Bing Lun)
Preparation
The above three ingredients, with water 3 sheng, boil to reduce to 1 sheng, take in one dose.
Form
湯劑
Function
Drain fire and resolve glomus.
Traditional indications
Heart and stomach fire blazing, forcing blood to move recklessly, leading to vomiting blood and nosebleed, constipation; or accumulated heat in the Triple Burner (San Jiao), red eyes, mouth ulcers; or external sores and swellings (carbuncles) that belong to intense heat toxin.
Modifications
If there is yang deficiency, with a pale, white, swollen, enlarged tongue with tooth marks and a slippery, watery coating: add prepared aconite 10, dried ginger 10.
-- If there is thirst and dry heat: add gypsum 15, zhimu (Anemarrhena) 10.
-- If the fingers are Slightly cold, with aversion to cold or accompanied by lethargy, often dozing off during meals: add prepared aconite 10.
Cautions
When used to stop bleeding, it must be taken cold.