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Da Huang Mu Dan Tang (大黃牡丹湯) drains heat, breaks up blood stasis and reduces swelling; the principal formula for intestinal abscess (such as early, uncomplicated appendicitis) before pus has formed.
English Name
Rhubarb and Moutan Decoction
Classical Source
Jin Gui Yao Lue, c. 220 CE
Ingredients
Actions & Functions
- Drains heat and breaks up blood stasis
- Reduces swelling and disperses the abscess
Indications
Intestinal abscess (damp-heat with blood stasis): pain in the lower right abdomen that resists pressure, with the leg drawn up, fever and constipation.
Tongue & Pulse
Tongue: greasy yellow coat. Pulse: slippery and rapid (or deep and forceful).
Modifications
For early-stage cases only; surgical care is essential if it progresses.
Cautions & Contraindications
Contraindicated in pregnancy and once an abscess has ruptured; seek surgical assessment for suspected appendicitis.
