Xie Xin Tang (Drain the Epigastrium Decoction)

Drain the Epigastrium Decoction (Three-Yellow)

Jin Gui Yao Lue, c. 220 CE

• Da Huang – chief; Huang Lian, Huang Qin

• Drains fire and resolves toxicity (three burners)
• Cools the blood and stops bleeding from heat

Excess fire: irritability, a flushed face, constipation, epigastric fullness, toxic sores, and bleeding from heat such as nosebleed or coughing/vomiting of blood.

Tongue: red with a yellow coat. Pulse: rapid and forceful.

For bleeding, the herbs may be steeped rather than hard-boiled.

Cold and draining; contraindicated in pregnancy and in deficiency-cold.