Da Huang Zhe Chong Wan 大黄蛰虫丸
Rhubarb and Eupolyphaga [Wingless Cockroach] Pill

Tradition:


TCM

Source / Author:


Essential of the Golden Cabinet, c. 220

Herb Name

Da Huang (Rhubarb root)
Sheng Di Huang
(Rehmannia)
Bai Shao
(Peony)
Tao Ren (Peach kernel)
Ku Xing Ren (Apricot kernel)
Tu Bie Chong
(Eupolyphaga)
Shui Zhi (Leech)
Huang Qin
(Baical Skullcap)
Meng Chong
(Tabanus)
Qi Cao
(Holotrichia)
Gan Qi
(Lacquer)
Gan Cao
(Licorice)

Latin


Rheum palmatum *
Rehmannia glutinosa
Paeonia lacti
flora
Prunus persica
Prunus armeniaca (Bitter) ** Eupolyphaga sinensis **
Hirudo seu Whitmania spp. ** Scutellaria baicalensis
Tabanus bivittatus ***
Holotrichia diomphalia ** Toxicodendron vernici
fluum **** Glycyrrhiza uralensis

Amount



300 grams ea.


120 grams ea.
30 grams

60 grams ea.


45 grams ea.
30 grams
90 grams


* Rhubarb root is Stir-fried with wine
** these medicines are stir-fried
*** Tabanus is prepared by removing the Wings, then stir-fried
**** Toxicodendron is prepared by Calcining


Preparation:


Prepare the ingredients, Powder, and form honey pills

Function:


Moves the Blood, resolves Blood Stasis, nourishes Blood

Use:


Emaciation, scaly and dry skin, dull complexion, abdominal fullness, darkness of the eyes, dull or pale colored tongue, or dark or bruised spots on the tongue, weak and choppy pulse
1. Serious, chronic or stubborn Blood stagnation
2. Abdominal Masses and Tumors
3. Cirrhosis or Fibrosis of the Liver
4. Liver Tumors
5. Chronic Hepatitis
6. Uterine Tumors; Uterine Leiomyoma
7. Traditionally used for a type of Consumptive disease associated with dry Blood, blood stasis, marked by emaciation, poor appetite and abdominal fullness.


Dose:


3 grams, 1–3 times daily with wine or warm water

Cautions:


1. Avoid during pregnancy
2. Not used in Blood deficiency

Modifications:


1. This can be modified based on similar western formulas; Lacca (Laccifer lacca) can replace Toxicodendron Gan Qi; Pill Millipede could replace Eupolyphaga Tu Bie Chong (Wingless Cockroach); and Comfrey could replace Rehmannia.
2. Due to their less commonly used status, Holotrichia and Tabanus could be omitted without great detriment.
3. Other modi
fications based on similar Western formulas would be the addition of Madder, Saffron (or Safflower) and Costus.

This is one of the primary commonly used formulas in modern TCM that combines several insect medicines. A number of insect medicines are used in TCM to potently move the Blood and resolve Blood stasis. In the Western Tradition, insect medicines were also held in high regard to open obstructions, this being said to be due to their volatile salt content.
1. [Effect and mechanism of Dahuang Zhechong Pills against testicular aging in rats by inhibiting necroptosis signaling pathway].
2. [Experimental and clinical studies of the effect of dahuang zhechong wan on hyperlipemia].
3. [Study of dahuangzhechong pills on anti-arterial thrombosis with the orthogonal design].
4. [Experimental study on effect of dahuang zhechong wan combined with adefovir dipivoxil in preventing hepatic fibrosis in patients with chronic hepatitis B].
5. [Treatment of chronic active hepatitis B with Dahuang Zhechong Wan and Wuren Chun].
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