Fu Zi Xie Xin Tang

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附子泻心汤 (Aconite Heart-Draining Decoction)

Source: Shang Han Lun (c. 220)

Last updated October 1, 2026

Not yet clinically reviewed

Description

Fu Zi Xie Xin Tang (Aconite Heart-Draining Decoction), from Treatise on Cold Damage (Shang Han Lun).

Actions: Discharge heat and disperse pĭ , reinforce yang and consolidate the exterior

Indications: Indicated for the treatment of epigastric lumpy stiffness, accompanied by aversion to cold and sweating.

Category: Formulas that Regulate and Harmonize the Intestine and Stomach.

Source: Xi S, Gong Y. Essentials of Chinese Materia Medica and Medical Formulas: New Century Traditional Chinese Medicine. Academic Press/Elsevier, 2017, p. 479.

Composition

Herb Amount % Role Function
Da Huang
as printed: Radix et Rhizoma Rhei (da huang) 6 g
6g 40% —
Huang Lian
as printed: Rhizoma Coptidis (huang lian) 3 g
3g 20% —
Huang Qin
as printed: Radix Scutellariae (huang qin) 3 g
3g 20% —
Zhi Fu Zi
as printed: Radix Aconiti Lateralis Praeparata (fu zi) 3 g
3g 20% —

Energetics dose-weighted

The formula's overall nature, taste balance and channel reach, weighted by each herb's dose. Classical formulas often pair warm and cool herbs on purpose, so a net figure summarises the mix — it doesn't describe every herb in it.

Nature

Cold Cool Neutral Warm Hot

Net cool (-1.20)

From 100% of the weighed grams.

cold hot

Grams by band: cold 80%, hot 20%.

Taste

pungent sweet bitter
  • pungent 10%
  • sweet 10%
  • bitter 80%

From 100% of the weighed grams.

Channels reached

  • Spleen 100%
  • Large intestine 80%
  • Stomach 80%
  • Heart 60%
  • Liver 60%
  • Pericardium 40%

Share of the grams entering each channel, from 100% of the weighed grams.

Dose-weighted from each herb's recorded nature, taste and channels (missing values are left out, never counted as neutral). It describes the composition — it is not a recommendation.

Preparation

Decoct the ingredients with water and take orally when decoction becomes warm.

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Formula family

Each entry reads as the larger formula written out: “+” adds its other catalogue cores, then the herbs none of them hold. A catalogue formula counts as a core only when at least 80% of its herbs are present, no more than 1 is absent, and the absent herb is not its chief.

Traditional formula information is for educational purposes only. Herbal formulas should be prescribed by a qualified practitioner — dosages and combinations are individualized and can interact with medications.

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