Tokirikuoto (Dang-Gui-Liu-Huang-Tang) :How it was formulated and its clinical indications seen in Chinese medical classics
Dang Gui Liu Huang Tang (in the Lan Shi Mi Cang written by Li Dong-yuan) is a common medicine for treating night sweats. We describe its historical development and therapeutic uses. The use of Huan qi (Radix Astragali sen Hedysari) is based on the Han-Sui dynasty medical principle that night sweats...
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| Published in | Kampo Medicine Vol. 61; no. 5; pp. 740 - 745 |
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| Main Authors | , , , , , , , , , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
The Japan Society for Oriental Medicine
2010
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0287-4857 1882-756X |
| DOI | 10.3937/kampomed.61.740 |
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| Abstract | Dang Gui Liu Huang Tang (in the Lan Shi Mi Cang written by Li Dong-yuan) is a common medicine for treating night sweats. We describe its historical development and therapeutic uses. The use of Huan qi (Radix Astragali sen Hedysari) is based on the Han-Sui dynasty medical principle that night sweats are mainly caused by Deficiency of Yang. Herbs to enrich the lood and Yin, Dang gui (Radix Angelicae Sinesis), Seng di huang (Radix Remannia), Shu di huang Radix Rehmannia preparata) were later added because Son dynasty physicians mentioned that Yin deficiency caused night sweats. The addition of heat-reducing herbs, such as Huang lian (Rhizoma Coptidis), was based on the Song dynasty theory that night sweats are caused by pathologic heat in the body, which forces body fluid out of the skin. In the same period, the herbal medicine called Da Jin Hua Wan created by Liu Wansu, and this greatly influenced the principles for treating night sweats. The clearest explanation can be found in the medical treaties Huang Di Nei Jing Su Wen, and Xuan Ming Lun. This medical combination was based on medical theories from a number of historical periods, which may explain its effectiveness. Dang Gui Liu Huang Tang is not effective against types of weak heat (Dan xin xin fa), severe vital Qi Deficiency (Zhang shi yang), or serious deficiency of Yin (Yi xue xin wu). It sometimes hurts Pi and Wei (digestive system). It is useful in the treatment of spontaneous perspiration (Yi xue zheng zhuang, Jin xue quan shu). In summary, this medicine is most effective when the seriousness of heat and Yin deficiency are almost equal and a slight Qi Deficiency exists, or in cases of spontaneous perspiration. |
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| AbstractList | Dang Gui Liu Huang Tang (in the Lan Shi Mi Cang written by Li Dong-yuan) is a common medicine for treating night sweats. We describe its historical development and therapeutic uses. The use of Huan qi (Radix Astragali sen Hedysari) is based on the Han-Sui dynasty medical principle that night sweats are mainly caused by Deficiency of Yang. Herbs to enrich the lood and Yin, Dang gui (Radix Angelicae Sinesis), Seng di huang (Radix Remannia), Shu di huang Radix Rehmannia preparata) were later added because Son dynasty physicians mentioned that Yin deficiency caused night sweats. The addition of heat-reducing herbs, such as Huang lian (Rhizoma Coptidis), was based on the Song dynasty theory that night sweats are caused by pathologic heat in the body, which forces body fluid out of the skin. In the same period, the herbal medicine called Da Jin Hua Wan created by Liu Wansu, and this greatly influenced the principles for treating night sweats. The clearest explanation can be found in the medical treaties Huang Di Nei Jing Su Wen, and Xuan Ming Lun. This medical combination was based on medical theories from a number of historical periods, which may explain its effectiveness. Dang Gui Liu Huang Tang is not effective against types of weak heat (Dan xin xin fa), severe vital Qi Deficiency (Zhang shi yang), or serious deficiency of Yin (Yi xue xin wu). It sometimes hurts Pi and Wei (digestive system). It is useful in the treatment of spontaneous perspiration (Yi xue zheng zhuang, Jin xue quan shu). In summary, this medicine is most effective when the seriousness of heat and Yin deficiency are almost equal and a slight Qi Deficiency exists, or in cases of spontaneous perspiration. |
| Author | KUWANA, Kazuyoshi ITAKURA, Hidetoshi TSUCHIYA, Takashi HASHIGUCHI, Makoto YOSHIDA, Kazuhisa MIURA, Oto NARA, Kazuhiko KOSUGE, Takaaki TANAKA, Koichiro SAITO, Teruo KON, Yoshinari TSUKADA, Sinpei FUKUSHIMA, Atushi UEMATSU, Mikum |
| Author_xml | – sequence: 1 fullname: KOSUGE, Takaaki organization: Yokohama Suzaku Kampo Clinic – sequence: 1 fullname: YOSHIDA, Kazuhisa organization: Department of Medical History, Juntendo University School of Medicine – sequence: 1 fullname: UEMATSU, Mikum organization: Department of Traditional Japanese Medicine, Toho University Omori Medical Center – sequence: 1 fullname: TSUKADA, Sinpei organization: Keigendo Lotus Acupuncture Clinic – sequence: 1 fullname: TSUCHIYA, Takashi organization: Tsuchiya Acupuncture Clinic – sequence: 1 fullname: HASHIGUCHI, Makoto organization: Department of Traditional Japanese Medicine, Toho University Omori Medical Center – sequence: 1 fullname: KUWANA, Kazuyoshi organization: Minami-Saiwai Acupuncture Clinic – sequence: 1 fullname: ITAKURA, Hidetoshi organization: Department of Traditional Japanese Medicine, Toho University Omori Medical Center – sequence: 1 fullname: NARA, Kazuhiko – sequence: 1 fullname: SAITO, Teruo organization: Department of Traditional Japanese Medicine, Toho University Omori Medical Center – sequence: 1 fullname: FUKUSHIMA, Atushi organization: Fukushima Dental Clinic – sequence: 1 fullname: MIURA, Oto organization: Department of Traditional Japanese Medicine, Toho University Omori Medical Center – sequence: 1 fullname: KON, Yoshinari organization: Department of Traditional Japanese Medicine, Toho University Omori Medical Center – sequence: 1 fullname: TANAKA, Koichiro organization: Department of Traditional Japanese Medicine, Toho University Omori Medical Center |
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| References_xml | – reference: 7) 王肯堂（明）編：医統正脈全書（蘭室秘蔵），7453，新文豊出版公司，台北，1975 – reference: 24) 張景岳（明）：景岳全書，215，上海科学技術出版社，上海，1984 – reference: 6) 丁光迪編著：中医各家学説金元医学，8‐9，江蘇科学技術出版社，1987 – reference: 19) 王肯堂（明）編：医統正脈全書（丹渓心法），8729‐9735，新文豊出版公司，台北，1975 – reference: 5) 同上。12‐13 – reference: 22) 呉儀洛（清）編：成方切用，51‐52，上海科学技術出版社，上海，1982 – reference: 23) 虞摶（明）：医学正伝，259‐261，人民衛生出版社，北京，1984 – reference: 17) 太平聖恵方（宋），2647，人民衛生出版社，北京，1982 – reference: 20) 陶御風，賀静松編：汗証，119，中医古籍出版社，北京，1990 – reference: 1) 王肯堂（明）編：医統正脈全書（蘭室秘蔵），7454，新文豊出版公司，台北，1975 – reference: 16) 史堪（宋）：宋人医方三種，34‐35，五洲出版社，台北，1984 – reference: 2) 銭乙（宋）：小児薬証直訣，55，江蘇科学技術出版社，南京，1983 – reference: 3) 趙佶（宋）：聖済総録，817‐819，人民衛生出版社，北京，1987 – reference: 4) 李総甫，劉炳凡編著：金元四大医家学術思想之研究，60，人民衛生出版社，北京，1983 – reference: 21) 程国彭（清）：医学心悟，205‐206，旋風出版社，台北，1979 – reference: 13) 南京中医学院校釈：諸病源候論校釈（上冊），112，人民衛生出版社，北京，1980 – reference: 18) 王肯堂（明）編：黄帝素問宣明論方，医統正脈全書，4911，新文豊出版公司，台北，1975 – reference: 8) 三浦於菟：実践漢薬学，61，医歯薬出版社，東京，2004 – reference: 9) 三浦於菟：4病態の盗汗症例，温知会会報，53，24‐2，2004 – reference: 14) 南京中医学院校釈：諸病源候論校釈（下冊），1318，人民衛生出版，北京，1980 – reference: 11) 冉雪峰：歴代名医良方注釈，356，科学技術文献出版社，北京，1983 – reference: 15) 王燾（唐），高文鋳校注：外台秘要方，247‐248，華夏出版社，北京，1993 – reference: 10) 三浦於菟：当帰六黄湯加減が有効であった盗汗症例，漢方の臨床，53，1160‐1163，2006 – reference: 12) 何任著，勝田正泰監訳：金匱要略解説，403‐405，東洋学術出版社，東京，1988 |
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| Title | Tokirikuoto (Dang-Gui-Liu-Huang-Tang) :How it was formulated and its clinical indications seen in Chinese medical classics |
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