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Last update: Dec 1,  2010; 8:11 a.m. LAH



yi zi tang   乙字湯

translated and annotated by: Joe Hing Kwok Chu


Name of Formula: yi zi tang (Source of formula: yuan nan yang)


Application: bleeding hemorrhoid, rigid stool, constipation, mild cases of rectum prolapse, itchy and painful vagina, painful hemorrhoid.



dang gui  18 g sheng ma  6 g chai hu   18 g gan cao  9 g huang qin  9 g da huang  4.5 g.


Boil with water. When it is cool, use as tea, before meal.



Constipation: add zhi shi, and extra da huang

Pain in hemorrhoids: add ru xiang, pig gall bile and extra gan cao

Hemorrhoids protruding: add gui zhi fu ling wan

Prolapse of anus: add huang lian, sheng di huang, charred zhi zi, charred di yu.


【方名】乙字湯 (原南陽 )

【功能】 消炎, 清熱, 通便。

【主治】 痔瘡出血, 肛門裂傷, 脫肛輕症, 婦人陰部癢痛, 大便燥結, 便秘,痔核疼痛。

【組成】 當 歸   18 克 升 麻  6 克 柴 胡  18 克  甘 草  9 克 黃 芩  9 克 大黃  4.5 克.

   水煎, 飯前冷服


1 .抗炎:柴胡皂貳的抗炎強度與潑尼松龍  (Prednisolone)相似,抗肉芽腫增生比抗滲出作用強。當歸水提出物能降低血管通透 性,能抑制血小板釋出致炎物質。甘草具皮質激素樣的抗炎作用,其抗炎成分為甘草甜素及 甘草次酸。

2 .通便:大黃致瀉成分以番瀉貳 A 作用最強,主要作用部位在大 腸,使中遠段結腸的張力增加,蠕動加快,但並不妨礙小腸的吸收功能。

3 .抗菌:大黃, 黃芩均有廣譜的抗菌作用。升麻對結核桿菌及皮膚 真菌有抑制作用。柴胡可抗瘧原蟲,抑制流感病毒,並可增強免疫細胞機能。

4 .解熱:柴胡, 黃芩, 升麻均有解熱作用。


1 .便秘:加重大黃,再加枳實。

2 .痔痛:加重甘草,再加乳香, 豬膽汁。

3 .痔核:桂 枝茯苓丸

4 .脫肛便血:加黃蓮, 生地, 黑梔子, 黑地榆。


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