Pu Ji Xiao Du Yin普济消毒饮
Universal Benefit Decoction to Eliminate Toxin
Ingredients14 herbs
Indications
Wind-heat epidemic toxin attacking the head and face. Because the toxin has risen and lodged above, the treatment must both clear it and give it a way out — clearing alone drives it inward, dispersing alone leaves the fire burning.
Clinical Manifestations
- Severe sore throat with visible swelling
- Mumps and other parotid swelling
- Erysipelas or cellulitis of the head and face
- Red, hot, swollen eyelids with fever
- Swollen tender neck nodes
- Acute tonsillitis with high fever and thirst
Health Categories
Modern Applications
Common adjustments
- Heat bound in the interior with constipation — add Da Huang 大黄 to give the toxin a downward route
- Hard, persistent swelling and nodules — add Xia Ku Cao 夏枯草 and Zhe Bei Mu 浙贝母
- Mumps descending to the groin or testes — add Chuan Lian Zi 川楝子 and Long Dan Cao 龙胆草
Contraindications
For excess heat toxin only. It is wrong for a sore throat of yin deficiency or of deficiency-cold with pale swelling and no fever. The bitter cold herbs injure the Stomach if continued — stop once the swelling and fever have settled. Facial swelling with fever needs medical assessment; this is not a substitute for urgent care when breathing or swallowing is compromised.
For licensed practitioners’ reference only — not a self-treatment guide.
Pregnancy
Use with caution in pregnancy — the formula is strongly cold and dispersing and includes Jiang Can. Only under practitioner supervision, and the Da Huang modification should be avoided.
References
Source Dong Yuan Shi Xiao Fang 《东垣试效方》 · Jin
「初觉憎寒体重,次传头面肿盛,目不能开,上喘,咽喉不利,舌干口燥。」
- Classical source (public domain), cited in the source-quote section.
2. Scheid, Bensky, Ellis & Barolet. Chinese Herbal Medicine: Formulas & Strategies, 2nd ed. — composition & dosage cross-checked.
3. 《方剂学》(全国中医药行业高等教育规划教材)— pattern analysis cross-checked.
Professional reference notice. Entries are scholarly references for licensed TCM practitioners and students — not medical advice, and not a recommendation to self-prescribe. Chinese herbal formulas should be used under the guidance of a qualified practitioner. Content is an original editorial compilation by Cura x Cura, cross-checked against the cited references.
