Formula Formulas that clear internal abscesses and sores

Tuo Li Xiao Du San

托里消毒散

Also known as:

Supporting the Interior and Dissolve Poison Powder

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Formula Properties

Main Actions

  1. Draws out toxicity
  2. Expels pus from the interior
  3. Tonifies Qi and Blood

Patterns Treated

Blow Breast (Chui Ru), Jealous Breast (Du Ru)

Historical Origin

Fine formulas for women with Annotations and Commentary (1548 AD )

TCM Actions & Uses

Traditional Chinese Medicine properties and applications of Tuo Li Xiao Du San

Main Actions

Draws out toxicity
Expels pus from the interior
Tonifies Qi and Blood

Key TCM Concepts

Tuo Li Xiao Du San is a 11-ingredient Chinese Medicine formula with Milkvetch Roots (Huang Qi) as a principal ingredient.

 

Invented in 1548 AD, it belongs to the category of formulas that clear internal abscesses and sores. Its main actions are: 1) draws out toxicity and 2) expels pus from the interior.

 

In Chinese Medicine health conditions are thought to arise due to "disharmonies" in the body as a system. These disharmonies are called "patterns" and the very purpose of herbal formulas is to fight them in order to restore the body's harmony.

 

In this case Tuo Li Xiao Du San is used by TCM practitioners to fight patterns like Blow Breast (Chui Ru) or Jealous Breast (Du Ru). From a Western Medicine standpoint, such patterns can give rise to a range of conditions such as mastitis or breast engorgement for instance.

TCM Patterns Addressed

  • Blow Breast (Chui Ru)
  • Jealous Breast (Du Ru)

Common Applications

Mastitis Breast engorgement

Ingredients in Tuo Li Xiao Du San

Detailed information about each herb in Tuo Li Xiao Du San and their roles

Kings
Huang Qi
Huang Qi

Milkvetch roots

Temperature Warm
Taste Sweet
Organ Affinity Lungs, Spleen
Parts Used Dried root
Role in Tuo Li Xiao Du San
Huang Qi fortifies the Spleen and tonifies Qi. For this specific formula, it is added to resolve toxins in chronic cases where there is also a Deficiency. In such cases, the body's Qi is so deficient that it cannot expel toxins and bring an attack to an end.
Dang Shen
Dang Shen

Codonopsis roots

Temperature Neutral
Taste Sweet
Organ Affinity Lungs, Spleen
Parts Used Dried root
Role in Tuo Li Xiao Du San
In general Dang Shen's main actions are as follows: "Tonifies the Spleen and Lung Qi. Assists in the secretion of Bodily Fluids."

In the context of Tuo Li Xiao Du San, it is used because it tonifies Qi.
Bai Zhu
Bai Zhu

Atractylodes rhizomes

Temperature Warm
Taste Bitter, Sweet
Organ Affinity Spleen, Stomach
Parts Used Dried rhizome
Role in Tuo Li Xiao Du San
In general Bai Zhu's main actions are as follows: "Tonifies the Spleen Qi. Fortifies the Spleen Yang and dispels Damp through urination. Tonifies Qi and stops sweating. Calms restless fetus when due to Deficiency of Spleen Qi."

In the context of Tuo Li Xiao Du San, it is used because it fortifies the Spleen and tonifies Qi to expel toxins and remove pus.
Gan Cao
Gan Cao

Liquorice

Temperature Neutral
Taste Sweet
Organ Affinity Heart, Lungs, Spleen, Stomach
Parts Used Dried root and rhizome
Role in Tuo Li Xiao Du San
In general Gan Cao's main actions are as follows: "Tonifies the Basal Qi and nourishes the Spleen Qi. Clears Heat and dispels toxicity. Moistens the Lungsexpel phlegm and stop coughing. Relieves spasms and alleviates pain. Harmonizes and moderates the effects of other herbs."

In the context of Tuo Li Xiao Du San, it is used because it harmonizes all other ingredients.
Fu Ling
Fu Ling

Poria-cocos mushrooms

Temperature Neutral
Taste Sweet
Organ Affinity Heart, Kidneys, Lungs, Spleen
Parts Used Dried sclerotium
Role in Tuo Li Xiao Du San
In general Fu Ling's main actions are as follows: "Encourages urination and drains Dampness. Tonic to the Spleen/Stomach. Assists the Heart and calms the Spirit."

In the context of Tuo Li Xiao Du San, it is used because it removes Dampness.
Bai Zhi
Bai Zhi

Angelica roots

Temperature Warm
Taste Pungent
Organ Affinity Spleen, Stomach, Lungs
Parts Used Dried root
Role in Tuo Li Xiao Du San
In general Bai Zhi's main actions are as follows: "Relieves the Exterior and disperses Wind. Disperses Wind and Cold from the Yang Brightness channels. Relieves Wind-Damp Cold painful obstruction. Dries Dampness and pus and reduces swelling. Opens the nasal passages."

In the context of Tuo Li Xiao Du San, it is used because it opens the orifices and helps to resolve Toxin.
Dang Gui
Dang Gui

Dong quai

Temperature Warm
Taste Pungent, Sweet
Organ Affinity Heart, Liver, Spleen
Parts Used Dried root
Role in Tuo Li Xiao Du San
In general Dang Gui's main actions are as follows: "Tonifies the Blood. Lubricates the Intestines. Relieve constipation. Promotes circulation and dispels Bi Pain. Reduce Dysmenorrhea and help with irregular menstruation."

In the context of Tuo Li Xiao Du San, it is used because it nourishes and invigorates Blood.
Bai Shao
Bai Shao

White peony roots

Temperature Neutral
Taste Bitter, Sour
Organ Affinity Liver, Spleen
Parts Used Dried root
Role in Tuo Li Xiao Du San
In general Bai Shao's main actions are as follows: "Tonifies the Blood and preserves the Yin. Nourishes the Liver and assists in the smooth flow of Qi. Regulates the meridians and eases the pain."

In the context of Tuo Li Xiao Du San, it is used because it nourishes and invigorates Blood.
Chuan Xiong
Chuan Xiong

Szechuan lovage roots

Temperature Warm
Taste Pungent
Organ Affinity Gallbladder, Liver, Pericardium
Parts Used Dried rhizome
Role in Tuo Li Xiao Du San
In general Chuan Xiong's main actions are as follows: "Regulates and moves the Blood. Relieves Wind-Cold and pain. Circulates the Qi in the Upper Burner, relieving headaches."

In the context of Tuo Li Xiao Du San, it is used because it nourishes and invigorates Blood.
Jin Yin Hua
Jin Yin Hua

Honeysuckle flowers

Temperature Cold
Taste Sweet
Organ Affinity Heart, Lungs, Stomach
Parts Used Dried flower bud
Role in Tuo Li Xiao Du San
In general Jin Yin Hua's main actions are as follows: "Clears Heat and dispels toxicity. Dispels Wind-Heat derived from an External pathogen. Expels Damp-Heat from the Lower Burner. Relieves Carbuncles."

In the context of Tuo Li Xiao Du San, it is used because it resolves Toxin and expels pus.
Jie Geng
Jie Geng

Platycodon roots

Temperature Neutral
Taste Bitter, Pungent
Organ Affinity Lungs
Parts Used Dried root
Role in Tuo Li Xiao Du San
In general Jie Geng's main actions are as follows: "Opens the Lungs and smoothes the flow of Lung Qi. Expels Phlegm and pus from the Lungs and throat, can be used for either Wind-Cold or Wind-Heat according to the other herbs in the formula. Directs the actions of other herbs to the Upper Burner. "

In the context of Tuo Li Xiao Du San, it is used because it resolves Toxin and expels pus.

Safety & Contraindications

Important safety information and precautions for Tuo Li Xiao Du San

This information is for educational purposes only. Always consult with a qualified healthcare provider before using any TCM herbal formula.

Herb-Drug Interactions

Like many TCM formulas, Tuo Li Xiao Du San may interact with certain medications. If you are taking any prescription medications, we recommend consulting with a healthcare provider knowledgeable in herb-drug interactions.