Dang Gui Liu Huang Tang

Classical TCM Formula Profile

Part of the HJMEDICAL TCM Discovery Center

当归六黄汤 · Dāng Guī Liù Huáng Tāng

A classical formula for night sweats (and sometimes spontaneous sweating) due to Yin deficiency with fire, combining Yin-nourishing, heat-clearing and exterior-securing herbs.

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Quick Facts

Formula Category
Yin-Tonifying Formulas
Primary Pattern
Yin Deficiency
Primary Function
Nourish Yin, clear heat, consolidate the exterior, stop sweating
Primary Therapeutic Principle
Enrich Yin, clear deficiency heat and secure the exterior
Classical Source
Lan Shi Mi Cang (Li Dongyuan, Jin dynasty)
Available as Granules
Yes

Formula Overview

A classical formula for night sweats (and sometimes spontaneous sweating) due to Yin deficiency with fire, combining Yin-nourishing, heat-clearing and exterior-securing herbs.

Therapeutic Principle

Traditionally selected for night sweats from Yin deficiency with fire — stronger heat-clearing than pure Yin tonics, and more Yin-nourishing than pure exterior-securing formulas.

Composition: Sovereign, Minister, Assistant, Envoy

Every herb in the formula, grouped by the job it does in the classical hierarchy.

Classical Composition

  • Angelicae Sinensis Radix (Dang Gui) 6g
  • Rehmanniae Radix (Sheng Di Huang) 6g
  • Scutellariae Radix (Huang Qin) 6g
  • Phellodendri Chinensis Cortex (Huang Bai) 6g
  • Coptidis Rhizoma (Huang Lian) 6g
  • Rehmanniae Radix Praeparata (Shu Di Huang) 6g
  • Astragali Radix (Huang Qi) 12g

Dosages follow the classical source and are shown for study, not as a prescription.

Related Conditions

Related Health Topics

Actions

  • Nourishes yin
  • drains fire
  • consolidates the exterior
  • and arrests sweating.

Indications

  • This formula is indicated for night sweating caused by yin deficiency and intense fire.
  • The symptoms are night sweating with fever, red complexion, vexation, thirst and dry lips, dry stool, dark urine, a red tongue body with a yellow coating, and a rapid pulse.

Traditional Pathogenesis

Cause & mechanism

  • This is a pattern of night sweating caused by yin deficiency and intense fire.
  • The phase of the heart is fire, and the phase of the kidney is water.
  • Normally, fire and water are coordinated with each other, and the heart and kidney interact with each other in a harmonious relationship.
  • If the kidney yin becomes deficient, the kidney water fails to coordinate with the heart fire.
  • The fire of heart will then intensify because of the lack of water, causing the pattern of yin deficiency and intense fire.
  • The fire will become more intense as more yin is consumed over time.
  • Yin will not be able to stay inside as the intense fire forces fluids to leak outward, causing night sweating with fever.
  • Deficiency-heat flames up causing a red complexion and vexation.
  • Yin and fluids are consumed, which leads to thirst and dry lips, dry stool, and dark urine.
  • The characteristic features of the pattern are deficiency of yin and blood, intense heart fire, outward leaking of yin forced by fire, and damage to the wei qi.

Clinical presentation

    Tongue & pulseA red tongue with a yellow coating, and a rapid pulse are signs of interior heat.

    Treatment strategy

    • Therefore, the therapeutic method is to nourish yin and blood, clear heat and drain fire, and boost qi to consolidate the exterior.

    How does this formula compare?

    Compare Dang Gui Liu Huang TangYu Ping Feng SanLiu Wei Di Huang WanZhi Bai Di Huang Wan
    Primary Function Nourish Yin, clear heat, consolidate the exterior, stop sweatingTonify Qi, consolidate the exterior, stop sweatingNourish Kidney YinNourish Yin, clear deficiency Heat
    Formula Category Yin-Tonifying FormulasQi-Tonifying FormulasYin-Tonifying FormulasYin-Tonifying Formulas
    Typical TCM Pattern Yin DeficiencyQi DeficiencyKidney Yin DeficiencyKidney Yin Deficiency
    Main Conditions Night Sweats·Dry Mouth & Throat·Fever·Spontaneous SweatingSpontaneous Sweating·Susceptible to Colds·Fatigue & Low Energy·Allergic RhinitisDizziness & Vertigo·Tinnitus·Night Sweats·Fatigue & Low EnergyYin Deficiency Constitution·Night Sweats
    Main Herbs Chinese Angelica Root·Raw Rehmannia Root·Prepared Rehmannia Root·Scutellaria / Baikal Skullcap·Phellodendron BarkAstragalus Root·White Atractylodes Rhizome·Saposhnikovia RootPrepared Rehmannia Root·Cornus Fruit·Chinese Yam·Alisma Rhizome·Moutan Bark / Tree Peony BarkPrepared Rehmannia Root·Cornus Fruit·Chinese Yam·Alisma Rhizome·Moutan Bark / Tree Peony Bark
    Classical Source Lan Shi Mi Cang (Li Dongyuan, Jin dynasty)Dan Xi Xin Fa (Zhu Danxi, Yuan dynasty) / Ji Sheng Fang traditionXiao Er Yao Zheng Zhi Jue (Qian Yi, Song dynasty) / later popularisedYi Zong Jin Jian / Investigation of Medical Formulas (Ming dynasty)

    Clinical Perspective

    Dang Gui Liu Huang Tang addresses Yin-deficiency fire night sweats with both clearing and securing. Yu Ping Feng San consolidates the exterior for Qi-deficient spontaneous sweating. Liu Wei Di Huang Wan and Zhi Bai Di Huang Wan nourish Kidney Yin (with heat-clearing in the latter) without the same focus on stopping sweat.

    Clinical Differentiation

    • Dang Gui Liu Huang Tang is a commonly used formula applicable for night sweating caused by yin deficiency and intense fire.
    • This clinical pattern is marked by night sweating, red complexion, vexation and thirst, red tongue body, and a rapid pulse.

    Safety notes: Do not use the formula for patterns of yin deficiency without intense fire, or for patients with poor digestion and thin, unformed stools caused by deficiency of the spleen and stomach.

    For educational reference only, based on traditional pattern differentiation — not a substitute for professional advice.

    Frequently Asked Questions

    What are the actions of Dang Gui Liu Huang Tang?
    Dang Gui Liu Huang Tang has the actions of nourishing Yin, draining Fire, consolidating the exterior, and stopping sweating. It is classically regarded as a key formula for night sweats caused by Yin deficiency with intense internal Fire.
    Which modern diseases is Dang Gui Liu Huang Tang suited to?
    Modern TCM clinical practice commonly applies it to individuals whose pattern differentiation falls within Yin deficiency with vigorous Fire, including severe menopausal or perimenopausal night sweats and hot flashes, hyperthyroidism with Heat signs, supportive care for tuberculosis night sweats, and certain diabetes presentations with Yin-deficient Fire.
    Is Dang Gui Liu Huang Tang suitable for improving night sweats with flushed face and irritability?
    For presentations of pronounced night sweats (often soaking the bedding), facial flushing, irritability or restlessness, dry mouth and lips, dry stools, dark urine, a red tongue with yellow coating, and a rapid pulse — in those whose pattern differentiation confirms Yin deficiency with intense Fire — TCM commonly applies Dang Gui Liu Huang Tang as an adjunct. It cannot replace standard medical treatment.
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    Medical Disclaimer

    For general TCM education only — not medical advice. Consult a qualified TCM practitioner or licensed healthcare provider before use, especially if pregnant, nursing, on medication, or managing a chronic condition.

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