Herb Formulas Notebook

Gan Jiang Huang Lian Huang Qin Ren Shen Tang

Ginger, Coptis, Scutellaria and Ginseng Decoction

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Source: Discussion of Cold Damage (c. 220)
Author: Zhang Ji / Zhong-Jing

Category: Formulas that Harmonise

Pattern: Stomach Heat with Cold in the Intestines and long-standing Spleen deficiency Cold, Cold rejection (Han Ge)

Key Symptoms: Vomiting immediately after eating, diarrhoea
Secondary Symptoms: Diarrhoea need not always be present and this formula can also be used where vomiting is not helped by formulas based on Mu Xiang, Sha Ren, Chen Pi and Ban Xia (Ke Qin, in Scheid et al. 2009, 133)

Gan Jiang 9g
Huang Qin 9g
Huang Lian 3-9g
Ren Shen 9g

Preparation: Decoction.

Actions: Unblocks the Qi dynamic with acrid herbs, directs downwards with bitter herbs, regulates and tonifies the Spleen and Stomach

Cold rejection is when a person with long-standing Cold-type diarrhoea is mistakenly purged and contracts a Cold Damage disorder, exacerbating the Cold below which rejects the descent of Heat from above leading to an increase in diarrhoea accompanied by vomiting immediately after eating.

Research Links:
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Journal of Chinese Medicine
American Dragon

Reference Notes: (click to display)

These pages are intended to assist clinicians and are not intended for self-diagnosis or treatment for which a qualified professional should be consulted.