Herb Formulas Notebook

Huang Lian Jie Du Tang

Coptis Decoction to Resolve Toxicity

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Source: Arcane Essentials from the Imperial Library (752)
Author: Wang Tao

Category: Formulas that Clear Heat

Pattern: Severe obstruction of all three Jiao by Heat Toxin disturbing the Shen.

Key Symptoms: High fever, irritability, dry mouth and throat, incoherent speech, insomnia, dark urine

Tongue: Red with yellow coating
Pulse: Rapid and forceful

Huang Lian 9g
Huang Qin 6g
Huang Bai 6g
Zhi Zi 6-12g

At present the dosage of Huang Lian is often reduced to 3-4.5g.

Preparation: Decoction. Some Japanese sources recommend to let the liquid cool in order to enhance its cooling effects.

Actions: Drains fire and resolves Toxicity.

Contraindications: It can easily injure the Yin and so should only be used in robust patients and not for long term or for patients with Heat in the Ying and Xue levels.

Ploberger (2017), in Westliche und traditionell chinesische Heilkräuter, offers the following alternative using western herbs:

Herba Fumariae(Fumitory)5g(Emperor)
Herba Urticae(Nettle leaves)5g(Minister)
Radix Gentianae(Gentian root)3g(Minister)
Herba Violae tricolores (Wild Pansy)8g(Minister)
Radix Taraxaci(Dandelion root)7g(Minister)
Herba Equiseti(Horsetail)8g(Assistant)

Research Links:
Science Direct
Google Scholar
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.