Herb Formulas Notebook

Ge Gen Huang Qin Huang Lian Tang

Kudzu, Scutellaria and Coptis Decoction


Author: Zhang Zhong-Jing, 張仲景

Year: c. 220

Source: Discussion of Cold Damage (Shang Han Lun, 傷寒論)


Category: Formulas that Release Exterior-Interior Excess

Pattern: Heat excess in both Interior (Yangming) and Exterior (Taiyang)

Key Symptoms: Fever, sweating, foul-smelling stools, burning sensation around the anus, neck stiffness or pain
Secondary Symptoms: Facial flushing, headache, wheezing, thirst, irritability, insomnia

Tongue: Red with yellow coat
Pulse: Rapid and slippery, or flooding large and forceful, or rapid irregular
Abdomen: May have focal distention in epigastrium


Ingredients

Ge Gen 15g
Huang Qin 9g
Huang Lian 9g
Zhi Gan Cao 6g


Preparation: Decoction.


Actions: Releases the Exterior, drains Heat

Contraindications: Dysenteric disorders without fever or with a submerged and slow pulse



Notes:
One liang is taken as 3g in modern sources but in Eastern Han times it was equivalent to 13.875g. This means that the dosages in classical formulae could have been more than 4x what is given today making them far higher than recommended safe dosages today but prompts consideration of what an effective dose may be (He, 2013).



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