黄连解毒汤

nullhuang lian jie du tanghuang lian jie du tangCoptis Decoction to Relieve ToxicitySource: Arcane Essentials/From the Imperial Library (Wai tai mi yao)nullRhizoma Coptidis (huang lian) 9g Radix Scutellariae (huang qin) 6g Cortex Phellodendri (huang bai) 6g Fructus Gardeniae Jasminoidis (zhi zi) 6-12gIngredientsPreparation Preparation Decoction. Today the dosage of huang lian is generally one-half to one-third the amount specified. Available in prepared form. nullActions Purging fire and relieving toxicity. nullIndicationsSyndrome of triple energizer fire toxin. nullhigh fever, irritability a dry mouth and throat incoherent speech, insomnia dark urine Tongue: a red tongue with a yellow coating Pulse: rapid forceful Also for nosebleed or vomiting of blood due to heat excess; carbuncles, deep-rooted boils, and other toxic swellings; and dysenteric disorders or jaundice due to damp-heat. SymptomsnullThis is severe obstruction of the three burners by fire toxin (also known as heat toxin), which pervades both the interior and exterior. Toxin can develop when an external pathogenic influence is transformed by constraint, or from the accumulation of internally generated heat. The fire toxin that ensues in turn pervades the three burners and disturbs the spirit. This manifests as high fever, irritability, and in severe cases, incoherent speech and insomnia. nullThe searing heat injures the fluids and dries the mouth and throat. Severe heat may also induce reckless movement of blood (especially in the upper part of the body) which causes nosebleed or vomiting of blood. Injury to the blood vessels can result in leakage to the skin and the formation of rashes. Heat obstructing the muscle layer produces carbuncles, and other types of suppurative swellings. A red tongue with a yellow coating and a fast, forceful pulse reflect the presence of fire toxin. In some cases, fire toxin from constraint may cause damp-heat dysenteric disorders or jaundice.ANALYSIS OF FORMULA ANALYSIS OF FORMULA huang lian — chief drug bitter cold purges pathogenic fire in the heart and stomach huang qin — deputy drug clears away heat in the lung and purging fire in the upper-warmer. nullhuang bai --purges pathogenic fire in the lower-warmer zhi zi --removes pathogenic fire in the tri-warmer by inducing diuresis. assistant drugs COMMENTARY COMMENTARY This formula is suitable for all types of fire toxin obstructing the three burners characterized by high fever, irritability, a dry mouth and throat, a red tongue with a yellow coating, and a rapid, strong pulse. With the appropriate presentation, this formula may be used in treating such biomedically-defined disorders as septicemia, toxic bacillary dysentery, pneumonia, urinary tract infection, encephalitis, and purulent skin lesions.CautionsCautions Because it is very bitter and cold, this formula should only be prescribed in cases of excess for patients of robust constitution. Since it can easily injure the yin, it should not be taken long-term. If prescribed for conditions of heat in the nutritive or blood levels, it may easily injure the yin.MODIFICATIONS MODIFICATIONS For constipation, add da huang. For jaundice due to obstruction from heat, add yin chen and da huang. For dysenteric disorders with blood and mucus in the stool and tenesmus, add mu xiang, bin lang and qin pi.nullFor damp-heat in the lower burner with urinary frequency, urgency, and discomfort, add mu tong, ze xie and che qian zi. For nosebleed, vomiting of blood, or erythema and purpura, add sheng di huang, dan pi and xuan shen, or take with Rhinoceros Horn and Rehmannia Decoction (xi jiao di huang tang). For purulent lesions such as deep-rooted boils, take with Five-Ingredient Decoction to Eliminate Toxin (wu wei xiao du yin).