HERB FORMULAS

BAI HU TANG

English: White Tiger Decoction
Also Known As: Gypsum Combination

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Gypsum Fibrosum Shi Gao 15-30g Clears Heat, drains Fire.
With Zhi Mu, clears Heat from the Lungs and Stomach to alleviate irritability, moisten Dryness, and enrich Yin.
(Hb. Dendrobii) (Shi Hu) (15-30g) (May substitute for Shi Gao.)
Rz. Anemarrhenae Zhi Mu 5-18g Clears Heat from the Qi Stage, Lung and Stomach, nourishes Yin, moistens Dryness and generates fluids.
With Shi Gao, clears Heat from the Lungs and Stomach to alleviate irritability, moisten Dryness, and enrich Yin.
Fried Rx. Glycyrrhizae Zhi Gan Cao 2-6g Tonifies the Spleen and augments Qi.and Moderates and harmonizes the properties of other herbs.
With Jing Mi, benefits the Stomach, protects fluids and prevents the extremely cold properties of the other herbs from injuring the Middle Jiao.
(Rx. Glycyrrhizae) (Gan Cao) (2-6g) (May substitute for Zhi Gan Cao for its ability to generate fluids and quench thirst.)
Fr. Oryzae Jing Mi 8-30g Tonifies Yang, tonifies Qi , stops restlessness, generates fluids and stops thirst.
With Zhi Gan Cao, benefits the Stomach, protects fluids, and prevents the extremely cold properties of the other herbs from injuring the Middle Jiao.

FORMULA ACTIONS

  • Clears Qi-level Heat
  • Drains Stomach Fire
  • Generates fluids
  • Alleviates thirst

SYNDROMES

  • Yang Ming Jing
  • Qi-level Stomach Heat
  • Jue Yin Heat

CLINICAL MANIFESTATIONS

  • High fever
  • Profuse sweat
  • Generalized weakness
  • Severe chills
  • Aversion to Heat
  • Red face
  • Severe thirst with a strong desire to drink
  • Irritability
  • Anxiety
  • Pruritis
  • Headache
  • Toothache
  • Gum bleeding
  • Epistaxis
  • Dry lips
  • Dry tongue
  • Dry mouth
  • May be sensitive to Cold in the upper back
  • Polyuria
  • Delusions
  • Eye congestion
  • Burning sensation on the skin
  • Abdominal fullness without resistance
  • Dry, course skin
  • May be heavy labored breathing
  • Delirious speech (serious cases)
  • T: Red tip and sides
  • C: Yellow, dry or white
  • P:Flooding and forceful or Large and forceless or Slippery and rapid

TREATS

  • Encephalitis B
  • Meningitis
  • Pneumonia
  • Lobar pneumonia
  • Heat stroke
  • Diabetes mellitus
  • Periodontitis
  • Common cold
  • Influenza
  • Hemorrhagic fever
  • Some fevers related to cancers
  • Acute stomatitis
  • Gastritis
  • Rheumatoid arthritis
  • Measles
  • Erysipelas
  • Scarlet fever
  • Typhoid fever
  • Emotional disorders
  • Eczema
  • Pruritis
  • Gingivitis
  • Hyperthyroidism
  • Dermatitis
  • Recalcitrant allergic dermatitis
  • Unrelenting seepage after burns
  • Rheumatism
  • Hepatitis C

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Contraindicated for those with fever due to Spleen and Stomach Yin Deficiency manifesting as fever, spontaneous sweat, extreme fatigue, aversion to Wind, and a Deficiency floating pulse
  • Contraindicated for those with True Cold and False Heat manifesting fever with a desire for warmth, no desire to drink, agitated movements of the limbs in an otherwise subdued patient and flooding, weak pulse.
  • Contraindicated for those with Yang Ming Fu.
  • Use caution for those with a floating, wiry and thin pulse.
  • Use caution for those with a submerged pulse.
  • Use caution for those with absence of thirst.
  • Use caution for those with absence of sweating.
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For concurrent Stomach Qi Deficiency: For Wind-Cold in the exterior:
+Fr. Oryzae Jing Mi + Bul. Allii Cong Bai
+Rx. Dioscoreae Shan Yao + Sm. Sojae Praeparata Dan Dou Chi
For red swollen eyes and an excruciating headache:
 + Hb. Asari Xi Xin
+ Rz. Coptidis Huang Lian
For gingivitis, headache, epistaxis, dry mouth, thirst and constipation due to Lung Heat and Stomach Fire:
+ Rx. Scutellariae Huang Qin + Rx. and Rz. Rhei Da Huang
For wasting and thirsting disorder, or Heat severely injuring the fluids resulting in thirst, irritability, and insatiable hunger or hyperthyroidism:
For subcutaneous blotches, irritability, restlessness, disorientation, and insomnia associated with febrile disease and Heat toxin:
+ Rx. Trichosanthis Tian Hua Fen
+ Coptis Decoction to Relieve Toxicity
Huang Lian Jie Du Tang
+ Rz. Phragmitis Lu Gen
For encephalitis and meningitis:
+ Tub. Ophiopogonis Mai Men Dong + Flos Lonicerae Jin Yin Hua
For convulsions:
 + Fr. Forsythia Lian Qiao
+ Cornu Antelopis Ling Yang Jiao
For Excess Heat consuming Body Fluids and Yin:
+ Ram. Uncariae Gou Teng + Rx. Ophiopogonis Mai Men Dong
For Summerheat with thirst:
For gingivitis and toothache:

+ Mosla Three Decoction
San Wu Xiang Ru Yin

+ Rz. Coptidis Huang Lian
For constipation, thirst and perspiration:
 + Rx. Scutellariae Huang Qin
+ Rx. et Rz. Rhei Da Huang + Rx. Angelicae Dahuricae Bai Zhi
+ Natrii Sulfas Mang Xiao
For belching and a feeling of oppression in the epigastrium:
For alternating chills and fever:
+ Rz. Pinelliae Preparatum Zhi Ban Xia
+ Rx. Bupleuri Chai Hu + Caul. Bambusae in Taenium Zhu Ru
or
For Wen Bing Qi Level Heat with Wind-Heat Invasion:

+ Minor Bupleurum Decoction
Xiao Chai Hu Tang

+ Honeysuckle and Forsythia Powder
Yin Qiao San
For high fever, thirst, irritability, delirium and muscle twitching:
For thirst due to Xiao Ke with Stomach Heat:
+ Cornu Bubali Shui Niu JIao + Rx. Trichosanthis Tian Hua Fen
+ Ram. Uncariae cum Uncis Gou Teng + Rz. Phragmitis Lu Gen
For swollen, painful gums, thirst and dry stools:
+ Rx. Ophiopogonis Mai Men Dong
+ Rx. Scrophulariae Xuan Shen
For headache:
+ Rx. Achyranthis Bidentatae Niu Xi + Rx. Angelicae Dahuricae Bai Zhi
For measles or toxic lesions on the skin:
 + Rx. et Rz. Ligustici Gao Ben
+ Cimicifuga and Kudzu Decoction
Sheng Ma Ge Gen Tang
For gingivitis, headache, fever and thirst due to Stomach Fire:
For a big, forceless pulse:
+ 1.5-2g hb. Asari Xi Xin
+ Rx. Ginseng Ren Shen
For swelling and pain of the joints:
For convulsions:
+ Ram. Cinnamomi Gui Zhi
+ Ram. Uncariae cum Uncis Gou Teng + Rz. Atractylodis Cang Zhu
+ Pheretima Di Long
For Heat Bi with Heat at the Qi Level:
+ Cornu Saigae Tataricae Ling Yang Jiao + Cx. Phellodendri Huang Bai
For Heat Bi with Heat at the Qi Level with unremittingly high fever:
 + Rz. Coptidis Huang Lian
+ Cx. Phellodendri Huang Bai + Fr. Gardeniae Zhi Zi
+ Rz. Coptidis Huang Lian + Rz. Polygoni Cuspidati Hu Zhang
+ Fr. Gardeniae Zhi Zi
For red, swollen excruciatingly painful joints:
+ Rz. Polygoni Cuspidati Hu Zhang
+ Rhinoceros Horn Decoction
Xi Jiao Tang
+ Natrii Sulfas Mang Xiao + Caulis Lonicerae Ren Dong Teng
+ Rx. et Rz. Rhei Da Huang + Rx. Achyranthis Bidentatae Niu Xi
+ Purple Snow Special Pill
Zi Xue Dan
+ Hb. Taxilli Sang Ji sheng
    + Olibanum Ru Xiang
    + Rx. Gentianae Macrophyllae Qin Jiao
    + Rz. Imperatae Bai Mao Gen
    + Rx. Rehmanniae Sheng Di Huang
    + Rz. Polygoni Cuspidati Hu Zhang