HERB FORMULAS

HUANG LIAN JIE DU TANG

English: Coptis Decoction to Relieve Toxicity
Also Known As: Antiphlogistic Decoction of Coptis
Coptis and Scute Combination
Coptis Decoction to Resolve Toxicity

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Rz. Coptidis Huang Lian 6-12g Clears Heat, drains Dampness, drains Fire and relieves toxicity.
With Huang Qin, drains pathogenic Heat from the Upper and Middle Jiaos for high fever, redness, swelling and pain of the head and face, dry mouth, parched throat, ulcerations of the mouth and tongue, epistaxis, rashes and irritability in warm-febrile disease and for explosive diarrhea and dysentery with burning pain in the anus or fitted, filthy stools and abdominal pain
With Huang Qin and Zhi Zi, for high fever, irritability, dry mouth and throat, and dark urine due to Fire toxin in the three burners.
Rx. Scutellariae Huang Qin 6-9g Clears Heat, resolves Fire toxins, invigorates the Blood, reduces swellings, promotes urination and reduces edema.
With Zhi Zi, powerfully clears and drains lurking Heat from the Lungs with fever, fullness in the chest, cough with yellow sputum and epistaxis or hematemesis to treat Damp-Heat and jaundice, sores due to Heat toxin and irregular vaginal bleeding due to Liver Fire.
Cx. Phellodendri Huang Bai 6-9g Drains Damp-Heat, especially from the Lower Jiao, drains Deficiency Fire, drains Fire and relieves toxicity.
With Zhi Zi Tan, for Lower Jiao Damp-Heat leading to hot, painful urinary dysfunction.
Charred Fr. Gardeniae Zhi Zi Tan 6-12g Clears Heat, reduces Fire, drains Damp-Heat, cools Blood and relieves toxicity.

FORMULA ACTIONS

  • Clears Heat, Drains Fire and Relieves toxicity from all three Jiaos
  • Relieves inflammation
  • Stops bleeding
  • Purges Damp-Heat
  • Purges the Gallbladder

SYNDROMES

  • Obstruction of the Three Jiaos by Fire Toxin which pervades both the Exterior and Interior
  • Gu Syndrome

CLINICAL MANIFESTATIONS

  • High fever
  • Irritability
  • Fidgeting
  • Dry mouth
  • Dry throat
  • Incoherent speech
  • Insomnia
  • Dark urine
  • Deep-rooted boils
  • Maculae
  • Carbuncles
  • Hematemesis
  • Hemoptysis
  • Palpitations
  • Furuncles
  • Tinnitus
  • Purpura
  • Red face
  • Rashes
  • Deep-rooted boils
  • Red eyes
  • Itchy skin
  • Fidgeting
  • Dry lips
  • Delirium
  • Dysentery with fever
  • Jaundice
  • Epistaxis
  • Hematuria
  • Cloudy mind
  • Diarrhea
  • T: Red
  • C: Yellow
  • P: Rapid and forceful

TREATS

  • Septicemia
  • Toxic bacillary dysentery
  • Pneumonia
  • Urinary tract infection
  • Encephalitis
  • Prurulent skin lesions
  • Emotional instability
  • Fevers
  • Hemoptysis
  • Epistaxis
  • Hematuria
  • Blood diseases
  • Palpitations
  • Insomnia
  • Neurasthenia
  • Hysteria
  • Urticaria
  • Jaundice
  • Acute cholecystitis
  • Periodontitis
  • Hypertension
  • Cerebrovascular accident
  • Otitis media
  • Nephritis
  • Prophylactic treatment against pos-surgical infection
  • Herpes
  • Post-surgical cataract
  • Candidiasis
  • Chronic fatigue syndrome
  • Pruritis
  • Insomnia
  • Pyemia
  • Carbuncles
  • Deep-rooted boils
  • Cerebral bleeding
  • Hypertension
  • Influenza
  • Epidemic cerebrospinal meningitis
  • Pyogenic skin infection
  • Acute infectious hepatitis
  • Acute gastroenteritis
  • Acute enteritis
  • Menopausal syndrome
  • Neurosis
  • Stomatitis
  • Toothache
  • Nervous gastritis
  • Cellulitis
  • Acute pelvic inflammatory disease
  • Vaginitis
  • Erysipelas
  • Sequelae of a stroke
  • Post-ischemic brain injury
  • Acne
  • Impetigo herpetiformis
  • Eczema of the anus
  • Giardiasis
  • Leaky gut sundrome

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Use only for Excess patients with strong constitutions.
  • Do not use long term (it can injure Yin).
  • Contraindicated for those with Stomach Yin Deficiency with a red tongue and no coat.
HERB/DRUG INTERACTIONS

NOTES

  • This formula has been shown to have a marked effect in preventing iatrogenic mucositis such as stomatitis and gastrointestinal mucosal injury when treating leukemia patients with cytotoxic drugs.
  • This formula may be effective in treating aspirin-and ethanol-induced gastric lesions.

MODIFICATIONS

For constipation: For jaundice due to obstruction from Heat:
+ Rx. et Rz. Rhei Da Huang + Hb. Artemesiae Scopariae Yin Chen Hao
For dysenteric disorders with blood and mucus in the stool and tenesmus:
 + Rx. et Rz. Rhei Da Huang
+ Rx. Aucklandiae Mu Xiang
For Damp-Heat in the Lower Jiao, with urinary frequency, urgency and discomfort:
+ Sm. Arecae Bing Lang + Caulis Akebiae Mu Tong
+ Cx. Fraxini Qin Pi + Rz. Alismatis Ze Xie
For epistaxis, hematemesis, or erythema and purpura:
 + Sm. Plantaginis Che Qian Zi
+ Rx. Rehmanniae Sheng Di Huang
For skin ulcerations with swelling and pain
+ Cx. Moutan Mu Dan Pi
+ Drain the Pus Powder
Pai Nong San
+ Rx. Scrophulariae Xuan Shen
For Yin Deficiency:
or
 + Rx. Rehmanniae Preparata Shu Di Huang
+ Rhinoceros Horn and Rehmannia Decoction
Xi Jiao Di Huang Tang
 + Rz. Anemarrhenae Zhi Mu
For Blood Deficiency:
For insomnia:
+ Four Substance Decoction
Si Wu Tang
 + Sm. Zizyphi Spinosae Suan Zao Ren
For hot type diarrhea and dysentery:
For acne rosaceae:
+ Rx. Puerariae Ge Gen + Flos Carthami Hong Hua
For oral inflammation and herpes sores and Upper Jiao Damp-Heat:
 + Rx. Rehmanniae Sheng Di Huang
+ Hb. Menthae Bo He + Rx. Paeoniae Rubra Chi Shao
+ Fr. Forsythiae Lian Qiao
For Lower Jiao Damp-Heat:
For heartburn:
 + Rx. Angelicae Sinensis Dang Gui
+ Concha Ostreae Mu Li + Rz. Alismatis Ze Xie
For boils, ear infection or conjunctivitis:
 + Caulis Akebiae Mu Tong
+ Rx. Saposhnikoviae Fang Feng + Sm. Plantaginis Che Qian Zi
+ Hb. Menthae Bo He
For extreme thirst, flushing or rashes and a large pulse:
+ Rx. Schizonepetae Jing Jie + Gypsum Fibrosum Shi Gao
+ Fr. Forsythiae Lian Qiao + Rx. Ephedrae Ma Huang Gen
For epistaxis:
 + Sm. Sojae Praeparata Dan Dou Chi
+ Rz. Imperatae Bai Mao Gen + Rz. Zingiberis Recens Sheng Jiang
+ Cacumen Platycladi Ce Bai Ye
For severe maculae:
For a red tongue with no coat:
 + Cx. Moutan Mu Dan Pi
+ Rx. Scrophulariae Xuan Shen + Rx. Rehmanniae Sheng Di Huang
+ Rx. Rehmanniae Sheng Di Huang
For a dry mouth and throat:
+Rx. Ophiopogonis Mai Men Dong + Rx. Ophiopogonis Mai Men Dong
For thirst and fever:
+ Fr. Schisandrae Wu Wei Zi
+ Gypsum Fibrosum Shi Gao
For cough with pus and Blood:
+ Rz. Anemarrhenae Zhi Mu + Rx. Platycodi Jie Geng
For toxic abscesses and sores:
or
+ Hb. Taraxaci Pu Gong Ying
+ Platycodon Decoction
Jie Geng Tang
+ Hb. Violae Zi Hua Di Ding
For high fever and jaundice:
or
+ Flos Lonicerae Jin Yin Hua
+ Five Ingredient Decoction to Eliminate Toxin
Wu Wei Xiao Du Yin
For Gu Syndrome:
    + Fol. Perillae Zi Su Ye
    + Hb. Menthae Bo He
    + Rx. Angelicae Dahuricae Bai Zhi