HERB FORMULAS

LIANG GE SAN

English: Cool the Diaphragm Powder
Also Known As: Forsythia and Rhubarb Formula
The Diaphragm Cooling Powder

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Rx. et Rz. Rhei Da Huang 4.5-9g Drains Heat and Fire, purges accumulations, transforms Dampness, promotes urination, Invigorates the Blood, dispels Blood Stasis and reduces Fire toxicity.
With Mang Xiao, eliminates obstruction in the Intestines and treats abscess, swellings and toxic sores.
With Mang Xiao and Gan Cao (Tiao Wei Cheng Qi Tang), drains Yang Ming Heat.
With Huang Qin, Zhi Zi and Lian Qiao, for strong pathogenic Heat in the Upper and Middle Jiaos.
Natrii Sulfas Mang Xiao 3-9g Softens hardness, purges accumulations, clears Heat, drains Fire, reduces swelling and eliminates Stagnation.
With Da Huang, for constipation due to Colon Heat.
Rx. Glycyrrhizae Gan Cao 2.5-9g Clears Heat, relieves Fire toxicity and harmonizes.
Rx. Scutellariae Huang Qin 3-6g Drains Fire, clears Heat, dries Dampness, detoxifies and clears Lung and Liver Heat.
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, Clears Damp-Heat and jaundice, treats sores due to Heat toxin and irregular vaginal bleeding due to Liver Fire
Fr. Gardeniae Zhi Zi 3-6g Clears Heat from all three Jiaos through the urine and resolves Dampness.
Fr. Forsythiae Lian Qiao 3-18g Clears Lung Heat, relieves toxicity, reduces abscesses and dissipates clumps .
Hb. Menthae Haplocalycis Bo He 2.5-6g Helps release Upper Jiao Heat, benefits the head and throat and relieves Liver Qi Stagnation.
Hb. Lophatheri Dan Zhu Ye 2-6g Clears Heat from the Lung, Stomach and Heart, promotes urination and clears Damp-Heat.
Mel (honey) Feng Mi   Protects the Stomach and prevents abdominal pain caused by purgatives.

FORMULA ACTIONS

  • Drains Fire
  • Unblocks the bowels by Clearing Upper Jiao and Draining the Middle and Lower Jiaos

SYNDROMES

  • Colon Heat
  • Heart Fire Flaring Up
  • Heat Stagnation (unformed Heat in the Upper Jiao with Heat Accumulation in the Middle Jiao)
  • Constipation with Heat in the Upper Jiao
  • Qi Stage Gallbladder Heat

CLINICAL MANIFESTATIONS

  • Sensation of Heat and irritability in the chest, diaphragm and abdomen
  • Delirious speech (severe)
  • Hemoptysis
  • Thirst
  • Flushed face
  • Red or scorched lips
  • Tongue sores
  • Sore throat
  • Swollen tongue
  • Red eyes
  • Epistaxis
  • Constipation
  • Toothache
  • Alternating chills and fever
  • Hematemesis
  • Fever
  • Bitter taste in mouth
  • Red urine
  • Dry, chapped lips
  • Dark, scanty urine
  • Restlessness
  • Vomiting
  • Red mouth or ulcers on the mouth
  • Hypochondriac pain
  • Rashes
  • Insomnia
  • Mania
  • T: Red body or Red edges
  • C: Yellow and dry or White and dry
  • P: Slippery (maybe) and rapid

TREATS

  • Childhood convulsions
  • Patch-like rashes
  • Pox with collapsed sores
  • Skin disorders
  • Upper respiratory tract infections
  • Tonsillitis
  • Meningitis
  • Encephalitis B
  • Hypertension
  • Cholecystitis
  • Cholelithiasis
  • Furuncles
  • Acute conjunctivitis
  • Pediatric pneumonia
  • Some gynecological disorders
  • Malnutrition
  • Infections
  • Pertussis
  • Influenza
  • Herpetic pharyngitis
  • Herpes labiales
  • Epistaxis
  • Acute nephritis
  • Constipation
  • Malaria
  • Acute pancreatitis
  • Emotional upset
  • Epidemic meningitis
  • Measles
  • Thrush
  • Stomatitis
  • Laryngitis
  • Psychosis
  • Furuncles on head
  • Diphtheria
  • Acute bronchitis
  • Lobar pneumonia
  • Periodontitis
  • Suppurative tonsillitis
  • Bronchiectasis with or without hemoptysis
  • Common cold
  • Infectious parotitis
  • Candidiasis
  • Gingivitis
  • Acute conjunctivitis
  • Diarrhea

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Reduce or omit Da Huang when constipation is gone or there is mild abdominal pain, pus in stool and/or reduced energy.
  • Weak patients.
  • Contraindicated during pregnancy.
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For jaundice: For chest pain:
+ Hb. Artemisiae Yin Chen Hao + Rx. Bupleuri Chai Hu
+ Rx. Curcumae
+ Fr. Toosendan Chuan
For extreme thirst and irritability:
+ Rz. Corydalis Yan Hu Suo
+ Rx. Trichosanthis Tian Hua Fen For severe oral ulcers:
For pediatric convulsions:
+ Rz. Coptidis Huang Lian
+ Ram. Uncariae cum Uncis Gou Teng
or
+ Cornu Saigae Tataricae Ling Yang Jiao + Rz. Coptidis Huang Lian
For Yin Deficiency: + Cx. Lycii Di Gu Pi
+ Rx. Rehmanniae Sheng Di Huang For cholelithiasis:
+ Rx. Scrophulariae
+ Hb. Lysimachiae Jin Qian Cao
+ Rx. Ophiopogonis Mai Men Dong
For the eruptive stage of measles with a deep red rash, conjunc-tivitis, dry nose, dyspnea and thirst with a desire to drink:
For Qi Level Heat with pharyngitis, fever and thirst: - Natrii Sulfas Mang Xiao
- Natrii Sulfas Mang Xiao + Rx. Arnebiae/Lithospermi Zi Cao
- Rx. et Rz. Rhei Da Huang + Flos Carthami Hong Hua
+ Indigo Naturalis Qing Dai
For cough, nausea and vomiting:
+ Flos Lonicerae Jin Yin Hua + Rz. Pinelliae Preparatum Zhi Ban Xia
For dysuria:
+ Rz. Zingiberis Recens Sheng Jiang
+ Talcum Hua Shi
For dizziness and vertigo due to Heat:
+ Poria Fu Ling + Rx. Saposhnikoviae Fang Feng
For a sore throat:
+ Rz. Chuanxiong Chuan Xiong
+ Rx. Sophorae Tonkinensis Shan Dou Gen + Gypsum Fibrosum Shi Gao
+ Rx. Isatidis Ban Lan Gen For Qi Stagnation:
  + Rx. Bupleuri Chai Hu
    + Fr. Toosendan Chuan Lian Zi