HERB FORMULAS

LING JIAO GOU TENG TANG

English: Antelope Horn and Uncaria Decoction
Also Known As: Ling Yang Gou Teng Tang

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Cornu Saigae Tataricae Ling Yang Jiao 1-4.5g Pacifies the Liver, extinguishes Wind, clears Heat and toxins, anchors Yang, and stops spasms and convulsions.
With Gou Teng, Sheng Di Huang and Ju Hua, for convulsions and opisthotonis associated with Liver Wind generated by Warm Febrile Disease.
With Gou Teng, Sheng Di Huang, Ju Hua and Bai Shao, for dizziness and vertigo.
(Cornu Naemorhedis) (Shan Yang Jiao) (10-45g) (Pacifies the Liver, and treats Liver Fire or Liver Yang Rising. It may substitute for Ling Yang Jiao.)
(Concha Margaritaferae) (Zhen Zhu Mu) (10-45g) (Calms the Liver, anchors the Yang and drains Liver Fire. It may substitute for Ling Yang Jiao.)
Ram. Uncariae Gou Teng 9-12g Balances the liver and Pericardium, calms Wind and extinguishes Fire.
Fol. Mori Sang Ye 6-9g Clears the Liver and eyes.
 With Ju Hua, clears Heat and dispels Wind from the Lungs and Liver and strengthens the formula’s Wind-extinguishing functions.
With Ju Hua, Ling Yang Jiao and Gou Teng, for cramps and spasms due to Liver Wind.
Flos Chrysanthemi Ju Hua 9-12g Calms the Liver and extinguishes Wind.
With Gou Teng, Sheng Di Huang and Bai Shao, for headaches due to Liver Wind with Yin Deficiency Fire.
Rx. Paeoniae Alba Bai Shao 6-9g Calms Liver Yang and astringes Yin.
With Sheng Di Huang, nourishes Yin and generates Fluids to soften the Liver and relax sinews.
With Gou Teng and Ju Hua, for headache and dizziness due to Liver Yang Rising.
With Gan Cao, for abdominal pain due to disharmony between the Liver and Stomach and epigastric, hypochondriac or flank pain.
Rx. Rehmanniae Sheng Di Huang 9-15g Clears Heat, cools the Blood, nourishes the Yin and Blood, cools Heart Fire and increases Fluids.
With Bai Shao, for Blood Deficiency Heat.
Bul. Fritillariae Cirrhosae Chuan Bei Mu 9-12g Clears Heat and transforms Phlegm.
With Zhu Ru, clears Heat and transforms Phlegm.
Scl. Poriae Pararadicis Fu Shen 9-12g Transforms Phlegm, pacifies the Heart, calms the Shen and treats irritability and restlessness caused by Heat attacking the Shen.
Caul. Bambusae In Taeniam Zhu Ru 6-15g Clears Heat and transforms Hot Phlegm.
Rx. Glycyrrhizae Gan Cao 1-3g Resolves Phlegm, clears Heat, detoxifies and harmonizes.
With Bai Shao, strengthens Yin, relaxes sinews and moderates painful spasms.

FORMULA ACTIONS

  • Cools the Liver
  • Extinguishes Wind
  • Increases Fluids
  • Relaxes the sinews
  • Stops convulsions

SYNDROMES

  • Phlegm Obstructs the Heart Orifice-Tense Type (Yang Obstruction)
  • Liver Wind Stirring Internally: Extreme Heat Generates Wind
  • Wen Bing Xue Stage Heat (Xue Fen) Generating Wind
  • Phlegm-Heat

CLINICAL MANIFESTATIONS

  • Persistent high fever
  • Irritability
  • Restlessness
  • Dizziness
  • Vertigo
  • Twitching
  • Spasms of the extremities
  • Insomnia
  • Tinnitus
  • Bitter taste in the mouth
  • Deafness
  • Dry throat
  • Stiff neck with convulsions
  • Severe headache
  • Loss of consciousness
  • Maybe opisthotonos
  • Maybe expectoration of thick, yellow sputum
  • T: Deep red, dry or burnt with prickles
  • C: Yellow and dry
  • P: Wiry and rapid or Wiry and smooth

TREATS:

  • Essential hypertension
  • Hypertensive encephelopathy
  • Cerebrovascular accident
  • Encephalitis B
  • Meningitis
  • Pneumonia
  • Stroke
  • Glaucoma
  • Catarrhal otitis media
  • Eclampsia
  • Puerperal convulsions
  • Mania with convulsions
  • Chromaffinoma
  • Dysentery
  • Shingles
  • Post-stroke sequelae
  • Meniere's disease
  • Chromaffinoma

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Contraindicated for those with Wind due to Deficiency.
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For depletion of Fluids: For severe Heat:
+ Rx. Scrophulariae Xuan Shen + Fol. Isatidis Da Qing Ye
+ Tub. Ophiopogonis Mai Men Dong + Rx. Isatidis/ Baphicacanthis Ban Lan Gen
+ Colla Corii Asini E Jiao + Sp. Prunellae Xia Ku Cao
+ Hb. Dendrobii Shi Hu + Concha Haliotidis Shi Jue Ming
For persistent high fever with severe wasting and injury to the Fluids:
For impaired consciousness with gurgling sounds in the throat:
+ Rx. Scrophulariae Xuan Shen + Concretio Bambusae Silicea Tian Zhu Huang
+ Rx. Asparagi Tian Men Dong + Caulis Bambusae in Taeniam Zhu Ru
+ Rx. Ophiopogonis Mai Men Dong + Rz. Zingiberis Rhizomatis Succus Jiang Zhi
+ Hb. Dendrobii Shi Hu
For severe tics, spasms or convulsions:
+ Colla Corii Asini E Jiao + Scorpio Quan Xie
For Heat primarily in the Qi level:
 + Scolopendrae Wu Gong
+ Gypsum Fibrosum Shi Gao + Bombyx Batryticatus Jiang Can
or
For Heat primarily in the Ying and Xue levels:
+ Gypsum Fibrosum Shi Gao + Cornu Bubali Shui Niu Jiao
+ Rz. Anemarrhenae Zhi Mu + Cx. Moutan Mu Dan Pi
For Heat trapped internally with impaired consciousness:
or
+ Purple Snow Special Pill
Zi Xue Dan
+ Cx. Moutan Mu Dan Pi
or
 + Rx. Paeoniae Rubra Chi Shao
+ Calm the Palace Pill with Cattle Gallstone
An Gong Niu Huang Wan
For hypertension headache and dizziness:
With Excess Interior Heat:
+ Rx. Gentianae Long Dan Cao
+ Fol. Isatidis Da Qing Ye + Sp. Prunellae Xiao Ku Cao
+ Sp. Prunellae Xia Ku Cao + Concha Ostreae Mu Li
+ Sm. Cassiae Jue Ming Zi + Concha Margaritaferae Zhen Zhu Mu
For Xue Stage Heat Kidney and Liver Deficiency Generates Wind:
 + Rx. Gastrodiae Tian Ma
+ Rx. Rehmanniae Shu Di Huang
For hypertension:
+ Rx. Salviae Miltiorrhizae Dan Shen + Rx. Achyranthis Bidentatae Niu Xi
+ Tub. Ophiopogonis Mai Men Dong + Fr. Tribuli Bai Ji Li
For alteration of consciousness due to Phlegm Accumulation
   
+ Concretio Bambusae Silicea Tian Zhu Huang    
+ Succus Bambusae Zhu Li