HERB FORMULAS

HAO QIN QING DAN TANG - 蒿芩清膽湯 - SWEET WORMWOOD AND SCUTELLARIA DECOCTION TO CLEAR THE GALLBLADDER

English: Sweet Wormwood and Scutellaria Decoction to Clear the Gallbladder
Also Known As: Artemisia Annua and Scutellaria Decoction to Clear the Gallbladder

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Hb. Artemisiae Annuae Qing Hao 4.5-24g Clears Summerheat or Damp-Heat.
Rx. Scutellariae Huang Qin 4.5-12g Clears Heat, dries Dampness, drains Fire and detoxifies.
Caulis Bambusae in Taeniam Zhu Ru 6-9g Clears Heat, transforms Hot Phlegm and stops vomiting.
Rz. Pinelliae Preparatum Zhi Ban Xia 4.5-12g Dries Dampness, transforms Phlegm, descends Rebellious Qi, stops vomiting and harmonizes the Stomach.
Fr. Aurantii Zhi Ke 4.5-9g Promotes the movement of Qi, reduces distention and pressure and resolves hardenings.
Per. Citri Reticulatae Chen Pi 4.5-15g Regulates Qi, adjusts the Middle, relieves the diaphragm, dries Dampness and transforms Phlegm.
With Zhi Ke, for abdominal distention, fullness and pain.
With Zhi Ban Xia, for a stifling sensation in the chest and cough with excessive white, viscous sputum due to Phlegm-Damp Obstruction.
Poria Rubra Chi Fu Ling 9-15g Clears Dampness and Heat.
Jasper Powder Bi Yu San 9g Clears Heat, relieves toxicity, promotes, urination, eliminates Summerheat, tonifies Qi, cools the Blood and arrests convulsions.

FORMULA ACTIONS

  • Clears Gallbladder Heat
  • Dispels Dampness
  • Harmonizes the Stomach
  • Resolves Phlegm

SYNDROMES

  • Gallbladder Damp-Heat
  • Damp-Heat and Phlegm in the Shao Yang channels constraining the Ying and Wei

CLINICAL MANIFESTATIONS

  • Alternating chills and fever with fever more prominent
  • A bitter taste in the mouth
  • Nausea
  • Dry heaves
  • Hiccups
  • A stifling sensation in the chest
  • Chest and hypochondriac pain and distention
  • Distending pain in the upper abdomen
  • Vomiting bitter or sour fluids that are yellow and sticky
  • Acid regurgitation
  • Thirst
  • T: Red
  • C: Yellowish or White and greasy or Yellow and greasy
  • P: Left: Wiry and rapid, Right: Slippery and rapid

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Contraindicated for those with Phlegm-Dampness due to Yang Deficiency.
HERB/DRUG INTERACTIONS

NOTES

  • Place Bi Yu San in cheesecloth and decoct with the rest of the ingredients.

MODIFICATIONS

For a strong fever and a soft, rapid pulse:
For Excess vomiting:
+ Flos Lonicerae Jin Yin Hua
+ Left Metal Pill
Zuo Jin Wan
+ Fr. Forsythiae Lian Qiao
+ Fol. Isatidis Da Qing Ye
For body aches and pains:
For severe vomiting:
+ Ram. Mori Sang Zhi
+ Haematitum Dai Zhe Shi + Sm. Coicis Yi Yi Ren
For Damp-Heat jaundice:
+ Fr. Luffae Retinervus Si Gua Luo
- Rz. Pinelliae Preparatum Zhi Ban Xia
For dizziness and vertigo due 6to Phlegm Accumulation:
- Per. Citri Reticulatae Chen Pi + Rz. Gastrodiae Tian Ma
+ Hb. Artemisiae Scopariae Yin Chen
For insomnia and palpitations:
+ Succinum Hu Po
+ Fr. Gardeniae Zhi Zi + Rz. Coptidis Huang Lian
For coughing with yellow sputum:
For Lin (dysuria) syndrome:
+ Sm. Benincasae Dong Gua Zi + Sm. Plantaginis Che Qian Zi
+ Sm. Trichosanthis Gua Lou Ren + Caulis Akebiae Mu Tong
For fever:
+ Rz. Alismatis Ze Xie
+ Newly Augment Mosla Drink
Xin Jia Xiang Ru Yin
For cholelithiasis:
+ Rx. Bupleuri Chai Hu
or
 + Rx. et Rz. Rhei Da Huang
+ Hb. Menthae Bo He + Rx. Gentianae Long Dan Cao
+ Rx. Puerariae Ge Gen + Sm. Plantaginis Che Qian Zi
For fever with alternating chills and fever:
+ Hb. Artemisiae Scopariae Yin Chen Hao
+ Hb. Menthae Bo He
+ Rx. Puerariae Ge Gen
For fever with chest fullness and distention:
+ Rx. Bupleuri Chai Hu + Hb. Menthae Bo He
For fever with throat redness, swelling and pain:
+ Rx. Puerariae Ge Gen
+ Hb. Menthae Bo He + Rz. Atractylodis Cang Zhu
+ Rx. Puerariae Ge Gen + Cx. Magnoliae Officinalis Hou Po
+ Rx. Platycodi Jie Geng
For fever with a feeling of heaviness in the head:
For gastritis with severe pain:
+ Fr. Toosendan Chuan Lian Zi
+ Hb. Menthae Bo He + Fr. Evodiae Wu Zhu Yu
+ Rx. Puerariae Ge Gen
For gastritis with upper abdominal distention and pain:
+ Rx. Curcumae Yu Jin
For gastritis with Excess acidity:
+ Rz. Cyperi Xiang Fu
+ Rz. Coptidis Huang Lian + Caulis Perillae Zi Su Geng
+ Haematitum Dai Zhe Shi
For a thick, greasy tongue coat and fullness in the chest and diaphragm:
For Heat predominant with little Dampness:
- Rz. Pinelliae Preparatum Zhi Ban Xia + Cx. Magnoliae Officinalis Hou Po
For night sweats due to Liver and Gallbladder Damp-Heat:
+ Hb. Agastaches/ Pogostemonis Huo Xiang
+ Fol. Mori Sang Ye
For acute jaundice with severe Dampness:
+ Cx. Moutan Mu Dan Pi + Hb. Artemisiae Scopariae Yin Chen Hao
+ Concha Ostreae Mu Li
For tinnitus or diminished hearing:
+ Fr. Gardeniae Zhi Zi
+ Rz. Acori Tatarinowii Shi Chang Pu + Rx. Curcumae Yu Jin
+ Ram. Uncariae cum Uncis Gou Teng
For anxiety, insomnia and palpitations due to Phlegm-Heat:
+ Flos Chrysanthemi Ju Hua + Succinum Hu Po
+ Medulla Tetrapanacis Tong Cao + Rz. Coptidis Gou Teng
or
+ Rz. Alismatis Ze Xie
+ Rz. Acori Tatarinowii Shi Chang Pu
For Phlegm-Heat in the Lungs:
+ Ram. Uncariae cum Uncis Gou Teng + Hb. Houttuyniae Yu Xing Cao
+ Rz. Phragmitis Lu Gen
+ Flos Chrysanthemi Ju Hua + Sm. Benincasae Dong Gua Zi
+ Rz. Alismatis Ze Xie
For vomiting:
For jaundice:
+ Rz. Coptidis Huang Lian
+ Hb. Artemisiae Scopariae Yin Chen Hao + Fr. Evodiae Wu Zhu Yu
For Dampness:
+ Fr. Gardeniae Zhi Zi + Fr. Amomi Rotundus Bai Dou Kou
or
 + Fr. Tsaoko Cao Guo
+ 9g Rx. Curcumae Yu Jin
For severe vomiting:
+ 9g Hb. Artemisiae Scopariae Yin Chen Hao + 6g Rz. Zingiberis Sheng Jiang
+ 9g Flos Inulae Xuan Fu Hua
+ 9g Fr. Gardeniae Zhi Zi
For alternating Cold and Heat:
For tinnitus or deafness:
+ 3g Talcum Hua Shi
+ 9g Rx. Acori Tatarinowii Shi Chang Pu + 3g Rx. Glycyrrhizae Gan Cao
For vertigo:
+ 6g Rx. Bupleuri Chai Hu + 15g Concha Haliotidis Shi Jue Ming
For scanty, dark-colored or astringent, painful urination:
+ 9g Rx. Paeoniae Alba Bai Shao
For fever:
+ 9g Sm. Plantaginis Che Qian Zi + Rz. Coptidis Huang Lian
+ 9g Fr. Gardeniae Zhi Zi
For fever with jaundice:
+ 9g Rz. Alismatis Ze Xie + Rz. Coptidis Huang Lian
For fever with constipation:
+ Hb. Artemisiae Scopariae Yin Chen Hao
+ Rz. Coptidis Huang Lian
+ Rx. et Rz. Rhei Da Huang + Fr. Gardeniae Zhi Zi
For nausea and vomiting:
   
+ 9-12g Rx. Curcumae Yu Jin    
+ 15-30g Hb. Taraxaci Pu Gong Ying