HERB FORMULAS

HUANG LIAN TANG - 黃蓮湯 - COPTIS DECOCTION

English: Coptis Decoction
Also Known As: Coptis Combination

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Rz. Coptidis Huang Lian 3-10g Clears Heat, drains Dampness, drains Fire and resolves Fire toxicity.
Rx. Glycyrrhizae Zhi Gan Cao 2-10g Tonifies the Spleen, augments Qi and moderates and harmonizes the harsh properties of other herbs.
Rz. Zingiberis Gan Jiang 3-10g Warms the Middle, expels Cold and dispels Wind-Dampness seeping into the Lower Jiao.
With Zhi Ban Xia, for vomiting of saliva or dry heaves due to Cold-induced congested fluids.
With Zhi Gan Cao, for epigastric pain and vomiting due to Spleen and Stomach Deficiency Cold.
With Zhi Ban Xia and REn Shen, for vomiting due toe Deficiency Cold.
Ram. Cinnamomi Gui Zhi 3-10g Releases the Exterior, assists Yang, adjusts the Ying and Wei, releases the muscle layer, unblocks Yang, transforms Qi and thin mucus, warms and facilitates the flow of Qi through the channels and collaterals and Blood through the vessels, warms the Middle and directs Turbid Yin downward.
Rx. Ginseng Ren Shen 2-10g Tonifies Spleen and Stomach Qi and tonifies Qi in Deficiency patients with Exterior conditions.
Rz. Pinelliae Preparatum Zhi Ban Xia 5-10g Dries Dampness, transforms Phlegm, descends Rebellious Qi and stops vomiting.
With Huang Lian, for epigastric distention and indigestion due to a simultaneous invasion of Hot and Cold pathogenic influences into the Stomach.
Fr. jujube Da Zao 3-6g Tonifies the Spleen and Stomach, augments Qi and moderates and harmonizes the harsh properties of other herbs

FORMULA ACTIONS

  • Regulates Cold and Heat
  • Harmonizes the Stomach
  • Descends Rebellious Qi

SYNDROMES

  • Heat above and Cold below caused by Transmission of External Cold to the Middle Jiao
  • Heat in the chest and Cold in the Stomach

CLINICAL MANIFESTATIONS

  • Stifling sensation and irritability in the chest
  • Nausea with an urge to vomit
  • Abdominal pain
  • Fever with slight chills
  • Diarrhea
  • Vexation
  • Borborygmus
  • Thirst
  • T: Pink
  • C: White and greasy
  • P: Wiry

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • This formula is not effective for nausea, vomiting and abdominal pain due to Qi or Food Stagnation.
  • Contraindicated for those with nausea, vomiting and abdominal pain due to Yin Deficiency.
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For sour vomiting: For more pronounced diarrhea:
+ Fr. Evodiae Wu Zhu Yu + Poria Fu Ling
For constipation: For watery diarrhea and dysentery:
+ Rx. et Rz. Rhei Da Huang + Fr. Aurantii Immaturus Zhi Shi
For nausea, vomiting and diarrhea: + Rz. Atractylodis Macrocephalae Bai Zhu
+ Rx. Aucklandiae Mu Xiang
+ Rx. Paeoniae Alba Bai Shao For nausea a feeling of Heat in the chest:
For atrophic gastritis: + More Rz. coptidis Huang Lian
+ Rx. Bupleuri Chai Hu + Caulis Bambusae in Taeniam Zhu Ru
+ Rz. Sparganii San Leng
For atrophic gastritis with gastric pain due to Deficiency: For atrophic gastritis with gastric pain due to Excess:
+ Rx. Bupleuri Chai Hu + Rx. Bupleuri Chai Hu
+ Rz. Sparganii San Leng + Rz. Sparganii San Leng
+ More Rx. Ginseng Ren Shen + More Rz. Coptidis Huang Lian
For atrophic gastritis with a feeling of oppression in the epigastrium: For atrophic gastritis with fatigue:
+ Rx. Bupleuri Chai Hu
+ Rx. Bupleuri Chai Hu + Rz. Sparganii San Leng
+ Rz. Sparganii San Leng + Rx. Astragali Huang Qi
+ Fr. Aurantii Immaturus Zhi Shi For atrophic gastritis with chills:
For atrophic gastritis with Qi Deficiency and anorexia: + Rx. Bupleuri Chai Hu
+ Rz. Sparganii San Leng
+ Rx. Bupleuri Chai Hu + Rz. Aconiti Lateralis Preparata Zhi Fu Zi
+ Rz. Sparganii San Leng
+ Rz. Atractylodis Macrocephalae Bai Zhu For atrophic gastritis with Food Stagnation:
+ Rx. Bupleuri Chai Hu
For atrophic gastritis with loose stools: + Rz. Sparganii San Leng
+ Rx. Bupleuri Chai Hu + Massa Medicata Fermentata Shen Qu
+ Rz. Sparganii San Leng
+ Poria Fu Ling For atrophic gastritis with dry stools:
For atrophic gastritis with a bitter taste in the mouth: + Rx. Bupleuri Chai Hu
+ Rz. Sparganii San Leng
+ Rx. Bupleuri Chai Hu + Rx.et Rz. Rhei Da Huang
+ Rz. Sparganii San Leng For atrophic gastritis with a white, greasy tongue coat:
+ Rx. Scutellariae Huang Qin
For atrophic gastritis with nausea and vomiting: + Rx. Bupleuri Chai Hu
+ Rx. Bupleuri Chai Hu + Rz. Sparganii San Leng
+ Rz. Sparganii San Leng + More Ram. Cinnamomi Gui Zhi
- Rz. Zingiberis Gan Jiang For epigastric pain:
+ Rz. Zingiberis Recens Sheng Jiang - Ram. Cinnamomi Gui Zhi
For epigastric pain with anorexia and Qi Stagnation: For epigastric pain with Qi Deficiency:
- Ram. Cinnamomi Gui Zhi
- Ram. Cinnamomi Gui Zhi + 15g Rx. Codonopsis Dang Shen
+ 6g Fr. Amomi Rotundus Bai Dou Kou + 10g Rz. Atractylodis Macrocephalae Bai Zhu
+ 10g Fr. Aurantii Zhi Ke For epigastric pain with Liver and Stomach Heat:
+ 10g Massa Medicata Fermentata Shen Qu - Ram. Cinnamomi Gui Zhi
+ 10g Fr. Toosendan Chuan Lian Zi
For epigastric pain with acid reflux and belching: + 10g Rx. Scutellariae Huang Qin
- Ram. Cinnamomi Gui Zhi For epigastric pain with Cold extremities:
+ 10g Fr. Evodiae Wu Zhu Yu + Ram. Cinnamomi Gui Zhi
+ 15g Calcined Concha Arcae Duan Wa Leng Zi