HERB FORMULAS

LIANG GE QING CHANG TANG - 涼膈清肠散 - CLEAR THE DIAPHRAGM AND THE INTESTINES POWDER

English: Clear the Diaphragm and Intestines Powder
Also Known As:

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Rx. Rehmanniae Sheng Di Huang 15-24g Clears Heat, cools the Blood, nourishes Yin and generates fluids.
With Bai Shao, for Blood Deficiency Heat.
Rx. Paeoniae Alba Bai Shao 12-18g Nourishes the Blood, astringes Yin, softens the Liver and relieves pain.
With Gan Cao, for abdominal pain due to disharmony between the Liver and Stomach.
With Huang Qin, for dysenteric disorders with abdominal pain due to Heat entering the Interior.
With Huang Qin and Huang Lian, for Damp-Heat dysenteric disorders.
With Dang Gui, nourishes Yin and Blood.
Rx. Paeoniae Rubra Chi Shao 9-12g Invigorates the Blood, dispels Blood Stasis, relieves pain, clears Heat, cools the Blood and reduces swelling from sores and abscesses.
With Chuan Xiong and Dang Gui, for abscesses, boils and trauma induced pain.
With Xiang Fu, for flank pain, abdominal pain, and dysmenorrhea due to Qi and Blood Stagnation.
Rx. Angelicae Sinensis Dang Gui 9-15g Tonifies, invigorates and harmonizes the Blood, reduces swelling, expels pus, generates flesh and alleviates pain.
With Bai Shao, regulates and harmonizes Qi and Blood and treats Blood Deficiency Heat.
With Gan Cai, moderates spasms and relieves abdominal pain.
Rz. Chuanxiong Chuan Xiong 6-9g Invigorates the Blood and promotes the movement of Qi.
With Xiang Fu, for Qi Stagnation combined with Blood Stasis.
With Dang Gui, harmonizes, nourishes and invigorates the Blood and disperses Blood Stasis.
With Sheng Di Huang, Bai Shao and Dang Gui, for headaches due to Blood Deficiency.
Rx. Scutellariae Huang Qin 9-12g Clears Heat, dries Dampness, detoxifies, cools the Blood and stops bleeding.
With Huang Lian and Bai Shao, for Damp-Heat dysentery with fever and tenesmus.
Rz. Coptidis Huang Lian 6-9g Clears Heat, drains Dampness, resolves Fire toxicity and stops bleeding.
With Huang Qin, for explosive diarrhea and dysentery with burning pain in the anus or fetid, filthy stools and abdominal pain.
Rz. Cimicifugae Sheng Ma 6-9g Clears Heat, relieves toxicity, raises Yang and lifts sunken Qi.
With Dang Gui, raises the clear Qi, allowing turbidity to descend and moistening the Intestines.
Rz. Cyperi Xiang Fu 9-12g Spreads and regulates Liver Qi and alleviates pain.
With Dang Gui and Chuan Xiong, for Qi and Blood Stasis.
Rx. Glycyrrhizae Gan Cao 6-9 Clears Heat, relieves Fire toxicity, moderates and harmonizes the harsh properties of other herbs and guides the herbs to all twelve channels.
With Bai Shao and Huang Qin, for abdominal pain and dysenteric diarrhea from Damp-Heat.

FORMULA ACTIONS

  • Clears Damp-Heat from the Intestines

SYNDROMES

  • Damp-Heat

CLINICAL MANIFESTATIONS

  • Rectal mucosa everts on exertion
  • The rectal mucosa appears dark purple or deep red, feels firm, and may be eroded or ulcerated
  • Rectal prolapse with a distended feeling
  • Tenesmus and/or a burning sensation in the anus
    Maybe bleeding
  • Violent pain like needle pricks
  • Red complexion
  • Fever or
  • Afternoon fever
  • Thirst
  • Halitosis
  • Fullness and discomfort of the chest and abdomen
  • Hypochondriac pain
  • Headache
  • Dizziness
  • Red sore eyes
  • Hearing loss
  • Swelling in the ears
  • Bitter taste in the mouth
  • Irritability
  • Short temper
  • Difficult and painful urination with a heat sensation in the urethra
  • Swollen and itchy genitalia
  • Yellow, foul smelling leukorrhea
  • Short menstrual cycle with reddish-purple blood
  • Ear discharge
  • Yellow urine
  • Chest pain
  • Dry stools
  • Constipation or
  • Incomplete bowel movements or
  • Chronic diarrhea or
  • Dysentery
  • Turbid urine
  • Dry mouth and throat
  • Hematuria
  • Dysuria
  • Pain in the armpits
  • Sweating in the groin
  • T: Red or Red edges
  • C: Yellow or Yellow and greasy
  • P: Wiry, Excess and rapid or Deep and slippery

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For swelling, burning, pain and itching in and around the rectum and anus: For difficult or sluggish bowel movements:
+ 12g Sm. Cassiae Jue Ming Zi
+ 18-30g Flos Lonicerae Jin Yin Hua + 6-9g Rx. et Rz. Rhei Da Huang
+ 9-12g Cx. Phellodendri Huang Bai For concentrated urine:
+ 12-15g Talcum Hua Shi
+ 9-12g Flos Sophorae Immaturus Huai Hua Mi + 9-12g Sm. Plantaginis Che Qian Zi
For over-consumption of alcohol as a contributing factor:
+ 9-12g Fr. Gardeniae Zhi Zi
For bleeding and rectal pain and discomfort: + 12-18g Flos Puerariae Ge Hua
+ 9-12g Flos Schizonepetae Jing Jie    
   
+ 9-12g Rx. Saposhnikoviae Fang Feng