HERB FORMULAS

LIANG GE SAN - 涼膈散 - COOL THE DIAPHRAGM POWDER

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 4.5-10g 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 3-10g 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 2.5-10g Clears Heat, relieves Fire toxicity and harmonizes.
Rx. Scutellariae Huang Qin 3-12g 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 3-12g Clears Heat from all three Jiaos through the urine and resolves Dampness.
Fr. Forsythiae Lian Qiao 3-20g 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 2-12g 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 the 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

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, conjunctivitis, 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:
For herpetic pharyngitis: + Rx. Bupleuri Chai Hu
- Natrii Sulfas Mang Xiao + Fr. Toosendan Chuan Lian Zi
- Rx. Scutellariae Huang Qin
For herpetic pharyngitis with mild perspiration:
- Hb. Lophatheri Dan Zhu Ye - Natrii Sulfas Mang Xiao
- Mel Feng Mi - Rx. Scutellariae Huang Qin
+ 5g Periostracum Cicadae Chan Tui - Hb. Lophatheri Dan Zhu Ye
- Mel Feng Mi
+ 30g Hb. Phragmitis Lu Gen + 5g Periostracum Cicadae Chan Tui
+ 6g Fr. Arctii Niu Bang Zi
+ 6g Rx. Scrophulariae Xuan Shen + 30g Hb. Phragmitis Lu Gen
+ 10g Rx. Isatidis Ban Lan Gen + 6g Fr. Arctii Niu Bang Zi
+ 5g Rz. Belamcandae She Gan + 6g Rx. Scrophulariae Xuan Shen
For herpetic pharyngitis with high fever:
 + 10g Rx. Isatidis Ban Lan Gen
- Natrii Sulfas Mang Xiao + 5g Rz. Belamcandae She Gan
- Rx. Scutellariae Huang Qin + Hb Schizonepetae Jing Jie
- Hb. Lophatheri Dan Zhu Ye
For herpetic pharyngitis with high fever with seizures:
- Mel Feng Mi
+ 5g Periostracum Cicadae Chan Tui - Natrii Sulfas Mang Xiao
- Rx. Scutellariae Huang Qin
+ 30g Hb. Phragmitis Lu Gen - Hb. Lophatheri Dan Zhu Ye
+ 6g Fr. Arctii Niu Bang Zi - Mel Feng Mi
+ 6g Rx. Scrophulariae Xuan Shen + 5g Periostracum Cicadae Chan Tui
+ 10g Rx. Isatidis Ban Lan Gen
+ 5g Rz. Belamcandae She Gan + 30g Hb. Phragmitis Lu Gen
+ 30g Gypsum Fibrosum Shi Gao + 6g Fr. Arctii Niu Bang Zi
For herpetic pharyngitis dry stools in a constitutionally Deficient patient:
 + 6g Rx. Scrophulariae Xuan Shen
+ 10g Rx. Isatidis Ban Lan Gen
- Natrii Sulfas Mang Xiao + 5g Rz. Belamcandae She Gan
- Rx. Scutellariae Huang Qin + 6g Ram. cum Uncis Uncariae Gou Teng
- Hb. Lophatheri Dan Zhu Ye
- Mel Feng Mi + 6g Bombyx Batryticatus Jiang Can
+ 5g Periostracum Cicadae Chan Tui
For epistaxis with profuse bleeding:
+ 30g Hb. Phragmitis Lu Gen + Rx. Notoginseng San Qi
+ 6g Fr. Arctii Niu Bang Zi
For epistaxis with Yin and Blood Deficiency:
+ 6g Rx. Scrophulariae Xuan Shen + Colla Corii Asini E Jiao
+ 10g Rx. Isatidis Ban Lan Gen + Rx. Paeoniae Alba Bai Shao
+ 5g Rz. Belamcandae She Gan
For epistaxis with Qi Deficiency:
- Rx. et Rz. Rhei Da Huang + Rx. Astragali Huang Qi
+ 5g Fr. Aurantii Zhi Ke + Rx. Pseudostellariae Tai Zi Shen
+ 12g Sm. Cassiae Jue Ming Zi
For epistaxis with Liver Fire Rising:
For epistaxis with Stomach Fire:
 + Rx. Gentianae Long Dan Cao
+ Gypsum Fibrosum Shi Gao
For epistaxis with External Invasion:
+ Rz. Coptidis Huang Lian + Rx. Puerariae Ge Gen
For Yin damage following radiotherapy:
 + Hb. Schizonepetae Jing Jie
- Hb. Menthae Bo He
For Yin damage following radiotherapy with esophageal tumors, Toxic Heat and hardness:
- Hb. Lophatheri Dan Zhu Ye
- Mel Feng Mi - Hb. Menthae Bo He
+ 6-9g Per. Citri Reticulatae Chen Pi - Hb. Lophatheri Dan Zhu Ye
- Mel Feng Mi
+ 3-6g Rz. Coptidis Huang Lian + 6-9g Per. Citri Reticulatae Chen Pi
+ 2-3g Fr. Evodiae Wu Zhu Yu
+ 30g Hb. Houttuyniae Yu Xing Cao + 3-6g Rz. Coptidis Huang Lian
For neck pain due to Lung and Stomach Fire:
 + 2-3g Fr. Evodiae Wu Zhu Yu
- Hb Menthae Bo He + 30g Hb. Houttuyniae Yu Xing Cao
- Hb. Lophatheri Dan Zhu Ye
+ 2 or 3 of the following:
- Mel Feng Mi 30g Hb. Bidentis Xian Feng Cao
+ 10g Flos Lonicerae Jin Yin Hua 30g Sm. Impatientis Ji Xing Zi
+ 10g Rx. Puerariae Ge Gen 30g Hb. Solani Lyrati Long Kui
+ 6g Spica Schizonepetae Jing Jie Sui 0.6-0.9g Pseudobulbus Cremastrae/Pleiones Shan Ci Gu
+ 10g Rz. Phragmitis Lu Gen 60-120g Hb. Hedyotis Diffusae Bai Hua She She Cao
For neck pain due to Lung and Stomach Fire with a swollen, painful throat:
30g Hb. Scutellariae Barbatae Ban Zhi Lian
- Hb Menthae Bo He
- Hb. Lophatheri Dan Zhu Ye 9-12g Bul. Dioscoreae Bulbiferae Huang Yao Zi
- Mel Feng Mi
+ 10g Flos Lonicerae Jin Yin Hua
For neck pain due to Lung and Stomach Fire with a fever:
+ 10g Rx. Puerariae Ge Gen
+ 6g Spica Schizonepetae Jing Jie Sui - Hb Menthae Bo He
- Hb. Lophatheri Dan Zhu Ye
+ 10g Rz. Phragmitis Lu Gen - Mel Feng Mi
+ 10g Hb. Taraxaci Pu Gong Ying + 10g Flos Lonicerae Jin Yin Hua
+ 10g Bul. Fritillariae Thunbergii Zhe Bei Mu + 10g Rx. Puerariae Ge Gen
+ 6g Spica Schizonepetae Jing Jie Sui
For neck pain due to Lung and Stomach Fire with a headache:
+ 10g Rz. Phragmitis Lu Gen
- Hb Menthae Bo He + 15g Rx. Bupleuri Chai Hu
- Hb. Lophatheri Dan Zhu Ye + 10g Rz. Cimicifugae Sheng Ma
- Mel Feng Mi
For neck pain due to Lung and Stomach Fire with thirst:
+ 10g Flos Lonicerae Jin Yin Hua
+ 10g Rx. Puerariae Ge Gen - Hb Menthae Bo He
+ 6g Spica Schizonepetae Jing Jie Sui - Hb. Lophatheri Dan Zhu Ye
- Mel Feng Mi
+ 10g Rz. Phragmitis Lu Gen + 10g Flos Lonicerae Jin Yin Hua
+ 10g Rz. Chuanxiong Chuan Xiong + 10g Rx. Puerariae Ge Gen
+ 15g Fr. Viticis Man Jing Zi + 6g Spica Schizonepetae Jing Jie Sui
For facial pain:
- Hb. Lophatheri Dan Zhu Ye + 10g Rz. Phragmitis Lu Gen
- Mel Feng Mi + 15g Rx. Rehmanniae Sheng Di Huang
+ 10g Fol. Mori Sang Ye + 10g Rx. Scrophulariae Xuan Shen
+ 10g Flos Chrysanthemi Ju Hua
For facial pain with bleeding:
- Hb. Lophatheri Dan Zhu Ye
+ 10g Rx. Angelicae Dahuricae Bai Zhi - Mel Feng Mi
+ 10g Fol. Mori Sang Ye
For facial pain with severe constipation:
 + 10g Flos Chrysanthemi Ju Hua
- Hb. Lophatheri Dan Zhu Ye
- Mel Feng Mi + 10g Rx. Angelicae Dahuricae Bai Zhi
+ 10g Fol. Mori Sang Ye
+ 10g Flos Chrysanthemi Ju Hua + 10g Rx. Rehmanniae Sheng Di Huang
+ 10g Rx. Scrophulariae Xuan Shen
+ 10g Rx. Angelicae Dahuricae Bai Zhi
For facial pain with consumption of Body Fluids:
- Hb. Lophatheri Dan Zhu Ye
+ 10g Sm. Cannabis Huo Ma Ren - Mel Feng Mi
For facial pain with a Stomach ache:
 + 10g Fol. Mori Sang Ye
- Hb. Lophatheri Dan Zhu Ye + 10g Flos Chrysanthemi Ju Hua
- Mel Feng Mi
+ 10g Fol. Mori Sang Ye + 10g Rx. Angelicae Dahuricae Bai Zhi
+ 10g Flos Chrysanthemi Ju Hua
+ 10g Rx. Trichosanthis Tian Hua Fen
+ 10g Rx. Angelicae Dahuricae Bai Zhi
For facial pain with a foul smell from the mouth:
- Hb. Lophatheri Dan Zhu Ye
+ 10g Rx. Paeoniae Alba Bai Shao - Mel Feng Mi
+ 10g Rz. Corydalis Yan Hu Suo + 10g Fol. Mori Sang Ye
For facial pain with nausea and vomiting:
 + 10g Flos Chrysanthemi Ju Hua
- Hb. Lophatheri Dan Zhu Ye
- Mel Feng Mi + 10g Rx. Angelicae Dahuricae Bai Zhi
+ 10g Fol. Mori Sang Ye
+ 10g Flos Chrysanthemi Ju Hua + 5g Fr. Amomi Sha Ren
For thrush associated with AIDS/HIV:
+ 10g Rx. Angelicae Dahuricae Bai Zhi - Rx. et Rz. Rhei Da Huang
- Natrii Sulfas Mang Xiao
+ 10g Flos Inulae Xuan Fu Hua - Fr. Forsythiae Lian Qiao
For a sore throat:
 - Mel Feng Mi
- Mel Feng Mi + Rx. Ophiopogonis Mai Men Dong
+ 10g Flos Lonicerae Jin Yin Hua + Rx. Rehmanniae Sheng Di Huang
+ 10g Rz. Phragmitis Lu Gen
For a sore, swollen throat:
For a sore throat with a fever:
 - Mel Feng Mi
- Mel Feng Mi + 10g Flos Lonicerae Jin Yin Hua
+ 10g Flos Lonicerae Jin Yin Hua + 10g Rz. Phragmitis Lu Gen
+ 10g Rz. Phragmitis Lu Gen +10g Hb. Taraxaci Pu Gong Ying
+ 15g Rx. Bupleuri Chai Hu
For a sore throat with thirst:
+ 10g Rz. Cimicifugae Sheng Ma - Mel Feng Mi
For a sore throat with a bitter taste in the mouth:
 + 10g Flos Lonicerae Jin Yin Hua
+ 10g Rz. Phragmitis Lu Gen
- Mel Feng Mi + 15g Rx. Rehmanniae Sheng Di Huang
+ 10g Flos Lonicerae Jin Yin Hua + 10g Rx. Scrophulariae Xuan Shen
+ 10g Rz. Phragmitis Lu Gen
For a sore throat with thirst:
+ 10g Caulis Bambusae in Taeniam Zhu Ru - Mel Feng Mi
+ 10g Flos Lonicerae Jin Yin Hua
+ 10g Fr. Aurantii Immaturus Zhi Shi + 10g Rz. Phragmitis Lu Gen
+ 10g Rx. Aucklandiae Mu Xiang
    + 10g Sm. Arecae Bing Lang