HERB FORMULAS

SAN ZHONG KUI JIAN TANG - 散腫潰堅湯 - FORSYTHIA AND LAMINARIA COMBINATION

English: Forsythia and Laminaria Combination
Also Known As:

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Thallus Eckloniae Kun Bu 1.5-15g Resolves Phlegm, softens Phlegm nodules and clears Heat.
With Hai Zao, for goiter and scrofula.
Cx. Phellodendri Huang Bai 1.5-15g Drains Damp-Heat, drains Kidney Fire, drains Fire and relieves toxicity.
Rz. Anemarrhenae Zhi Mu 1.5-15g Clears Heat from the Lung and Stomach, drains Fire, nourishes the Yin, moistens Dryness, generates fluids and resolves Phlegm.
With Huang Bai, clears Heat and Drains Fire.
Rx. Platycodi Jie Geng 1.5-15g Expels Phlegm, expels pus, benefits the throat and directs the effects of other herbs to the upper body.
With Gan Cao, for hoarseness, pain and swelling of the throat due to Wind-Heat.
Rz. Sparganii San Leng 1.5-9g Dispels Blood Stasis, regulates Qi and dissolves accumulations.
Rz. Curcuma E Zhu 1.5-9g Invigorates Blood circulation, dispels Blood Stasis, regulates Qi and dissolves accumulations.
Fr. Forsythiae Lian Qiao 1.5-9g Clears Heat (especially in the Upper Jiao), relieves toxicity, reduces abscesses and dissipates clumps.
Rz. Coptidis Huang Lian 1.5-9g Clears Heat, drains Dampness, drains Fire and relieves toxicity.
Rx. Glycyrrhizae (Preparata) (Zhi) Gan Cao 1.5-15g Moistens the Lungs, resolves Phlegm, clears Heat and relieves Fire toxicity.
Rx. Scutellariae Huang Qin 1.5-9g Clears Lung Heat, drains Fire and detoxifies.
Rx. Paeoniae Alba Bai Shao 1.5-9g Nourishes Blood, astringes Yin and calms Liver Yang.
Rx. Puerariae Ge Gen 1.5-9g Relieves Heat, generates fluids and counteracts toxins.
Rx. Bupleuri Chai Hu 1.5g Spreads Liver Qi, relieves Stagnation, raises Yang Qi and resolves Phlegm and congestion.
 With Bai Shao, for vertigo, dizziness, thoracic and costal pain, and menstrual irregularity due to Liver Qi Stagnation.
(Extremitas) Rx. Angelicae Sinensis Dang Gui (Wei) 1.5g Tonifies Blood, invigorates and harmonizes Blood, reduces swelling and expels pus.
Rx. Gentianae Long Dan Cao 1.5-9g Drains Damp-Heat from the Liver and Gallbladder Channels, drains and pacifies Excess Liver Fire and relieves toxicity.
With Chai Hu and Huang Qin, for Liver Fire or Liver/Gallbladder Damp-Heat.
Rx. Cimicifugae Sheng Ma 1.5g Clears Heat, relieves toxicity raises Yang and lifts Sunken Qi (guides other herbs upwards).
Rx. Trichosanthis Tian Hua Fen 1.5-15g Drains Heat, transforms Phlegm, relieves toxicity, expels pus and reduces swelling.
Hb. Sargassii Hai Zao 1.5-15g Clears Heat, resolves Phlegm and softens Phlegm nodules.
With Gan Cao, for goiter and scrofula.
Rz. Zingiberis Sheng Jiang 1.5g Reduces the toxicity of other herbs.

FORMULA ACTIONS

  • Disperses Qi Stagnation
  • Dispels Heat and Dampness
  • Resolves Phlegm
  • Dissipates nodules
  • Reduces swelling
  • Drains pus

SYNDROMES

  • Liver Qi Stagnation with Damp-Heat and Phlegm

CLINICAL MANIFESTATIONS

  • Feeling of a lump in the throat
  • The lump is soft and becomes larger or smaller according to the emotional situation
  • The lump is small or medium sized, relatively soft and slippery
  • The edges are indistinct
  • Oppressive feeling in the chest and hypochondrium
  • Difficulty swallowing
  • Loose stools
  • Irregular menstruation
  • Premenstrual tension
  • Suppurative sores
  • Ulcerations, abscesses and swellings that remain hard after discharge of pus
  • Restlessness
  • Insomnia
  • Thirst
  • Feeling of Heat
  • Irritability
  • Frequent sighing
  • Bitter taste in the mouth
  • Red eyes
  • Red face
  • Tremor of the hands
  • T: Pale or dusky or Red with red tip and edges
  • C: White or Thin and greasy or Dry and yellow
  • P: Wiry

TREATS

  • Carbuncles
  • Furuncles
  • Nodules, hardness and swelling, especially below the ears, under the cheeks, around the shoulders and beneath the armpits
  • Stomach cancer

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For a hard and nodular goiter: For loose stools:
+ 9g Rx. Angelicae Sinensis Dang Gui + 9g Sm. Coicis Yi Yi Ren
+ 9g Rx. Chuanxiong
or
+ 9g Sm. Persicae Tao Ren
+ 9g Rx. Atractylodis Macrocephalae
+ 9g Flos Carthami Hong Hua
or
For nodules and hardness prior to the formation of pus:
+ 9g Sm. Dolichorus Bai Bian Dou
+ Flos Lonicerae
For nodules and hardness after the formation of pus:
+ Fr. Aurantii Immaturus
+ Rx. Astragali Huang Qi
For nodules and hardness with redness, swelling and pain:
+ Rx. Angelicae Dahuricae Bai Zhi
+ Gypsum Fibrosum
For hyperthyroidism:
+ Fr. Gardeniae
+ 30g Concha Ostreae Mu Li
+ 15g Concha Cyclinae Ge Qiao