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AboutChinese MedicineCaution/Notes
| Health Benefits |
| For: |
| Atributes: |
| Products |
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Tablets |
Pills |
Capsules |
Granules |
| Other Names: |
| Category: Clear Heat - Zang Fu Organs ⌕ |
| Subcategory: Zang Fu Organ Source: Xiao Er Yao Zheng Zhi Jue |
| Actions: clear heart, promote urination, nourish
yin [31] • Clear Heart and Small Intestine heat |
| Diagnosis |
| Tongue: red Pulse: rapid Other: |
| Patterns: Heart Fire Transferring to Small Intestine, Heart Channel Heat |
| Indications: HT Fire transferring to the SI [35] • Heart channel heat: chest restless heat, thirst, red complexion, desire for cold drink, ulceration in mouth and tongue, red tongue body, rapid pulse; Heart fire transfer to SI: concentrated urine with burning pain, red tongue, rapid pulse [31]
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| Contraindications: |
| Description |
| Name Variations: Dao Chi San, 导赤散, Eliminate Redness Powder, |
| Herb List: Sheng Di Huang(K) • Mu Tong(M) • Dan Zhu Ye(M) • Gan Cao(E) |
| Commentary: Modification
• Severe Heart heat: Huang Lian • Yin deficiency: Mai Dong • Painful urine: Bian Xu, Qu Mai, Hua Shi • Bloody Lin Syndrome: Bai Mao Gen, Xiao Ji, Han Lian Cao • Difficult urination: Che Qian Zi, Chi Fu Ling
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| Related Formulas: |
| NCCAOM: The 10 NCCAOM formulas that clear organ heat are Má Xìng Shí Gān Tāng, Xiè Bái Sǎn, Xiè Huáng Sǎn, Qīng Wèi Sǎn, Yù Nǚ Jiān, Dǎo Chì Sǎn, Lóng Dǎn Xiè Gān Tāng, Zuǒ Jīn Wán, Sháo Yào Tāng, and Bái Tóu Wēng Tāng. • Ma Xing Shi Gan Tang is for excess Lung heat from Wind attack. • Xie Bai San is also for Lung heat but more for constrained Lung heat causing cough and wheezing. • Xie Huang San is for smoldering Fire in the Spleen/Stomach with mouth ulcers, bad breath, dryness, thirst, frequent hunger and epistaxis. • Qing Wei San is for Stomach fire with foul/dry mouth, toothache, headache, fever with red cheeks, bleeding and ulcerated gums. • Yu Nu Jian is for Stomach heat with Yin deficiency with loose teeth, thirst, bleeding gums, thirst, fever. • Dao Chi San is for Heart heat transferring to Small Intestine. • Long Dan Xie Gan Tang is for Liver and Gall Bladder Damp Heat with hypochondriac pain, red eyes, bitter taste, difficult urination, and shingles. • Zuo Jin Wan is for Liver Fire invading the Stomach with bitter taste, acid regurgitation and vomiting. • Shao Yao Tang is for Large Intestine Damp-Heat with Qi & Blood stagnation causing dysentery, tenesmus, and burning anus. • Bai Tou Weng Tang is also for dysentery, tenesmus and burning anus but the cause is from toxic heat in both the Stomach and the Intestines. |
| Herbs |
Cat/Dosage |
Actions |
Attributes |
| Chai Hu • Thorowax • 柴胡 |
Release Exterior Wind Heat |
Harmonize interior and exterior • Reduce fevers • Reduce chills • Soothe liver Qi • Clear muscle layer heat • Tonify stomach Qi • Guide herbs to Shao Yang Jing |
Antibiotic • Antipyretic • Anti-inflammatory • Antibaterial • Antiviral • Analgesic • Hepatoprotective • Immunemodulatory • Chemoprotective • Anti-tumor • Cholagogic • Sedative • Immunostimulate |
| Huang Qin • Baical Skullcap Root • 黄芩 |
Clear Heat Dry Dampness |
Clear heat • Dry dampness • Stop bleeding • Calm fetus • Calm liver yang rising • Clear damp heat • Guide herbs to Shao Yang Jing |
Antibiotic • Anti-inflammatory • Antioxidative • Antipyretic • Cholagogic • Hepatoprotective • Hypoglycemic • Hypotensive • Neuroprotective • Sedative |
| Da Huang • Rhubarb • 大黄 |
Downward Draining |
Drain downward • Promote menstruation • Reduce accumulation • Drain fire • Cools blood • Clear heat • Dry dampness • Resolve blood stasis (add near end of decoction) |
Anti-inflammatory • Antibiotic • Antipyretic • Choleretic • Cholagogic • Hemostatic • Immunity booster • Laxative • Nephroprotective |
| Zhi Shi • Immature Bitter Orange • 枳实 |
Regulate Qi |
Breaks up Qi stagnation, clear accumulation, resolve phlegm obstruction, unblock bowelsFor moving Qi: from epigastric all the way to the abdominal area - Zhi Shi and Zhi Ke |
hypertensive, acidic, enhances circulation, diuretic, increase intestinal peristalsis, uterine stimulant |
| Sheng Jiang • Ginger (Raw) • 生姜 |
Release Exterior Wind Cold |
Release exterior • Stops vomiting • Relieve Nausea • Stops cough • Reduce herb toxicity • Regulate central flow of Qi |
Expectorant • Cough Suppressant • Digestive • Hypotensive • Antiplatelet • Stimulant • Analgesic • Anti-inflammatory • Antipyretic • Cholagogic • Antiemetic • Antimutagenic |
| Ban Xia • Pinellia Root • 半夏 |
Phlegm Cold |
Transforms damp-phlegm • Direct stomach Qi downward• Stop cough/ wheezing • Relieve nausea & vomiting • Dissolve nodules and swellingsFan Ban Xia - deep fried with vinegar, Ming Fan, and Sheng Jiang • Jiang Ban Xia - fried with ginger juice |
reprotoxic, warming, drying, antitussive, antiemetic |
| Bai Shao • White Root Peony • 白芍 |
Tonify Blood |
Nourish blood • Regulate menses • Soothes liver • Relieve pain • Preserve yin • Reduce spasms • Harmonize Ying and Wei QiDao Di: Zhe Jiang • AKA Shao Yao |
analgesic • antibacterial • anti-inflammatory • hepatoprotective • immune system boost • sedative |
| Da Zao • Jujube • 大枣 |
Tonify Qi |
Tonify spleen • Tonify qi • Calm the spirit • Harmonize other herb's properties • Nourish blood |
antibaterial • antidepressant • anti-inflammatory • anodyne • antifungal • hepatoprotective • hypotensive • sedative |
| ♠ King/Chief ♥ Minister/Deputy ♣ Assistant ♦ Envoy |
| Directions: |
| Modifications |
For |
| + |
S 31 |
| + |
St 31 |
| + |
Q 31 |
| + |
G 31 |
| Caution |
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ALERT: Contraindications of each herb - use with caution under these conditions:
Chai Hu: Dries Yin and can exacerbate the Yin deficiency • Do not use as intramuscular injections • Liver fire • Hyperactive liver yang • Cytochrome P450, 2C9, 2E1, 2D6, and 3A4 • Greater than 19g may lead to liver injury
Huang Qin: Pregnancy • Children • Breast feeding • Deficiency heat in lungs • Middle burner cold • Restless fetus from cold • Edema • Blood deficiecy abdominal pain • Spleen deficiency • Kidney deficiency diarrhea • Poor appetite • Blood deficiency • High risk pregnancy • Fetal heat
Da Huang: Qi deficiency • Blood deficiency • Stomach deficiency cold • Spleen deficiency cold • Normal or loose stool • Normal blood flow • Postpartum • Caution with pregnancy, lactation, menstruation [21]
Zhi Shi: pregnancy, Spleen and Stomach deficiencies, gastric or duodenal peptic ulcers[18]
Sheng Jiang: Lung heat • Dry cough • Phlegm heat • Full heat • Yin deficiency with heat • Vomiting from stomach heat • Gallstones • Exterior deficiency with unexplained sweating • Horse meat
Ban Xia: Yin deficiency cough • Bleeding • Dehydration • Heat • Pregnancy • Incompatible with Wu Tou and Fu Zi • Antidepressant drugs • Blood pressure medication • Terfenadine (antihistamine) • Foods: lamb, goat
Bai Shao: Deficiency cold • Breast feeding • Pregnancy • Bleeding Disorder • Scheduled Surgery
Da Zao: Epigastric discomfort and bloating • Food stagnation • Damp excess • Damp Phlegm • Intestinal worms |
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