Herb Formulas Notebook

Huang Lian Ruan Gao

Coptis Ointment

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Source: A Collection of Zhao Bingnan's Clinical Experiences (in Xu's Dermatology in TCM, 2004)
Author: Zhao Bingnan

Category: Formulas that are Applied Externally

Pattern: Heat or Damp-Heat in the skin

Key Symptoms: Hot, weeping sores and skin lesions, rashes with severe itching

Huang Lian 30g
Qu Shi Yao Gao 270g

Qu Shi Yao Gao is a separate ointment made from many herbs cooked in sesame oil and beeswax (See notes). If unavailable, as many of the ingredients are in the UK, then it may be susbstituted with vaseline, or just prepared with sesame oil and beeswax.

Preparation: Grind the Huang Lian into a fine powder and mix with the Qu Shi Yao Gao or Vaseline into a smooth paste.

Actions: Clear Heat, drains Damp, alleviates itching

This seems to be Xu's primary ointment of choice for weeping, ruptured and open lesions due to the antibacterial properties of Huang Lian.

Qu Shi Yao Gao consists of:
Ku Shen 120g, Bo He 90g, Bai Zhi 90g, Fang Feng 60g, Jing Jie 120g, Lian Qiao 120g, Cang Zhu 90g, Da Huang 90g, Wei Ling Xian 120g, Bai Xian Pi 150g, Wu Bei Zi 150g & Da Feng Zi 300g.
Grind into a powder and steep in 10L of sesame oil for 24 hours, then cook over a mild heat until dark yellow in colour. The oil is filtered off and for every 500ml of oil, beeswax is added, 90g in winter, 120g in spring and autumn and 150g in summer, along with 1.5g of Qing Dai.
Wu Bei Zi and Da Feng Zi may be hard to obtain or require substitution. Given the number of herbs being used and the option of simply substituting the whole formula for Vaseline then it seems safe to simply exclude them with little to no reduction in effect.

Research Links:
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Journal of Chinese Medicine
American Dragon

Reference Notes: (click to display)

These pages are intended to assist clinicians and are not intended for self-diagnosis or treatment for which a qualified professional should be consulted.