Herb Formulas Notebook

Qing Xin Li Ge Tang

Clear the Heart and Enable the Diaphragm Decoction

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Source: Indispensable Tools for Pattern Treatment (1602)
Author: Wang Ken-Tang

Category: Formulas that Treat Abscesses and Sores

Pattern: Heat clumping in the interior flaring up towards the throat

Key Symptoms: Red swollen and painful throat with difficulty swallowing, pustules on the tonsils.
Secondary Symptoms: High fever, thirst with desire to drink cold liquids, bad breath, irritability, phlegm in the throat, constipation

Tongue: Red with yellow coating
Pulse: Rapid, flooding

Fang Feng 4.5g
Jing Jie 4.5g
Bo He 4.5g
Jie Geng 4.5g
Huang Qin 4.5g
Huang Lian 4.5g
Zhi Zi 2.5g
Lian Qiao 2.5g
Xuan Shen 2.5g
Da Huang 2.5g
Po Xiao 2.5g
Niu Bang Zi 2.5g (dry fried and ground to powder)
Gan Cao 2.5g

In the UK Po Xiao must be substituted. The usual substitute is Yu Li Ren but something like Tian Hua Fen, Lu Gen or Zhi Mu might be more appropriate to moisten the throat while clearing Heat, depending on the secondary symptoms.

Preparation: Decoction.

Actions: Clears Heat, resolves toxicity, unblocks the stool, benefits the throat

Contraindications: Long term use, pregnancy or while nursing. Caution in young children, the debilitated, elderly or those with loose stools

Research Links:
Science Direct
Google Scholar
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.