Herb Formulas Notebook

Qing Yan Li Ge Tang

Clear the Throat and Enable the Diaphragm Decoction

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Source: Precious Collection for Throat Diseases (Qing dynasty)

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

Jin Yin Hua 4.5g
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

This is the same as Qing Xin Li Ge Tang with Jin Yin Hua added to increase the formula's ability to clear Heat and resolve Toxicity.

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.