Herb Formulas Notebook

Shi Gao Tang

Gypsum Decoction

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Source: Six Texts on Cold Damage (1445)
Author: Tao Hua

Category: Formulas that Release Exterior-Interior Excess

Pattern: Cold Damage where Heat blazes in the all Three Jiao while the Exterior condition still lingers

Key Symptoms: Generalised pain with strong fever and chills without sweating, headache, a generalised sensation of heaviness and tightness, red face and eyes, dry nasal passages, thirst, irritability and insomnia (leading in severe cases to delirium)
Secondary Symptoms: Nosebleeds, coughing up blood, skin blotches

Pulse: Rapid and slippery or rapid and flooding

Shi Gao 6g
Ma Huang 9g
Dan Dou Chi 9g
Huang Lian 6g
Huang Qin 6g
Huang Bai 6g
Zhi Zi 6-9g
Lu Cha 3-6g
Sheng Jiang 6g
Da Zao 2pc

Shi Gao is usually increased to 15-30g in modern prescriptions. In the UK this must be substituted, possibly with an equivalent dose of Zhi Mu.

Preparation: Decoction.

Actions: Clears Heat from the San Jiao, resolves Toxicity, releases the Exterior.

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.