Herb Formulas Notebook

Huang Qin Jia Ban Xia Sheng Jiang Tang

Scutellaria Decoction plus Pinellia and Fresh Ginger


Author: Zhang Zhong-Jing, 張仲景

Year: c. 220

Source: Discussion of Cold Damage (Shang Han Lun, 傷寒論)


Category: Formulas that Clear Heat

Pattern: Heat constraint in Shaoyang that overcomes Yangming

Key Symptoms: Diarrhoea (possibly with with pus, blood or sticky phlegm) and vomiting with fever, bitter taste, dry throat, abdominal pain

Tongue: Red sides, yellow coat
Pulse: Flooding, or wiry, forceful and stirring in the middle position
Abdomen: Focal distention in the epigastrium, hypertonicity of rectus abdominis muscle


Ingredients

Huang Qin 9g
Shao Yao 6g
Zhi Gan Cao 6g
Da Zao 4-12pcs
Ban Xia 9g
Sheng Jiang 4.5-9g


Preparation: Decoction.


Actions: Clears Heat, alleviates dysentery, harmonises the middle burner, stops pain



Notes:
One liang is taken as 3g in modern sources but in Eastern Han times it was equivalent to 13.875g. This means that the dosages in classical formulae could have been more than 4x what is given today making them far higher than recommended safe dosages today but prompts consideration of what an effective dose may be (He, 2013).



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