Herb Formulas Notebook

Huang Lian E Jiao Tang

Coptis and Ass-Hide Gelatin Decoction


Author: Zhang Zhong-Jing, 張仲景

Year: c. 220

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


Category: Formulas that Calm the Spirit

Pattern: Cold Damage transforming to Heat in the Shaoyin

Key Symptoms: Irritability with a sensation of heat in the chest, insomnia, palpitations with anxiety

Tongue: Red with dry, yellow coat
Pulse: Thin, rapid


Ingredients

Huang Lian 6-12g
Huang Qin 6g
Shao Yao 6g
E Jiao 9g (stir into strained decoction)
Ji Zi Huang 2pc (stir into strained decoction)

Subsitutions:
In the UK E Jiao must be substituted for Han Lian Cao and Gou Qi Zi.

If Ji Zi Huang (egg yolk) is to be avoided too then Sheng Di Huang may replace its Blood tonifying effects and enhance the Heat clearing actions of the formula.


Preparation: Decoction.


Actions: Enriches the Yin, causes Fire to descend, eliminates irritability, calms the Shen



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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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.