Author: Zhang Jie Bin / Zhang Jing Yue, 張介賓 / 張景岳
Year: 1624
Source: Collected Treatises of Jing-Yue (Jing Yue Quan Shu, 景岳全書)
Category: Formulas that Clear Heat
Pattern: Kidney Yin deficiency with vigorous Stomach Fire; Zhong Xiao 中消, Xiao Ke due to Stomach Fire
Key Symptoms: Toothache, loose teeth, bleeding gums, frontal headache, irritability and fever, thirst with a desire to drink cold beverages
Tongue: Dry red tongue with yellow coating
Pulse: Floating, slippery, deficient and large
Ingredients
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Shi Gao
| 6-15g | |
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Pinyin: Shi Gao
Chinese: 石膏
Pharmaceutical: Gypsum Fibrosum / Calcium Sulphate
Taxonomy: CaSO4
English: Gypsum / Plaster of Paris |
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Tastes: Pungent, sweet, cold
Meridians Entered: Lung and Stomach |
Actions & Indications:
- Clears Heat in the Qi Stage, drains Fire, relieves irritability and quenches thirst
Heat in the Qi Stage or Yangming Heat with high fever, no chills, irritability, intense thirst, profuse sweating, restlessness, encephalitis, a flooding, big pulse and a red tongue with a yellow coat
- Clears Excess Heat from the Lungs
Lung Heat with cough, wheezing, fever and a thick viscous sputum
- Clears Blazing Stomach Fire
Stomach Fire with headache, toothache or swollen gums
- Heals eczema, burns and ulcerated sores and wounds
Sores and wounds (topically or internally)
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Standard Dosage: 15-60g in decoction.
Cautions: Mineral products are prohibited from use in the UK under the Medicines Act 1968 ch. 67 which restricts herbalists to the use of plant products only.
Conventional replacements include Huang Lian and Zhi Mu but its actions are difficult to substitute in many cases and the patient may have to rely on OTC mineral based antacids from the pharmacy such as sodium bicarbonate and calcium carbonate which have a similar effect of binding and neutralising the stomach acid, then using herbal medicines as an adjunctive treatment. Another possibility would be to use sodium alginate that is often found in antacid medications and extracted from seaweed. |
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Sheng Di Huang
| 9-30g | |
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Pinyin: Sheng Di Huang
Chinese: 生地黃
Pharmaceutical: Radix Rehmanniae
Taxonomy: Rehmannia glutinosa
English: Chinese Foxglove Root / Rehmannia Root |
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Tastes: Sweet, bitter, cold
Meridians Entered: Heart, Liver, Stomach and Kidney |
Actions & Indications:
- Clears Heat and cools the Blood
Ying Stage Heat with high fever, thirst and a scarlet tongue
Xue Stage Heat
Hemorrhage due to Blood Heat
- Nourishes Yin, generates fluids, increases saliva and treats wasting and thirsting
Yin Deficiency with Heat signs
Injury to fluids
Throat pain due to Yin Deficiency
Wasting and thirsting disorder (消渴 Xiao Ke - diabetes)
- Cools Heart Fire
Heart Fire
- Calms the Spirit agitated by Parasites damaging the Yin
Gu Sydnrome (Fruehauf, 1998)
Chronic inflammatory disease (Fruehauf, 2015)
- Breaks up Blood Stasis, expels Cold and Hot Bi, replenishes Bone Marrow and promotes the growth of Muscles and Flesh
Broken bones or severed sinews from falls and a damaged center (Shen Nong Ben Cao Jing)
- Aids fasting
Mentioned in the Shen Nong Ben Cao Jing as part of the superior class of herbs which can, with protracted taking, make the body light, and prevent forgetfulness. This may suggest it was part of supplementing the diet when engaging in an "avoiding grain" (Bigu 辟穀) fasting regime to cultivate life (Yangsheng 養生).
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Standard Dosage: 10-15g in decoction.
Cautions: It is contraindicated in cases of diarrhea, abdomen distention due to spleen deficiency. |
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Zhi Mu
| 4.5-6g | |
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Pinyin: Zhi Mu
Chinese: 知母
Pharmaceutical: Rhizoma Anemarrhenae
Taxonomy: Anemarrhena asphodeloides
English: Anemarrhena Rhizome |
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Tastes: Bitter, sweet, cold
Meridians Entered: Lung, Stomach and Kidney |
Actions & Indications:
- Clears Heat and drains Fire (Clears Heat from the Qi Stage, from the Lungs and from the Stomach)
Heat in the Qi Stage with high fever, irritability, restlessness, thirst and a rapid, flooding pulse.
Lung Heat and Dryness with cough and expectoration of thick, yellow Phlegm
Yang Ming Heat
Stomach Heat
- Nourishes Yin and moistens Dryness
Lung and Kidney Yin Deficiency with night sweats, steaming bone disorder, irritability, afternoon or low grade fever, Five Sole Heat and bleeding gums
(Stomach Yin Deficiency)
Kidney Heat with spermatorrhea, nocturnal emissions and an abnormally elevated sex drive
- Generates Fluids, clears Deficiency Fire and quenches thirst
Oral ulcers and inflammation, steaming bones and Xiao Ke (diabetes) due to Yin Deficiency
- Ameliorates the Dryness of tonifying or warming herbs
For use with herbs such as Rx. Astragali Huang Qi, Ram. Cinnamomi Gui Zhi, Rx. Aconiti Lateralis Preparata Zhi Fu Zi when there is concern that these herbs may be too drying
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Standard Dosage: 5-15g in decoction.
Cautions: It is not suitable for deficiency cold syndrome. Being cold and moist in property, it is prohibited to be used for those who have a spleen-deficiency diarrhea. |
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Mai Men Dong
| 6g | |
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Pinyin: Mai Men Dong
Chinese: 麥門冬
Pharmaceutical: Radix Ophiopogonis
English: Dwarf Lilyturf Root |
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Tastes: Sweet, slightly bitter, slightly cold
Meridians Entered: Stomach, Lung and Heart |
Actions & Indications:
- Moistens the Lungs, nourishes Yin and stops coughing
Lung Yin Deficiency with a hacking, dry cough or a cough with thick, difficult to expectorate sputum, or hemoptysis
Pathogenic Warm-Dryness Dryness that has transformed into Fire
- Nourishes Stomach Yin and generates Fluids
Stomach Yin Deficiency with dry mouth and tongue
- Moistens the Intestines
Constipation, dry mouth and irritability as a result of febrile disease or Yin Deficiency
- Clears the Heart and eliminates irritability
Ying Stage Heat with fever and irritability which is worse at night
Yin Deficiency with fever and irritability which is worse at night
- Aids fasting
Mentioned in the Shen Nong Ben Cao Jing as part of the middle class of herbs which can, with protracted taking, make the body light, prevent senility and make one free from hunger. This may suggest it was part of supplementing the diet when engaging in an "avoiding grain" (Bigu 辟穀) fasting regime to cultivate life (Yangsheng 養生).
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Standard Dosage: 10-15g in decoction.
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| Niu Xi | 4.5g | | |
Subsitutions:
In the UK Shi Gao must be substituted. There are no really suitable substitutes so Zhi Mu should be set at the higher range. Yin tonics that clear empty heat could also be considered.
Preparation: Decoction. At present the dosage of Shi Gao is usually at 15-30g. Take either warm or cool.
Actions: Drains heat from the Stomach and nourishes the Yin
Contraindications: Diarrhoea
Research Links:
Reference Notes: (click to display)
Most formulas are found in Scheid, Bensky, Ellis & Barolet (2009): Chinese Herbal Medicine: Formulas & Strategies and Chen & Chen (2015) Chinese Herbal Formulas and Applications. Others are from translations of primary sources. It is recommended that the original material is cross-referenced for mistakes and additional information.
Substitutions have been taken from Ken Lloyd & Prof. Leung (2004): Mayway UK Substitution List or the above publications and are intended as suggestions to help navigate the tight restrictions in the UK quickly. More applicable substitutions may be appropriate in specific situations.
Individual herb information has initially been sourced from TCM Wiki and American Dragon for basic data and then updated manually with my own notes.
These pages are intended to assist clinicians and are not intended for self-diagnosis or treatment for which a qualified professional should be consulted.