Herbal Prescription

List

Title

Zhu Ye Shi Gao Tang (Lophatherus and Gypsum Decoction)

Writer

Acuworld

View

816

Date

2020-07-15 09:05:42

<table style="WIDTH: 100%; BORDER-COLLAPSE: collapse">
<tbody>
<tr>
<td style="BACKGROUND-COLOR: #b7e768">
<div> </div>
<div align="center"><span style="FONT-WEIGHT: bold; FONT-SIZE: 18pt; FONT-FAMILY: Monotype Corsiva; BACKGROUND-COLOR: #b7e768">Zhu Ye Shi Gao Tang</span></div>
<div align="center"><span style="FONT-SIZE: 18pt; BACKGROUND-COLOR: #96dc24"></span><span style="FONT-SIZE: 12pt; FONT-FAMILY: Verdana"></span> </div>
<div align="center"><span style="FONT-WEIGHT: bold; FONT-SIZE: 12pt; FONT-FAMILY: Verdana">(Lophatherus and Gypsum Decoction)</span></div>
<div align="center"><span style="FONT-SIZE: 10pt; FONT-FAMILY: Verdana"></span>  </div>
<div align="center"><span style="FONT-WEIGHT: bold; FONT-SIZE: 10pt; FONT-FAMILY: Verdana">Source:</span> </div>
<div align="center"><span style="FONT-SIZE: 10pt; FONT-FAMILY: Verdana">Discussion of Cold-induced Disorders (Shang Han Lun)</span></div><div align="center"><div dir="ltr" align="left" style="text-align: center; font-size: 17.5px; font-style: italic;"><span style="font-size: 10pt; font-family: Verdana;">Herba Lophatheri Gracilic (Dan Zhu Ye) </span><span style="font-family: Verdana; font-size: 13.3333px;">9-15g</span></div><div dir="ltr" align="left" style="text-align: center; font-size: 17.5px; font-style: italic;"><span style="font-size: 10pt; font-family: Verdana;">Gypsum (Shi Gao) </span><span style="font-family: Verdana; font-size: 13.3333px;">30g</span></div><div dir="ltr" align="left" style="text-align: center; font-size: 17.5px; font-style: italic;"><span style="font-size: 10pt; font-family: Verdana;">Radix Ginseng (Ren Shen) </span><span style="font-family: Verdana; font-size: 13.3333px;">6g</span></div><div dir="ltr" align="left" style="text-align: center; font-size: 17.5px; font-style: italic;"><span style="font-size: 10pt; font-family: Verdana;">Tuber Ophiopogonis Japonici (Mai Men Dong) </span><span style="font-family: Verdana; font-size: 13.3333px;">9-18g</span></div><div dir="ltr" align="left" style="text-align: center; font-size: 17.5px; font-style: italic;"><span style="font-size: 10pt; font-family: Verdana;">Rhizoma Pinelliae Ternatae (Ban Xia) </span><span style="font-family: Verdana; font-size: 13.3333px;">9g</span></div><div dir="ltr" align="left" style="text-align: center; font-size: 17.5px; font-style: italic;"><span style="font-size: 10pt; font-family: Verdana;">Honey-fried Radix Glycyrrhizae Uralensis (Zhi Gan Cao) </span><span style="font-family: Verdana; font-size: 13.3333px;">3-6g</span></div><div dir="ltr" align="left" style="text-align: center; font-size: 17.5px; font-style: italic;"><span style="font-size: 10pt; font-family: Verdana;">Nonglutinous rice (Geng Mi) </span><span style="font-family: Verdana; font-size: 13.3333px;">12-15g</span></div></div>
<div><span style="FONT-SIZE: 10pt; FONT-FAMILY: Verdana"></span> <br></div>
<div><span style="FONT-SIZE: 10pt; FONT-FAMILY: Verdana"></span> </div>
<div align="center"><span style="FONT-WEIGHT: bold; FONT-SIZE: 10pt; FONT-FAMILY: Verdana">Preparation:</span></div>
<div align="center"><span style="FONT-SIZE: 10pt; FONT-FAMILY: Verdana"></span><span style="FONT-SIZE: 10pt; FONT-FAMILY: Verdana">Decoction</span></div>
<div align="center"><span style="FONT-SIZE: 10pt; FONT-FAMILY: Verdana">The liquid drained from the cooked rice is ingested.</span></div>
<div align="center"><span style="FONT-SIZE: 10pt; FONT-FAMILY: Verdana">Available in prepared form</span></div>
<div align="center"> </div>
<div align="center"><span style="FONT-WEIGHT: bold; FONT-SIZE: 10pt; FONT-FAMILY: Verdana">Actions:</span></div>
<div align="center"><span style="FONT-WEIGHT: bold; FONT-SIZE: 10pt; FONT-FAMILY: Verdana"></span><span style="FONT-SIZE: 10pt; FONT-FAMILY: Verdana"></span></div>
<div align="center"><span style="FONT-SIZE: 10pt; FONT-FAMILY: Verdana">Clears heat</span></div>
<div align="center"><span style="FONT-SIZE: 10pt; FONT-FAMILY: Verdana">Generates fluids</span></div>
<div align="center"><span style="FONT-SIZE: 10pt; FONT-FAMILY: Verdana">Augments the qi</span></div>
<div align="center"><span style="FONT-SIZE: 10pt; FONT-FAMILY: Verdana">Harmonizes the stomach</span></div>
<div align="center"><span style="FONT-SIZE: 10pt; FONT-FAMILY: Verdana"></span> </div></td></tr></tbody></table>
<p align="center"><span style="FONT-WEIGHT: bold; FONT-SIZE: 10pt; COLOR: #0000cd; FONT-FAMILY: Verdana">INDICATIONS:</span></p>
<div><span style="FONT-SIZE: 10pt; FONT-FAMILY: Verdana">Lingering fever (from a febrile disease ) accompanied by vomiting, irritability and thirst, parched mouth, lips, and throat, a choking cough, stifling sensation in the chest, a red tongue with little coating, and a deficient, rapid pulse. Some patients experience restlessness and insomnia.</span></div>
<div><span style="FONT-SIZE: 10pt; FONT-FAMILY: Verdana"></span> </div>
<div><span style="FONT-SIZE: 10pt; FONT-FAMILY: Verdana">This is qi-level heat lingering in the Lungs and Stomach where it injures the qi and fluids. It usually occurs during the recovery stage or in the aftermath of a febrile disease. The more pronounced symptoms of heat have subsided, but a low-grade fever with sweating remains. The heat has disturbed the spirit, resulting in irritability and insomnia. Thirst, a dry mouth and lips, and a red, dry tongue with little or no coating reflect injury to the yin and fluids. The stifling sensation in the chest is due to heat obstructing the flow of qi. Nausea, vomiting, and a choking cough indicate disharmony of qi flow in the Stomach and Lungs. The pulse is also indicative of heat and depleted fluids.</span></div>
<div> </div>
<div align="center"><span style="FONT-WEIGHT: bold; FONT-SIZE: 10pt; FONT-FAMILY: Verdana">ANALYSIS OF FORMULA:</span></div>
<div><span style="FONT-WEIGHT: normal; FONT-SIZE: 10pt; FONT-FAMILY: Verdana"><span style="FONT-WEIGHT: bold"></span></span> </div>
<div><span style="FONT-SIZE: 10pt; FONT-FAMILY: Verdana">< Chief Herbs ></span></div>
<ul>
<li>
<div><span style="FONT-SIZE: 10pt; FONT-FAMILY: Verdana"><span style="FONT-WEIGHT: bold">Herba Lophatheri Gracilis (Dan Zhu Ye) and Gypsum (Shi Gao)</span>: work together to clear yang brightness heat and alleviate irritability</span></div></li></ul>
<p><span style="FONT-SIZE: 10pt; FONT-FAMILY: Verdana">< Deputy Herbs ></span></p>
<ul>
<li>
<div><span style="FONT-SIZE: 10pt; FONT-FAMILY: Verdana"><span style="FONT-WEIGHT: bold">Radix Ginseng (Ren Shen) and Tuber Ophiopogonis Japonici (Mai Men Dong)</span>: tonify the qi and generate fluids. Each reinforces the actions of the other</span></div></li></ul>
<div><span style="FONT-SIZE: 10pt; FONT-FAMILY: Verdana">< Assistant Herbs ></span></div>
<ul>
<li>
<div><span style="FONT-SIZE: 10pt; FONT-FAMILY: Verdana"><span style="FONT-WEIGHT: bold">Rhizoma Pinelliae Ternatae (Ban Xia)</span>: direct rebellious qi downward and thereby stop the vomiting. It is a warm and acrid substance and may therefore appear to be inappropriate in this formula. However, in concert with the heat-clearing and fluid-generating ingredients, it invigorates the Spleen qi and reduces the cloying, stagnating properties of Tuber Ophiopogonis Japonici (Mai Men Dong).</span></div></li></ul>
<div><span style="FONT-SIZE: 10pt; FONT-FAMILY: Verdana">< Envoy Herbs ></span></div>
<ul>
<li>
<div><span style="FONT-SIZE: 10pt; FONT-FAMILY: Verdana"><span style="FONT-WEIGHT: bold">Honey-fried Radix Glycyrrhizae Uralensis (Zhi Gan Cao) and nonglutinous rice</span>: assist Radix Ginseng (Ren Shen) in tonifying the qi, and they harmonize the middle burner and nourish the Stomach, thereby protecting the Stomach against injury from Gypsum (Shi Gao).</span></div><div><span style="FONT-SIZE: 10pt; FONT-FAMILY: Verdana"><br></span></div><div><span style="FONT-SIZE: 10pt; FONT-FAMILY: Verdana"><span style="font-style: italic;">* The formula''s ability to simultaneously clear the remnants of heat and tonify the deficiency of qi is due to the combined actions of Gypsum (Shi Gao) and Radix Ginseng (Ren Shen).</span><br></span></div></li></ul>
<div align="center"><span style="FONT-WEIGHT: bold; FONT-SIZE: 10pt; FONT-FAMILY: Verdana">COMMENTARY:</span></div>
<div align="center"><span style="FONT-WEIGHT: bold; FONT-SIZE: 10pt; FONT-FAMILY: Verdana"> </span></div>
<div><span style="FONT-SIZE: 10pt; FONT-FAMILY: Verdana">Originally, this formula was prescribed only in the aftermath of a febrile disease. However, it can be used anytime during the course of a febrile disease where there is evidence of injury to the qi and yin characterized by unabated fever with sweating, thirst, dryness, and nausea.</span></div>
<div><span style="FONT-SIZE: 10pt; FONT-FAMILY: Verdana"></span> </div>
<div><span style="FONT-SIZE: 10pt; FONT-FAMILY: Verdana">When treating a patient who has had a febile disease, it is very important to ascertain whether the pathogenic influence has in fact been cleared from the body. Lingering of the pathogenic influence in the qi level is a very common problem. This formula is very useful in treating this type of condition.</span></div>
<div><span style="FONT-SIZE: 10pt; FONT-FAMILY: Verdana"></span> </div>
<div><span style="FONT-SIZE: 10pt; FONT-FAMILY: Verdana">Summerheat readily injures the qi and fluids and may lead to a condition characterized by high fever, profuse sweating, extreme fatigue, severe thirst, a red and dry tongue, and rapid pulse which is also deficient or thin. This formula is also effective in such cases.</span></div>
<div><span style="FONT-SIZE: 10pt; FONT-FAMILY: Verdana"></span> </div>
<div><span style="FONT-SIZE: 10pt; FONT-FAMILY: Verdana">Regarded as a variation of White Tiger Decoction (<span style="FONT-STYLE: italic">Bai Hu Tang</span>), this is an excellent example of how a relatively slight modification can change the entire focus of a formula. As noted in the Golden Mirror of the Medical Tradition, it "changes an extremely cold formula into a clearing and tonifying one."</span></div>
<div> </div>
<div align="center"><span style="FONT-WEIGHT: bold; FONT-SIZE: 10pt; FONT-FAMILY: Verdana">BIOMEDICALLY-DEFINED DISORDERS:</span></div>
<div><span style="FONT-SIZE: 10pt; FONT-FAMILY: Verdana"></span> </div>
<div align="center"><span style="FONT-SIZE: 10pt; FONT-FAMILY: Verdana">pharyngitis, nephritis, or diabetes mellitus</span></div>
<div><span style="FONT-SIZE: 10pt; FONT-FAMILY: Verdana"></span> </div>
<div align="center"><span style="FONT-WEIGHT: bold; FONT-SIZE: 10pt; FONT-FAMILY: Verdana">MODIFICATIONS:</span></div>
<ul>
<li>
<div><span style="FONT-SIZE: 10pt; FONT-FAMILY: Verdana"><span style="FONT-WEIGHT: bold">Insufficient Stomach qi and yin with only mild or no Stomach heat signs:</span> Omit Gypsum (Shi Gao)</span></div>
</li><li>
<div><span style="FONT-WEIGHT: bold; FONT-SIZE: 10pt; FONT-FAMILY: Verdana">Deficient Stomach yin with oral ulcerations and a red, dry tongue</span><span style="FONT-WEIGHT: normal; FONT-SIZE: 10pt; FONT-FAMILY: Verdana"><span style="FONT-WEIGHT: bold">: <span style="FONT-WEIGHT: normal">Radix Trichosanthis Kirilowii (Tian Hua Fen) and Herba Dendrobii (Shi Hu)</span></span></span></div>
</li><li>
<div><span style="FONT-WEIGHT: bold; FONT-SIZE: 10pt; FONT-FAMILY: Verdana"><span style="FONT-WEIGHT: bold"><span style="FONT-WEIGHT: normal"><span style="FONT-WEIGHT: bold">intense, blazing Stomach fire with persistent hunger:</span> Radix Trichosanthis Kirilowii (Tian Hua Fen) and Radix Anemarrhenae Asphodeloidis (Zhi Mu)</span></span></span></div></li></ul>
<p><span style="FONT-SIZE: 10pt; FONT-FAMILY: Verdana">
</span></p><hr>
Reference: Formulas & Strategies, Dan Bensky and Randall Barolet, Eastland Press, 1990. p.72-73<p></p>
<div> </div>