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Title
Zhu Ye Shi Gao Tang (Lophatherus and Gypsum Decoction)
Writer
Acuworld
View
816
Date
2020-07-15 09:05:42
Zhu Ye Shi Gao Tang
(Lophatherus and Gypsum Decoction)
Source:
Discussion of Cold-induced Disorders (Shang Han Lun)
Herba Lophatheri Gracilic (Dan Zhu Ye)
9-15g
Gypsum (Shi Gao)
30g
Radix Ginseng (Ren Shen)
6g
Tuber Ophiopogonis Japonici (Mai Men Dong)
9-18g
Rhizoma Pinelliae Ternatae (Ban Xia)
9g
Honey-fried Radix Glycyrrhizae Uralensis (Zhi Gan Cao)
3-6g
Nonglutinous rice (Geng Mi)
12-15g
Preparation:
Decoction
The liquid drained from the cooked rice is ingested.
Available in prepared form
Actions:
Clears heat
Generates fluids
Augments the qi
Harmonizes the stomach
INDICATIONS:
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.
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.
ANALYSIS OF FORMULA:
< Chief Herbs >
Herba Lophatheri Gracilis (Dan Zhu Ye) and Gypsum (Shi Gao)
: work together to clear yang brightness heat and alleviate irritability
< Deputy Herbs >
Radix Ginseng (Ren Shen) and Tuber Ophiopogonis Japonici (Mai Men Dong)
: tonify the qi and generate fluids. Each reinforces the actions of the other
< Assistant Herbs >
Rhizoma Pinelliae Ternatae (Ban Xia)
: 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).
< Envoy Herbs >
Honey-fried Radix Glycyrrhizae Uralensis (Zhi Gan Cao) and nonglutinous rice
: 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).
* 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).
COMMENTARY:
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.
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.
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.
Regarded as a variation of White Tiger Decoction (
Bai Hu Tang
), 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."
BIOMEDICALLY-DEFINED DISORDERS:
pharyngitis, nephritis, or diabetes mellitus
MODIFICATIONS:
Insufficient Stomach qi and yin with only mild or no Stomach heat signs:
Omit Gypsum (Shi Gao)
Deficient Stomach yin with oral ulcerations and a red, dry tongue
:
Radix Trichosanthis Kirilowii (Tian Hua Fen) and Herba Dendrobii (Shi Hu)
intense, blazing Stomach fire with persistent hunger:
Radix Trichosanthis Kirilowii (Tian Hua Fen) and Radix Anemarrhenae Asphodeloidis (Zhi Mu)
Reference: Formulas & Strategies, Dan Bensky and Randall Barolet, Eastland Press, 1990. p.72-73