Ge Gen Huang Qin Huang Lian Tang – releases exterior, clears Heat

Ge Gen Huang Qin Huang Lian Tang – Shang Han Lun

Ge Gen (radix puerariae)…15-24g

Huang Qin (radix scutellariae)…9g

Huang Lian (rhizome coptidis)…6g

Zhi Gan Cao (honey fried radix glycyrrhizae uralensis)…6g

Indications: the exterior has not been completely released and the interior shows excess Heat (with possible dampness).  This may be caused by treatment of an exterior invasion with purgatives which sends the pathogen deeper into the Yangming causing very smelly diarrhea with a burning anus.  There will be fever and sweating, thirst, T- red with yellow coat, P- rapid, because of the internal Heat, with irritability and a sensation of Heat in the chest. One may also see wheezing.  It is said that this condition is 7/10 interior and 3/10 exterior, hence the concentration on the interior Heat.

Huo Xiang Zheng Qi San may be used in this case if the Heat is not as severe and there is a greater presence of Damp.  Bai Tou Weng Tang may be combined with the Ge Gen Qin Lian Tang if dysentery is more severe.

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Reference:

Benskey & Gamble 1993, Chinese Herbal Medicine Formulas and Strategies, Seattle Washington, Eastland Press Inc.

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