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Source: Zhèng Zhì Zhǔn Shéng 证治准绳

Ingredients:

• Qīng hāo (青蒿 Artemisiae Annuae Herba, sweet wormwood) 6–12g
• Dì gǔ pí (地骨皮 Lycii Cortex, lycium bark) 9–15g
• Biē jiǎ (鳖甲 Trionycis Carapax, turtle shell) 9–15g
• Yín chái hú (银柴胡 Stellariae Radix, stellaria) 6–12g
• Hú huáng lián (胡黄连 Picrorhizae Rhizoma, picrorhiza [root]) 6–9g
• Zhī mǔ (知母 Anemarrhenae Rhizoma, anemarrhena [root]) 6–12g
• Qín jiāo (秦艽 Gentianae Macrophyllae Radix, large gentian [root]) 6–9g
• Gān cǎo (甘草 Glycyrrhizae Radix, licorice [root]) (mix–fried) 3–6g

Action: Clears vacuity heat, drains fire and nourishes yīn.

Indication: Yīn vacuity tidal heat effusion or steaming bone tidal heat effusion with reddening of the cheeks, heat in the heart of the palms and soles, heart vexation, dry mouth, and emaciation. Tongue: Red. Pulse: Fine and rapid.

Category: Heat-clearing formulas / Vacuity-heat-clearing formulas

Method: Decoct with water.

Rationale: Qīng hāo, Yín chái hú, and Qín jiāo eliminate liver-gallbladder heat. Huáng lián, Dì gǔ pí, and Zhī mǔ drain fire from the heart, lung, and kidney. Biē jiǎ is a cold, salty yīn-enriching agent that eliminates steaming bone heat effusion. Gān cǎo is a sweet, balanced center-harmonizing agent that prevents the cold bitter agents from damaging the stomach. The name of the formula is to be interpreted to mean a powder that clears the heat that manifests in the form of steaming bone tidal heat effusion. In modern clinical practice, this formula is used for pulmonary tuberculosis, chronic hepatitis, and chronic cholecystitis manifesting as yīn vacuity tidal heat effusion.

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