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Source: Hé Jì Jú Fāng 和剂局方

Ingredients:

• Shí lián ròu (石莲肉 Nelumbinis Semen, lotus seed) 15g
• Mài dōng (麦冬 Ophiopogonis Radix, ophiopogon [root]) 10g
• Huáng qín (黄芩 Scutellariae Radix, scutellaria [root]) 10g
• Dì gǔ pí (地骨皮 Lycii Cortex, lycium bark) 10g
• Tài zǐ shēn (太子参 Pseudostellariae Radix, pseudostellaria [root]) (or Rén shēn (人参 Ginseng Radix, ginseng)) 15g
• Chē qián zǐ (车前子 Plantaginis Semen, plantago seed) 10g
• Huáng qí (黄芪 Astragali Radix, astragalus [root]) 15g
• Gān cǎo (甘草 Glycyrrhizae Radix, licorice [root]) (mix–fried) 10g
• Fú líng (茯苓 Poria , poria) 15g

Action: Clears heart fire; boosts qì and yīn; disinhibits damp-heat.

Indication: Intense heart fire with qì and kidney yīn vacuity characterized taxation strangury, vexing heat in the five hearts, and unquiet sleep, seminal emission, dispersion-thirst (xiāo kě), flooding and spotting, and vaginal discharge. Tongue: Red and dry. Pulse: Fine and rapid. Taxation strangury is painful inhibited urination with dribble after voiding that comes in episodes brought on by fatigue.

Category: Heat-clearing formulas / Bowel and visceral heat-clearing formula

Method: Decoct with water and take on an empty stomach before meals. For heat effusion add chaihu and bohe.

Rationale: Lián ròu clears heart fire and promotes interaction between the heart and kidney. Mài dōng, combined with it, clears heart and nourishes yīn. Dì gǔ pí and Huáng qín supplement yīn and abate vacuity heat. Chē qián zǐ and Fú líng clear heat and disinhibit water, conducting the heart fire out with the urine. Tài zǐ shēn―or Rén shēn―, Huáng qí, and Gān cǎo supplement lung qì and engender lung liquid, thus addressing the damage to lung metal by heart fire flaming upward. This formula thus tends both the root and tip. By clearing heart fire and quieting the spirit, restoring heart-kidney interaction, and disinhibiting damp-heat, it therefore addresses both the vacuity and repletion aspects of the condition.

Variations: Pronounced heat effusion: Add Chái hú (柴胡 Bupleuri Radix, bupleurum [root]) and Bò hé (薄荷 Menthae Herba, mint).

Similar: Dǎo chì sǎn (导赤散 Red-Abducting Powder)

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