Hao Qin Qing Dan Tang / Hao Qin Qing Dan Tang - 蒿芩清膽湯 - Sweet Wormwood And Scutellaria Decoction To Clear The Gallbladder

English:	Sweet Wormwood and Scutellaria Decoction to Clear the Gallbladder
Also Known As:	Artemisia Annua and Scutellaria Decoction to Clear the Gallbladder

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Hb. Artemisiae Annuae	Qing Hao	4.5-24g	Clears Summerheat or Damp-Heat.
Rx. Scutellariae	Huang Qin	4.5-12g	Clears Heat, Detoxifies, Drains Fire, Dries Dampness.
Caulis Bambusae in Taeniam	Zhu Ru	6-9g	Clears Heat, transforms Hot Phlegm and stops vomiting.
Rz. Pinelliae Preparatum	Zhi Ban Xia	4.5-12g	Descends Rebellious Qi, Dries Dampness, Stops vomiting and harmonizes the Stomach, Transforms Phlegm.
Fr. Aurantii	Zhi Ke	4.5-9g	Promotes the movement of Qi, reduces distention and pressure and resolves hardenings.
Per. Citri Reticulatae	Chen Pi	4.5-15g	Regulates Qi, adjusts the Middle, relieves the diaphragm, dries Dampness and transforms Phlegm. With Zhi Ke, for abdominal distention, fullness and pain. With Zhi Ban Xia, for a stifling sensation in the chest and cough with excessive white, viscous sputum due to Phlegm-Damp Obstruction.
Poria Rubra	Chi Fu Ling	9-15g	Clears Dampness and Heat.
Jasper Powder	Bi Yu San	9g	Clears Heat, relieves toxicity, promotes, urination, eliminates Summerheat, tonifies Qi, cools the Blood and arrests convulsions.

Formula Actions

• Clears Gallbladder Heat
• Dispels Dampness
• Harmonizes the Stomach
• Resolves Phlegm

Syndromes

• Gallbladder Damp-Heat
• Damp-Heat and Phlegm in the Shao Yang channels constraining the Ying and Wei
• Damp-Heat and Phlegm in Shaoyang channels constraining the Wei/Ying Qi (Secondary source)

Clinical Manifestations

Alternating chills and fever with fever more prominent A bitter taste in the mouth Nausea Dry heaves Hiccups A stifling sensation in the chest Chest and hypochondriac pain and distention Distending pain in the upper abdomen

Vomiting bitter or sour fluids that are yellow and sticky Acid regurgitation Thirst T: Red C: Yellowish or White and greasy or Yellow and greasy P: Left: Wiry and rapid, Right: Slippery and rapid

Treats

Cholelithiasis Peptic ulcer Gastritis Pyelonephritis Malaria Leptospirosis Reflux gastritis Hypertension Chronic pancreatitis Oliguria Nausea/Vomiting Acid reflux Indigestion Myalgic encephalomyelitis Vegetative neurosis Influenza

Fever Acute icteric hepatitis Acute enteritis Typhoid Pelvic inflammatory disease Pneumonia Aural vertigo Coronary Heart disease Hiccup Vertigo Peptic ulcer Otitis media Chronic hepatitis Liver cancer with jaundice, ascites and fever Epstein-Barr virus syndrome

Contraindications And Herb/Drug Interactions

Notes

• Place Bi Yu San in cheesecloth and decoct with the rest of the ingredients.

Modifications

For a strong fever and a soft, rapid pulse:		For Excess vomiting:
+ Flos Lonicerae	Jin Yin Hua	+ Left Metal Pill Zuo Jin Wan
+ Fr. Forsythiae	Lian Qiao
+ Fol. Isatidis	Da Qing Ye	For body aches and pains:
For severe vomiting:		+ Ram. Mori	Sang Zhi
+ Haematitum	Dai Zhe Shi	+ Sm. Coicis	Yi Yi Ren
For Damp-Heat jaundice:		+ Fr. Luffae Retinervus	Si Gua Luo
- Rz. Pinelliae Preparatum	Zhi Ban Xia	For dizziness and vertigo due 6to Phlegm Accumulation:
- Per. Citri Reticulatae	Chen Pi	+ Rz. Gastrodiae	Tian Ma
+ Hb. Artemisiae Scopariae	Yin Chen	For insomnia and palpitations:
+ Succinum	Hu Po
+ Fr. Gardeniae	Zhi Zi	+ Rz. Coptidis	Huang Lian
For coughing with yellow sputum:		For Lin (dysuria) syndrome:
+ Sm. Benincasae	Dong Gua Zi	+ Sm. Plantaginis	Che Qian Zi
+ Sm. Trichosanthis	Gua Lou Ren	+ Caulis Akebiae	Mu Tong
For fever:		+ Rz. Alismatis	Ze Xie
+ Newly Augment Mosla Drink Xin Jia Xiang Ru Yin		For cholelithiasis:
+ Rx. Bupleuri	Chai Hu
Or		+ Rx. et Rz. Rhei	Da Huang
+ Hb. Menthae	Bo He	+ Rx. Gentianae	Long Dan Cao
+ Rx. Puerariae	Ge Gen	+ Sm. Plantaginis	Che Qian Zi
For fever with alternating chills and fever:		+ Hb. Artemisiae Scopariae	Yin Chen Hao
+ Hb. Menthae	Bo He
+ Rx. Puerariae	Ge Gen	For fever with chest fullness and distention:
+ Rx. Bupleuri	Chai Hu	+ Hb. Menthae	Bo He
For fever with throat redness, swelling and pain:		+ Rx. Puerariae	Ge Gen
+ Hb. Menthae	Bo He	+ Rz. Atractylodis	Cang Zhu
+ Rx. Puerariae	Ge Gen	+ Cx. Magnoliae Officinalis	Hou Po
+ Rx. Platycodi	Jie Geng
For fever with a feeling of heaviness in the head:		For gastritis with severe pain:
+ Fr. Toosendan	Chuan Lian Zi
+ Hb. Menthae	Bo He	+ Fr. Evodiae	Wu Zhu Yu
+ Rx. Puerariae	Ge Gen	For gastritis with upper abdominal distention and pain:
+ Rx. Curcumae	Yu Jin
For gastritis with Excess acidity:		+ Rz. Cyperi	Xiang Fu
+ Rz. Coptidis	Huang Lian	+ Caulis Perillae	Zi Su Geng
+ Haematitum	Dai Zhe Shi	For a thick, greasy tongue coat and fullness in the chest and diaphragm:
For Heat predominant with little Dampness:
- Rz. Pinelliae Preparatum	Zhi Ban Xia	+ Cx. Magnoliae Officinalis	Hou Po
For night sweats due to Liver and Gallbladder Damp-Heat:		+ Hb. Agastaches/ Pogostemonis	Huo Xiang
+ Fol. Mori	Sang Ye	For acute jaundice with severe Dampness:
+ Cx. Moutan	Mu Dan Pi	+ Hb. Artemisiae Scopariae	Yin Chen Hao
+ Concha Ostreae	Mu Li
For tinnitus or diminished hearing:		+ Fr. Gardeniae	Zhi Zi
+ Rz. Acori Tatarinowii	Shi Chang Pu	+ Rx. Curcumae	Yu Jin
+ Ram. Uncariae cum Uncis	Gou Teng	For anxiety, insomnia and palpitations due to Phlegm-Heat:
+ Flos Chrysanthemi	Ju Hua	+ Succinum	Hu Po
+ Medulla Tetrapanacis	Tong Cao	+ Rz. Coptidis	Gou Teng
Or		+ Rz. Alismatis	Ze Xie
+ Rz. Acori Tatarinowii	Shi Chang Pu	For Phlegm-Heat in the Lungs:
+ Ram. Uncariae cum Uncis	Gou Teng	+ Hb. Houttuyniae	Yu Xing Cao
+ Rz. Phragmitis	Lu Gen
+ Flos Chrysanthemi	Ju Hua	+ Sm. Benincasae	Dong Gua Zi
+ Rz. Alismatis	Ze Xie	For vomiting:
For jaundice:		+ Rz. Coptidis	Huang Lian
+ Hb. Artemisiae Scopariae	Yin Chen Hao	+ Fr. Evodiae	Wu Zhu Yu
For Dampness:
+ Fr. Gardeniae	Zhi Zi	+ Fr. Amomi Rotundus	Bai Dou Kou
Or		+ Fr. Tsaoko	Cao Guo
+ 9g Rx. Curcumae	Yu Jin	For severe vomiting:
+ 9g Hb. Artemisiae Scopariae	Yin Chen Hao	+ 6g Rz. Zingiberis	Sheng Jiang
+ 9g Flos Inulae	Xuan Fu Hua
+ 9g Fr. Gardeniae	Zhi Zi	For alternating Cold and Heat:
For tinnitus or deafness:		+ 3g Talcum	Hua Shi
+ 9g Rx. Acori Tatarinowii	Shi Chang Pu	+ 3g Rx. Glycyrrhizae	Gan Cao
For vertigo:
+ 6g Rx. Bupleuri	Chai Hu	+ 15g Concha Haliotidis	Shi Jue Ming
For scanty, dark-colored or astringent, painful urination:		+ 9g Rx. Paeoniae Alba	Bai Shao
For fever:
+ 9g Sm. Plantaginis	Che Qian Zi	+ Rz. Coptidis	Huang Lian
+ 9g Fr. Gardeniae	Zhi Zi	For fever with jaundice:
+ 9g Rz. Alismatis	Ze Xie	+ Rz. Coptidis	Huang Lian
For fever with constipation:		+ Hb. Artemisiae Scopariae	Yin Chen Hao
+ Rz. Coptidis	Huang Lian
+ Rx. et Rz. Rhei	Da Huang	+ Fr. Gardeniae	Zhi Zi
For nausea and vomiting:
+ 9-12g Rx. Curcumae	Yu Jin
+ 15-30g Hb. Taraxaci	Pu Gong Ying