Liang Ge San - 涼膈散 - Cool The Diaphragm Powder

English:	Cool the Diaphragm Powder
Also Known As:	Forsythia and Rhubarb Formula The Diaphragm Cooling Powder

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Rx. et Rz. Rhei	Da Huang	4.5-10g	Dispels Blood Stasis, Drains Heat and Fire, Invigorates the Blood, Promotes urination, Purges accumulations, Reduces Fire toxicity, Transforms Dampness. With Mang Xiao, eliminates obstruction in the Intestines and treats abscess, swellings and toxic sores. With Mang Xiao and Gan Cao (Tiao Wei Cheng Qi Tang), drains Yang Ming Heat. With Huang Qin, Zhi Zi and Lian Qiao, for strong pathogenic Heat in the Upper and Middle Jiaos.
Natrii Sulfas	Mang Xiao	3-10g	Clears Heat, Drains Fire, Purges accumulations, Reduces swelling and eliminates Stagnation, Softens hardness. With Da Huang, for constipation due to Colon Heat.
Rx. Glycyrrhizae	Gan Cao	2.5-10g	Clears Heat, relieves Fire toxicity and harmonizes.
Rx. Scutellariae	Huang Qin	3-12g	Drains Fire, clears Heat, dries Dampness, detoxifies and clears Lung and Liver Heat. With Zhi Zi, powerfully clears and drains lurking Heat from the Lungs with fever, fullness in the chest, cough with yellow sputum and epistaxis or hematemesis, Clears Damp-Heat and jaundice, treats sores due to Heat toxin and irregular vaginal bleeding due to Liver Fire
Fr. Gardeniae	Zhi Zi	3-12g	Clears Heat from all three Jiaos through the urine and resolves Dampness.
Fr. Forsythiae	Lian Qiao	3-20g	Clears Lung Heat, Dissipates clumps, Reduces abscesses, Relieves toxicity.
Hb. Menthae Haplocalycis	Bo He	2.5-6g	Helps release Upper Jiao Heat, benefits the head and throat and relieves Liver Qi Stagnation.
Hb. Lophatheri	Dan Zhu Ye	2-12g	Clears Heat from the Lung, Stomach and Heart, promotes urination and clears Damp-Heat.
Mel (honey)	Feng Mi	Protects the Stomach and prevents abdominal pain caused by purgatives.

Formula Actions

• Drains Fire
• Unblocks the bowels by Clearing the Upper Jiao and Draining the Middle and Lower Jiaos

Syndromes

• Colon Heat
• Heart Fire Flaring Up
• Heat Stagnation (unformed Heat in the Upper Jiao with Heat Accumulation in the Middle Jiao)
• Constipation with Heat in the Upper Jiao
• Qi Stage Gallbladder Heat
• Heat and clumping in the diaphragm region (Secondary source)

Clinical Manifestations

Sensation of Heat and irritability in the chest, diaphragm and abdomen Delirious speech (severe) Hemoptysis Thirst Flushed face Red or scorched lips Tongue sores Sore throat Swollen tongue Red eyes Epistaxis Constipation Toothache Alternating chills and fever Hematemesis

Fever Bitter taste in mouth Red urine Dry, chapped lips Dark, scanty urine Restlessness Vomiting Red mouth or ulcers on the mouth Hypochondriac pain Rashes Insomnia Mania T: Red body or Red edges C: Yellow and dry or White and dry P: Slippery (maybe) and rapid

Treats

Childhood convulsions Patch-like rashes Pox with collapsed sores Skin disorders Upper respiratory tract infection Tonsillitis Meningitis Encephalitis B Hypertension Cholecystitis Cholelithiasis Furuncles Acute conjunctivitis Pediatric pneumonia Some gynecological disorders Malnutrition Infections Cough Pertussis Influenza Herpetic pharyngitis Herpes labialis Epistaxis Acute nephritis Abdominal Heat Tracheitis Hematuria Fever Dysphagia Reflux esophagitis Glossitis Urinary tract infections Neck pain Red eyes Sore throat

Hemoptysis Constipation Malaria Acute pancreatitis Emotional upset Epidemic meningitis Measles Thrush Stomatitis Chronic Laryngitis Psychosis Furuncles on head Diphtheria Acute bronchitis Lobar pneumonia Periodontitis Suppurative tonsillitis Bronchiectasis with or without hemoptysis Common cold Infectious parotitis Candidiasis Gingivitis Diarrhea Insomnia Pneumonia Oliguria Jaundice Hemorrhoids Esophageal cancer Hematemesis Bad breath Toothache Facial pain Thrush associated with AIDS/HIV

Contraindications And Herb/Drug Interactions

Notes

• A relatively mild purgative.
• Can also be used for skin disorders.

Modifications

For jaundice:		For chest pain:
+ Hb. Artemisiae	Yin Chen Hao	+ Rx. Bupleuri	Chai Hu
+ Rx. Curcumae	Yu Jin	+ Fr. Toosendan Chuan	Chuan Lian Zi
For extreme thirst and irritability:		+ Rz. Corydalis	Yan Hu Suo
+ Rx. Trichosanthis	Tian Hua Fen	For severe oral ulcers:
For pediatric convulsions:		+ Rz. Coptidis	Huang Lian
+ Ram. Uncariae cum Uncis	Gou Teng	Or
+ Cornu Saigae Tataricae	Ling Yang Jiao	+ Rz. Coptidis	Huang Lian
For Yin Deficiency:		+ Cx. Lycii	Di Gu Pi
+ Rx. Rehmanniae	Sheng Di Huang	For cholelithiasis:
+ Rx. Scrophulariae	Xuan Shen	+ Hb. Lysimachiae	Jin Qian Cao
+ Rx. Ophiopogonis	Mai Men Dong	For the eruptive stage of measles with a deep red rash, conjunctivitis, dry nose, dyspnea and thirst with a desire to drink:
For Qi Level Heat with pharyngitis, fever and thirst:		- Natrii Sulfas	Mang Xiao
- Natrii Sulfas	Mang Xiao	+ Rx. Arnebiae/Lithospermi	Zi Cao
- Rx. et Rz. Rhei	Da Huang	+ Flos Carthami	Hong Hua
+ Indigo Naturalis	Qing Dai	For cough, nausea and vomiting:
+ Flos Lonicerae	Jin Yin Hua	+ Rz. Pinelliae Preparatum	Zhi Ban Xia
For dysuria:		+ Rz. Zingiberis Recens	Sheng Jiang
+ Talcum	Hua Shi	For dizziness and vertigo due to Heat:
+ Poria	Fu Ling	+ Rx. Saposhnikoviae	Fang Feng
For a sore throat:		+ Rz. Chuanxiong	Chuan Xiong
+ Rx. Sophorae Tonkinensis	Shan Dou Gen	+ Gypsum Fibrosum	Shi Gao
+ Rx. Isatidis	Ban Lan Gen	For Qi Stagnation:
For herpetic pharyngitis:		+ Rx. Bupleuri	Chai Hu
- Natrii Sulfas	Mang Xiao	+ Fr. Toosendan	Chuan Lian Zi
- Rx. Scutellariae	Huang Qin	For herpetic pharyngitis with mild perspiration:
- Hb. Lophatheri	Dan Zhu Ye	- Natrii Sulfas	Mang Xiao
- Mel	Feng Mi	- Rx. Scutellariae	Huang Qin
+ 5g Periostracum Cicadae	Chan Tui	- Hb. Lophatheri	Dan Zhu Ye
- Mel	Feng Mi
+ 30g Hb. Phragmitis	Lu Gen	+ 5g Periostracum Cicadae	Chan Tui
+ 6g Fr. Arctii	Niu Bang Zi
+ 6g Rx. Scrophulariae	Xuan Shen	+ 30g Hb. Phragmitis	Lu Gen
+ 10g Rx. Isatidis	Ban Lan Gen	+ 6g Fr. Arctii	Niu Bang Zi
+ 5g Rz. Belamcandae	She Gan	+ 6g Rx. Scrophulariae	Xuan Shen
For herpetic pharyngitis with high fever:		+ 10g Rx. Isatidis	Ban Lan Gen
- Natrii Sulfas	Mang Xiao	+ 5g Rz. Belamcandae	She Gan
- Rx. Scutellariae	Huang Qin	+ Hb Schizonepetae	Jing Jie
- Hb. Lophatheri	Dan Zhu Ye	For herpetic pharyngitis with high fever with seizures:
- Mel	Feng Mi
+ 5g Periostracum Cicadae	Chan Tui	- Natrii Sulfas	Mang Xiao
- Rx. Scutellariae	Huang Qin
+ 30g Hb. Phragmitis	Lu Gen	- Hb. Lophatheri	Dan Zhu Ye
+ 6g Fr. Arctii	Niu Bang Zi	- Mel	Feng Mi
+ 6g Rx. Scrophulariae	Xuan Shen	+ 5g Periostracum Cicadae	Chan Tui
+ 10g Rx. Isatidis	Ban Lan Gen
+ 5g Rz. Belamcandae	She Gan	+ 30g Hb. Phragmitis	Lu Gen
+ 30g Gypsum Fibrosum	Shi Gao	+ 6g Fr. Arctii	Niu Bang Zi
For herpetic pharyngitis dry stools in a constitutionally Deficient patient:		+ 6g Rx. Scrophulariae	Xuan Shen
+ 10g Rx. Isatidis	Ban Lan Gen
- Natrii Sulfas	Mang Xiao	+ 5g Rz. Belamcandae	She Gan
- Rx. Scutellariae	Huang Qin	+ 6g Ram. cum Uncis Uncariae	Gou Teng
- Hb. Lophatheri	Dan Zhu Ye
- Mel	Feng Mi	+ 6g Bombyx Batryticatus	Jiang Can
+ 5g Periostracum Cicadae	Chan Tui
For epistaxis with profuse bleeding:
+ 30g Hb. Phragmitis	Lu Gen	+ Rx. Notoginseng	San Qi
+ 6g Fr. Arctii	Niu Bang Zi	For epistaxis with Yin and Blood Deficiency:
+ 6g Rx. Scrophulariae	Xuan Shen	+ Colla Corii Asini	E Jiao
+ 10g Rx. Isatidis	Ban Lan Gen	+ Rx. Paeoniae Alba	Bai Shao
+ 5g Rz. Belamcandae	She Gan	For epistaxis with Qi Deficiency:
- Rx. et Rz. Rhei	Da Huang	+ Rx. Astragali	Huang Qi
+ 5g Fr. Aurantii	Zhi Ke	+ Rx. Pseudostellariae	Tai Zi Shen
+ 12g Sm. Cassiae	Jue Ming Zi	For epistaxis withLiver Fire Rising:
For epistaxis withStomach Fire:		+ Rx. Gentianae	Long Dan Cao
+ Gypsum Fibrosum	Shi Gao	For epistaxis withExternal Invasion:
+ Rz. Coptidis	Huang Lian	+ Rx. Puerariae	Ge Gen
For Yin damage following radiotherapy:		+ Hb. Schizonepetae	Jing Jie
- Hb. Menthae	Bo He	For Yin damage following radiotherapy with esophageal tumors, Toxic Heat and hardness:
- Hb. Lophatheri	Dan Zhu Ye
- Mel	Feng Mi	- Hb. Menthae	Bo He
+ 6-9g Per. Citri Reticulatae	Chen Pi	- Hb. Lophatheri	Dan Zhu Ye
- Mel	Feng Mi
+ 3-6g Rz. Coptidis	Huang Lian	+ 6-9g Per. Citri Reticulatae	Chen Pi
+ 2-3g Fr. Evodiae	Wu Zhu Yu
+ 30g Hb. Houttuyniae	Yu Xing Cao	+ 3-6g Rz. Coptidis	Huang Lian
For neck pain due to Lung and Stomach Fire:		+ 2-3g Fr. Evodiae	Wu Zhu Yu
- Hb Menthae	Bo He	+ 30g Hb. Houttuyniae	Yu Xing Cao
- Hb. Lophatheri	Dan Zhu Ye	+ 2 or 3 of the following:
- Mel	Feng Mi	30g Hb. Bidentis	Xian Feng Cao
+ 10g Flos Lonicerae	Jin Yin Hua	30g Sm. Impatientis	Ji Xing Zi
+ 10g Rx. Puerariae	Ge Gen	30g Hb. Solani Lyrati	Long Kui
+ 6g Spica Schizonepetae	Jing Jie Sui	0.6-0.9g Pseudobulbus Cremastrae/Pleiones	Shan Ci Gu
+ 10g Rz. Phragmitis	Lu Gen	60-120g Hb. Hedyotis Diffusae	Bai Hua She She Cao
For neck pain due to Lung and Stomach Fire with a swollen, painful throat:
30g Hb. Scutellariae Barbatae	Ban Zhi Lian
- Hb Menthae	Bo He
- Hb. Lophatheri	Dan Zhu Ye	9-12g Bul. Dioscoreae Bulbiferae	Huang Yao Zi
- Mel	Feng Mi
+ 10g Flos Lonicerae	Jin Yin Hua	For neck pain due to Lung and Stomach Fire with a fever:
+ 10g Rx. Puerariae	Ge Gen
+ 6g Spica Schizonepetae	Jing Jie Sui	- Hb Menthae	Bo He
- Hb. Lophatheri	Dan Zhu Ye
+ 10g Rz. Phragmitis	Lu Gen	- Mel	Feng Mi
+ 10g Hb. Taraxaci	Pu Gong Ying	+ 10g Flos Lonicerae	Jin Yin Hua
+ 10g Bul. Fritillariae Thunbergii	Zhe Bei Mu	+ 10g Rx. Puerariae	Ge Gen
+ 6g Spica Schizonepetae	Jing Jie Sui
For neck pain due to Lung and Stomach Fire with a headache:
+ 10g Rz. Phragmitis	Lu Gen
- Hb Menthae	Bo He	+ 15g Rx. Bupleuri	Chai Hu
- Hb. Lophatheri	Dan Zhu Ye	+ 10g Rz. Cimicifugae	Sheng Ma
- Mel	Feng Mi	For neck pain due to Lung and Stomach Fire with thirst:
+ 10g Flos Lonicerae	Jin Yin Hua
+ 10g Rx. Puerariae	Ge Gen	- Hb Menthae	Bo He
+ 6g Spica Schizonepetae	Jing Jie Sui	- Hb. Lophatheri	Dan Zhu Ye
- Mel	Feng Mi
+ 10g Rz. Phragmitis	Lu Gen	+ 10g Flos Lonicerae	Jin Yin Hua
+ 10g Rz. Chuanxiong	Chuan Xiong	+ 10g Rx. Puerariae	Ge Gen
+ 15g Fr. Viticis	Man Jing Zi	+ 6g Spica Schizonepetae	Jing Jie Sui
For facial pain:
- Hb. Lophatheri	Dan Zhu Ye	+ 10g Rz. Phragmitis	Lu Gen
- Mel	Feng Mi	+ 15g Rx. Rehmanniae	Sheng Di Huang
+ 10g Fol. Mori	Sang Ye	+ 10g Rx. Scrophulariae	Xuan Shen
+ 10g Flos Chrysanthemi	Ju Hua	For facial pain with bleeding:
- Hb. Lophatheri	Dan Zhu Ye
+ 10g Rx. Angelicae Dahuricae	Bai Zhi	- Mel	Feng Mi
+ 10g Fol. Mori	Sang Ye
For facial pain with severe constipation:		+ 10g Flos Chrysanthemi	Ju Hua
- Hb. Lophatheri	Dan Zhu Ye
- Mel	Feng Mi	+ 10g Rx. Angelicae Dahuricae	Bai Zhi
+ 10g Fol. Mori	Sang Ye
+ 10g Flos Chrysanthemi	Ju Hua	+ 10g Rx. Rehmanniae	Sheng Di Huang
+ 10g Rx. Scrophulariae	Xuan Shen
+ 10g Rx. Angelicae Dahuricae	Bai Zhi	For facial pain with consumption of Body Fluids:
- Hb. Lophatheri	Dan Zhu Ye
+ 10g Sm. Cannabis	Huo Ma Ren	- Mel	Feng Mi
For facial pain with a Stomach ache:		+ 10g Fol. Mori	Sang Ye
- Hb. Lophatheri	Dan Zhu Ye	+ 10g Flos Chrysanthemi	Ju Hua
- Mel	Feng Mi
+ 10g Fol. Mori	Sang Ye	+ 10g Rx. Angelicae Dahuricae	Bai Zhi
+ 10g Flos Chrysanthemi	Ju Hua
+ 10g Rx. Trichosanthis	Tian Hua Fen
+ 10g Rx. Angelicae Dahuricae	Bai Zhi	For facial pain with a foul smell from the mouth:
- Hb. Lophatheri	Dan Zhu Ye
+ 10g Rx. Paeoniae Alba	Bai Shao	- Mel	Feng Mi
+ 10g Rz. Corydalis	Yan Hu Suo	+ 10g Fol. Mori	Sang Ye
For facial pain with nausea and vomiting:		+ 10g Flos Chrysanthemi	Ju Hua
- Hb. Lophatheri	Dan Zhu Ye
- Mel	Feng Mi	+ 10g Rx. Angelicae Dahuricae	Bai Zhi
+ 10g Fol. Mori	Sang Ye
+ 10g Flos Chrysanthemi	Ju Hua	+ 5g Fr. Amomi	Sha Ren
For thrush associated with AIDS/HIV:
+ 10g Rx. Angelicae Dahuricae	Bai Zhi	- Rx. et Rz. Rhei	Da Huang
- Natrii Sulfas	Mang Xiao
+ 10g Flos Inulae	Xuan Fu Hua	- Fr. Forsythiae	Lian Qiao
For a sore throat:		- Mel	Feng Mi
- Mel	Feng Mi	+ Rx. Ophiopogonis	Mai Men Dong
+ 10g Flos Lonicerae	Jin Yin Hua	+ Rx. Rehmanniae	Sheng Di Huang
+ 10g Rz. Phragmitis	Lu Gen	For a sore, swollen throat:
For a sore throat with a fever:		- Mel	Feng Mi
- Mel	Feng Mi	+ 10g Flos Lonicerae	Jin Yin Hua
+ 10g Flos Lonicerae	Jin Yin Hua	+ 10g Rz. Phragmitis	Lu Gen
+ 10g Rz. Phragmitis	Lu Gen	+10g Hb. Taraxaci	Pu Gong Ying
+ 15g Rx. Bupleuri	Chai Hu	For a sore throat with thirst:
+ 10g Rz. Cimicifugae	Sheng Ma	- Mel	Feng Mi
For a sore throat with a bitter taste in the mouth:		+ 10g Flos Lonicerae	Jin Yin Hua
+ 10g Rz. Phragmitis	Lu Gen
- Mel	Feng Mi	+ 15g Rx. Rehmanniae	Sheng Di Huang
+ 10g Flos Lonicerae	Jin Yin Hua	+ 10g Rx. Scrophulariae	Xuan Shen
+ 10g Rz. Phragmitis	Lu Gen	For a sore throat with thirst:
+ 10g Caulis Bambusae in Taeniam	Zhu Ru	- Mel	Feng Mi
+ 10g Flos Lonicerae	Jin Yin Hua
+ 10g Fr. Aurantii Immaturus	Zhi Shi	+ 10g Rz. Phragmitis	Lu Gen
+ 10g Rx. Aucklandiae	Mu Xiang
+ 10g Sm. Arecae	Bing Lang