Niu Bang Gan Jie Tang Jia Jian - 牛旁甘桔汤加減 - Modified Arctium, Licorice And Platycodon Decoction

English:	Modified Arctium, Licorice and Platycodon Decoction
Also Known As:

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Fr. Arctii	Niu Bang Zi	3-9g	Disperses Wind-Heat, benefits the throat and relieves toxicity. With JIe Geng and Bo He, for throat inflammation and productive cough due to Wind-Heat. With Lian Qiao, unblocks and drains Heat toxin, disperses clumps and swellings for sore, swollen throat, swellings like mumps, boils and other Heat toxin lesions and ulcerations and abscesses of the tongue and mouth. With Jin Yin Hua, Bo He, Lian Qiao and Jie Geng, for Sore throat caused by a febrile disorder or Wind-Heat.
Rx. Platycodi	Jie Geng	3-9g	Opens the Lungs, spreads Lung Qi, expels Phlegm, benefits the throat and opens and raises Lung Qi, directing the effects of other herbs to the upper body. With Gan Cao, for Excess disorders in the Upper Jiao with no disorder in the Lower Jiao.
Rx. Glycyrrhizae	Gan Cao	2-12g	Moistens the Lungs, resolves Phlegm, stops cough, clears Heat, relieves Fire toxicity and moderates and harmonizes the harsh properties of other herbs. With Jie Geng, for pain and swelling of the throat. With Niu Bang Zi, strongly clears the throat and Lungs to treat Wind-Heat attacks the Lungs or Fire toxin flaring upwards.
Flos Lonicerae	Jin Yin Hua	9-15g	Clears Heat, resolves Fire toxicity and vents and disperses External Wind-Heat. With Lian Qiao, for various Heat disorders (Exterior, Interior Qi, Blood). With Lian Qiao, Jie Geng and Niu Bang Zi, for pain and swelling of the throat. With Gan Cao, for toxic swellings and sores.
Fr. Forsythiae	Lian Qiao	6-15g	Clears Heat, especially in the Upper Jiao, relieves toxicity, reduces abscesses and dissipates clumps. With Niu Bang Zi and Bo He, for Wei Stage Heat. With Jin Yin Hua, for initial stage Wind-Heat. With Shan Dou Gen, Jie geng and Gan Cao, for throat Bi and lumps and nodules.
Rx. Sophorae Tonkinensis	Shan Dou Gen	3-9g	Clears Heat, relieves Fire toxicity and improves the throat. With Niu Bang Zi, and Jie Geng, for pain and swelling of the throat.
Rz. Phragmitis	Lu Gen	15-30g	Clears Heat and irritability from the Lungs and Stomach and generates fluids.
Hb. Menthae Haplocalycis	Bo He	1.5-6g	Disperses Wind-Heat and cools and clears the head and eyes and benefits the throat With Niu Bang Zi, for sores, dry throat, cough with yellow sputum, incomplete expression of measles or pruritic rash due to Wind-Heat.

Formula Actions

• Releases the Exterior
• Clears Heat
• Regulates the throat

Syndromes

• Initial Stage Wind-Heat Attacks the Lungs

Clinical Manifestations

Fever and chills with fever predominant Maybe anhidrosis Sore throat General malaise Swollen and engorged tonsils without pus spots Sweat

Headache General body aches Red throat T: Red tip and edges C: Thin and white P: Floating and rapid

Treats

Acute tonsillitis

Contraindications And Herb/Drug Interactions

Notes

Modifications

For predominance of Cold-Damp with anhidrosis:		For a parched throat and dry mouth:
+ Rx. Trichosanthis	Tian Hua Fen
+ Sm. Sojae Preparatum	Dan Dou Chi	+ More Rz. Phragmitis	Lu Gen
+ Hb. Schizonepetae	Jing Jie	For evident swelling and redness of the tonsils:
+ Cattle Gallstone Pill for Detoxification Niu Huang Jie Du Wan