Qing Gan Zhi Ling Tang - 清肝治堎汤 - Clear The Liver And Treat The Mound Decoction

English:	Clear the Liver and Treat the Mound Decoction
Also Known As:

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Rx. Angelicae Sinensis	Dang Gui	3-15g	Tonifies, activates and harmonizes the Blood, disperses Cold, stops pain due to Blood Stasis and regulates the menses. With Bai Shao, regulates and harmonizes Qi and Blood and treats Blood Deficiency Heat.
Rx. Paeoniae Alba	Bai Shao	5-30g	Nourishes the Blood, regulates menstruation, astringes Yin, softens the Liver and relieves pain. With Dang Gui, nourishes Yin and Blood.
Rx. Rehmanniae	Sheng Di Huang	5-30g	Clears Heat, cools the Blood and nourishes Yin. With E Jiao. for coughing, hematemesis, epistaxis, and uterine hemorrhage due to Heat from Deficiency. With Bai Shao, for Blood Deficiency Heat. With Niu Xi, powerfully clears Deficiency Fire Blazing Upward.
Colla Corii Asini	E Jiao	3-16g	Tonifies the Blood, nourishes the Blood, stops bleeding, nourishes and moistens Yin.
Rx. Achyranthis Bidentatae	Niu Xi	6-16g	Activates the Blood, expels Blood Stasis, nourishes the Liver and Kidney Yin and clears Damp-Heat in the Lower Jiao.
Cx. Phellodendri	Huang Bai	3-12g	Drains Damp-Heat especially from the Lower Jiao and Drains Kidney Fire. With Dang Gui and Niu xi, for sore and weak low back and legs.
Cx. Moutan	Mu Dan Pi	6-12g	Activates and harmonizes the Blood, Clears Heat, Cools, Dispels Blood Stasis and clears Liver Fire.
Rz. Cyperi	Xiang Fu	6-14g	Spreads and regulates Liver Qi, regulates menstruation and alleviates pain. With Dang Gui, tonifies the Blood and moves Qi, for premenstrual symptoms, menstrual pain and irregular menstruation.
Sm. Phaseoli Radiati	Lu Dou	15-30g	Resolves Summerheat, relieves thirst, clears Heat and relieves toxins.

Formula Actions

• Clears Heat
• Resolves Dampness

Syndromes

• Damp-Heat
• Spleen Deficiency with Liver Qi Stagnation

Clinical Manifestations

If Dampness is predominant: Blood mixed with mucus Sallow or yellowish complexion Slightly puffy face Heavy head Dizziness Listlessness Stuffy chest and epigastrium Sticky sensation in the mouth T: Normal C: Thin whitish and sticky P: Slippery and Choppy

If Heat is predominant: Profuse purplish vaginal Hemorrhage Repulsive odor Flushing or Heat sensations Spontaneous sweating Bitter taste in mouth Thirst Dark, scanty urine Constipation or diarrhea T: Red C: Sticky and yellow P: Slippery and rapid

Treats

Metrorrhagia

Red vaginal discharge

Contraindications And Herb/Drug Interactions

Notes

Modifications

For Dampness:		For heavy bleeding:
+ Poria	Fu Ling	- Cx. Moutan	Mu Dan Pi
+ Sm. Coicis	Yi Yi Ren	- Rx. Achyranthis Bidentatae	Niu Xi
For Spleen Qi Deficiency:
+ Cx. Magnoliae Officinalis	Hou Po	For Spleen Qi Deficiency with a greasy tongue coat :
For Qi Deficiency with Blood Stagnation and Heat:		+ Rz. Atractylodis	Cang Zhu
+ Rz. Coptidis	Huang Lian
+ Fr. Gardeniae	Zhi Zi