San Huang Shi Gao Tang - 三黄石膏汤 - Three Yellow And Gypsum Decoction

English:	Three Yellow and Gypsum Decoction
Also Known As:	Gypsum, Coptis and Scute Combination Decoction of Gypsum Fibrosum and Three Yellows

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Gypsum Fibrosum	Shi Gao	6-30g	Clears Heat in the Qi Stage, drains Fire, relieves irritability, quenches thirst and clears Excess Heat from the Lungs. With Ma Huang, for cough from Heat Obstructing the Lungs with wheezing, flaring of the nostrils and fever. With Huang Qin, Huang Lian and Huang Bai, for toxic Heat with infection.
Rx. Scutellariae	Huang Qin	3-10g	Clears Heat, Drains Fire, detoxifies, cools the Blood and stops bleeding. With Huang Lian, drains pathogenic Heat from the Upper and Middle Jiaos for high fever, redness, swelling and pain of the head and face, dry mouth, parched throat, ulcerations of the mouth and tongue, epistaxis, rashes and irritability in warm-febrile disease. With Huang Lian and Zhi Zi, for acute febrile disease. 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.
Rz. Coptidis	Huang Lian	3-10g	Clears Heat, Drains Fire, detoxifies, cools the Blood and stops bleeding. With Zhi Zi and Shi Gao, for Ying Stage Heat with delirium and loss of consciousness.
Cx. Phellodendri	Huang Bai	3-10g	Drains Fire and relieves Fire toxicity.
Fr. Gardeniae	Zhi Zi	3-10g	Clears Heat, reduces Fire, eliminates irritability, cools the Blood, relieves toxicity and stops bleeding by astringing. With Dan Dou Chi, for insomnia and irritability from Deficiency due to Heat lingering in the chest.
Rx. Ephedrae	Ma Huang	3-9g	Calms wheezing, Disseminates and facilitates Lung Qi, Induces sweating, Releases the Exterior, Stops coughing.
Sm. Sojae Preparatum	Dan Dou Chi	3-10g	Releases the Exterior, eliminates irritability, harmonizes the Middle Jiao and relieves stuffy sensations in the chest.
Rz. Zingiberis Recens	Sheng Jiang	3-6g	Releases the Exterior, induces perspiration disperses Cold and reduces the toxicity of other herbs. With Ma Huang, strongly creates sweating to treat all externally contracted Wind-Cold disorders, especially those in which Wind-Cold has constrained Lung Qi with cough and wheezing and the failure of Lung Qi to descend causing nausea and vomiting. With Da Zao,protects the Stomach Qi and reduces irritation of the gastrointestinal tract by other herbs.
Fr. Jujube	Da Zao	2-5g	Nourishes the Blood, calms the Spirit and moderates and harmonizes the harsh properties of other herbs.
Fol. Camelliae Sinensis	Lu Cha	2-6g	Descends Rebellious Stomach Qi, Harmonizes the Stomach, Quenches thirst, Removes toxins.

Formula Actions

• Cools Heat
• Relieves inflammation

Syndromes

• Internal Heat Stagnation
• Hemorrhage due to Heat
• Xue Stage: Excess Heat causes Bleeding
• Heat and Toxins in the Interior with residual Exterior conditions

Clinical Manifestations

Acute high fever Chills Flushed face Dry nose and mouth Extreme thirst Listlessness Insomnia Dryness of the teeth Irritability Oliguria with reddish urine

Anhidrosis Severe headache Delirium Skin eruptions Epistaxis Hemorrhage T: Red and dry C: Yellow P: Large and rapid or Smooth and rapid or Wiry and rapid

Treats

Epistaxis Yang maculae (bright red in color) Common cold Encephalitis B Epidemic hemorrhagic fever Typhus fever High fever

Black measles Skin infections Typhoid fever Paratyphoid fever Septicemia Acute leukemia with fever and skin eruptions Thrombocytopenic purpura

Contraindications And Herb/Drug Interactions

Notes

Modifications

For Yang maculae which are bright red, with a high fever, conjunctival congestion, due to Yang Ming, Ying Stage or Xue Stage Heat:		For thrombocytopenic purpura with epistaxis or gum bleeding due to Heat or Yin Deficiency:
- Rx. Ephedrae	Ma Huang	+ Rz. Cimicifugae	Sheng Ma
- Sm. Sojae Preparatum	Dan Dou Chi	+ Rz. Imperatae	Bai Mao Gen
+ Rx. Rehmanniae	Sheng Di Huang	For thrombocytopenic purpura with Heat induced hemoptysis:
For thrombocytopenic purpura with hematochezia or hematemesis:
+ Rx. Curcumae	Yu Jin
+ Rx. Notoginseng	San Qi	+ Nodus Nelumbinis	Ou Jie
+ Rz. Bletillae	Bai Ji	+ Colla Corii Asini	E Jiao
+ Rx. Sanguisorbae	Di Yu	+ Rx. Rubiae	Qian Cao Gen
+ Flos Sophorae Immaturus	Huai Hua Mi	For thrombocytopenic purpura with hematuria:
+ Hb. Cirsii	Xiao Ji
For thrombocytopenic purpura with uterine bleeding:		+ Pollen Typhae	Pu Huang
+ Hb. Lophatheri	Dan Zhu Ye
+ Charred Nelumbinis Receptaculum	Lian Fang Tan	+ Caulis Akebiae	Mu Tong
For Blood Stasis after thrombocytopenic purpura hemorrhage with Purpura, hematoma, splenomegaly and a purplish tongue:
+ Petolius Trachycarpi	Zong Lu Pi
+ Charred Cacumen Biotae	Ce Bai Ye Tan	+ Sm. Persicae	Tao Ren
+ Flos Carthami	Hong Hua
+ Rx. Notoginseng	San Qi