SAN ZHONG KUI JIAN TANG - 散腫潰堅湯 - FORSYTHIA AND LAMINARIA COMBINATION

English:	Forsythia and Laminaria Combination
Also Known As:

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Thallus Eckloniae	Kun Bu	1.5-15g	Resolves Phlegm, softens Phlegm nodules and clears Heat. With Hai Zao, for goiter and scrofula.
Cx. Phellodendri	Huang Bai	1.5-15g	Drains Damp-Heat, Drains Fire, Drains Kidney Fire, Relieves toxicity.
Rz. Anemarrhenae	Zhi Mu	1.5-15g	Clears Heat from the Lung and Stomach, Drains Fire, Generates fluids, Moistens Dryness, Nourishes the Yin, Resolves Phlegm. With Huang Bai, clears Heat and Drains Fire.
Rx. Platycodi	Jie Geng	1.5-15g	Expels Phlegm, expels pus, benefits the throat and directs the effects of other herbs to the upper body. With Gan Cao, for hoarseness, pain and swelling of the throat due to Wind-Heat.
Rz. Sparganii	San Leng	1.5-9g	Dispels Blood Stasis, regulates Qi and dissolves accumulations.
Rz. Curcuma	E Zhu	1.5-9g	Dispels Blood Stasis, Invigorates Blood circulation, Regulates Qi and dissolves accumulations.
Fr. Forsythiae	Lian Qiao	1.5-9g	Clears Heat (especially in the Upper Jiao), Dissipates clumps, Reduces abscesses, Relieves toxicity.
Rz. Coptidis	Huang Lian	1.5-9g	Clears Heat, Drains Dampness, Drains Fire, Relieves toxicity.
Rx. Glycyrrhizae (Preparata)	(Zhi) Gan Cao	1.5-15g	Clears Heat, Moistens the Lungs, Relieves Fire toxicity, Resolves Phlegm.
Rx. Scutellariae	Huang Qin	1.5-9g	Clears Lung Heat, drains Fire and detoxifies.
Rx. Paeoniae Alba	Bai Shao	1.5-9g	Nourishes Blood, astringes Yin and calms Liver Yang.
Rx. Puerariae	Ge Gen	1.5-9g	Relieves Heat, generates fluids and counteracts toxins.
Rx. Bupleuri	Chai Hu	1.5g	Spreads Liver Qi, relieves Stagnation, raises Yang Qi and resolves Phlegm and congestion. With Bai Shao, for vertigo, dizziness, thoracic and costal pain, and menstrual irregularity due to Liver Qi Stagnation.
(Extremitas) Rx. Angelicae Sinensis	Dang Gui (Wei)	1.5g	Expels pus, Invigorates and harmonizes Blood, Reduces swelling, Tonifies Blood.
Rx. Gentianae	Long Dan Cao	1.5-9g	Drains Damp-Heat from the Liver and Gallbladder Channels, drains and pacifies Excess Liver Fire and relieves toxicity. With Chai Hu and Huang Qin, for Liver Fire or Liver/Gallbladder Damp-Heat.
Rx. Cimicifugae	Sheng Ma	1.5g	Clears Heat, relieves toxicity raises Yang and lifts Sunken Qi (guides other herbs upwards).
Rx. Trichosanthis	Tian Hua Fen	1.5-15g	Drains Heat, Expels pus, Reduces swelling, Relieves toxicity, Transforms Phlegm.
Hb. Sargassii	Hai Zao	1.5-15g	Clears Heat, resolves Phlegm and softens Phlegm nodules. With Gan Cao, for goiter and scrofula.
Rz. Zingiberis	Sheng Jiang	1.5g	Reduces the toxicity of other herbs.

Formula Actions

• Disperses Qi Stagnation
• Dispels Heat and Dampness
• Resolves Phlegm
• Dissipates nodules
• Reduces swelling
• Drains pus

Syndromes

• Liver Qi Stagnation with Damp-Heat and Phlegm

Clinical Manifestations

Feeling of a lump in the throat The lump is soft and becomes larger or smaller according to the emotional situation The lump is small or medium sized, relatively soft and slippery The edges are indistinct Oppressive feeling in the chest and hypochondrium Difficulty swallowing Loose stools Irregular menstruation Premenstrual tension Suppurative sores Ulcerations, abscesses and swellings that remain hard after discharge of pus

Restlessness Insomnia Thirst Feeling of Heat Irritability Frequent sighing Bitter taste in the mouth Red eyes Red face Tremor of the hands T: Pale or dusky or Red with red tip and edges C: White or Thin and greasy or Dry and yellow P: Wiry

Treats

Goiter Scrofula Cervical lymphadenitis Tumors of unknown origin Hyperthyroidism General lymphadenitis Thyroid cancer

Carbuncles Furuncles Nodules, hardness and swelling, especially below the ears, under the cheeks, around the shoulders and beneath the armpits Stomach cancer

Contraindications And Herb/Drug Interactions

Notes

Modifications

For a hard and nodular goiter:		For loose stools:
+ 9g Rx. Angelicae Sinensis	Dang Gui	+ 9g Sm. Coicis	Yi Yi Ren
+ 9g Rx. Chuanxiong	Chuan Xiong	Or
+ 9g Sm. Persicae	Tao Ren	+ 9g Rx. Atractylodis Macrocephalae	Bai Zhu
+ 9g Flos Carthami	Hong Hua	Or
For nodules and hardness prior to the formation of pus:		+ 9g Sm. Dolichorus	Bai Bian Dou
+ Flos Lonicerae	Jin Yin Hua	For nodules and hardness after the formation of pus:
+ Fr. Aurantii Immaturus	Zhi Shi	+ Rx. Astragali	Huang Qi
For nodules and hardness with redness, swelling and pain:		+ Rx. Angelicae Dahuricae	Bai Zhi
+ Gypsum Fibrosum	Shi Gao	For hyperthyroidism:
+ Fr. Gardeniae	Zhi Zi	+ 30g Concha Ostreae	Mu Li
		+ 15g Concha Cyclinae	Ge Qiao