Zhi Zi Qing Gan Tang - 栀子清肝汤 - Gardenia Decoction To Clear The Liver

English:	Gardenia Decoction to Clear the Liver
Also Known As:

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Fr. Gardeniae	Zhi Zi	3-12g	Clears Heat, reduces Fire, eliminates irritability, drains Damp-Heat, cools the Blood and relieves toxicity. With Mu Dan Pi, resolves Qi Level Stagnation leading to Heat and Heat in the Blood. With Chai Hu, Bai Shao and Mu Dan Pi, for irritability and a short temper.
Cx. Moutan	Mu Dan Pi	6-12g	Clears Heat, cools and harmonizes the Blood, invigorates the Blood, dispels Blood Stasis and clears Liver Fire. With Zhi Zi, Chai Hu and Bai Shao, for Fire from constraint leading to Liver Fire or Liver Yang Rising.
Rx. Bupleuri	Chai Hu	3-12g	Spreads Liver Qi and relieves Stagnation. With Bai Shao, Dang Gui and Chuan Xiong, harmonizes the Blood. With Bai Shao, for Liver Blood Deficiency with Liver Qi Stagnation and vertigo, dizziness, thoracic and costal pain, and menstrual irregularity due to Liver Qi Stagnation.
Rz. Angelicae Sinensis	Dang Gui	3-15g	Tonifies, invigorates and harmonizes the Blood, disperses Cold and stops pain due to Blood Stasis. With Bai Shao, regulates and harmonizes Qi and Blood. With Chuan Xiong, harmonizes, nourishes and invigorates the Blood and disperses Blood Stasis.
Rx. Paeoniae Alba	Bai Shao	5-30g	Alleviates pain, Astringes Yin, Calms Liver Yang and Liver Wind, Nourishes the Blood, Softens the Liver.
Poria	Fu Ling	9-18g	Promotes urination and leaches out Dampness.
Rz. Chuanxiong	Chuan Xiong	3-10g	Alleviates pain, Expels Wind, Invigorates the Blood, Promotes the movement of Qi.
Fr. Arctii	Niu Bang zi	3-12g	Disperses Wind-Heat and relieves toxicity. With Gan Cao, strongly clears the throat and Lungs to treat Wind-Heat Attacks the Lungs or Fire toxin flaring upwards.
Rx. Glycyrrhizae	Gan Cao	1.5-14g	Clears Heat, relieves Fire toxicity and moderates and harmonizes the harsh properties of other herbs. With Chai Hu, Bai Shao and Dang Gui, for hypochondriac pain due to Liver Qi Stagnation,

Formula Actions

• Clears the Liver
• Purges Fire
• Tonifies Qi and Yin
• Softens hardness and nodules
• Calms the Shen

Syndromes

• Excess Liver Liver Fire with Qi and Yin Deficiency

Clinical Manifestations

Marked goiter which is soft without pain Possible nodulations Possible exophthalmos Emotional tension Severe, splitting headaches with dizziness Head distention Sudden tinnitus or deafness Flushed face Red, swollen, painful eyes Irritability Fidgeting Impetuosity Irascibility with violent angry outbursts Dry mouth Bitter taste in mouth Thirst with profuse drinking

Vomiting sour or bitter liquid Insomnia Restlessness Constipation or dry stools Maybe rib pain Aversion to heat Trembling hands Trembling tongue Palpitations Aversion to Heat Profuse sweating Hungers easily with increased food intake T: Red or Red tip and edges C: Thick, yellow, dry and rough P: Wiry, Shi and rapid

Treats

Hyperthyroidism Red eyes

Trigeminal neuralgia

Contraindications And Herb/Drug Interactions

Notes

Modifications

For trigeminal neuralgia:		For trigeminal neuralgia with Stomach Fire:
- Poria	Fu Ling	- Poria	Fu Ling
- Rx. Glycyrrhizae	Gan Cao	- Rx. Glycyrrhizae	Gan Cao
+ 20g Gypsum Fibrosum	Shi Gao	+ 20g Gypsum Fibrosum	Shi Gao
+ 9g Scolopendra	Wu Gong	+ 9g Scolopendra	Wu Gong
+ 9g Rx. Scutellariae	Huang Qin	+ 9g Rx. Scutellariae	Huang Qin
+ 9g Bombyx Batryticatus	Jiang Can	+ 9g Bombyx Batryticatus	Jiang Can
+ 3g Rz. Coptidis	Huang Lian	+ 3g Rz. Coptidis	Huang Lian
For trigeminal neuralgia with damaged Stomach fluids:		+ 9g Rx. Puerariae	Ge Gen
+ 6g Rx. et Rz. Rhei	Da Huang
- Poria	Fu Ling	For trigeminal neuralgia with red, tearing eyes:
- Rx. Glycyrrhizae	Gan Cao	- Poria	Fu Ling
+ 20g Gypsum Fibrosum	Shi Gao	- Rx. Glycyrrhizae	Gan Cao
+ 9g Scolopendra	Wu Gong	+ 20g Gypsum Fibrosum	Shi Gao
+ 9g Rx. Scutellariae	Huang Qin	+ 9g Scolopendra	Wu Gong
+ 9g Bombyx Batryticatus	Jiang Can	+ 9g Rx. Scutellariae	Huang Qin
+ 9g Bombyx Batryticatus	Jiang Can
+ 3g Rz. Coptidis	Huang Lian	+ 3g Rz. Coptidis	Huang Lian
+ 9g Rz. Anemarrhenae	Zhi Mu	+ 12g Flos Chrysanthemi	Ju Hua
+ 9g Rx. Ophiopogonis	Mai Men Dong
For trigeminal neuralgia with severe pain:		+ 12g Hb Equiseti Hiemalis	Mu Zei
- Poria	Fu Ling
- Rx. Glycyrrhizae	Gan Cao	For trigeminal neuralgia with insomnia due to pain:
+ 20g Gypsum Fibrosum	Shi Gao
+ 9g Scolopendra	Wu Gong	- Poria	Fu Ling
+ 9g Rx. Scutellariae	Huang Qin	- Rx. Glycyrrhizae	Gan Cao
+ 9g Bombyx Batryticatus	Jiang Can	+ 20g Gypsum Fibrosum	Shi Gao
+ 3g Rz. Coptidis	Huang Lian	+ 9g Scolopendra	Wu Gong
+ 3g Powdered Pheretima	Di Long	+ 9g Rx. Scutellariae	Huang Qin
+ 9g Bombyx Batryticatus	Jiang Can
+ 3g Powdered Scorpio	Quan Xie
For trigeminal neuralgia with chest oppression and/or flank pain:		+ 3g Rz. Coptidis	Huang Lian
+ 12g Fr. Zizyphi Spinosae	Suan Zao Ren
- Poria	Fu Ling
- Rx. Glycyrrhizae	Gan Cao	+ 18g Caulis Polygoni Multiflori	Ye Jiao Teng
+ 20g Gypsum Fibrosum	Shi Gao
+ 9g Scolopendra	Wu Gong	For trigeminal neuralgia with anorexia or nausea:
+ 9g Rx. Scutellariae	Huang Qin
+ 9g Bombyx Batryticatus	Jiang Can	- Poria	Fu Ling
- Rx. Glycyrrhizae	Gan Cao
+ 3g Rz. Coptidis	Huang Lian	+ 20g Gypsum Fibrosum	Shi Gao
+ 9g Fr. Toosendan	Chuan Lian Zi	+ 9g Scolopendra	Wu Gong
+ 9g. Rx. Curcumae	Yu Jin	+ 9g Rx. Scutellariae	Huang Qin
+ 9g Bombyx Batryticatus	Jiang Can
+ 3g Rz. Coptidis	Huang Lian
+ 9g Fr, Hordei Germinatus	Mai Ya
+ 9g Fr. Aurantii	Zhi Ke