Zhu Ye Shi Gao Tang - 竹葉石膏湯 - Lophatheri And Gypsum Decoction

English:	Lophatheri and Gypsum Decoction
Also Known As:	Bamboo Leaves and Gypsum Combination Decoction of Bamboo Leaf and Gypsum.

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Hb. Lophatheri	Dan Zhu Ye	2-15g	Clears Heat, eliminates irritability, promotes urination and clears Damp-Heat. With Shi Gao, clears Yang Ming Heat and relieves irritability and lingering fever from febrile disease with insomnia, irritability and a scanty dry tongue coat.
(Fol. Lophatheri)	(Zhu Ye)	(2-15g)	(Substitutes for Dan Zhu Ye - and is better for heat in the upper Jiao causing cough, irritability and thirst.)
Gypsum Fibrosum	Shi Gao	10-30g	Clears Heat in the Qi Stage, drains Fire, relieves irritability, quenches thirst, clears lung Heat and Blazing Stomach Fire. With Dan Zhu Ye and Mai Men Dong, for lingering fever from late stage febrile disease with dysphoria, thirst and a red tongue with no coat. With Ren Shen, for excessive Heat with Qi Deficiency. With Ren Shen, and Mai Men Dong for excessive Heat with Qi and Yin Deficiency
Rx. Ginseng	Ren Shen	3-9g	Tonifies Qi. With Mai Men Dong, tonifies Qi and generates fluids
Rx. Ophiopogonis	Mai Men Dong	6-18g	Moistens the Lungs and Stomach, nourishes Yin, generates fluids, clears the Heart and eliminates irritability. With Zhi Ban Xia, Zhi Gan Cao and Geng Mi, for Stomach Yin Deficiency with hiccups and vomiting.
Rz. Pinelliae Preparatum	Zhi Ban Xia	6-9g	Descends Qi and stops vomiting. With Ren Shen, for vomiting due to Stomach Deficiency.
Rx. Glycyrrhizae Preparata	Zhi Gan Cao	2-6g	Tonifies the Spleen, augments Qi, moistens the Lungs, resolves Phlegm, stops cough, clears Heat, relieves Fire toxicity and moderates and harmonizes the harsh properties of other herbs. With Geng Mi, assists Ren Shen in tonifying Qi, Nourishes the Stomach and harmonizes the Middle Jiao. With Ren Shen, relieves palpitations and anxiety.
Nonglutinous Rice	Geng Mi	12-15g	Tonifies the Qi of the Lungs, Spleen and Intestines, stops restlessness, stops thirst and generates fluids.

Formula Actions

• Clears Heat
• Generates fluids
• Tonifies Qi
• Harmonizes the Stomach

Syndromes

• Qi Stage Lung and Stomach Heat Injuring the Qi and Fluids
• Stomach Fluid Deficiency
• Summerheat Stroke
• Qi-level Heat injuring the Qi & Fluid (Secondary source)

Clinical Manifestations

Lingering fever from a febrile disease Vomiting Irritability Thirst with a desire to drink Parched mouth, lips and throat Choking cough Restlessness Insomnia Nausea Anorexia Profuse perspiration A dry mouth

Indigestion Toothache Listlessness Chest oppression Ulcerations of the mouth Coarse skin Cough Night sweats Stifling sensation in the chest or epigastrium T: Red C: Little or None P: Rapid and Deficient or Thready and rapid Shortness of breath

Treats

Pneumonia (recovery stage) Encephalitis B (recovery stage) Measles (recovery stage) Meningitis (recovery stage) Hemorrhagic fever (recovery stage) Influenza (recovery stage) Ephidrosis Common cold Bronchitis Bronchial asthma Pertussis Systemic lupus erythematosis Fever Gingivitis Glossitis Summerheat stroke Septicemia Hyperglycemia Nausea/Vomiting Depression Schizophrenia Anorexia Hematemesis Herpes simplex Menopause syndrome Profuse perspiration Indigestion Constipation Rheumatic fever

Pulmonary emphysema Pulmonary gangrene Tuberculosis Scarlet fever (recovery stage) Diabetes mellitus Polyphagia Pharyngitis Nephritis Fevers from post-surgical infections Fevers in response to chemotherapy or radiation therapy Stomatitis Nervous exhaustion Toothache Insomnia Hiccup COPD Anxiety neurosis Panic attacks Bi-polar disorder Neurasthenia Allergic purpura Herpes zoster Hot flashes Bad breath Night sweats Thrush Puerperal fever

Contraindications And Herb/Drug Interactions

Notes

• Composition: Shi Gao 30g, Dan Zhu Ye 6-12g, Ren Shen 6g, Mai Men Dong 9-18g, Ban Xia 9g, Zhi Gan Cao 3-6g, Jing Mi 12-15g (Secondary source)
• Compared with Qing Shu Yi Qi Tang: both treat Heat injuring the Qi and Fluids, but Qing Shu Yi Qi Tang is for Summer-Heat, while Zhu Ye Shi Gao Tang is for warm febrile Heat (lingering Qi-level Heat).

Modifications

For insufficient Stomach Qi and Yin with mild or no Stomach Heat signs:		For Stomach Yin Deficiency with oral ulcerations and a red, dry tongue:
- Gypsum Fibrosum	Shi Gao	+ Rx. Trichosanthis	Tian Hua Fen
For intense Stomach Fire Blazing:		+ Hb. Dendrobii	Shi Hu
+ Rx. Trichosanthis	Tian Hua Fen	For vomiting or hiccups:
+ Rz. Anemarrhenae	Zhi Mu	+ Rz. Phragmitis	Lu Gen
For coughing and wheezing:		For profuse sputum:
+ Sm. Armeniacae	Xing Ren	+ Bul. Fritillariae Thunbergii	Zhe Bei Mu
For Yin Deficiency leading to Yang Deficiency with severe dyspnea or sweating:
+ Per. Citri Reticulatae	Chen Pi
+ Rx. Aconiti Lateralis Preparatum	Zhi Fu Zi	Or
+ Exo. Citri Reticulatae	Ju Hong
For deficient conditions with thirst:		+ Bul. Fritillariae Thunbergii	Zhe Bei Mu
+ Rx. Astragali	Huang Qi
+ Fr. Schisandrae	Wu Wei Zi	For coughing and wheezing in pneumonia or bronchitis:
For thirst during the recovery stage of a chronic illness:
+ Rx. Ephedrae	Ma Huang
+ Rx. Paeoniae Alba	Bai Shao	+ Sm. Armeniacae	Xing Ren
+ Rx. Bupleuri	Chai Hu	+ Rx. Scutellariae	Huang Qin
For lingering Heat after an exogenous condition:		+ Hb. Houttuyniae	Yu Xing Cao
+ Cimicifuga and Kudzu Decoction Sheng Ma Ge Gen Tang		For lingering Heat in women:
+ Four Substances decoction Si Wu Tang
For severe hot sensations in the body:
+ Flos Lonicerae	Jin Yin Hua	For late-stage fevers with Yin Deficiency and Internal Heat:
+ Fr. Forsythiae	Lian Qiao
For hiccups due to Stomach Fire:		- Rz. Pinelliae Preparatum	Zhi Ban Xia
- Hb. Lophatheri	Dan Zhu Ye
+ Phylostachys Nigra	Zhu Ye	+ Hb. Artemisiae Annuae	Qing Hao
Or
+ 9-12g Calyx Kaki	Shi Di	+ Cx. Moutan	Mu Dan Di
For hiccups due to Stomach Fire with damage to Stomach Yin:		+ Rx. Rehmanniae	Sheng Di Huang
+ Carapax Trionycis	Bie Jia
- Hb. Lophatheri	Dan Zhu Ye	For hiccups due to Stomach Fire with constipation:
+ 9-12g Calyx Kaki	Shi Di
+ 12-15g Rx. Glehniae/ Adenophorae	Sha Shen	- Hb. Lophatheri	Dan Zhu Ye
+ Phylostachys Nigra	Zhu Ye
+ 12-15g Rx. Trichosanthis	Tian Hua Fen	+ Rx. et Rz. Rhei	Da Huang
For insomnia:
+ 12-15g Hb. Dendrobii	Shi Hu	- Rx. Ginseng	Ren Shen
For insomnia with severe vexation:		+ 9g Rx. Pseudostellariae	Tai Zi Shen
- Rx. Ginseng	Ren Shen
+ 9g Rx. Pseudostellariae	Tai Zi Shen	For hot flashes:
+ Decoction to Enrich Yin and Direct Fire Downward Zi Yin Jiang Huo Tang
+ 6g stir-fried Fr. Gardeniae	Zhi Zi
+ Rx. Paeoniae Alba	Bai Shao
+ 6g Sm. Sojae Preparata	Dan Dou Chi