Sichuan Rhubarb 600 gm, Mirabilite 600 gm, Roasted Licorice Root 600 gm, Gardenia Fruit 300 gm, De-stemmed Peppermint Leaves 300 gm, Scutellaria Root 300 gm, Forsythia Fruit 1.2 kg.

bubble_chart Preparation and Dosage

Grind the ingredients into a coarse powder. Take 6 grams each time, add 300 ml of water, 7 pieces of bamboo leaves, and a little honey, boil until reduced to 210 ml, remove the dregs, and administer while warm after meals. Children can take half a qian, adjusting the dosage according to age, and discontinue use once diarrhea occurs.

bubble_chart Efficacy

Cool the diaphragm and purge heat.

bubble_chart Indications

Heat accumulation in the upper and middle burners, dysphoria with excessive thirst, facial heat and dizziness, dry lips and throat, swollen tongue and throat obstruction, red eyes and epistaxis, hard lumps in the jaw and cheeks, mouth and tongue sores, thick and sticky nasal discharge and saliva, restless sleep, delirious speech and mania, severe constipation, hot and red urine; as well as infantile convulsions, red tongue with yellow coating, and slippery and rapid pulse.

bubble_chart Formula Principles

The syndrome treated by this formula is caused by accumulated heat in the upper and middle burners. In the formula, Forsythia is used in large doses to clear heart and lung heat and resolve heat toxins, serving as the main herb. It is combined with Skullcap Root to clear heat and relieve chest stagnation, and Cape Jasmine Fruit to drain fire from the triple energizer and guide it downward. Mentha and Bamboo Leaf are used to disperse externally and clear internally. Mirabilite and Rhubarb Rhizoma are employed to purge accumulated heat from the chest and diaphragm, utilizing the Yangming pathway to eliminate heat through purgation. Additionally, white honey and Liquorice Root are used to moderate the harsh purgative effects of Mirabilite and Rhubarb, while also regulating the spleen and stomach. This formula can be modified to treat any syndrome characterized by intense pathogenic heat in the upper and middle burners.

bubble_chart Cautions and Contraindications

Patients with weak constitutions and pregnant women should avoid or use this prescription with caution.