Gypsum (large dose) 180-240 gm (medium dose) 60-120 gm (small dose) 24-36 gm Rehmannia (large dose) 18-30 gm (medium dose) 9-15 gm (small dose) 6-13.5 gm Rhinoceros horn (large dose) 18-24 gm (medium dose) 9-12 gm (small dose) 6-12 gm Coptis (large dose) 12-18 gm (medium dose) 6-12 gm (small dose) 3-4.5 gm Gardenia, Platycodon, Scutellaria, Anemarrhena, Red Peony, Scrophularia, Forsythia, Fresh Bamboo Leaves, Licorice, Moutan.

bubble_chart Preparation and Dosage

After decocting gypsum for more than ten minutes, add the remaining herbs and decoct together; grind rhinoceros horn into juice and administer together, or grind into powder, or decoct first and mix in, take in two doses. At the onset of epidemic syndrome, with chills and fever, splitting headache, irritability and delirium, feverish body and cold limbs, thorny tongue and parched lips, vomiting and diarrhea, and deep, thin, and rapid pulse, use a large dose; for deep and rapid pulse, use a medium dose; for floating, large, and rapid pulse, use a small dose.

bubble_chart Efficacy

Clearing heat and purging fire, cooling blood to remove toxin.

bubble_chart Indications

Dampness-heat epidemic toxin and all types of fiery heat syndromes. Blazing of both qi and blood, high fever and mania, restlessness and insomnia, or unconsciousness and delirious speech, headache as if splitting, extreme thirst and desire to drink, sore throat and retching, skin rashes and hematemesis, crimson tongue and parched lips, deep and thin rapid pulse, or deep and rapid pulse, or floating, large, and rapid pulse.

bubble_chart Formula Principles

This formula is derived from the integration and modification of three classical prescriptions: the White Tiger Decoction from the Shanghan Lun, the Peony Root and Rehmannia Decoction from the Xiaopin Fang as cited in the Waitai Miyao, and the Coptis Detoxification Decoction from the Cui's Formulas as cited in the Waitai Miyao. In this formula, Gypsum is used in large quantities along with Anemarrhena and Liquorice Root to clear heat from the Yangming channel. The combination of Coptis Rhizome, Skullcap Root, and Gardenia is employed to purge the intense fire from the triple energizer. Rhinoceros Horn, Moutan Bark, Unprocessed Rehmannia Root, and Red Peony Root are specifically used to cool the blood, remove toxins, and resolve stasis. Forsythia, Scrophularia Root, Platycodon Root, and Liquorice Root work together to clear heat, expel pathogenic factors, and benefit the throat. Bamboo Leaf is used to clear heart heat and promote diuresis, guiding the heat downward. The combination of these herbs not only clears fire from the qi aspect but also cools heat from the blood aspect, making it a primary formula for treating the blazing of both qi and blood.

If spots appear, add Dyers Woad and a small amount of Cimicifuga Rhizome 1.2-1.5 grams; for constipation, add raw rhubarb; for extreme thirst, add Gypsum and Snakegourd Root; for chest and diaphragm depression, add Sichuan Coptis, Submature Bitter Orange, Platycodon Root, and Trichosanthis Fruit frost.

bubble_chart Modern Application

Currently used for epidemic encephalitis B, epidemic cerebrospinal meningitis, sepsis, and other conditions presenting with symptoms of blazing of both qi and blood.