Gentian 6 gm, Scrophularia 24 gm, Aristolochia 9 gm, Isatis Root 9 gm, Gypsum 15 gm, White Peony Root 9 gm, Phellodendron 4.5 gm, Licorice Root 3 gm, Rehmannia 30 gm, Trichosanthes 9 gm, Gardenia 6 gm.

bubble_chart Preparation and Dosage

Decocted in water for administration. For severe cases, take two doses daily.

bubble_chart Efficacy

Clearing heat and removing toxin, clearing heat and nourishing yin.

bubble_chart Indications

Diphtheria. High fever, thirst, flushed face, red eyes, red throat, white decay covering the throat that is difficult to wipe off, hoarse voice, rough breathing, foul-smelling breath, yellow and greasy tongue coating, rapid and large pulse.

bubble_chart Formula Principles

This prescription treats a syndrome caused by the accumulation of heat in the lungs and stomach, combined with the invasion of seasonal epidemic toxins, which rise to affect the throat. In the formula, Gypsum clears latent heat from the lungs and stomach; Gentian eliminates seasonal epidemic heat, and Isatis Root addresses epidemic heat toxins. These three herbs serve as the sovereigns. Gardenia and Phellodendron Bark clear heat and remove toxins, guiding heat downward as the ministers. The steaming of epidemic toxins inevitably damages yin and depletes fluids, and bitter-cold substances often tend to transform into dryness, harming yin. Therefore, Unprocessed Rehmannia Root, Scrophularia Root, and Peony Root are heavily used to nourish yin and clear heat, increasing fluids and strengthening water as the assistants. Dutohmanspipe Fruit and Trichosanthis Fruit resolve phlegm and dissipate masses, benefiting the throat, while raw Liquorice Root removes toxins and harmonizes the other herbs as the envoy. Together, these ingredients work synergistically to clear heat, remove toxins, and nourish yin.

For a tongue with prickles and delirious speech with unconsciousness, add 6 grams of Rhinoceros Horn (pounded); for severe constipation with fullness and oppression below the chest, add 6 grams of Magnolia Bark and 6 grams of Immature Orange Fruit; for very severe constipation, add an additional 6 grams of Radish Seed and 6 grams of raw Rhubarb Rhizome; for scanty and dark urine, add 9 grams of Anemarrhena, 6 grams of Alisma, and 9 grams of Plantain Seed.