Gypsum Fibrosum, Akebia Stem, Fritillaria (de-cored, pounded), Mulberry Leaf (used raw), Forsythia, Arctium (used raw, pounded), Isatis Root, Honeysuckle Flower, Cicada Slough (removed feet and wings), Ophiopogon (de-cored), Rehmannia, Scutellaria.

bubble_chart Preparation and Dosage

Decoct the above 12 ingredients in water, take in two doses. Two or three doses per day.

bubble_chart Efficacy

Clearing heat and removing toxins, nourishing yin and resolving phlegm.

bubble_chart Indications

Diphtheria, with vulval dryness and ministerial fire, causes redness, swelling, and pain in the throat, sometimes extending to the neck. It often begins with excessive phlegm.

bubble_chart Formula Modification

In cases of severe vulval dryness with excessive fire and mild Shaoyang symptoms, remove Skullcap Root and Great Burdock Achene, add American Ginseng, and double the dosage of Gypsum, Rehmannia, and Ophiopogon. If the Shaoyang symptoms are particularly severe, replace Skullcap Root with Gentian. For cases with excessive phlegm and saliva, continue to use Great Burdock Achene, or add fresh Garden Radish Seed juice and Cow-Bezoar, reduce the dosage of Ophiopogon and Rehmannia, and add Bitter Apricot Seed, Inula Flower, and Trichosanthis Fruit peel.