Scutellaria baicalensis (Huang Qin) and Coptis chinensis (Huang Lian), each 15 gm (5 qian), Monarch (another prescription contains Panax ginseng (Ren Shen) 9 gm (3 qian)), Tangerine peel (Ju Hong, white part removed), Minister, Scrophularia ningpoensis (Xuan Shen), Minister, raw Glycyrrhiza uralensis (Sheng Gan Cao), each 6 gm (2 qian), Minister, Forsythia suspensa (Lian Qiao), Arctium lappa (Shu Niu Zi), Isatis tinctoria (Ban Lan Gen), Lasiosphaera fenzlii (Ma Bo), each 3 gm (1 qian), Bombyx batryticatus (Bai Jiang Can, stir-fried) 2.1 gm (7 fen), Cimicifuga foetida (Sheng Ma) 2.1 gm (7 fen), Bupleurum chinense (Chai Hu) 6 gm (2 qian), Platycodon grandiflorus (Jie Geng) 6 gm (2 qian).

bubble_chart Preparation and Dosage

Grind the above ingredients together into a fine powder. Half of it is mixed with soup and taken frequently, while the other half is made into honey pills to be dissolved in the mouth. Consuming all of it will lead to a good recovery. Alternatively, add防风 (Fangfeng), 薄荷 (Bohe), 川芎 (Chuanxiong), and 当归身 (Danggui Shen), finely chewed to the size of hemp or beans. Take 15 grams (5 qian) each time, boil with 300 ml (2 zhan) of water until reduced to 150 ml (1 zhan), remove the dregs, and take it warm frequently. If the stool is hard after eating, add 1 or 2 qian of simmered rhubarb with wine to facilitate bowel movement. If the swelling is severe, it is advisable to perform bloodletting.

bubble_chart Efficacy

Clearing heat and removing toxins, dispersing wind and expelling pathogens.

bubble_chart Indications

Wind-heat epidemic toxin attacks upward, leading to swollen-head infection, aversion to cold with fever, red and swollen face with burning pain, inability to open eyes, throat discomfort, dry mouth and tongue, red tongue with white or yellow coating, and a floating, rapid, and forceful pulse.

The formula heavily utilizes Coptis Rhizome and Skullcap Root to clear and purge heat toxins from the upper energizer, serving as the sovereign medicinal. Great Burdock Achene, Forsythia, Mentha, and Stiff Silkworm disperse wind-heat from the upper energizer, acting as the minister medicinal. Scrophularia Root, Puff-Ball, Isatis Root, Platycodon Root, and Liquorice Root clear and benefit the throat, enhancing the effects of clearing heat and removing toxins. Dried Tangerine Peel regulates qi and alleviates stagnation, promoting the flow of qi and blood, which aids in the dissipation of swelling and toxins, collectively serving as assistant medicinal. Cimicifuga Rhizome and Bupleurum elevate yang and disperse fire, releasing the exterior with pungent-cool properties, allowing the pathogenic heat and epidemic toxins to disperse and penetrate, and assisting the other herbs in reaching the head and face, collectively serving as guiding medicinal. The combination of these herbs ensures the clearing and resolution of epidemic toxins and the dispersion of wind-heat.

bubble_chart Formula Modification

If the stool is hard after eating, add 3-6 grams of wine-stewed Rhubarb Rhizoma to facilitate bowel movement; for severe swelling and heat, it is advisable to perform bloodletting.

bubble_chart Modern Application

It is currently used for acute parotitis, acute tonsillitis, submandibular gland inflammation, and cellulitis of the head and face.