HERB FORMULAS

DA QING LONG TANG - 大青龍湯 - MAJOR BLUE GREEN DRAGON DECOCTION

English: Major Blue Green Dragon Decoction
Also Known As: Major Blue Green Dragon Combination

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Hb. Ephedrae Ma Huang 6-18g Releases the exterior, arrests wheezing, moves water by facilitating the flow of Lung Qi, calms wheezing, stops coughing and warms Cold.
With Xing Ren for cough and wheezing due to excess.
With Xing Ren and Shi Gao for Lung Heat.
With Gui Zhi, for Wind-Cold Excess conditions with fever and chills but no sweat.
Sm. Armeniacae Xing Ren 5-12g Stops cough calms wheezing, moistens the Intestines and unblocks the bowels.
With Ma Huang and Gan Cao, for cough with profuse sputum, nasal obstruction and a hoarse voice.
Ram. Cinnamomi Gui Zhi 1-12g Releases the exterior, assists the Yang, adjusts the Ying and Wei, releases the muscle layer, warms the channels and collaterals to relieve pain and warms and facilitates the flow of Qi through the channels and collaterals and Blood through the vessels.
With Ma Huang releases the exterior, and warms cold.
Gypsum Fibrosum Shi Gao 10-30g Clears Heat, drains Fire, clears Excess Heat from the the Lungs.
With Ma Huang, for cough from Heat Obstructing the Lungs with wheezing, flaring of the nostrils and fever and Wind-edema.
With Sheng Jiang, decreases muscular swelling.
with Ma Huang and Gui Zhi, for Wind-Cold with Interior Heat.
Rx. Glycyrrhizae Preparata Zhi Gan Cao 2-6g Augments Qi, moistens the Lungs, resolves Phlegm, stops cough, harmonizes the interaction of acrid and sour herbs and moderates and harmonizes the harsh properties of other herbs.
With Shi Gao and Xing Ren, for cough due to Lung Heat.
Rz. Zingiberis Recens Sheng Jiang 3-6g Releases the Exterior, disperses Cold, warms the Lungs, stops cough, adjusts Ying and Wei and reduces the toxicity of other herbs.
With Da Zao, for External Wind-Cold.
With Gui Zhi, strongly induces sweating for treatment of External Wind-Cold with chills, fever, body aches and anhidrosis.
With Ma Huang, strongly induces sweating for treatment of External Wind-Cold with chills, fever, body aches and anhidrosis.
Fr. Jujube Da Zao 3-12g Moderates and harmonizes the harsh properties of other herbs.

FORMULA ACTIONS

  • Promotes diaphoresis
  • Releases the Exterior
  • Clears Interior Heat
  • Relieves irritability

SYNDROMES

  • Exogenous Wind-Cold Invasion with Interior Heat
  • Tai Yang - Yang Ming
  • Severe floating edema
  • Yi Yin

CLINICAL MANIFESTATIONS

  • Severe fever and chills without sweat
  • Intolerance of Cold
  • Irritability
  • Fidgeting
  • Headache
  • Cough
  • Wheezing (asthma)
  • Muscle aches
  • General body aches
  • Thirst
  • Heaviness and aching of the entire body
  • Shortness of breath
  • Floating edema (severe)
  • Restlessness
  • Anhidrosis
  • Fidgeting
  • May be high fever
  • Edema
  • Dyspnea
  • T: Normal
  • C:Thin white or Yellow
  • P: Floating and tight or Rapid or Tight and rapid or wiry and tight

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Administer gradually and stop when sweating has begun.
  • Contraindicated for those with Shao Yin syndrome.
  • Contraindicated for those with Yang Deficiency.
  • Contraindicated for those with Windstroke patterns with External Deficiency.
  • Contraindicated for those with sweating associated with an increase in irritability, restlessness and Heat.
  • Contraindicated for those with Yin or Blood deficiency.
  • Contraindicated for those with Wind-Cold Attacking the Exterior with severe accumulation of fluids in the Interior.
  • Contraindicated for those with Exterior Deficiency (Wei Qi Deficiency).
HERB/DRUG INTERACTIONS
  • Concurrent use of this formula reduced the adverse effects of interferon in hepatitis C patients.

NOTES

  • This is one of the strongest diaphoretic formulas.

MODIFICATIONS

For less severe Cold in the Exterior:
For mild aversion to Wind and Cold:
+ Less Rx. Ephedrae Ma Huang - Ram. Cinnamomi Gui Zhi
For cough and wheezing with thin mucus:
For superficial edema with reduced urination:
+ More Sm. Armeniacae Xing Ren + Poria Fu Ling
+ Rz. Pinelliae Preparatum Zhi Ban Xia + Cx. Mori Sang Bai Pi
+ Fr. Perillae Zi Su Zi + Sm. Lepidii/ Descurainiae Ting Li Zi
+ Cx. Mori Sang Bai Pi
For headache and pain in the extremities:
For signs of fever and fatigue:
+ Rz. Chuanxiong Chuan Xiong
+ Rx. Ophiopogonis Mai Men Dong + Rx. Angelicae Dahuricae Bai Zhi
+ Fr. Schisandrae Wu Wei Zi
For dryness and thirst due to Lung Heat:
For allergic rhinitis with generalized Deficiency:
+ Drain the White Powder
Xie Bai San
+ Rx. Astragali Huang Qi
For allergic rhinitis with nasal obstruction:
+ Bul. Lilii Bai He + Hb. Asari Xi Xin
For allergic rhinitis with headaches:
+ Fr. Liquidamberis Lu Lu Tong
+ Rz. Chuanxiong Chuan Xiong For more pronounced signs of Heat in the Interior with severe irritability, and restlessness and pronounced thirst:
+ Rx. Angelicae Dahuricae Bai Zhi + More Gypsum Fibrosum Shi Gao
For anhidrosis:
+ 9g Rz. Anemarrhenae Zhi Mu
+ Rx. Puerariae Ge Gen
For anhidrosis in the upper body:
+ Cx. Albizziae He Huan Pi + Rx. Puerariae Ge Gen
For anhidrosis in the lower body:
+ Cx. Albizziae He Huan Pi
+ Rx. Puerariae Ge Gen + Rz. et Rx. Notopterygii Qiang Huo
+ Cx. Albizziae He Huan Pi + Rx. Platycodi Jie Geng
+ Rx. Cyathulae Chuan Niu Xi
For anhidrosis on the right side of the body:
For anhidrosis with fidgeting and irritability:
+ Rx. Puerariae Ge Gen
+ Rx. Puerariae Ge Gen + Cx. Albizziae He Huan Pi
+ Cx. Albizziae He Huan Pi + Fr. Toosendan Chuan Lian Zi
+ Rz. Anemarrhenae Zhi Mu
For wheezing, dyspnea and cough with sticky, yellow sputum caused by chronic tracheitis:
For wheezing, dyspnea and cough with clear, watery sputum caused by chronic tracheitis:
+ Cx. Magnoliae Officinalis Hou Po
+ Cx. Magnoliae Officinalis Hou Po
+ Pheretima Di Long
+ Pheretima Di Long + Sm. Ginkgo Bai Guo
+ Sm. Ginkgo Bai Guo + Rx. Scutellariae Huang Qin
+ Rx. Asari Xi Xin + Fr. Trichosanthis Gua Lou
+ Rz. Pinelliae Preparatum Zhi Ban Xia
For acute nephritis:
+ Periostracum Cicadae Chan Tui
+ Rz. Zingiberis Recens Sheng Jiang + Pheretima Di Long
    + Rz. Imperatae Bai Mao Gen
    + Hb. Leonuri Yi Mu Cao
    + Sm. Plantaginis Che Qian Zi