HERB FORMULAS

GUA LOU NIU BANG ZI TANG - 栝楼牛旁子湯 - TRICHOSANTHIS AND ARCTIUM DECOCTION

English: Trichosanthis and Arctium Decoction
Also Known As:

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Fr, Trichosanthis Gua Lou 15g Clears Lung Heat, transforms Hot Phlegm, regulates Qi, reduces abscesses, dissipates nodules and eliminates pus.
Fr. Arctii Niu Bang Zi 12g Relieves toxicity and vents rashes.
With Lian Qiao, unblocks and drains Heat toxin, disperses clumps and swellings for sore, swollen throat, swellings like mumps, boils and other Heat toxin lesions.
Flos Lonicerae Jin Yin Hua 12g Clears Heat and resolves Fire toxicity.
With Lian Qiao, for various Heat disorders.
With Huang Qin, for suppurating boils that have not ulcerated, or have ulcerated but are not discharging pus.
With Lian Qiao and HUang Qin, for unremitting high fever.
With Gan Cao, for toxic swellings and sores.
Fr. Forsythiae Lian Qiao 12g Clears Heat, especially in the Upper Jiao, relieves toxicity, reduces abscesses and dissipates clumps.
Rx. Trichosanthis Tian Hua Fen 9g Drains Heat, generates Fluids, clears and drains Lung Heat, transforms Phlegm, relieves toxicity, expels pus and reduces swelling.
Rx. Scutellariae Huang Qin 9g Clears Heat, dries Dampness, drains Fire and detoxifies.
With Jin Yin Hua and Tian Hua Fen, for boils, carbuncles and furuncles.
With Zhi Zi, for sores due to Heat toxin.
Fr. Gardeniae Zhi Zi 9g Clears Heat, reduces Fire, drains Damp-Heat, cools and activates the Blood, relieves toxicity and reduces swelling.
Rx. Bupleuri Chai Hu 9g Spreads Liver Qi and relieves Stagnation.
With Huang Qin, restores normal function of the Liver and Gallbladder and treats Heat in the Womb with fever, chills and delirium.
With Qing Pi, for intercostal pain due to Qi obstruction in the Liver Channel.
Per. Citri Reticulatae Viride Qing Pi 9g Spreads Liver Qi, breaks up Stagnant Qi, dissipates accumulations, dries Dampness and transforms Phlegm.
With Chai Hu, restores the Qi circulation between the Upper and Lower Jiaos to treat long-term Qi Stagnation moving to Blood Stasis with fixed pain and occasional palpable lumps.
Per. Citri Reticulatae Chen Pi 6g Regulates Qi, adjusts the Middle, relieves the diaphragm, dries Dampness and transforms Phlegm.
With Qing Pi, for flank pain and chest and abdominal distention due to Liver Qi Stagnation.
Spina Gleditsiae Zao Jiao Ci 6g Draws out toxicity, discharges pus, invigorates the Blood and reduces swelling.
With JIn Yin Hua, for initial stages of abscesses and boils.
Rx. Glycyrrhizae Gan Cao 6g Clears Heat, relieves Fire toxicity, resolves Phlegm and moderates and harmonizes the harsh properties of other herbs.
With Niu Bang Zi, strongly clears the throat and Lungs to treat Wind-Heat attacks the Lungs or Fire toxin flaring upwards.

FORMULA ACTIONS

  • Soothes the Liver
  • Clears Stomach Heat
  • Promotes milk secretion
  • Dissolves hardness

SYNDROMES

  • Liver Qi Stagnation with Stomach Heat

CLINICAL MANIFESTATIONS

  • The milk secretion is not smooth
  • Emotional stress
  • Starts with a hard lump
  • Breast engorgement
  • Swelling, pain, distention and mass formation in the breast
  • Aversion to Cold
  • Fever
  • Headache
  • Chest oppression
  • Nausea
  • Irritability
  • Thirst
  • T: Normal or Red edges
  • C: Yellow or Slimy yellow
  • P: Wiry and Rapid or Floating and rapid

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For mastitis For severe redness, swelling and pain of the breast:
+ Hb. Taraxaci Pu Gong Ying
+ Sp Gleditsiae Zao Jiao Ci + 9g Squama Manitis Chuan Shan Jia
For high fever:
+ 9g Sm. Vaccariae Wang Bu Liu Xing
+ 30g Gypsum Fibrosum Shi Gao + 12g Rx. Salviae Miltiorrhizae Dan Shen
+ 9g Rz. Anemarrhenae Zhi Mu
For marked Qi Stagnation:
For breast distention after cessation of breast feeding:
+ 6g Fol. Citri Reticulatae Ju Ye
+ 12g Fr. Crataegi Shan Zha
+ 9g Fr. Toosendan Chuan Lian Zi + 30g Fr. Hordei Germinatus Mai Ya
For lochioschesis:
+ 12g Hb. Leonuri Yi Mu Cao    
+ 9g Rx. Angelicae Sinensis Dang Gui    
   
+ 9g Rz. Chuanxiong Chuan Xiong