HERB FORMULAS

SAN HUANG SHI GAO TANG - 三黄石膏汤 - THREE YELLOW AND GYPSUM DECOCTION

English: Three Yellow and Gypsum Decoction
Also Known As: Gypsum, Coptis and Scute Combination
Decoction of Gypsum Fibrosum and Three Yellows

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Gypsum Fibrosum Shi Gao 6-30g Clears Heat in the Qi Stage, drains Fire, relieves irritability, quenches thirst and clears Excess Heat from the Lungs.
With Ma Huang, for cough from Heat Obstructing the Lungs with wheezing, flaring of the nostrils and fever.
With Huang Qin, Huang Lian and Huang Bai, for toxic Heat with infection.
Rx. Scutellariae Huang Qin 3-10g Clears Heat, Drains Fire, detoxifies, cools the Blood and stops bleeding.
With Huang Lian, drains pathogenic Heat from the Upper and Middle Jiaos for high fever, redness, swelling and pain of the head and face, dry mouth, parched throat, ulcerations of the mouth and tongue, epistaxis, rashes and irritability in warm-febrile disease.
With Huang Lian and Zhi Zi, for acute febrile disease.
With Zhi Zi, powerfully clears and drains lurking Heat from the Lungs with fever, fullness in the chest, cough with yellow sputum and epistaxis or hematemesis.
Rz. Coptidis Huang Lian 3-10g Clears Heat, Drains Fire, detoxifies, cools the Blood and stops bleeding.
With Zhi Zi and Shi Gao, for Ying Stage Heat with delirium and loss of consciousness.
Cx. Phellodendri Huang Bai 3-10g Drains Fire and relieves Fire toxicity.
Fr. Gardeniae Zhi Zi 3-10g Clears Heat, reduces Fire, eliminates irritability, cools the Blood, relieves toxicity and stops bleeding by astringing.
With Dan Dou Chi, for insomnia and irritability from Deficiency due to Heat lingering in the chest.
Rx. Ephedrae Ma Huang 3-9g Induces sweating, releases the Exterior, disseminates and facilitates Lung Qi, calms wheezing and stops coughing.
Sm. Sojae Preparatum Dan Dou Chi 3-10g Releases the Exterior, eliminates irritability, harmonizes the Middle Jiao and relieves stuffy sensations in the chest.
Rz. Zingiberis Recens Sheng Jiang 3-6g Releases the Exterior, induces perspiration disperses Cold and reduces the toxicity of other herbs.
With Ma Huang, strongly creates sweating to treat all externally contracted Wind-Cold disorders, especially those in which Wind-Cold has constrained Lung Qi with cough and wheezing and the failure of Lung Qi to descend causing nausea and vomiting.
With Da Zao,protects the Stomach Qi and reduces irritation of the gastrointestinal tract by other herbs.
Fr. Jujube Da Zao 2-5g Nourishes the Blood, calms the Spirit and moderates and harmonizes the harsh properties of other herbs.
Fol. Camelliae Sinensis Lu Cha 2-6g Harmonizes the Stomach, descends Rebellious Stomach Qi, quenches thirst and removes toxins.

FORMULA ACTIONS

  • Cools Heat
  • Relieves inflammation

SYNDROMES

  • Internal Heat Stagnation
  • Hemorrhage due to Heat
  • Xue Stage: Excess Heat causes Bleeding
  • Heat and Toxins in the Interior with residual Exterior conditions

CLINICAL MANIFESTATIONS

  • Acute high fever
  • Chills
  • Flushed face
  • Dry nose and mouth
  • Extreme thirst
  • Listlessness
  • Insomnia
  • Dryness of the teeth
  • Irritability
  • Oliguria with reddish urine
  • Anhidrosis
  • Severe headache
  • Delirium
  • Skin eruptions
  • Epistaxis
  • Hemorrhage
  • T: Red and dry
  • C: Yellow
  • P: Large and rapid or Smooth and rapid or Wiry and rapid

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For Yang maculae which are bright red, with a high fever, conjunctival congestion, due to Yang Ming, Ying Stage or Xue Stage Heat:
For thrombocytopenic purpura with epistaxis or gum bleeding due to Heat or Yin Deficiency:
- Rx. Ephedrae Ma Huang + Rz. Cimicifugae Sheng Ma
- Sm. Sojae Preparatum Dan Dou Chi + Rz. Imperatae Bai Mao Gen
+ Rx. Rehmanniae Sheng Di Huang
For thrombocytopenic purpura with Heat induced hemoptysis:
For thrombocytopenic purpura with hematochezia or hematemesis:
+ Rx. Curcumae Yu Jin
+ Rx. Notoginseng San Qi + Nodus Nelumbinis Ou Jie
+ Rz. Bletillae Bai Ji + Colla Corii Asini E Jiao
+ Rx. Sanguisorbae Di Yu + Rx. Rubiae Qian Cao Gen
+ Flos Sophorae Immaturus Huai Hua Mi
For thrombocytopenic purpura with hematuria:
+ Hb. Cirsii Xiao Ji
For thrombocytopenic purpura with uterine bleeding:
+ Pollen Typhae Pu Huang
+ Hb. Lophatheri Dan Zhu Ye
+ charred Nelumbinis Receptaculum Lian Fang Tan + Caulis Akebiae Mu Tong
For Blood Stasis after thrombocytopenic purpura hemorrhage with Purpura, hematoma, splenomegaly and a purplish tongue:
+ Petolius Trachycarpi Zong Lu Pi
+ Charred Cacumen Biotae Ce Bai Ye Tan + Sm. Persicae Tao Ren
+ Flos Carthami Hong Hua
    + Rx. Notoginseng San Qi