HERB FORMULAS

ZHU YE SHI GAO TANG - 竹葉石膏湯 - LOPHATHERI AND GYPSUM DECOCTION

English: Lophatheri and Gypsum Decoction
Also Known As: Bamboo Leaves and Gypsum Combination
Decoction of Bamboo Leaf and Gypsum.

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Hb. Lophatheri             Dan Zhu Ye 2-15g Clears Heat, eliminates irritability, promotes urination and clears Damp-Heat.
With Shi Gao, clears Yang Ming Heat and relieves irritability and lingering fever from febrile disease with insomnia, irritability and a scanty dry tongue coat.
(Fol. Lophatheri) (Zhu Ye) (2-15g) (Substitutes for Dan Zhu Ye - and is better for heat in the upper Jiao causing cough, irritability and thirst.)
Gypsum Fibrosum      Shi Gao 10-30g Clears Heat in the Qi Stage, drains Fire, relieves irritability, quenches thirst, clears lung Heat and Blazing Stomach Fire.
With Dan Zhu Ye and Mai Men Dong, for lingering fever from late stage febrile disease with dysphoria, thirst and a red tongue with no coat.
With Ren Shen, for excessive Heat with Qi Deficiency.
With Ren Shen, and Mai Men Dong for excessive Heat with Qi and Yin Deficiency
Rx. Ginseng                      Ren Shen 3-9g Tonifies Qi.
With Mai Men Dong, tonifies Qi and generates fluids
Rx. Ophiopogonis    Mai Men Dong 6-18g Moistens the Lungs and Stomach, nourishes Yin, generates fluids, clears the Heart and eliminates irritability.
With Zhi Ban Xia, Zhi Gan Cao and Geng Mi, for Stomach Yin Deficiency with hiccups and vomiting.
Rz. Pinelliae Preparatum Zhi Ban Xia 6-9g Descends Qi and stops vomiting.
With Ren Shen, for vomiting due to Stomach Deficiency.
Rx. Glycyrrhizae Preparata Zhi Gan Cao 2-6g Tonifies the Spleen, augments Qi, moistens the Lungs, resolves Phlegm, stops cough, clears Heat, relieves Fire toxicity and moderates and harmonizes the harsh properties of other herbs.
With Geng Mi, assists Ren Shen in tonifying Qi, Nourishes the Stomach and harmonizes the Middle Jiao.
With Ren Shen, relieves palpitations and anxiety.
Nonglutinous Rice Geng Mi 12-15g Tonifies the Qi of the Lungs, Spleen and Intestines, stops restlessness, stops thirst and generates fluids.

FORMULA ACTIONS

  • Clears Heat
  • Generates fluids
  • Tonifies Qi
  • Harmonizes the Stomach

SYNDROMES

  • Qi Stage Lung and Stomach Heat Injuring the Qi and Fluids
  • Stomach Fluid Deficiency
  • Summerheat Stroke

CLINICAL MANIFESTATIONS

  • Lingering fever from a febrile disease
  • Vomiting
  • Irritability
  • Thirst with a desire to drink
  • Parched mouth, lips and throat
  • Choking cough
  • Restlessness
  • Insomnia
  • Nausea
  • Anorexia
  • Profuse perspiration
  • A dry mouth
  • Indigestion
  • Toothache
  • Listlessness
  • Chest oppression
  • Ulcerations of the mouth
  • Coarse skin
  • Cough
  • Night sweats
  • Stifling sensation in the chest or epigastrium
  • T: Red
  • C: Little or None
  • P: Rapid and Deficient or Thready and rapid

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Contraindicated for those with febrile disease where both normal and pathogenic Qi are abundant.
  • Contraindicated for those with febrile disease where the fever remains high.
  • Contraindicated for those with febrile disease where the Qi and Yin have not been injured.
  • Contraindicated for those with febrile disease, a stifling sensation in the chest, dry heaves, and a yellow greasy tongue coat due to Damp-Heat.
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For insufficient Stomach Qi and Yin with mild or no Stomach Heat signs: For Stomach Yin Deficiency with oral ulcerations and a red, dry tongue:
- Gypsum Fibrosum  Shi Gao + Rx. Trichosanthis Tian Hua Fen
For intense Stomach Fire Blazing:
+ Hb. Dendrobii Shi Hu
+ Rx. Trichosanthis Tian Hua Fen
For vomiting or hiccups:
+ Rz. Anemarrhenae Zhi Mu + Rz. Phragmitis Lu Gen
For coughing and wheezing:
For profuse sputum:
+ Sm. Armeniacae Xing Ren + Bul. Fritillariae Thunbergii Zhe Bei Mu
For Yin Deficiency leading to Yang Deficiency with severe dyspnea or sweating:
+ Per. Citri Reticulatae Chen Pi
+ Rx. Aconiti Lateralis Preparatum Zhi Fu Zi
or
+ Exo. Citri Reticulatae Ju Hong
For deficient conditions with thirst:
+ Bul. Fritillariae Thunbergii Zhe Bei Mu
+ Rx. Astragali Huang Qi
+ Fr. Schisandrae Wu Wei Zi
For coughing and wheezing in pneumonia or bronchitis:
For thirst during the recovery stage of a chronic illness:
+ Rx. Ephedrae Ma Huang
+ Rx. Paeoniae Alba Bai Shao + Sm. Armeniacae Xing Ren
+ Rx. Bupleuri Chai Hu + Rx. Scutellariae Huang Qin
For lingering Heat after an exogenous condition:
+ Hb. Houttuyniae Yu Xing Cao
+ Cimicifuga and Kudzu Decoction
Sheng Ma Ge Gen Tang
For lingering Heat in women:
+ Four Substances decoction
Si Wu Tang
For severe hot sensations in the body:
+ Flos Lonicerae Jin Yin Hua
For late-stage fevers with Yin Deficiency and Internal Heat:
+ Fr. Forsythiae Lian Qiao
For hiccups due to Stomach Fire:
- Rz. Pinelliae Preparatum Zhi Ban Xia
- Hb. Lophatheri Dan Zhu Ye
+ Phylostachys Nigra Zhu Ye + Hb. Artemisiae Annuae Qing Hao
or
+ 9-12g Calyx Kaki Shi Di + Cx. Moutan Mu Dan Di
For hiccups due to Stomach Fire with damage to Stomach Yin:
+ Rx. Rehmanniae Sheng Di Huang
+ Carapax Trionycis Bie Jia
- Hb. Lophatheri Dan Zhu Ye
For hiccups due to Stomach Fire with constipation:
+ 9-12g Calyx Kaki Shi Di
+ 12-15g Rx. Glehniae/ Adenophorae Sha Shen - Hb. Lophatheri Dan Zhu Ye
+ Phylostachys Nigra Zhu Ye
+ 12-15g Rx. Trichosanthis Tian Hua Fen + Rx. et Rz. Rhei Da Huang
For insomnia:
+ 12-15g Hb. Dendrobii Shi Hu - Rx. Ginseng Ren Shen
For insomnia with severe vexation:
 + 9g Rx. Pseudostellariae Tai Zi Shen
- Rx. Ginseng Ren Shen
+ 9g Rx. Pseudostellariae Tai Zi Shen
For hot flashes:
+ Decoction to Enrich Yin and Direct Fire Downward
Zi Yin Jiang Huo Tang
+ 6g stir-fried Fr. Gardeniae Zhi Zi
+ Rx. Paeoniae Alba Bai Shao
+ 6g Sm. Sojae Preparata Dan Dou Chi