Long Dan Xie Gan Tang龙胆泻肝汤

When the Middle Jiao Presents with Heat

In cases of viral-origin skin disease

When there is pale-red vaginal discharge together with a wiry, rapid pulse

When severe head pain occurs with red, aching eyes

When coughing blood results from Liver Fire Attacking the Lung

In cases of jaundice-type hepatitis

When vaginal discharge is caused by Damp-Heat

When there is easy waking, being easily startled, or being easily frightened

When constipation is present

In the case of constipation

When acute glaucoma occurs

In cases of urinary tract infection

When Dampness is in Excess

Where Dampness is Excessive

When the nipples itch

When nasal stuffiness, rhinitis, and rhinitis stemming from Liver and Gallbladder Fire occur along with a severe headache

When prostatitis arises from Toxic Heat

When Heat is severe

When Dryness is present

When prostatitis from Damp-Heat occurs with a bitter mouth taste

When prostatitis from Damp-Heat is accompanied by sexual dysfunction

When itching is severe

When eczema is concentrated on the upper body

When insomnia arises from Liver Yang Rising without Fire

When insomnia from Liver Yang Rising without Fire occurs with headache, dizziness and tinnitus

When cataracts become suppurative

When cholecystitis is present

In cases of cholecystitis

Where cholecystitis occurs

When migraine occurs

In cases of diabetes mellitus

When orchitis presents with pain

When orchitis presents with blood in the urine

When orchitis occurs with frequent, burning, painful urination

When orchitis occurs together with painful urination and urethritis

In cases of male sexual dysfunction

When male sexual dysfunction occurs with Dampness

When male sexual dysfunction presents with abnormally sticky semen during nocturnal emissions

In cases of scrotal eczema

When polycystic ovary syndrome occurs with constipation

When Behçet's disease presents with Liver and Kidney Yin Deficiency

When Behçet's disease occurs with Dampness

In cases of otitis media

When bartholinitis shows marked pudendal redness, swelling, Heat and pain

When bartholinitis presents with severe pudendal itching from Damp-Heat predominance

When age-related itching includes vulvar itching and fishy-smelling vaginal discharge

When emaciation is present

In cases of blood in the urine

When blood in the urine occurs with either severely painful urination or severe flank pain

When ejaculation fails to occur

When Behçet's disease presents with lower-limb edema

When Behçet's disease includes eye lesions

When Behçet's disease includes external genital lesions

When Behçet's disease occurs with throat pain

When fever from Damp-Heat in the Liver channel occurs with thick yellow ear pus

In cases of tinnitus, high blood pressure, chronic middle-ear infection and stress

When that combination occurs with Phlegm or Phlegm-Heat

When that combination occurs with a severe headache and sore, red eyes

When cholecystitis and gallstones present with Heat predominating

When that Heat-predominant presentation includes nausea and vomiting

When that Heat-predominant presentation includes Blood Stagnation

When cholecystitis and gallstones present with Dampness predominating and no constipation

When that Dampness-predominant presentation includes jaundice

When hepatitis C occurs with nausea and vomiting

When pain is severe

When fever and jaundice occur together

In cases of fever with jaundice

When nosebleeds are severe

When nosebleeds and hypertension occur with Dryness

In cases of severe insomnia together with hypertension, menopausal syndrome, bipolar disorder, depression and premenstrual syndrome

When easy waking along with hypertension, menopausal syndrome, bipolar disorder, depression and premenstrual syndrome occurs with abdominal fullness and discomfort

When genital herpes presents with fever

When genital herpes presents with lower back and sacral pain

In cases of herpes zoster

When herpes zoster occurs with a dry throat

When herpes zoster presents with Dampness

When herpes zoster lesions appear on the chest or lower abdomen

When herpes zoster is accompanied by itching

In cases of vomiting blood

When vomiting blood occurs with acid reflux or heartburn

When hypertension from Liver Yang Rising with marked Heat and Wind presents with a red face and eyes, trembling hands, numbness of the tongue and/or limbs, and a severe headache

In cases of medication-induced skin inflammation

When medication-induced dermatitis occurs with intense Heat

When medication-induced dermatitis occurs with intense itching

When headaches are stubborn and resistant to treatment

When headaches occur with pain at the vertex

When headaches occur with pain at the temples

When hyperthyroidism presents with Heat in the Middle Jiao

When hypertension occurs with dryness of the mouth and tongue

When vaginal discharge contains blood

In cases of hepatic carcinoma

When oral leukoplakia presents with pronounced Spleen Deficiency

In cases of gum inflammation and periodontal disease

When there is ear discharge or purulent ear discharge

When subarachnoid hemorrhage presents with pronounced drowsiness

When subarachnoid hemorrhage presents with limb paralysis

When primary painful menstruation occurs with a bitter mouth taste, dry throat, head and eye pain, and fever

When primary dysmenorrhea presents with a bitter taste in the mouth, throat dryness, pain in the head and eyes, and fever

When cervicitis or cervical polyps occur with Liver Qi Stagnation Invading the Spleen, presenting with loss of appetite and abdominal pain and fullness

In cases of viral hepatitis without jaundice

When jaundice-free viral hepatitis occurs with pronounced epigastric distention and stuffiness

When vaginal discharge is turbid

When a headache occurs with red eyes

When a headache occurs with insomnia and restlessness

When a headache occurs with irregular menstruation

When a headache occurs with constipation

In cases of itching linked to HIV/AIDS

In cases of insomnia

When psoriasis arises from Toxic Damp-Heat

When tremors are present

In cases of pelvic inflammatory disease

When jaundice arises from Damp-Heat

When there is fullness and discomfort in the chest and epigastric region

When urination is painful or difficult

When the eyes are red, swollen and painful

When visual disturbances increase

When there are additional visual disturbances

When the scrotum is red and swollen, or sores appear on the penis

When itching occurs in the genital region (applied topically as a wash)

When nasal congestion, sinusitis and rhinitis arise from Liver and Gall Bladder Fire

In cases of nasal congestion, sinusitis and rhinitis caused by Liver and Gallbladder Fire

In cases of eczema

When blood appears in the urine

When bleeding is severe

In cases of severe hemorrhage

When prostatitis from Damp-Heat presents with prostatic hardening

When a pustule discharges yellow fluid

In cases of acute eczema

When keratitis is present

In cases of hypertension

When erythematosis is present

In cases of leukemia

When leukemia presents with Excess Heat

When herpes zoster lesions are above the waist

When herpes zoster lesions are below the waist

In cases of sciatic nerve pain

When orchitis presents with hardening of the testicle

When orchitis occurs together with prostatitis

In cases of orchitis

When male sexual dysfunction is accompanied by Dampness

When male sexual dysfunction occurs with Liver and Kidney Yin Deficiency

In cases of bartholinitis

When pelvic inflammatory disease is present

In cases of cervicitis

When Behçet's disease presents with Qi Deficiency

When Behçet's disease is accompanied by severe itching

When bartholinitis occurs

When bartholinitis presents with severe pudendal distension, swelling and pain

In cases of age-related itching

When age-related itching affects the scrotum

When age-related itching affects the anus

When blood in the urine is severe

When a rapid effect is needed in bipolar disorder

When semen fails to liquefy

When Behçet's disease presents with fever

When Behçet's disease includes pustules, vesicles or folliculitis

When Behçet's disease presents with pus

When Behçet's disease occurs with constipation

When fever from Damp-Heat in the Liver channel presents with red, swollen, painful eyes

When myalgic encephalomyelitis, chronic fatigue and Epstein-Barr syndrome arise from Damp-Heat with Heat predominating

When tinnitus is severe

When that combination occurs with constipation

When tinnitus occurs with purulent discharge

When that combination presents with signs of Internal Wind such as tics or spasms

When the Heat-predominant presentation of cholecystitis and gallstones includes a high fever

When that Heat-predominant presentation includes poor appetite

When cholecystitis and gallstones present with Dampness predominating

When that Dampness-predominant presentation includes jaundice

In cases of hepatitis C

When hepatitis C presents with Heat Transforming into Fire

When hepatitis C presents with Yin damage caused by Heat

When hepatitis C occurs with jaundice

When hepatitis C presents with an aversion to greasy or fatty food, or undigested food in the stool

When roundworms are present in the bile duct

In cases of nosebleeds together with hypertension

When nosebleeds and hypertension occur with severe Heat

In cases of insomnia together with hypertension, menopausal syndrome, bipolar disorder, depression and premenstrual syndrome

When that combination presents with abdominal fullness and discomfort

In cases of genital herpes

When genital herpes presents with swollen lymph nodes

When genital herpes becomes secondarily infected

When herpes zoster occurs with constipation

When herpes zoster eruptions appear on the face

When facial eruptions occur with herpes zoster

When herpes zoster lesions appear on the lower limbs

When herpes zoster presents with aching and pain

When herpes zoster occurs with Spleen Deficiency and fatigue

In cases of long-standing or recurring vomiting of blood

When hypertension from Liver Yang Rising with marked Heat and Wind presents with a red face and eyes, trembling hands and numbness of the tongue and/or limbs

When that same presentation additionally includes nausea and vomiting

When medication-induced dermatitis occurs with intense Dampness

In cases of nosebleeds

In cases of headaches

When headaches occur with elevated blood pressure

When headaches occur with dizziness

When a hernia arises from Phlegm-Heat

When hyperthyroidism presents with constipation

When hypertension occurs with a severe headache and dizziness

When abnormal vaginal discharge arises from Heart and Liver Fire

When vaginal discharge occurs with constipation

In cases of oral leukoplakia

When oral leukoplakia presents with Blood Stagnation

When spermatorrhea occurs with Yin Deficiency

In cases of subarachnoid hemorrhage

When subarachnoid hemorrhage presents with disordered speech

When subarachnoid hemorrhage presents with spasms and contractures

When cervicitis or cervical polyps occur with abdominal pain

When cervicitis or cervical polyps occur with vaginal discharge and spotting

When jaundice-free viral hepatitis presents with pronounced hypochondriac pain

When viral hepatitis occurs without jaundice

In cases of urinary tract stones

In cases of a headache

When a headache occurs with irritability

When a headache occurs with hypochondriac pain

When a headache is accompanied by hypochondriac pain

When a headache occurs with night sweats

In cases of vaginal itching