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Neijing

Knowledge baseFormulas

Su He Tang苏荷汤

Perilla and Mentha Decoction

Medicinals
15

Composition

  • Bo HeHb. Menthae30 g

    Disperses Wind-Heat, cools and clears the head and eyes, benefits the throat, relieves Stagnation of Liver *Qi and expels turbid filth.*

    • Chai Hu, Bai Shao
    Dang Gui, for Liver Qi* Stagnation with chest and flank distention or pain.
  • Zi Su YeFol. Perillae30 g

    Promotes the movement of Spleen and Stomach Qi, harmonizes the Middle Jiao and relieves intestinal gas.

  • Bei Sha ShenRx. Glehniae24 g

    Nourishes Lung and Stomach Yin, clears Lung Heat, generates fluids and tonifies Liver and Kidney *Yin.*

  • Lian QiaoFr. Forsythiae24 g

    Clears Heat, especially in the Upper Jiao, relieves toxicity, clears Blood Heat and promotes urination.

  • Huang QiRx. Astragali21 g

    Tonifies Qi and Blood, strengthens the Spleen, raises the Yang Qi of the Spleen and Stomach, tonifies Wei Qi, stabilizes the Exterior and tonifies the Lung, promotes the discharge of pus, generates flesh, expels toxins, promotes urination and reduces edema.

    for Qi and Blood Deficiency.
  • Dang GuiAngelicae Sinensis30 g

    Tonifies, Invigorates and harmonizes the Blood, moistens the Intestines, unblocks the bowels, reduces swelling, expels pus, stops cough, treats dyspnea and alleviates pain.

    • Bai Shao
    regulates and harmonizes Qi and Blood and treats Blood Deficiency Heat.
    harmonizes, nourishes and invigorates the Blood, disperses Blood Stasis and treats abdominal pain.
  • Sheng He Shou WuRaw Rx. Polygoni Multiflori30 g

    Moistens the Intestines, unblocks the bowels, relieves Fire Toxin and checks malarial disorders.

  • Bai ZhiRx. Angelicae Dahuricae30 g

    Expels Wind and Dampness, unblocks the nasal passages, dispels Cold, reduces swelling, eliminates toxins, expels pus and alleviates pain.

    for headache.
  • Chuan XiongRz. Chuanxiong15 g

    Invigorates the Blood, promotes the movement of Qi, expels Wind and alleviates pain.

  • Jue Ming ZiSm. Cassiae15 g

    Clears the Liver, anchors Liver Yang, expels Wind-Heat, moistens the Intestines and unblocks the bowels.

    for constipation due to dry Intestines.
  • Huai Hua MiFlos Sophorae Immaturus30 g

    Cools the Blood, stops bleeding and cools the Liver.

  • Bai ShaoRx. Paeoniae Alba15 g

    Nourishes the Blood, astringes Yin, adjusts the Ying and *Wei, softens the Liver, calms Liver Yang and alleviates pain.*

  • Chai HuRx. Bupleuri18 g

    Harmonizes the Exterior and Interior, spreads Liver Qi, relieves Stagnation, raises the Yang Qi of the Stomach and Gallbladder, disperses Wind-Heat and resolves Phlegm and congestion.

    • Bai Shao
    for Liver Blood Deficiency with Liver Qi Stagnation.
    • Bai Shao, Dang Gui
    Chuan Xiong,* harmonizes the Blood.
    for emotional depression, a stifling sensation in the chest and irregular menstruation due to Liver Blood Stagnation and Deficiency.With Huang Qi, raises the Clear Yang due to abnormal descent of Qi.
  • Qing HaoHb. Artemisiae Annuae30 g

    Clears Summerheat or Damp-Heat, clears Deficiency fevers, cools the Blood, clears Liver Heat and stops malarial disorders.

  • Sheng Di HuangRx. Rehmanniae24 g

    Clears Heat, cools the Blood, nourishes *Yin and cools Heart Fire.*

    • Bai Shao
    for Blood Deficiency Heat.

Actions

  • Scatters Wind-Heat
  • Eliminates Heat
  • Counteracts toxicity
  • Drives out turbid filth
  • Regulates the Middle Jiao
  • Moves and cools the Blood
  • Resolves Summerheat or Damp-Heat
  • Facilitates the flow of Qi
  • Strengthens Qi and Blood
  • Fortifies the Spleen
  • Lifts the Yang Qi
  • Replenishes Lung and Stomach Yin
  • Lubricates the Intestines
  • Frees the bowels

Patterns treated

Gu Syndrome arising from Excess Fire

Manifestations

  • Abdominal distention
  • Edema
  • A depressed emotional state
  • Flu-like signs, including coughing and sneezing
  • Tension across the abdominal wall
  • Urine that is dark in color
  • Symptoms typically worsen after the patient takes tonic herbs
  • Seizure disorder
  • Deranged behavior

Indications

  • The condition of Gu Syndrome
  • Mental derangement

Modifications

  • To achieve a stronger effect

Cautions

  • Contraindicated in patients with an underlying Spleen and Stomach Cold constitution who have contracted Gu a second or third time.
  • Contraindicated for patients who have already taken Su He Tang over an extended period and have fully cleared the Gu poison.
  • Signs of overdose include restlessness, distress, vomiting or diarrhea.

Notes

  • This formula must be given in unusually large doses to achieve full effectiveness.
  • Increase gradually to reach the full daily dose across 5-6 doses.
  • Build up to a daily amount of 50-120g of crude herbs, or its equivalent in herbal granules.
  • The course of treatment should continue for 3-9 months.