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Diaphragm-Cooling Powder

Diaphragm-Cooling PowderFormula Image

Diaphragm-Cooling Powder
ChiefLian Qiao
    • clears heart heat, drains fire, vents and scatters the heat in the upper jiao
DeputyHuang Qin
    • clears heat constraint in the chest and diaphragm
DeputyShan Zhi
    • purges and drains the sanjiao, and directs fire downward
DeputyDa Huang
    • drain fire, promote defecation, and purge as a way of clearing heat
DeputyMang Xiao
    • drain fire, promote defecation, and purge as a way of clearing heat
AssistantBo He
    • clears heat from the head and eyes, and disinhibits the throat
AssistantZhu Ye
    • clears heat from the head and eyes, and disinhibits the throat
EnvoyZhi Gan Cao
    • ease the powerful purgative effort of da huang and mang xiao, promote fluid production, moisten dryness, and harmonize the actions of all the medicinals in a formula
EnvoyBai Mi
    • ease the powerful purgative effort of da huang and mang xiao, promote fluid production, moisten dryness, and harmonize the actions of all the medicinals in a formula

Diaphragm-Cooling PowderPrescription Information

Name
Diaphragm-Cooling Powder
Chinese Name

凉膈散

Classification

Heat-clearing formulas

Combination
Rhei Radix et Rhizoma (Da Huang) 20 liang (600g), Natrii Sulfas (Po Xiao) 20 liang (600g), Glycyrrhizae Radix et Rhizoma Praeparata cum Melle (Zhi Gan Cao) 20 liang (600g), Gardeniae Fructus (Zhi Zi) 10 liang (300g), Menthae Haplocalycis Herba (Bo He) 10 liang (300g), Scutellariae Radix (Huang Qin) 10 liang (300g), Forsythiae Fructus (Lian Qiao) 2.5 jin (1250g)
Method
Grind the medicinals into a crude powder. One dose is 6g to 12g of the powder. Take each dose with zhu ye 3g and a little honey as a draft. The formula may also be prepared as a decoction for oral ingestion by adjusting the medicinal quantities based on the original ratios.
Action
Drains fire, promotes defecation, clears heat from the upper, and discharges heat through the purgative method.
Indication
This formula is indicated for the heat that has been generated from the constraint of pathogens in the upper jiao and middle jiao. The symptoms are vexing heat in the chest and diaphragm, red complexion, parched lips, vexation and agitation, thirst, mouth and tongue sores, restless sleep, delirium, pharyngeal pain, spitting of blood, nosebleed, constipation, dark urine, and incomplete defecation. The tongue is red with a yellow coating, and the pulse is slippery and rapid.
Pathogenesis
This is a pattern of zang-fu organ heat within the chest and diaphragm, which mainly manifests in the upper jiao and middle jiao. The heat burns in the chest and diaphragm to cause a vexing heat. The heat consumes fluids, which causes thirst, dry throat, and parched lips. Fire flames upward, according to nature, producing a red complexion, red eyes, mouth and tongue sores, pharyngeal pain, spitting of blood, and nosebleed. The heat harasses the heart spirit, causing vexation and agitation, unquiet sleep, or delirium. Dryness-heat binds internally, causing constipation and dark urine. The red tongue with yellow coating, as well as the slippery and rapid pulse, reflects the intense interior heat. The characteristic feature of this pattern’s pathogenesis is the accumulation of zang-fu heat, which rests in the chest and diaphragm, damages the heart and stomach, transforms into fire, and then flames upward.
Application
1. Essential pattern differentiation Liang Ge San is a commonly used formula applicable for the accumulated heat of zang-fu organs in the chest and diaphragm. This clinical pattern is marked by vexing heat in the chest and diaphragm, red complexion and parched lips, thirst, vexation, and agitation, red tongue with a yellow coating, and a rapid or slippery pulse. 2. Modern applications This formula may be used in the following biomedically defined disorders when the patient shows signs of accumulated heat in the upper jiao and middle jiao: pharyngitis, stomatitis, acute tonsillitis, infection of biliary tract, cholelithiasis, acute icteric hepatitis, and epidemic cerebrospinal meningitis. 3. Cautions and contraindications Stop taking this formula once constipation is relieved. Otherwise, the spleen and stomach may be damaged. This formula should be taken with caution in pregnant or weak patients.
Source
《Formulas from the Imperial Pharmacy》Tai Ping Hui Min He Ji Ju Fang《太平惠民和劑局方》

Diaphragm-Cooling PowderFormulation composition herbal medicine

Common Gardenia Fruit

Common Gardenia Fruit

Gardeniae Fructus
Functions：Drains fire, eliminates vexation, clears heat, promotes urination, cools blood, resolves toxin. Apply to deficient restlessness due to pyreticosis, conjunctival congestion due to liver fire, headache, jaundice due to damp-heat, strangury, hematodiarrhoea, hematuria, mouth and tongue sore, swelling pain of sore and ulcer, swelling pains caused by sprains.
Mirabilite|Glauber’s Salt

Mirabilite|Glauber’s Salt

Natrii Sulfas
Functions：Breaks distention, warms middle, digests food, drains water, moderates diarrhea. Apply to abdominal fullness, food retention, indigestion, edema, mammary swelling, amenorrhea, constipation.
Weeping Forsythia Fruit

Weeping Forsythia Fruit

Forsythiae Fructus
Functions：Clears heat, resolves toxin, eliminates swelling, disperses stasis, dispels wind heat, also called ‘premier of sore medicines’. Apply to warm heat diseases, erysipelas, rashes, abscess swelling pain, scrofula, pyretic stranguria and uroschesis, heart fire.
Baikal Skullcap Root

Baikal Skullcap Root

Scutellariae Radix
Functions：Clears heat, dries dampness, drains fire, resolves toxin, stops bleeding, calms fetus, reduces blood pressure. Apply to damp-warm diseases, chest retention and vomiting due to summer-warm, retention and fullness due to damp and heat, diarrhea, jaundice, cough with lung heat, polydipsia with high fever, hematemesis and non-traumatic hemorrhage due to blood heat, abscess and sore toxin, fetal movement.
Liquorice Root

Liquorice Root

Glycyrrhizae Radix et Rhizoma
Functions：Supplements the spleen, boosts qi, clears heat, resolves toxin, dispels phlegm, relieves cough, relaxes tension, relieves pain, harmonizes the nature of other medicinals.
Rhubarb|Tangute Rhubarb

Rhubarb|Tangute Rhubarb

Rhei Radix et Rhizoma
Functions：Relieves stagnation, clears dampn-heat, reduces fire, cools blood, eliminates stasis, relieves toxin. Apply to constipation induced by sthenic fever, heat and distention and full of chest, damp-heat diarrhea, jaundice, strangury, edema and sbdominal fullness, difficulty of urination, conjunctival congestion, swelling pain of throat, sor of mouth and tongue, vomiting due to heat stomach, apostaxis, cough with blood, epistaxis, hematochezia, hematuria, blood stasis, amenorrhea, postpartum stasis and pain, abdominal mass accumulation, trsumatic injury, carbuncle and ulcer due to heat toxin, erysipelas, empyrosis.
Wild Mint Herb

Wild Mint Herb

Menthae Haplocalycis Herba
Functions：Disperses wind-heat clears the head and eyes, benefits the throat, vents rashes, courses the liver and resolves constraint. Apply to wind-heat cold, headache, throat pain, mouth and tongue sore, rubella, measles, chest and abdominal constraint, anti-early pregnancy. Disperses inflammation and stops pain.
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