Ge Gen Huang Qin Huang Lian Tang  葛根黄芩黄连汤
Pueraria, Scutellaria and Coptis Decoction

Tradition:

TCM

Source / Author:

Discussion of Cold Induced Disorders (Shang Han Lun) C.220

Herb Name

Latin

Amount

Ge Gen (Pueraria)

Pueraria montana

15–24 grams

Huang Lian (Coptis)

Coptis chinensis

9 grams

Huang Qin (Scutellaria)

Scutellaria baicalensis

6 grams

Zhi Gan Cao (Fried Licorice)

Glycyrrhiza uralensis

6 grams

Preparation:

Decoction.
The source text advises to cook Pueraria first, adding the other ingredients later and cooking briefly. This was done to focus on the Exterior part of the condition. Today, the herbs are generally decocted together.

Function:

Releases the Exterior, Purges Heat from the Interior

Use:

Exterior disease with Interior excess: Fever, Sweating, Diarrhea, Rapid Pulse, Red tongue with Yellow Coat
Severe diarrhea after purging in an acute disease, rapid pulse
Used for improper treatment of an acute (exterior) condition with Purgatives (source text)
1. Acute Diarrhea that is foul-smelling
2. Stomach Flu, acute Gastroenteritis
3. Bacillary Dysentery
4. Pneumonia
5. Measles
6. Encephalitis B
7. Eczema
8. Diabetes (with severe heat)
9. Hypertension

Dose:

a small cupful 2–3 times daily

Cautions:

1. Cold diseases
2. Deep and slow pulse

Modifications:

1. Abdominal pain, add Costus (Mu Xiang) and White Peony (Bai Shao)
2. Diarrhea or Dysentery with blood and pus in the stool, add Pulsatilla Bai Tou Weng
3. Stronger external symptoms, add Chrysanthemum Ju Hua.


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