Huang Lian Tang  黄连汤
Coptis Decoction

Tradition:

TCM

Source / Author:

Discussion of Cold-induced Disorders (Shang Han Lun)

Herb Name

Latin

Amount

Huang Lian (Coptis)

Coptis chinensis

Zhi Gan Cao (Licorice fried)

Glycyrrhiza uralensis

Gan Jiang (Ginger)

Zingiber officinalis

Gui Zhi (Cinnamon twig)

Cinnamonum cassia

6 grams ea.

Ban Xia (Pinellia)

Pinellia ternata

9 grams

Ren Shen (Ginseng)

Panax ginseng

3 grams

Da Zao (Jujube)

Zizyphus jujuba

4 pieces

Preparation:

Prepare a standard decoction (in 10 cups of water down to 6 cups)
Coptis is originally ordered in a dose of 9 grams in the original text, but this is usually reduced to 6 grams.
Codonopsis Dang Shen typically replaces Ginseng in a dose of 15 grams, or Ginseng powder can be taken along with the Decoction in a dose of 1–2 grams. Originally 12 Jujubes were ordered, but usually 4 are used today.

Function:

Balances Heat and Cold, Harmonizes the Stomach, Causes Qi to Descend

Use:

Heat in the Lungs with Cold in the Stomach with chest distress, nausea, abdominal pain and a greasy tongue coating
1. Gastritis
2. Acid reflux
3. Epigastric pain
4. Gastroduodenal Ulcer
5. Hangover
6. Food Poisoning

Dose:

The above decoction is divided into 3 equal doses to be taken over the course of a day.

Cautions:

Not used in Yin deficiency

Modifications:

1. Constipation, add Rhubarb (Da Huang)
2. Watery Diarrhea, add Atractylodes Bai Zhu and Poria Fu Ling
3. Intestinal Pain and Cramping, add Costus (Mu Xiang)
4. Abdominal pain and Cramping, add Paeonia Bai Shao and Citrus Chen Pi


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