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Gentiana Drain the Liver Decoction
 

This formula comes from Wang An’s early Qing dynasty Yi Fang Ji Jie (Analytic Collection of Medical Formulas) published in 1682 CE. Our version is a 10:1 powdered extract in 500 mg gelatin capsules.

Rx:
Sheng Di (uncooked Radix Rehmanniae)
Huang Qin (Radix Scutellariae)
Zhi Zi (Fructus Gardeniae)
Ze Xie (Rhizoma Alismatis)
Che Qian Zi (Semen Plantaginis)
Dang Gui Wei (Extremitas Radicis Angelicae Sinensis)
Chai Hu (Radix Bupleuri)
Long Dan Cao (Radix Gentianae)
Mu Tong (Caulis Akebiae)
Gan Cao (Radix Glycyrrhizae)

Functions: Drains liver-gallbladder replete heat, clears lower burner damp heat

Indications: 1) Liver-gallbladder replete heat harassing above or 2) damp heat pouring downward manifesting as acute conjunctivitis, uveitis, corneal ulcers, acute glaucoma, central retinitis, acute otitis media, boils and carbuncles in the vestibular and external auditory canal, nasal furuncles, hypertension, acute icteric hepatitis, acute cholecystitis, herpes zoster, herpes genitalia, cold sores, acute pyelonephritis, acute cystitis, urethritis, acute pelvic inflammation, acute prostatitis, orchitis, epididymitis, vaginitis, abnormal vaginal discharge, vaginal itching, lymphadenitis of the groin, hyperthyroidism, migraine headache, eczema in general and scrotal eczema in particular, and intercostal neuralgia

Signs & symptoms of liver-gallbladder replete heat harassing above include:

• Headache

• Red eyes

• Rib-side pain

• A bitter taste in the mouth

• Sudden loss of hearing

• Swelling and pain of the ears

• A red tongue with yellow fur

• A rapid, forceful, bowstring pulse

Signs & symptoms of damp heat pouring downward include:

• Genital swelling and/or itching

• Impotence

• Genital sweating

• Urinary strangury

• Turbid urine

• Abnormal vaginal discharge in women

• A red tongue with yellow fur

• A rapid, forceful, bowstring pulse

Formula explanation: Within this formula, Long Dan Cao is greatly bitter and greatly cold. It is the sovereign medicinal in this formula for both draining fire and eliminating dampness. It drains replete liver-gallbladder fire from the upper body, while it also precipitates and clears damp heat from the lower body. Huang Qin and Zhi Zi are the ministers within this formula. They also have the functions of draining fire with bitterness and cold and are combined with Long Dan Cao for that purpose. Ze Xie, Mu Tong, and Che Qian Zi clear heat and disinhibit dampness. Therefore, they assist in eliminating damp heat via the urinary tract. Because the liver stores the blood and heat within the liver channel can easily damage yin and blood, at the same time as using bitter cold ingredients to dry dampness, Sheng Di and Dang Gui are used as assistants to enrich yin and nourish the blood. Gan Cao regulates and harmonizes all the other medicinals. Therefore, within this formula there is supplementation within drainage and enrichment within disinhibition. This assists the downbearing of fire and the clearing of heat and the separation of clear from damp turbidity.

Dosage: According to Him-che Yeung in Handbook of Chinese Herbs and Formulas, Vol. 2, the standard daily dose in decoction for this formula is 87 grams. Because of the 10:1 concentration ratio and the efficiency of our manufacturing process it would take only 13 capsules per day of Blue Poppy's version of this formula to equal the standard daily dose. The actual prescribed dose should be determined by the practitioner on a case by case basis.

My patient present the signs and symptoms of:

Liver-gallbladder replete heat harassing above Yes No
Damp heat pouring downward Yes No

(Patient should have one of the other of these patterns.)
 

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