San Zhong Kui Jian Tang
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San Zhong Kui Jian Tang #2221

Pin Ying Name: San Zhong Kui Jian Tang

English Name: Forsythia & Laminaria Decoction

Chinese Name: 散腫潰堅湯

Herbs & Actions
Pharmaceutical Latin Pin Yin Dosage Actions
Thallus Eckloniae Kun Bu 12-15g

Resolves Phlegm, softens Phlegm nodules and clears Heat.

Wine-fried Cx. Phellodendri Jiu Chao Huang Bai 9-15g

Drains Damp-Heat, drains Kidney Fire, drains Fire and relieves toxicity.

With Jiu Chao Zhi Mu, for Yin Deficiency fever with steaming bones and night sweats and Lower Jiao Damp-Heat. With Huang Lian and Lian Qiao, for skin abscesses and lesions.

Wine-fried Rz. Anemarrhenae Jiu Chao Zhi Mu 9-15g

Clears Heat from the Lung and Stomach, drains Fire, nourishes Yin, moistens Dryness, generates fluids and resolves Phlegm.

With Jiu Chao Huang Bai, clears Heat and Drains Fire.

Rx. Platycodi Jie Geng 9-15g

Expels Phlegm, expels pus, benefits the throat and directs the effects of other herbs to the upper body.

With Gan Cao, for hoarseness, pain and swelling of the throat due to Wind-Heat and Lung abscess with expectoration of pus and pain in the chest and flanks.

Wine-fried Rz. Sparganii Jiu Chao San Leng 9g

Dispels Blood Stasis, regulates Qi and dissolves accumulations.

With Jiu Chao E Zhu, for Qi and Blood Stagnation with clumping and accumulation leading to distending pain in the chest, epigastrium and abdomen.

Wine-fried Rz. Curcumae Jiu Chao E Zhu 1.5g

Invigorates Blood circulation, dispels Blood Stasis, regulates Qi and dissolves accumulations.

Fr. Forsythiae Lian Qiao 9g

Clears Heat (especially in the Upper Jiao), relieves toxicity, reduces abscesses and dissipates clumps.

Rz. Coptidis Huang Lian 3g

Clears Heat, drains Dampness, drains Fire and relieves toxicity.

Rx. Glycyrrhizae Gan Cao 9-24g

Moistens the Lungs, resolves Phlegm, clears Heat relieves Fire toxicity and moderates and harmonizes the harsh properties of the other herbs.

With Jie Geng, for pain and swelling of the throat. With Bai Shao, Dang Gui Wei and Chai Hu, for hypochondriac pain due to Liver Qi Stagnation.

Rx. Scutellariae (half wine-fried and half untreated) Huang Qin 6g

Clears Lung Heat, drains Fire and detoxifies.

With Chai Hu, for Heat in the Shao Yang with alternating chills and fever and nausea.

Rx. Paeoniae Alba Bai Shao 6-9g

Nourishes Blood, astringes Yin and calms Liver Yang.

With Gan Cao, for epigastric, hypochondriac or flank pain. With Chai Hu, for flank pain due to Liver Qi Stagnation.

Rx. Puerariae Ge Gen 9-12g

Relieves Heat, generates fluids and counteracts toxins.

Rx. Bupleuri Chai Hu 1.5g

Spreads Liver Qi, relieves Stagnation, raises Yang Qi and resolves Phlegm and congestion.

With Bai Shao, for vertigo, dizziness, thoracic and costal pain, and menstrual irregularity due to Liver Qi Stagnation. With Huang Qin, restores normal function of the Liver and Gallbladder.

Rx. Angelicae Sinensis Dang Gui 6-15g

Tonifies invigorates and harmonizes the Blood, reduces swelling and expels pus.

With Bai Shao, regulates and harmonizes Qi and Blood.

Wine-fried Rx. Gentiana Jiu Chao Long Dan Cao 9g

Drains Damp-Heat from the Liver and /Gallbladder channels, drains and pacifies excess Liver Fire and relieves toxicity.

With Chai Hu and Huang Qin, for Liver Fire or Liver and Gallbladder Damp-Heat.

Rx. Cimicifugae Sheng Ma 12-15g

Clears Heat, relieves toxicity raises Yang and lifts Sunken Qi (guides other herbs upwards).

With Dang Gui, raises the clear Qi, allowing turbidity to descend and moistening the Intestines.

Rx. Trichosanthis Tian Hua Fen

Drains Heat, transforms Phlegm, relieves toxicity, expels pus and reduces swelling.

Formula Actions
  • Disperses Qi Stagnation
  • Dispels Heat and Dampness
  • Resolves Phlegm
  • Dissipates nodules
  • Induces ulceration
  • Reduces toxicity
  • Reduces swelling
  • Moves the Blood
  • Dispels Stasis
  • Liver Qi Stagnation with Damp-Heat and Phlegm
  • Phlegm-Fire
Clinical Manifestations
  • Feeling of a lump in the throat
  • The lump is soft and becomes larger or smaller according to the emotional situation
  • The lump is small or medium sized, relatively soft and slippery
  • The edges are indistinct or
  • Saber sores (hard, knife-like lumps)
  • Oppressive feeling in the chest and hypochondrium
  • Difficulty swallowing
  • Loose stools
  • Irregular menstruation
  • Pre-menstrual tension
  • Restlessness
  • Insomnia
  • Thirst
  • Feeling of Heat
  • Irritability
  • Frequent sighing
  • Bitter taste in the mouth
  • Red eyes
  • Tremor of hands
  • Red face
  • T: Pale or dusky or Red with red tip and edges
  • C: White or Thin and greasy or Dry and yellow
  • P: Wiry
  • Goiter
  • Hyperthyroidism
  • Scrofula
  • Saber sores (knife-like sores)
  • Neck lymphadenitis
  • Tumors of unknown origin
  • Tubercular lymph nodes
  • Care must be taken to protect the patient's Yin and Qi, due to the large number of drying and dispersing herbs.
  • Elderly patients may require simultaneous tonic formulas.