Interpretation and Combined Application of Heat-Clearing and Detoxifying Oral Liquid

The Heat-Clearing and Detoxifying Oral Liquid belongs to the category of heat-clearing agents, used for symptoms caused by excessive heat and toxins, such as fever, red face, irritability, thirst, and sore throat; it is applicable for influenza and upper respiratory infections presenting with the aforementioned symptoms.

Interpretation of the Efficacy of Heat-Clearing and Detoxifying Oral Liquid

1Functions and Indications

The Heat-Clearing and Detoxifying Oral Liquid disperses wind and releases the exterior, clears heat and disperses epidemics, detoxifies and benefits the throat, generates fluids and alleviates thirst. It is indicated for external wind-heat invasion, where both the defensive qi and the pathogenic factors are involved, clearing heat and releasing the exterior, dispersing epidemics and detoxifying.

2Formula Analysis and Explanation

Chief Herbs: Jin Yin Hua (Honeysuckle Flower), Lian Qiao (Forsythia)

Jin Yin Hua is sweet and cold, dispersing and penetrating; Lian Qiao is bitter and cold, clearing and resolving. These two herbs complement each other, dispersing wind-heat and strongly clearing heat and detoxifying, making them suitable for treating external heat diseases, regardless of whether the pathogen is in the defensive qi, nutritive blood, or organ levels, hence they are the chief herbs.

Deputy Herbs: Shi Gao (Gypsum), Zhi Mu (Anemarrhena), Zhi Zi (Gardenia), Huang Qin (Scutellaria), Long Dan Cao (Gentiana), Ban Lan Gen (Isatis), Lian Qiao (Forsythia), Di Ding (Viola)

  • Shi Gao is acrid, sweet, and very cold, effectively clearing heat and draining fire, alleviating irritability and thirst;

  • Zhi Mu is bitter and sweet, clearing and draining, nourishing yin and moistening dryness;

  • Huang Qin is bitter and cold, effectively clearing heat and drying dampness, draining fire and detoxifying;

  • Zhi Zi is bitter and cold, effectively draining fire, alleviating irritability, and promoting urination;

  • Di Ding is bitter and cold, effectively clearing heat and detoxifying;

  • Long Dan Cao is bitter and cold, effectively clearing liver and gallbladder fire;

  • Ban Lan Gen is bitter and cold, effectively clearing heat, draining fire, and cooling blood to detoxify.

These seven herbs work together to assist the chief herbs in clearing heat and detoxifying, thus they are the deputy herbs.

Assistant Herbs: Mai Dong (Ophiopogon), Xuan Shen (Scrophularia), Di Huang (Rehmannia)

  • Mai Dong is sweet, moistening, slightly bitter, and slightly cold, effectively clearing heat, nourishing yin, and calming the heart;

  • Di Huang is sweet, moistening, bitter, and cold, effectively clearing heat, cooling blood, nourishing yin, and generating fluids;

  • Xuan Shen is bitter, sweet, salty, and cold, effectively clearing heat, cooling blood, and nourishing yin while lowering fire.

These three herbs work together to assist the chief and deputy herbs in clearing heat and draining fire, cooling blood and detoxifying, while also protecting the yin fluids to prevent damage from heat pathogens, thus they are collectively the assistant herbs.

The entire formula is composed mainly of bitter and cold herbs for clearing and draining, along with sweet and cold herbs for resolving, thus effectively performing the function of clearing heat and detoxifying, making it suitable for treating symptoms such as fever, red face, irritability, thirst, and sore throat caused by excessive heat and toxins; it can also be used for influenza and upper respiratory infections presenting with the aforementioned symptoms.

Combined Use of Heat-Clearing and Detoxifying Oral Liquid

1Viral Infections

Example Combination: Moroxydine Hydrochloride Tablets + Heat-Clearing and Detoxifying Oral Liquid + Kexueting Capsules + Watermelon Frost Lozenges (Watermelon Frost Spray, Jinsangzi, Huang’s Voice Lozenges, etc.) + Nebulization Therapy (especially for children)

2Bacterial Infections

Example Combination: Choose appropriate antibiotics based on test results, such as Roxithromycin, Cephalexin, Azithromycin, etc. + Heat-Clearing and Detoxifying Oral Liquid + Lozenges

For severe nasal congestion, nasal drops can be added to relieve congestion (not exceeding 20 mg per day), with 2-3 drops per nostril at intervals of 2-3 hours.

3Patients with Severe Fever and Headache Symptoms

Example Combination: Acetaminophen Tablets + Heat-Clearing and Detoxifying Oral Liquid + Kexueting Capsules/Phlegm-Clearing Tablets/Mucosolvan Oral Liquid + Traditional Chinese Medicine Lozenges/Aerosols

4Acne

Example Combination: Internal use of heat-clearing and detoxifying Chinese medicine (such as Heat-Clearing and Detoxifying Oral Liquid) + External use of wound healing and astringent agents (such as Zi Cao Ointment, Detoxifying and Healing Powder, or Qing Cha Tiao Fu Ruyi Jin Huang San, etc.)

5Hand, Foot, and Mouth Disease

Symptomatic treatment; for those with severe heat toxins, antiviral medications and heat-clearing and detoxifying herbal medicines (such as Heat-Clearing and Detoxifying Oral Liquid) can be administered, along with supplementation of vitamins B and C. During treatment, ensure isolation, oral care, and hygiene; trim the baby’s nails, and if necessary, wrap the baby’s hands to prevent scratching the rash.

Precautions for Heat-Clearing and Detoxifying Oral Liquid

  • Not suitable for those with wind-cold colds

  • Avoid smoking, alcohol, and spicy, cold, and greasy foods. It is not advisable to take nourishing Chinese herbs simultaneously during the medication period;

  • Children, pregnant women, nursing mothers, the elderly, and those with weak spleens and loose stools should take it under the guidance of a physician. Diabetic patients and those with severe chronic diseases such as hypertension, heart disease, liver disease, and kidney disease should also take it under medical supervision.

Conclusion:

When choosing heat-clearing and detoxifying medications, it is important to understand whether there are heat symptoms, such as fever, red face, irritability, thirst, sore throat, and whether facial acne presents with redness, swelling, and pain, confirming the presence of heat symptoms before recommending use.

Source: Combined Use of Medications

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