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Ensure the ingredients are consistent.
Indications: Clears heat and detoxifies, reduces swelling and alleviates pain, promotes bowel movement and expels heat.
Indications for Use: Suitable for sore throat, gum swelling, mouth ulcers, red and swollen eyes, constipation caused by excessive internal heat.
Symptoms: Sore throat, gum swelling, mouth ulcers, red and swollen eyes, constipation.
Composition: Artificial Niu Huang (Bovine Bile), Xiong Huang (Realgar), Shi Gao (Gypsum), Da Huang (Rhubarb), Huang Qin (Scutellaria), Jie Geng (Platycodon), Bing Pian (Borneol), Gan Cao (Licorice).
Formula Analysis:
Chief: Niu Huang as the chief herb, clears heat and detoxifies;
Deputy: Shi Gao, Da Huang, Huang Qin clear heat and toxins from the middle and upper jiao, with Da Huang purging fire and promoting bowel movement, expelling heat; Bing Pian and Xiong Huang clear heat and detoxify, reduce swelling and dissipate nodules;
Assistant: Jie Geng clears and benefits the throat;
Envoy: Gan Cao clears heat and detoxifies, harmonizes the other herbs.
Modern Indications: Used for treating pharyngitis, tonsillitis, and primary thrombocythemia associated with excessive heat toxins. Topically, it can treat herpes zoster associated with excessive heat toxins.
Diagnostic Key Points:
Pharyngitis, gum swelling, mouth ulcers, red and swollen eyes, constipation caused by excess heat in the middle jiao (often occurs after excessive intake of spicy or barbecued foods).
Observation of tongue: Red tongue with yellow coating.
Precautions:
Contraindicated for pregnant women, nursing mothers, and infants.
This product has a cold nature; patients with spleen and stomach deficiency may experience abdominal pain, diarrhea, nausea, and vomiting after taking it, so caution is advised for such patients.
Personal Analysis:
Let’s compare Huang Lian Shang Qing Pian and Niu Huang Jie Du Pian:
Huang Lian Shang Qing Pian, is for wind-heat excess in the upper jiao, with symptoms concentrated in the head and face; the heat evil may be caused by external heat or by consuming spicy or barbecued foods.
Niu Huang Jie Du Pian, on the other hand, addresses heat toxins accumulating in the middle jiao (stomach and intestines), likely due to the consumption of spicy or barbecued foods, but there are other causes as well.
Huang Lian Shang Qing Wan disperses wind-heat from the upper part with a series of ascending herbs, while Niu Huang Jie Du Pian completely expels heat from the lower part;
Thus, if taken incorrectly, it may lead to abdominal pain and diarrhea.
Niu Huang has a strong heat-clearing and detoxifying power; Xiong Huang has a strong detoxifying and swelling-reducing effect; Bing Pian has a strong dispersing ability; together they act quickly, powerfully, and can reach further.
Therefore, among heat-clearing and detoxifying medicines, Niu Huang Jie Du Pian is considered a top-tier option and should not be used lightly;
For severe conditions like herpes zoster, it can penetrate effectively, and for other heat toxin-related sores, it is even more effective;
For sore throat caused by a cold or general sore throat, Huang Lian Shang Qing Pian or Ban Lan Gen granules will suffice; do not hastily call upon the top-tier option.
Key Points for Differentiating Between Excess and Deficiency Heat:
Excess heat is characterized by acute redness, swelling, and pain; deficiency heat is recurrent, with mild pain or severe pain without redness, swelling, or heat, sometimes presenting as dry pain;
Excess heat shows a yellow tongue coating, while deficiency heat does not.
Excess heat responds quickly to heat-clearing and detoxifying medicines, while deficiency heat is difficult to treat and may even worsen.
Heat must be expelled; it can either be released from above or expelled from below.Thus, TCM treatment is akin to Da Yu controlling floods; it is better to guide than to block, reflecting wisdom in all aspects.
TCM medication must be differentiated; for reference reading on differentiation knowledge:Comprehensive summary of TCM differentiation, simpler than textbooks, recommended for collection!For specific pharmacological properties of each ingredient, refer to:Summary of TCM stories from a grandfather and grandson, introducing over 400 types of herbs.Warm reminder:This article is for reference only; please use medications cautiously. If in doubt, consult a professional TCM practitioner.For a directory of Chinese patent medicines, click the blue text for details:Introduction: Let the wisdom of TCM and herbal medicine return to the people.Releasing the Exterior/ Wind-Cold Cold/ Spicy-Warm Releasing the ExteriorCommon Symptoms:Fear of cold or wind, slight fever, body aches, sneezing, clear nasal discharge, dry throat, cough with clear phlegm, thin white coating.Distinguishing Symptoms:No sweating/ fear of cold/Exterior Excess syndrome Wind-Cold Cold GranulesNo sweating/ fear of cold/ significant headache and body pain/Exterior Excess with dampness Jing Fang Granules/ Jing Fang Bai Du SanNo sweating/ fear of cold/ significant cough and wheezing/Exterior Excess/ Lung Qi not dispersing Tong Xuan Li Fei WanNo sweating/ fear of cold/ cough with clear phlegm/ chest tightness/ swelling/External Cold with Internal Dampness Xiao Qing Long Granules/ MixtureWith sweating/ fear of wind/ not thirsty/Exterior Deficiency syndrome Gui Zhi Granules/ MixtureWith sweating/ fear of wind/ cough with phlegm/Exterior Deficiency Exterior Deficiency Cold Granules
Releasing the Exterior/ Wind-Heat Cold/ Wind-Cold Cold Development Stage/ Spicy-Cool Releasing the Exterior
Common Symptoms:Fever, slight aversion to wind and cold, no sweating or sweating not smooth, headache, thirst, sore throat, cough, yellow phlegm, yellow nasal discharge, red tongue, thin white or slightly yellow coating.
Distinguishing Symptoms:
Low fever/sore throat/thirst Yin Qiao Jie Du Wan/Capsule/Granule
Low fever/sore throat/cough with yellow phlegm Sang Ju Gan Mao Granules/Tablets
High fever/no sweating/sore throat/constipation/urine red and painful Fang Feng Tong Sheng Wan
Harmonizing Category/ Harmonizing Shaoyang/ Wind-Cold Cold Development Stage
Symptoms:Alternating chills and fever/ bitter mouth and dry throat/ poor appetite/ migraine/ dizziness, etc. Xiao Chai Hu Granules
Clearing Heat and Detoxifying Category/ Clearing Upper Jiao Heat/ Also Spicy-Cool Releasing the Exterior
Common Symptoms:Wind-heat exterior syndrome, or wind-cold transforming into heat,fever, headache, sore throat, various heat excess symptoms in the head and face.
Distinguishing Symptoms:
Sore throat/tonsillitis Ban Lan Gen Granules
Dry sore throat/thirst Qing Re Jie Du Oral Liquid
Sore throat/ turbid nasal discharge, yellow phlegm Anti-Viral Oral Liquid
Cough Suppressing and Phlegm ResolvingCategory/ Cold Cough/ Cold-Heat Mixed/ or Also Releasing the Exterior
Common Symptoms: Coughing, wheezing, with phlegm, or also with wind-cold exterior syndrome
Cold Cough/Wind-Cold Cold/nasal congestion, headache/body aches/chills and fever/heavy cough/clear phlegm Ke Chuan Ning GranulesCold Cough/Phlegm-Dampcough/cold or pharyngitis induced/recurrent cough/heavy cough/white or gray phlegm Ju Hong Tan Ke Granules/Mixture
Cold-Heat Mixed/Exterior Cold with Interior Heat/body heat/thirst/cough with yellow phlegm/wheezing/chest tightness Ma Xing Shi Gan Pian/Ma Xing Zhi Ke Syrup
Cough Suppressing and Phlegm ResolvingCategory/ Lung Heat/Lung Dryness/LungYin Deficiency
Common Symptoms: Coughing, wheezing, dry mouth, dry throat, phlegm, or little thick yellow phlegm, or dry cough without phlegm, or phlegm with blood.
Heat Cough/Dry Cough/little thick yellow phlegm/or cough with difficulty/or dry cough without phlegm/sore throat/chest tightness Chuan Bei Pi Pa Gao/Syrup/Snake Gall Chuan Bei Pi Pa Gao
Dry Cough/Yin Deficiency with Lung Heat/cough/wheezing/dry mouth and throat Chuan Bei Xue Li Gao/Strong Pi Pa Liquid/Er Dong Gao
Dry Cough/Lung and Kidney Yin Deficiency/Chronic Cough/dry cough with little phlegm/blood in phlegm/dry throat pain Bai He Guo Jin Wan
Heat Cough/phlegm abundant/wheezing/chest tightness/stroke tongue stiffness/phlegm retention/children’s phlegm heat convulsions Xian Zhu Li Oral Liquid
Heat Cough/thick yellow phlegm Compound Xian Zhu Li Liquid
Cough Suppressing and Wheezing ResolvingCategory/Yin Deficiency/Kidney not receiving Qi
Common Symptoms: Weak cough/recurrent cough/wheezing/with deficiency symptoms/shortness of breath and fatigue.
Lung and Kidney Deficiency/Yin Deficiency with Lung Heat/recurrent cough with deficiency symptoms/elderly wheezing/shortness of breath and heat/feeling full and depressed/spontaneous sweating/night sweating/loss of appetite Ge Jie Ding Chuan Wan
Spleen and Kidney Deficiency/Spleen deficiency with phlegm accumulation/Kidney Qi not firm//coughwith phlegm/wheezing/shortness of breath/acute wheezing Gu Ben Ke Chuan Pian/Elderly Cough and Wheezing Capsules
Phlegm Resolving Category/ Drying Dampness and Resolving Phlegm
Common Symptoms: Coughing/phlegm abundant/white phlegm.
Phlegm Cough/Transforming Cold Phlegm and Damp Phlegm/Excess Syndrome Er Chen Wan
Phlegm Cough/Transforming Cold Phlegm and Damp Phlegm/Deficiency Syndrome/Spleen and Stomach Deficiency Chen Xia Liu Jun Zi Wan
Clearing Heat and Detoxifying Category/ClearingHeat Toxins/Sores and CarbunclesAbscesses
Various red, swollen, and painful conditions of the head and face/constipation/short red urine Huang Lian Shang Qing Pian
Light wind-heat symptoms/heat exhaustion with continuous sweating/light heat toxin sores Jin Yin Hua Lu
Sore throat/gum swelling/mouth ulcers/red and swollen eyes/constipation/herpes zoster/heat toxinsores Niu Huang Jie Du Pian
……
For previous summary articles, click to read:
-
[Learning Together] Summary of Teacher Xuan Bin’s External Treatment Methods (including thousands of cases), all conditioning methods from head to toe are here.
-
[Ni Hai Xia’s Human Record Series on Acupuncture] Video and text version, a total of 78 episodes summary directory.
- [Silly Uncle’s Acupuncture Series] Summary.
-
Knowing by Observation: A Comprehensive Summary of TCM Tongue Diagnosis and Hand Diagnosis!
-
Comprehensive Summary of TCM Differentiation, simpler than textbooks, recommended for collection!
- Clinical Applications of the Twelve Regular Meridians and Eight Extraordinary Vessels Summary.
- [Little Doctor’s Medical Records: Stories of a Grandfather and Grandson] Summary, introducing over 400 types of herbs.
- Storytelling, video explanations, all of Wu Ge’s treasures are here!
- Simple health-preserving techniques, external treatment and internal adjustment methods, common disease analysis, and a collection of dietary therapy formulas.
- [Family Fate Master: Zi Wei Dou Shu] Introductory summary.
