Medicina China HoyTraditional Chinese Medicine
Classical formula · Harmonize the Liver

Lóng Dǎn Xiè Gān Tāng

Lóng Dǎn Xiè Gān Tāng (龙胆泻肝汤, “Gentiana Drain the Liver Decoction”) comes from Yi Fang Ji Jie (1682 CE). Drains the fire of the Liver and Gallbladder, eliminates heat-humidity of the Lower Jiao.

龙胆泻肝汤 · Gentiana Drain the Liver DecoctionUpdated on
Lóng Dǎn Xiè Gān Tāng

Main action

Drains the fire of the Liver and Gallbladder, eliminates heat-humidity of the Lower Jiao

Intense drainage formula. The classic says: 'as bitter as bile', reflecting its power. It should be used with diagnostic precision and for short periods.

Indications

  • Severe headache with anger
  • Rib pain
  • red eyes
  • Acute tinnitus
  • Jaundice
  • Genital itching
  • Yellow leucorrhoea
  • painful urination
Tongue
Red, yellow and greasy coating
Pulse
Rope, fast and slippery

Composition

HerbRoleDoseFunction
Lóng Dǎn Cǎo 龙胆草Emperor (君 jūn)9gDrains fire from the Liver and Gallbladder, eliminates damp heat
Huáng Qín 黄芩Minister (臣 chén)9gDrains heat from the Liver, Lung and Gallbladder
Zhī Zǐ 栀子Minister (臣 chén)9gDrains heat from all three heaters
Zé Xiè 泽泻Minister (臣 chén)9gDrains moisture from the Lower Jiao
Mù Tōng 木通Minister (臣 chén)6gDrains heat-humidity through urine
Chē Qián Zǐ 车前子Minister (臣 chén)9gDrains heat-humid, diuretic
Shēng Dì Huáng 生地黄Assistant (佐 zuǒ)9gNourishes Yin, prevents bitters from damaging Yin
Dāng Guī 当归Assistant (佐 zuǒ)6gNourishes Blood, prevents damage from drains
Chái Hú 柴胡Envoy (使 shǐ)6gGuide to the Liver and Gallbladder
Gān Cǎo 甘草Envoy (使 shǐ)6gHarmonizes, protects the Stomach

The emperor–minister–assistant–envoy hierarchy (君臣佐使) describes the role of each herb in the formula.

Preparation

Decoction: boil 30 min, take 2 times/day. Do not use more than 1-2 weeks in a row

Current uses being studied

  • Acute shingles
  • Urinary infections
  • Pelvic inflammatory disease
  • Acute hepatitis
  • Hypertension with severe headache

Precautions

  • Only for excess conditions, NEVER in deficiency
  • Do not use long term: damages the Yin and Spleen
  • Mu Tong (Aristolochia) should be avoided: nephrotoxic; replace with Deng Xin Cao

Formulas must be prescribed by qualified professionals; they can interact with medications.

Profile

Chinese name
龙胆泻肝汤
English name
Gentiana Drain the Liver Decoction
Source
Yi Fang Ji Jie (1682 CE)
Dynasty
Qing
Category
Harmonize the Liver
Constitutions
Damp-Heat Constitution

Health notice. Educational and study content. It describes concepts of Traditional Chinese Medicine and does not replace diagnosis or treatment by a healthcare professional. Needling, medicinal herbs and invasive techniques must be applied by trained professionals. Safety guide.