This formula first appeared in the text Zhǒu Hòu Bèi Jí Fāng (Emergency Standby Remedies), by Gě Hóng (281–341 CE, Jìn dynasty). However, the name did not exist until it appeared in the text Wài Tái Mì Yào (Essential Secrets from Outside the Metropolis), written in 752 CE (Táng dynasty), by Wáng Táo. Also called Huang Lian Jie Du Wan / Pian.
While it is a strong formula that focuses on repletion heat, heat toxin, and damp-heat, it has a wide range of indications and it is also a perfect formula to use in small doses within a modular formula-combining approach. Huang Lian Jie Du Tang is a simple combination of the "three yellows" and Zhi Zi, which gives it a powerful and broad-ranging ability to clear heat and damp-heat in all three burners.
Clears fire and resolves toxin.
This formula treats rampant fire toxin in all three burners. When there is intense fire toxin, there is heat in both the inner body and the outer body.
All of the above signs are due to repletion heat and intense fire toxin, so the suitable treatment is to drain fire and resolve toxin.
In the formula, the greatly bitter and greatly cold medicinal huáng lián is the sovereign. It clears and drains heart fire while concurrently draining fire from the middle burner. Huáng qín is a minister; it drains fire from the upper burner. Huáng bǎi is classified as an assistant; it drains fire from the lower burner. Zhī zǐ is both an assistant and a courier; it clears and drains fire from all three burners and moves heat downward, conducting the heat evil out via the urine. The combined effect of these four medicinals is to directly eliminate fire evil from all three burners while resolving heat toxin.
Consult with qualified Traditional Chinese Medicine doctor before use.
This formula is bitter and cold, so it should not be used in excessive quantities or for prolonged periods of time to avoid damage to the spleen and stomach. It is not suitable for cases without intense fire toxin, as well as cases with severe damage to fluids.