Liang+Ge+San+(Cool+the+Diaphragm+Powder)

Liang Ge San (Cool the Diaphragm Powder)
 * Category:** Clear Heat [accumulated heat in middle burner, blazing heat in upper burner]
 * Preparation:** Decoct with water.
 * Function:** Drains fire and unblocks the bowels by clearing the upper burner and draining the middle burner
 * Indications:** Sensation of heat and irritability in the chest and abdomen, delirious speech (in severe cases), thirst, flushed face and red lips, mouth and tongue sores, sore throat, swollen tongue, red eyes, nosebleed, constipation, dark scanty urine, red tongue body or edges with a dry yellow or white coat, rapid possibly slippery pulse
 * Clinical Applications:** Pharyngitis, stomatitis, tonsillitis, biliary tract infections, acute icteric hepatitis, conjunctivitis, lobar pneumonia, multiple furuncles, epilepsy, chronic renal failure
 * Contraindications:** Pregnancy, very weak patient

**Ingredients:**
Lian Qiao (18g.) Da Huang (9g.) Mang Xiao (9g.) Huang Qin (4.5g.) Zhi Zi (4.5g.) Bo He (4.5g.) Gan Cao (9g.)

**Analysis:**
//Chief:// Lian Qiao: clears heat, resolves toxicity

//Deputy:// Huang Qin, Zhi Zi: clear heat from three burners Da Huang, Mang Xiao: opens bowels to flush out heat

//Assistant:// Bo He, Dan Zu Ye: disperse heat and calm irritability

//Envoy:// Gan Cao: moderate and harmonize

**Modifications:**
Severe thirst: + Tian Hua Fen Severe mouth sores indicating excess heart fire: + Huang Lian, Di Gu Pi Childhood convulsions: + Gou Teng, Ling Yang Jiao Swollen and painful throat, strong fever, irritability, thirst, no constipation: - Da Haung, Mang Xiao; + Shi Gao, Jie Geng, Shan Dou Gen, Ban Lan Gen Nosebleed or vomiting blood that does not stop: + Bai Mao Gen Jaundice:+ Yin Chen, Yu Jin Yin deficiency: + Sheng Di Huang, Xuan Shen, Mai Men Dong Qi stagnation w/ distention and chest pain: + Chai Hu, Chuan Lian Zi