A modern formula created in the 20th century, used in various modifications to remove accumulations of heat and fire toxin from all three burners, primarily the upper one. These can manifest as fever, distending headaches and/or sore throat, e.g., in cases of tonsillitis and other acute inflammations. It is also used to treat inflamed red eyes, styes (contains chrysanthemum and vitex), and inflammations in the ear or paranasal sinus areas, where the combination of Dahurian angelica, vitex, and catnip works excellently. The formula is also great for managing infections in wounds and ulcers manifesting as redness and pain, or possibly pus formation – thanks to the presence of skullcap, coptis, gardenia, and rhubarb, the mixture has naturally antibacterial effects and can treat all important sources of heat and fire toxin – it manages inflammations in all locations, best in the upper part of the body.

It also addresses conditions where heat accumulates in the section called Yang Ming (contains gypsum – the most effective herb for clearing it), which includes the stomach and large intestine meridians. Therefore, it is also very effective in resolving symptoms such as mouth ulcers, inflamed and swollen gums, nosebleeds, gastritis, and heat in the large intestine manifesting as constipation.

The mixture is also used to treat hidden latent heat – a hidden pathogen, primarily in the Yang Ming section. This can manifest as the occurrence of any of the listed symptoms in full force during an "acute flare-up" and randomly, often with a feeling of fatigue and exhaustion in the interim.

Indications:

• inflammations in various locations
• febrile illnesses
• reddening of the eyes
• conjunctivitis
• hot distending headaches, dizziness
• restlessness, irritability
• inflammation and bleeding of the gums
• mouth ulcers
• middle ear infections
• yellow to yellow-green nasal discharge during sinusitis
• hives
• red, swollen, and suppurating wounds and ulcers
• pneumonia
• urinary tract infections
• burning during urination
• constipation
• hidden latent heat

Modern use:

• febrile illnesses
• conjunctivitis
• hordeolum – stye
• sinusitis
• otitis
• pneumonia
• urinary tract infections
• acute candidiasis (yeast infection)

Tongue:

• red with a yellow coating

Pulse:

• shu
• hua

Contraindications:

• absence of heat symptoms!
• this is a formula that is very cold in nature; if there were no heat and fire toxin in the organism, it could lead to injury of the spleen and diarrhoea
• it is necessary not to exceed the recommended dosage
• caution is also required during pregnancy

Notes:

Use until the heat symptoms (combination of heat, redness, swelling, pain, or suppuration) subside or change significantly.