Huang Qin Tang黄芩汤
Scutellaria Decoction
Ingredients4 herbs
Indications
Heat diarrhoea and early heat dysentery: heat descends into the Intestines and drives the stool out, while the abdominal muscles cramp against it. Two herbs cool, two soften — no draining and no purging are needed at this stage.
Clinical Manifestations
- Watery diarrhoea with fever and a bitter taste
- Cramping abdominal pain relieved by pressure of warmth
- Early dysenteric diarrhoea before pus and blood appear
- Gastroenteritis with heat signs
- Loose stools with abdominal pain during a febrile illness
Health Categories
Modern Applications
Common adjustments
- Nausea and vomiting alongside — add Zhi Ban Xia 制半夏 and Sheng Jiang 生姜 — Huang Qin Jia Ban Xia Sheng Jiang Tang
- Pus and blood appear in the stool — the pattern has become a true dysentery — move to Shao Yao Tang 芍药汤 or Bai Tou Weng Tang 白头翁汤
- Severe cramping — increase Bai Shao 白芍 with the licorice
Contraindications
Not for diarrhoea of Spleen deficiency cold, with undigested food in a watery stool and a cold abdomen. Not for diarrhoea from food stagnation, which needs the stagnation cleared first. Fever with diarrhoea in a child or an older adult calls for medical assessment because of the dehydration risk.
For licensed practitioners’ reference only — not a self-treatment guide.
Pregnancy
Generally compatible in pregnancy under practitioner supervision — Huang Qin is in fact a classical fetus-quieting herb for heat patterns, and nothing here purges. Fever with diarrhoea in pregnancy should still be assessed medically.
Related Formulas
References
Source Shang Han Lun 《伤寒论》 · Eastern Han
「太阳与少阳合病,自下利者,与黄芩汤。」
- Classical source (public domain), cited in the source-quote section.
2. Scheid, Bensky, Ellis & Barolet. Chinese Herbal Medicine: Formulas & Strategies, 2nd ed. — composition & dosage cross-checked.
3. 《方剂学》(全国中医药行业高等教育规划教材)— pattern analysis cross-checked.
Professional reference notice. Entries are scholarly references for licensed TCM practitioners and students — not medical advice, and not a recommendation to self-prescribe. Chinese herbal formulas should be used under the guidance of a qualified practitioner. Content is an original editorial compilation by Cura x Cura, cross-checked against the cited references.
