Ge Gen Qin Lian Tang

Classical TCM Formula Profile

Part of the HJMEDICAL TCM Discovery Center

葛根黄芩黄连汤 · Gé Gēn Huáng Qín Huáng Lián Tāng

A Shang Han Lun formula for exterior not fully resolved with interior heat pouring downward, causing fever and diarrhoea (or dysentery-like stools) with a rapid pulse.

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Quick Facts

Formula Category
Heat-Clearing Formulas
Primary Pattern
Damp-Heat
Primary Function
Release exterior, clear interior heat, stop diarrhoea
Primary Therapeutic Principle
Clear heat from the exterior and interior and stop dysentery-like diarrhoea
Classical Source
Shang Han Lun (Zhang Zhongjing, Eastern Han)
Available as Granules
Yes

Formula Overview

A Shang Han Lun formula for exterior not fully resolved with interior heat pouring downward, causing fever and diarrhoea (or dysentery-like stools) with a rapid pulse.

Therapeutic Principle

Traditionally selected for diarrhoea with heat signs and incomplete resolution of the exterior — the representative formula for heat-type diarrhoea rather than cold or Liver-Spleen patterns.

Composition: Sovereign, Minister, Assistant, Envoy

Every herb in the formula, grouped by the job it does in the classical hierarchy.

Classical Composition

  • Radix Puerariae (Ge Gen) 15g
  • Radix Scutellariae (Huang Qin) 9g
  • Rhizoma Coptidis (Huang Lian) 9g
  • Radix et Rhizoma Glycyrrhizae Praeparata cum Melle (Zhi Gan Cao) 6g

Dosages follow the classical source and are shown for study, not as a prescription.

Related Conditions

Related Health Topics

Actions

  • Releases the exterior and clears interior heat
  • treating heat dysentery with lingering exterior signs.

Indications

  • This formula is indicated for unresolved exterior with interior heat pouring downward.
  • Signs and symptoms include fever, sweating, burning diarrhea or dysentery, and a rapid pulse.

Tongue & pulseThe tongue coating is yellow.

Traditional Pathogenesis

Cause & mechanism

  • This pattern is caused by damp-heat brewing in the middle or lower jiao, or streaming into the channels.
  • Unresolved exterior with interior heat pouring downward produces fever, sweating and burning dysentery or diarrhea.

Clinical presentation

  • Heat and dampness together produce a heavy, burning or greasy presentation with yellow coating and a slippery rapid pulse.

Treatment strategy

  • The correct method is to clear heat, drain dampness, and resolve the brewing pathogen.
  • In this formula the emphasis is to clear heat from the exterior and interior and stop dysentery-like diarrhoea.

How does this formula compare?

Compare Ge Gen Qin Lian TangBai Tou Weng TangLi Zhong TangTong Xie Yao Fang
Primary Function Release exterior, clear interior heat, stop diarrhoeaClear heat, resolve toxin, cool the Blood, stop dysenteryWarm Middle, tonify Spleen YangSoothe Liver, strengthen Spleen, stop painful diarrhoea
Formula Category Heat-Clearing FormulasHeat-Clearing FormulasYang-Tonifying FormulasHarmonising Formulas
Typical TCM Pattern Damp-HeatDamp-HeatYang DeficiencyQi Stagnation
Main Conditions Diarrhea·Fever·Abdominal Pain·Dry Mouth & ThroatDiarrhea·Abdominal Pain·Fever·Dry Mouth & ThroatAbdominal Pain·Diarrhea·Stomach Discomfort·Poor AppetiteDiarrhea·Abdominal Pain·Bloating·Emotional Depression
Main Herbs Kudzu Root·Scutellaria / Baikal Skullcap·Coptis Rhizome·Honey-fried LicoricePulsatilla Root·Phellodendron Bark·Coptis Rhizome·Ash BarkGinseng Root·Dried Ginger·White Atractylodes Rhizome·Honey-fried LicoriceWhite Atractylodes Rhizome·White Peony Root·Tangerine Peel·Saposhnikovia Root
Classical Source Shang Han Lun (Zhang Zhongjing, Eastern Han)Shang Han Lun (Zhang Zhongjing, Eastern Han)Shang Han Lun (Zhang Zhongjing, Eastern Han)Dan Xi Xin Fa (Zhu Danxi, Yuan dynasty)

Clinical Perspective

Ge Gen Qin Lian Tang clears heat for feverish diarrhoea with residual exterior signs. Bai Tou Weng Tang is stronger for damp-heat dysentery with more toxin. Li Zhong Tang warms the Middle for cold-type diarrhoea. Tong Xie Yao Fang soothes Liver and strengthens Spleen for painful diarrhoea from Liver-Spleen disharmony.

Clinical Differentiation

  • Ge Gen Qin Lian Tang is used for an unresolved exterior with interior heat pouring downward as burning diarrhea or dysentery.
  • Ge Gen releases the lingering exterior while Huang Qin and Huang Lian clear interior heat.
  • It is distinguished from Bai Tou Weng Tang (deeper dysentery heat-toxin) and from Ge Gen Tang (pure exterior, no dysentery).

Safety notes: Huang Qin and Huang Lian are bitter and cold. This formula is not appropriate for deficiency-cold diarrhea.

For educational reference only, based on traditional pattern differentiation — not a substitute for professional advice.

Frequently Asked Questions

What are the actions of Ge Gen Huang Qin Huang Lian Tang?
Ge Gen Huang Qin Huang Lian Tang has the actions of releasing the exterior and clearing the interior, clearing Heat, and stopping dysentery or diarrhea. It addresses residual exterior Heat while clearing Damp-Heat that has entered the intestines.
Which modern diseases is Ge Gen Huang Qin Huang Lian Tang suited to?
Modern TCM clinical practice commonly applies it to individuals whose pattern differentiation falls within residual exterior with interior Heat or intestinal Damp-Heat, including acute bacterial dysentery, acute gastroenteritis with fever and foul diarrhea, certain inflammatory bowel presentations with Heat signs, and supportive use in some Damp-Heat patterns associated with metabolic issues.
Is Ge Gen Huang Qin Huang Lian Tang suitable for improving fever with foul-smelling diarrhea and burning anus?
For presentations of fever (often with sweating), urgent foul-smelling diarrhea, burning sensation around the anus, thirst, irritability or chest/epigastric heat, a yellow tongue coating, and a rapid pulse — in those whose pattern differentiation confirms residual exterior Heat with interior intestinal Heat — TCM commonly applies Ge Gen Huang Qin Huang Lian Tang as an adjunct. It cannot replace standard medical treatment.
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Medical Disclaimer

For general TCM education only — not medical advice. Consult a qualified TCM practitioner or licensed healthcare provider before use, especially if pregnant, nursing, on medication, or managing a chronic condition.

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