Huang Lian E Jiao Tang

Classical TCM Formula Profile

Part of the HJMEDICAL TCM Discovery Center

黃連阿膠湯 · Huáng Lián Ē Jiāo Tāng

A classical Shang Han formula for Shaoyin heat conversion — heart fire with Kidney Yin deficiency, insomnia and irritability.

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Quick Facts

Formula Category
Heat-Clearing Formulas
Primary Pattern
Heart Fire
Primary Function
Clear Heart fire, nourish Yin and blood, calm spirit
Primary Therapeutic Principle
Clear Heart fire and nourish Yin-blood for restless sleep
Classical Source
Shang Han Lun (Zhang Zhongjing, Eastern Han)
Available as Granules
Yes

Formula Overview

A classical Shang Han formula for Shaoyin heat conversion — heart fire with Kidney Yin deficiency, insomnia and irritability.

Therapeutic Principle

Traditionally selected for Shaoyin heat conversion with Heart fire and Kidney Yin deficiency insomnia, rather than pure blood-deficiency insomnia, Heart Yin-blood deficiency, or residual chest heat after exterior release.

Composition: Sovereign, Minister, Assistant, Envoy

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

Classical Composition

  • Rhizoma Coptidis (Huang Lian) 9g
  • Radix Scutellariae (Huang Qin) 6g
  • Colla Corii Asini (E Jiao) 9g
  • Radix Paeoniae Alba (Bai Shao) 6g
  • Galli Gigerii Endothelium Corneum / Egg Yolk (Ji Zi Huang) 2pcs

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

Related Conditions

Related Health Topics

Actions

  • Enriches yin
  • downs fire
  • and calms the spirit in shaoyin heat conversion.

Indications

  • This formula is indicated for shaoyin heat conversion with yin-fluid injury.

Tongue & pulseSigns and symptoms include vexation, inability to sleep, and a fine rapid pulse. The tongue is red with little coating.

Traditional Pathogenesis

Cause & mechanism

  • This pattern is caused by heart fire harassing the spirit and scorching yin.

Clinical presentation

  • Fire agitates the mind, producing insomnia, vexation, sores on the tongue, and a rapid pulse.
  • Shaoyin heat conversion with yin-fluid injury produces vexation, inability to sleep, and a fine rapid pulse.

Treatment strategy

  • The correct method is to clear heart fire, nourish yin, and calm the spirit.
  • In this formula the emphasis is to clear Heart fire and nourish Yin-blood for restless sleep.

How does this formula compare?

Compare Huang Lian E Jiao TangSuan Zao Ren TangTian Wang Bu Xin DanZhi Zi Chi TangAn Gong Niu Huang Wan
Primary Function Clear Heart fire, nourish Yin and blood, calm spiritNourish Blood, calm the spirit, clear heatNourish Yin and Blood, tonify the Heart, calm the spiritClear heat, relieve restlessness and irritabilityClear heat, open the orifices, cool blood, resolve phlegm
Formula Category Heat-Clearing FormulasCalm the Shen FormulasCalm the Shen FormulasHeat-Clearing FormulasOrifice-Opening Formulas
Typical TCM Pattern Heart FireBlood DeficiencyYin DeficiencyHeart FireHeart Fire
Main Conditions Insomnia·Anxiety RestlessnessInsomnia·Anxiety Restlessness·Dry Mouth & Throat·Night SweatsInsomnia·Anxiety Restlessness·Palpitations·Dry Mouth & ThroatInsomnia·Anxiety RestlessnessFever·Headache·Anxiety Restlessness·Poor Sleep Quality
Main Herbs Coptis Rhizome·Scutellaria / Baikal Skullcap·White Peony Root·Donkey-hide Gelatin·Egg YolkSour Jujube Seed·Poria / Hoelen·Anemarrhena Rhizome·Chuanxiong Rhizome·Licorice RootRaw Rehmannia Root·Ginseng Root·Scrophularia Root·Salvia Root·Poria / HoelenGardenia Fruit·Prepared SoybeanCattle Gallstone·Water Buffalo Horn·Musk·Coptis Rhizome·Scutellaria / Baikal Skullcap
Classical Source Shang Han Lun (Zhang Zhongjing, Eastern Han)Jin Gui Yao Lue (Zhang Zhongjing, Eastern Han)She Sheng Mi Pou (Ming dynasty) / classical Heart-Yin tonic traditionShang Han Lun (Zhang Zhongjing, Eastern Han)Wen Bing Tiao Bian (Wu Jutong, 1798)

Clinical Perspective

Huang Lian E Jiao Tang, Suan Zao Ren Tang, Tian Wang Bu Xin Dan and Zhi Zi Chi Tang calm spirit or clear Heart heat. Suan Zao Ren Tang nourishes blood for Yin-blood deficiency insomnia; Tian Wang Bu Xin Dan nourishes Heart Yin and blood; Zhi Zi Chi Tang vents residual chest heat. Huang Lian E Jiao Tang clears Heart fire and nourishes Yin-blood for Shaoyin heat conversion — insomnia and irritability from Heart fire with Kidney Yin deficiency.

Clinical Differentiation

  • Huang Lian E Jiao Tang is used for shaoyin heat conversion with yin-fluid injury: vexation and inability to sleep, a fine rapid pulse.
  • It is distinguished from Suan Zao Ren Tang and Tian Wang Bu Xin Dan, and from Zhi Zi Chi Tang (residual chest heat after an exterior pattern).

Safety notes: This formula is bitter and cold plus enriching. It is not appropriate for spleen-stomach deficiency-cold insomnia.

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

Frequently Asked Questions

What are the actions of Huang Lian E Jiao Tang?
Huang Lian E Jiao Tang has the actions of nourishing Yin, draining Fire, and calming the Spirit. It is Shang Han Lun’s formula for Shao Yin that has transformed into Heat: Heart Fire blazes above while Kidney Yin is insufficient below, producing vexation and inability to sleep.
Which modern conditions is Huang Lian E Jiao Tang suited to?
Modern TCM clinical practice commonly applies it to individuals whose pattern differentiation falls within Heart-Kidney disharmony with Yin deficiency and Fire, including insomnia with vexation and a red tongue tip, some post-febrile restlessness of this pattern, and empty-Fire agitation after medical and psychiatric causes have been assessed.
Is Huang Lian E Jiao Tang suitable for improving insomnia with a burning, restless Heart?
For presentations of inability to sleep, vexation, a dry mouth or throat, a red tongue (especially the tip) with scant coating, and a thin rapid pulse — in those whose pattern differentiation confirms Shao Yin Heat transformation — TCM commonly applies this formula as an adjunct. Severe depression, chest pain, or thoughts of self-harm need appropriate medical care first.
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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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