Four-Ingredient Elsholtzia Decoction

December 16, 2025 admin

【Source】

《Collection of Medical Formulas (Yī Fāng Jí Jiě)》

 【Ingredients】

Xiang Ru (Elsholtzia), Jiang Hou Po (Magnolia Bark prepared with ginger), Chao Bian Dou (Stir-fried Hyacinth Bean), Jiang Huang Lian (Coptis prepared with ginger)
(4)

 【Ingredient Categories】

<Invigorating Spleen and Qi>: Stir-fried Hyacinth Bean

<Clearing Heat and Drying Dampness>: Coptis prepared with ginger

<Releasing the Exterior with Pungent-Warm Herbs>: Elsholtzia

<Aromatic Herbs for Transforming Dampness>: Magnolia Bark prepared with ginger

【Formula’s Medicinal Principles】

According to 《Collection of Medical Formulas》: These are medicines affecting the Hand Shaoyin, Hand and Foot Taiyin, and Foot Yangming meridians. (1)Xiang Ru (Elsholtzia): Pungent, warm, and aromatically dispersing, it enters the Spleen and Lung Qi divisions, promotes the diffusion of Yang Qi to dispel the steaming heat from the skin. (2)Hou Po (Magnolia Bark): Bitter and warm, it eliminates dampness and disperses fullness, resolving stagnation in the chest and abdomen. (3) Bian Dou (Hyacinth Bean): Sweet and bland, it dispels summer-dampness from the Spleen and Stomach, descends turbidity and ascends clarity. (4)Huang Lian (Coptis): Bitter and cold, it enters the Heart and Spleen to clear heat and alleviate vexation.

 【Functions】

Clears summer-heat and resolves heat.

 【Indications】

External contraction of summer-heat, with steaming heat on the skin, headache with a heavy sensation, spontaneous sweating and limb fatigue, or vexation and thirst, or vomiting and diarrhea. Yin summer-heat with cough and severe fever. According to 《Collection of Medical Formulas》: All cases of summer-heat common cold, steaming heat on the skin, headache with a heavy sensation, spontaneous sweating and limb fatigue, or vexation and thirst, or vomiting and diarrhea.

 【Mnemonic】

(1) ‘Four people want to drink like an ox’ (sì wèi xiǎng niú yǐn), a phonetic similarity to ‘Four-Ingredient Elsholtzia Decoction’ (sì wèi xiāng rú yǐn). The result is ‘a face flat like a monkey’ (liǎn biǎn rú hóu), phonetically linked to the ingredients: Lian (Huang Lian), Bian (Bian Dou), Ru (Xiang Ru), Hou (Hou Po). (2) Another mnemonic: ‘A-Bian needs thick skin’ (ā biǎn xū hòu liǎnpí), phonetically linked to Bian (Bian Dou), Ru (Xiang Ru), Hou (Hou Po), Lian (Huang Lian).

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