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Liangge San


Powder for Removing Heat from the Diaphram

  1. 凉膈散
  2. 涼膈散

The Prescription of Liangge San


The book Tai Ping Hui Min He Ji Ju Fang


  • Da Huang (Radix et Rhizoma Rhei) 600 g,
  • Po Xiao (Natrii Sulfas) 600 g,
  • Zhi Gan Cao (Radix Glycyrrhizae Preparata) 600 g,
  • Zhi Zi (Fructus Gardeniae) 300 g,
  • Bo He (Herba Menthae) 300 g,
  • Huang Qin (Radix Scutellariae) 300 g,
  • Lian Qiao (Fructus Forsythiae) 1,200 g,
  • Zhu Ye (Herba Lophatheri) adequate amount,
  • Feng Mi (Mel) adequate amount.


Lian Qiao: The principal drug, being bitter in flavor and slightly cold in nature, clearing away heat and toxic material.

Huang Qin: Removing stagnated heat pathogens from the heart and chest.

Zhi Zi: Purging intense heat in the tri-Jiao and directing it to go downward.

Bo He and Zhu Ye: Dispelling heat in the lung, stomach and heart.

Mang Xiao and Da Huang: Getting rid of pathogenic heat in the diaphragm and leading heat to go downward.

Bai Mi and Gan Cao: Relieving the drastic purgation of Mang Xiao and Da Huang and assisting them in promoting downward flow of heat.

The Effect of Liangge San


Purging intense heat to relieve constipation, leading heat to go downward and getting rid of it by purgation.


Syndrome due to heat produced by the accumulated pathogens in the upper and middle Jiao, marked by fever, thrist, flushed face and dry lips, burning sensation in the chest, aphthae, or sore throat, spitting blood, nasal bleeding, constipation, reddish urine, reddened tongue with yellowish coating, and slippery rapid pulse; including such diseases with the above sypmtoms as measles, pneumonia, tumor in the mediastinum, pulmonary abscess, etc.


The ingredients except Zhu Ye and Feng Mi were ground into powder, 6 g of wbich was mixed with 3 g of Zhu Ye and small amount of Feng Mi and decocted in water for the decoction, which was taken after meal, 3 times daily. (Or used as a decoction dose, whose dosage was reduced according to the proportions of the ingredients in the original prescription.)