F O R S Y T H I A . 1 8

General Activities
clean toxin, dispel wind

Sample Indications for Use
infections of the skin, eyes, ears, nose, and throat, lymph node swelling, rashes due to allergens

To Personalise, Add
Kochia 13 for skin eruptions
Chien Li or Chrysanthemum 9 for eye inflammation
Lapis 16 for head congestion and ear infection
Zhu Dan Tablets or Coix Tablets for skin eruptions
Laminaria 4 or Scrophularia 12 for lymphatic swelling
Chrysanthemum 9 or Angelica 14 for headache accompanying common cold
Ilex 15 for sore throat

This formula may be used for treating acute ailments, requiring only a few days of therapy at a high dose (eg 5 tablets, 3 times daily), or it can be taken regularly for constitutional tendency to heat excess syndromes.

Manufacturing Specifications
Crude herbs are powdered and formed into 700 mg tablets. Bottling of 100 or 250 tablets.

Explanatory Notes
Forsythia 18 is a derivative of Bupleurum & Rehmannia Combination (Chaihu Qinggan Tang; Bupleurum Liver-Cleansing Decoction) and Schizonepeta & Forsythia Combination (Jingjie Lianqiao Tang), which are indicated for skin eruptions, middle ear infection, rhinitis, tonsillitis, acne, and other upper body infections. Forsythia 18 has applications similar to those in which modern antibiotics are used. From the traditional viewpoint, the formula dispels wind and cleans toxins. In the modern interpretation, several of the herbs in this formula have direct antibacterial activity (eg coptis, phellodendron, forsythia, lonicera), while some of the ingredients alleviate common symptoms, such as congestion and pain (eg chrysanthemum, schizonepeta, cnidium). In general, anti-infection formulas have a cold nature, but this one also has the warming herbs platycodon, schizonepeta, cnidium, siler, tang kuei, and myrrh that help resolve local congestion of qi, moisture, and blood. Digestive problems do not arise with use of this formula (even when used regularly) because there are no high doses of the herbs that might weaken the stomach/spleen. This formula might be differentiated from those that treat wind-heat. The influence of the toxin (see explanatory notes for Dictamnus 13) changes the syndrome from one that is of short duration and mostly involving congestion and heat to one that may last longer, recur frequently, and involves a localised manifestation of the most severe symptoms (eg ear ache, painful sinus obstruction).


Ingredients
English
Forsythia, Lonicera, Platycodon, Chrysanthemum, Schizonepeta, Gardenia, Cnidium, Scute, Peony, Bupleurum, Siler, Tang kuei, Arctium, Vitex, Phellodendron, Coptis, Licorice, Myrrh
Pin Yin
lianqiao, jinyinhua, jiegeng, juhua, jingjie, zhizi, chuanxiong, huangqin, baishao, chaihu, fangfeng, danggui, niubangzi, manjingzi, huangbai, huanglian, gancao, moyao