Formula

Jing Jie Lian Qiao Tang

Schizonepeta and Forsythia Decoction | 荆芥连翘汤

Also known as:

Schizonepeta & Forsythia

Key Ingredients

Jing Jie, Lian Qiao

*These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.

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About This Formula

Traditional Chinese Medicine background and properties

Formula Description

A formula used for inflammatory conditions of the head, face, and skin, especially in younger people who tend to run hot. It clears internal Heat and toxins, disperses Wind, moves Blood, and soothes Liver Qi, making it particularly suited for acne, sinusitis, ear infections, tonsillitis, and similar conditions marked by redness, swelling, and pain.

Formula Category

Main Actions

  • Clears Heat and Resolves Toxicity
  • Disperses Wind
  • Nourishes Blood and cools the Blood
  • Moves Qi and Resolves Stagnation
  • Unblocks the Nasal Passages
  • Soothes the Liver and Regulates Qi

TCM Patterns

In TCM, symptoms don't appear randomly — they cluster into recognizable patterns of disharmony that reveal what's out of balance in the body. Jing Jie Lian Qiao Tang is traditionally associated with these specific patterns.

The following describes this formula's classification within Traditional Chinese Medicine theory and is provided for educational purposes only.

Why Jing Jie Lian Qiao Tang addresses this pattern

Wind-Heat lodged in the Upper Burner and head region drives many of the acute inflammatory symptoms this formula targets. When Wind-Heat invades or is generated internally, it rises to the head and face, causing red, swollen, and painful conditions of the ears, nose, throat, eyes, and skin. The formula directly disperses Wind with Jing Jie, Fang Feng, Bai Zhi, and Bo He while clearing the Heat component with Lian Qiao, Huang Qin, Shan Zhi Zi, and the other bitter cold herbs. Jie Geng guides the formula to the Upper Burner where the Wind-Heat is lodged.

A practitioner would look for one or more of these signs

Nasal Congestion

With thick, yellow or turbid nasal discharge

Sore Throat

Red, swollen, painful throat or tonsils

Heart Pain

Ear swelling and pain, possibly with discharge

Headaches

Frontal or temporal headache with a feeling of heaviness

Acne

Red, inflamed, pus-filled lesions on the face

Red Eyes

Bloodshot, irritated eyes with discharge

How It Addresses the Root Cause

This formula addresses a pattern where Wind-Heat and toxic Fire become lodged in the head and face, particularly affecting the sensory orifices (ears, nose, throat, eyes) and the skin. In TCM terms, when external Wind-Heat invades and combines with pre-existing internal Heat or depressed Fire in the Liver and Gallbladder channels, it creates a state of persistent inflammation in the upper body. The Liver and Gallbladder channels traverse the sides of the head and connect to the ears and eyes, so when Heat accumulates in these channels, it rises upward and manifests as swollen, red, painful conditions of the head, face, and sensory organs.

At a deeper level, the formula targets what the Japanese Kampo tradition calls a "glandular constitution" (腺病体质). This refers to a body type, particularly common in younger people, where there is a tendency toward Blood Heat and depressed Fire. The Blood becomes overheated but also somewhat stagnant, creating a situation where the body's tissues are chronically inflamed yet poorly nourished. The skin appears flushed or oily, mucous membranes are congested and red, lymph nodes swell easily, and the person is prone to recurring infections and inflammatory conditions. Wind acts as the trigger that brings these deeper imbalances to the surface, producing the characteristic pattern of red, swollen, hot, painful lesions in the upper body.

Because the Blood is both hot and somewhat stagnant, and because the Liver's function of ensuring smooth flow of Qi is impaired by the Heat and constraint, the condition tends to be persistent and recurrent rather than a simple acute invasion. This is why the formula must simultaneously clear Heat and toxins, dispel Wind from the surface, cool and nourish the Blood, and soothe the Liver to address the full complexity of the pathomechanism.

Formula Properties

Temperature

Cool

Taste Profile

Predominantly bitter and acrid. The bitter taste from the Heat-clearing herbs (Huang Lian, Huang Qin, Huang Bo, Zhi Zi) drains Fire and dries Dampness, while the acrid taste from the Wind-dispersing herbs (Jing Jie, Fang Feng, Bo He, Bai Zhi) opens the surface and moves stagnation.

Target Organs
Liver Lungs Gallbladder Large Intestine Stomach
Channels Entered
Liver Gallbladder Lung Stomach Large Intestine

Formula Origin

Wàn Bìng Huí Chūn (万病回春,Erta of the Myriad Diseases), by Gōng Tíngxián (龚廷贤), 1587 CE. The expanded 17-herb version widely used today was developed by Mori Dohaku (森道伯) of the Japanese Ikkando (一贯堂) school in the early 20th century.

This is just partial information on the formula's TCM properties. More detailed information is available on the formula's dedicated page

Ingredients in Jing Jie Lian Qiao Tang

Detailed information about each herb in Jing Jie Lian Qiao Tang and their roles

Kings
Deputies
Assistants
Envoys
Jing Jie
Jing Jie

Schizonepeta

Dosage: 10 - 15g

Temperature Slightly Warm
Taste Acrid / Pungent (辛 xīn), Aromatic (芳香 fāng xiāng)
Organ Affinity Lungs, Liver
Parts Used Whole plant / Aerial parts (全草 quán cǎo)
Role in Jing Jie Lian Qiao Tang

Releases the Exterior and disperses Wind, driving pathogenic Wind-Heat outward from the head, face, and skin. As a namesake herb of the formula, it works with Lian Qiao to form the core therapeutic axis of Wind-Heat resolution.

Lian Qiao
Lian Qiao

Forsythia fruit

Dosage: 15 - 30g

Temperature Slightly Cool
Taste Bitter (苦 kǔ)
Organ Affinity Lungs, Heart, Small Intestine
Parts Used Fruit (果 guǒ / 果实 guǒ shí)
Role in Jing Jie Lian Qiao Tang

Clears Heat, resolves toxins, and disperses swelling and nodulation. As a key clearing herb for the Upper Burner, it targets toxic Heat accumulating in the head and face and helps dissipate swollen lymph nodes and inflamed tissue.

Huang Qin
Huang Qin

Baical skullcap root

Dosage: 10g

Temperature Cold
Taste Bitter (苦 kǔ)
Organ Affinity Lungs, Gallbladder, Spleen, Large Intestine, Small Intestine, Heart, Stomach
Parts Used Root (根 gēn)
Role in Jing Jie Lian Qiao Tang

Clears Heat from the Upper Burner, particularly the Lungs and Gallbladder. Reinforces the Heat-clearing action of the formula and helps drain Fire from the Shaoyang channel, targeting conditions of the ears, eyes, and throat.

Huang Lian
Huang Lian

Coptis rhizome

Dosage: 5g

Temperature Cold
Taste Bitter (苦 kǔ)
Organ Affinity Heart, Liver, Stomach, Large Intestine, Gallbladder, Spleen
Parts Used Rhizome (根茎 gēn jīng)
Role in Jing Jie Lian Qiao Tang

Clears Heat from the Heart and Middle Burner. Together with Huang Qin, Huang Bai, and Shan Zhi Zi, it forms the core of Huang Lian Jie Du Tang within this formula, powerfully purging Fire toxins from all three Burners.

Huang Qi
Huang Qi

Astragalus root

Dosage: 10g

Temperature Slightly Warm
Taste Sweet (甘 gān)
Organ Affinity Spleen, Lungs
Parts Used Root (根 gēn)
Role in Jing Jie Lian Qiao Tang

Clears Heat and drains Damp-Heat from the Lower Burner, extending the formula's fire-clearing reach to the Kidneys and lower body. Particularly relevant for pelvic inflammatory conditions and Lower Burner Damp-Heat.

Shan Zhu Yu
Shan Zhu Yu

Cornelian Cherry Fruit

Dosage: 10g

Temperature Slightly Warm
Taste Sour (酸 suān), Astringent (涩 sè)
Organ Affinity Liver, Kidneys
Parts Used Fruit (果 guǒ / 果实 guǒ shí)
Role in Jing Jie Lian Qiao Tang

Clears Heat from all three Burners and guides Fire downward and out through the urine. Completes the Huang Lian Jie Du Tang structure within the formula, ensuring comprehensive Heat clearance.

Chai Hu
Chai Hu

Bupleurum root

Dosage: 10 - 15g

Temperature Slightly Cool
Taste Acrid / Pungent (辛 xīn), Bitter (苦 kǔ)
Organ Affinity Liver, Gallbladder, Lungs
Parts Used Root (根 gēn)
Role in Jing Jie Lian Qiao Tang

Courses the Liver, regulates Qi, and clears Heat from the Shaoyang (Lesser Yang) channel. It addresses the Liver Qi constraint that often accompanies chronic inflammatory conditions, and acts as part of the Si Ni San structure that moves stagnant Qi.

Dang Gui
Dang Gui

Chinese Angelica root

Dosage: 10g

Temperature Warm
Taste Sweet (甘 gān), Acrid / Pungent (辛 xīn)
Organ Affinity Liver, Heart, Spleen
Parts Used Root (根 gēn)
Role in Jing Jie Lian Qiao Tang

Nourishes and moves Blood. As part of the Si Wu Tang component within this formula, it prevents the many bitter cold herbs from damaging Blood, while promoting circulation to help resolve inflammation and stasis.

Chuan Xiong
Chuan Xiong

Sichuan lovage rhizome

Dosage: 10g

Temperature Warm
Taste Acrid / Pungent (辛 xīn)
Organ Affinity Liver, Gallbladder, Pericardium
Parts Used Rhizome (根茎 gēn jīng)
Role in Jing Jie Lian Qiao Tang

Moves Blood and Qi, relieves pain, and guides the formula upward to the head. Its upward-moving, dispersing nature complements the Blood-nourishing herbs and addresses headache and head-region stagnation.

Bai Shao
Bai Shao

White peony root

Dosage: 10g

Temperature Slightly Cool
Taste Bitter (苦 kǔ), Sour (酸 suān)
Organ Affinity Liver, Spleen
Parts Used Root (根 gēn)
Role in Jing Jie Lian Qiao Tang

Nourishes Blood and preserves Yin, softens the Liver, and moderates the drying and dispersing nature of the many Wind-dispersing and bitter cold herbs in the formula.

Shu Di Huang
Shu Di Huang

Prepared Rehmannia root

Dosage: 15g

Temperature Slightly Warm
Taste Sweet (甘 gān)
Organ Affinity Liver, Kidneys
Parts Used Tuber (块茎 kuài jīng / 块根 kuài gēn)
Role in Jing Jie Lian Qiao Tang

Clears Heat, cools the Blood, and nourishes Yin. Completes the Si Wu Tang blood-nourishing component and provides crucial Yin-protective action against the formula's many bitter, cold, draining herbs.

Fang Feng
Fang Feng

Siler root

Dosage: 10 - 15g

Temperature Slightly Warm
Taste Acrid / Pungent (辛 xīn), Sweet (甘 gān)
Organ Affinity Urinary Bladder, Liver, Spleen
Parts Used Root (根 gēn)
Role in Jing Jie Lian Qiao Tang

Disperses Wind and alleviates pain. Reinforces the Wind-expelling action of Jing Jie while being gentler and less drying, helping to release pathogenic factors from the muscle layer and skin.

Bai Zhi
Bai Zhi

Dahurian angelica root

Dosage: 10g

Temperature Warm
Taste Acrid / Pungent (辛 xīn)
Organ Affinity Lungs, Stomach, Large Intestine
Parts Used Root (根 gēn)
Role in Jing Jie Lian Qiao Tang

Disperses Wind, opens the nasal passages, expels pus, and reduces swelling. Specifically targets the Yangming channel of the face, making it essential for sinusitis and facial inflammatory conditions.

Bo He
Bo He

Peppermint herb

Dosage: 5g

Temperature Cool
Taste Acrid / Pungent (辛 xīn), Aromatic (芳香 fāng xiāng)
Organ Affinity Lungs, Liver
Parts Used Whole plant / Aerial parts (全草 quán cǎo)
Role in Jing Jie Lian Qiao Tang

Disperses Wind-Heat, clears the head and eyes, and benefits the throat. Its light, ascending, and cooling nature helps vent Heat from the head and face.

Zhi Ke
Zhi Ke

Bitter orange fruit

Dosage: 10g

Temperature Slightly Cool
Taste Bitter (苦 kǔ), Acrid / Pungent (辛 xīn), Sour (酸 suān)
Organ Affinity Spleen, Stomach, Large Intestine, Lungs
Parts Used Fruit (果 guǒ / 果实 guǒ shí)
Role in Jing Jie Lian Qiao Tang

Regulates Qi and reduces distension. Together with Chai Hu, it forms a pair that courses Qi both upward and downward, preventing Qi stagnation and helping the formula's active ingredients reach their targets.

Jie Geng
Jie Geng

Balloon flower root

Dosage: 10g

Temperature Neutral
Taste Bitter (苦 kǔ), Acrid / Pungent (辛 xīn)
Organ Affinity Lungs
Parts Used Root (根 gēn)
Role in Jing Jie Lian Qiao Tang

Opens and diffuses Lung Qi, benefits the throat, and guides the formula upward to the head, face, and Upper Burner. Acts as a 'boat herb' that carries the other medicinals to their target region.

Gan Cao
Gan Cao

Licorice root

Dosage: 5g

Temperature Neutral
Taste Sweet (甘 gān)
Organ Affinity Heart, Lungs, Spleen, Stomach
Parts Used Root (根 gēn)
Role in Jing Jie Lian Qiao Tang

Harmonizes all the other herbs in the formula, moderates the bitter cold nature of the Heat-clearing herbs, clears residual toxins, and protects the Stomach from the many cold and dispersing medicinals.

Usage & Safety

How to use this formula and important safety information

Important Medical Disclaimer

The information provided here is for educational purposes only and is not intended as medical advice or to replace consultation with a qualified healthcare professional. This formula is a dietary supplement and has not been evaluated by the FDA. It is not intended to diagnose, treat, cure, or prevent any disease.

Always consult with a qualified healthcare provider, particularly if you are pregnant, nursing, have a medical condition, or are taking other medications. Discontinue use and consult your healthcare provider if you experience any adverse reactions.

Recommended Dosage

Instructions for safe storage and consumption

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Best Time to Take

30 minutes after meals, 2-3 times daily (taking after meals protects the stomach from the formula's bitter cold properties).

Typical Duration

Acute conditions: 5-14 days. Constitutional treatment: 2-4 weeks, then reassess. Reduce to half-dose or one-third dose as symptoms improve.

Dietary Advice

While taking this formula, avoid greasy, fried, and rich foods that generate Dampness and Heat internally, as these directly oppose the formula's cooling, toxin-clearing action. Spicy, heating foods such as chili peppers, lamb, alcohol, and strong coffee should also be minimized, as they can aggravate the internal Heat the formula is trying to clear. Seafood (especially shellfish and shrimp) may trigger or worsen allergic and inflammatory skin conditions and is traditionally avoided. Favor light, easily digestible foods such as steamed vegetables, mung bean soup, congee, and cooling fruits like pears and watermelon. Adequate hydration supports the formula's detoxifying action.

Special Populations

Pregnancy

Contraindicated during pregnancy. The formula contains Chuan Xiong (Ligusticum root) and Dang Gui (Angelica sinensis), both of which strongly move Blood and could potentially stimulate uterine activity. Additionally, the multiple bitter cold herbs (Huang Lian, Huang Qin, Huang Bo, Zhi Zi) are harsh on the digestive system and could harm the Spleen and Stomach Qi that is critical for supporting pregnancy. Zhi Zi (Gardenia) is also traditionally noted with caution in pregnancy. This formula should not be used by pregnant women.

Breastfeeding

Use with caution during breastfeeding. The formula's bitter cold herbs (Huang Lian, Huang Qin, Huang Bo, Zhi Zi) may transfer through breast milk and could potentially cause digestive upset or loose stools in the nursing infant. Huang Lian (Coptis) in particular contains berberine, which is known to pass into breast milk. If the formula is clinically necessary, the nursing mother should be monitored for any signs of decreased milk supply (bitter cold herbs can impair Spleen function and reduce lactation), and the infant should be watched for signs of digestive disturbance. A practitioner should supervise use and consider reducing dosages of the coldest herbs.

Pediatric Use

This formula was originally developed with young people in mind and is considered broadly suitable for adolescents and older children with the appropriate constitutional presentation (flushed complexion, oily skin, tendency toward acne, recurrent upper respiratory infections, swollen tonsils or lymph nodes). For children aged 6-12, dosages should be reduced to approximately one-third to one-half the adult dose. For adolescents aged 12-16, approximately two-thirds of the adult dose is typical. The formula should not be used in very young children (under 6) without close practitioner supervision due to its strongly bitter, cold nature, which can easily damage the immature digestive system. As with adults, appetite and digestion should be monitored during treatment, and the formula should be discontinued or reduced if appetite declines noticeably.

Drug Interactions

Gan Cao (Licorice root): Contains glycyrrhizin, which can cause potassium depletion and sodium retention with prolonged use. This may interact with diuretics (especially thiazides and loop diuretics), corticosteroids, cardiac glycosides (digoxin), and antihypertensive medications. Patients on these drugs should be monitored for electrolyte imbalances.

Huang Lian and Huang Bo (Coptis and Phellodendron): Both contain berberine, which has documented interactions with several drug classes. Berberine may enhance the effects of hypoglycemic agents (metformin, sulfonylureas), potentially causing excessively low blood sugar. It can also affect CYP3A4 and CYP2D6 enzyme activity, potentially altering the metabolism of drugs processed through these pathways, including certain statins, immunosuppressants (cyclosporine), and some antidepressants.

Dang Gui and Chuan Xiong (Blood-moving herbs): These herbs have mild anticoagulant and antiplatelet properties and should be used cautiously alongside blood-thinning medications such as warfarin, heparin, aspirin, or clopidogrel, as there may be an increased risk of bleeding.

Chai Hu (Bupleurum): Contains saikosaponins that may influence hepatic enzyme activity. Patients taking medications heavily metabolized by the liver should use this formula with caution, and liver function should be monitored during extended use.

Contraindications

Caution

People with poor appetite, weak digestion, or Spleen and Stomach deficiency. The formula contains many bitter, cold herbs (Huang Lian, Huang Qin, Huang Bo, Zhi Zi) that can further damage digestive function.

Caution

Elderly or physically frail individuals with pale complexion, dark circles under the eyes, or signs of Qi and Blood deficiency. The formula's dispersing and draining nature can further deplete a weakened constitution.

Avoid

Cold-type conditions or patterns of Yang deficiency with cold signs such as pale tongue, deep slow pulse, cold limbs, and clear profuse urination. This is a cooling formula unsuitable for cold patterns.

Caution

Long-term unsupervised use. The formula's bitter cold herbs can impair liver function with prolonged administration. Liver function should be monitored during extended courses of treatment.

Avoid

Pregnancy. The formula contains several Blood-moving herbs (Chuan Xiong, Dang Gui) and strongly draining cold herbs that are inappropriate during pregnancy.

Cautions & Warnings

Although this formula is typically safe for most individuals, it may cause side effects in some people. Pregnant women, nursing mothers, postpartum women, and those with liver disease should use the formula with caution.

As with any Chinese herbal remedy, it is advisable to seek guidance from a qualified TCM practitioner before beginning treatment.

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Manufacturing, supplier, and product specifications

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Granules

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Treasure of the East

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