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Yibian
 Shen Yaozi 
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formula nameMagnolia Bark Seven Ingredients Decoction
sourceShanghan Zabing Lun
smart_toy
bubble_chart Preparation and Dosage

Magnolia Bark (Cortex Magnoliae Officinalis) 15gm
Liquorice Root (Radix Glycyrrhizae) 6gm
Rhubarb Rhizoma (Radix et Rhizoma Rhei) 9gm
Immature Orange Fruit (Fructus Aurantii Immaturus) 9gm
Cinnamon Twig (Ramulus Cinnamomi) 6gm
Chinese Date (Fructus Jujubae) 4 pieces
Fresh Ginger Rhizome (Rhizoma Zingiberis) 12gm

bubble_chart Efficacy

Releasing the exterior to disperse pathogens, moving qi to relieve fullness.

bubble_chart Indications

External contraction of wind-cold, the exterior syndrome/pattern has not been resolved, and internal excess has already formed, presenting with persistent fever, abdominal distension and fullness with intermittent pain, constipation, and a floating and rapid pulse.

bubble_chart Formula Principles

This formula is derived from Cinnamon Twig Decoction by removing Peony Root and adding Magnolia Bark Three Ingredients Decoction. It is suitable for cases where fever with a floating pulse indicates excessive pathogenic factors in the exterior, and abdominal distension and fullness with a rapid pulse indicate excessive pathogenic factors in the interior. This condition involves both the exterior and interior, and the treatment should aim to resolve both simultaneously. In the formula, Cinnamon Twig, Chinese Date, Fresh Ginger Rhizome, and Liquorice Root are used to release exterior pathogenic factors and harmonize the nutrient-defense system; Magnolia Bark, Immature Orange Fruit, and Rhubarb Rhizoma are used to move qi stagnation and purge interior excess.

bubble_chart Syndrome Differentiation

  1. fever.
  2. abdominal distension and fullness with occasional pain.
  3. constipation.
  4. floating and rapid pulse.

bubble_chart Formula Modification

  1. Vomiting: Add Pineilia.
  2. Exterior pathogen excess: Add Ephedra.
  3. Internal dampness-heat: Add Coptis Rhizome.

bubble_chart Modern Application

Acute and chronic gastroenteritis, peritonitis, constipation, various fevers, sexually transmitted diseases.

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