Yibian
 Shen Yaozi 
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formula nameFive Accumulations Powder
sourceTaiping Huimin Heji Jufang
smart_toy
bubble_chart Preparation and Dosage

Dahurian Angelica (Radix Angelicae Dahuricae) 90gm
Sichuan Lovage Rhizome (Rhizoma Chuanxiong) 90gm
Liquorice Root (Radix Glycyrrhizae) roasted 90gm
Poria (Poria) 90gm
Chinese Angelica (Radix Angelicae Sinensis) 90gm
Cassia Bark (Cortex Cinnamomi) 90gm
Peony Root (Radix Paeoniae Alba) 90gm
Pineilia (Rhizoma Pinelliae) 90gm
Dried Tangerine Peel (Pericarpium Citri Reticulatae) white part-removed 180gm
Submature Bitter Orange (Fructus Aurantii Immaturus) de-rooted and de-noded 180gm
Ephedra (Herba Ephedrae) soaked in rice water, peeled 180gm
Dried Ginger (Rhizoma Zingiberis) prepared 120gm
Atractylodes Rhizome (Rhizoma Atractylodis) 360gm
Platycodon Root (Radix Platycodonis) 360gm
Magnolia Bark (Cortex Magnoliae Officinalis) coarse bark-removed 120gm

bubble_chart Efficacy

Promote warming the middle, regulate qi transformation to resolve phlegm, and invigorate blood to resolve accumulation.

bubble_chart Indications

  1. External contraction wind-cold, internal damage due to raw and cold conditions, fever without sweating, headache, body pain, stiffness in the neck, back, waist, and thighs, chest fullness, aversion to food, vomiting, and abdominal pain.
  2. Women with heart and abdominal pain, menstrual irregularities, etc., due to congealing cold and qi stagnation.

bubble_chart Formula Principles

This formula is designed to address the five accumulations of cold, dampness, qi, blood, and phlegm, hence named Five Accumulations Powder. In the formula, Ephedra and Dahurian Angelica induce sweating to release the exterior; Dried Ginger and Cassia Bark warm the middle and dissipate cold. These four ingredients work together to dispel cold, addressing the root of the five accumulations. Atractylodes Rhizome and Magnolia Bark invigorate the spleen and dry dampness, thereby eliminating food stagnation. Dried Tangerine Peel and Pinellia regulate qi and resolve phlegm to treat phlegm accumulation. Platycodon Root and Immature Orange Fruit regulate the ascending and descending of qi to relieve qi depression. Angelica, Ligusticum, and Peony nourish and activate blood to remove blood stasis. Liquorice Root and Fresh Ginger Rhizome harmonize the various ingredients. Combined, these herbs dispel both internal and external cold, strengthen the spleen and stomach, resolve phlegm, transform dampness, and promote the free flow of qi and blood, thereby resolving various ailments. This formula can move qi and blood, making it suitable for conditions such as disharmony of qi and blood in women, pain in the heart and abdomen, and menstrual irregularities, with appropriate modifications.

bubble_chart Pattern Identification

  1. Fever without sweating.
  2. Generalized body aches.
  3. Anorexia.
  4. Vomiting and abdominal pain.
  5. Menstrual irregularities.

bubble_chart Formula Modification

  1. Women's gonorrhea: add Akebia Stem, Plantain Seed.
  2. Dietary abdominal pain: add hawthorn fruit, Germinated Barley.
  3. Fever and paralysis: add Notopterygium, Pubescent Angelica, Saposhnikovia Root.
  4. Wind-cold headache: add Cimicifuga Rhizome, Pueraria Root.
  5. Severe body pain: add myrrh, frankincense, Asarum.
  6. Cough: add White Mulberry Root-Bark, Bitter Apricot Seed.
  7. Lumbago: add Achyranthes Root, Eucommia Bark, Fennel.
  8. Lower limb edema: add Acanthopanax Bark, Areca Peel.
  9. Hand and foot cramps: add Floweringqince Fruit, Achyranthes Root.
  10. Severe interior cold: add Evodia Fruit.
  11. Women's menstrual pain: add Cyperus, Corydalis Tuber, Salvia.

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