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 Shen Yaozi 
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formula nameBupleurum, Cinnamon Twig and Dried Ginger Decoction
sourceShanghan Zabing Lun
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bubble_chart Preparation and Dosage

Bupleurum (Radix Bupleuri) 24gm (8 liǎng)
Cinnamon Twig (Ramulus Cinnamomi) peeled 9gm (3 liǎng)
Dried Ginger (Rhizoma Zingiberis) 6gm (2 liǎng)
Trichosanthes Root (Radix Trichosanthis) 12gm (4 liǎng)
Skullcap Root (Radix Scutellariae) 9gm (3 liǎng)
Oyster shell (Concha Ostreae) boil 6gm (2 liǎng)
Liquorice Root (Radix Glycyrrhizae) roasted 6gm (2 liǎng)

Take the seven ingredients on the right, boil them in 1.2 liters of water until reduced to 600 milliliters. Remove the dregs, then decoct further until reduced to 300 milliliters. Take 100 milliliters warm, three times a day. Initial doses may cause slight discomfort, but persisting with the treatment until sweating occurs will lead to recovery.

bubble_chart Efficacy

Harmonizing shaoyang, warming and transforming water retention.

bubble_chart Indications

  1. Shaoyang disease complicated by internal retention of water.
  2. Cold-damage disease for five or six days, after sweating and repeated purgation, there is fullness in the chest and hypochondrium with slight binding, difficult urination, thirst without vomiting, only head sweating, alternating chills and fever, and vexation.
  3. Also treats malaria with swelling and consumptive malaria that does not heal.

bubble_chart Formula Principles

This formula is suitable for cases where the pivot mechanism of shaoyang is impaired, leading to internal stagnation of gallbladder fire, which in turn causes dysfunction in the triple energizer's dredging function, resulting in the retention of fluid in the middle. In the formula, Bupleurum and Skullcap Root are used together to harmonize the pathogenic factors of shaoyang; Trichosanthes Root and oyster shell are combined to transform fluids and resolve stagnation; Cinnamon Twig and Dried Ginger warm and transform the retained fluids while releasing the flesh and effusing the external; Prepared Liquorice Root harmonizes the spleen and stomach and regulates yin-yang. When these herbs are used together, sweating will disperse the pathogenic factors, and harmony between the exterior and interior will lead to spontaneous recovery.

bubble_chart Pattern Identification

  1. Fullness and slight binding in the chest and hypochondrium.
  2. Difficulty in urination.
  3. Thirst without vomiting.
  4. Alternating chills and fever.

bubble_chart Formula Modification

  1. Chest tightness and palpitation: Add Fossil Bone and Schisandra Fruit.
  2. Spontaneous sweating and depression: Add Fritillaria Bulb and Schisandra Fruit
  3. Fullness below the heart: Add Coptis Rhizome and Immature Orange Fruit.
  4. Difficulty in urination: Add Plantain Seed and Poria.
  5. Subcutaneous nodules and hard abdominal membrane inflammation: Add Turtle Carapace and Peony Root.

bubble_chart Modern Application

This formula reduces fever, promotes bile secretion, and regulates water metabolism. It is used for chronic hepatitis, arrhythmia, coronary artery disease, cystic hyperplasia of the breast, menstrual irregularities, common cold, pneumonia, bronchitis, insomnia, malaria, and endocarditis.

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