Yibian
 Shen Yaozi 
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Fang nameOrigin-Restoring Blood-Invigorating Decoction
sourceMedical Invention
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[Preparation method and dosage]

Rhubarb Rhizoma (Radix et Rhizoma Rhei) soaked in wine 12gm
Bupleurum (Radix Bupleuri) 15gm
Chinese Angelica (Radix Angelicae Sinensis) 9gm
Peach Kernel (Semen Persicae) soaked in wine, peeled and de-pointed, ground like mud 9gm
Carthamus (Flos Carthami) 6gm
Pangolin Scales (Squama Manis) prepared 6gm
Trichosanthes Root (Radix Trichosanthis) 9gm
Liquorice Root (Radix Glycyrrhizae) 6gm

[Efficacy]

invigorating blood and resolving stasis, soothing the liver and unblocking collaterals.

[Indications]

Injury from bruises, static blood stagnating under the ribs, the pain is unbearable.

[Prescription]

This prescription is suitable for syndromes of collateral injury and static blood stasis in the chest and hypochondrium. Fangzhong Chinese Angelica, Carthamus, Peach Kernel, Pangolin Scales, invigorating blood and resolving stasis , reduce swelling and unblock meridians and relieve pain; Rhubarb Rhizoma cleanses septic blood, opens up the viscera, enhances the effect of invigorating blood and resolving stasis, and has the effect of promoting the old and rejuvenating; Snakegourd Root Eliminate static blood, stop injuries, and clear blood stasis and heat; the chest and ribs are where the liver meridian circulates, so Bupleurum is used to guide the meridian, soothing the liver and relieving depression, and combined with Rhubarb Rhizoma, one rises and one falls, smooth qi movement , to treat distending pain and stabbing pain in the chest and ribs; Liquorice Root regulates the middle and relaxing spasm to reconcile various medicines. The combined use of various medicines can remove static blood, restore new blood, and unblock the flow of qi. Hypochondriac pain can be eliminated by mongolian snakegourd root to eliminate static blood, prevent injuries, and clear blood stasis and heat; The hypochondrium is where the liver meridian circulates, so use Bupleurum to guide the meridian, soothing the liver and relieving depression, and cooperate with Rhubarb Rhizoma to make the qi movement smooth. , to treat distending pain and stabbing pain in the chest and ribs; Liquorice Root regulates the middle and relaxing spasm to reconcile various medicines. When all medicines are used together, static blood can be removed, new blood will be restored, Qi will flow and collaterals will be unblocked, and the blood stasis and hypochondriac pain will be relieved.

[Key points of syndrome differentiation]

  1. Injury.
  2. Swelling and pain in chest and hypochondrium stabbing pain.
  3. Hard stool.

[Addition and subtraction]

  1. If the pain is severe: add Sanqi, Curcuma Root, Sichuan Lovage Rhizome, frankincense, myrrh.
  2. Upper limb pain: add Cinnamon Twig, Turmeric.
  3. Lower limb pain: add Twotooth Achyranthes Root, Floweringqince Fruit.

[Attention to taboos]

  1. Contraindicated for pregnant women.
  2. Use with caution for women during menstruation.

[Modern application]

Intercostal neuralgia, costochondritis, bruises and injuries.

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