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Yibian
 Shen Yaozi 
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Fang nameYang-Tonifying Five-Returning Decoction
sourceYilin Gaicuo
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[Preparation method and dosage]

Astragalus Root (Radix Astragali seu Hedysari) 120gm
Tail of Chinese Angelica (Radix Angelicae Sinensis) 6gm
Red Peony Root (Radix Paeoniae Rubra) 5gm
Earthworm (Pheretima) 3gm
Sichuan Lovage Rhizome (Rhizoma Chuanxiong) 3gm
Peach Kernel (Semen Persicae) 3gm
Carthamus (Flos Carthami) 3gm

[Efficacy]

tonifying qi, promoting blood circulation and unblocking collaterals.

[Indications]

sequelae of wind stroke, hemiplegia, crooked mouth and eyes, hesitant speech, drooling at the corners of the mouth, weak lower wilting impediment, frequent urination or enuresis, white coating, and slow pulse.

[Prescription]

This prescription is suitable for the sequelae of wind stroke, which is caused by healthy qi deficiency, qi deficiency blood stagnation, and venous stasis. Astragalus Root is used heavily in the prescription, powerful tonification of primordial qi, which makes Qi strong and promotes blood flow; Chinese Angelica tail promotes blood circulation and tonifying blood, removes blood stasis without damaging the body. ; Red Peony Root, Peach Kernel, Carthamus, Sichuan Lovage Rhizome, invigorating blood and resolving stasis, moving qi to stimulate menstruation; Earthworm, dredging meridians and activating collaterals, specialize in walking, and cooperate with various medicines to achieve the effect of medicine. When all medicines are used together, Qi will be strong and blood will flow, blood stasis will be removed and collaterals will be unblocked, and all symptoms will gradually become lighter.

[Key points of syndrome differentiation]

  1. sequelae of wind stroke.
  2. hemiplegia.
  3. The coating is white and the pulse is slow.

[Addition and subtraction]

  1. More phlegm: add Pineilia, Bamboo Shavings.
  2. Speech disadvantage: add Milkwort Root, Acorus, Curcuma Root.
  3. Cold: add Aconite Lateral Root.
  4. Lower wilting impediment: add Twotooth Achyranthes Root and Eucommia Bark.

[Attention to taboos]

Use with caution if you have a strong pulse.

[Modern application]

This prescription dilates blood vessels in the brain and limbs, anticoagulates, reduces blood viscosity, resists thrombosis, strengthens the heart, reduces inflammation, and enhances the body's immune function. Used for cerebrovascular disease, sciatica, nervous system inflammation, polio, cardiac colicky pain, myocardial infarction, systemic lupus erythematosus, chronic nephritis, apoplexy and post-hemiplegia.

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