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Yibian
 Shen Yaozi 
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formula nameYang-Tonifying Five-Returning Decoction
sourceYilin Gaicuo
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bubble_chart Preparation 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

bubble_chart Efficacy

Tonifying qi, promoting blood circulation, and dredging collaterals.

bubble_chart Indications

Sequelae of wind stroke, hemiplegia, facial deviation, slurred speech, drooling, lower limb weakness, frequent urination, or incontinence, white tongue coating, slow pulse.

bubble_chart Formula Principles

This prescription is applicable to the sequelae of wind stroke, which is caused by deficiency of healthy qi, qi deficiency, blood stasis, and obstruction of the meridians. The prescription heavily uses Astragalus Root, which has a powerful tonification effect on primordial qi, promoting the circulation of blood by strengthening qi; Tail of Chinese Angelica invigorates blood and tonifies blood, removing stasis without harming the healthy qi; Red Peony Root, Peach Kernel, Carthamus, and Sichuan Lovage Rhizome invigorate blood and resolve stasis, moving qi and unblocking the meridians; Earthworm dredges the meridians and activates the collaterals, with a strong and swift action, enhancing the efficacy of the other herbs. When these herbs are used together, the qi is strengthened, blood circulation is promoted, stasis is removed, and the meridians are unblocked, leading to a gradual alleviation of symptoms.

bubble_chart Syndrome Differentiation

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

bubble_chart Formula Modification

  1. Excessive phlegm: add Pineilia and Bamboo Shavings.
  2. Speech difficulties: add Milkwort Root, Acorus, and Curcuma Root.
  3. Cold bias: add Aconite Lateral Root.
  4. Lower wilting impediment and weakness: add Achyranthes Root and Eucommia Bark.

bubble_chart Cautions and Contraindications

Use with caution in cases of strong and wiry pulse.

bubble_chart Modern Application

This formula dilates blood vessels in the brain and limbs, prevents blood clotting, reduces blood viscosity, inhibits thrombus formation, strengthens the heart, reduces inflammation, and enhances the body's immune function. It is used for cerebrovascular diseases, sciatica, nervous system inflammation, poliomyelitis, colicky pain, myocardial infarction, systemic lupus erythematosus, chronic nephritis, and hemiplegia after apoplexy.

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