Yibian
 Shen Yaozi 
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Fang nameGentian Liver-Draining Decoction
sourceYizongjinjian
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[Preparation method and dosage]

Gentian (Radix et Rhizoma Gentianae) 12gm
Gardenia (Fructus Gardeniae) 9gm
Skullcap Root (Radix Scutellariae) 9gm
Bupleurum (Radix Bupleuri) 6gm
Unprocessed Rehmannia RootYellow (Radix Rehmanniae Recens) 12gm
Alisma (Rhizoma Alismatis) 9gm
Chinese Angelica (Radix Angelicae Sinensis) 5gm
Plantain Seed (Semen Plantaginis) 10gm
Akebia Stem (Caulis Clematidis Armandii) 9gm
Liquorice Root (Radix Glycyrrhizae) 5gm

[Efficacy]

Purging liver and gallbladder excess fire, clearing dampness-heat in lower energizer.

[Indications]

  1. Syndrome of excess fire in the liver and gallbladder: hypochondriac pain headache, red eye bitter taste in mouth, deafness and ear swelling.
  2. Damness-heat in liver meridian Symptoms: Symptoms include stranguria, pruritus vuluae swelling of vulva, leukorrhea in women, red tongue, yellow coating, and rapid pulse.

[Prescription]

This prescription is very powerful in clearing the liver, draining dampness, and can be used by anyone with symptoms of liver and gallbladder fire inflammation or dampness-heat pouring down, whose body fluids are not injured, and who have sufficient physical strength to direct repulsion with bitter cold. Gentian Great Cold (24th solar term) in the prescription can relieve liver and gallbladder excess fire, clear dampness-heat in lower energizer, and is good at removing dampness and purging fire; Skullcap Root , Gardenia clearing heat with bitter cold, help Gentian relieve liver and gallbladder meridian dampness-heat, and use Alisma, L>Akebia Stem, Plantain Seed clear draining dampness heat, make liver-gallbladder dampness-heat come out from urine; Unprocessed Rehmannia Root, Chinese Angelica nourishes liver blood and prevents bitter cold medicine from damaging yin blood; Bupleurum soothes liver and gallbladder qi and acts as a menstrual inducing drug; Liquorice Root harmonizes all medicines. The combined use of all medicines can be used to nourish the body while purging it, and to nourish the body while sparing it, so that the evil can be removed without damaging the good.

[Key points of syndrome differentiation]

  1. Inflammation due to excessive liver and gallbladder fire: the main symptoms are bitter taste in mouth, red eye, dizziness and tinnitus.
  2. Damness-heat pouring down: The main symptoms are bitter taste in mouth, yellow urine, external genitalia, wet itching or leukorrhea, yellow odor, stringy and rapid pulse.

[Addition and subtraction]

  1. headache vertigo: add Chrysanthemum Flower, Gastrodia Tuber.
  2. hemoptysis: add Peony Bark, Platycladus.
  3. leukorrhea has yellow odor: add Phelloendron Bark, Coix Seed, Tsubaki Root Bark.
  4. Large constipation knot: add Rhubarb Rhizoma, Sodium Sulfate.
  5. Hepatoma jaundice: Add Virgate Wormwood, Poria, sanchi.
  6. Acute glaucoma: Add Scrophularia Root, Notopterygium.
  7. red eye swelling and pain: add Sichuan Lovage Rhizome, Chrysanthemum Flower.
  8. Urinary tract infection: add Grass of Common KnotGrass, Lilac Pink Herb, lalang grass rhizome, Forsythia

[Attention to taboos]

This prescription is bitter and cold, which may hurt the stomach and qi. It should be used with caution in those with deficiency-cold of spleen and stomach, or those with diarrhea.

[Modern application]

Acute hepatitis, acute cholecystitis, herpes zoster, acute pelvic inflammation, mastitis, acute pyelitis, acute pyelitis, urinary tract infection, acute conjunctivitis, keratitis, otitis media, sinusitis, vaginal inflammation.

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