Yibian
 Shen Yaozi 
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formula nameGentian Liver-Draining Decoction
sourceYizong Jinjian
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bubble_chart Preparation 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

bubble_chart Efficacy

Drain liver and gallbladder excess fire, clear dampness-heat in the lower energizer.

bubble_chart Indications

  1. Liver and gallbladder fire flaring up syndrome: Symptoms include hypochondriac pain, headache, red eyes, bitter taste in the mouth, deafness, and ear swelling.
  2. Dampness-heat in the liver meridian pouring downward syndrome: Symptoms include turbid urine, vulvar itching, swelling of the vulva, leukorrhea in women, red tongue, yellow coating, and rapid pulse.

bubble_chart Formula Principles

This formula has a strong effect on clearing the liver and draining dampness. It is suitable for conditions caused by excessive liver-gallbladder fire flaring up or dampness-heat pouring down, where the body fluids are not damaged and physical strength is sufficient. This formula can be used to directly repel with bitter cold. In the formula, Gentian is extremely bitter and cold, effectively purging the excessive fire from the liver and gallbladder, and clearing dampness-heat in the lower energizer, excelling in both removing dampness and purging fire; Skullcap Root and Gardenia clear heat with bitter cold, assisting Gentian in purging dampness-heat from the liver and gallbladder meridians, and are used together with Alisma, Akebia Stem, and Plantain Seed to clear and drain damp-heat, allowing liver-gallbladder dampness-heat to be expelled through urine; Unprocessed Rehmannia Root and Chinese Angelica nourish liver blood and prevent the bitter cold herbs from damaging yin blood; Bupleurum soothes the qi of the liver and gallbladder and acts as a guiding herb; Liquorice Root harmonizes all the herbs. The combination of these herbs results in a formula that purges while supplementing, soothes while nourishing, ensuring that pathogens are expelled without harming the body's vital energy.

bubble_chart Syndrome Differentiation

  1. Liver and gallbladder fire flaring up: Main symptoms include bitter taste in the mouth, red eyes, dizziness, and tinnitus.
  2. Dampness-heat pouring down: Main symptoms include bitter taste in the mouth, yellow urine, dampness and itching of the external genitalia or yellow and foul-smelling leukorrhea, and a wiry and rapid pulse.

bubble_chart Formula Modification

  1. headache vertigo: add Chrysanthemum Flower, Gastrodia Tuber.
  2. hemoptysis epistaxis: add Peony Bark, Platycladus.
  3. leukorrhea yellow and foul: add Phelloendron Bark, Coix Seed, Toona Bark.
  4. severe constipation: add Rhubarb Rhizoma, Mirabilite.
  5. liver swelling 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

bubble_chart Cautions and Contraindications

This formula is bitter and cold in nature, which may harm stomach qi. It should be used with caution in cases of deficiency-cold of the spleen and stomach, or severe diarrhea.

bubble_chart Modern Application

Acute hepatitis, acute cholecystitis, herpes zoster, acute pelvic inflammatory disease, mastitis, acute orchitis, acute pyelonephritis, urinary tract infection, acute conjunctivitis, keratitis, otitis media, sinusitis, vaginitis.

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