Yibian
 Shen Yaozi 
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formula nameGreen-Blue-Draining Pill
sourceXiao'er Yaozheng Zhijue
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bubble_chart Preparation and Dosage

Gentian (Radix et Rhizoma Gentianae) 12gm
Chinese Angelica (Radix Angelicae Sinensis) 12gm
Sichuan Lovage Rhizome (Rhizoma Chuanxiong) 10gm
Gardenia (Fructus Gardeniae) 10gm
Rhubarb Rhizoma (Radix et Rhizoma Rhei) 10gm
Notopterygium (Rhizoma et Radix Notopterygii) 10gm
Saposhnikovia Root (Radix Saposhnikoviae) 10gm

Grind the medicine into powder, mix with honey to form pills. Take 5-9 grams each time, twice daily, with warm water or Bamboo Leaf Decoction. Dosage should be reduced for children. Alternatively, it can be prepared as a decoction, using 1/2 to 1 times the amount of the above medicine, decocted with water twice and taken in two doses, two doses per day.

bubble_chart Efficacy

Clear liver heat and purge excess fire.

bubble_chart Indications

For stagnant fire in the liver meridian rising upwards, excess fire accumulation, irritability and susceptibility to fright, restless sleep, red and swollen painful eyes, dark urine, constipation, full and strong pulse, as well as acute convulsions in children and severe heat-induced convulsions.

bubble_chart Formula Principles

The liver belongs to wood and is associated with the color green. This formula drains the liver, hence it is named Green-Blue-Draining Pill. In the formula, Gentian clears the liver and drains fire to reduce heat, serving as the sovereign medicinal. Gardenia clears heat, and Rhubarb Rhizoma purges fire, both assisting Gentian in clearing and purging the liver and gallbladder of excess fire. These two medicinals have the functions of promoting urination and bowel movements, allowing pathogenic heat to be eliminated through urine and stool. Chinese Angelica and Sichuan Lovage Rhizome nourish blood and harmonize the nutrient aspect, preventing fire and heat from damaging liver blood, and together serve as minister medicinals. Notopterygium and Saposhnikovia Root disperse fire pathogens, facilitating the dissipation of stagnant fire in the liver channel. Bamboo Leaf resolves depression and discharges heat, guiding heat to be expelled through urine, and together serve as assistant medicinals. Honey harmonizes all the medicinals and serves as the guiding medicinal. Within the formula's liver-draining action, there is also an intention to nourish the liver. This ensures that while treating liver excess, the liver's substance is not harmed.

bubble_chart Modern Application

Modern medicine believes that this prescription inhibits viruses, reduces inflammation, promotes purgation, and alleviates fever. It is used for acute infantile convulsion, keratitis, scleritis, corneal ulcer, corneal perforation, and iris prolapse.

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