Yibian
 Shen Yaozi 
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Fang namePeony Decoction
sourceSuwen Bingji Qiyi Baomingji
smart_toy
[Preparation method and dosage]

Peony Root (Radix Paeoniae Alba) 15-30gm
Coptis Rhizome (Rhizoma Coptidis) 3-9gm
Skullcap Root (Radix Scutellariae) 6-12gm
Rhubarb Rhizoma (Radix et Rhizoma Rhei) 3-6gm
Chinese Angelica (Radix Angelicae Sinensis) 3-9gm
Areca Seed (Semen Arecae) 3-6gm
Aucklandia Root (Radix Aucklandiae) 3-6gm
Cassia Bark (Cortex Cinnamomi) 2-5gm
Liquorice Root (Radix Glycyrrhizae) roasted 2-5gm

[Efficacy]

Clear away heat and regulate blood, guide stagnation and relieve pain.

[Indications]

Diarrhea with thick pus and blood, severe abdominal pain, tenesmus, burning anus, short red urine, yellow fur, and rapid pulse.

[Prescription]

This prescription is suitable for patients with dysentery initial stage [first stage] with excess syndrome/pattern but no exterior syndrome/pattern. In addition to its heat-clearing effect, it can also harmonize qi and blood, and relieve constipation. In the prescription Peony Root is bitter, sour and slightly cold, purges liver fire, regulates qi and blood, regulates liver and soothes the spleen, purges fire and clears away heat, and is used as sovereign medicinal. Skullcap Root, Coptis Rhizome clearing heat and drying dampness, clearing heat and removing toxin, thicken the intestines and stomach and stop diarrhea; Rhubarb Rhizoma, bitter cold and clearing the inside, is a method for treating incontinent syndrome with dredging method. The three flavors together are minister medicinal. Chinese Angelica is also used to help Peony Root move blood and blood, "If the blood moves, stool and pus will heal automatically"; Aucklandia Root, Areca Seed moves qi and removes food stagnation, breaks down the solid and eliminates accumulation, so as to regulate the qi, "Regulates the qi, then the stool will heal itself" The three flavors are assistant medicinal. Guan Gui in the prescription is warm and can cooperate with Chinese Angelica and Peony Root to promote blood circulation, and control the bitter and cold tendency of Skullcap Root and Coptis Rhizome, so as to avoid cold stagnation and obstruction of evil spirits. It can be combined with Skullcap Root and Coptis Rhizome of medicinals. It means to help the fire, and it is also the method of using corrigent. Liquorice Root blends various medicines and is matched with peony root. It can relieve cramps and relieve abdominal cramps Peony Root Bitter and slightly cold, purges liver fire, regulates qi and blood, regulates liver and spleen, purges fire and clears away heat. Reuse as sovereign medicinal. Skullcap Root, Coptis Rhizome clearing heat and drying dampness, clearing heat and removing toxin, thicken the intestines and stomach and stop diarrhea; Rhubarb Rhizoma Bitter Cold Tongli is a method for treating incontinent syndrome with dredging method. The three flavors together are minister medicinal. Also use Chinese Angelica to help Peony Root to promote blood circulation. "If blood circulates, stool and pus will heal on their own"; Aucklandia Root, Areca Seed moving qi and removing food stagnation, breaking the hardness and eliminating stagnation, so as to regulate the qi. "Regulating the qi will remove the heavy food from behind." The three flavors are assistant medicinal. Guangui in the prescription is warm and can cooperate with Chinese Angelica and Peony Root to promote blood circulation and control Skullcap Root and Coptis Rhizome is bitter and cold, so as not to be stagnant and hinder evil spirits. It is combined with Skullcap Root and Coptis Rhizome of medicinals to avoid fire. The meaning is also the method of using corrigent. Liquorice Root Harmonizes various medicines and matches with peony root to relieve abdominal pain.

[Key points of syndrome differentiation]

  1. dampness-heat dysentery tenesmus.
  2. The stool is red and white.
  3. The fur is yellow and greasy.
  4. Red tongue and rapid pulse.

[Addition and subtraction]

  1. Indigestion stagnation: add hawthorn fruit.
  2. qi stagnation abdominal distension and fullness: add Submature Bitter Orange.
  3. If there is a lot of blood but little pus: go to Cassia Bark and add Peony Bark, chinese pulsatilla root, java brucea fruit.
  4. If dysentery persists: add Rhubarb Rhizoma.
  5. With exterior syndrome/pattern: add Pueraria.
  6. tenesmus or worse: add Immature Orange Fruit, Magnolia Bark.
  7. Perianal abscess after defecation: add Phelloendron Bark.

[Attention to taboos]

If you have exterior syndrome/pattern at the beginning of dysentery, you should avoid using this prescription.

[Modern application]

Acute large intestine inflammation, bacterial enteritis, dysentery, diarrhea.

[Other related items]

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