Yibian
 Shen Yaozi 
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formula nameLarge Gentian and Turtle Shell Powder
sourceWeisheng Baojian
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bubble_chart Preparation and Dosage

Chinese Wolfberry Root-bark (Cortex Lycii) 10gm
Bupleurum (Radix Bupleuri) 10gm
Gentian (Radix Gentianae Macrophyllae) 5gm
Anemarrhena (Rhizoma Anemarrhenae) 5gm
Chinese Angelica (Radix Angelicae Sinensis) 5gm
Turtle carapace (Carapax Trionycis) 10gm
Sweet Wormwood (Herba Artemisiae Annuae) 5gm
Smoked Plum (Fructus Mume) 3gm

bubble_chart Efficacy

Nourishing yin and blood, clearing heat and eliminating steaming.

bubble_chart Indications

Steaming bone fever tidal fever syndrome, steaming bone fever night sweats, muscle wasting, red lips and cheeks, dry mouth and throat, red tongue with little coating, thin and rapid pulse.

bubble_chart Formula Principles

This prescription is suitable for external contraction wind-cold, which, if not treated properly, can transmit inward, transform into internal heat, and consume qi and blood, leading to steaming bone fever and consumptive heat syndrome. In the formula, Gentian dispels wind and clears heat, turtle carapace enriches yin and clears heat, serving together as the sovereign medicinals; Bupleurum and Chinese Wolfberry Root-bark dispel wind and reduce heat, used together as the minister medicinals. Anemarrhena enriches yin and clears heat; Chinese Angelica nourishes blood and regulates blood, both serving as assistant medicinals; Sweet Wormwood clears heat and eliminates steaming; Smoked Plum is sour and astringent, astringing yin and stopping sweating.

bubble_chart Pattern Identification

  1. The body is emaciated and thin.
  2. Steaming bone fever, tidal fever.
  3. Lips are red and cheeks are flushed.

bubble_chart Formula Modification

  1. cough: add White Mulberry Root-Bark.
  2. spontaneous sweating night sweat: add Unprocessed Rehmannia Root, Astragalus Root.
  3. dry mouth: add Ophiopogon Tuber, Dendrobium.
  4. persistent low fever: increase the dosage of Sweet Wormwood, Chinese Wolfberry Root-bark.

bubble_chart Cautions and Contraindications

This formula is not suitable for those with yin deficiency, blood deficiency, and convulsions of the limbs.

bubble_chart Modern Application

This formula reduces fever, inhibits bacteria, and reduces inflammation. It is used for pneumonia, subcutaneous nodules, pleurisy, costal membrane inflammation, and fever of unknown origin.

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