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Yibian
 Shen Yaozi 
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formula nameCoptis Detoxification Decoction
sourceWaitai Miyao
smart_toy
bubble_chart Preparation and Dosage

Coptis Rhizome (Rhizoma Coptidis) 9gm
Skullcap Root (Radix Scutellariae) 6gm
Phelloendron Bark (Cortex Phellodendri) 6gm
Gardenia (Fructus Gardeniae) 9gm

bubble_chart Efficacy

Clearing heat and removing toxin.

bubble_chart Indications

Triple Energizer Fire-Heat Pattern: Manic agitation, dry mouth and throat, severe heat, retching, paraphasia, insomnia, hematemesis, epistaxis, severe heat causing macules, or surgical abscesses, boils and sores, dark urine, red tongue with yellow coating, rapid and forceful pulse.

bubble_chart Formula Principles

This formula is commonly used for triple energizer heat toxin exuberance. In the formula, Coptis Rhizome drains heart fire and also drains middle energizer fire; Skullcap Root drains upper energizer fire; Phellodendron Bark drains lower energizer fire; Gardenia thoroughly drains triple energizer fire, guiding heat downward, allowing pathogenic heat to exit through the urine. The combination of these four herbs, with their direct repulsion using bitter cold, expels fire pathogens and resolves heat toxin, thereby curing all symptoms.

bubble_chart Pattern Identification

  1. Great heat and vexation, dry mouth and throat.
  2. Red tongue with yellow coating.
  3. Rapid and forceful pulse.
  4. Boil and sore, red, swollen, hot, and painful.

bubble_chart Formula Modification

  1. Heat toxin exuberance with hemorrhagic syndrome: add Unprocessed Rehmannia Root, Peony Bark, Platycladus.
  2. Boils and sores with severe toxicity: add Lonicera, Forsythia, Dandelion.
  3. Stagnant heat with jaundice: add Virgate Wormwood, Rhubarb Rhizoma.
  4. Dry stool: add Rhubarb Rhizoma, Mirabilite.
  5. Aversion to cold, with exterior pattern: add Gypsum, Fermented Soybean, Ephedra.
  6. Fever, thirst with desire to drink: add Gypsum, Anemarrhena.
  7. Urinary tract infection: add Plantain, Polyporus, Six-to-One Powder, or combine with Polyporus Decoction.

bubble_chart Cautions and Contraindications

This formula is a remedy for the Great Cold (24th solar term), which can easily lead to dryness and damage to yin. Therefore, it should not be taken excessively or for prolonged periods.

bubble_chart Modern Application

Urinary tract infection, hepatitis, nephritis, mastitis, gastroenteritis, cholecystitis, meningitis, pyogenic fistula, pneumonia, sepsis, appendicitis, burns, carbuncles, sores, boils and sores, furuncles, various hemorrhagic dermatitis, eczema, rosacea, and various febrile diseases.

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