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Yibian
 Shen Yaozi 
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formula nameHeart-Draining Decoction
aliasThree-Yellow Heart-Purging Decoction
sourceShanghan Zabing Lun
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bubble_chart Preparation and Dosage

Rhubarb Rhizoma (Radix et Rhizoma Rhei) 12gm (2 liǎng)
Coptis Rhizome (Rhizoma Coptidis) 9gm (1 liǎng)
Skullcap Root (Radix Scutellariae) 9gm (1 liǎng)

Boil three sheng (600cc) of water down to one sheng (200cc), and administer it in one draught.

bubble_chart Efficacy

Clearing heat and removing toxins, drying dampness to purge heat.

bubble_chart Indications

Excessive fire in the heart and stomach forces the blood to move recklessly, leading to vomiting, nosebleeds, constipation, or accumulated heat in the triple energizer, red eye aphtha, or external sores and abscesses due to intense heat toxin.

bubble_chart Formula Principles

In the formula, Coptis Rhizome purges the heart and clears the stomach, drying dampness and removing toxins, assisted by Skullcap Root to purge the lungs, drying dampness and removing toxins; Rhubarb Rhizoma clears heat and purges the lower, removing toxins and guiding fire downward. The combination of these herbs collectively achieves the effects of clearing heat, removing toxins, and drying dampness to discharge heat.

bubble_chart Syndrome Differentiation

  1. Various hemorrhages.
  2. Flushing of the face due to upward rushing.
  3. Constipation.
  4. Dysphoria.
  5. High blood pressure.

bubble_chart Formula Modification

  1. Various bleeding syndromes: add Chinese Angelica, Unprocessed Rehmannia Root.
  2. Thirst dysphoria: add Anemarrhena, Gypsum.
  3. Nausea and vomiting: add Bamboo Shavings, Inula Flower.
  4. Irritability and vexation: add Peony Bark, Gardenia.
  5. Red eye: add Prunella, Chrysanthemum Flower.
  6. Fever and chills: add Isatis Root, Lonicera, Forsythia.
  7. Excessive heat: add Dandelion, Tokyo Violet Herb.
  8. Aphtha: add Phelloendron Bark, Unprocessed Rehmannia Root.
  9. Sweating and palpitation: add Tangshen, Ophiopogon Tuber, Schisandra Fruit.

bubble_chart Cautions and Contraindications

It is contraindicated for those with deficiency and no heat.

bubble_chart Modern Application

Antibacterial, anti-inflammatory, antipyretic, laxative, hemostatic. Mainly used for acute oral mucosal ulcers, acute bacterial dysentery, acute infectious jaundice hepatitis, acute gastroenteritis, acute upper gastrointestinal bleeding, presenting with hematemesis or hematochezia, bright red blood, rapid onset, symptoms including fetid mouth odor, dry mouth, constipation, yellow urine, red tongue texture, yellow coating, and slippery rapid pulse.

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