Yibian
 Shen Yaozi 
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Fang nameDiaphragm-Cooling Powder
sourceTaiping Huimin Heji Jufang
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[Preparation method and dosage]

Rhubarb Rhizoma (Radix et Rhizoma Rhei) 6gm
Mirabilite (Natrii Sulfas) 6gm
Liquorice Root (Radix Glycyrrhizae) roasted 6gm
Cape jasmine fruit kernel (Fructus Gardeniae) 3gm
Mentha leaves (Herba Menthae) de-stemmed 3gm
Skullcap Root (Radix Scutellariae) 3gm
Forsythia (Fructus Forsythiae) 12gm
Bamboo Leaf (Herba Lophatheri) 3gm (7 pieces)

The above ingredients are in coarse powder, take 6 to 12g per serving, add 3g of bamboo leaves, a little honey, decocted in water for administration, or decoction.

[Efficacy]

Cool the diaphragm to remove heat, purge fire and relieve constipation.

[Indications]

Accumulation of heat in the upper and middle burners, dysphoria, excessive thirst, hot face and dizziness, dry lips and throat, swollen tongue and closed throat, red eye epistaxis, hardness of the jaw and cheeks, sores in the mouth and tongue, sticky mucus and saliva, restless sleep and lying down, Delirious speech, large constipation knots, hot and red urine; and infantile convulsion, red tongue with yellow coating, slippery and rapid pulse.

[Prescription]

The syndrome treated by this prescription is caused by heat accumulation in the upper and middle burners. The prescription reuses Forsythia clearing heart lung, which relieves heat toxin, and is the main medicine; it is paired with Skullcap Root clearing heart chest stagnation heat; cape jasmine fruit purge the fire of triple energizer and draw the fire downward; Mentha and Bamboo Leaf clear the outside and clear the inside; use mirabilite and Rhubarb Rhizoma to cleanse the accumulated heat in the chest and diaphragm, using Yangming as a way out to purge the fire; also use white honey, Liquorice Root can not only relieve constipation and diarrhea, but also regulate the spleen and stomach. For those whose syndromes are characterized by blazing evil heat in the upper and middle burners, this prescription can be used to treat Gardenia to purge the triple energizer fire and cause the fire to descend; Mentha, Bamboo Leaf clears the outside and clears the inside; use mirabilite and Rhubarb Rhizoma to cleanse the accumulated heat in the chest and diaphragm, using Yangming as a way out to relieve diarrhea. And clear its fiery heat; use white honey and Liquorice Root, which can not only relieve the constipation and diarrhea, but also regulate the spleen and stomach. Anyone whose syndrome is characterized by excessive pathogenic heat in the upper or middle burners can be cured by adding or subtracting this prescription.

[Key points of syndrome differentiation]

  1. Sores on the mouth and tongue or sore throat.
  2. Chest and diaphragm are hot and bothersome.
  3. constipation red urine.
  4. Red tongue and yellow coating.
  5. Sliding and rapid pulse. Although this prescription has the effect of purging and laxative, it is used based on syndrome differentiation of "chest and diaphragm irritability and heat" and does not pay attention to whether there is constipation.

[Addition and subtraction]

  1. Constipation: add Immature Orange Fruit, Magnolia Bark.
  2. For severe sore throat: add Great Burdock Achene, Silver Flower, common andrographis herb.
  3. Nasal congestion: Add Magnolia, Cocklebur Fruit.
  4. red eye pain: add feather cockscomb seed, Chrysanthemum Flower.
  5. Alcohol poisoning: add Pueraria Flower, Coptis Rhizome.
  6. Hematemesis, hematemesis: Add Chinese Angelica, Peony Root, Unprocessed Rehmannia Root.
  7. Upset thirst: add smallpox.
  8. Draining urine: Add Talc and Poria.

[Attention to taboos]

Patients with physical weakness and pregnant women should avoid using this prescription or use it with caution.

[Modern application]

Acute tonsillitis, lobar pneumonia, acute pharyngitis, oral ulcer, cholangitis, infectious hepatitis, enterovirus.

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