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 Shen Yaozi 
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Fang namePlague-Clear Toxin-Vanquishing Decoction
sourceYizhen Yide
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[Preparation method and dosage]

Gypsum (Gypsum Fibrosum) 50gm (a large dose is 6 to 8 liǎng, a medium dose is 2 to 4 liǎng, and a small dose is 8 qián to 1.2 liǎng.)
Small Unprocessed Rehmannia Root (Radix Rehmanniae Recens) 15gm (large dose 6 qián~1 liǎng, medium dose 3 qián~5 qián, small dose 2~4 qián)
Rhinoceros Horn 5gm (a large dose is 6 to 8 qián, a medium dose is 3 to 4 qián, and a small dose is 2 to 4 qián.)
Makawaren (Rhizoma Coptidis) 6gm (a large dose is 6 to 4 qián, a medium dose is 2 to 4 qián, and a small dose is 1 to 1.5 qián.)
Gardenia (Fructus Gardeniae) 10gm
Platycodon Root (Radix Platycodonis) 10gm
Skullcap Root (Radix Scutellariae) 10gm
Anemarrhena (Rhizoma Anemarrhenae) 10gm
Red Peony Root (Radix Paeoniae Rubra) 10gm
Scrophularia Root (Radix Scrophulariae) 15gm
Forsythia (Fructus Forsythiae) 10gm
Bamboo Leaf (Herba Lophatheri) 10gm
Peony Bark (Cortex Moutan Radicis) 10gm
Liquorice Root (Radix Glycyrrhizae) 5gm

After frying the gypsum for more than ten minutes, add the rest of the medicine and fry together; administer the rhinoceros horn juice together, grind it into powder, or fry it first and then take it twice. At the beginning of the epidemic syndrome, chills and fever, splitting headache, irritability and delirium, body heat and cold limbs, tingling tongue and burnt lips, upper vomiting and lower diarrhea, if the six pulses are heavy and thin, use a large dose; if they are heavy and heavy, use a medium dose; For large quantities, use small doses.

[Efficacy]

clearing heat and purging fire, cooling blood to remove toxin.

[Indications]

dampness-heat: epidemic poison and all signs of fiery heat. Blazing of both qi and blood, high fever, mania, restlessness, unconsciousness, delirious speech, headache like splitting, fluid retention due to severe thirst, sore throat, retching, hematemesis, red tongue, burnt lips, thin and thready pulse, or heavy pulse , or floating and counting.

[Prescription]

This recipe is a combination of Shanghan Lun White Tiger Decoction, Waitai Miyao and Xiaopin Fang's Peony Root Rehmannia decoction and Waitai Miyao are derived from Coptis Detoxification Decoction in "Cui's Recipe" by adding and subtracting three recipes. The formula reuses gypsum combined with Anemarrhena and Liquorice Root to clear the heat of Yangming; Coptis Rhizome , Skullcap Root, Gardenia, the combination of three medicines can relieve triple energizer and excess fire; Rhinoceros Horn, paeonol bark, Unprocessed Rehmannia Root, Red Peony Root specializes in cooling blood to remove toxin and blood stasis; Forsythia, Scrophularia Root , Platycodon Root, Liquorice Root clearing heat and outthrusting pathogenic factors disinhibiting benifiting the pharynx; Bamboo Leaf clearing heart diuretic, conduct heat downward. The combination of various medicines not only clears the fire of both qi and blood, but also cools the blood of the heat. It is the main formula for treating blazing of both qi and blood.

[Key points of syndrome differentiation]

If the spots appear, add Dyers Woad and add 1.2 to 1.5 grams of Cimicifuga Rhizome; if the stool is not clear, add Shengjun; if the thirst is constant, add gypsum, Snakegourd Root; if the chest and diaphragm are suppressed, add Chuanlian, Submature Bitter Orange, Platycodon Root, Trichosanthis Fruit Cream.

[Modern application]

It is currently used for people with symptoms of blazing of both qi and blood such as Japanese encephalitis, epidemic encephalomyelitis, and sepsis.

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