Yibian
 Shen Yaozi 
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formula nameHeart-Clearing Lotus Seed Decoction
sourceCompilation of Proven Prescriptions from Famous Modern Chinese Physicians
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bubble_chart Preparation and Dosage

Skullcap Root (Radix Scutellariae) 20gm
Ophiopogon Tuber (Radix Ophiopogonis) 15gm
Chinese Wolfberry Root-bark (Cortex Lycii) 20gm
Plantain Seed (Semen Plantaginis) 15gm
Bupleurum (Radix Bupleuri) 15gm
Liquorice Root (Radix Glycyrrhizae) 5gm
Lotus Seed (Semen Nelumbinis) 15gm
Poria (Poria) 15gm
Astragalus Root (Radix Astragali seu Hedysari) 50gm
Tangshen (Radix Codonopsis) 50gm

bubble_chart Efficacy

Clearing heart fire, tonifying qi and yin, draining dampness and turbidity.

bubble_chart Indications

Seminal emission, turbid urine, menorrhagia, leukorrhea, symptoms aggravated by fatigue, restless sleep, fatigue in the limbs, vexing heat in the chest, palms, and soles, dry mouth and throat, reddish tongue, and a thin, rapid pulse.

bubble_chart Formula Principles

This prescription is suitable for symptoms such as excessive heart fire, deficiency of qi and yin, non-interaction between heart and kidney, and dampness-heat pouring down. In the prescription, Lotus Fruit clears heart fire and facilitates the communication between the heart and kidney; Skullcap Root clears heat from the heart and lungs; Chinese Wolfberry Root-bark clears deficient heat; Poria and Plantain Seed drain dampness and turbidity; Ophiopogon Tuber clears the heart and nourishes yin; Ginseng, Astragalus Root, and Liquorice Root tonify qi and support the body's vital energy. The combination of these herbs helps to calm the heart fire, restore qi and yin, facilitate the interaction between the heart and kidney, separate dampness-heat, and gradually alleviate the symptoms.

bubble_chart Syndrome Differentiation

  1. Urine is dark and turbid or leukorrhea is yellowish.
  2. Five types of fire causing vexing heat.
  3. Dry mouth.
  4. Thin and rapid pulse.
  5. Loose stool.

bubble_chart Formula Modification

  1. fever: Add Bupleurum, Mentha.
  2. dampness-heat excess: Add Phelloendron Bark, Atractylodes Rhizome, Hypoglaucous Yam.
  3. kidney yin deficiency: Add Unprocessed Rehmannia Root, Asiatic Cornelian Cherry Fruit, Barbary Wolfberry Fruit.
  4. upper excess and lower deficiency: Add Anemarrhena, Phelloendron Bark.

bubble_chart Cautions and Contraindications

Caution should be exercised for those with dry stool accumulation.

bubble_chart Modern Application

Chronic urinary tract infections, chronic prostatitis, cervicitis, vaginitis, chronic cystitis, diabetes, dark and turbid urine, leukorrhea, seminal emission.

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