Yibian
 Shen Yaozi 
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Fang nameGallbladder-Warming Decoction
sourceSanyin Jiyi Bingzheng Fanglun
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[Preparation method and dosage]

Pineilia (Rhizoma Pinelliae) 10gm
Red tangerine exocarp (Pericarpium Citri Reticulatae) 15gm
Poria (Poria) 8gm
Liquorice Root (Radix Glycyrrhizae) 5gm
Bamboo Shavings (Caulis Bambusae in Taeniam) 10gm
Immature Orange Fruit (Fructus Aurantii Immaturus) 10gm
Fresh Ginger Rhizome (Rhizoma Zingiberis) 10gm
Chinese Date (Fructus Jujubae) 2 pieces

[Efficacy]

Regulating qi and resolving phlegm, regulating gallbladder and stomach.

[Indications]

Gallbladder, stomach disharmony, phlegm, turbid internal disturbance syndrome. Deficiency, insomnia, chest tightness with phlegm, nausea, vomiting, hiccup, or palpitation due to fright, restlessness, bitter taste in mouth, greasy coating, stringy and slippery pulse.

[Prescription]

This prescription is used with both warming and cooling, and is suitable for those with disharmony between the bile and stomach, phlegm turbidity and internal disturbance, and those with a tendency of heat transformation. Pineilia drying dampness and resolving phlegm, downbearing counterflow to stop vomiting; Dried Tangerine Peel regulating qi and resolving phlegm; Poria invigorating spleen and draining dampness; Immature Orange Fruit regulating qi and resolving phlegm, making the phlegm of qi flow; Bamboo Shavings clearing heat and resolving phlegm, stopping vomiting and resolving phlegm; Fresh Ginger Rhizome strengthens the stomach, dispelling phlegm and stops vomiting. The comprehensive prescription has the effect of regulating qi and resolving phlegm, regulating qi and calming the nerves, and harmonizing the gallbladder and stomach.

[Key points of syndrome differentiation]

  1. I feel tired and sleepless.
  2. Chest tightness and phlegm.
  3. palpitation due to fright restlessness.
  4. The coating is greasy and bitter taste in mouth.
  5. Pulse is stringy and slippery.

[Addition and subtraction]

  1. phlegm If the fire is strong: add Mongolian Snakegourd Seed, Fritillaria Bulb.
  2. vertigo: Add Chrysanthemum Flower, Skullcap Root.
  3. insomnia: Add Sour Jujube, oyster shell.
  4. Epilepsy: Add Curcuma Root, Acorus.
  5. Internal heat and upset: add Gardenia and Fermented Soybean.
  6. alternating chills and fever: Add Bupleurum, Skullcap Root.
  7. Insomnia: combined with Peripatetic Powder.
  8. Depression-Resolving Pill: Add Depression-Resolving Pill.
  9. Anocardia: add Sichuan Lovage Rhizome, Salvia, Curcuma Root, longstamen onion bulb, Cinnamon Twig.

[Attention to taboos]

Not applicable to vertigo, insomnia, palpitation, etc. due to yin deficiency and blood deficiency.

[Modern application]

This prescription is sedative, dispelling phlegm, antitussive, antivomiting, dilating coronary stirred pulse, and anti-inflammatory. Used for schizophrenia, depression, neurosis, epilepsy, Meniere's syndrome, coronary heart disease, stirred pulse sclerosis, angina, hypertension, digestive tract ulcer, gastritis, Cholecystitis, cholelithiasis, chronic bronchitis, asthma, hyperthyroidism.

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