Yibian
 Shen Yaozi 
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formulaGallbladder-Warming Decoction
sourceSanyin Jiyi Bingzheng Fanglun
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bubble_chart Preparation 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

bubble_chart Efficacy

Regulating qi and resolving phlegm, harmonizing the gallbladder and stomach.

bubble_chart Indications

Stomach disharmony, internal disturbance of phlegm turbidity. Symptoms include insomnia due to deficiency, chest tightness with phlegm, nausea and vomiting, hiccups, palpitations due to fright, restlessness, bitter taste in the mouth, greasy tongue coating, and wiry, slippery pulse.

bubble_chart Formula Principles

This formula combines warm and cool properties, suitable for those with disharmony between the gallbladder and stomach, internal disturbance of phlegm-turbidity, and a tendency toward heat transformation. In the formula, Pinellia dries dampness and resolves phlegm, downbears counterflow to stop vomiting; Dried Tangerine Peel regulates qi and resolves phlegm; Poria invigorates the spleen and drains dampness; Immature Orange Fruit regulates qi and resolves phlegm, promoting qi movement and phlegm transformation; Bamboo Shavings clears heat and resolves phlegm, stops vomiting, and relieves irritability; Fresh Ginger Rhizome strengthens the stomach, dispels phlegm, and stops vomiting. Combined, the formula achieves the effects of regulating qi and resolving phlegm, harmonizing qi and calming the spirit, and harmonizing the gallbladder and stomach.

bubble_chart Pattern Identification

  1. Restlessness and insomnia.
  2. Chest tightness with phlegm.
  3. Palpitation due to fright and uneasiness.
  4. Greasy tongue coating and bitter taste in the mouth.
  5. Wiry and slippery pulse.

bubble_chart Formula Modification

  1. Excessive phlegm-fire: Add Trichosanthis Fruit, 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 irritability: Add Gardenia, Fermented Soybean.
  6. Alternating chills and fever: Add Bupleurum, Skullcap Root.
  7. Sleeplessness due to overthinking: Combine Peripatetic Powder.
  8. Sleeplessness due to depression: Add Depression-Resolving Pill.
  9. Angina: Add Sichuan Lovage Rhizome, Salvia, Curcuma Root, Longstamen Onion Bulb, Cinnamon Twig.

bubble_chart Cautions and Contraindications

It is not suitable for symptoms such as vertigo, insomnia, and palpitations caused by yin deficiency and blood deficiency.

bubble_chart Modern Application

This formula calms and aids sleep, dispels phlegm, relieves cough, stops vomiting, dilates coronary arteries, and reduces inflammation. It is used for schizophrenia, depression, neurosis, epilepsy, Meniere's syndrome, coronary heart disease, arteriosclerosis, angina pectoris, hypertension, peptic ulcers, gastritis, cholecystitis, gallstones, chronic bronchitis, asthma, and hyperthyroidism.

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