Yibian
 Shen Yaozi 
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Fang nameQi-Clearing and Phlegm-Resolving Pill
sourceYifangkao
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[Preparation method and dosage]

Dried Tangerine Peel (Pericarpium Citri Reticulatae) peeled 20gm (1 liǎng)
Bitter Apricot Seed (Semen Armeniacae Amarum) peeled and de-pointed 20gm (1 liǎng)
Immature Orange Fruit (Fructus Aurantii Immaturus) stir-fried with bran 20gm (1 liǎng)
Skullcap Root (Radix Scutellariae) wine-fried 20gm (1 liǎng)
Trichosanthis Fruit Kernels (Fructus Trichosanthis) remove oil 20gm (1 liǎng)
Poria (Poria) 20gm (1 liǎng)
Bile Arisaema (Rhizoma Arisaematis) 30gm (1.5 liǎng)
Pineilia (Rhizoma Pinelliae) ginger prepared 30gm (1.5 liǎng)

Ginger juice paste pills, lightly administered with ginger soup.

[Efficacy]

clearing heat and resolving phlegm, lowering qi to relieve cough.

[Indications]

syndrome/pattern of phlegm and heat obstructing the lung. Cough phlegm is yellow, sticky and difficult to cough, chest and diaphragm stuffiness, tongue coating is yellow and greasy, and pulse is slippery and rapid.

[Prescription]

Cough phlegm is yellow, thick and sticky, etc., all caused by phlegm heat. Palpitation due to fright insomnia is also caused by phlegm heat internal disturbance, which affects the mind and causes restlessness. Skullcap Root and Mongolian Snakegourd Seed are used in the prescription to clear heat and resolving phlegm. They are caused by heat phlegm and fire pathogens torment body fluids, so they are used in the prescription. The main medicine; when treating phlegm, it is necessary to regulate qi, so Dried Tangerine Peel and Immature Orange Fruit are used to lower qi and eliminate phlegm; spleen being source of phlegm, lung being container of phlegm, so Poria invigorating spleen and draining dampness, Bitter Apricot Seed ventilating lower lunging qi, Pineilia, Gall Star Strengthens the ability to resolving phlegm. When used together, it can smoothen the qi and clear away the heat. When the qi is smoothed, the fire will subside. When the heat is cleared, the phlegm will disappear. When the phlegm disappears, the fire will not be attached, and all symptoms can be relieved.

[Key points of syndrome differentiation]

  1. cough phlegm yellow.
  2. Thick and sticky.
  3. Thorax and diaphragm stuffiness and fullness.
  4. The fur is yellow and greasy.
  5. Sliding and rapid pulse.

[Addition and subtraction]

  1. If lung heat is excessive: add gypsum and Anemarrhena.
  2. If there are many phlegm: add Tendrilleaf Fritillary Bulb, Heartleaf Houttuynia Herb.
  3. Stool dryness accumulation: Add Rhubarb Rhizoma and Sodium Sulfate.

[Modern application]

This prescription is antibacterial, anti-inflammatory, antipyretic, dispelling phlegm and antitussive. Used for acute and chronic bronchitis, upper respiratory tract infections, common cold, and cough.

[Other related items]

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