bubble_chart Preparation and Dosage

Grind into fine powder, make into water pills the size of a Chinese parasol seed. Take 40-50 pills each time, adjust the dosage according to deficiency and excess, take with clear tea or warm water, take before sleep or after meals, lie on your back after taking to let the medicine stay between the chest and diaphragm, to eliminate phlegm stagnation in the upper energizer, avoid drinking water or moving around.
Another formula: add 60g of Cinnabar, grind into fine powder and use as coating.
Modern usage: make into small water pills, take 5-9g each time, 1-2 times a day.

bubble_chart Efficacy

Purging is used to expel phlegm in cases of excess heat and stubborn phlegm, manifesting as manic and depressive psychosis, or severe palpitations and unconsciousness, or cough with thick sputum, or chest and gastric stuffiness, or vertigo and tinnitus, or subcutaneous nodules around the neck, or twitching of the mouth and eyes, or insomnia, or strange dreams, or sudden joint pain that is hard to describe, or choking and restlessness, severe constipation, yellow and thick tongue coating, and a slippery, rapid, and forceful pulse.

bubble_chart Formula Principles

In the formula, the calcined biotite schist is used as the monarch, leveraging its drying, welding, heavy, and sinking properties to effectively attack and expel old, stagnant, and hidden phlegm. The bitter and cold Rhubarb Rhizoma is employed as the minister to purge substantial heat and open the pathway for phlegm-fire to descend. Assisted by the bitter Skullcap Root, which excels in clearing heat from the upper energizer qi aspect, and the swift qi-lowering Aquilaria, adhering to the principle that treating phlegm must first regulate qi. The combination of these four herbs exerts a strong downward and expelling force, making it a drastic formula for attacking and sinking substantial heat and old phlegm.

bubble_chart Cautions and Contraindications

This prescription has a potent medicinal effect and should be used with caution in cases that are not characterized by substantial heat and stubborn phlegm, as well as in individuals with weak constitutions and pregnant women, to avoid injuring healthy qi. As Yu Tuan stated, "Rolling Phlegm Pill should only be administered to those with a robust physique and firmly entrenched phlegm accumulation. It must not be used lightly in individuals with a weak constitution."

bubble_chart Modern Application

Schizophrenia, epilepsy, vertigo.