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Yibian
 Shen Yaozi 
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Fang namePolyporus Decoction
sourceTreatise On Typhoid And Death
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[Preparation method and dosage]

Polyporus (Polyporus) peeled 5gm (1 liǎng)
Poria (Poria) 5gm (1 liǎng)
Alisma (Rhizoma Alismatis) 5gm (1 liǎng)
Donkey-hide Gelatin (Colla Corii Asini) 5gm (1 liǎng)
Talc (Talcum) crushed 5gm (1 liǎng)

Boil the 4 ingredients with 800 ml (4 shēng) of water, take 400 ml (2 shēng), drain, add donkey-hide gelatin and stir well. Administer while warm 140 ml (7 hours), administer 3 times a day.

[Efficacy]

promoting urination and draining dampness, clearing heat and nourishing yin.

[Indications]

  1. syndrome/pattern of water binding with heat. Difficulty urinating, fever, thirst for fluid retention; or feeling upset and unable to sleep, or combined with cough, vomiting, and diarrhea.
  2. It also treats gonorrhea, hematuria, difficult and painful urination, difficulty in dripping, small abdominal distension and fullness pain.

[Prescription]

This prescription originally treats disease caused by cold, which is introduced into Yangming or Shaoyin and turns into heat and water, resulting in water and heat intertwining, heat accumulation in lower energizer, difficulty in urination, or urethral pain. The main mechanism of disease of Polyporus Decoction syndrome is both damage to fluid and water stasis, which is complicated. If water qi stops accumulating and qi does not distribute fluids, the damaged yin will become more deficient; if body fluids cannot be transported normally, the stored water will become more accumulating, resulting in an imbalance of dryness and moisture, which is commonly known as body fluid metabolism. When an obstacle occurs, or it manifests as a local deficiency or excess, if simply using enriching yin, the water accumulation will be even worse, and using only the water diversion method will cause more damage to the yin fluid. This will not only fail to resolve the conflict, but will worsen the condition, so it is necessary to enrich yin and diuretic. Same use. In the prescription, Polyporus and Poria enter the kidney and bladder meridians. Polyporus is sweet and slightly bitter, and the bitterness can go down to Shaoyin, and the sweetness can penetrate Poria eliminates dampness with bland medicinal, strengthens the spleen to control water and dampness; Alisma relieves watery diarrhea and heat; Talc Sweet, cold and slippery, clearing heat and relieving stranguria; Donkey-hide Gelatin nourishing yin and moistening dryness and can stop bleeding. All medicines are used together, clearing heat and nourishing yin, and diuresis, which can dilute water without damaging yin, enriching yin without astringing evil, so that water and qi can be removed, evil heat can be cleared, yin fluid can be restored, and all diseases can be eliminated.

[Key points of syndrome differentiation]

  1. Having trouble urinating.
  2. Urethra burning pain.
  3. Hematuria.
  4. thirst upset.
  5. Red tongue and rapid pulse.

[Addition and subtraction]

  1. Hematuria: Add lalang grass rhizome, fry Sanguisorba, and combine Four Ingredients Decoction.
  2. heat stranguria: Add Grass of Common KnotGrass, Lilac Pink Herb. Or combined with Eight-Ingredient Rectification Powder.
  3. Short urination and dripping urine: add Plantain Seed.
  4. lumpago: Add Chinese Taxillus Herb, Twotooth Achyranthes Root.
  5. Urinary tract stones: add Sea Gold Sand, combined with Peony and Licorice Decoction
  6. Red and astringent urine: combined with Redness-Removing Powder.

[Attention to taboos]

This prescription is an agent that enriches yin and clearing heat and is suitable for urination problems caused by yin deficiency and heat. This prescription should not be used if there is excess heat, damage to fluid, or thirst and difficulty in urination.

[Modern application]

This prescription is a diuretic, improves kidney function, promotes the excretion of electrolytes, and improves metabolic acidosis. Used for urinary tract infections, urinary tract stones, acute and chronic pyelitis, acute and chronic glomerulonephritis, suspected bladder cancer, acute and chronic nephritis, liver cirrhosis, abdominal retention of water, hematuria, and insomnia.

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