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Yibian
 Shen Yaozi 
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formula namePoria, Cinnamon Twig, Bighead Atractylodes and Licorice Decoction
aliasPoria, Cinnamon Twig, White Atractylodes and Licorice Decoction
sourceShanghan Zabing Lun
smart_toy
bubble_chart Preparation and Dosage

Poria (Poria) 12gm (4 liǎng)
Cinnamon Twig (Ramulus Cinnamomi) peeled 9gm (3 liǎng)
White Atractylodes Rhizome (Rhizoma Atractylodis Macrocephalae) 6gm (2 liǎng)
Liquorice Root (Radix Glycyrrhizae) roasted 6gm (2 liǎng)

Take the four ingredients on the right, boil them in six sheng of water until reduced to three sheng, remove the dregs, and divide into three doses to be taken warm.

bubble_chart Efficacy

Warming yang to strengthen the spleen, promoting urination and draining dampness.

bubble_chart Indications

Phlegm fluid retention disease, fullness in the chest and hypochondrium, dizziness, palpitations, shortness of breath with cough, pale tongue with white greasy coating, wiry and slippery pulse.

bubble_chart Formula Principles

The phlegm fluid retention disease treated by this formula is caused by insufficient middle yang, dysfunction of the spleen in transportation, and qi failing to promote water transformation, leading to the accumulation of dampness. Therefore, the treatment should focus on warming and transforming to promote diuresis. In the formula, Poria strengthens the spleen and drains dampness; Cinnamon Twig warms yang and lowers adverse qi, assisting Poria in qi transformation to move water; White Atractylodes Rhizome invigorates the spleen and dries dampness, ensuring the healthy transportation of the middle energizer, thereby eliminating water and dampness; roasted Liquorice Root strengthens the spleen, tonifies the middle, and harmonizes all the herbs.

bubble_chart Syndrome Differentiation

  1. Chest and hypochondriac fullness (fluid retention).
  2. Dizziness and palpitation.
  3. Shortness of breath.
  4. Wiry and slippery pulse.

bubble_chart Formula Modification

  1. spleen deficiency, lung qi swelling: add Tangshen, Astragalus Root.
  2. headache, dizzy vision: add Chinese Angelica, Sichuan Lovage Rhizome.
  3. vomiting, excessive phlegm: add Pinellia, Dried Tangerine Peel.
  4. edema: increase Poria and add Polyporus, Alisma.
  5. severe palpitation: add Salvia.
  6. cough and asthma: add Ephedra, Belamcanda Rhizome, Pepperweed Seed.
  7. severe cold: add Dried Ginger, Aconite Lateral Root.
  8. leucorrhea: add Tangshen, oyster shell.
  9. insufficiency of heart qi: add red ginseng, Salvia, Unprocessed Rehmannia Root.
  10. spleen deficiency with excessive dampness and diarrhea: combine with Stomach-Calming Powder.
  11. dacryocystitis: add Plantain Seed, Coptis Rhizome, named Minglang Decoction.

bubble_chart Cautions and Contraindications

This formula has a warm medicinal property and should be used with caution in cases of phlegm-fluid retention and yin deficiency with effulgent fire.

bubble_chart Modern Application

Bronchial asthma, chronic bronchitis, Meniere's syndrome, chronic nephritis, vertigo, palpitation, heart valve disease, dacryocystitis, hypertension, rhinitis, ear diseases, lung qi swelling.

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