Yibian
 Shen Yaozi 
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formula nameTrue Warrior Decoction
sourceShanghan Zabing Lun
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bubble_chart Preparation and Dosage

Poria (Poria) 9gm (3 liǎng)
Peony Root (Radix Paeoniae Alba) 9gm (3 liǎng)
White Atractylodes Rhizome (Rhizoma Atractylodis Macrocephalae) 6gm (2 liǎng)
Fresh Ginger Rhizome (Rhizoma Zingiberis) 9gm (3 liǎng)
Aconite Lateral Root (Radix Aconiti Lateralis Praeparata) prepared, peeled, broken into eight pieces 12gm (1 piece)

Take Wuwei, boil it in eight liters of water until reduced to three liters, remove the dregs, and take seven ge of the warm decoction. Take three times a day.

bubble_chart Efficacy

Warms kidney yang, promotes water qi.

bubble_chart Indications

  1. spleen-kidney yang deficiency, syndrome of internal retention of water, dysuria, heavy and painful limbs, abdominal pain, diarrhea, or limb edema, white tongue coating without thirst, deep pulse.
  2. taiyang disease, sweating, persisting fever after sweating, palpitations below the heart, dizziness, muscular twitching, trembling as if about to fall.

bubble_chart Formula Principles

This formula is commonly used to treat kidney yang deficiency and dysfunction of the spleen in transportation. In the formula, Aconite Lateral Root warms the kidney and assists yang, transforms qi, and drains water; White Atractylodes Rhizome dries dampness and promotes water movement; Poria mildly promotes diuresis, and when used together with Atractylodes and Poria, it also strengthens the spleen; Fresh Ginger Rhizome warms and disperses water qi; Peony Root nourishes blood and harmonizes yin, preventing the generation of dryness-heat after the dissipation of water qi.

bubble_chart Pattern Identification

  1. Swelling and heaviness in the limbs.
  2. Difficulty in urination.
  3. Dizziness and palpitations.
  4. White coating on the tongue with a swollen tongue.
  5. Deep and slow pulse.

bubble_chart Formula Modification

  1. cough: add Schisandra Fruit.
  2. Excessive cold: add Asarum, Dried Ginger.
  3. Severe edema: add Alisma, Poria. Or combine with Five Ingredients with Poria Powder.
  4. Accompanied by static blood: add Salvia, Red Peony Root, Carthamus.
  5. Wind-dampness arthritis: add Cinnamon Twig, Tangshen.
  6. Limb pain: add Asarum, Ephedra.
  7. Vertigo and vomiting: combine with PinelliaGastrodia TuberWhite Atractylodes Rhizome Decoction.

bubble_chart Cautions and Contraindications

If edema is an excess pattern accompanied by qi stagnation, this formula should not be used.

bubble_chart Modern Application

This formula strengthens the heart, improves systemic blood circulation, promotes diuresis, protects the gastric mucosa, aids digestion, and benefits the gallbladder. It is used for chronic bronchitis, intestinal adhesions, Meniere's syndrome, chronic nephritis, nephrotic syndrome, cirrhotic ascites, heart failure, infertility, ovarian cysts, gastroptosis, gastric and duodenal ulcers, pleuritis, hypertension, valvular heart disease, chronic enteritis, indigestion, atrophic kidney, and urticaria.

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