bubble_chart Preparation and Dosage Rhubarb Rhizoma (Radix et Rhizoma Rhei)
wrapped in flour simmered, removed, cut, baked 10gm Grind the medicine into a powder. Take 6 grams (2 qian) per dose, add 150 milliliters (1 cup) of water, include lampwick, and decoct until reduced to 100 milliliters (7 fen). Strain the dregs and take warm after meals and before bedtime. For children, administer according to their strength, giving a small amount.
bubble_chart Efficacy
Clearing heat and purging fire, promoting urination and relieving strangury.
bubble_chart Indications
Dampness-heat pouring down leads to fever, stranguria due to urolithiasis, and other symptoms. Manifestations include fever, frequent urination, painful and difficult urination, distension and fullness in the waist and abdomen, or intermittent severe pain, red tongue with yellow coating, and a slippery and rapid pulse.
bubble_chart Formula Principles
This formula is suitable for dampness-heat accumulation in the bladder and obstruction of the water passages, leading to symptoms such as acute pain in the lower abdomen, scanty and dark urine, painful and difficult urination, dribbling urination, or even ischuria. In the formula, Lilac Pink Herb and Grass of Common KnotGrass specifically target the bladder and are adept at clearing and draining damp-heat, serving as the main herbs. They are combined with Akebia Stem, Plantain Seed, Talc, and Rush Pith, which clear heat and promote urination, thereby enhancing the diuretic and strangury-relieving effects. Additionally, Rhubarb Rhizoma and Gardenia, which clear heat and purge fire, further increase the efficacy in relieving strangury and pain. This is an important formula for treating heat strangury syndrome.
bubble_chart Pattern Identification - dark urine.
- frequent and painful urination.
- red tongue with yellow coating.
- slippery and rapid pulse.
- tendency to constipation.
bubble_chart Formula Modification
- Hematuria: Add Small Thistle, Unprocessed Rehmannia Root, Yerbadetajo Herb, lalang grass rhizome.
- Urinary stones: Add Christina Loosestrife, Sea Gold Sand, Villous Amomum Fruit or combine with Polyporus Decoction.
- Painful urination: Add Corydalis Tuber, Submature Bitter Orange.
- Restlessness and thirst: Add Ophiopogon Tuber, Schisandra Fruit.
- Hot and painful urination: Add Coptis Rhizome, Unprocessed Rehmannia Root.
- Abdominal distension and fullness: Add Lindera, Chinaberry Fruit.
- Edema: Add tuckahoe peel.
- Nephritis or renal hypertension: Add Chinese Taxillus Herb, Eucommia Bark, Peony Root.
- Urinary tract or urinary system infection: Add Dandelion or combine with Polyporus Decoction.
bubble_chart Cautions and Contraindications
This prescription is not suitable for stranguria due to deficiency, pregnant women, or those who are elderly and physically weak.
bubble_chart Modern Application
This formula has significant diuretic effects, as well as antibacterial and anti-inflammatory properties. It is used for acute urethritis, cystitis, pyelonephritis, urinary system stones, and gonorrhea infections.