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Yibian
 Shen Yaozi 
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formulaMajor Center-Fortifying Decoction
sourceTreatise on Cold Damage and Miscellaneous Diseases
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bubble_chart Preparation and Dosage

Pricklyash Peel (Pericarpium Zanthoxyli) 6gm
Dried Ginger (Rhizoma Zingiberis) 15gm
Ginseng (Radix Ginseng) 10gm
Maltose 60gm

bubble_chart Efficacy

Dispelling cold, tonifying deficiency, descending counterflow, and relieving pain.

bubble_chart Indications

    Weakness of the middle yang, severe pudendal coldness internally, severe pain in the epigastrium and abdomen, unbearable to touch.
  1. Abdominal distension and fullness, vomiting, anorexia, or gurgling sounds in the abdomen, pale tongue with white and slippery coating.
  2. Cold deficiency abdominal pain, which is alleviated by warmth.
  3. bubble_chart Formula Principles

    In the formula, Pricklyash Peel and Dried Ginger are both warm and hot in nature, extremely pungent and hot, capable of warming the interior and dissipating cold, moving qi to disperse stagnation, and invigorating relaxed tissues; maltose has nourishing and soothing effects and also possesses pain-relieving functions; Ginseng can promote gastrointestinal digestion and absorption, tonifying qi to restore physical strength.

    bubble_chart Pattern Identification

    1. Interior cold.
    2. Abdominal pain, weak abdominal muscles.
    3. Deep, slow, wiry, and weak pulse.

    bubble_chart Formula Modification

    1. vomiting phlegm and water: add Pinellia and Poria.
    2. cold pain in the chest and heart: add Aconite Lateral Root and Asarum.

    bubble_chart Cautions and Contraindications

    Avoid use in cases of non-cold abdominal pain or acute inflammation.

    bubble_chart Modern Application

    This formula strengthens the heart, enhances gastrointestinal motility, and alleviates pain. It is used for poor intestinal motility, intestinal stenosis, intestinal atony, localized peritonitis, abdominal pain caused by roundworms, cold-type appendicitis, intestinal colic, gastroptosis, gastric dilatation, kidney stones, and cholelithiasis.

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