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Yibian
 Shen Yaozi 
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formula nameTurtle Carapace Decocted Pill
sourceTreatise on Cold Damage and Miscellaneous Diseases
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bubble_chart Preparation and Dosage

Turtle carapace (Carapax Trionycis) roasted 36gm
Belamcanda Rhizome (Rhizoma Belamcandae) burn 9gm
Skullcap Root (Radix Scutellariae) 9gm
Bupleurum (Radix Bupleuri) 18gm
Pillbug (Armadillidium Vulgare) boil 9gm
Dried Ginger (Rhizoma Zingiberis) 9gm
Rhubarb Rhizoma (Radix et Rhizoma Rhei) 9gm
Red paeony root (Radix Paeoniae Rubra) 15gm
Cinnamon Twig (Ramulus Cinnamomi) 9gm
Pepperweed Seed (Semen Descurainiae) boil 3gm
Pyrrosia Leaf (Folium Pyrrosiae) de-fuzzed 9gm
Magnolia Bark (Cortex Magnoliae Officinalis) 9gm
Peony Bark (Cortex Moutan Radicis) de-cored 15gm
Lilac Pink Herb (Dianthi Herba) 6gm
Chinese trumpetcreeper (Flos Campsis) 9gm
Pineilia (Rhizoma Pinelliae) 3gm
Ginseng (Radix Ginseng) 3gm
Ground beeltle (Eupolyphaga) 15gm
Donkey-hide Gelatin (Colla Corii Asini) roasted 9gm
Honeycomb (Polistes olivaceous) roasted 12gm
Mirabilite (Natrii Sulfas) 36gm
Dung beetle (Cathsrsius molossus) boil 18gm
Peach Kernel (Semen Persicae) 6gm

Grind 23 herbs into powder. Take one dou of calcined stove ash and soak it in one hu and five dou of clear wine. Wait until half of the wine has evaporated, then add turtle carapace and boil until it becomes thick like glue. Strain the liquid, mix it with the powdered herbs, and decoct to form pills. Each pill should be the size of a wutong seed. Take seven pills (6-9 grams) on an empty stomach, three times a day.

bubble_chart Efficacy

Resolving stasis and dissipating masses, resolving phlegm and dissipating masses.

bubble_chart Indications

  1. malaria with splenomegaly. Symptoms include a stuffy mass below the hypochondrium, or pain, or tenderness, purple tongue or ecchymosis, and a choppy or wiry pulse.
  2. five zang-organs static blood phlegm accumulation syndrome. Symptoms include masses in the liver, spleen, kidney, lung, heart, or six fu-organs, or in the uterus, or in the penis, with hard and fixed painful areas that do not move upon pressure, muscle wasting, poor appetite, or fever and chills, or fatigue, or limb weakness, purple tongue with ecchymosis, and a deep, choppy pulse.

bubble_chart Formula Principles

In the formula, turtle carapace enters the liver meridian to search for and expel pathogens, invigorating blood and resolving stasis, softening hardness and resolving abdominal mass, serving as the sovereign medicinal. Red nitre breaks hardness and dissipates masses; Rhubarb Rhizoma attacks accumulation and dispels stasis; ground beetle, dung beetle, pillbug, honeycomb, Peach Kernel, Chinese trumpetcreeper, and moutan bark break and expel blood stasis, assisting the sovereign medicinal to enhance the effects of softening hardness and dissipating masses; Magnolia Bark promotes the smooth flow of qi, Lilac Pink Herb and Pyrrosia Leaf promote urination and dispel dampness; Pinellia, Belamcanda Rhizome, and Pepperweed Seed dispel phlegm and dissipate masses; Bupleurum and Skullcap Root clear heat and soothe the liver, regulating the flow of qi; Dried Ginger and Cinnamon Twig warm the middle and promote yang, transforming stasis and opening masses, collectively serving as minister medicinals. Ginseng tonifies qi, Donkey-hide Gelatin nourishes blood, Peony Root nourishes blood and invigorates blood circulation, entering the collaterals to break blood stasis, serving as assistant medicinals.

bubble_chart Modern Application

Clinically used for liver cirrhosis, liver cancer, chronic hepatitis, schistosomiasis, black Rebing, pancreatic cancer, stomach cancer, lung cancer, and abdominal tumors presenting with the aforementioned symptoms and signs.

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