[Preparation method and dosage]

the above 4 ingredients, use 1 shēng of water, boil Magnolia officinalis and Citrus aurantium first, take 500 ml, and remove the dregs; add rhubarb, decoted to 200 ml, remove the dregs; Glauber's salt, bring to a boil over low heat 1 liǎng, administer in 2 warm doses. If you get it, don’t accept it.

[Efficacy]

clearing heat and purging the lower.

[Indications]

1. yang brightness fu-organ syndrome/pattern, epigastric stuffiness and fullness, abdominal pain that refuses to be pressed, is hard to press, obstruction of stool, frequent fecal gas, or even tidal fever, delirious speech, sudden sweating of hands and feet, tongue The coating is yellow and thick, dry and prickly, or blackened and cracked, with a heavy and solid pulse.
2. heat retention with watery discharge, diarrhea with clear water, abnormal odor, umbilical and abdominal pain, dry mouth and tongue when pressed, slippery and rapid pulse.
3. Interior heat excess syndrome/pattern's heat reversal, convulsive disease or madness, etc. belong to interior excess heat syndrome/pattern.

[Prescription]

Fangzhong Immature Orange Fruit eliminates stuffiness and breaks; Magnolia Bark removes fullness and moving qi; Sodium Sulfate moisturizes and softens hardness, Rhubarb Rhizoma attacks the essence and purifies the lower body; the combination of saltpetre and yellow nitrate has the effect of purging heat, removing accumulation and promoting innovation; Immature Orange Fruit Magnolia Bark can be used together. It can also regulate gastrointestinal function. The four flavors can be used together to clear blockages, unblock blockages, and eliminate foul odors. This recipe is a commonly used formula for cold purgation.

[Key points of syndrome differentiation]

1. yang brightness fu-organ syndrome/pattern.
2. Abdominal distension and fullness pain and hardness.
3. Blocked stool or diarrhea. Clear water.
4. Tongue dry coating is yellow and thick.
5. The pulse is heavy or slippery.

[Addition and subtraction]

1. Dryness-heat and thirst: add gypsum, Anemarrhena.
2. qi stagnation and blood stasis: Add Red Peony Root, Peach Kernel.
3. Inflation stuffiness and fullness: Add radish seed and Aucklandia Root.
4. Febrile convulsions: Add Acorus, Uncaria.
5. profuse sweating: add Fossil Bone, oyster shell.
6. jaundice: Add Virgate Wormwood, Phelloendron Bark, Skullcap Root, Gardenia.

[Attention to taboos]

In non-Yangmingli excess heat syndrome/pattern, use with caution.

[Modern application]

Intestinal obstruction, acute pancreatitis, acute cholecystitis, acute infection hepatitis, appendicitis, apoplexy, shock, biliary infection, tetanus, hypertension, constipation, food poisoning, measles, urticaria measles, pediatric acute infantile convulsion, epilepsy, schizophrenia , obesity, eye disease, puerperium fever, red dysentery, epidemic dysentery, fatty heart, etc.