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Yibian
 Shen Yaozi 
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formula nameMajor Chest Bind Decoction
sourceShanghan Zabing Lun
smart_toy
bubble_chart Preparation and Dosage

Rhubarb Rhizoma (Radix et Rhizoma Rhei) 15gm
Mirabilite (Natrii Sulfas) 15gm
Gansui Root (Radix Euphorbiae Kansui) 2gm

bubble_chart Efficacy

Eliminate pathogenic heat and expel water retention.

bubble_chart Indications

Early purgation in cold-damage disease leads to the exterior pathogen entering the interior, causing fullness and hard pain below the heart. Alternatively, heavy sweating followed by purgation results in no bowel movement for five to six days, dry tongue and thirst, late afternoon tidal fever, fullness and hardness from the heart to the lower abdomen, unbearable pain, or absence of high fever with only slight sweating on the head, and a deep pulse, indicating water thoracic accumulation.

bubble_chart Formula Principles

This prescription is applied to the syndrome of pathogenic heat and water toxin mutually binding in the chest and hypochondrium, known as thoracic accumulation. In the formula, Rhubarb Rhizoma and Mirabilite are used to purge pathogenic heat, while Gansui Root is used to expel water toxin. However, these three ingredients are all drastic formulas of cold purgation, and should be stopped immediately after achieving rapid relief.

bubble_chart Pattern Identification

  1. thoracic accumulation syndrome.
  2. dysphoria.
  3. constipation.
  4. epigastric pain.
  5. deep and slow or tight pulse.

bubble_chart Cautions and Contraindications

Stop taking the medication once benefits are achieved.

bubble_chart Modern Application

Pleurisy, costal membrane inflammation, pneumonia, bronchitis, intercostal neuralgia, angina pectoris, cardiac neurosis, myocardial infarction, pulmonary edema, beriberi affecting the heart, etc.

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