[Preparation method and dosage]

Divide the above ingredients into equal portions and grind each into powder. Use 300 ml of water to boil ten large jujubes first, take 160 ml, remove the dregs, and collect the powder. Take 1 gm for strong ones and 0.5 gm for weak ones. Administer while warm and take on the same day. If the disease is not cured after taking the medicine, take it again tomorrow and add half qián. After the medicine is taken down quickly, the rice porridge will support itself.

[Efficacy]

expelling water by purgation.

[Indications]

1. Pleural fluid retention or thoracic fluid retention, stopping in the chest and ribs, coughing and salivating, chest and ribs pain, epigastric stuffiness, retching shortness of breath, headache dizzy vision, or chest and back pulling pain, tongue coating slippery , pulse sinking and stringy.
2. Edema, swollen all over the body, especially the lower half of the body, abdominal distension and fullness, fullness of breath, difficulty in defecating, belongs to excess syndrome/pattern.

[Prescription]

This syndrome is caused by fluid retention that accumulates inside and stops in the chest and side, or fluid retention overflows the limbs. When water stops in the chest and hypochondrium, qi movement is blocked, causing pain in the chest and hypochondrium; water retention presses on the lungs, causing dysfunction of lung qi, so coughing up saliva causes pain in the chest and hypochondrium, or even pulling pain in the chest and back. fluid retention is yin pathogen, which flows with Qi, stays under the heart, and Qi condenses in the middle, so epigastric stuffiness is hard and full, retching shortness of breath; fluid retention is when pathogens interfere with clear yang, so headache dizzy vision; fluid retention is where evil gathers, There is pain in the chest and hypochondrium, so the pulse is heavy and stringy. Water fluid retention means overflowing the limbs and cohesively in the abdomen. triple energizer means the water channels are blocked, so the whole body is swollen. Abdominal distension and fullness means fullness of breath and difficulty in defecation. The symptom of this prescription is excess syndrome/pattern of excess fluid retention. The treatment is suitable for expelling water by purgation, so as to speed up the elimination of water evil. Fangzhong Gansui Root Good deeds pass through the tunnel water, which is sovereign medicinal. peking euphorbia root is good at releasing zang-fu organs and water-dampness, Lilac Daphne is good at eliminating recurrent fluid retention in the chest and phlegm, both are minister medicinal. The three powerful medicines each have their own specialties. If used together, the water accumulated in the chest and side of the body can be driven away through tunnel zang-fu organs, and the power of water removal will be stronger. However, the three medicines are strong and poisonous and can easily damage the healthy qi. Therefore, ten pieces of Chinese Date are used as an auxiliary and decoction is taken. It has three meanings: to alleviate the properties of various dermatitis medicamentosa; tonifying qi to protect the stomach and reduce the amount of qi. Later reaction; cultivating soil and controlling water, taking into account both evil and good.

[Key points of syndrome differentiation]

The key points of syndrome differentiation are pain in the chest and hypochondrium caused by coughing and spitting, or edema abdominal distension and fullness, difficulty in defecation and defecation, and a heavy and stringy pulse.

[Documentation]

1. Bencao Gangmu Volume 17: "Ten Jujubes Decoction expels internal evil and causes water vapor to escape from the urine and defecation. It is the so-called "clean house" of Neijing. Lilac Daphne, peking euphorbia root, and Gansui Root have the properties of driving water and releasing dampness, and can directly reach the hidden places of the water retention capsule. However, they can be used slowly to achieve quick results. Do not overdo it. Chen Yan Sanyin Fang Take Ten Jujubes Decoction as powder, use jujube meat and pills to treat symptoms of water panting and acute edema. Those who can adapt. "
2. Shanghan Lun ‧Distinguish the pulse and syndrome of taiyang disease and treat it": "Great yang, stroke, diarrhea, vomiting, and superficial symptoms can be attacked. People sweat one after another. , sometimes attacks, headache, epigastric stuffiness, pain under the hypochondriac, retching shortness of breath, and sweating without aversion to cold, this is a sign of disharmony between the outside and the inside, which is mainly caused by Ten Jujubes Decoction. "

[Attention to taboos]

The effect of this prescription is severe and it can only be used temporarily and should not be taken for a long time. If the patient has good mental fatigue and appetite, but the fluid retention is not completely gone, this prescription can be used again; if the patient suffers from mental fatigue and loss of appetite after diarrhea, it is advisable to suspend the treatment; if the patient has a deficiency-type pathogen and is not For those who cannot attack, you can use this formula alternately with spleen tonifying formula, or application of elimination prior to tonification, or application of tonification prior to elimination. When using this prescription, you should pay attention to four points: first, the three medicines are in powder form, and decoction is taken after Chinese Date; second, take it on an empty stomach in the morning, starting with a small amount to avoid overdosing and hurting the body. If you take it to be decocted later, take less Increase the dosage daily; thirdly, after taking the medicine for quick benefit, it is advisable to eat chyme porridge to maintain the spleen and stomach; fourthly, the elderly and infirm should use it with caution, and pregnant women should not take it.

[Modern application]

Enhance the repair of pleural membrane inflammation and reabsorption of exudate. Mainly used for exudative pleural effusion (pleural effusion), liver cirrhosis and abdominal retention of water.