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Yibian
 Shen Yaozi 
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Fang nameYang-Harmonizing Decoction
sourceWaike Quansheng Ji
categoryCarbuncle
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[Preparation method and dosage]

Prepared Rehmannia Root (Radix Rehmanniae Praeparata) 30gm
Cervi Deer-Horn Glue (Cornu Cervi Pantotrichum) 9gm
White mustard seeds (Semen Sinapis Albae) 6gm
Carbonized Ginger (Rhizoma Zingiberis) 1.5gm
Ephedra (Herba Ephedrae) 1.5gm
Cassia Bark (Cortex Cinnamomi) 3gm
Liquorice Root (Radix Glycyrrhizae) 3gm

[Efficacy]

warming yang nourishes blood, dispels cold and relieves stagnation.

[Indications]

Deficiency-cold yin gangrenosis syndrome. The affected area is swollen, the skin color remains unchanged, there is soreness and no heat, the tongue is pale and the coating is white, and the pulse is thin or slow.

[Prescription]

Yin gangrene is a disease caused by yang deficiency and pudendal coldness evils that take advantage of the deficiency and invade, blocking the blood vessels of the muscles and bones, causing blood deficiency, cold coagulation, and phlegm stagnation. Treatment should be warming yang to nourish blood, and also to dispel cold and relieve stagnation. Prepared Rehmannia Root is used in the prescription to tonifying yin blood as the main drug; Cervi Deer-Horn Glue nourishes blood and helps yang, assisting Prepared Rehmannia Root produces sperm and tonifying blood to strengthen bones, and cooperates with Cassia Bark and Blast-Fried Ginger to warm interior and dissipating cold to open blood vessels. As auxiliary drugs; Ephedra, white mustard seed assist ginger and cinnamon to dispel cold and coagulate and resolving phlegm stagnation as assistant medicinal; and Prepared Rehmannia Root and Cervi Deer-Horn Glue are both nourishing and greasy in nature. If ginger, cinnamon, hemp, and mustard are used to promote the circulation, they will be tonic but not stagnant, and they will complement each other; Liquorice Root removing toxin Xiehe medicine is guiding medicinal. The combination of the above medicines has the functions of nourishing blood, warming yang, clearing blood vessels, dispersing cold and dispelling phlegm, etc., and has become the main formula for surgical vaginal gangrene. The name of this prescription is "Yang He", which means that its effect is like the sun shining on it, which suddenly relieves the cold.

[Key points of syndrome differentiation]

  1. The vaginal gangrene is locally swollen.
  2. The color is pale and sore.
  3. Systemic syndrome/pattern of deficiency cold.

[Addition and subtraction]

  1. Concurrent deficiency: add Tangshen and Astragalus Root.
  2. yang deficiency is worse: add gun Aconite Lateral Root.

[Attention to taboos]

It is not suitable to use this prescription if the patient has redness, swelling, heat and pain and belongs to yang syndrome/pattern, or has fever due to yin deficiency, or has ulcerated vaginal gangrene.

[Modern application]

This prescription enhances blood circulation, promotes the excretion of metabolic waste, and promotes the reabsorption and excretion of pathological products. It is used for pudendal gangrene syndrome, bone subcutaneous node, pudendal coldness, innominate swelling pain, and gangrene.

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