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formula nameThree Yellow and Gypsum Decoction
bubble_chart Preparation and Dosage

Gypsum (Gypsum Fibrosum) 1.5 liǎng
Skullcap Root (Radix Scutellariae) 7 qián
Coptis Rhizome (Rhizoma Coptidis) 7 qián
Phellodendron bark (Cortex Phellodendri) 7 qián
Gardenia (Fructus Gardeniae) 30 pieces
Ephedra (Herba Ephedrae)
Light soybean paste (Semen Sojae Preparatum) 2 hours

Take one liang each time, with three slices of ginger, two jujubes, and a pinch of fine tea, decoct and take while hot.

bubble_chart Efficacy

Publish clarity; purge heat and remove toxins.

bubble_chart Indications

The interior heat of cold-damage disease is already intense, while the exterior pattern remains unresolved. There is high fever without sweating, body heaviness and stiffness, dry nose, thirst, dysphoria, insomnia, unconsciousness, delirious speech, or vomiting, nosebleeds, and skin rashes, with a slippery and rapid pulse.

bubble_chart Formula Principles

This formula is suitable for cases where the exterior pattern persists for a long time without resolution, with pathogenic factors stagnating in the nutrient-defense level. Although it has not yet transmitted to the intestines and stomach to form a fu-organ excess syndrome, it has already developed into a condition of triple energizer heat and intense toxic fire. Therefore, Gypsum, which is pungent, sweet, and Great Cold (24th solar term), is used to resolve depression and discharge heat. It is combined with Ephedra and Fermented Soybean to induce sweating and release the exterior, allowing the pathogenic factors on the surface to be resolved externally. Skullcap Root, Phelloendron Bark, Coptis Rhizome, and Gardenia all have the function of clearing heat and removing toxins. When paired with Gypsum, they help to discharge the triple energizer's heat and fire from the interior. Moreover, Ephedra, Gardenia, and Fermented Soybean, when combined with Gypsum and the three yellows (Skullcap Root, Phelloendron Bark, Coptis Rhizome), release the exterior without promoting interior heat. The three yellows, Gypsum, and Gardenia, when combined with Ephedra and Fermented Soybean, clear heat without neglecting the treatment of the exterior. Therefore, this formula is an excellent remedy for diseases involving both the exterior and interior, as well as triple energizer heat and fire.

bubble_chart Pattern Identification

  1. dual exterior and interior heat.
  2. dysphoria, frenzy.
  3. red eyes and flushed face.
  4. six pulse conditions: surging and rapid.
  5. yang toxin, eruption of macules.

bubble_chart Formula Modification

  1. High fever dysphoria, unconsciousness delirious speech: combine with Bovine Bezoar Heart-Clearing Pill.
  2. Measles with rash: add Cimicifuga Rhizome, Mentha, or combine with Lonicera and Forsythia Powder.
  3. Cold-damage disease warm toxin: add Lonicera, Forsythia.
  4. Acute hepatitis: add Virgate Wormwood, Gentian.
  5. Summer heat with dry thirst: combine with Sweet Dew Decoction.

bubble_chart Cautions and Contraindications

This prescription is contraindicated for those without substantial heat.

bubble_chart Modern Application

Acute Rebing, hemorrhagic measles, macula and papule, epistaxis, and inflammatory bleeding in various Rebing conditions.

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