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Yibian
 Shen Yaozi 
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Fang nameMiddle-Regulating Decoction
sourceTreatise On Typhoid And Death
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[Preparation method and dosage]

White Atractylodes Rhizome (Rhizoma Atractylodis Macrocephalae) chen bi soil-fried 2 liǎng
Ginseng (Radix Ginseng) 1 liǎng
Dried Ginger (Rhizoma Zingiberis) prepared 1 liǎng
Liquorice Root (Radix Glycyrrhizae) roasted 1 liǎng

[Efficacy]

warming the middle and dispelling cold, tonifying qi and strengthening the spleen.

[Indications]

  1. spleen-stomach yang deficiency syndrome/pattern. Self-interest, lack of thirst, abdominal pain vomiting, pale tongue with white or gray-black coating and slippery coating, and deep and thin pulse.
  2. Chest impediment, or spitting after illness, yang deficiency, blood loss, slow convulsions in children, etc. are middle energizer yang deficiency, which is the internal invasion of cold evil.

[Prescription]

This prescription is a representative prescription for treating middle energizer deficiency and cold. It is called Ginseng decoction to treat chest impediment. The formula Dried Ginger is pungent and hot, warms the spleen and stomach and dispels cold evil; Ginseng powerful tonification of primordial qi, strengthens the spleen and aids transportation; White Atractylodes Rhizome invigorating spleen and drying dampness; Liquorice Root tonifying qi, harmonizing the medicines. The combination of the above medicines can warm the middle to dispel interior cold, tonifying qi and strengthen the spleen and stomach, so that the ascending and descending can be restored, and the movement and transformation can return to normal, so all diseases can be cured by themselves.

[Key points of syndrome differentiation]

  1. Abdominal pain No thirst.
  2. Either vomiting or profiting.
  3. Light tongue with white coating.
  4. The pulse is thin or slow.

[Addition and subtraction]

  1. Excessive vomiting: add Fresh Ginger Rhizome or Evodia Fruit.
  2. diarrhea: aggravation White Atractylodes Rhizome weight.
  3. Cold and severe abdominal pain: add Aconite Lateral Root and Cassia Bark.
  4. Heart palpitations: Add Poria.
  5. Concurrent with liver meridian stagnation and heat, vomiting sour water: add Coptis Rhizome.
  6. Also exterior syndrome/pattern: add Cinnamon Twig, name Cinnamon Twig and Ginseng Root Decoction.
  7. stomach cold hiccup: Add Clove, Persimmon Calyx.
  8. Concurrent qi stagnation: add green tangerine peel, Dried Tangerine Peel.
  9. And edema: combined Five Ingredients with Poria Powder.
  10. Yang deficiency blood loss: add Donkey-hide Gelatin, Sanqi, Arborvitae charcoal.

[Attention to taboos]

  1. This prescription is warm in nature and is not suitable for people with heat syndrome/pattern and yin deficiency.
  2. Avoid raw and cold fruit foods.

[Modern application]

Chronic bacillary dysentery, chronic enteritis, chronic gastritis, gastric and duodenal ulcer, gastroptosis, abdominal pain caused by roundworms, chronic hepatitis, functional uterus bleeding, thrombocytopenic purpura, morning sickness, indigestion, intercostal neuralgia, Atrophic kidney, hypersalivation.

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