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Yibian
 Shen Yaozi 
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formula nameTiantai Lindera Powder
bubble_chart Preparation and Dosage

Tian-tai Lindera (Radix Linderae) 12gm (5 qián)
Aucklandia Root (Radix Aucklandiae) 6gm (5 qián)
Fennel fruit (Fructus Anisi Stellati) salt-fried 6gm (5 qián)
Galangal (Alpinia offinarum) stir-fried 9gm (5 qián)
Green tangerine peel (Pericarpium Citri Reticulatae Viride) white part-removed 6gm (5 qián)
Areca Seed (Semen Arecae) filed 9gm (2 pieces)
Chinaberry Fruit (Melia azedarach) 12gm (10 pieces)
Croton Fruit (Fructus Crotonis) 12gm (70 capsules)

First, slightly crush the Croton Fruit, then stir-fry it with Sichuan Chinaberry until it turns black. Remove the bran and the Croton Fruit, then grind the remaining ingredients into powder. Take one qian with wine.

bubble_chart Efficacy

Moving qi soothing liver, dissipating cold to relieve pain.

bubble_chart Indications

Liver channel congealing cold and qi stagnation, small intestine hernia causing umbilical and abdominal pain, testicular swelling and sagging; women's abdominal masses, dysmenorrhea, etc.

bubble_chart Formula Principles

The small intestine hernia treated by this formula is caused by cold congealing in the Jingmai and obstruction of qi movement. Therefore, the treatment focuses on moving qi and dissipating cold. In the formula, Lindera moves qi, soothes the liver, and dissipates cold to relieve pain, serving as the sovereign medicinal. It is combined with Aucklandia Root, Fennel, green tangerine peel, and Lesser Galangal Rhizome, which are pungent, warm, and aromatic, regulating qi and resolving stuffiness, dispelling cold and dampness, thereby enhancing the effect of the sovereign medicinal, collectively serving as minister medicinals. Areca Seed moves qi, transforms stagnation, and breaks hardness. The bitter-cold Chinaberry Fruit is stir-fried with the pungent-hot Croton Fruit, and then the Croton Fruit is discarded while the Chinaberry Fruit is retained. This not only reduces the cold nature of Chinaberry Fruit but also enhances its ability to regulate qi and resolve stuffiness, collectively serving as assistant and guiding medicinals. When these medicinals are used together, the congealed cold is dissipated, and the qi stagnation is relieved, thereby curing the hernia pain.

bubble_chart Modern Application

Modern medicine believes that this prescription regulates intestinal peristalsis and relieves pain. It is mainly used for the syndrome/pattern of cold congealing and qi stagnation: inguinal hernia, direct hernia, orchitis, epididymitis, hydrocele of the testis, presenting with lower abdominal pain radiating to the testicles, white tongue coating, and wiry pulse.

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