Yibian
 Shen Yaozi 
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formula nameSour Jujube Decoction
sourceTreatise on Cold Damage and Miscellaneous Diseases
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bubble_chart Preparation and Dosage

Sour Jujube (Semen Ziziphi Spinosae) 50gm (2 shēng)
Liquorice Root (Radix Glycyrrhizae) 5gm (1 liǎng)
Anemarrhena (Rhizoma Anemarrhenae) 10gm (2 liǎng)
Poria (Poria) 10gm (2 liǎng)
Sichuan Lovage Rhizome (Rhizoma Chuanxiong) 10gm (2 liǎng)

Boil 1.6 liters of water with sour jujube until reduced to 1.2 liters, then add the herbs and boil until reduced to 600 ml. Divide into three doses and take warm.

bubble_chart Efficacy

Nourishing blood and tranquilizing spirit, resolving depression and discharging heat.

bubble_chart Indications

Deficiency fatigue, restlessness and insomnia, palpitations and night sweats, dizziness and blurred vision, dry throat and mouth, red tongue, and thin, wiry pulse.

bubble_chart Formula Principles

The insomnia treated by this formula is caused by liver blood deficiency, yin deficiency with yang hyperactivity, and internal disturbance of deficient heat. The formula heavily uses Sour Jujube, which nourishes blood and tonifies the liver, tranquilizes the mind and calms the spirit, and also stops sweating. Poria is paired with Sour Jujube to enhance the effect of tranquilizing the mind and calming the spirit. Sichuan Lovage Rhizome regulates qi movement and soothes liver qi, and when used together with Sour Jujube, it also nourishes blood, regulates the liver, and calms the spirit. Anemarrhena enriches yin and clears heat, relieving irritability, and also moderates the pungent and drying nature of Sichuan Lovage Rhizome, preventing damage to yin. Liquorice Root is used raw to clear heat and harmonize the formula. When these herbs are combined, they nourish liver blood to calm the mind, clear internal heat to eliminate deficient irritability, and thus promote peaceful sleep.

bubble_chart Syndrome Differentiation

  1. Insomnia and irritability.
  2. Dizziness and blurred vision.
  3. The pulse is wiry, thin, and rapid.

bubble_chart Formula Modification

  1. For those with yin deficiency and heat: add Unprocessed Rehmannia Root, Lily Bulb, Peony Root.
  2. For severe night sweat: add Schisandra Fruit, light wheat.
  3. For severe palpitation due to fright: add Fossil Bone, oyster shell, Tangshen.
  4. For qi deficiency and weakness: add Ginseng, Astragalus Root.
  5. For blood deficiency and insomnia: add Chinese Angelica, Prepared Rehmannia Root, Fleeceflower.
  6. For restlessness and insomnia due to heat: add Peony Bark, Gardenia, Lophatherum Herb.
  7. For restlessness and insomnia: combine with Gallbladder-Warming Decoction.
  8. For palpitation due to fright and insomnia: combine with Liver-Restraining Powder.
  9. For yin deficiency with effulgent fire: combine with Coptis Detoxification Decoction.

bubble_chart Cautions and Contraindications

For insomnia due to yin deficiency with effulgent fire, this formula should not be used alone.

bubble_chart Modern Application

This formula nourishes the nerves, tonifies the blood, and improves myocardial function. It is used for insomnia, menopausal syndrome, neurasthenia, night sweats, and forgetfulness.

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