Yibian
 Shen Yaozi 
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formula namePulse-Reinforcing Powder
sourceNeiwaishang Bianhuo Lun
categoryQi-Tonifying
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bubble_chart Preparation and Dosage

Ginseng (Radix Ginseng) 8gm
Ophiopogon Tuber (Radix Ophiopogonis) 10gm
Schisandra Fruit (Fructus Schisandrae Chinensis) 3gm

Decocted with water twice, taken in two doses, 2 doses per day.

bubble_chart Efficacy

Tonifying qi to generate fluids, astringing yin to secure the exterior.

bubble_chart Indications

  1. Summer heat profuse sweating, qi consumption pattern of yin damage. Fatigue, shortness of breath, reluctance to speak, dry throat thirst, weak pulse.
  2. Chronic cough disease lung deficiency, pattern of dual damage of qi and yin. Choking cough, shortage of qi, shortness of breath, spontaneous sweating, dry mouth and tongue, thin pulse.

bubble_chart Formula Principles

This prescription is indicated for the syndrome of summer heat damaging qi and depletion of body fluids. Since summer heat is a yang pathogen, it is most likely to consume qi and damage yin. The lung governs qi, and when summer heat injures the lung, the qi is also injured, leading to shortness of breath, reluctance to speak, and fatigue in the limbs. The lung governs the skin and body hair, and when the lung is injured, it loses its protective function, resulting in sweating. Heat damages the original qi, and when qi is injured, it cannot generate fluids, and sweating easily depletes fluids, leading to dry mouth and thirst. In the prescription, Ginseng tonifies the lung and replenishes qi to generate fluids; Ophiopogon Tuber enriches yin and clears the lung to generate fluids; Schisandra Fruit consolidates the exterior and astringes the lung to generate fluids. These three ingredients, one tonifying, one clearing, and one astringing, all have the ability to generate fluids; therefore, they have the effects of promoting fluid production to quench thirst and tonifying qi to astringe sweating, making it suitable for the syndrome of dual damage to qi and yin.

bubble_chart Pattern Identification

  1. Shortness of breath and physical fatigue.
  2. Dry throat and tongue.
  3. Palpitation and chest tightness.
  4. Spontaneous sweating.
  5. Weak pulse.

bubble_chart Formula Modification

  1. Deficiency of both qi and yin, fatigue and lack of strength: add Astragalus Root, Liquorice Root, named Original-Qi Preserving Decoction.
  2. Qi deficiency with cough, hematemesis, and epistaxis: add Astragalus Root, Liquorice Root, Chinese Angelica, Peony Root, named Ginseng Decoction.
  3. Heart colicky pain, blood pressure not very high: add Asiatic Cornelian Cherry Fruit, Salvia, Fleeceflower, Chinese Date, named Yixin Decoction.
  4. Myocardial infarction: combine with Cold-Limbs Powder.

bubble_chart Cautions and Contraindications

Summerheat damages qi yin pattern. If summerheat pathogens are excessive, this formula should not be used alone. It is advisable to combine with medicinals that clear summerheat.

bubble_chart Modern Application

Modern medicine believes that this prescription improves cardiac function in multiple ways and enhances the body's immune function. It is mainly used for coronary heart disease, cardiac insufficiency, arrhythmia, heart failure, hypotension, pulmonary subcutaneous nodules, chronic bronchitis, diabetes, and neurofunctional disorders, presenting symptoms such as shortness of breath, excessive sweating, dry mouth, thirst, and a weak, rapid pulse.

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