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Yibian
 Shen Yaozi 
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formulaPulsatilla Decoction
sourceTreatise on Cold Damage and Miscellaneous Diseases
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bubble_chart Preparation and Dosage

Chinese pulsatilla root (Radix Pulsatillae) 2 liǎng
Ash bark (Cortex Fraxini) 3 liǎng
Coptis Rhizome (Rhizoma Coptidis) 3 liǎng
Phellodendron bark (Cortex Phellodendri) 3 liǎng

bubble_chart Efficacy

Clearing heat and removing toxin, cooling blood and stopping dysentery.

bubble_chart Indications

Heat toxin blood dysentery syndrome: abdominal pain, tenesmus, burning sensation in the anus, purulent and bloody stools with more red than white, thirst with desire to drink, red tongue with yellow coating, wiry and rapid pulse.

bubble_chart Formula Principles

In the formula, Chinese Pulsatilla Root can clear heat from the blood aspect, cooling blood to remove toxins, and is the key herb for treating heat toxin dysentery, serving as the monarch; Coptis Rhizome and Phellodendron Bark, which clear heat and remove toxins, and dry dampness to treat dysentery, serve as the ministers; Ash Bark, which clears heat and dries dampness while also having an astringent effect, serves as the assistant.

bubble_chart Pattern Identification

  1. Dysentery with heat.
  2. Abdominal pain.
  3. Stool with pus and blood.
  4. Yellow tongue coating.
  5. Wiry and rapid pulse.

bubble_chart Formula Modification

  1. blood deficiency and prolonged dysentery damaging yin: add Donkey-hide Gelatin, Liquorice Root.
  2. Severe abdominal pain with tenesmus: add Peony Root, Liquorice Root, Aucklandia Root, Submature Bitter Orange, Areca Seed.
  3. Aversion to cold with fever: add Pueraria Root, Schizonepeta, Lonicera, Forsythia.
  4. Severe red dysentery: add Red Peony Root, Peony Bark, Sanguisorba.

bubble_chart Modern Application

Bacterial dysentery, amoebic dysentery, ulcerative colitis, infantile diarrhea, urinary tract infections, acute conjunctivitis.

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