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Yibian
 Shen Yaozi 
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formula nameImmortal Life-Saving Decoction
aliasImmortal Formula Life-Saving Decoction, Immortal Life-Saving Drink
sourceFuren Daquan Liangfang
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bubble_chart Preparation and Dosage

Lonicera (Flos Lonicerae) 9gm (3 qián)
Dried Tangerine Peel (Pericarpium Citri Reticulatae) white part-removed 4.5gm (1.5 qian)
Chinese Angelica (Radix Angelicae Sinensis) washed with wine 4.5gm (1.5 qian)
Saposhnikovia Root (Radix Saposhnikoviae) 3gm (1 qián)
Dahurian Angelica (Radix Angelicae Dahuricae) 3gm (1 qián)
Liquorice Root Festival (Radix Glycyrrhizae) 3gm (1 qián)
Fritillaria Bulb (Bulbus Fritillariae Thunbergii) 3gm (1 qián)
Snakegourd Root (Radix Trichosanthis) 3gm (1 qián)
Frankincense (Olibanum) 3gm (1 qián)
Myrrh (Myrrha) 3gm 2 flavors, grind separately and wait until the medicine is cooked.
Chinese Honeylocust Fruit Thorn (Fructus Gleditsiae) 1.5gm (5 fēn)
Pangolin Scales (Squama Manis) clam powder stir-fried, used to remove powder 3gm (3 blockbusters)

When using decocted with wine, take it on a full stomach if the poison is in the upper body, and on an empty stomach if it is in the lower body. Those who enjoy drinking should consume more wine to enhance the medicinal effect. Avoid sour foods and iron utensils.

bubble_chart Efficacy

Clearing heat and removing toxin, subduing swelling and softening hardness, dredging collaterals and relieving pain.

bubble_chart Indications

At the onset of swelling and ulceration, there is local redness, swelling, heat, and pain, or a slight aversion to cold with mild fever, a thin white or thin yellow tongue coating, and a rapid, forceful pulse.

bubble_chart Formula Principles

This formula is also known as the Immortal Formula Life-Saving Decoction. Ancient practitioners hailed it as the "sacred medicine for sores and ulcers," and it is considered the foremost formula in surgery. In the formula, Lonicera, which clears heat and removes toxins, disperses abscesses and serves as the monarch herb; Chinese Angelica, frankincense, and myrrh invigorate blood and resolve stasis, subduing swelling to relieve pain; Saposhnikovia Root and Dahurian Angelica disperse external pathogens, allowing heat toxins to be expelled outward, serving as minister herbs. Dried Tangerine Peel moves stagnation to reduce swelling; Fritillaria Bulb and smallpox clear heat to dissipate masses; Pangolin Scales and Gleditisia Spine promote suppuration, acting as assistant herbs; Liquorice Root clears heat and removes toxins, harmonizing and moderating the effects of the other herbs, serving as the envoy herb. When all the herbs are used together, heat toxins are cleared, blood stasis is eliminated, qi and blood flow smoothly, swelling and pain are relieved, and sores and ulcers naturally heal.

bubble_chart Syndrome Differentiation

  1. At the initial stage of abscess with redness, swelling, heat, and pain.
  2. Body heat with slight aversion to cold.
  3. Rapid and forceful pulse.

bubble_chart Formula Modification

  1. Severe heat with swelling and pain: add Dandelion, Forsythia, Tokyo Violet Herb.
  2. Aversion to cold: add Schizonepeta.

bubble_chart Cautions and Contraindications

Contraindicated for those with hard, cold abscesses. Use with caution in cases of spleen deficiency and loose stools.

bubble_chart Modern Application

Modern medicine believes that this formula has antibacterial, antiviral, anti-inflammatory, antipyretic, and blood circulation-improving effects. It is mainly used for acute suppurative infections of soft tissues, acute suppurative tonsillitis, acute mastitis, acute appendicitis, chronic appendicitis, appendiceal abscess, orchitis, epididymitis, and ulcer disease, presenting with local redness, swelling, heat, and pain at the affected area, along with a strong and rapid pulse.

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