Yibian
 Shen Yaozi 
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formula nameSwelling-Dispersing and Hardness-Collapsing Decoction
sourceDongyuan
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bubble_chart Preparation and Dosage

Skullcap Root (Radix Scutellariae) wine-fried for half a day 8.5 qian
Anemarrhena (Rhizoma Anemarrhenae) 5 qián
Phellodendron bark (Cortex Phellodendri) wine-fried 5 qián
Gentian (Radix et Rhizoma Gentianae) wine-fried 5 qián
Mongolian snakegourd root (Radix Trichosanthis) washed with wine 5 qián
Platycodon Root (Radix Platycodonis) 5 qián
Kelp (Thallus Laminariae) 5 qián
Bupleurum (Radix Bupleuri) 4 qián
Cimicifuga Rhizome (Rhizoma Cimicifugae) 3 qián
Forsythia (Fructus Forsythiae) 3 qián
Liquorice Root (Radix Glycyrrhizae) roasted 3 qián
Sparganium Rhizome (Rhizoma Sparganii) washed with wine 3 qián
Guangshu (Rhizoma Curcumae) 3 qián
Pueraria Root (Radix Puerariae) 2 qián
Tail of Chinese Angelica (Radix Angelicae Sinensis) 2 qián
Peony Root (Radix Paeoniae Alba) 2 qián
Coptis Rhizome (Rhizoma Coptidis) 1 qián

bubble_chart Efficacy

Clearing heat and removing toxins, dispersing hardness and reducing swelling.

bubble_chart Indications

  1. Heat toxin, phlegm stasis, and congestion in the Shaoyang meridians of the hands and feet lead to the formation of horse-knife sores, extending from below the ear to the supraclavicular fossa or reaching the shoulder, or connecting to the hypochondrium, forming hard masses like stone.
  2. Heat toxin, phlegm stasis, and congestion in the Yangming meridians of the feet lead to the formation of scrofula, spreading across the neck, or reaching the cheekbone, remaining hard and unruptured or rupturing and discharging pus.

bubble_chart Formula Principles

In the formula, Skullcap Root, Coptis Rhizome, Phelloendron Bark, Anemarrhena, Gentian, are all agents for clearing heat and purging fire, removing toxins; kelp resolves phlegm and softens hardness; Forsythia, disperses blood stasis and qi accumulation; Sparganium Rhizome, Zedoary Rhizome, Tail of Chinese Angelica, Peony Root, break blood stasis and transform stasis; Trichosanthes Root, Platycodon Root, reduce swelling and expel pus; Bupleurum enters the Shaoyang channels of the hands and feet, clearing away heat to dissipate masses; Cimicifuga Rhizome, Pueraria Root enter the Yangming channel of the foot, removing toxins and raising yang; Liquorice Root, harmonizes the middle and removes toxins.

bubble_chart Pattern Identification

It can be used for scrofula, goiter, hard swelling, or sores that have ulcerated and are discharging pus behind the ears or on the neck.

bubble_chart Formula Modification

  1. Major constipation: Add Rhubarb Rhizoma, Mirabilite, Immature Orange Fruit.
  2. Scrofula: Add Fritillaria Bulb, Prunella.
  3. If pus has not formed: Add Lonicera, Immature Orange Fruit.
  4. If pus has formed and ruptured: Add Astragalus Root, Dahurian Angelica.
  5. Fever with pus pain: Add Gypsum, Gardenia.

bubble_chart Cautions and Contraindications

  1. Caution should be exercised for those with deficiency-cold of spleen and stomach.
  2. Avoid consuming spicy, greasy, fried, or grilled foods.

bubble_chart Modern Application

Scrofula, lymphadenitis, acute folliculitis, thyroiditis, goiter.

bubble_chart Other Related Items

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