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Yibian
 Shen Yaozi 
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formula nameBupleurum and Cinnamon Twig Decoction
sourceShanghan Zabing Lun
smart_toy
bubble_chart Preparation and Dosage

Bupleurum (Radix Bupleuri) 4 liǎng
Cinnamon Twig (Ramulus Cinnamomi) 1.5 liǎng
Ginseng (Radix Ginseng) 1.5 liǎng
Liquorice Root (Radix Glycyrrhizae) roasted 1 liǎng
Pineilia (Rhizoma Pinelliae) washed 2.5 hours
Skullcap Root (Radix Scutellariae) 1.5 liǎng
Peony Root (Radix Paeoniae Alba) 1.5 liǎng
Chinese Date (Fructus Jujubae) split 6 pieces
Fresh Ginger Rhizome (Rhizoma Zingiberis) cut 1.5 liǎng

bubble_chart Efficacy

Resolving both the exterior and interior, eliminating both cold and heat.

bubble_chart Indications

Shaoyang disease with exterior pattern. External contraction of wind-cold, fever with spontaneous sweating, slight aversion to cold or alternating chills and fever, nasal congestion with retching, headache and neck stiffness, fullness and pain in the chest and hypochondrium, vexing pain in the limbs, pale red tongue with thin white coating, and a floating, wiry, and large pulse. Also treats sudden pain in the heart and abdomen.

bubble_chart Formula Principles

This formula is a combination of Minor Bupleurum Decoction and Cinnamon Twig Decoction. Cinnamon Twig Decoction regulates nutrient-defense and is the main formula for taiyang disease; Minor Bupleurum Decoction harmonizes the exterior and interior and is the main formula for shaoyang disease. Due to the presence of fever, slight aversion to cold, and vexing pain in the limbs and joints, which are signs of unresolved taiyang, as well as slight vomiting and an obstructive sensation in the epigastrium, indicating the emergence of shaoyang pattern, the two formulas are combined to treat both the exterior and interior simultaneously.

bubble_chart Pattern Identification

  1. alternating chills and fever.
  2. limb pain and discomfort.
  3. obstructive sensation in epigastrium.
  4. thin white coating.
  5. floating and wiry pulse.

bubble_chart Formula Modification

  1. insomnia: add Chinese Angelica, Tuber Fleeceflower Stem, Sour Jujube.
  2. Epilepsy: add Peony Root.
  3. aversion to cold severe: add Ephedra, Bitter Apricot Seed.
  4. limb joint pain: add Pueraria Root, Cimicifuga Rhizome.
  5. epigastric stuffiness: add Immature Orange Fruit, Platycodon Root.

bubble_chart Modern Application

Common cold, influenza, pancreatitis, acute and chronic gastritis, chronic hepatitis, gallstones, epilepsy, intercostal neuralgia, gastric and duodenal ulcers, malaria, neuralgia.

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