Yibian
 Shen Yaozi 
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formula nameTwo-Atractylodes Decoction
sourceWanbing Huichun
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bubble_chart Preparation and Dosage

White Atractylodes Rhizome (Rhizoma Atractylodis Macrocephalae)
Atractylodes Rhizome (Rhizoma Atractylodis)
Poria (Poria)
Dried Tangerine Peel (Pericarpium Citri Reticulatae)
Southern Star (Rhizoma Arisaematis)
Cyperus (Rhizoma Cyperi)
Skullcap Root (Radix Scutellariae)
Chinese Clematis Root (Radix et Rhizoma Clematidis)
Notopterygium (Rhizoma et Radix Notopterygii)
Pineilia (Rhizoma Pinelliae)
Liquorice Root (Radix Glycyrrhizae)
Fresh Ginger Rhizome (Rhizoma Zingiberis)

bubble_chart Efficacy

Resolving dampness and dryness, resolving phlegm, and soothing meridians to relieve pain.

bubble_chart Indications

Treating phlegm-fluid retention constitution and arm pain not caused by external injury.

bubble_chart Formula Principles

This prescription is aimed at treating pain caused by damp phlegm in the upper energizer. Therefore, the patient has a constitution with water toxin, tends to be obese, has loose and soft muscles, and generally poor gastrointestinal health. The formula includes Dried Tangerine Peel, Pinellia, Poria, Liquorice Root, and Fresh Ginger Rhizome, which together form the Two Old Ingredients Decoction. This decoction is effective in drying dampness and resolving phlegm, making it an excellent remedy for regulating the spleen and stomach and treating damp phlegm. Notopterygium expels wind and overcomes dampness, benefiting the joints and alleviating various pains. Nanxing breaks phlegm and resolves stagnation, also treating wind-dampness. White Atractylodes Rhizome and Atractylodes Rhizome remove dampness and strengthen the spleen and stomach. Chinese Clematis Root can dispel wind-dampness on the surface and also unblock meridians to relieve pain. Skullcap Root clears heat and dries dampness. Cyperus harmonizes qi and alleviates pain.

bubble_chart Pattern Identification

  1. obesity phlegm-fluid retention constitution.
  2. Upper arm pain.

bubble_chart Formula Modification

  1. blood deficiency with stasis: add Chinese Angelica and Red Peony Root.
  2. qi deficiency: add Astragalus Root and Ginseng.

bubble_chart Cautions and Contraindications

Those with yin deficiency should avoid use.

bubble_chart Modern Application

Scapulohumeral periarthritis, shoulder and wrist pain, upper arm neuralgia, frozen shoulder, forty wrist.

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