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Yibian
 Shen Yaozi 
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formula nameDischarge-Ceasing Decoction
sourceFuqingzhu Gynecology
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bubble_chart Preparation and Dosage

White Atractylodes Rhizome (Rhizoma Atractylodis Macrocephalae) soil-fried 30gm
Chinese Yam (Rhizoma Dioscoreae) stir-fried 30gm
Atractylodes Rhizome (Rhizoma Atractylodis) prepared 9gm
Ginseng (Radix Codonopsis) 6gm
Plantain Seed (Semen Plantaginis) wine-fried 9gm
Peony Root (Radix Paeoniae Alba) wine-fried 15gm
Bupleurum (Radix Bupleuri) 1.8gm
Black mustard (Herba Schizonepetae) 1.5gm
Dried Tangerine Peel (Pericarpium Citri Reticulatae) 1.5gm
Liquorice Root (Radix Glycyrrhizae) 3gm

Take orally after decocting with water.

bubble_chart Efficacy

Invigorating the spleen and drying dampness, soothing the liver and regulating qi, resolving dampness to stop vaginal discharge.

bubble_chart Indications

Spleen deficiency and liver depression lead to the downward flow of damp turbidity, resulting in leukorrhea that is white or pale yellow, thin and odorless, accompanied by fatigue, loose stools, pale complexion, a pale tongue with a white coating, and a slow or soggy pulse.

bubble_chart Formula Principles

This formula is commonly used to treat spleen deficiency with liver depression and damp stagnation leading to leukorrhea. The spleen governs transportation and transformation, while the liver governs the free flow of qi. When spleen deficiency and liver depression occur, dampness descends and manifests as leukorrhea. In this formula, Tangshen, Liquorice Root, and Chinese Yam tonify qi and strengthen the spleen, drying dampness and securing the lower body. Peony Root, Dried Tangerine Peel, and Bupleurum soothe the liver and harmonize the stomach, relieving depression and raising yang. Plantain Seed guides dampness downward, while black Schizonepeta enters the blood aspect to expel wind and eliminate dampness. The formula combines tonifying and astringent herbs with a small amount of qi-regulating and yang-raising herbs such as Bupleurum, Dried Tangerine Peel, and Schizonepeta, ensuring tonification without stagnation and facilitating the expulsion of pathogens. Thus, the formula as a whole strengthens the spleen, eliminates dampness, tonifies qi, and raises yang. The combination of herbs achieves both tonification and dispersion, promoting vigorous qi, a healthy spleen, and the transformation of dampness through yang rising. It is a commonly used formula for spleen deficiency leukorrhea. The combination of herbs achieves both tonification and dispersion, promoting vigorous qi, a healthy spleen, and the transformation of dampness through yang rising. It is a commonly used formula for spleen deficiency leukorrhea.

bubble_chart Pattern Identification

  1. Leucorrhea is clear, thin, and odorless.
  2. Complexion is pale.
  3. Fatigue and loose stool.
  4. Tongue coating is white.
  5. Pulse is slow or soggy.

bubble_chart Formula Modification

  1. Ineffective: Add ginkgo seed, cuttlebone sepium, Fossil Bone, oyster shell.
  2. Severe lumbago: Add Dodder Seed, Eucommia Bark.
  3. Mild abdominal pain: Add Lindera, Fennel.
  4. Severe dampness-heat, yellow and foul leukorrhea: Add Skullcap Root, Phelloendron Bark.
  5. Qi deficiency: Add Astragalus Root, Hyacinth Bean.
  6. Blood deficiency: Add Chinese Angelica, Prepared Rehmannia Root.
  7. Cold-dampness: Add Aconite Lateral Root, Cinnamon Twig.
  8. Kidney yang deficiency: Combine with Cassia Bark, Aconite and Rehmannia Pill.
  9. Kidney yin deficiency: Combine with Anemarrhena, Phelloendron and Rehmannia Pill.

bubble_chart Cautions and Contraindications

This prescription is not suitable for leukorrhea conditions characterized by dampness-heat pouring down, or liver depression transforming into fire, where the leukorrhea is thick, sticky, foul-smelling, and yellow or red-white in color.

bubble_chart Modern Application

This formula enhances the body's immune function, reduces inflammation, and promotes digestion and absorption. It is used for vaginitis, cervicitis, pelvic inflammatory disease, excessive leucorrhea, and genital itching.

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