Yibian
 Shen Yaozi 
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Fang nameTrichosanthes, Chinese Chive and Pinellia Decoction
sourceTreatise On Typhoid And Death
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[Preparation method and dosage]

Trichosanthis Fruit (Fructus Trichosanthis) pound 1 piece
Longstamen Onion Bulb (Bulbus Allii Macrostemonis) 9gm (3 liǎng)
Pineilia (Rhizoma Pinelliae) 24gm (8 liǎng)
Liquor 1 dǒu

The 4 ingredients are cooked together, take 4 shēng, administer while warm 1 shēng, administer 3 times a day.

[Efficacy]

moving qi Tongyang, dispelling phlegm dispersing knots.

[Indications]

Chest impediment: Severe phlegm, chest pain, back pain, heart pain, coughing and wheezing, inability to lie down, white coating, and deep and stringy pulse.

[Prescription]

This recipe is made from Trichosanthes, Chinese Chive and White Liquor Decoction plus Pineilia. Trichosanthes Seed in the prescription is bitter and cold, can resolving phlegm and wide chest; longstamen onion bulb is pungent, warm and slippery, can move without keeping, can open the yang qi in the chest, with Mongolian Snakegourd Seed, it is also good at curing phlegm, turbid yin pathogen; white wine is regulating qi and resolving stasis, and Strengthen the power of longstamen onion bulb moving qi to clear the yang; Pineilia, drying dampness and resolving phlegm, eliminate stuffiness. The four flavors are used together, resolving phlegm to clear the yang, phlegm to remove the yang and restore it, and the qi movement will be smooth and the chest will be smooth. Trichosanthes Seed in the prescription is bitter and cold, can resolving phlegm and wide chest; longstamen onion bulb is pungent, warm and slippery, can go without guarding, can penetrate the yang qi in the chest, and is paired with Mongolian Snakegourd Seed is also good at curing phlegm and turbid yin pathogen; liquor regulates qi and resolving stasis, and enhances the power of longstamen onion bulb moving qi; Pineilia, drying dampness and resolving phlegm , eliminate stuffiness and disperse knots. When the four flavors are used together, resolving phlegm can clear the yang, phlegm can remove and restore yang, and if the qi movement is smooth, the chest impediment can be cured!

[Key points of syndrome differentiation]

  1. chest impediment (chest pain).
  2. The coating is white and greasy.
  3. Pulse sinks and strings.

[Addition and subtraction]

  1. Chest impediment: Add Immature Orange Fruit, Magnolia Bark, Cinnamon Twig.
  2. static blood: Add Salvia, Sichuan Lovage Rhizome, Carthamus, Curcuma Root.
  3. qi deficiency: Add Tangshen, Poria.
  4. Hanshen: Add Cinnamon Twig and Dried Ginger.

[Modern application]

Cardiac colicky pain, intercostal neuralgia, arrhythmia, chest soft tissue injury, intercostal chondritis, lung swollen, chronic bronchitis.

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