Yibian
 Shen Yaozi 
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formula nameTrichosanthes, Chinese Chive and Pinellia Decoction
sourceTreatise on Cold Damage and Miscellaneous Diseases
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bubble_chart Preparation 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

Boil four flavors together, take four liters, warm and take one liter, three times a day.

bubble_chart Efficacy

Moving qi to unblock yang, dispelling phlegm to dissipate nodules.

bubble_chart Indications

Severe phlegm turbidity, chest pain radiating to the back, back pain radiating to the heart, coughing, spitting, wheezing, inability to lie down comfortably, white tongue coating, deep and wiry pulse.

bubble_chart Formula Principles

This formula is derived from Trichosanthes, Chinese Chive and White Liquor Decoction with the addition of Pineilia. In the formula, Trichosanthes Seed is bitter and cold, capable of resolving phlegm and broadening the chest; Longstamen Onion Bulb is pungent, warm, and slippery, moving without staying, able to unblock the yang qi in the chest, and when paired with Trichosanthis Fruit, it is also effective in treating phlegm-turbidity yin pathogen; white liquor regulates qi and resolves stasis, and enhances the Longstamen Onion Bulb moving qi and unblocking yang power; Pineilia, drying dampness and resolving phlegm, eliminates stuffiness and disperses nodules. The combination of these four ingredients resolves phlegm and unblocks yang, removes phlegm and restores yang, and when qi movement is smooth, the Longstamen Onion Bulb white liquor decoction with Pineilia can cure chest impediment!

bubble_chart Syndrome Differentiation

  1. chest impediment (chest pain radiating to the back).
  2. The tongue coating is white and greasy.
  3. The pulse is deep and wiry.

bubble_chart Formula Modification

  1. chest impediment due to qi stagnation impacting the heart: 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. severe cold: add Cinnamon Twig, Dried Ginger.

bubble_chart Modern Application

Heart colicky pain, intercostal neuralgia, arrhythmia, chest soft tissue injury, costal chondritis, lung qi swelling, chronic bronchitis.

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