Yibian
 Shen Yaozi 
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Fang nameStephania and Astragalus Decoction
sourceTreatise On Typhoid And Death
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[Preparation method and dosage]

Stephania Tetrandra (Radix Stephaniae Tetrandrae) 12gm
Astragalus Root (Radix Astragali seu Hedysari) 15gm
White Atractylodes Rhizome (Rhizoma Atractylodis Macrocephalae) 9gm
Liquorice Root (Radix Glycyrrhizae) roasted 6gm
Fresh Ginger Rhizome (Rhizoma Zingiberis) 3 slices
Chinese Date (Fructus Jujubae) 3 pieces

decocted in water for administration.

[Efficacy]

tonifying qi strengthens the spleen, dispersing wind and disinhibiting water.

[Indications]

wind-dampness, wind-edema. Symptoms include sweating, heavy body swelling, difficulty urinating, pale tongue with white coating, and floating pulse.

[Prescription]

This prescription is used to treat wind-dampness, wind edema, as well as insecurity of exterior qi caused by qi deficiency, external wind evil, and water dampness stagnating on the skin surface. In the prescription, Stephania Tetrandra dispelling wind, Astragalus Root replenishing qi and consolidating exterior, and can promote water and reduce swelling. The two medicines can be used together to promote water without damaging Zhengweijun. ; White Atractylodes Rhizome tonifying qi and invigorating spleen to remove dampness and help Astragalus Root to strengthen the surface and serve as a minister; Liquorice Root to cultivate soil and neutralize , harmonizing various medicines; Fresh Ginger Rhizome, Chinese Date harmonizing nutrient and defensive aspects. When all the medicines are used together, the superficial qi can be stabilized, wind evil can be eliminated, spleen qi can improve transportation, and water channels can be smoothed, then all syndromes will be solved by themselves.

[Key points of syndrome differentiation]

  1. wind-dampness wind edema.
  2. Sweat aversion to wind.
  3. heavy body swollen.
  4. Having trouble urinating.
  5. Floating pulse.

[Addition and subtraction]

  1. panting: Add Ephedra, Belamcanda Rhizome.
  2. Abdominal distension and fullness: Add Dried Tangerine Peel, Submature Bitter Orange.
  3. For severe edema: add Poria, Polyporus, Atractylodes Rhizome.
  4. yang deficiency: add Aconite Lateral Root, Dried Ginger.
  5. Abdominal pain: Add Peony Root.
  6. rising of qi: Add Cinnamon Twig.
  7. Chronic wind-dampness: add Cyperus, Gentian, Sichuan Lovage Rhizome, Chinese Angelica > .
  8. Chronic nephritis or cardiac edema: May be combined with Five Ingredients with Poria Powder.

[Attention to taboos]

This prescription is suitable for patients with qi deficiency and edema. If edema is true, it should not be used.

[Modern application]

Wind-dampness arthritis, obesity, chronic nephritis, nephrotic syndrome, cirrhosis, costal membrane hydrops, pulmonary edema, scrotal edema, systemic edema, profuse sweating, urticaria, armpit odor, menstrual irregularities, fat Heart, cardiac edema.

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