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Yibian
 Shen Yaozi 
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formula nameCinnamon Twig, Peony and Anemarrhena Decoction
sourceTreatise on Cold Damage and Miscellaneous Diseases
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bubble_chart Preparation and Dosage

Cinnamon Twig (Ramulus Cinnamomi)
Peony Root (Radix Paeoniae Alba)
White Atractylodes Rhizome (Rhizoma Atractylodis Macrocephalae)
Anemarrhena (Rhizoma Anemarrhenae)
Ephedra (Herba Ephedrae)
Liquorice Root (Radix Glycyrrhizae)
Saposhnikovia Root (Radix Saposhnikoviae)
Fresh Ginger Rhizome (Rhizoma Zingiberis)
Aconite Lateral Root (Radix Aconiti Lateralis Praeparata)

bubble_chart Efficacy

Dispelling wind and dampness, warming meridians and dissipating cold, enriching yin and clearing heat.

bubble_chart Indications

Pain in the joints, emaciation, swollen feet as if they are about to burst, dizziness, shortness of breath, and a feeling of nausea with a desire to vomit.

bubble_chart Formula Principles

The indications of this formula are for wind-dampness multiple abscess in the tendons and joints, where the flow of qi and blood is not smooth, and the disease has persisted for a long time, leading to a deficiency-type pathogen. Therefore, Cinnamon Twig, Ephedra are used to dispel wind and cold, and to unblock yang; Aconite Lateral Root warms the meridians and dissipates cold to relieve pain; White Atractylodes Rhizome, Saposhnikovia Root are used to expel wind and remove dampness; Anemarrhena, Peony Root nourish yin and clear heat; Fresh Ginger Rhizome, Liquorice Root harmonize the stomach and regulate the middle.

bubble_chart Pattern Identification

  1. Swelling and pain in various joints.
  2. Localized burning sensation.
  3. Dizziness and shortness of breath.

bubble_chart Formula Modification

  1. Long course of illness, sore waist and cold limbs: add Deer Horn, Achyranthes Root or combine with Right-Restoring Pill.
  2. Muscle atrophy, tidal fever, night sweat: add Tortoise Carapace, Prepared Rehmannia Root, Cornus or combine with Left-Restoring Pill.
  3. Severe pain, joint deformation: add centipede, Earthworm.
  4. Red, swollen, hot and painful joints: add Coix Seed, Phelloendron Bark.

bubble_chart Modern Application

Wind-dampness arthritis, rheumatoid arthritis, gouty arthritis.

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