Yibian
 Shen Yaozi 
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formulaBupleurum Decoction Plus Dragon Bone and Oyster Shell
sourceTreatise on Cold Damage and Miscellaneous Diseases
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bubble_chart Preparation and Dosage

Bupleurum (Radix Bupleuri) 5 liǎng
Fossil Bone (Os Draconis) 1.5 liǎng
Skullcap Root (Radix Scutellariae) 1.5 liǎng
Fresh Ginger Rhizome (Rhizoma Zingiberis) cut 1.5 liǎng
Minimum (Lithargyrum) 1.5 liǎng
Ginseng (Radix Ginseng) 1.5 liǎng
Cinnamon Twig (Ramulus Cinnamomi) peeled 1.5 liǎng
Poria (Poria) 1.5 liǎng
Pineilia (Rhizoma Pinelliae) washed 2.5 hours
Rhubarb Rhizoma (Radix et Rhizoma Rhei) 2 liǎng
Oyster shell (Concha Ostreae) boil 1.5 liǎng
Chinese Date (Fructus Jujubae) split 6 pieces

Take eight liters (1600cc) of water, boil it down to four liters (800cc), add Rhubarb Rhizoma, cut into chess-piece-sized pieces, boil for one or two more boils, remove the dregs, and take one liter (200cc) warm.

bubble_chart Efficacy

Harmonizing shaoyang, setting heart and calming mind.

bubble_chart Indications

After misapplication in cold-damage disease, symptoms include chest fullness, irritability, fright, delirious speech, heaviness throughout the body, inability to turn over, or difficulty in urination.

bubble_chart Formula Principles

In the formula, Bupleurum, Cinnamon Twig, Skullcap Root are used to harmonize the interior and exterior, treating alternating chills and fever, and a heavy body; Fossil Bone, oyster shell are used to tranquilize the mind with heavy sedatives, treating dysphoria and mania; Pinellia, Fresh Ginger Rhizome are used to harmonize the stomach and descend adverse qi; Rhubarb Rhizoma is used to purge interior heat; Poria is used to calm the mind and promote urination; Chinese Date, Ginseng are used to tonify qi and nourish the nutritive qi, reinforcing healthy qi and eliminating pathogenic factors. Together, they form a formula that harmonizes and clears heat, setting the heart and calming the mind.

bubble_chart Pattern Identification

  1. bitter taste in mouth, chest fullness.
  2. restlessness, anxiety, insomnia.
  3. heavy body.
  4. difficulty urinating.
  5. constipation.

bubble_chart Formula Modification

  1. No constipation: Can remove Rhubarb Rhizoma.
  2. Palpitation due to fright, insomnia, high blood pressure: Add Uncaria, Eucommia Bark.
  3. Chest tightness, discomfort in the chest: Add Cyperus, Curcuma Root, Longstamen Onion Bulb.
  4. Epilepsy: Add Acorus, Curcuma Root, Milkwort Root.
  5. Manic and depressive psychosis: Add scorpion, Gastrodia Tuber.
  6. Dizziness: Add Uncaria, Mulberry Leaf.
  7. Insomnia: Add silktree albizia bark, Tuber Fleeceflower Stem.
  8. Scrofula: Add Stiff Silkworm, kelp, seaweed, Prunella.

bubble_chart Modern Application

Stirred pulse sclerosis, cerebral hemorrhage, heart valve membrane disease, Meniere's disease, schizophrenia, mental Guanneng disorder, epilepsy, insomnia disorder, Graves' disease, menopausal syndrome, hypertension, chronic nephritis, baldness, green internal visual obstruction, tinnitus, hearing impairment, obesity disorder, leukorrhea.

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