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Yibian
 Shen Yaozi 
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formulaBelamcanda and Ephedra Decoction
sourceTreatise on Cold Damage and Miscellaneous Diseases
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bubble_chart Preparation and Dosage

Ephedra (Herba Ephedrae) 4 liǎng
Pineilia (Rhizoma Pinelliae) the big one washed 8 pieces
Fresh Ginger Rhizome (Rhizoma Zingiberis) 4 liǎng
Coltsfoot Flower (Flos Farfarae) 3 liǎng
Aster (Radix Asteris) 3 liǎng
Chinese Date (Fructus Jujubae) 7 pieces
Belamcanda Rhizome (Rhizoma Belamcandae) 13 pieces one method 3 liang
Asarum (Herba Asari) 3 liǎng
Schisandra Fruit (Fructus Schisandrae Chinensis) half shēng

Take the nine ingredients, boil them in 2400cc (1 dou 2 sheng) of water. First, boil Ephedra twice and remove the foam from the surface. Then add the other herbs and boil until 600cc (3 sheng) of liquid remains. Divide the decoction into three doses and take warm.

bubble_chart Efficacy

Ventilating the lung and resolving phlegm, relieving cough and calming asthma.

bubble_chart Indications

Lung distension, cough with abnormal rising of qi, a frog-like sound in the throat, accompanied by aversion to cold with fever, no thirst. Frothy or white phlegm, white greasy tongue coating, and floating tight pulse.

bubble_chart Formula Principles

This formula is suitable for cough and wheezing caused by cold fluid retention in the lungs, lung qi failing to disperse and descend, and lung qi ascending counterflow. In the formula, Belamcanda Rhizome opens phlegm obstruction; Ephedra ventilates the lungs and disperses cold; Aster, Coltsfoot Flower, and Pinellia assist Belamcanda Rhizome in descending qi and resolving phlegm; Fresh Ginger Rhizome and Asarum assist Ephedra in dissipating cold and resolving retained fluid. To prevent excessive dissipation and damage to healthy qi, Schisandra Fruit is used to astringe lung qi, and Chinese Date stabilizes the middle and harmonizes the other herbs, combining exterior-relieving medicinals with astringents to expel pathogens without harming healthy qi. This is a commonly effective formula for cough and wheezing due to cold fluid retention.

bubble_chart Pattern Identification

  1. Cough with wheezing.
  2. Copious frothy sputum.
  3. No thirst.
  4. White greasy tongue coating.
  5. Floating and tight pulse.

bubble_chart Formula Modification

  1. Extreme cold: add Dried Ginger.
  2. Dry mouth with heat signs: add Gypsum, White Mulberry Root-Bark, Heartleaf Houttuynia Herb.
  3. Severe wheezing and cough: add Pepperweed Seed.
  4. Food accumulation and poor appetite: add hawthorn fruit, Millet Sprout, Germinated Barley, Medicated Leaven.

bubble_chart Modern Application

Bronchial asthma, whooping cough, chronic bronchitis, lung qi swelling, pulmonary edema, cough with thin sputum.

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