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formula nameEphedra, Bitter Apricot Seed, Gypsum and Licorice Decoction
aliasEphedra, Bitter Apricot Seed, Gypsum and Licorice Decoction
sourceShanghan Zabing Lun
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bubble_chart Preparation and Dosage

Ephedra (Herba Ephedrae) de-noded 9gm (4 liǎng)
Bitter Apricot Seed (Semen Armeniacae Amarum) peeled and de-pointed 9gm (50 pieces)
Liquorice Root (Radix Glycyrrhizae) roasted 6gm (2 liǎng)
Gypsum (Gypsum Fibrosum) crushed, wrapped in cotton fabric 18gm (8 liǎng)

Take the four ingredients, boil Ephedra first in 1.4 liters (seven sheng), reduce by 400 milliliters (two sheng), and remove the white foam. Then add the remaining herbs and boil to obtain 600 milliliters (three sheng). Strain the decoction and take 200 milliliters (one sheng) warm.

bubble_chart Efficacy

Ventilating the lungs to dissipate heat, relieve cough, and calm asthma.

bubble_chart Indications

External contraction wind-cold, lung heat exuberance pattern. Persistent fever, severe wheezing and shortness of breath, or flaring of the nostrils, thirst, thin yellow tongue coating, floating and rapid pulse.

bubble_chart Formula Principles

This prescription is suitable for syndromes of wind-heat invading the lungs, or wind-cold stagnating and transforming into heat, obstructing lung qi. In the formula, the dosage of Gypsum is more than twice that of Ephedra, used to moderate the warm and pungent nature of Ephedra and transform it into a use of clearing heat with pungent-cool medicinals. The combination of these two herbs clears and ventilates lung heat to relieve wheezing; Bitter Apricot Seed promotes the descending of lung qi and works synergistically with Ephedra to calm wheezing; Liquorice Root tonifies qi and harmonizes the middle, regulating the effects of the various herbs. When paired with Gypsum, its sweet and cold nature can promote fluid production to quench thirst and also prevent the Great Cold (24th solar term) from damaging the stomach.

bubble_chart Pattern Identification

  1. Wheezing.
  2. Fever.
  3. Yellow coating.
  4. Rapid pulse.

bubble_chart Formula Modification

  1. panting: add Pepperweed Seed, Earthworm, Belamcanda Rhizome.
  2. severe lung heat: add Heartleaf Houttuynia Herb, Plantain Herb, Skullcap Root.
  3. dysphoria and thirst: add Phelloendron Bark, Anemarrhena.
  4. fever and aversion to wind: add Bupleurum, Peony Root.
  5. difficult expectoration of phlegm: add Platycodon Root, Trichosanthes Seed.
  6. blood in phlegm: add lalang grass rhizome, Platycladus.
  7. severe pneumonia panting: combine with White-Draining Powder, the therapeutic effect is very good.

bubble_chart Modern Application

Panting, acute bronchitis, pneumonia, whooping cough, paranasal sinusitis, urticaria, common cold, measles.

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