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Yibian
 Shen Yaozi 
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formula namePus-Expelling Powder
sourceShanghan Zabing Lun
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bubble_chart Preparation and Dosage

Immature Orange Fruit (Fructus Aurantii Immaturus) 16 pieces
Peony Root (Radix Paeoniae Alba) 6 fēn
Platycodon Root (Radix Platycodonis) 2 fēn
Eggyolk (Endothelium Corneum Galli Gigerii) 1 piece

Grind the three ingredients into a powder, take one egg yolk, mix the medicinal powder with an equal amount of egg yolk, knead until well combined, and take it orally once a day.

bubble_chart Efficacy

Clearing heat and dispersing stagnation, expelling pus and eliminating abscesses.

bubble_chart Indications

Stomach abscess or intestinal abscess with pus formation on the verge of rupture or initial rupture, accompanied by severe stasis heat syndrome. Symptoms include abdominal distension and fullness, cramping, a hard lower abdomen with a palpable mass that is painful upon deep pressure, or purulent bloody stool, dry mouth, purpura or purple spots on the tongue, thin yellow coating, and a slippery, rapid pulse.

bubble_chart Formula Principles

This formula was originally designed for stomach abscess and intestinal abscess, but its application has now expanded. It can be used as a base for modification in cases of carbuncles, swellings, sores, and boils that are characterized by heat and blood stasis. In the formula, Immature Orange Fruit has a bitter taste and slightly cold nature, specializing in regulating qi, breaking stagnation, and eliminating vexing heat; Peony Root promotes blood circulation, cools blood, and relieves pain; Platycodon Root opens and lifts lung qi and expels pus. The combination of these three herbs breaks qi stagnation, clears heat, harmonizes the nutrient level, expels pus, and disperses abscesses. Its nature is gentle, making it suitable for chronic patients.

bubble_chart Formula Modification

  1. Severe heat: add Patrinia, snake tongue grass, Dandelion.
  2. Excessive bleeding: add black Sanguisorba, black Schizonepeta, and arborvitae.
  3. Blood stasis in the intestines: add Rhubarb and Peony Peel Decoction.
  4. Severe swelling without pus formation: add Lonicera, Forsythia.
  5. Pus formation and ulceration: add Astragalus Root, Chinese Angelica. Or combine with Toli Disinfection Drink.
  6. Sore and ulcer swelling and pain: combine with Immortal Life-Saving Decoction.

bubble_chart Modern Application

Gastric and duodenal ulcers, ulcerative colitis, chronic peritonitis, chronic appendicitis, carbuncles, boils and sores, lymphadenitis, cellulitis, tonsillitis, sinusitis, lung abscess, mastitis.

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