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Yibian
 Shen Yaozi 
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Fang nameSpleen-Qi Effusing plus Atractylodes Decoction
sourceTreatise On Typhoid And Death
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[Preparation method and dosage]

Ephedra (Herba Ephedrae) 18gm (6 liǎng)
Gypsum (Gypsum Fibrosum) 24gm (half jīn)
White Atractylodes Rhizome (Rhizoma Atractylodis Macrocephalae) 12gm (4 liǎng)
Fresh Ginger Rhizome (Rhizoma Zingiberis) 9gm (3)
Liquorice Root (Radix Glycyrrhizae) 6gm (2)
Chinese Date (Fructus Jujubae) 15 pieces

The above 6 ingredients, with 1.2 shēng (6 shēng) of water, boil the ephedra first, remove scum, add all the medicines, decoted to 600 ml (3 shēng), administer in 3 warm doses. For bad wind, add a piece of monkshood to prepare.

[Efficacy]

clearing heat with pungent-cool medicinals, reducing swelling and removing dampness.

[Indications]

  1. Internal edema means the face is swollen, the pulse is heavy, and urination is difficult.
  2. When the flesh is extremely hot, the body fluid collapses, striae and interstice are opened, sweating occurs profusely, wind qi is strong, lower energizer and the feet are weak.

[Prescription]

In the prescription, Ephedra and dispelling wind remove the evil of dampness, open the muscles and relieve edema spontaneous sweating; gypsum clears away internal heat; White Atractylodes Rhizome invigorating spleen and drying dampness, and benefiting the dampness of muscles; Liquorice Root tonifying qi; Fresh Ginger Rhizome, Chinese Date harmonizing nutrient and defensive aspects. The six medicines are used in combination to treat both the exterior and the interior, dispel the wind evil on the surface, clear the stagnant heat inside, and relieve the dampness evil on the surface of the muscles, so that the disease will gradually resolve.

[Key points of syndrome differentiation]

  1. edema especially the upper body.
  2. The joints of the lower limbs are slightly swollen.
  3. Short urination.
  4. Pulse sinks.

[Addition and subtraction]

  1. Yellow skin: Add Virgate Wormwood, Gardenia.
  2. edema even: add Stephania Tetrandra, Polyporus, Poria.
  3. Fluid retention for dysphoria and heat: Add Anemarrhena and Phelloendron Bark.
  4. Ahem qi counterflow: Add Pineilia.
  5. aversion to wind: Add Aconite Lateral Root.

[Modern application]

Wind-dampness fever, acute nephritis, eczema, edema, arthritis, keratitis, jaundice disease, beriberi.

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