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Yibian
 Shen Yaozi 
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formula nameSpleen-Qi Effusing plus Atractylodes Decoction
sourceTreatise on Cold Damage and Miscellaneous Diseases
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bubble_chart Preparation 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

Six herbs are used, with 1.2 liters (six liters) of water. First boil Ephedra, remove the foam from the top, then add the other herbs, and boil until 600 milliliters (three liters) remain. Divide into three doses and take warm. If there is aversion to wind, add one piece of Aconite Lateral Root, roasted.

bubble_chart Efficacy

Clearing heat with pungent-cool medicinals, reducing swelling and eliminating dampness.

bubble_chart Indications

  1. Internal edema causes swelling of the entire body and face, with a deep pulse and difficulty in urination.
  2. In cases of extreme flesh condition, heat leads to bodily fluid collapse, opening of striae and interstices, profuse sweating, severe wind qi, and weakness in the lower energizer and legs.

bubble_chart Formula Principles

In the formula, Ephedra dispels wind and dampness evils, opens the muscle interstices, and resolves edema and spontaneous sweating; Gypsum clears internal stagnant heat; White Atractylodes Rhizome invigorates the spleen and dries dampness, benefiting the dampness in the muscles; Liquorice Root tonifies qi and strengthens the spleen; Fresh Ginger Rhizome and Chinese Date harmonize the nutrient and defensive aspects. The combination of these six herbs treats both the exterior and interior, dispels external wind evils, clears internal stagnant heat, and benefits the dampness on the muscle surface, gradually resolving the illness.

bubble_chart Syndrome Differentiation

  1. Edema, especially in the upper body.
  2. Slight swelling in the lower limb joints.
  3. Scanty urine.
  4. Deep pulse.

bubble_chart Formula Modification

  1. Yellowish skin: add Virgate Wormwood, Gardenia.
  2. Severe edema: add Stephania Tetrandra, Polyporus, Poria.
  3. Restlessness and desire to drink: add Anemarrhena, Phelloendron Bark.
  4. Cough with qi counterflow: add Pineilia.
  5. Aversion to wind: add Aconite Lateral Root.

bubble_chart Modern Application

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

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