Yibian
 Shen Yaozi 
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formula nameWarming and Clearing Decoction
sourceShen's Zunsheng Book
smart_toy
bubble_chart Preparation and Dosage

Chinese Angelica (Radix Angelicae Sinensis)
Sichuan Lovage Rhizome (Rhizoma Chuanxiong)
Peony Root (Radix Paeoniae Alba)
Prepared Rehmannia Root (Radix Rehmanniae Praeparata)
Skullcap Root (Radix Scutellariae)
Phelloendron Bark (Cortex Phellodendri)
Gardenia (Fructus Gardeniae)
Coptis Rhizome (Rhizoma Coptidis)

bubble_chart Efficacy

Clearing heat and resolving dampness, nourishing blood and harmonizing the nutrient system.

bubble_chart Indications

A woman with dampness-heat pressing downward on the uterus and appendages may experience symptoms such as a discharge resembling bean juice, mixed with blood, emitting a foul odor, a shallow yellow complexion, stabbing pain in the navel and abdomen, alternating chills and fever, and continuous menorrhagia and metrostaxis.

bubble_chart Formula Principles

This formula is composed of Coptis Detoxification Decoction combined with Four Ingredients Decoction. In the formula, Coptis Rhizome, Skullcap Root, Phellodendron Bark, and Gardenia constitute Coptis Detoxification Decoction, which clears heat and removes toxins, effectively purging fire toxins from the triple energizer and guiding pathogenic heat out through urination, thereby resolving dampness and clearing heat stagnation. Chinese Angelica, Sichuan Lovage Rhizome, Peony Root, and Prepared Rehmannia Root form Four Ingredients Decoction, which nourishes blood and harmonizes the nutrient system, invigorating blood to regulate menstruation and promote the smooth flow of qi and blood. By using Four Ingredients Decoction to warm and nourish the nutrient system, and Coptis Detoxification Decoction to clear heat and dry dampness, the combination of warming and clearing actions gives the formula its name.

bubble_chart Formula Modification

  1. For abdominal distension and fullness: add Dried Tangerine Peel.
  2. For qi deficiency: add Ginseng, White Atractylodes Rhizome, Aucklandia Root.
  3. For palpitation: add Poria.
  4. For cold deficiency: add Dried Ginger.
  5. For menorrhagia and metrostaxis that does not stop: add Donkey-hide Gelatin, Mugwort.
  6. For leukorrhea and vulvar pruritus: add Lonicera, Forsythia, Plantain Seed, Cnidium Fruit.
  7. For menstrual pain with scanty flow: add Dried Tangerine Peel, Cyperus, Corydalis Tuber.

bubble_chart Cautions and Contraindications

Use with caution in cases of deficiency-cold of the spleen and stomach.

bubble_chart Modern Application

Oophoritis, endometritis, cervicitis, pelvic inflammatory disease, functional uterine bleeding, menstrual irregularities, and other conditions caused by dampness-heat affecting the uterus and its appendages can be treated with modifications. It can also be applied to skin diseases such as eczema, psoriasis, and urticaria associated with blood deficiency and heat stagnation.

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