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Yibian
 Shen Yaozi 
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formula nameThree Gold Stone-Expelling Decoction
sourceShaanxi Traditional Chinese Medicine
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bubble_chart Preparation and Dosage

Christina Loosestrife (Herba Lysimachiae) 60gm
Chicken's Gizzard-Skin (Endothelium Corneum Gigeriae Galli) 30gm take infused
Haijinsha (Spora Lygodii) 20gm
Pyrrosia Leaf (Folium Pyrrosiae) 15gm
Grass of Common KnotGrass (Herba Polygoni Avicularis) 15gm
Plantain Seed (Semen Plantaginis) 15gm bao
Lilac Pink Herb (Dianthi Herba) 12gm
Talc (Talcum) 12gm
Akebia Stem (Caulis Clematidis Armandii) 10gm

Take one dose daily, decocted into 500ml, divided into two doses to be administered warm. Continue for 6 days as one treatment course. Additionally, drink plenty of water (tea is preferable) and engage in more physical activity.

bubble_chart Efficacy

Clearing heat and promoting diuresis, relieving stranguria and expelling stones.

bubble_chart Indications

Kidney and ureteral stones.

bubble_chart Formula Principles

Urinary tract stones were anciently known as "urolithic stranguria," believed to be caused by "heat in the lower jiao." "Various types of stranguria arise from kidney deficiency and bladder heat." Prolonged accumulation of dampness-heat in the lower jiao causes the urine to be "boiled" over time, leading to the formation of "urolithic stranguria" as impurities in the urine condense into sand-like stones. Therefore, clearing heat and draining dampness, as well as expelling stones and relieving stranguria, are the most commonly used methods in Chinese medicine for treating urinary tract stones. This prescription follows this principle, with Christina Loosestrife, Chicken's Gizzard-Skin, and Lygodium Spore serving as the main herbs for expelling stones and relieving stranguria, while Pyrrosia Leaf, Lilac Pink Herb, Polygonum Aviculare, Akebia Stem, Talc, and Plantain Seed assist by clearing heat, draining dampness, and relieving stranguria. Christina Loosestrife should be used in large doses; clinical observations suggest that 60g generally yields satisfactory results, with a maximum dose of up to 100g. This prescription is suitable for urinary tract stones diagnosed as the dampness-heat pattern, showing good efficacy for single, small-diameter stones and rapid effects for acute episodes.

Zhao Xinxiang. Shaanxi Chinese Medicine, 1998, 19(2): 50

bubble_chart Formula Modification

  • For pain, add Corydalis Tuber 12g;
  • for hematuria, add lalang grass rhizome 15g;
  • for internal heat, add Phelloendron Bark and Anemarrhena 10g each.

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