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Yibian
 Shen Yaozi 
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Fang nameMinor Bupleurum Decoction
sourceTreatise On Typhoid And Death
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[Preparation method and dosage]

Bupleurum (Radix Bupleuri) 24gm (half jīn)
Skullcap Root (Radix Scutellariae) 9gm (3 liǎng)
Ginseng (Radix Ginseng) 9gm (3 liǎng)
Pineilia (Rhizoma Pinelliae) washed 9gm (half shēng)
Liquorice Root (Radix Glycyrrhizae) 9gm (3 liǎng)
Fresh Ginger Rhizome (Rhizoma Zingiberis) cut 9gm (3 liǎng)
Chinese Date (Fructus Jujubae) split 12 pieces

the above 7 ingredients, use 2.4 shēng of water, decoted to 1.2 shēng, remove the water, then decoct 600 ml, administer while warm 200 ml. administer 3 times a day.

[Efficacy]

harmonizing lesser yang.

[Indications]

  1. disease caused by cold shaoyang syndrome/pattern, alternating chills and fever, fullness and discomfort in chest and hypochondrium, unwillingness to eat, vexation and vomiting, bitter taste in mouth, dry throat, stringy and rapid pulse, tongue coating pale white.
  2. Women's disease caused by cold, heat entering the uterus;
  3. And malaria, jaundice and internal damage Zabing, evidence of shaoyang syndrome/pattern.

[Prescription]

This formula is a symptom of the Shaoyang meridian being half external and half internal, and is a representative prescription of harmonizing formula. Because the evil is transmitted to this meridian, it wants to enter but is rejected by the internal Qi, so there are alternating chills and fever, fullness and discomfort in chest and hypochondrium; healthy qi and pathogenic qi compete with each other, so the consciousness is drowsy and silent anorexia, heat evil Internal pressure, so vexation and vomiting; overflowing bile fire, so bitter taste in mouth deafness; all of these are the main symptoms of half-exterior half-interior syndrome/pattern. Bupleurum is used in the prescription to raise the yang and reach the surface, so that the evils from half of the surface can be exposed; Skullcap Root nourishes yin and reduces fever, so that the evils from half a mile can be penetrated internally; Ginseng and Pineilia are used to harmonize and tonify qi so that evil spirits cannot be introduced again; Liquorice Root assists Chai, Qin, harmonizes the inside and outside; ginger, jujube and ginseng , Xia, and Tongda Rongwei are all mutual reinforcements.

[Key points of syndrome differentiation]

  1. alternating chills and fever.
  2. fullness and discomfort in chest and hypochondrium.
  3. anorexia.
  4. vexation and vomiting.
  5. bitter taste in mouth and stringy pulse.

[Addition and subtraction]

[Modern application]

This prescription reduces fever, regulates the activities of the liver, gallbladder, bile duct, and sphincter of Oddi, regulates the activities of the central nervous system, regulates gastrointestinal motility, and enhances immune function. For acute and chronic hepatitis, acute and chronic gastritis, pancreatitis, bronchitis, pyelitis, mumps, myocarditis, cholecystitis, pneumonia, cervical lymphadenitis, otitis media, tonsillitis, puerperium fever, pelvic inflammation, testicularitis, Costal membrane inflammation, gastric and duodenal ulcers, anorexia nervosa, deficient heat in children, measles, lung swollen, etc.

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