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Yibian
 Shen Yaozi 
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formula nameMinor Bupleurum Decoction
sourceShanghan Zabing Lun
smart_toy
bubble_chart Preparation 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

Take seven herbs, boil them in 2.4 liters of water until reduced to 1.2 liters, remove the dregs, then decoct again until reduced to 600 milliliters. Take 200 milliliters warm, three times a day.

bubble_chart Efficacy

Harmonizing lesser yang.

bubble_chart Indications

  1. cold-damage disease shaoyang syndrome/pattern, alternating chills and fever, fullness and discomfort in chest and hypochondrium, loss of appetite, vexation and vomiting, bitter taste in mouth, dry throat, wiry and rapid pulse, pale tongue coating.
  2. Women with cold-damage disease, heat entering the uterus;
  3. and malaria, jaundice, and internal damage Zabing, presenting with shaoyang syndrome/pattern.

bubble_chart Formula Principles

This formula is for the half-exterior half-interior syndrome of the Shaoyang meridian and is a representative harmonizing formula. As the pathogenic factor reaches this meridian, it attempts to enter the interior but is repelled by the interior qi, resulting in alternating chills and fever, fullness and discomfort in the chest and hypochondrium. The struggle between healthy qi and pathogenic qi leads to mental fatigue, lethargy, and anorexia. The internal pressure of pathogenic heat causes vexation and vomiting. The overflow of gallbladder fire results in a bitter taste in the mouth and deafness. All these are the main characteristics of the half-exterior half-interior syndrome/pattern. In the formula, Bupleurum is used to elevate yang and reach the exterior, allowing the pathogenic factor in the half-exterior to be expelled. Skullcap Root nourishes yin and reduces heat, enabling the pathogenic factor in the half-interior to be thoroughly expelled. Ginseng and Pinellia harmonize the middle and tonify qi, preventing the pathogenic factor from re-entering the interior. Liquorice Root assists Bupleurum and Skullcap Root in harmonizing the interior and exterior. Ginger and Jujube assist Ginseng and Pinellia in promoting the circulation of nutrient and defensive qi, all of which demonstrate the mutual reinforcement and synergy of the formula.

bubble_chart 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, wiry pulse.

bubble_chart Formula Modification

bubble_chart Modern Application

This formula reduces fever, regulates the activity of the liver, gallbladder, bile ducts, and the sphincter of Oddi, modulates the activity of the central nervous system, regulates gastrointestinal motility, and enhances immune function. It is used for acute and chronic hepatitis, acute and chronic gastritis, pancreatitis, bronchitis, pyelonephritis, parotitis, myocarditis, cholecystitis, pneumonia, cervical lymphadenitis, otitis media, tonsillitis, puerperal fever, pelvic inflammation, orchitis, pleurisy, gastric and duodenal ulcers, anorexia nervosa, pediatric fever of deficiency type, measles, lung qi swelling, and more.

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