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Yibian
 Shen Yaozi 
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formula nameBupleurum Liver-Soothing Powder
sourceJingyue Quanshu
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bubble_chart Preparation and Dosage

Cyperus (Rhizoma Cyperi) 5gm
Peony Root (Radix Paeoniae Alba) 5gm
Bupleurum (Radix Bupleuri) 6gm
Sichuan Lovage Rhizome (Rhizoma Chuanxiong) 5gm
Submature Bitter Orange (Fructus Aurantii Immaturus) 5gm
Dried Tangerine Peel (Pericarpium Citri Reticulatae) 6gm
Liquorice Root (Radix Glycyrrhizae) 2gm

bubble_chart Efficacy

Soothing the liver and regulating qi, harmonizing blood and relieving pain.

bubble_chart Indications

Chest and hypochondriac pain caused by liver depression qi stagnation and blood stasis, alternating chills and fever, or belching, acid regurgitation, or breast distending pain. The tongue is slightly dark with thin coating, and the pulse is wiry and choppy.

bubble_chart Formula Principles

This formula is derived from Cold-Limbs Powder with the addition of Dried Tangerine Peel, Cyperus, Sichuan Lovage Rhizome, and the substitution of Immature Orange Fruit with Submature Bitter Orange. In addition to its effects of soothing the liver and fortifying the spleen, it also has the efficacy of regulating qi and resolving stasis. In the formula, Bupleurum soothes the liver and relieves depression; Submature Bitter Orange, Dried Tangerine Peel, and Cyperus regulate qi and resolve stuffiness; Peony Root emolliates the liver and nourishes the blood to astringe yin; Sichuan Lovage Rhizome is a qi-regulating herb in the blood, capable of both activating blood and moving qi; Prepared Liquorice Root tonifies qi and fortifies the spleen, harmonizing all the herbs. The combination of these herbs collectively achieves the effects of soothing the liver and regulating qi, fortifying the spleen and nourishing the blood, dredging collaterals and relieving pain.

bubble_chart Pattern Identification

  1. Chest and hypochondriac distending pain.
  2. Bitter taste in the mouth.
  3. Belching.
  4. Tongue slightly dark.
  5. Stringy and choppy pulse.

bubble_chart Formula Modification

  1. For blood deficiency: add Chinese Angelica, Unprocessed Rehmannia Root, Prepared Rehmannia Root.
  2. For severe blood stasis: add Salvia.
  3. For liver depression transforming into fire: add Peony Bark, Gardenia.
  4. For excessive heart fire: add lotus plumule, Coptis Rhizome.
  5. For breast distending pain during menstruation: add Cowherb Seed.
  6. For gallstones: add Curcuma Root, Chicken's Gizzard-Skin, hawthorn fruit, Christina Loosestrife, Rhubarb Rhizoma.

bubble_chart Modern Application

Chronic hepatitis, gallstones, chronic gastritis, mammary gland hyperplasia, gastric and duodenal ulcers, intercostal neuralgia, gastric neurosis, dysmenorrhea, postmenopausal syndrome.

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