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Yibian
 Shen Yaozi 
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formula namePain and Diarrhea Vital Formula
sourceLiu Caochuang's Prescriptions
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bubble_chart Preparation and Dosage

White Atractylodes Rhizome (Rhizoma Atractylodis Macrocephalae) 18gm
Peony Root (Radix Paeoniae Alba) 12gm
Dried Tangerine Peel (Pericarpium Citri Reticulatae) 9gm
Saposhnikovia Root (Radix Saposhnikoviae) 6gm

It can be taken in powder or pill form, 10 grams per dose, three times a day; or decocted with water, taken twice a day, two doses per day.

bubble_chart Efficacy

Suppressing the liver and reinforcing the spleen, draining dampness and checking diarrhea.

bubble_chart Formula Principles

The abdominal pain and diarrhea treated by this formula are caused by liver hyperactivity and spleen deficiency, where wood overacts on earth, leading to spleen constraint and impaired transportation and transformation. The treatment method is to soothe the liver and fortify the spleen. In the formula, White Atractylodes Rhizome invigorates the spleen and dries dampness, while Peony Root nourishes blood, regulates the liver, and relieves pain, serving as the main medicinal. Dried Tangerine Peel harmonizes the middle and resolves dampness, regulates qi, and awakens the spleen. Saposhnikovia Root disperses the liver and relaxes the spleen, acting as the guiding medicinal. The combination of these four medicinals achieves the effect of tonifying while dispersing, draining the liver and tonifying the spleen, and harmonizing qi movement, thereby stopping the pain and diarrhea.

bubble_chart Modern Application

Modern medicine believes that this prescription regulates liver and spleen functions, reduces inflammation, stops diarrhea, and alleviates pain. It is mainly used for: chronic colitis, subcutaneous nodular enteritis, allergic colitis, and acute enteritis, among other conditions characterized by the "earth deficiency and wood overacting" pattern of painful diarrhea, presenting symptoms such as borborygmus, abdominal pain, diarrhea, where pain is relieved after defecation, a thin white tongue coating, and a wiry pulse.

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