Yibian
 Shen Yaozi 
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formula nameCoptis Decoction
sourceShanghan Zabing Lun
smart_toy
bubble_chart Preparation and Dosage

Coptis Rhizome (Rhizoma Coptidis) 9gm
Liquorice Root (Radix Glycyrrhizae) 9gm
Dried Ginger (Rhizoma Zingiberis) 9gm
Cinnamon Twig (Ramulus Cinnamomi) 9gm
Ginseng (Radix Ginseng) 6gm
Pineilia (Rhizoma Pinelliae) 12gm
Chinese Date (Fructus Jujubae) 4 pieces

bubble_chart Efficacy

Regulating cold and heat, harmonizing the stomach, and descending adverse qi.

bubble_chart Indications

Cold-damage disease, heat in the chest, pathogenic qi in the stomach, abdominal pain, desire to vomit, restlessness in the chest, or borborygmus diarrhea, white greasy tongue coating, wiry pulse.

bubble_chart Formula Principles

This formula is suitable for syndromes characterized by heat in the chest, cold in the stomach, imbalance of yin-yang, dysfunction of ascending and descending, and disharmony between the upper and lower parts. In the formula, Coptis Rhizome is bitter and cold, clearing heat in the chest and diaphragm; Dried Ginger and Cinnamon Twig are pungent and warm, dispersing cold in the stomach. The combination of these two achieves pungent dispersing and bitter descending, using both cold and heat to treat the upper and lower parts simultaneously, restoring the function of the middle energizer in ascending and descending. Additionally, Pineilia harmonizes the stomach and descends adverse qi; Ginseng, Liquorice Root, and Chinese Date tonify qi and harmonize the stomach. The combination of these herbs can disperse cold and eliminate heat, harmonize the middle energizer, and restore the normal ascending and descending of yin-yang, thereby curing all symptoms.

bubble_chart Pattern Identification

  1. Chest heat and irritability.
  2. Abdominal cold pain.
  3. Vomiting, diarrhea, and borborygmus.
  4. White greasy tongue coating.
  5. Wiry pulse.

bubble_chart Formula Modification

  1. alternating chills and fever, fullness and discomfort in chest and hypochondrium: add Bupleurum, Skullcap Root, Fresh Ginger Rhizome.
  2. Mild chills and severe fever: add Skullcap Root.
  3. Retching with severe chest heat: add Fresh Ginger Rhizome, Coptis Rhizome, Bamboo Shavings.
  4. Stomach qi deficiency: add Liquorice Root.
  5. Constipation: add Rhubarb Rhizoma.
  6. Watery diarrhea: add Poria.
  7. Stomach cold and abdominal pain: add Immature Orange Fruit, White Atractylodes Rhizome.
  8. Vomiting and diarrhea: add Peony Root, Aucklandia Root.

bubble_chart Modern Application

This formula strengthens the stomach, inhibits bacteria, reduces inflammation, and enhances immunity. It is used for acute and chronic gastroenteritis, chronic gastritis, chronic dysentery, chronic cholecystitis, chronic hepatitis, early-stage liver cirrhosis, functional dyspepsia, cholera with vomiting and diarrhea, abdominal pain, stomatitis, and other conditions characterized by a mixture of cold and heat, abnormal ascending and descending, and upper heat with lower cold.

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