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Yibian
 Shen Yaozi 
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formula nameStomach-Regulating Purgative Decoction
sourceShanghan Lun
smart_toy
bubble_chart Composition

Rhubarb 12 gm (peeled, washed with wine), Licorice 6 gm (roasted), Mirabilite 15 gm

bubble_chart Preparation and Dosage

Take the above 3 ingredients, boil rhubarb and licorice in 600 ml of water until reduced to 200 ml, remove the dregs, add mirabilite, then heat slightly until boiling. Administer warm in small amounts.

bubble_chart Efficacy

Laxation heat accumulation.

bubble_chart Indications

Yangming disease with gastrointestinal dryness-heat: steaming fever, thirst, constipation, abdominal distension and fullness with tenderness upon pressure, yellow tongue coating, slippery and rapid pulse; also used for cases with intense heat in the intestines and stomach presenting with macules, vomiting of blood, nosebleeds, swelling and pain in the mouth, teeth, and throat, middle consumptive thirst, sores, and ulcers.

bubble_chart Formula Principles

In the formula, Rhubarb Rhizoma, bitter and cold, serves as the monarch herb to purge fire and unblock constipation; Mirabilite, salty and cold, softens hardness and moistens dryness as the minister herb; Liquorice Root, sweet and moderating, harmonizes the middle, tonifies qi, and nourishes the stomach, mitigating the bitter purgative effects of Rhubarb and Mirabilite, and guiding the medicinal action to gently promote laxation as the assistant herb. When dryness-heat is resolved, stomach qi naturally harmonizes, hence the name Stomach-Regulating Purgative Decoction.

bubble_chart Cautions and Contraindications

Cold-type constipation disease should be avoided.

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