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Yibian
 Shen Yaozi 
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formula nameCoptis Detoxification Decoction
sourceEmergency Formulas Volume 2
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bubble_chart Composition

Coptis 9 gm, Phellodendron and Scutellaria, 6 gm each, Gardenia 14 pieces.

bubble_chart Preparation and Dosage

Use 1.2 liters of water, decoct to obtain 400 ml, and take in two doses.

bubble_chart Efficacy

Clearing heat and purging fire.

bubble_chart Indications

All excess heat fire toxin, triple energizer heat excess syndrome. High fever with irritability and thirst, dry mouth and throat, paraphasia, insomnia; or Rebing hematemesis, nosebleed; or severe heat causing macules, fever with diarrhea, warm heat jaundice; surgical Yongju boils and sores, dark urine, red tongue with yellow coating, rapid and forceful pulse.

bubble_chart Formula Principles

Triple energizer accumulates heat, pathogenic fire runs rampant, hence Skullcap Root is used to purge lung fire in the upper energizer, Coptis Rhizome to purge spleen fire in the middle energizer, Phellodendron Bark to purge kidney fire in the lower energizer, and Gardenia to thoroughly purge the fire of the triple energizer, expelling it through the bladder. When yang is exuberant, yin declines; when fire is excessive, water declines. Therefore, medicines of great bitterness and cold (Great Cold, the 24th solar term) are used to suppress yang and support yin, to purge the excessive fire and rescue the nearly depleted water. However, these should not be lightly administered unless there is true heat.

bubble_chart Cautions and Contraindications

Avoid consuming pork and cold water while taking the medication.

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