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Now, if one wishes to remove Gansui Root from the Major Chest Bind Decoction, one can add Pepperweed Seed from the Major Chest Bind Pill and hematite from the previous formula for belching that did not resolve, each in a few qian, to the Major Chest Bind Decoction. Then, Gansui Root can be omitted and still achieve efficacy. As previously discussed, hematite possesses a strong descending force. As for Pepperweed Seed, it has a bitter taste and is good at descending, with properties similar to Gansui Root but non-toxic. Its medicinal strength is much milder than Gansui Root. Its bitter descending nature can expel phlegm-fluid retention in the lungs, causing it to descend rapidly. Therefore, it can be used together with hematite to replace Gansui Root. As for the Major Chest Bind Decoction modified in this way, if one still fears its strong potency, I have another self-devised formula to replace it, which is the Decongesting Chest Decoction in the medical formulas section. This Decongesting Chest formula for decoction not only lacks Gansui Root but also Rhubarb Rhizoma. It is used to replace the Major Chest Bind Decoction and is always effective, hence I dare to write it down to share with the medical community.
The Decongesting Chest Decoction treats cold-warm thoracic accumulation, with symptoms of phlegm-fluid retention in the chest and diaphragm, congealed with external contraction pathogens, blocking the throat above and stagnating appetite below, causing difficulty in breathing, fullness and shortness of breath, inability of water to descend, or vomiting, and also treats epidemic thoracic accumulation.
Trichosanthes seed 60g, freshly fried and pounded, raw hematite 60g, finely ground, cultivated purple perilla fruit 19g, fried and pounded, Mirabilite 12g, take infused.

Use four cups of water, decoct to obtain two cups, first take one cup warm. If the blockage resolves and bowel movement occurs, stop the subsequent dose. If the chest blockage is still not resolved, after two hours, take another cup warm. If the chest blockage has resolved but bowel movement has not yet occurred, and there is no passing of flatus, one can still take half a cup warm.