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Yibian
 Shen Yaozi 
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formulaMajor Notopterygium Decoction Da Qiang Huo Tang
sourceCishi Nanzhi
smart_toy
bubble_chart Preparation and Dosage

Notopterygium (Rhizoma et Radix Notopterygii) 6gm
Saposhnikovia Root (Radix Saposhnikoviae) 6gm
Atractylodes Rhizome (Rhizoma Atractylodis) 6gm
Asarum (Herba Asari) 2gm
Sichuan Lovage Rhizome (Rhizoma Chuanxiong) 3gm
Pubescent Angelica (Radix Angelicae Pubescentis) 3gm
Unprocessed Rehmannia Root (Radix Rehmanniae Recens) 3gm
Skullcap Root (Radix Scutellariae) 3gm
Prepared Liquorice Root (Radix Glycyrrhizae) roasted 3gm
Stephania Tetrandra (Radix Stephaniae Tetrandrae) 6gm
Coptis Rhizome (Rhizoma Coptidis) 6gm
White Atractylodes Rhizome (Rhizoma Atractylodis Macrocephalae) 6gm
Anemarrhena (Rhizoma Anemarrhenae) 9gm

Take orally after decocting with water.

bubble_chart Indications

Wind-cold dampness exterior pattern accompanied by interior pattern. Symptoms include headache, fever, aversion to cold, dry mouth, irritability, and thirst.

bubble_chart Formula Principles

In the formula, Notopterygium resolves taiyang wind-cold, Pubescent Angelica disperses shaoyin wind-cold, and both serve as sovereign medicinals. Saposhnikovia Root, Sichuan Lovage Rhizome, Atractylodes Rhizome, and Asarum act as minister medicinals, assisting Notopterygium and Pubescent Angelica in dispersing pathogens from the exterior and interior, eliminating cold and heat, and relieving headaches. Coptis Rhizome, Skullcap Root, Anemarrhena, and Unprocessed Rehmannia Root serve as assistant medicinals, clearing interior heat and enriching yin fluids, thereby alleviating thirst and irritability. Stephania Tetrandra promotes urination and dispels dampness, while also guiding interior heat downward, also acting as an assistant medicinal. White Atractylodes Rhizome and Liquorice Root tonify qi, strengthen the spleen, and harmonize the exterior and interior, ensuring that ascending actions are not too harsh and cold actions do not stagnate, thus expelling pathogens without harming the body's vital energy. Liquorice Root also serves to harmonize the various medicinals, acting as both an assistant and guiding medicinal. The condition of double invasion was historically considered difficult to treat, hence Dongyuan formulated this prescription for those with a strong constitution and relatively mild pathogen exposure. Overall, compared to Nine-ingredient Notopterygium Decoction, this formula omits Dahurian Angelica and includes Coptis Rhizome, Anemarrhena, Stephania Tetrandra, and White Atractylodes Rhizome, enhancing its ability to clear heat and dispel dampness. Therefore, it is more suitable for cases of external contraction of wind-cold dampness with significant interior heat. Notopterygium Decoction omits Dahurian Angelica and includes Coptis Rhizome, Anemarrhena, Stephania Tetrandra, and White Atractylodes Rhizome, making it more effective in clearing heat and dispelling dampness, and thus more appropriate for cases of external contraction of wind-cold dampness with significant interior heat.

bubble_chart Modern Application

Common cold, wind-dampness, common cold.

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