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Yibian
 Shen Yaozi 
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formulaRhubarb and Ground Beetle Pill Da Huang Zhe Chong Wan
sourceTreatise on Cold Damage and Miscellaneous Diseases
smart_toy
bubble_chart Preparation and Dosage

Rhubarb Rhizoma (Radix et Rhizoma Rhei) 75gm
Skullcap Root (Radix Scutellariae) 60gm
Liquorice Root (Radix Glycyrrhizae) 90gm
Peach Kernel (Semen Persicae) 120gm
Bitter Apricot Seed (Semen Armeniacae Amarum) 120gm
Peony Root (Radix Paeoniae Alba) 120gm
Prepared Rehmannia Root (Radix Rehmanniae Praeparata) 300gm
Gadfly (Tabanus) 60gm
Leech (Hirudo) 50gm
Northeast giant black chafer (Holotrichia diomphalia) 60gm
Ground Beetle (Eupolyphaga) 30gm

Honeyed pills, take 5 grams each time, three times a day, with wine.

bubble_chart Efficacy

Dispelling stasis to promote regeneration, nourishing blood and benefiting yin.

bubble_chart Formula Principles

In the formula, Rhubarb Rhizoma expels stasis and purges downward, while cooling blood and clearing heat. Ground beetle purges accumulated blood, both serving as sovereign medicinals. Peach Kernel, Dried Lacquer, Northeast Giant Black Chafer, Leech, and Gadfly assist the sovereign medicinals in invigorating blood to unblock collaterals and expelling static blood, collectively acting as minister medicinals. Skullcap Root paired with Rhubarb Rhizoma clears stasis heat; Bitter Apricot Seed paired with Peach Kernel moistens dryness accumulation and breaks blood stasis, descending qi. This combination with blood-activating and offensive purgative medicinals aids in dispelling static blood. Unprocessed Rehmannia Root and Peony Root nourish blood and enrich yin, serving as assistant medicinals. {|126|}Liquorice Root{|127|} harmonizes the middle and tonifies deficiency, moderating the formula and mitigating the overly harsh effects of blood-stasis-breaking medicinals to prevent damage to the body. Taken with wine to enhance the medicinal effects, it acts as the guiding medicinal.

bubble_chart Modern Application

Modern medicine believes that this prescription has anticoagulant effects, promotes fibrinolytic enzyme activity, inhibits thrombosis, protects the liver, reduces inflammation, and enhances intestinal peristalsis.

It is mainly used for: uterine fibroids, ovarian cysts, liver cirrhosis, splenomegaly, postoperative intestinal adhesions, endometrial amenorrhea, ovarian amenorrhea, thromboangiitis obliterans, cerebral thrombosis, presenting with abdominal distension and fullness, pain that resists pressure, fixed pain locations, poor appetite, dark complexion, and wiry and choppy pulse.

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