bubble_chart Preparation and Dosage

Grind the above medicinal ingredients into fine powder, and mix with honey to form pills the size of small beans. Take 4.5 grams each time, twice a day, with Fresh Ginger Rhizome decoction. Alternatively, it can be prepared as a decoction by boiling with water, and the dosage should be reduced proportionally according to the original prescription.

bubble_chart Efficacy

Clear liver fire, calm the mind, and relieve convulsions.

bubble_chart Indications

Treating the Liver Meridian pattern of excess-fire. Symptoms include dizziness, blurred vision, deafness, tinnitus, mental restlessness, palpitations due to fright, convulsions, irritability, mania, difficulty in swallowing, severe constipation, difficulty in urination, pain in the chest and hypochondrium, and swelling of the scrotum.

bubble_chart Formula Principles

This formula is the primary prescription for treating liver heat, which is based on the Coptis Detoxification Decoction from Waitai Miyao, attributed to the Cui family, with additional modifications. It specifically purges excess fire from the liver and gallbladder, guiding heat downward. The term "liver heat" refers to a pathological state and inflammatory signs caused by excessive blood and nerve congestion and excitement. The formula uses Gentiana, Indigo, and Aloes to specifically purge excess fire from the liver and gallbladder; Skullcap Root to purge lung fire, Coptis Rhizome to purge heart fire, Phellodendron Bark to purge kidney fire, Rhubarb Rhizoma to purge fire from the stomach and large intestine, and Gardenia to purge fire from the triple energizer. It includes extremely bitter and cold substances to directly purge the fire pathogens accumulated in the meridians, allowing them to be expelled through urine and stool. Aucklandia Root, musk, and Chinese Angelica are used to regulate qi and harmonize blood, enhancing the efficacy of the heat-clearing and fire-purging herbs by promoting qi and blood circulation. At the same time, they mitigate the potential harm caused by large doses of bitter and cold substances.

bubble_chart Pattern Identification

1. Liver excess fire causes dizziness.
2. Convulsions and mania.
3. Difficulty in urination and defecation.
4. Pain in the chest and hypochondrium.
5. Swelling of the scrotum.

bubble_chart Formula Modification

1. dysphoria thirst: add Ophiopogon Tuber, Schisandra Fruit.
2. difficulty in urination: add Akebia Stem, Unprocessed Rehmannia Root.
3. severe constipation: add Immature Orange Fruit, Magnolia Bark.

bubble_chart Cautions and Contraindications

Deficiency-cold of the spleen and stomach is contraindicated.

bubble_chart Modern Application

Acute hepatitis, acute cholecystitis, gallstones, acute wind-dampness heat, gastritis, pharyngitis, otitis media, cystitis, urethritis, pelvic inflammatory disease, vaginitis, scrotal eczema, tinnitus, orchitis.