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Yibian
 Shen Yaozi 
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formulaSkullcap Decoction Huang Qin Tang
sourceShanghan Zabing Lun
smart_toy
bubble_chart Preparation and Dosage

Skullcap Root (Radix Scutellariae) 9gm
Peony Root (Radix Paeoniae Alba) 6gm
Liquorice Root (Radix Glycyrrhizae) 6gm
Chinese Date (Fructus Jujubae) 4 pieces

bubble_chart Efficacy

Clearing the intestine to stop dysentery, and relieving pain.

bubble_chart Indications

Dysentery or diarrhea, presenting with fever but no aversion to cold, burning sensation in the anus, discharge of sticky and foul matter, abdominal pain, bitter taste in the mouth, red tongue with thin yellow coating, and wiry rapid pulse.

bubble_chart Formula Principles

This prescription originally treats the combination of diseases of taiyang and shaoyang. For those with diarrhea, it is mainly due to Shaoyang being affected by pathogenic factors, where the fire stagnation of Shaoyang internally presses on Yangming and descends to the large intestine. Since the location of the disease is in Shaoyang, the treatment should focus on harmonizing and resolving. The formula includes Skullcap Root, which clears heat and stops diarrhea. The "Shennong Bencao Jing" states that it "treats dysentery and diarrhea." Peony Root harmonizes the nutrient to relieve pain. The "Shennong Bencao Jing" states that it "treats pathogenic qi and abdominal pain." Liquorice Root and Chinese Date harmonize the middle and nourish the spleen. The combination of these herbs primarily clears interior heat. When interior heat is cleared, diarrhea can be stopped, and fever can be eliminated.

bubble_chart Pattern Identification

  1. Diarrhea.
  2. Abdominal cramps.
  3. Burning sensation in the anus.
  4. Bitter taste in the mouth, thin yellow coating.
  5. Wiry and rapid pulse.

bubble_chart Formula Modification

  1. Dampness-heat is severe: add Aucklandia Root, Coptis Rhizome.
  2. If there is an exterior pattern: add Pueraria Root, Schizonepeta, Lonicera.
  3. Tenesmus: add Rhubarb Rhizoma, Areca Seed.
  4. Vomiting qi counterflow: add Pinellia, Fresh Ginger Rhizome.
  5. Stool with pus and blood: add fried hawthorn fruit, fried Sanguisorba.
  6. Abdominal pain and diarrhea: add Coptis Rhizome, Dried Ginger.
  7. Thirst and dysphoria: add Immature Orange Fruit, Bupleurum.

bubble_chart Modern Application

Bacterial dysentery, amoebic dysentery, enterovirus, allergic colitis, acute enteritis, large intestine inflammation, appendicitis.

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