Yibian
 Shen Yaozi 
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formulaRedness-Removing Powder Dao Chi San
sourceXiao'er Yaozheng Zhijue
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bubble_chart Preparation and Dosage

Unprocessed Rehmannia RootYellow (Radix Rehmanniae Recens) 18gm
Akebia Stem (Caulis Clematidis Armandii) 12gm
Bamboo Leaf (Herba Lophatheri) 12gm
Liquorice Root Tip (Radix Glycyrrhizae) 6gm

bubble_chart Efficacy

Clears heat and promotes diuresis.

bubble_chart Indications

Heart pattern: thirst, flushed face, vexing heat in the chest, desire to drink cold liquids, sores in the mouth and on the tongue. Or, heart heat transferring to the small intestine, scanty and rough dark urine, stabbing pain during urination, red tongue, rapid pulse.

bubble_chart Formula Principles

This formula is suitable for syndromes of heat in the Heart meridian and Small Intestine meridian. Up-flaming of Heart fire manifests as flushed face, thirst, and mouth ulcers; heat transferred from the Heart to the Small Intestine results in scanty and painful urination, and urethral discomfort. This formula can guide the heat from the Heart meridian out through urine, thereby alleviating the symptoms. In the formula, Unprocessed Rehmannia Root cools the blood and nourishes yin, clearing heat; Akebia Stem reduces fire and promotes urination, and when used together, these two herbs promote urination without damaging yin; Bamboo Leaf resolves depression and discharges heat, guiding heat downward to be expelled through urine; raw Liquorice Root clears heat and removes toxins, relieves strangury and pain, and harmonizes the other herbs. The combination of these herbs clears the Heart while nourishing yin, promotes urination, and guides heat downward.

bubble_chart Pattern Identification

  1. Mouth and tongue sores.
  2. Difficult and painful urination.

bubble_chart Formula Modification

  1. Excessive heart fire: add Coptis Rhizome.
  2. Difficult and painful urination: add Talc, Rhubarb Rhizoma.
  3. Hematuria: add lalang grass rhizome, Small Thistle, amber.
  4. Dampness-heat in lower energizer: add Coix Seed, Atractylodes Rhizome, Phelloendron Bark.
  5. Prostatitis: add Cowherb Seed, Peach Kernel.
  6. Aphtha tongue sore: add Lonicera, Forsythia, Coptis Rhizome.
  7. Children's night crying: add Nacre, Uncaria, Golden Cicada.
  8. Heat stranguria: combine with Five Stranguries Powder.

bubble_chart Modern Application

Acute cystitis, urethritis, hematuria, chronic prostatitis, oral ulcers, keratitis, blepharitis, viral myocarditis.

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