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Yibian
 Shen Yaozi 
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formulaSummerheat-Clearing Qi-Replenishing Decoction Qing Shu Yi Qi Tang
sourcePiwei Lun
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bubble_chart Preparation and Dosage

Astragalus Root (Radix Astragali seu Hedysari) 3gm (1 qián) reduce sweat by five points
Atractylodes Rhizome (Rhizoma Atractylodis) soaked in rice water, peeled 3gm (1 qián)
Cimicifuga Rhizome (Rhizoma Cimicifugae) 3gm (1 qián)
Ginseng (Radix Ginseng) de-reeded 1.5gm
Alisma (Rhizoma Alismatis) 1.5gm (5 fēn)
Medicated Leaven (Massa Medicata Fermentata) stir-fried until yellow 1.5gm (5 fēn)
Tangerine peel (Pericarpium Citri Reticulatae) 1.5gm (5 fēn)
White Atractylodes Rhizome (Rhizoma Atractylodis Macrocephalae) 1.5gm (5 fēn)
Ophiopogon Tuber (Radix Ophiopogonis) de-cored 0.9gm (3 fēn)
Chinese Angelica body (Radix Angelicae Sinensis) 0.9gm (3 fēn)
Liquorice Root (Radix Glycyrrhizae) roasted 0.9gm (3 fēn)
Green tangerine peel (Pericarpium Citri Reticulatae Viride) white part-removed 0.75gm (2.5 fēn)
Phelloendron Bark (Cortex Phellodendri) washed with wine peeled 0.6gm (2 or 3 fēn)
Pueraria Root (Radix Puerariae) 0.6gm (2 fēn)
Schisandra Fruit (Fructus Schisandrae Chinensis) 9 pieces

Take the medicine, crush it, and boil it in 600 milliliters (two large cups) of water until reduced to 300 milliliters (one cup). Strain the decoction and take it warm on an empty stomach.

bubble_chart Efficacy

Clearing summer heat to dispel dampness, tonifying qi to promote fluid production.

bubble_chart Indications

Summer heat damages qi and body fluids. Symptoms include fatigue in the limbs, fever with profuse sweating, thirst, irritability, loss of appetite, loose stools, scanty dark urine, greasy tongue coating, and weak pulse.

bubble_chart Formula Principles

This formula is suitable for individuals with constitutional qi deficiency who are further affected by summerheat dampness pathogens. In the formula, Astragalus Root tonifies the middle and replenishes qi, Ginseng tonifies qi and promotes fluid production, Ophiopogon Tuber nourishes the stomach to produce fluid and quenches thirst, Atractylodes Rhizome and White Atractylodes Rhizome invigorate the spleen and dry dampness, harmonizing the middle, Phelloendron Bark clears heat and dries dampness, killing bacteria, Medicated Leaven strengthens the spleen, opens the appetite, and aids digestion, green tangerine peel and Dried Tangerine Peel regulate qi transformation and relieve stagnation, Cimicifuga Rhizome and Pueraria Root release the flesh, reduce fever, and expel toxins, promoting fluid production to quench thirst, Chinese Angelica is sweet and moistening, preventing qi-regulating medicinals from damaging yin and blood, Alisma promotes urination and drains dampness, purging heat, Schisandra Fruit promotes fluid production and astringes sweating, Liquorice Root tonifies qi, harmonizes the middle, and moderates the effects of the other herbs.

bubble_chart Pattern Identification

  1. Summer fatigue and body heat.
  2. Thirst and profuse sweating.
  3. Anorexia and loose stool.
  4. Greasy tongue coating.
  5. Weak pulse.

bubble_chart Formula Modification

  1. Severe heat and irritability: add Anemarrhena and Bamboo Leaf.
  2. Severe thirst: add Dendrobium and smallpox powder.
  3. Difficulty in urination: add Akebia Stem and Plantain Seed.

bubble_chart Modern Application

This formula enhances immunity, improves digestion and absorption, strengthens the heart, and promotes body temperature regulation. It is used for summer heat stroke, chronic nephritis, urinary retention, poor appetite, and indigestion.

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