| formula | Two Old Ingredients Decoction Er Chen Tang |
The above ingredients are to be crushed. Take four qian each time, use one cup of water, add seven slices of Fresh Ginger Rhizome and one Smoked Plum, boil until reduced to six-tenths, strain the dregs, and take while hot, without regard to time.
bubble_chart Efficacy
Drying dampness and phlegm, regulating qi and harmonizing the middle.
It treats all diseases caused by phlegm-fluid retention, whether it manifests as vomiting and nausea, dizziness and palpitations, discomfort in the middle abdomen, the onset of chills and fever, or spleen and stomach disharmony due to the consumption of raw and cold foods.
bubble_chart Formula Principles
This formula is used to treat vomiting and nausea caused by water retention in the stomach. It can also be applied to various diseases caused by phlegm-fluid retention. In the formula, Pinellia is the sovereign herb for drying dampness and resolving phlegm; Poria assists in promoting water circulation and dispersing phlegm; Dried Tangerine Peel serves as the minister herb to regulate qi and reduce phlegm; Liquorice Root acts as the envoy herb to strengthen the spleen and harmonize the middle; Fresh Ginger Rhizome aids in digestion and resolving phlegm. The name "Two Old Ingredients Decoction" comes from the fact that Pinellia and Dried Tangerine Peel in the formula should be aged, as the older they are, the better their efficacy. Hence, it is named Two Old Ingredients Decoction. There are many variations of the Two Old Ingredients Decoction, all of which are based on this formula with additional ingredients.
bubble_chart Pattern Identification- Thin and copious sputum.
- Vomiting nausea.
- Vertigo palpitation.
- Stomach discomfort.
- Deep, wiry, and thin pulse.
bubble_chart Formula Modification
- wind phlegm: add Arisaema , giant typhonium rhizome .
- cold phlegm: add Dried Ginger , Asarum .
- heat phlegm: add Skullcap Root , Trichosanthis Fruit , Tabasheer .
- damp phlegm: add Atractylodes Rhizome , Magnolia Bark .
- qi phlegm: add Cyperus , Submature Bitter Orange .
- food accumulation phlegm: add hawthorn fruit , Medicated Leaven , Cyperus .
- elderly lung qi swelling: add Aster , Coltsfoot Flower , Villous Amomum Fruit .
- stomach cold vomiting: add Aucklandia Root , Villous Amomum Fruit .
- insomnia: add Bamboo Shavings , Immature Orange Fruit , named Gallbladder-Warming Decoction .
bubble_chart Cautions and Contraindications
Contraindicated for those with yin deficiency, dry phlegm, or blood in the phlegm.
bubble_chart Modern Application
This formula dispels phlegm, relieves cough, suppresses vomiting, inhibits gastric secretion, reduces gastric acidity, and strengthens the stomach. It is used for vertigo, vomiting, morning sickness, gastroptosis, alcohol intoxication, food stagnation, qi depression, habitual headache, cerebral hemorrhage, and neurosis.
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