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Yibian
 Shen Yaozi 
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formulaQi-Clearing and Phlegm-Resolving Pill Qing Qi Hua Tan Wan
sourceYifangkao
smart_toy
bubble_chart Preparation and Dosage

Dried Tangerine Peel (Pericarpium Citri Reticulatae) peeled 20gm (1 liǎng)
Bitter Apricot Seed (Semen Armeniacae Amarum) peeled and de-pointed 20gm (1 liǎng)
Immature Orange Fruit (Fructus Aurantii Immaturus) stir-fried with bran 20gm (1 liǎng)
Skullcap Root (Radix Scutellariae) wine-fried 20gm (1 liǎng)
Trichosanthis Fruit Kernels (Fructus Trichosanthis) remove oil 20gm (1 liǎng)
Poria (Poria) 20gm (1 liǎng)
Bile Arisaema (Rhizoma Arisaematis) 30gm (1.5 liǎng)
Pineilia (Rhizoma Pinelliae) ginger prepared 30gm (1.5 liǎng)

Ginger juice flour and water paste pill, taken with mild ginger soup.

bubble_chart Efficacy

Clearing heat and resolving phlegm, lowering qi to relieve cough.

bubble_chart Indications

Pattern of phlegm and heat obstructing the lung. Cough with yellow, sticky, and difficult-to-expectorate phlegm, chest and diaphragm stuffiness and tightness, yellow and greasy tongue coating, and slippery and rapid pulse.

bubble_chart Formula Principles

Cough with yellow, thick, and sticky phlegm is all caused by phlegm-heat. Palpitation due to fright and insomnia is also caused by internal disturbance of phlegm-heat, affecting the restlessness of the mind. In the formula, Skullcap Root and Trichosanthis Fruit are used to clear heat and resolve phlegm. Since the formation of heat-phlegm is due to the fire pathogen scorching body fluids, these are the main herbs in the formula. To treat phlegm, it is necessary to regulate qi, so Dried Tangerine Peel and Immature Orange Fruit are used to lower qi and eliminate phlegm. The spleen is the source of phlegm, and the lung is the container of phlegm, so Poria is added to invigorate the spleen and drain dampness, and Bitter Apricot Seed is used to ventilate the lung and lower qi. Pinellia and 膽星 are added to enhance the effect of resolving phlegm. When used together, they can regulate qi, clear heat-phlegm, and ensure that when qi is regulated, fire is reduced; when heat is cleared, phlegm is eliminated; and when phlegm is eliminated, fire has nothing to attach to, and all symptoms can be resolved.

bubble_chart Pattern Identification

  1. Cough with yellow phlegm.
  2. Thick and difficult to expectorate.
  3. Chest and diaphragm stuffiness and fullness.
  4. Yellow and greasy tongue coating.
  5. Slippery and rapid pulse.

bubble_chart Formula Modification

  1. Excessive lung heat: Add Gypsum and Anemarrhena.
  2. If there is excessive phlegm: Add Tendrilleaf Fritillary Bulb and Heartleaf Houttuynia Herb.
  3. Dry stool accumulation: Add Rhubarb Rhizoma and Mirabilite.

bubble_chart Modern Application

This formula has antibacterial, anti-inflammatory, antipyretic, phlegm-dispelling, and antitussive effects. It is used for acute and chronic bronchitis, upper respiratory tract infections, common cold, and cough.

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