bubble_chart Preparation and Dosage

The medicine is decocted with water, and the three juices are mixed evenly. It is taken warm in three divided doses daily. The dregs are stir-fried with 30 grams each of fistular onion and salt, and heated with white wine. While hot, they are wrapped in cloth and applied externally to the affected area, with a hot water bag placed on top to guide the medicinal qi to penetrate into the abdomen. Each application lasts 0.5-1 hour, twice daily. If heat symptoms are prominent, such as dry mouth and constipation, the amount of Aconite Lateral Root is halved, and 30 grams of Sargenrgloryvine stem and dandelion are added.

bubble_chart Efficacy

Clearing heat to drain pus, breaking stasis and dispersing swelling. Used for intestinal abscess with suppuration pattern, manifested as scaly skin, absence of fever, tight abdominal skin, distension and fullness in the lower right abdomen, softness upon palpation, rapid pulse, etc.

bubble_chart Formula Principles

Coix, Aconite and Patrinia Powder, as described in the "Golden Chamber," is primarily used to treat intestinal abscesses where pus has already formed. It is effective in clearing heat to drain pus, breaking stasis, and dispersing swelling. This formula is also used to treat ovarian cysts caused by dampness-heat pouring down and the mutual binding of stasis and dampness. Although the conditions differ, the disease mechanisms are similar, and clinical observations have shown that it can achieve good results in clearing heat, draining dampness, and dispersing masses to resolve symptoms. The formula heavily utilizes Coix seed and Patrinia, which are bitter, cold, and mildly diuretic, to clear heat, drain dampness, invigorate blood, and resolve stasis. A small amount of Aconite Lateral Root is added, which is highly pungent and hot, moving through the meridians and reaching hidden areas, using its pungent and hot nature to disperse stagnant qi, thereby enhancing the dampness-draining, stasis-resolving, and mass-dispersing effects of Coix seed and Patrinia. Although the pungent and hot nature of Aconite Lateral Root seems contradictory to the dampness-heat disease mechanism, its role in the formula, though minor, should not be underestimated. In the observed cases, all patients had a white greasy or grayish tongue coating, which rapidly improved within 3-5 days after using Aconite Lateral Root, with corresponding symptom relief and no adverse effects of yin damage from the pungent heat. In two cases with a scorched gray tongue coating, the patients were initially hesitant to use Aconite Lateral Root due to its pungent heat. However, after adding a large amount of heat-clearing and dampness-draining herbs, the tongue coating turned gray-black, and abdominal pain worsened. Only after reintroducing Aconite Lateral Root did the condition improve. This demonstrates that the inclusion of Aconite Lateral Root in the formula by Zhang Zhongjing is intended to create a synergistic antagonism, balancing yin and yang to achieve the subtle effect of yang generating yin. The herbs are decocted in water, and the three decoctions are mixed and taken warm in three doses daily. The herb residue is mixed with fistular onion and salt, 30 grams each, stir-fried with white wine, wrapped in cloth, and applied hot to the affected area, with a hot water bottle placed on top to guide the medicinal qi into the abdomen. Each application lasts 0.5-1 hour, twice daily. For cases with significant heat signs, such as dry mouth and constipation, the dosage of Aconite Lateral Root is halved, and 30 grams of sargenrgloryvine stem, 15 grams each of Dandelion and purple earth nail, and 10 grams of processed Rhubarb Rhizoma (to be decocted later) are added. For fever, add 10 grams each of Bupleurum and Skullcap Root. For cases with sticky mouth, greasy tongue coating, epigastric stuffiness, anorexia, abdominal distension, and loose stools due to excessive dampness, add 30 grams of Glabrous Greenbrier, 10 grams each of Shiny Bugleweed, Alisma, and Atractylodes Rhizome, and 20 grams of Giant Knotweed. For severe blood stasis, add 12 grams each of processed Zedoary Rhizome, sparganium, and Sudden Smile Powder. For phlegm, add 10 grams of processed arisaema, 15 grams of seaweed, and 30 grams of raw oyster shell. For hard masses, add 10 grams each of processed pangolin scales and Cowherb Seed, 5 grams of leech, and 2 pieces of roasted centipede.

bubble_chart Modern Application

Ovarian cyst.