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Yibian
 Shen Yaozi 
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formulaCocklebur Fruit Powder Cang Er Zi San
aliasCocklebur Powder Cang Er San
sourceJisheng Fang
smart_toy
bubble_chart Preparation and Dosage

Cocklebur Fruit (Fructus Xanthii) 15gm
Magnolia flower (Flos Magnoliae) 30gm
Dahurian Angelica (Radix Angelicae Dahuricae) 60gm
Mentha leaves (Herba Menthae) 2gm

Grind into fine powder, take 6 grams each time, three times a day, mix with scallion and clear tea after meals; alternatively, take one-third of the above dosage, with 5 grams of Mentha leaves, decocted with water twice to be taken in two doses, two doses per day.

bubble_chart Efficacy

Dispersing wind evil, relieving stuffy nose, and stopping headache.

bubble_chart Indications

Sinusitis caused by wind-heat attacking upward, characterized by persistent turbid nasal discharge, frontal headache, nasal congestion, and loss of sense of smell.

bubble_chart Formula Principles

This formula has the effect of dispelling wind and clearing heat, and has certain therapeutic effects on nasal diseases caused by wind-heat. In the formula, Cocklebur Fruit and Magnolia disperse wind pathogens and relieve stuffy nose, serving as the sovereign medicinal; Dahurian Angelica dispels wind, relieves stuffy orifices, disperses wind pathogens in the head and face, and alleviates pain, serving as the minister medicinal; Mentha releases the exterior with its pungent-cool nature, clears and benefits the head and eyes, serving as the assistant medicinal; Fistular Onion Stalk warms and unblocks yang with its pungent-warm nature, and tea leaf clears and benefits the head and eyes, guiding heat downward, serving as the guiding medicinal.

bubble_chart Pattern Identification

  1. Nasal discharge with turbid mucus.
  2. Nasal congestion.
  3. Forehead headache.
  4. Loss of sense of smell.

bubble_chart Formula Modification

  1. upper energizer with excessive wind-heat: add Chrysanthemum Flower, Lonicera, Forsythia, Skullcap Root.
  2. lung heat with excess: add Gypsum, Anemarrhena, Heartleaf Houttuynia Herb.
  3. excessive nasal discharge: add Platycodon Root, Fritillaria Bulb.
  4. severe wind-cold: add Asarum, Chinese Lovage, Saposhnikovia Root, Notopterygium.

bubble_chart Modern Application

This formula promotes local convergence, anesthesia, and protection of the mucous membrane (especially the nasal mucosa), with anti-inflammatory and analgesic effects. It is used for acute and chronic rhinitis, sinusitis, paranasal sinusitis, common cold, nasal congestion, and allergic rhinitis.

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