Yibian
 Shen Yaozi 
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formulaCocculus Root Decoction Mu Fang Ji Tang
sourceTreatise on Cold Damage and Miscellaneous Diseases
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bubble_chart Preparation and Dosage

Cocculus Root (Radix Stephaniae Tetrandrae) 6gm
Gypsum (Gypsum Fibrosum) 12gm
Cinnamon Twig (Ramulus Cinnamomi) 4gm
Ginseng (Radix Ginseng) 8gm

bubble_chart Efficacy

Dispelling dampness and dissipating fluid retention, clearing heat, and tonifying deficiency.

bubble_chart Indications

Thoracic fluid retention, prolonged stagnation transforming into heat, deficiency of healthy qi, presenting with symptoms of dyspnea and fullness, epigastric stuffiness, dark complexion, pale and dark tongue, greasy coating, and deep, tight pulse.

bubble_chart Formula Principles

This formula is a renowned prescription for clearing heat and promoting water metabolism. It treats thoracic fluid retention with wheezing and fullness, which is caused by the accumulation of fluid in the epigastrium, stagnation transforming into heat, and prolonged deficiency of healthy qi. In the formula, Cocculus Root promotes water metabolism, serving as the principal herb to address the root cause of thoracic fluid retention; Gypsum clears heat, acting as the assistant herb to treat the manifestation of accumulated heat. Since fluid retention is a yin pathogen and internal obstruction of fluid impairs bladder qi transformation, Cinnamon Twig is added as an adjuvant herb, which not only warms and transforms the fluid in the epigastrium but also assists bladder qi transformation, allowing the fluid to be expelled through urination. As the condition has persisted for a long time and healthy qi is already damaged, Ginseng is included to tonify qi and address deficiency.

bubble_chart Pattern Identification

  1. thoracic fluid retention between the diaphragm.
  2. panting and fullness.
  3. complexion dark and sallow.
  4. greasy tongue coating.
  5. deep and tight pulse.

bubble_chart Formula Modification

  1. For water evil causing solidity: add Poria, Polyporus, Mirabilite to guide water and break solidity.
  2. For pathogenic heat damaging fluid: add Coastal Glehnia Root, Ophiopogon Tuber, Sichuan Fritillary Bulb, Trichosanthis Fruit to nourish yin and moisten the lung.
  3. For cardiac asthma: add Mulberry Bark, cultivated purple perilla fruit, Fresh Ginger Rhizome.

bubble_chart Modern Application

Bronchial asthma, cardiac asthma, valvular heart disease, heart failure, arteriosclerosis, chronic nephritis, pregnancy kidney, ascites, uremia, lower limb edema, etc.

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