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Yibian
 Shen Yaozi 
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formulaCoptis Upper-Clearing Pill Huang Lian Shang Qing Wan
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bubble_chart Preparation and Dosage

Coptis Rhizome (Rhizoma Coptidis)
Gardenia (Fructus Gardeniae) ginger
Forsythia (Fructus Forsythiae)
Chastetree Fruit (Fructus Viticis) stir-fried
Saposhnikovia Root (Radix Saposhnikoviae)
Fineleaf nepeta spike (Herba Schizonepetae)
Dahurian Angelica (Radix Angelicae Dahuricae)
Skullcap Root (Radix Scutellariae)
Chrysanthemum Flower (Chrysanthemum morifolium)
Mentha (Herba Menthae)
Rhubarb Rhizoma (Radix et Rhizoma Rhei) wine-fried
Phelloendron Bark (Cortex Phellodendri) wine-fried
Platycodon Root (Radix Platycodonis)
Sichuan Lovage Rhizome (Rhizoma Chuanxiong)
Gypsum (Gypsum Fibrosum)
Inula Flower (Flos Inulae)
Liquorice Root (Radix Glycyrrhizae)

bubble_chart Efficacy

Clearing heat and removing toxins, dispersing wind and dissipating fire.

bubble_chart Indications

Upper energizer heat pattern, eye pain, sore throat, mouth and tongue sores, heart and diaphragm heat, facial acne, red edges and tip of the tongue, yellow coating, rapid pulse.

bubble_chart Formula Principles

This formula is generally used for wind-fire attacking upwards and the pattern of excess-heat in the triple energizer. It is based on the Coptis Detoxification Decoction, with the addition of herbs that release the exterior with pungent-cool properties and nourish yin and moisten dryness. In the formula, the Coptis Detoxification Decoction purges the pattern of excess-heat in the triple energizer. Rhubarb Rhizoma is added to purge fire and promote bowel movement, allowing heat to exit through the stool. Mentha, Chrysanthemum Flower, Pueraria Root, and Sichuan Lovage Rhizome clear and disperse wind-heat in the upper energizer, improve vision, and relieve headache. For smallpox, Turmeric and Chinese Angelica tail invigorate the blood to unblock meridians and reduce boils and sores. Scrophularia Root, Forsythia, and Platycodon Root enrich yin, clear heat, and benefit the pharynx. These herbs are combined into a pill to clear heat and remove toxins, disperse wind and fire, invigorate blood to resolve carbuncles, and gradually alleviate symptoms as the heat toxin is resolved.

bubble_chart Pattern Identification

  1. Upper energizer excess heat with wind-heat exuberance.
  2. Eye pain, sore throat, aphthae.
  3. Irritability and heat in the heart and diaphragm.
  4. Yellow tongue coating.
  5. Rapid pulse.

bubble_chart Formula Modification

  1. Sore throat: Add Lonicera, Great Burdock Achene, Belamcanda Rhizome, common andrographis herb.
  2. Dry stool accumulation: Add Mirabilite, Immature Orange Fruit.
  3. Dysphoria: Add Gypsum.

bubble_chart Cautions and Contraindications

  1. Avoid spicy foods.
  2. Use with caution during pregnancy.
  3. Contraindicated for those with deficiency-cold of spleen and stomach.

bubble_chart Modern Application

Acute tonsillitis, oral ulcers, acute otitis media, gingivitis, conjunctivitis, vestibular neuritis, acute pharyngitis, acne, acne.

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