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Yibian
 Shen Yaozi 
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formulaInternal-Supporting Detoxicating Decoction Tuo Li Xiao Du Yin
sourceWanbing Huichun
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bubble_chart Preparation and Dosage

Astragalus Root (Radix Astragali seu Hedysari)
Sichuan Lovage Rhizome (Rhizoma Chuanxiong)
Chinese Angelica (Radix Angelicae Sinensis)
Peony Root (Radix Paeoniae Alba)
Ginseng (Radix Ginseng)
White Atractylodes Rhizome (Rhizoma Atractylodis Macrocephalae)
Poria (Poria)
Chinese Honeylocust Fruit Thorn (Fructus Gleditsiae)
Platycodon Root (Radix Platycodonis)
Dahurian Angelica (Radix Angelicae Dahuricae)
Magnolia Bark (Cortex Magnoliae Officinalis)
Lonicera (Flos Lonicerae)

bubble_chart Efficacy

Tonifying qi, nourishing blood, evacuating pus, and expelling toxins.

bubble_chart Indications

Yongju suffers from deficiency of both qi and blood, leading to swelling that cannot ulcerate, or ulcers that cannot heal.

bubble_chart Formula Principles

This prescription is used to treat Yongju that has already formed but is slow to ulcerate internally due to insufficient blood and qi, which cannot aid in its decomposition. It is advisable to take this prescription to support it, promoting rapid ulceration so that the necrotic tissue can easily detach and new tissue can grow. The formula includes Ginseng, White Atractylodes Rhizome, Astragalus Root, Chinese Angelica, Peony Root, and Sichuan Lovage Rhizome, all of which are tonifying and replenishing qi and blood, and can also internally support tissue regeneration; Dahurian Angelica and Platycodon Root reduce swelling and expel pus; Chinese Honeylocust Fruit thorn expels toxin to drain pus and activates blood to reduce swelling; Lonicera clears heat and removes toxin; Poria invigorates the spleen and drains dampness; Magnolia Bark purges excess fullness. The combination of these herbs treats both deficiency and excess, not only tonifying and replenishing qi and blood and internally supporting the sore, but also clearing heat and removing toxin, reducing swelling, and expelling pus, thereby enabling the swelling to subside and the sore to heal and regenerate tissue.

bubble_chart Pattern Identification

  1. Yongju.
  2. Deficiency of both qi and blood.
  3. Swelling without ulceration or ulceration without healing.

bubble_chart Formula Modification

  1. Swelling that cannot ulcerate: add Cimicifuga Rhizome and Pangolin Scales.
  2. Severe swelling with pain: add frankincense and myrrh.
  3. Heat toxin is more severe: add Forsythia, Peony Bark, and Gardenia.
  4. Ulceration that cannot resolve: add Coptis Rhizome and Pueraria Root.
  5. Insomnia: add Sour Jujube and Milkwort Root.

bubble_chart Modern Application

Yongju, chronic suppurative lymphadenitis, chronic mastitis, chronic otitis media, non-healing sores after fistula or carbuncle ulceration. This formula is particularly effective for individuals with dual deficiency of qi and blood, and for those with chronic otitis media or fistula with thin, non-foul-smelling pus.

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