Yibian
 Shen Yaozi 
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formulaStephania and Astragalus Decoction Fang Ji Huang Qi Tang
sourceTreatise on Cold Damage and Miscellaneous Diseases
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bubble_chart Preparation and Dosage

Stephania Tetrandra (Radix Stephaniae Tetrandrae) 12gm
Astragalus Root (Radix Astragali seu Hedysari) 15gm
White Atractylodes Rhizome (Rhizoma Atractylodis Macrocephalae) 9gm
Liquorice Root (Radix Glycyrrhizae) roasted 6gm
Fresh Ginger Rhizome (Rhizoma Zingiberis) 3 slices
Chinese Date (Fructus Jujubae) 3 pieces

Take orally after decoction with water.

bubble_chart Efficacy

Strengthening the spleen, dispersing wind, and promoting diuresis.

bubble_chart Indications

Wind-dampness, wind edema. Symptoms include sweating, aversion to wind, heavy body, swelling, difficulty in urination, pale tongue with white coating, and floating pulse.

bubble_chart Formula Principles

This prescription is used to treat wind-dampness, wind edema, and conditions caused by deficiency of healthy qi, insecurity of exterior qi, and external invasion of wind pathogens, leading to water-dampness stagnation in the superficial muscles. In the formula, Stephania Tetrandra dispels wind and promotes water movement, while Astragalus Root replenishes qi and consolidates the exterior, and also promotes water movement and reduces swelling. The combination of these two herbs promotes diuresis without harming the healthy qi, serving as the sovereign herbs. White Atractylodes Rhizome tonifies qi and invigorates the spleen to eliminate dampness, further assisting Astragalus Root in consolidating the exterior, serving as the minister herb. Liquorice Root strengthens the spleen and harmonizes the middle, regulating the actions of the other herbs. Fresh Ginger Rhizome and Chinese Date harmonize the nutrient and defensive aspects. When all the herbs are used together, they consolidate the exterior qi, expel wind pathogens, strengthen the spleen qi, and promote the smooth flow of water pathways, thereby resolving the symptoms.

bubble_chart Pattern Identification

  1. wind-dampness wind edema.
  2. Sweating and aversion to wind.
  3. Heavy body and swelling.
  4. Difficulty in urination.
  5. Floating pulse.

bubble_chart Formula Modification

  1. panting: add Ephedra, Belamcanda Rhizome.
  2. abdominal distension and fullness: add Dried Tangerine Peel, Submature Bitter Orange.
  3. Severe edema: add Poria, Polyporus, Atractylodes Rhizome.
  4. yang deficiency: add Aconite Lateral Root, Dried Ginger.
  5. abdominal pain: add Peony Root.
  6. rising of qi: add Cinnamon Twig.
  7. Chronic wind-dampness: add Cyperus, Gentian, Sichuan Lovage Rhizome, Chinese Angelica.
  8. Chronic nephritis or cardiac edema: may combine with Five Ingredients with Poria Powder.

bubble_chart Cautions and Contraindications

This prescription is suitable for the syndrome of qi deficiency edema, and should not be used if the edema is of a substantial nature.

bubble_chart Modern Application

Wind-dampness arthritis, obesity, chronic nephritis, nephrotic syndrome, liver cirrhosis, pleural effusion, pulmonary edema, scrotal edema, generalized edema, profuse sweating, urticaria, armpit odor, menstrual irregularities, fatty heart, cardiac edema.

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