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Yibian
 Shen Yaozi 
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formulaPoria, Liquorice, Ginger, Schisandra, Asarum, Pineilia and Prunus Decoction Ling Gan Jiang Wei Xin Xia Ren Tang
sourceTreatise on Cold Damage and Miscellaneous Diseases
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bubble_chart Preparation and Dosage

Poria (Poria)
Liquorice Root (Radix Glycyrrhizae)
Dried Ginger (Rhizoma Zingiberis)
Schisandra Fruit (Fructus Schisandrae Chinensis)
Asarum (Herba Asari)
Pineilia (Rhizoma Pinelliae)
Bitter Apricot Seed (Semen Armeniacae Amarum)

bubble_chart Efficacy

Ventilating the lungs, promoting qi, resolving fluid retention, and dispelling phlegm.

bubble_chart Indications

Swelling of the head, face, and limbs, cough with copious phlegm, white and clear thin phlegm, chest tightness, panting, palpitations, dizziness, white and greasy tongue coating, deep and wiry pulse, and weak chi pulse.

bubble_chart Formula Principles

In the formula, Dried Ginger warms the lungs and dissipates cold, transforms fluids, warms and activates spleen yang to resolve dampness; Asarum warms the lungs and resolves fluid retention. Bitter Apricot Seed regulates the ascent and descent of lung qi, promoting the flow of qi and facilitating water transportation; Poria invigorates the spleen and drains dampness; Pinellia dries dampness and resolves phlegm, assisted by Schisandra Fruit, which astringes lung qi and stops coughing, working in tandem with Asarum—one dispersing and one astringing—ensuring that dispersion does not harm the righteous qi and astringency does not retain pathogenic factors. Liquorice Root harmonizes all the herbs.

bubble_chart Pattern Identification

  1. Cough with copious thin sputum.
  2. Slight body edema.
  3. Palpitation and vertigo.
  4. White greasy tongue coating.
  5. Deep, wiry, and slippery or deep and slow pulse.

bubble_chart Formula Modification

  1. Severe swelling of the head, face, and limbs: add Ephedra.
  2. Excessive phlegm and nausea: add Dried Tangerine Peel, Bamboo Shavings.
  3. Severe cough: add Aster, Coltsfoot Flower.
  4. Qi stagnation and abdominal distension: add Dried Tangerine Peel, Magnolia Bark.
  5. Spleen deficiency and reduced appetite: add Tangshen, White Atractylodes Rhizome
  6. Palpitation and chest tightness: add Longstamen Onion Bulb, Cinnamon Twig.
  7. Rebellious qi rising: add Cinnamon Twig, Magnolia Bark.

bubble_chart Cautions and Contraindications

This formula has a warm medicinal property and is suitable for cold phlegm attacking the lungs, but it is not suitable for cases where phlegm-fluid retention has transformed into heat.

bubble_chart Modern Application

Bronchial asthma, lung qi swelling, pleurisy, pulmonary edema, chronic bronchitis, cardiac asthma, chronic nephritis.

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