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 Shen Yaozi 
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formulaSweet Wormwood and Skullcap Gallbladder-Clearing Decoction Hao Qin Qing Dan Tang
sourceTongsu Shanghan Lun
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bubble_chart Preparation and Dosage

Sweet Wormwood (Herba Artemisiae Annuae) 6gm
Bamboo Shavings (Caulis Bambusae in Taeniam) 9gm
Pineilia (Rhizoma Pinelliae) 5gm
Red Poria (Poria) 9gm
Skullcap Root (Radix Scutellariae) 9gm
Submature Bitter Orange (Fructus Aurantii Immaturus) 5gm
Dried Tangerine Peel (Pericarpium Citri Reticulatae) 5gm
Green Jade Powder 6gm or use 6g of talc, 1g of liquorice root, 3g of indigo

bubble_chart Efficacy

Clearing the gallbladder and disinhibiting dampness, dispelling phlegm, and harmonizing the stomach.

bubble_chart Indications

Dampness-heat in the gallbladder and stomach or the pattern of phlegm and heat. Chills and fever similar to malaria, mild chills and severe fever, distension and oppression in the chest and hypochondrium, bitter taste in the mouth with acid regurgitation, or vomiting of yellow sticky saliva, red tongue with yellow greasy coating, wiry and slippery pulse.

bubble_chart Formula Principles

This formula is suitable for the syndrome of dampness-heat in the gallbladder and stomach, with phlegm obstruction in the middle burner. In the formula, Sweet Wormwood and Skullcap Root primarily clear gallbladder heat from the Shaoyang and dry dampness to clear heat; Bamboo Shavings and Submature Bitter Orange secondarily clear phlegm-heat from the gallbladder and stomach, moving qi to disperse phlegm; Pinellia and Dried Tangerine Peel assist by drying dampness and resolving phlegm, regulating qi and harmonizing the stomach; Poria combined with Green Jade Powder clears and drains dampness-heat from the gallbladder channel, guiding dampness-heat out through urination. In the formula, Green Jade Powder can be replaced by the combination of Indigo and Talc.

bubble_chart Pattern Identification

  1. Cold is mild, heat is severe.
  2. Distension and oppression in the chest and hypochondrium.
  3. Bitter taste in the mouth with acid regurgitation.
  4. Red tongue with yellow greasy coating.
  5. Wiry and slippery pulse.

bubble_chart Formula Modification

  1. Phlegm-heat disturbing upward, vertigo: add Hematite, Chastetree Fruit, Peony Root.
  2. Liver-gallbladder dampness-heat, night sweat: add Peony Bark, oyster shell.
  3. Liver-gallbladder dampness-heat with jaundice: add Bupleurum, Virgate Wormwood, Gardenia.

bubble_chart Modern Application

This formula has the functions of reducing fever, promoting bile secretion, diuresis, and harmonizing the stomach and intestines. It is used for acute and chronic hepatitis, cholecystitis, bronchitis, malaria, gastritis, and pleurisy.

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