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Yibian
 Shen Yaozi 
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formulaFresh Ginger Heart-Draining Decoction Sheng Jiang Xie Xin Tang
sourceTreatise on Cold Damage and Miscellaneous Diseases
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bubble_chart Preparation and Dosage

Fresh Ginger Rhizome (Rhizoma Zingiberis) 12gm
Liquorice Root (Radix Glycyrrhizae) 9gm
Ginseng (Radix Ginseng) 9gm
Dried Ginger (Rhizoma Zingiberis) 3gm
Skullcap Root (Radix Scutellariae) 9gm
Pineilia (Rhizoma Pinelliae) 12gm
Coptis Rhizome (Rhizoma Coptidis) 3gm
Chinese Date (Fructus Jujubae) 4 pieces

bubble_chart Efficacy

Strengthen the middle to relieve stuffiness, promote digestion and eliminate dampness.

bubble_chart Indications

Cold-damage disease with symptoms of sweating, post-recovery discomfort, stomach disharmony, epigastric fullness, hiccups, fetid mouth odor, water retention below the ribcage, rumbling in the abdomen, and diarrhea.

bubble_chart Formula Principles

This formula, namely the Pineilia Heart-Draining Decoction, is modified by reducing the amount of Dried Ginger and adding Fresh Ginger Rhizome. The purpose of adding Fresh Ginger Rhizome is to enhance the ability to digest food and resolve fluid retention. In the formula, Pineilia removes stagnant water in the stomach and, when paired with Dried Ginger, can also stop nausea and vomiting. Coptis Rhizome and Skullcap Root clear dampness-heat inflammation in the stomach and intestines, both being bitter and cold stomach-strengthening agents. Ginseng combined with Dried Ginger promotes blood circulation in the stomach and intestines, aiding in the recovery of function. Liquorice Root and Chinese Date harmonize the various herbs and strengthen their synergistic effects. Fresh Ginger Rhizome can treat symptoms such as belching, fetid mouth odor, and borborygmus caused by abnormal fermentation in the stomach and intestines.

bubble_chart Pattern Identification

  1. epigastric stuffiness distension (whip)
  2. belching fetid mouth odor.
  3. borborygmus diarrhea.

bubble_chart Formula Modification

  1. vomiting retained food: add Immature Orange Fruit, Magnolia Bark.
  2. thirst, desire to drink: add Poria, Alisma or combine with Five Ingredients with Poria Powder.
  3. abdominal pain, diarrhea: add Peony Root, Dried Tangerine Peel.
  4. abdominal distension and fullness, indigestion: combine with Stomach-Calming Powder

bubble_chart Modern Application

This formula harmonizes gastrointestinal function, strengthens the stomach, inhibits bacteria, reduces inflammation, and enhances immune function. It is used for acute and chronic gastroenteritis, hyperacidity, gastric atony, gastric dilatation, and enteritis.

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