Genkwa (mixed well with good vinegar, left overnight, stir-fried in a clay pot until black, but not burnt) 15 gm, Gansui (wrapped in wet flour, soaked in running water for half a day, then washed with water and dried; alternatively, soaked in water for seven days in winter, five days in spring and autumn, or boiled in water) 15 gm, Da Ji (boiled in running water for one hour, then washed with water and dried) 15 gm, Da Huang (wrapped in wet paper and simmered without burning, cut, baked dry, then moistened with wine, stir-fried until cooked, and baked dry) 45 gm, Huang Bai (baked and stir-fried) 90 gm.

bubble_chart Preparation and Dosage

Grind the above ingredients into powder, make into pills the size of hemp seeds with congee. Take 20-30 pills each time, swallow with saliva before sleep, or administer with plain water. If a laxative effect is desired, take before meals.

bubble_chart Indications

Pain in the shoulders and arms caused by phlegm above the diaphragm, wind phlegm, and damp phlegm.

bubble_chart Cautions and Contraindications

It can damage stomach qi and should not be used excessively or for prolonged periods.