American ginseng 15 gm (decocted separately and mixed before serving), Schisandra chinensis 10 gm, Scrophularia ningpoensis 15 gm, Rehmannia glutinosa 15 gm, Moutan bark 15 gm, Trichosanthes root 15 gm, Anemarrhena asphodeloides 10 gm, Phellodendron amurense 10 gm, Honeysuckle flower 30 gm, Ophiopogon japonicus 30 gm, Red peony root 15 gm, Polygala tenuifolia 15 gm, Fresh Imperata cylindrica root 60 gm, Sichuan fritillary bulb 12 gm, Rhinoceros horn 1.5 gm (mixed before serving), Antelope horn powder 1.5 gm (mixed before serving).

bubble_chart Preparation and Dosage

Decocted in water for administration. One dose per day.

bubble_chart Efficacy

Strengthen the heart and protect yin, clear the nutrient to remove toxins.

bubble_chart Indications

Large intestine bacillus septicemia with toxic shock.

bubble_chart Formula Principles

The case treated here is toxic shock caused by Escherichia coli septicemia, with a high fever reaching 40.3°C, followed by a drop in blood pressure, cold limbs, and visual hallucinations, indicating a severe condition. This is due to a pre-existing deficiency of heart qi, leading to the reverse transmission of pathogenic heat to the pericardium. Symptoms include high fever, dry mouth, sore throat, a thin and rapid pulse, and a deep red tongue with scant coating, indicating that the pathogen has entered the nutrient level, damaging both qi and yin. The intense toxic heat is trapped internally, unable to disperse, resulting in cold limbs, a phenomenon where the deeper the heat, the more severe the coldness, resembling a yin state within extreme yang. This seasonal disease is characterized by strong pathogenic factors and weak healthy qi, with the body unable to resist the pathogen. If not actively supported, healthy qi may collapse suddenly. Therefore, the treatment focuses on strengthening the heart and protecting yin, clearing the nutrient level to remove toxins. The formula is adapted from Pulse-Reinforcing Powder and Nutrient-Clearing Decoction, with a heavy dose of American ginseng, Ophiopogon Tuber, and Schisandra Fruit to nourish heart qi and consolidate the dissipated essential qi. Lonicera, Rhinoceros Horn, antelope powder, lalang grass rhizome, moutan bark, unprocessed Rehmannia Root, Anemarrhena, Phellodendron Bark, and Red Peony Root are used to clear the nutrient level, remove toxins, cool the blood, and resolve stasis. Scrophularia Root and Snakegourd Root enhance the ability to enrich yin and generate fluids. Sichuan Fritillary Bulb and Milkwort Root regulate and tonify heart qi, resolve phlegm, and dissipate masses to prevent phlegm-heat from obstructing the pericardium. Since pathogenic heat has reversed transmission to the pericardium, under conditions of intense heat and yin damage, it is inevitable that fluids will be scorched into phlegm, leading to phlegm-heat obstructing the pericardium and clouding the mind. Preventive measures against phlegm obstruction are therefore essential.