Gansui, Euphorbia kansui (vinegar stir-fried), Yuanhua (vinegar stir-fried), each 30 gm, Rhubarb 60 gm, Costus root, Areca nut.

bubble_chart Preparation and Dosage

Grind the above ingredients into powder, form into pills with water, as big as phoenix tree seeds. Take 3-6 grams each time, once a day, in the morning before meals.

bubble_chart Efficacy

Drastic purgation.

bubble_chart Indications

Water dampness stagnates internally, qi and blood are congested and stagnant, unable to circulate freely, leading to edema and water distension, constipation, and a deep, strong pulse. This is now used for ascites caused by liver cirrhosis or other diseases presenting the aforementioned symptoms.

bubble_chart Formula Principles

In the formula, Gansui Root, Lilac Daphne, and Peking Euphorbia Root serve as the monarch herbs to expel water and dampness; Rhubarb Rhizoma and lobedleaf pharbitis seed act as the minister herbs to purge dampness and promote diuresis; green tangerine peel, Dried Tangerine Peel, Aucklandia Root, and Areca Seed guide qi and relieve stagnation, while calomel expels water and promotes bowel movement, all serving as assistant and envoy herbs. When these herbs are used together, they collectively achieve the effects of expelling water accumulation and moving qi to relieve stagnation.

bubble_chart Formula Modification

Abdominal parasitic infestation, add 15 grams of large-fruited elm.

bubble_chart Cautions and Contraindications

For severe illness, avoid salt and soy sauce for a hundred days; if there is spleen-stomach weakness, it is not suitable to use before and after childbirth.