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Yibian
 Shen Yaozi 
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formulaHeart-Draining Decoction Xie Xin Tang
sourceJingui Yaolue Volume II
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bubble_chart Composition

Rhubarb 10 gm, Coptis, Scutellaria, each 5 gm.

bubble_chart Preparation and Dosage

Decoct the above 3 ingredients with 800 ml of water until reduced to 250 ml, and administer immediately.

bubble_chart Efficacy

Clearing heat and removing toxins, drying dampness to discharge heat.

bubble_chart Indications

Pathogenic fire blazing internally, forcing blood to move recklessly, hematemesis, epistaxis, constipation with dark urine; triple energizer heat accumulation, red and swollen eyes, mouth and tongue sores; external symptoms of sores and ulcers, restlessness in the chest, severe constipation; dampness-heat jaundice, heat fullness and vexation in the chest, yellow and greasy tongue coating, rapid and strong pulse.

bubble_chart Formula Principles

Skullcap Root drains fire from the upper energizer, Coptis Rhizome drains fire from the middle energizer, and Rhubarb Rhizoma drains fire from the lower energizer. For cases of excess fire in the triple energizer with solid stool, this approach is indeed appropriate. Due to the bitter and cold nature of the three Huang herbs, bitterness can dry dampness, and coldness can clear heat, making them effective in treating jaundice caused by internal accumulation of dampness-heat.

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