Coptis 6 gm, Scutellaria 6 gm, Pinellia 9 gm, Immature Bitter Orange 4.5 gm, White Peony Root 9 gm, Ginger Juice 25 ml (to be taken separately).

bubble_chart Preparation and Dosage

Use 1.6 liters of water, decoct to 600 ml, and administer in three doses while warm.

bubble_chart Efficacy

Pungent dispersing and bitter descending, harmonizing the liver and stomach.

bubble_chart Indications

Taiyin Spleen Malaria, cold originates from the four extremities, no thirst but frequent vomiting, heat accumulates in the heart and chest.

bubble_chart Formula Principles

The spleen governs the four limbs. When cold arises in the limbs without thirst, it is known as spleen malaria. Heat accumulates in the chest and heart, causing frequent vomiting. The middle earth (spleen) is diseased, and the liver wood comes to overpower it. Therefore, the treatment focuses on harmonizing the liver and stomach. In this case, the condition leans towards excessive heat, so cooling herbs are emphasized, and Peony Root is used to astringe the spleen yin.

bubble_chart Formula Modification

In severe cases of dysphoria, an additional Cow-Bezoar Pill may be taken, one pill at a time.