Sichuan pepper (stir-fried until sweating) 9 gm, light dried ginger 12 gm, Magnolia bark 9 gm, Areca nut 6 gm, Tangerine peel 6 gm.

bubble_chart Preparation and Dosage

Use 1 liter of water, decoct to 400 ml, and take in two doses.

bubble_chart Efficacy

Expel the yin and save the yang.

bubble_chart Indications

Apoplexy cold-dampness, internally carrying filthy turbidity, dizziness and fainting to the point of collapse, colicky pain in the abdomen, a deep, tight, and slow pulse, or even a hidden pulse, the desire to vomit but unable to, the desire to relieve oneself but unable to, or even spasms, the limbs on the verge of becoming cold, commonly known as "fa sha," also known as dry cholera.

bubble_chart Formula Principles

This formula is derived from the Major Center-Fortifying Decoction, utilizing Pricklyash Peel from the Major Center-Fortifying Decoction to urgently expel yin turbidity downward, with Dried Ginger warming the middle. Ginseng and maltose are removed to avoid obstructing qi movement. Magnolia Bark is added to resolve dampness and turbidity, Areca Seed to disperse stagnant qi, and Tangerine Peel to relieve stagnation. Named "Rescue the Middle Decoction," its purpose is to urgently expel turbid yin, thereby rescuing the true yang of the middle energizer.

bubble_chart Formula Modification

For spasms, add Cinnamon Twig 9g, Saposhnikovia Root 15g, Coix Seed 9g; for syncope, add Aconite Lateral Root 6g.