Bupleurum 15 gm, Roasted Immature Bitter Orange 9 gm, Fresh Ginger 15 gm (cut), Scutellaria 9 gm, Peony 9 gm, Pinellia 9 gm (washed), Jujube 12 pieces (split). Another prescription contains Rhubarb 6 gm.

bubble_chart Preparation and Dosage

Take the above 7 ingredients, add 1.2 liters of water, decoct to 600 ml, remove the dregs, then decoct again. Administer 200 ml while warm, 3 times a day.

bubble_chart Efficacy

Harmonizing shaoyang, draining internal heat accumulation.

bubble_chart Indications

Shaoyang and Yangming combination of diseases, alternating chills and fever, fullness and discomfort in the chest and hypochondrium, persistent vomiting, mild depression and irritability, epigastric stuffiness, hardness or fullness and pain, severe constipation, or heat-associated diarrhea, yellow tongue coating, and a strong, wiry pulse. This formula is now used with modifications to treat acute pancreatitis, acute cholecystitis, gallstones, and other conditions presenting with the above symptoms and signs.

bubble_chart Formula Principles

In the formula, Bupleurum and Skullcap Root harmonize the shaoyang; Immature Orange Fruit and Rhubarb Rhizoma purge internal heat accumulation; Peony Root assists Bupleurum and Skullcap Root in clearing heat from the liver and gallbladder, and together with Immature Orange Fruit and Rhubarb Rhizoma, it treats abdominal pain due to excess; Pinellia harmonizes the stomach and descends turbidity to stop vomiting; Fresh Ginger Rhizome and Chinese Date not only assist Pinellia in downbearing counterflow to stop vomiting but also regulate nutrient-defense and harmonize all the herbs. The combination of these herbs collectively achieves the effects of harmonizing the shaoyang and purging internal heat accumulation.