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Yibian
 Shen Yaozi 
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formulaRhubarb and Peony Decoction Da Huang Mu Dan Tang
sourceJingui Yaolue Volume II
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bubble_chart Composition

Rhubarb 12 gm, Peony 3 gm, Peach Kernel 9 gm, Melon Seed 12 gm, Mirabilite 9 gm

bubble_chart Preparation and Dosage

Take the above 5 ingredients, add 600 ml of water, decoct until reduced to 200 ml, remove the dregs; add Natrii Sulfas, boil again, and administer immediately. If there is pus, it will be expelled; if there is no pus, blood will be expelled.

bubble_chart Efficacy

Draining heat, breaking blood stasis, dissipating nodules, and reducing swelling.

bubble_chart Indications

At the onset of an intestinal abscess, there is pain and tenderness in the right lower abdomen, sometimes with a palpable mass, accompanied by fever and chills, spontaneous sweating, or the inability to fully extend the right leg. The tongue coating is yellow and greasy, and the pulse is slippery and rapid.

bubble_chart Formula Principles

This prescription treats symptoms caused by heat toxin accumulating in the intestines, leading to qi and blood stasis and obstruction. In the formula, Rhubarb Rhizoma clears heat and removes toxins, dispels stasis, and promotes bowel movement, while Moutan Cortex cools the blood and resolves stasis, serving as the sovereign. Mirabilite assists Rhubarb Rhizoma in clearing heat and removing toxins, purging and promoting bowel movement, acting as the minister. Peach Kernel and Moutan Cortex invigorate blood and resolve stasis, serving as the assistant. Waxgourd Seed Pus-Expelling Powder consolidates the effects, acting as the envoy. The combination of the five ingredients works together to purge heat, expel stasis, disperse nodules, and eliminate abscesses.

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