Astragalus 3g, Atractylodes (soaked in rice water, peeled) 3g, Cimicifuga 3g, Ginseng (de-reeded) 1.5g, Alisma 1.5g, Massa Medicata Fermentata (stir-fried until yellow) 1.5g, Tangerine Peel 1.5g, Atractylodes Macrocephala 1.5g, Ophiopogon (de-cored) 0.9g, Angelica Sinensis (roasted) 0.9g, Licorice 0.9g, Green Tangerine Peel (white part removed) 0.9g, Phellodendron (washed with wine, peeled) 0.6-0.9g, Pueraria 0.6g, Schisandra 9 pieces.

bubble_chart Preparation and Dosage

Finely chew the above ingredients. Boil with 600 ml (two large cups) of water until reduced to 300 ml (1 zhǎn), remove the dregs, and administer warm before meals.

bubble_chart Efficacy

Clearing summerheat resolving dampness, tonifying qi and producing fluid.

bubble_chart Indications

Usually, there is a deficiency of both qi and yin, coupled with the invasion of summerheat dampness, or the consumption of qi and yin by summerheat dampness. Symptoms include fever and irritability, fatigue in the limbs, lack of energy, chest fullness and shortness of breath, heavy and painful limbs, thirst and spontaneous sweating, loose stools, scanty and dark urine, greasy tongue coating, and a weak pulse.

bubble_chart Formula Principles

In the formula, Ginseng and Astragalus Root replenish qi and consolidate the exterior; Atractylodes Rhizome and White Atractylodes Rhizome strengthen the spleen and dry dampness; Phellodendron Bark, Ophiopogon Tuber, and Schisandra Fruit purge fire and promote fluid production; Dried Tangerine Peel, Green Tangerine Peel, and Alisma regulate qi and eliminate dampness; Chinese Angelica nourishes blood and harmonizes yin; Cimicifuga Rhizome and Pueraria Root release the flesh and uplift the clear; Liquorice Root harmonizes the middle. Combined, these ingredients work together to clear summerheat, resolve dampness, tonify qi, and produce fluid.

For those with spleen and stomach deficiency, use less Cimicifuga Rhizome and add less Bupleurum; for those with abdominal fullness, remove Liquorice Root; for those with severe cough, remove Ginseng; for those with dry mouth and throat, add dried Pueraria; for those with little sweating, reduce Astragalus Root by five fen; for those with epigastric stuffiness, add a small amount of Coptis Rhizome.