Coptis 6 gm, Scutellaria 6 gm, Dried Ginger 6 gm, White Peony Root (raw) 9 gm, Sichuan Pepper (stir-fried to charred) 9 gm, Dark Plum (pitted) 9 gm, Ginseng 6 gm, Bitter Orange 4.5 gm, Pinellia 6 gm.

bubble_chart Preparation and Dosage

Take 1.6 liters of water with the above ingredients, decoct to 600 ml, and take in three doses.

bubble_chart Efficacy

Expel roundworms, relieve summer heat.

bubble_chart Indications

When summer heat deeply penetrates the Jueyin, symptoms include a gray tongue, consumptive thirst, a hard and solid sensation in the epigastrium, nausea, vomiting of roundworms, alternating chills and fever, diarrhea with bloody water, and even loss of voice, indicating a blockage between the upper and lower parts of the body.

bubble_chart Formula Principles

This formula is derived from the modification of Zhongjing's Mume Pill. The three ingredients in the formula—Pricklyash Peel, Smoked Plum, and Coptis Rhizome—are extremely pungent, sour, and bitter, serving as the main herbs for expelling ascaris and killing worms. Skullcap Root is added to assist Coptis Rhizome in dispelling summer-heat pathogens. Dried Ginger aids Pricklyash Peel in expelling roundworms and warms the spleen and stomach to strengthen the earth element. As earth deficiency leads to wood overacting, Peony Root is used to emolliate the liver, and Ginseng to tonify deficiency. For epigastric rigidity, Immature Orange Fruit is employed to break stagnant qi and disperse masses. For vomiting and expelling ascaris, Pinellia is used to downbear counterflow and stop vomiting. When combined, these herbs work together to expel roundworms and dispel summer-heat.