Rhubarb (steamed with wine) 250 gm, Scutellaria baicalensis (washed with wine, cleaned) 250 gm, Aquilaria agallocha 15 gm, Lapis Chloriti 30 gm (crushed, mixed with 30 gm of saltpeter, placed in a small earthen pot, slightly covered, bound with iron wire, sealed with salt mud, dried in the sun, calcined until red, then cooled and taken out). Another prescription adds 60 gm of cinnabar, ground into fine powder for coating.

bubble_chart Preparation and Dosage

Grind into fine powder, form into water pills the size of phoenix tree seeds. Take 40-50 pills each time, before sleep, swallow with clear tea or warm water. After taking, lie on your back to allow the medicine to act between the chest and diaphragm, expelling phlegm stagnation in the upper burner. Avoid drinking water or moving around after taking.

bubble_chart Efficacy

Reduce fire and expel phlegm.

bubble_chart Indications

Excessive heat and old phlegm, manifesting as manic and depressive psychosis, palpitations due to fright, or severe palpitations with unconsciousness, or cough and wheezing with thick phlegm, or phlegm obstruction leading to uterine infertility, severe constipation, yellow and greasy tongue coating, and a slippery, rapid, and forceful pulse. Currently used for individuals with robust constitutions suffering from psychosis and epilepsy.

bubble_chart Formula Principles

In the formula, biotite schist expels stubborn phlegm with a very potent force; Rhubarb Rhizoma cleanses accumulated stagnation, opening the path for downward movement; Skullcap Root clears fire from the upper energizer, eliminating the cause of phlegm formation. These two ingredients are used in particularly heavy doses, signifying the intention to address the root cause and purify the source. Aquilaria regulates qi movement, guiding the actions of the other herbs. Together, these four ingredients work synergistically to achieve the effect of reducing fire and expelling phlegm.

It should not be used lightly by those with weak constitutions or pregnant women to avoid harming healthy qi.