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Opening with acridity and discharging with bitterness
辛开苦泄 〔辛開苦泄〕 xīn kāi kǔ xiè
1. A method of treatment that uses acrid-flavored medicinals to diffuse exterior evils and bitter-flavor medicines to clear and drain interior heat. If, for example, a patient has a slight aversion to cold, heat effusion, headache, scant sweat, thirst, sore throat, yellow tongue fur, and a rapid floating pulse, the exterior evil can be effused and dispersed with cool acrid medicinals such as mulberry leaf (Mori Folium, 桑叶 sāng yè), chrysanthemum (Chrysanthemi Flos, 菊花 jú huā), and vitex (Viticis Fructus, 蔓荆子 màn jīng zǐ), whereas the interior heat can be cleared and discharged with isatis leaf (Isatidis Folium, 大青叶 dà qīng yè) and bushy sophora (Sophorae Tonkinensis Radix, 山豆根 shān dòu gēn).
2. Also opening with acridity and downbearing with bitterness. A method of treatment that uses acrid-flavored medicinals to free phlegm-damp in the chest and stomach duct and bitter-flavored medicinals to treat damp-heat in the chest and stomach duct. The two can be used together to treat phlegm-damp-heat obstruction causing glomus and oppression, distension and fullness, and nausea and vomiting. This method makes use of acrid medicinals such as officinal magnolia bark (Magnoliae Officinalis Cortex, 厚朴 hòu pò), bitter orange (Aurantii Fructus, 枳壳 zhǐ ké), ginger pinellia (Pinelliae Tuber cum Zingibere Praeparatum, 姜半夏 jiāng bàn xià), and tangerine peel (Citri Reticulatae Pericarpium, 陈皮 chén pí), and bitter medicinals such as coptis (Coptidis Rhizoma, 黄连 huáng lián) and scutellaria (Scutellariae Radix, 黄芩 huáng qín).
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