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Clearing provisioning

清营 〔清營〕 qīng yíng

Also clearing provisioning and discharging heat. A method of treatment used to address heat in the provisioning aspect characterized by high fever, vexation and agitation, unquiet sleep, dry crimson tongue, a rapid fine pulse, and unpronounced thirst.

Medicinal therapy: Clear provisioning, clear the heart, and resolve toxin. The main formula is Provisioning-Clearing Decoction (清营汤 qīng yíng tāng) Where there are pericardium signs such as clouded spirit, this formula can be combined with one that opens the orifices, such as Peaceful Palace Bovine Bezoar Pill (安宫牛黄丸 ān gōng niú huáng wán), Spirit-Like Rhinoceros Horn Elixir (神犀丹 shén xī dān), or Purple Snow Elixir (紫雪丹 zǐ xuě dān). When the pattern comprises stirring wind, Provisioning-Clearing Decoction can be combined with the liver-clearing and wind-extinguishing method by the admixture of medicinals such as antelope horn (Saigae Tataricae Cornu, 羚羊角 líng yáng jiǎo) and uncaria (Uncariae Ramulus cum Uncis, 钩藤 gōu téng). If the evil entering the provisioning aspect is damp-heat, the basic methods must be combined with that of drying dampness and clearing heat with cold bitter medicinals such as scutellaria (Scutellariae Radix, 黄芩 huáng qín) and coptis (Coptidis Rhizoma, 黄连 huáng lián). Initial-stage provisioning-aspect heat patterns, where qì-aspect signs are still present, can be treated by combining the method of clearing provisioning and engendering liquid with that of promoting diffusion and outthrust with dispersive acridity to outthrust heat to the qì aspect. The basic formula used for such cases is Black Paste (Formulaa) (黑膏(方) hēi gāo (fāng)).

Broadly speaking, provisioning-aspect patterns are treated with cold bitter medicinals combined with cold sweet medicinals to drain heat and resolve toxin as well as to nourish yīn and engender liquid. Provisioning-Clearing Decoction (清营汤 qīng yíng tāng) has both these effects. Cold, sweet medicinals engender liquids. They enrich yīn and increase humor. But if used alone, they not only fail to produce this effectbut may prevent elimination of the evil. Similarly, cold bitter medicinals used alone can cause dryness to form and damage yīn, thus affecting their fire-draining and toxin-resolving effect.

Acumoxatherapy: Base treatment mainly on HT, PC, and LI, Needle with drainage at PC-8 (Palace of Toil, 劳宫 láo gōng), HT-8 (Lesser Mansion, 少府 shào fǔ), PC-3 (Marsh at the Bend, 曲泽 qū zé), PC-9 (Central Hub, 中冲 zhōng chōng), HT-9 (Lesser Surge, 少冲 shào chōng), and LI-11 (Pool at the Bend, 曲池 qū chí), and prick them to bleed with a three-edged needle if necessary. Pricking the Twelve Well Points (十二井穴 shí èr jǐng xué) to bleed can also clear provisioning-aspect heat.

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