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Source: Xuān Míng Lùn 宣明论

Ingredients:

• Fáng fēng (防风 Saposhnikoviae Radix, saposhnikovia) 10g
• Jīng jiè (荆芥 Schizonepetae Herba, schizonepeta) 6g
• Má huáng (麻黄 Ephedrae Herba, ephedra) 6g
• Lián qiào (连翘 Forsythiae Fructus, forsythia [fruit]) 10g
• Bò hé yè (薄荷叶 Menthae Folium, mint leaf) (add at end) 3g
• Chuān xiōng (川芎 Chuanxiong Rhizoma, chuanxiong [rhizome]) 6g
• Dāng guī (当归 Angelicae Sinensis Radix, Chinese angelica) 6g
• Bái sháo (白芍 Paeoniae Radix Alba, white peony [root]) (stir–fried) 6g
• Bái zhú (白朮 Atractylodis Macrocephalae Rhizoma, white atractylodes [root]) 6g
• Hēi shān zhī (黑山栀 Gardeniae Fructus Carbonisatus, charred gardenia [fruit]) 10g
• Dà huáng (大黄 Rhei Radix et Rhizoma, rhubarb) (steamed with wine) 6g
• Máng xiāo (芒硝 Natrii Sulfas , mirabilite) (drenched) 6g
• Shí gāo (石膏 Gypsum Fibrosum, gypsum) 15g
• Huáng qín (黄芩 Scutellariae Radix, scutellaria [root]) 6g
• Jié gěng (桔梗 Platycodonis Radix, platycodon [root]) 3g
• Gān cǎo (甘草 Glycyrrhizae Radix, licorice [root]) 3g
• Huá shí (滑石 Talcum , talcum) 20g
• Shēng jiāng (生姜 Zingiberis Rhizoma Recens, fresh ginger) 3 slices

Action: Resolves the exterior and frees the interior; courses wind and clears heat.

Indication: Exuberant wind-heat forming a pattern of interior and exterior repletion. Signs: generalized heat effusion, abhorrence of cold, headache, dry throat, constipation and reddish urine, itchy skin and eczema. Tongue: Red with white or yellow fur. Pulse: Rapid, floating, and slippery. Also used to treat yellow-water sores and other sores caused by wind dampness, and heat.

Category: Dual exterior-interior resolution formulas / Exterior-resolving interior-attacking formulas

Method: Grind to a powder.

Dosage: 3g 2–3 times a day, decocted with three slices of ginger. Can also be made as pills or decoction.

Rationale: Fáng fēng, Jīng jiè suì, Má huáng, Shēng jiāng, and Bò hé course wind and resolve the exterior; they sweat the evil out of the body. Dà huáng and Máng xiāo precipitate the interior heat, while Zhī zǐ and Huá shí clear heat and disinhibit water. Thus, these four agents make the heat pass out in the stool and urine. Dāng guī, Chuān xiōng, and Bái sháo nourish the blood, thereby helping to expel wind. Bái zhú and Gān cǎo fortify the spleen and harmonizes the stomach, Thus, ensuring that sweating does not damage the exterior, and that precipitation does not damage the interior. The formula as a whole resolve the exterior, clears heat, precipitates, and supplements all at the same time.

Variations:

• Unpronounced exterior signs like aversion to cold and headache: Reduce the exterior-resolving agents.
• Absence of high fever: Omit the Shí gāo (石膏 Gypsum Fibrosum, gypsum).
• Absence of constipation: Use prepared Dà huáng (大黄 Rhei Radix et Rhizoma, rhubarb) and omit the Máng xiāo (芒硝 Natrii Sulfas , mirabilite).

Similar: Jīng fáng bài dú sǎn (荆防败毒散 Schizonepeta and Saposhnikovia Toxin-Vanquishing Powder)

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