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Source: Xiǎo ér Yào Zhèng Zhí Jué 小儿药证直诀

Ingredients:

• Chái hú (柴胡 Bupleuri Radix, bupleurum [root]) 10g
• Qián hú (前胡 Peucedani Radix, peucedanum [root]) 10g
• Chuān xiōng (川芎 Chuanxiong Rhizoma, chuanxiong [rhizome]) 10g
• Zhǐ ké (qiào) (枳壳 Aurantii Fructus, bitter orange) 6g
• Qiāng huó (羌活 Notopterygii Rhizoma et Radix, notopterygium [root]) 12g
• Dú huó (独活 Angelicae Pubescentis Radix, pubescent angelica) 12g
• Fú líng (茯苓 Poria , poria) 6g
• Jié gěng (桔梗 Platycodonis Radix, platycodon [root]) (stir–fried) 6g
• Rén shēn (人参 Ginseng Radix, ginseng) (or Dǎng shēn (党参 Codonopsis Radix, codonopsis [root])) 12g
• Gān cǎo (甘草 Glycyrrhizae Radix, licorice [root]) 3g
• Bò hé (薄荷 Menthae Herba, mint) 3g
• Shēng jiāng (生姜 Zingiberis Rhizoma Recens, fresh ginger) 3 slices

Action: Boosts qi and resolves the exterior; disperses wind and dispels dampness.

Indication: Contraction of wind-cold-damp in qì vacuity patients with abhorrence of cold and vigorous heat effusion, absence of sweating, headache and stiff neck, aching limbs, nasal congestion, heavy voice, cough with phlegm, glomus and fullness in the chest and diaphragm. Tongue fur: white and slimy. Pulse floating and soggy or floating, rapid, and forceless at the deep level.

Category: Exterior-resolving formulas / Right-supporting exterior-resolving formulas

Method: Grind to a power (15g gancao with 30g of each of the other items) or decoct with water using the weights given above.

Rationale: Qiāng huó and Dú huó effuse and disperse wind-cold, as well as eliminating dampness and relieving pain. Qiāng huó ascends while Dú huó descends, thereby treating wind-damp in any part of the body. A small quantity of Rén shēn or Dǎng shēn combined with Chái hú, Chuān xiōng, Shēng jiāng, and Bò hé boosts qì and resolves the exterior, making the evil discharge with the sweat. Small amounts of Fú líng with Qián hú, zhike, and Jié gěng is used to transform phlegm and relieve cough. Gān cǎo harmonizes all the agents in the formula. The formula unites supplementing agents and exterior-resolving agents, with the emphasis on the latter.

Variations:

• Little or no headache: Omit the Dú huó (独活 Angelicae Pubescentis Radix, pubescent angelica).
• Pronounced external cold and internal heat (cold enveloping heat): Omit the Dú huó (独活 Angelicae Pubescentis Radix, pubescent angelica), Chuān xiōng (川芎 Chuanxiong Rhizoma, chuanxiong [rhizome]), Fú líng (茯苓 Poria , poria), and Rén shēn (人参 Ginseng Radix, ginseng), adding Jīn yín huā (金银花 Lonicerae Flos, lonicera [flower]), Lián qiào (连翘 Forsythiae Fructus, forsythia [fruit]), Niú bàng zǐ (牛蒡子 Arctii Fructus, arctium [seed]), Bǎn lán gēn (板蓝根 Isatidis Radix, isatis root), Lú gēn (芦根 Phragmitis Rhizoma, phragmites [root]), and Huáng lián (黄连 Coptidis Rhizoma, coptis [root]).

Notes: Also called Rén shēn bài dú sǎn (人参败毒散 Ginseng Toxin-Vanquishing Powder).

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

See also: 人参败毒散

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