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Source: Nèi Wài Shāng Biàn Huò Lùn 内外伤辨惑论

Ingredients:

• Zhǐ shí (枳实 Aurantii Fructus Immaturus, unripe bitter orange) (stir-fried with bran) 9g
• Liù qū (六曲 Massa Medicata Fermentata , medicated leaven) (stir-fried) 12g
• Dà huáng (大黄 Rhei Radix et Rhizoma, rhubarb) 9g
• Huáng qín (黄芩 Scutellariae Radix, scutellaria [root]) 9g
• Huáng lián (黄连 Coptidis Rhizoma, coptis [root]) 9g
• Bái zhú (白朮 Atractylodis Macrocephalae Rhizoma, white atractylodes [root]) 9g
• Fú líng (茯苓 Poria , poria) 9g
• Zé xiè (泽泻 Alismatis Rhizoma, alisma [tuber]) 6g

Action: Disperses accumulation and abducts stagnation; clears heat and disinhibits dampness.

Indication: Dietary irregularities causing accumulation and stagnation with brewing damp-heat, manifesting as glomus, distension and oppression in the chest and stomach duct, bitter taste in the mouth, constipation or inhibited diarrhea. Tongue fur: Yellow and slimy. Pulse: Sunken and replete. May also be used for initial-stage dysentery.

Category: Dispersion formulas / Food-dispersing stagnation-abducting formulas

Method: Can also be prepared as a decoction.

Dosage: 6–9g twice daily.

Rationale: Zhǐ shí breaks qì and abducts stagnation. Dà huáng flushes repletion accumulations. Huáng lián and Huáng qín clear and drain the gastrointestinal damp-heat. Fú líng and Zé xiè make the damp-heat pass out in the urine. Although there is heat, Bái zhú is used to transform dampness. Stir-fried Shén qū is warm and aromatic and works with the sweet, aromatic Bái zhú to fortify the spleen and dry dampness. These two agents also counteract the untoward effects the cold bitter agents Huáng lián and Huáng qín on the spleen and stomach.

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