Costusroot and Areca Pill [1]

Source: Rú Mén Shì Qīn 儒门事亲

Ingredients:

Action: Moves qì and abducts stagnation; drains heat and frees stool.

Indication: Food accumulation and qì stagnation with dampness and heat obstructing each other, causing distension, fullness and sometimes pain in the stomach duct and abdomen, and constipation. Tongue fur: Slimy. Can also be used for the initial stages of dysentery with tenesmus and stagnation in the digestive tract.

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

Method: Grind to a powder and form into pills with water. Can also be prepared as a decoction.

Dosage: 5–9g twice daily.

Rationale: Mù xiāng and Bīng láng are the sovereign agents because they move qì and disperse accumulations. Xiāng fù, Qīng pí, Chén pí, Shēng jiāng and é zhú regulate the qì dynamic of the liver, spleen, and stomach. Huáng lián and Huáng bǎi clear and drain heat from the stomach and intestines. Dà huáng frees the stool. Qiān niú zǐ precipitates and disinhibits water.

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