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Source: Yī Zōng Jīn Jiàn 医宗金鉴

Ingredients

• Jīn yín huā (金银花 Lonicerae Flos, lonicera [flower]) 15–30g
• Yě jú huā (野菊花 Chrysanthemi Indici Flos, wild chrysanthemum flower) 9–12g
• Zǐ huā dì dīng (紫花地丁 Violae Herba, violet) 15–30g
• Pú gōng yīng (蒲公英 Taraxaci Herba, dandelion) 15–30g
• Zǐ bèi tiān kuí¹ (紫背天葵¹ Semiaquilegiae Herba, semiaquilegia) 9–12g

Actions: Clears heat and resolves toxin; cools the blood and disperses swelling.

Indications: Clove sores with heat toxin, characterized by redness, pain, swelling, and heat, sometimes with heat effusion with aversion to cold. Tongue fur: Yellow and slimy. Pulse: Rapid.

Category: External medicine formulas

Method: Modern method is to decoct and take with 1 or 2 spoons of wine.

Rationale: Jīn yín huā is a heat-clearing toxin-resolving agent that disperses welling-abscess (yōng) and sores. It is the main agent in this formula. Yě jú huā, Pú gōng yīng, Zǐ huā dì dīng, and zibeitiankui[1] clear heat and resolve toxin and are especially good for Dīng xiāng sore toxin. A small amount of liquor may be added to help to move the blood and enhance the action of the agents.

Variations:

• Severe heat: Add Huáng lián (黄连 Coptidis Rhizoma, coptis [root]) and Lián qiào (连翘 Forsythiae Fructus, forsythia [fruit]).
• Severe swelling: Add Fáng fēng (防风 Saposhnikoviae Radix, saposhnikovia) and Tiān huā fěn (天花粉 Trichosanthis Radix, trichosanthes root).
• Severe blood heat toxin: Add Chì sháo (赤芍 Paeoniae Radix Rubra, red peony [root]), Mǔ dān pí (牡丹皮 Moutan Cortex, moutan [bark]), and Shēng dì huáng (生地黄 Rehmanniae Radix Exsiccata seu Recens, dried/fresh rehmannia [root]).
• Mammary welling-abscess (yōng): Increase Pú gōng yīng (蒲公英 Taraxaci Herba, dandelion) and add Guā lóu pí (瓜蒌皮 Trichosanthis Pericarpium, trichosanthes rind), or in severe cases Rù dì wú gōng (入地蜈蚣 Helminthostachydis Rhizoma, helminthostachys [root]) and Bái zhǐ (白芷 Angelicae Dahuricae Radix, Dahurian angelica).
• Damp-heat papules: Add Dì fū zǐ (地肤子 Kochiae Fructus, kochia [fruit]), and Wū shé (乌蛇 Zaocys , black-striped snake) (wū shé).

Notes: The ingredient 紫背天葵 zǐ bèi tiān kuí is an alternative name for four different medicinals, but here is taken to refer to Semiaquilegia adoxoides (DC.) Mak.

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