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Source: Qiān Jīn Fāng 千金方

Ingredients:

• Xiān lú gēn (鲜芦根 Phragmitis Rhizoma Recens, fresh phragmites [root]) 30–60g
• Yì yǐ rén (薏苡仁 Coicis Semen, coix [seed]) 15–30g
• Dōng guā rén (冬瓜仁 Benincasae Semen, winter melon seed) 15–30g
• Táo rén (桃仁 Persicae Semen, peach kernel) 6–9g

Action: Clears the lung and transforms phlegm; expels static blood and pus.

Indication: Pulmonary welling-abscess (fèi yōng), identified by signs such as coughing up of fishy smelling phlegm containing pus and sometimes blood, dull pain in the chest, and dry mouth. Tongue: Red, sometimes with yellow fur. Pulse: Slippery and rapid.

Category: External medicine formulas

Method: Decoct with water.

Rationale: Lú gēn, by its action of clearing and draining lung heat, is an important agent for the treatment of pulmonary welling-abscess (fèi yōng). Dōng guā zǐ dispels phlegm and expels pus. Yì yǐ rén clears heat and disinhibits dampness. Táo rén dispels stasis and expels pulse. The three latter agents free the stool, causing phlegm and static blood to leave the body in the stool. The formula can disperse early-stage pulmonary welling-abscess (fèi yōng) and can expel pus and static blood where these have formed.

Variations:

• Pulmonary welling-abscess with severe heat: Add Yú xīng cǎo (鱼腥草 Houttuyniae Herba, houttuynia) and Chuān xīn lián (穿心莲 Andrographis Herba, andrographis).
• Pulmonary welling-abscess with severe chest pain: Add Guā lóu (瓜蒌 Trichosanthis Fructus, trichosanthes [fruit]) and Xiè bái (薤白 Allii Macrostemonis Bulbus, long-stamen onion [bulb]).
• Pulmonary welling-abscess with coughing of copious phlegm: Add Jié gěng (桔梗 Platycodonis Radix, platycodon [root]) and Bèi mǔ (贝母 Fritillariae Bulbus, fritillaria [bulb]).
• Pneumonia with cough: Combine with maxingshigantang.
• Residual heat after febrile disease with cough and copious phlegm: Add Sī guā luò (丝瓜络 Luffae Fructus Retinervus, loofah), Guā lóu pí (瓜蒌皮 Trichosanthis Pericarpium, trichosanthes rind), and Pí pá yè (枇杷叶 Eriobotryae Folium, loquat leaf) etc.

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