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Source: Chóng Dìng Tōng Sú Shāng Hán Lùn 重订通俗伤寒论

Ingredients:

• Qīng hāo (青蒿 Artemisiae Annuae Herba, sweet wormwood) 6g
• Huáng qín (黄芩 Scutellariae Radix, scutellaria [root]) 6g
• Bàn xià (半夏 Pinelliae Rhizoma, pinellia [rhizome]) 5g
• Zhǐ ké (qiào) (枳壳 Aurantii Fructus, bitter orange) 5g
• Dàn zhú yè (淡竹叶 Lophatheri Herba, lophatherum) 9g
• Chì fú líng (赤茯苓 Poria Rubra, red poria) 9g
• Chén pí (陈皮 Citri Reticulatae Pericarpium, tangerine peel) 5g
• 碧玉散 9g

Action: Clears the gallbladder and discharges heat; harmonizes the stomach and transforms dampness.

Indication: Evil heat depressed in the gallbladder channel and phlegm-damp obstructing the center burner, characterized by mild heat effusion with aversion to cold, heavy headedness and fatigued limbs, glomus and oppression in the chest and stomach duct, retching and nausea, bitter taste in the mouth, dry mouth or thirst with no desire to drink, reddish urine, and sometimes diarrhea. Tongue fur: White or yellow and slimy. Pulse: Soggy and rapid. Also treats malaria.

Category: Harmonization formulas / Lesser yáng harmonization formulas

Method: Decoct with water. biyusancan be replaced with qingdai and huashi.

Rationale: This formula is based on Wēn dǎn tāng (温胆汤 Gallbladder-Warming Decoction), which contains Bàn xià, Chén pí, Fú líng, Gān cǎo, Zhú rú, Zhǐ shí, Shēng jiāng and Dà zǎo, and which clears and drains gallbladder heat, as well as drying dampness and transforming phlegm. The present formula adds Qīng hāo and Huáng qín, which also clear and drain gallbladder heat. It also adds Bì yù sǎn (碧玉散 Jasper Jade Powder), which with Chì fú líng abducts damp-heat out with the urine. The formula as a whole thus clears heat and disinhibits the gallbladder, while eliminating phlegm and dampness. When the damp-heat is eliminated the gallbladder and stomach return to harmony. Bì yù sǎn (碧玉散 Jasper Jade Powder)can be replaced with Qīng dài and Huá shí.ok??? 青蒿、黃芩清少陽膽熱、燥濕清熱為主；竹茹、枳殼清膽胃痰熱、行氣消痰為輔；半夏、陳皮燥濕化痰、理氣和胃為佐；赤茯苓與碧玉散、清利膽經濕熱、導濕熱從小便出為使也。方中碧玉散可以青黛、滑石合用代替之。wendantang 半夏 12g

陈皮 6g

茯苓 12g

甘草 3g

竹茹 15g

枳实 15g

生姜 5 slices

大枣 2 pieces

Variations:

• Pronounced aversion to cold with headache and scant sweating: Add Dàn dòu chǐ (淡豆豉 Sojae Semen Praeparatum, fermented soybean[1]) and Bò hé (薄荷 Menthae Herba, mint).
• Exuberant dampness with thick slimy tongue fur: Add Hòu pò (厚朴 Magnoliae Officinalis Cortex, officinal magnolia bark) and Huò xiāng (藿香 Pogostemonis Herba, patchouli).
• Pronounced heat: Add Jīn yín huā (金银花 Lonicerae Flos, lonicera [flower]), Lián qiào (连翘 Forsythiae Fructus, forsythia [fruit]), and Huáng qín (黄芩 Scutellariae Radix, scutellaria [root]).
• Pronounced diarrhea: Add Biǎn dòu yī (扁豆衣 Lablab Testa, lablab seed coat) and Hé yè (荷叶 Nelumbinis Folium, lotus leaf).

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