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Source: Yáng Kē Xīn Dé Jí 疡科心得集

Ingredients:

• Bì xiè (萆薢 Dioscoreae Hypoglaucae seu Semptemlobae Rhizoma, fish poison yam) 20g
• Yǐ rén (苡仁 Coicis Semen, coix [seed]) 20g
• Huáng bǎi (黄柏 Phellodendri Cortex, phellodendron [bark]) 10g
• Dān pí (丹皮 Moutan Cortex, moutan [bark]) 10g
• 赤苓 10g
• Zé xiè (泽泻 Alismatis Rhizoma, alisma [tuber]) 10g
• Huá shí (滑石 Talcum , talcum) 30g
• Tōng cǎo (通草 Tetrapanacis Medulla, rice-paper plant pith) 6g

Action: Clears heat and disinhibits dampness.

Indication: Shank sores (lián chuāng) caused by blood stasis due to damp-heat pouring downward, characterized by swelling, and discharge of watery fluid after discharge. As the condition persists without healing, the skin darkens and hardens, and the discharge takes on a foul smell. Tongue fur: Yellow and glossy. Pulse: Stringlike and rapid. Also used to treat cinnabar toxin (erysipelas) of the lower limbs, eczema, foot damp qì, genital erosion, and genital itch.

Category:

Method: Decoct with water.

Rationale: Bì xiè disinhibits damp turbidity, and also has the function of soothing the sinews and freeing the network vessels. Huáng bǎi clears heat and disinhibits dampness, and also drains fire and resolves toxin. Huá shí, Tōng cǎo, Fú líng, and Zé xiè clear heat and drain water, making the dampness pass out with the urine. Mǔ dān pí clears heat and cools the blood, as well as quickening the and moving stasis. It acts with the Huáng bǎi to clear the blood and resolve toxin, and with the Bì xiè to free the network vessels, and because of this it is an important for treating shank sores. This formula's emphasis is on clearing and disinhibiting damp-heat rather than quickening the blood.

Variations:

• Severe pudendal itch: Add Wú yí (芜荑 Ulmi Fructus Praeparatio, elm cake), Hè shī (鹤虱 Carpesii Fructus, carpesium seed), and Bái xiān pí (白鲜皮 Dictamni Cortex, dictamnus [bark]).
• Copious thick yellow vaginal discharge: Add Jīn yín huā (金银花 Lonicerae Flos, lonicera [flower]) and Bái huā shé shé cǎo (白花蛇舌草 Oldenlandiae Herba, oldenlandia).
• Trichomonas vaginitis: Add shechuangzixiji.
• Colpitis mycotica (inflammation of the vagina due to the presence of fungi): Add bingpengsan.

Similar: Bì xiè fēn qīng yǐn (萆薢分清饮 Fish Poison Yam Clear-Turbid Separation Beverage)

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