Effect
Eliminating retained water drastically, promoting the flow of Qi to resolve masses.

Indications
Syndrome due to stagnation of Qi resulting from accumulation of water and heat in the

interior, marked by edema and distention due to it, thirst, rough breathing, hard

feeling in the abdomen, dysuria, Constipation, and deep rapid forceful pulse;

including such disease with the above symptoms as ascites due to cirrhosis.

Ingredients
Semen Pharbitidis (Qianniuzi)">Semen Pharbitidis (Qianniuzi) 120 g,
Radix Euphorbiae Kansui (Gansui) 30 g,
Flos Genkwa (Yuanhua)">Flos Genkwa (Yuanhua) 30 g,
Radix Cirsii Japonici (Daji) 30 g,
Radix et Rhizoma Rhei (Dahuang) 60 g,
Pericarpium Citri Reticulatae Viride (Qingpi)">Pericarpium Citri Reticulatae Viride (Qingpi) 15 g,
Citrus aurantium (Chenpi) 15 g,
Radix Aucklandiae (Muxiang) 15 g,
Semen Arecae (Binglang) 15 g,
Mercury chloride (Qingfen) 3 g.
Explanation
Yuan Hua, Gan Sui and Da Ji: The principal drugs, eliminating retained water in the

thoracic and abdominal cavities and the channels.

Da Huang and Qian Niu Zi: Sweeping away retained water and heat in the stomach and

intestines.

Qing Pi: Relieving the depressed liver to remove the stagnancy of Qi.

Chen Pi: Regulating the lung and spleen to free the flow of Qi along the diaphragm.

Bing Lang: Leading Qi to flow downwards, inducing diuresis to resolve masses.

Mu Xiang: Dredging the 3 Jiao to remove stagnancy, promoting the flow of Qi and the

distribution of body fluids to relieve edema. .

Qing Fen: Eliminating retained water, relaxing the bowels, assisting the other

ingredients in relieving edema and inducing laxation.

Contraindication
Because of its drastic purgation, this prescription is contraindicated for pregnant

women as well as patients whose vital Qi is deficient.

Administration
Gan Sui is wrapped in flour paste and baked, Da Ji is parched with vinegar, and then

they are ground into powder together with all the other ingredients. Finally, the

powder is made into pills. 3-6 g of the pills is taken with warm boiled water on an

empty stomach in the morning, 1 time daily.

Qing Fen, Yuan Hua, Gan Sui and Da Ji have strong toxicity, be sure not to take them

in large dosage or for longer time for fear that poisoning result.