Effect
Mediating Shaoyang and purging accumulated heat in the interior.

Indications
Combined syndrome of Shaoyang and Yangming, marked by alternative attack of fever and

chills, fullness in the chest and hypochondrium, intractable vomiting, mental

depression and mild restlessness, distending pain in the epigastrium or epigastric

fullness and rigidity, constipation or diarrhea with heat, yellow tongue coating and

wiry forceful pulse; including such diseases with the above symptoms as acute simple

intestinal obstruction, acute pancreatitis, acute cholecystitis and biliary calculi.

Ingredients
Radix Bupleuri (Chaihu) 15 g,
Radix Scutellariae (Huangqin) 9 g,
Radix Paeoniae Alba (Baishaoyao) 9 g,
Rhizoma Pinelliae (Banxia) 9 g,
Zhi Zhi Shi (Fructus Aurantii Immaturus Preparata) 9 g,
Radix et Rhizoma Rhei (Dahuang) 6 g,
Rhizoma Zingiberis (Shengjiang) 15 g,
Fructus Jujubae (Dazao) 5 dates.

Explanation
Chai Hu: The principal drug, being bitter and pungent in flavor and slightly cold in

nature, clearing away heat through the superficies of the body to relieve exterior

syndrome.

Huang Qin: Working together with Chai Hu to clear away heat and mediate Shaoyang and

expel pathogens in it.

Da Huang and Zhi Shi: Purging accumulated pathogenic heat in Yangming.

Shao Yao: Relieving spasm and pain, getting together with Da Huang to treat abdominal

pain of excess type, combining Zhi Shi to creat incoordination between Qi and blood.

Ban Xia: Keeping the adverse flow of Qi downward to arrest vomiting, treating

obstinate vomiting and hiccup in large dose and compatible with Sheng Jiang.

Da Zao and Sheng Jiang: Working together to regulate Ying and Wei and temper the

actions of all the other ingredients.

Administration
Decocted in water for oral dose to be taken twice.