Source: Chongding Tongsu Shanghan Lun (Revised Edition of Popular Treatise on Exogenous Febrile Diseases) .
Ingredients:
No.1 Qinghao (Herba Artemisiae Chinghao) 6 g
No.2 Zhuru (Caulis Bambusae in Taeniam) 9 g
No.3 Banxia (Rhizoma Pinelliae) 5 g
No.4 Chifuling (Poria Rubra) 9 g
No.5 Huangqin (Radix Scutellariae) 6 g
No.6 Zhike (Fructus Aurantii) 5 g
No.7 Jupi (Pericarpium Citri Reticulatae) 5 g
No.8 Biyu San (powder consisting of Talcum, Indigo Naturalis and Radix Glycyrrhizae) 9 g (to be decocted wrapped).
Administration:
Decoct the above drugs in water for oral application.
Actions:
Eliminating heat and dampness in the gallbladder, regulating the stomach and resolving phlegm.
Clinical Application:
This recipe is used to treat shaoyang syndrome due to damp heat in shaoyang meridian, marked by alternate attacks of chills and fever with the latter severer than the former, bitter taste in the mouth, chest distress, acid regurgitation, or vomiting with sticky yellowish saliva, even retch and hiccup, reddened tongue with greasy whitish fur or with greasy yellowish fur, and taut, smooth and rapid pulse. It is applicable to acute cholecystitis, acute icterohepatitis, acute gastroenteritis, chronic gastritis, bile-regurgitational gastritis, pyelonephritis, pelvic inflammation and other diseases, which pertain to shaoyang syndrome due to damp heat accumulation in shaoyang meridian.
If concomitant with jaundice, add Yinchenhao (Herba Artemisiae Scopariae) and Zhizi (Fructus Gardeniae) to eliminate damp heat for relieving jaundice. In case of pain over the lower abdomen, add Yanhusuo (Rhizoma Corydalis ) and Baishaoyao (Radix Paeoniae Alba) to regulate the circulation of qi and blood for relieving spasm.
Elucidation:
The syndrome results from excessive gallbladder-heat in shaoyang meridian concomitant with phlegm retention caused by damp heat in the middle-energizer. It should be treated by removing dampness from the gallbladder, and regulating the stomach to resolve phlegm. Ingredient No. 1, fragrant in nature, can disperse heat from shaoyang meridian and remove phlegm as well. Ingredient No. 5 has the functions of purging the accumulated fire from the gall bladder meridian and drying dampness. The two play the role of monarch drug.
Ingredients No. 2 and No. 3 regulate the stomach to arrest vomiting, and remove phlegm to eliminate dampness, while ingredients No. 6 and No. 7 regulate the stomach and dissolve phlegm, and promote the flow of qi to relieve chest distress. These four in compatibility achieve the purpose of regulating the stomach and flow of qi as well as removing phlegm and descending the adverse flow of qi, acting as minister drug. Ingredients No. 4 and No. 8 are used as adjuvant drug to eliminate damp heat and descend the accumulated heat. Gancao (Radix Glycyrrhizae) also functions as guiding drug with the action of mediating the properties of other drugs.