TCM Prescriptions for Eliminating Phlegm

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Dingxian Wan, Pill for Relieving Epilepsy
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Source: Yixue Xinwu (A summary on Medicine from Clinical Practice).

Ingredients:
No. 1 Tianma (Rhizoma Gastrodiae) 30 g;
No. 2 Chuanbeimu (Bulbus Fritillariae Cirrhosae) 30 g;
No. 3 Jiangbanxia (Rhizoma Pinelliae prepared with ginger juice) 30 g;
No. 4 Fuling (Poria) 30 g;
No. 5 Fushen (Sclerotium Poriae Circum Radicem Pini) 30 g;
No. 6 Danxing (Arisaema cum Bile) 15 g;
No. 7 Shichangpu (Rhizoma Acori Tatarinowii) 15 g;
No. 8 Quanxie (Scorpio) 15 g;
No. 9 Jiangcan (Bombyx Batryticatus) 15 g;
No. 10 Hupo (Succinum) 15 g;
No. 11 Dengxincao (Medulla Junci) 15 g;
No. 12 Jupi (Exocarpium Citri Grandis) 21 g;
No. 13 Yuanzhi (Radix Polygalae) 21 g;
No. 14 Danshen (Radix Salviae Miltiorrhizae) 60 g;
No. 15 Maimendong (Radix Ophiopogonis) 60 g;
No. 16 Zhusha (Cinnabaris) (refined with water) 9 g.

Administration:
Grind the above drugs into fine powder; take a small bowl of Zhuli (Succus Phyllostachydis Henonis), a cup of ginger juice and 120 g of Gancao (Radix Glycyrrhizae) and make them into ointment; mix up the powder and the ointment and make it into pills coated with No. 16. Take orally 6 g each time and twice daily with warm boiled water.
 
Actions:
Subduing wind, resolving phlegm, inducing resuscitation and tranquilizing mind.

Clinical Application:
This recipe is indicated for epilepsy due to phlegm-heat, marked by sudden onset, faint and falling down to the ground, unconsciousness, or convulsion, wry eyes and mouth, slobbering, and crying if serious; or indicated in manic-depressive psychosis due to phlegm-heat. It is applicable to epilepsy, schizophrenia, and others, which are ascribed to blocking of the clear orifices by phlegm-heat.
  
Elucidation:
The syndrome is caused by emotional disorder and stagnated liver-qi, leading to the generation of phlegm. It may also result from irregular diet, causing generation of phlegm due to spleen-dampness, which will obstruct the meridians and orifices in combination with the liver-wind as the result of functional disorder of the liver-qi. Both may give rise to sudden onset of epilepsy, which should be treated by subduing the liver-wind and removing phlegm as well as inducing resuscitation and tranquilizing mind. Zhuli (Succus Bambosae) is very effective in clearing away heat and removing phlegm as well as calming mind and inducing resuscitation, whose effects are strengthened when in compatibility with ginger juice. No. 6 has the function of eliminating fire and phlegm, tranquilizing mind and relieving epilepsy. Both are used as monarch drugs.

No. 1, No. 8 and No. 9 possess the function of subduing the liver-wind and relieving convulsion, while No. 3 and No. 12 have the function of eliminating dampness and phlegm and promoting the flow of qi. These five play the role of minister drugs, promoting the effect of the monarch drug in subduing wind and removing phlegm. No. 4 and No. 2 are capable of removing dampness and phlegm, while No. 14, No. 7 and No. 13 inducing resuscitation and calming the mind. No. 10, No. 16, No. 11 and No. 5 can tranquilize mind, while No. 15 can nourish and prevent the impairment of yin. These ten ingredients function as adjuvant drugs. Gancao (Radix Glycyrrhizae) serves as guiding drug with the function of mediating properties of other drugs.

Cautions:
This recipe is contraindicated for patients with deficiency of healthy qi due to frequent and protracted epilepsy since it is potent in the effect of removing phlegm and subduing wind.



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