TCM Prescriptions for Eliminating Phlegm

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Wendan Tang, Decoction for Clearing away Gallbladder Heat
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Source: Sanyin Jiyi Bingzheng Fanglun ( Treatise on the Three Categories of Pathogenic Factors of Diseases).

Ingredients:
No. 1 Banxia (Rhizoma Pinelliae) 6 g;
No. 2 Zhuru (Caulis Bambusae in Taeniam) 6 g;
No. 3 Zhishi (Fructus Aurantii Imaturus) 6 g;
No. 4 Jupi (Pericarpium Citri Reticulatae) 9 g;
No. 5 Zhigancao (Radix Glyeyrrhizae Praeparatae) 3 g;
No. 6 Fuling (Poria) 5 g.
 
Administration:
Grind the above drugs into fine powder; decoct in water 15g at one time after adding to it 5 slices of fresh ginger and 2 pieces of Dazao (Fructzas Ziziphi Jujubae) .

Actions:
Regulating the flow of qi to remove phlegm, clearing away gallbladder-heat and regulating the stomach.
  
Clinical Application:
This recipe is indicated for disharmony between the gallbladder and stomach and attack of phlegm-heat in the interior, marked by susceptibility to fright, restlessness, insomnia and dreaminess, vomiting and hiccup, or epilepsy, greasy whitish and yellowish fur, taut and smooth pulse. It is applicable to such diseases with the above symptoms as neurosis, acute gastritis, chronic gastritis, chronic bronchitis, Meniere’s syndrome and vomiting of pregnancy.

In case of vexation, add Huanglian (Rhizoma Coptidis) and Maimendong (Radix Ophiopogonis) to clear away heat and relieve vexation. In case of dry mouth and tongue, subtract No. 1 and add Maimendong (Radix Ophiopogonis) and Tianhuafen (Radix Trichosanthis) to moisten dryness and increase body fluid. In case of epilepsy with convulsion, add Danxing (Arisaema cum Bile) and Gouteng (Ramulus Uncariae cum Uncis) to subdue wind and relieve convulsion. In case of severe insomnia, add Shengmuli (Concha Ostreae Recens) and Suanzaoren (Semen Ziziphi Spinosae) (baked) to tranquilize mind.
 
Elucidation:
The syndrome is caused by attack of phlegm-heat in the interior and disharmony between the gallbladder and the stomach. It should be treated by regulating the flow of qi to remove phlegm, clearing away heat from the gallbladder and regulating the stomach. No. 1 is the monarch drug in the recipe, which can eliminate dampness and phlegm as well as descend qi and regulate the stomach. No. 2 functions as minister drug to clear away heat from the gallbladder, regulate the stomach, arrest vomiting and relieve vexation.

No. 3 and No. 4 possess the action of regulating the flow of qi so as to reduce phlegm, while No. 6 has the function of reinforcing the spleen and inducing diuresis so that phlegm is never to be generated when dampness is eliminated, the three playing the part of adjuvant drugs. No. 5 is used as guiding drug to invigorate the spleen and mediate drug properties. Fresh ginger and Dazao (Fructus Ziziphi Jujubae) can not only enhance the effect of reinforcing the spleen and regulating the stomach, but also reduce the toxic effect of No. 1.

Cautions:
This recipe should not be used for vertigo, insomnia or palpitation due to deficiency of yin and insufficiency of blood.



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