Source: Yixue Zhongzhong Canxi Lu (Discourse on Integrated Traditional Chinese and Western Medicine).
Ingredients:
No. 1 Huainiuxi (Radix Achyranthis Bidentatae) 30 g;
No. 2 Daizheshi (Ochra Haematitum) 30 g;
No. 3 Longgu (Os Draconis) 15 g;
No. 4 Muli (Concha Ostreae) 15 g;
No. 5 Guiban (Plastrum Testudinis) 15 g;
No. 6 Baishaoyao (Radix Paeoniae Alba) 15 g;
No. 7 Xuanshen (Radix Scrophulariae) 15 g;
No. 8 Tianmendong (Radix Asparagi) 15 g;
No. 9 Chuanlianzi (Fructus Meliae Toosendan) 6 g;
No. 10 Shengmaiya (Fructus Hordei Germinatus) 6 g;
No. 11 Yinchen (Herba Artemisiae Capillaris) 6 g;
No. 12 Gancao (Radix Glycyrrhizae) 4.5 g.
Administration:
Decoct the above drugs in water for oral application.
Actions:
Tranquilizing the liver, calming endogenous wind, nourishing yin and suppressing hyperactive yang.
Clinical Application:
This recipe is indicated for apoplectic stroke (apoplexy due to endogenous wind) marked by vertigo, ocular distension, tinnitus, pain and feverish sensation in the head, restlessness, flushed face, or frequent belching, or gradually-limited movement of limbs, wry mouth; or falling down from faint in serious cases, loss of consciousness, coming around when moved; or failing to recover after awake, taut and forceful pulse. It is applicable to hypertension and vascular headache, and others that pertain to yin deficiency of the liver and kidney and hyperactivity of the liver-yang. In case of extreme heat in the heart, add Shengshigao (Gypsum Fibrosum) to clear away heat. In case of excessive phlegm, add Danxing (Arisaema cum Bile) to clear away heat and eliminate phlegm. In case of feeble chi pulse when pressed, add Shudihuang (Radix Rehmanniae Praeparatae) and Shanzhuyu (Fructus Corni) to reinforce the liver and kidney.
Elucidation:
The syndrome is caused by yin deficiency of the liver and kidney, hyperactivity of the liver-yang and disturbance of qi and blood circulation causing blood to flow upward. It should be treated by expelling endogenous wind from the liver, nourishing yin and suppressing hyperactive yang, and causing blood to flow downward. With a large dosage No. 1 functions as monarch drug to lead blood downward and nourish the liver and kidney. No. 2, No. 3 and No. 4 are capable of descending qi, suppressing hyperactive yang and expelling endogenous wind and used as minister drugs.
No. 5, No. 6, No. 7 and No. 8 possess the effect of nourishing yin and clearing away heat so as to suppress the hyperactive yang, while No. 9, No. 10 and No. 11 bear the action of clearing away heat from the liver and regulating liver-qi, the seven drugs serving as adjuvant drugs. Used as guiding drug, No. 12 can mediate drug properties on the one hand, and regulate the stomach on the other when in compatibility with No. 10 so as to prevent mineral or stone drugs from impairing the stomach. This recipe aims primarily to cause blood to circulate downward and suppress the hyperactive yang, and simultaneously to reinforce the liver and kidney and disperse the stagnated liver-qi.
Cautions:
This recipe is drastic in its effect of expelling endogenous wind and suppressing hyperactive yang, thus can only be applied to severe syndromes with hyperactive liver-yang and reversed flow of qi and blood.