Source: Chongding Tongsu Shanghan Lun (Revised Edition of Popular Treatise on Exogenous Febrile Diseases).
Ingredients:
No. 1 Lingyangjiaopian (Cornu Saigae Tataricae ) [presently replaced by Shanyangjiao (horn of goat)]4.5 g;
No. 2 Gouteng (Ramulus Uncariae cum Uncis) (to be decocted later) 9 g;
No. 3 Juhua (Flos Chrysanthemi) 9 g;
No. 4 Sangye (Folium Mori) 6 g;
No. 5 Xianshengdihuang (Radix Rehmanniae) 15 g;
No. 6 Baishaoyao (Radix Paeoniae Alba) 9 g;
No. 7 Chuanbeimu (Bulbus Fritillariae Cirrhosae) 12 g;
No. 8 Xianzhuru (Caulis Bambusae in Taenis) (fresh) 15 g;
No.9 Fushenmu (Radix Pini Sclerotium Poriae) 9 g;
No. 10 Shenggancao (Radix Glycyrrhizae Recens) 2.4 g.
Administrations:
Decoct No. 1 and No. 8 first, and then decoct the rest in their decoction for oral application.
Actions:
Removing heat from the liver and subduing endogenous wind, increasing body fluid and activating muscles and tendons.
Clinical Application:
This recipe is indicated for wind due to excessive heat, marked by unrelieved high fever, irritability, tic of hands and feet, deep-red and dry tongue, or parched and prickled tongue, taut and rapid pulse. It is applicable to headache, vertigo and convulsion caused by eclampsia gravidarum, epidemic encephalitis B and hypertension, and others, which are concomitant with high fever, taut and rapid pulse and ascribed to excessive heat in the liver meridian. In case of excessive heat with coma, use Zixue (Powder) and Angong Niuhuang Wan simultaneously to induce resuscitation. In case of severe convulsion, add Quanxie (Scorpio), Chantui (Periostracum Cicadae) and Wugong (Scolopendra) to enhance the effect of subduing endogenous wind and relieving convulsion.
Elucidation:
The syndrome arises when heat invades jueyin and causes excessive heat in the liver meridian and extreme heat producing wind. Simultaneously pathogenic heat scorches body fluid, resulting in producing phlegm and disturbing the mind. These should be treated by eliminating heat from the liver meridian and subduing endogenous wind, increasing body fluid and activating muscles and tendons. The first two ingredients function as monarch drugs with the effect of removing heat from the liver and subduing endogenous wind, clearing away heat and relieving convulsion.
No. 3 and No. 4 are pungent and cool in nature and used as minister drugs to promote the effect of the monarch drugs. No. 5, No. 6 and No. 10, sour and sweet in nature, bear the function of nourishing yin and increasing body fluid, nourishing the liver and activating tendons. No. 7 and No. 8 are capable of clearing away heat and eliminating phlegm, while No. 9 checking hyperfunction of the liver and tranquilizing mind. These six ingredients play the part of adjuvant drugs. No. 10 also serves as guiding drug, which mediates the properties of other drugs.
Cautions:
This recipe is contraindicated for hyperactivity of endogenous wind due to yin deficiency at the late stage of febrile diseases.