Bupleurum 12 gm, Scutellaria 9 gm, Ginseng 6 gm, Pinellia (washed) 9 gm, Licorice (roasted) 5 gm, Fresh Ginger (cut) 9 gm, Jujube (split) 4 pieces.

bubble_chart Preparation and Dosage

Take the above 7 ingredients, boil with 2.4 liters of water until reduced to 1.2 liters, remove the dregs, then decoct further to obtain 600 ml. Administer 200 ml while warm, three times a day.

bubble_chart Efficacy

Harmonizing shaoyang.

bubble_chart Indications

Cold-damage disease Shaoyang pattern. Alternating chills and fever, fullness and discomfort in the chest and hypochondrium, reluctance to speak and eat, vexation and vomiting, bitter taste in the mouth, dry throat, dizzy vision; women with cold-damage disease, heat entering the uterus; malaria, jaundice, and internal damage Zabing presenting with Shaoyang pattern.

bubble_chart Formula Principles

In the formula, Bupleurum clears and disperses the pathogenic factors from the half-exterior of the shaoyang, resolving them from the exterior, serving as the sovereign; Skullcap Root clears the heat from the half-interior of the shaoyang, serving as the minister; Ginseng and Liquorice Root tonify qi and support the righteous, while Pinellia directs rebellious qi downward and harmonizes the middle, serving as the assistant; Fresh Ginger Rhizome assists Pinellia in harmonizing the stomach, and Chinese Date aids Ginseng and Liquorice Root in tonifying qi. The combination of ginger and jujube also harmonizes the nutrient and defensive aspects, serving as the envoy. The combination of these herbs collectively achieves the effect of harmonizing the shaoyang.

bubble_chart Formula Modification

• If there is chest discomfort without vomiting, remove Pineilia and Ginseng, and add one Trichosanthis Fruit;
• If there is thirst, remove Pineilia and Ginseng, increase to 9 grams, and add 12 grams of Trichosanthes Root;
• If there is abdominal pain, remove Skullcap Root and add 9 grams of Peony Root;
• If there is stuffiness and hardness under the ribs, remove Chinese Date and add 12 grams of oyster shell;
• If there is palpitation and difficulty in urination, remove Skullcap Root and add 12 grams of Poria;
• If there is no thirst but mild fever externally, remove Ginseng and add 6 grams of Cinnamon Twig, cover warmly to induce slight sweating for recovery;
• If there is coughing, remove Ginseng, Chinese Date, and Fresh Ginger Rhizome, and add 5 grams of Schisandra Fruit and 5 grams of Dried Ginger.