Zhenwu Decoction

傷寒論

-- In Taiyang disease, after diaphoresis, sweat comes out but the disease is not resolved. The person still has fever, palpitations below the heart, dizziness, muscular twitching, and trembling as if about to fall to the ground; Zhenwu Tang (True Warrior Decoction) governs. (Shang Han Lun (Treatise on Cold Damage)) -- In Shaoyin disease, not resolved after two or three days, reaching four or five days, with abdominal pain, difficult urination, heavy and painful limbs, and spontaneous diarrhea, this indicates water qi. If the person either coughs, or urination is free, or has diarrhea, or vomits, Zhenwu Tang (True Warrior Decoction) governs. (Shang Han Lun (Treatise on Cold Damage))

Fuling (Poria) three liang, Shaoyao (Peony) three liang, fresh ginger three liang, Bai Zhu (Atractylodes macrocephala) two liang, Fuzi (Aconite) one piece (prepared/roasted, peeled, broken into eight pieces). For the above five ingredients, boil with eight sheng of water, reduce to three sheng, remove dregs. Take seven ge warm, three times daily. (Shang Han Za Bing Lun (Treatise on Cold Damage and Miscellaneous Diseases))

Boil with eight sheng of water, reduce to three sheng, remove dregs, take seven ge warm, three times daily (modern usage: boil nine bowls of water down to three bowls, simmer over medium-low heat for about one and a half hours or more, and take one bowl warm before each of the three meals).

湯劑

Warms yang and disinhibits water.

1. Pattern of spleen and Kidney Yang deficiency with internal retention of water qi. Symptoms include difficult urination, heavy and painful limbs, abdominal pain and diarrhea, or edema of the limbs and body, white tongue coating without thirst, and a deep pulse. 2. Taiyang disease, after diaphoresis, sweat comes out but the disease is not resolved; the person still has fever, palpitations below the heart, dizziness, muscular twitching, and trembling as if about to fall to the ground.

For severe edema, or Qi deficiency pattern, with a pale, swollen, enlarged tongue: add Astragalus 30. -- For severe edema with petechiae on the tongue: add Motherwort 30. -- For severe dizziness or difficult urination: add Cinnamon Twig 10, Polyporus 10, Alisma 20. -- For cough due to water-cold attacking the Lung: add Dried Ginger 10, Asarum 10, Schisandra 10. -- For cough or wheezing with profuse white phlegm and a white greasy coating: combine with Banxia Houpo Tang (Pinellia and Magnolia Bark Decoction). -- For pain in the limbs, or edema: add Asarum 10, Ephedra 10. -- Rheumatic arthritis: add Cinnamon Twig 10. -- For vomiting due to water-cold invading the Stomach: add Evodia 10, Raw Pinellia 10. -- For severe diarrhea with exuberant Yin and declining Yang: add Dried Ginger 10. -- For severe constipation or renal failure: add Rhubarb 6. -- For being able only to sit and unable to lie down, with cough and wheezing worsening when lying down: combine with Tingli Dazao Xiefei Tang (Semen Lepidii and Jujube Decoction to Drain the Lung).

Avoid vinegar, pork, peach, plum, and sparrow meat.