Gardenia and Fermented Soybean Decoction

傷寒論

-- After inducing sweating, vomiting, and purgation, there is deficient vexation and inability to sleep. If severe, the patient will surely toss and turn, with vexation and unease in the heart; Zhizi Chi Tang (Gardenia and Fermented Soybean Decoction) governs it. If there is shortness of breath, Zhizi Gancao Chi Tang (Gardenia, Licorice, and Fermented Soybean Decoction) governs it. If there is vomiting, Zhizi Shengjiang Chi Tang (Gardenia, Ginger, and Fermented Soybean Decoction) governs it. (Shang Han Lun (Treatise on Cold Damage)) -- After sweating, or after purgation, with vexing heat and a feeling of obstruction in the chest: Zhizi Chi Tang (Gardenia and Fermented Soybean Decoction) governs it. (Shang Han Lun (Treatise on Cold Damage)) -- Cold damage for five or six days; after severe purgation, body heat does not leave, and there is binding pain in the heart: the disease is not about to resolve; Zhizi Chi Tang (Gardenia and Fermented Soybean Decoction) governs it. (Shang Han Lun (Treatise on Cold Damage)) -- Whenever using Zhizi Chi Tang, if the patient has long had mild loose stools, it should not be given. (Shang Han Lun (Treatise on Cold Damage)) -- Yangming disease with a floating and tight pulse, dry throat and bitter mouth, abdominal fullness and panting, fever with sweating, no aversion to cold but aversion to heat instead, and a heavy body. If sweating is induced, there will be restlessness, mental confusion, and even delirium; if warming needles are applied, there will surely be fearfulness, agitation, and inability to sleep; if purgation is used, then the Stomach becomes empty and weak, guest qi agitates the diaphragm, and there is vexation and unease in the heart. If there is a coating on the tongue, Zhizi Chi Tang (Gardenia and Fermented Soybean Decoction) governs it. If there is thirst with desire to drink water, and dry mouth and tongue, Baihu Jia Renshen Tang (White Tiger plus Ginseng Decoction) governs it. If the pulse is floating, with fever, thirst with desire to drink water, and difficult urination, Zhuling Tang (Polyporus Decoction) governs it. (Shang Han Lun (Treatise on Cold Damage)) -- In Yangming disease, after purgation, there is external heat, warm hands and feet, no chest binding, vexation and unease in the heart, hunger but inability to eat, and sweating only on the head: Zhizi Chi Tang (Gardenia and Fermented Soybean Decoction) governs it. (Shang Han Lun (Treatise on Cold Damage)) -- After diarrhea, there is further vexation; when the epigastrium is pressed and feels soft, this is deficient vexation; Zhizi Chi Tang (Gardenia and Fermented Soybean Decoction) is suitable. (Shang Han Lun (Treatise on Cold Damage))

Gardenia fourteen pieces; Fermented Soybean four ge (wrapped in cotton). The above two ingredients: with 4 sheng of water, first boil Gardenia to obtain 2.5 sheng, add Fermented Soybean, boil down to 1.5 sheng, remove the dregs, divide into two doses. Take one dose warm; stop when vomiting occurs. (Shang Han Za Bing Lun (Treatise on Cold Damage and Miscellaneous Diseases))

With 4 sheng of water, first boil Gardenia to obtain 2.5 sheng, add Fermented Soybean, boil down to 1.5 sheng, remove the dregs, divide into two doses. Take one dose warm; stop when vomiting occurs.

湯劑

Clear and diffuse depressed heat, eliminate vexation and stop agitation.

After diaphoresis, emesis, and purgation, residual heat is stagnated in the chest and diaphragm; body heat with agitation, deficiency-type restlessness and inability to sleep, stuffiness and oppression in the chest and epigastrium that is soft and not painful on pressure, epigastric upset resembling hunger but with no desire to eat, red tongue proper, slightly yellow coating, and a rapid pulse.

In this formula, the fermented soybean should be Add later. For those who constitutionally have Spleen deficiency with loose stools, use this formula with caution.