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Pus-Draining Powder

金匱要略湯劑
Source-based · educational reference
Source
金匱要略
Composition
Zhi Shi (immature bitter orange) 16 pieces; Peony 6 fen; Platycodon root 2 fen. The above three ingredients, pound into powder; take one egg yolk, make the medicinal powder equal to the egg yolk, knead and mix until well blended, and administer mixed; one dose per day. (Shang Han Za Bing Lun)
Preparation
The above ingredients are each powdered and then mixed; for one dose, 3 g, add egg yolk and stir evenly, take with plain boiled water. Take once or twice daily. Alternatively, decoct the above amounts as a daily dose.
Form
湯劑
Function
Clear heat and dissipate stagnation; drain pus and resolve abscess.
Traditional indications
For stomach abscess or intestinal abscess when pus has formed and is about to rupture or has just ruptured, with relatively severe blood stasis and heat. Symptoms include abdominal fullness and contracture, hardness in the lower abdomen, a mass beneath, pain on deep pressure, or pus and blood in the stool, dry mouth, purple spots or purplish dots on the tongue, thin yellow coating, and a slippery rapid pulse.
Modifications
If yang deficiency, with a pale white, enlarged tongue with teeth marks and a wet slippery coating: add prepared aconite: 10, dried ginger: 10. -- If not yet suppurated and hard: add honeysuckle flower: 10, Forsythia fruit: 10. -- If pus has formed and ruptured: add astragalus: 30, angelica: 10.