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True Warrior Decoction

傷寒論湯劑
Source-based · educational reference
Source
傷寒論
Original text
-- Taiyang disease, after sweating, sweating does not resolve [the condition]; the person still has fever, epigastric palpitations, dizziness, muscular twitching, and tremors as if about to fall to the ground: Zhenwu Tang governs it. (Shang Han Lun (Treatise on Cold Damage)) -- 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 the presence of water-qi. If the person either coughs, or has free urination, or has diarrhea, or vomits: Zhenwu Tang governs it. (Shang Han Lun (Treatise on Cold Damage))
Composition
Poria 3 liang, peony 3 liang, fresh ginger 3 liang, Atractylodes macrocephala 2 liang, aconite 1 piece (prepared, peeled, broken into eight pieces). For the above five ingredients, use 8 sheng of water, boil down to 3 sheng, remove the dregs. Take 7 ge warm, three times daily. (Shang Han Za Bing Lun (Treatise on Cold Damage and Miscellaneous Diseases))
Preparation
Use 8 sheng of water, boil down to 3 sheng, remove the dregs, take 7 ge warm, three times daily. (Modern usage: boil 9 bowls of water down to 3 bowls over medium-low heat for about one and a half hours or more; take one bowl warm before each of the three meals.)
Form
湯劑
Function
Warm yang and promote diuresis.
Traditional indications
1. Spleen-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 sweating, sweating does not resolve [the condition]; the person still has fever, epigastric palpitations, dizziness, muscular twitching, and tremors as if about to fall to the ground.
Modifications
For severe edema, or Qi deficiency pattern, with a pale, enlarged tongue: add Huangqi (Astragalus) 30. -- For severe edema with stasis spots on the tongue: add Yimucao (Leonurus) 30. -- For severe dizziness or difficult urination: add Guizhi (Cinnamon twig) 10, Zhuling (Polyporus) 10, Zexie (Alisma) 20. -- For water-cold attacking the Lung with cough: add Ganjiang (dried ginger) 10, Xixin (Asarum) 10, Wuweizi (Schisandra) 10. -- For cough or asthma with copious white phlegm and a white, greasy tongue coating: combine with Banxia Houpo Tang. -- For limb pain, or edema: add Xixin (Asarum) 10, Mahuang (Ephedra) 10. -- For rheumatic arthritis: add Guizhi (Cinnamon twig) 10. -- For water-cold invading the Stomach with vomiting: add Wuzhuyu (Evodia) 10, raw Banxia (Pinellia) 10. -- For exuberant yin and declining yang with severe diarrhea: add Ganjiang (dried ginger) 10. -- For severe constipation, or renal failure: add Dahuang (Rhubarb) 6. -- For being able only to sit and not lie down, with cough and asthma worsening when lying down: combine with Tingli Dazao Xiefei Tang.
Cautions
Avoid vinegar, pork, peach, plum, and sparrow meat.