Rhubarb and Aconite Decoction

金匱要略

-- Unilateral pain below the lateral costal region, fever, and a tight, string-like pulse: this is cold. Use warm medicinals to purge downward; Dahuang Fuzi Tang is appropriate. (Jin Gui Yao Lue (Essential Prescriptions of the Golden Cabinet))

Da Huang 3 liang, Fuzi 3 pieces (prepared), Xixin 2 liang. For the above three ingredients, use 5 sheng of water, boil down to 2 sheng, and divide into three warm doses. If the patient is strong, boil down to 2.5 sheng and divide into three warm doses. After taking, when the patient has walked about four or five li, take another dose. (Shanghan Zabing Lun)

Use 5 sheng of water, boil down to 2 sheng, and divide into three warm doses. If the patient is strong, boil down to 2.5 sheng and divide into three warm doses. After taking, when the patient has walked about four or five li, take another dose. (Modern usage: decoct in water and take.)

湯劑

Warm the interior and dissipate cold, free the bowels, and stop pain.

Unilateral pain below the lateral costal region, fever, and a tight, string-like pulse.

For those with very poor kidney function approaching dialysis: add Huanglian:6. -- For those with very poor kidney function approaching dialysis, with nausea and desire to vomit, or who vomit upon eating: add Sheng Banxia:15, Fuling:20, Shengjiang:30.

1. For those with deficient body constitution or relatively mild accumulation, use prepared Dahuang. 2. When using, the dosage of Dahuang generally should not exceed that of Fuzi.