Peach Kernel Decoction to Order the Qi

傷寒論

-- When Taiyang disease does not resolve, heat binds in the Bladder; the person is as if mad; if blood comes down on its own, the one who discharges it will heal. If the exterior is not resolved, one may not yet attack; one should first resolve the exterior. Once the exterior is resolved, and there is only acute binding in the lower abdomen, then one may attack it; Tao He Cheng Qi Tang is suitable. (《Shang Han Lun (Treatise on Cold Damage)》)

Peach Kernel 50 pieces, Rhubarb 4 liang, Cinnamon Twig 2 liang, Prepared Licorice 2 liang, Mirabilite 2 liang. The above five ingredients: with water 7 sheng, boil to reduce to 2.5 sheng, remove dregs, add Mirabilite, place on fire again until slight boil, remove from fire. Take 5 ge warm before meals, three times daily; slight purgation should occur. (Shang Han Za Bing Lun)

The above four ingredients: with water 7 sheng, boil to reduce to 2.5 sheng, remove dregs, add Mirabilite, place on fire again, bring to a slight boil, remove from fire. Take 5 ge warm before meals, three times daily; slight purgation should occur. (Modern usage: prepare as a Decoction; decoct the first 4 ingredients in water; Mirabilite: Take with liquid.)

湯劑

Expel stasis and drain heat.

Lower burner blood accumulation pattern. Manifestations include lower abdominal spasm, hardness, and pain; normal urination; fever at night; delirious speech, vexation, and thirst; in severe cases, mania-like behavior; as well as Blood stasis amenorrhea, dysmenorrhea, and postpartum retention of lochia. The pulse is deep and forceful or choppy.

Benign prostatic hyperplasia, prostate cancer, Bladder cancer, scrotal swelling, ascites with urinary obstruction: combine with Zhu Ling Tang (Polyporus Decoction). -- Amenorrhea and menstrual pain: add Dang Gui:10, Dan Shen:30, Hong Hua:6, Chi Shao:10. -- Traumatic injury, with static blood retained and unremitting pain: add Chi Shao:10, Dang Gui:10, Hong Hua:6, Su Mu:10, San Qi:3. -- Mental illness, nervous system diseases, brain diseases: combine with Da Chai Hu Tang (Major Bupleurum Decoction).

If the exterior pattern has not resolved, first resolve the exterior, then use this formula. Because this formula is an agent that breaks blood and drains stasis, it is contraindicated in pregnant women.