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Bupleurum, Cinnamon Twig, and Dried Ginger Decoction

傷寒論湯劑
Source-based · educational reference
Source
傷寒論
Original text
-- In cold damage for five or six days, after sweating has been used and then purgation given again, with fullness and slight binding in the chest and hypochondrium, unfree urination, thirst without vomiting, sweating only on the head, alternating chills and fever, and heart vexation: this indicates that the disease is not resolved. Chai Hu Gui Zhi Gan Jiang Tang governs it. (Shang Han Lun (Treatise on Cold Damage))
Composition
Chai Hu half jin; Gui Zhi 3 liang, peeled; Gan Jiang 2 liang; Gua Lou Gen (Trichosanthes Root) 4 liang; Huang Qin 3 liang; Mu Li 2 liang, roasted; Gan Cao 2 liang, honey-fried. The above seven ingredients: with 1 dou 2 sheng of water, decoct to take 6 sheng, remove dregs, decoct again to take 3 sheng, take 1 sheng warm, three times daily. At first dose, slight vexation; after repeated doses, sweating occurs and then recovery. (Shang Han Za Bing Lun)
Preparation
The above seven ingredients: with 1 dou 2 sheng of water, decoct to take 6 sheng, remove dregs, then decoct again to take 3 sheng. Take 1 sheng warm, three times daily. At first dose, slight vexation; after repeated doses, sweating occurs, and then recovery.
Form
湯劑
Function
Harmonize Shaoyang and concurrently Resolve Phlegm and retained fluids.
Traditional indications
Shaoyang disease complicated by internal binding of water and retained fluids. In cold damage for five or six days, after sweating and then purgation, with fullness and slight binding in the chest and hypochondrium, unfree urination, thirst without vomiting, sweating only on the head, alternating chills and fever, and heart vexation. It also treats Mu malaria and chronic malaria that do not resolve.
Modifications
If there is Yang deficiency, with a pale, white, enlarged tongue with tooth marks and slippery watery coating: add Pao Fu Zi (Prepared Aconite): 10. -- If there is blood deficiency with sallow complexion, dizziness, and pain: combine with Dang Gui Shao Yao San.
Cautions
There are reports in Japan of this formula causing interstitial pneumonia; it is recommended to undergo X-ray examination after taking the medication for 3 months.