【Chinese Name】 |
普濟消毒飲
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【Phonetic】 |
Pu Ji Xiao Du Yin
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【English Name】 |
Universal Relief Toxin-Removing Beverage |
【Classification】 |
Heat-clearing formulas |
【Source】 |
《Dong-yuan’s Proven Formulas》Dong Yuan Shi Xiao Fang《東垣試效方》 |
【Combination】 |
Scutellariae Radix (Huang Qin) 5 qian (15g), Coptidis Rhizoma (Huang Lian) 5 qian (15g), Citri Reticulatae Pericarpium (Chen Pi) 2 qian (6g), Glycyrrhizae Radix et Rhizoma (Sheng Gan Cao) 2 qian (6g), Scrophulariae Radix (Xuan Shen) 2 qian (6g), Bupleuri Radix (Chai Hu) 2 qian (6g), Platycodonis Radix (Jie Geng) 2 qian (6g), Forsythiae Fructus (Lian Qiao) 1 qian (3g), Isatidis Radix (Ban Lan Gen) 1 qian (3g), Lasiosphaera Calvatia (Ma Bo) 1 qian (3g), Arctii Fructus (Niu Bang Zi) 1 qian (3g), Menthae Haplocalycis Herba (Bo He) 1 qian (3g), Bombyx Batryticatus (Jiang Can) 7 fen (2g), Cimicifugae Rhizoma (Sheng Ma) 7 fen (2g) |
【Method】 |
Grind the medicinals into a fine powder. Mix one half of the formula dose with water and drink it throughout the day. Mix the other another half of the formula dose with honey to make a pill, and then dissolve the pill in the mouth before swallowing. (Modern use: use water to decoct the medicinals.) |
【Action】 |
Clears heat, resolves toxins, scatters wind, and disperses swelling. |
【Indication】 |
This formula is indicated for swollen-head infection (also referred to as massive head scourge). The symptoms are redness, swelling, and pain in the head and face, failure to open the eyes, red, swollen, and sore throat, aversion to cold with fever, thirst, a red tongue with a yellow coating, and a forceful rapid pulse. |
【Pathogenesis】 |
This is a pattern of swollen-head infection, or epidemic swollen-head infection. The cause of the infection is the wind-heat and epidemic toxins that have accumulated in the upper jiao and then flame upward to the head and face. The wind-heat and epidemic toxins flaming up to the head and face cause the redness, swelling, and pain in the head and face, and the failure to open the eyes. Warm toxins accumulate in the throat to cause a red, swollen, and sore throat. The intense heat consumes fluids and causes thirst. In the early stage the wind-heat attacks the fleshy exterior, and obstructs the wei yang and struggles with the healthy qi to produce an aversion to cold with fever, a red tongue body with a yellow coating, and a forceful rapid pulse. These are all signs of intense interior heat. Epidemic toxins need to be cleared and resolved, the wind-heat needs to be scattered and dissipated, and the disease in the upper part of the body needs to be alleviated. Therefore, the therapeutic method for this pattern is primarily to clear heat and resolve toxins, and secondarily to scatter and dissipate the wind-heat. |
【Application】 |
1. Essential pattern differentiation Pu Ji Xiao Du Yin is a commonly used formula used to treat swollen-head infection. This clinical pattern is marked by redness, swelling, and pain in the head and face, sore throat, aversion to cold with fever, red tongue with a yellow coating, and a forceful, rapid pulse. 2. Modern applications This formula may be used in the following biomedically defined disorders when the patient has symptoms caused by wind-heat and epidemic toxins: facial erysipelas, epidemic parotitis, acute tonsillitis, upper respiratory tract infection, cellularis phlegmasia in the head and face, acute purulent otitis media, acute posteriorganglionitis in the head and face, and adenolymphitis with obstruction of lymphatic return. |
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