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Chinese Medicinal Material
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【Chinese Name】 |
止嗽散
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【Phonetic】 |
Zhi Sou San
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【English Name】 |
Cough-Stopping Powder |
【Classification】 |
Exterior-releasing formulas |
【Source】 |
《Medical Revelations》Yi Xue Xin Wu《醫學心悟》 |
【Combination】 |
Platycodonis Radix (Jie Geng) 2 jin (1kg), Schizonepetae Herba (Jing Jie) 2 jin (1kg), Asteris Radix et Rhizoma (Zi Wan) 2 jin (1kg), Stemonae Radix (Bai Bu) 2 jin (1kg), Cynanchi Stauntonii Rhizoma et Radix (Bai Qian) 2 jin (1kg), Glycyrrhizae Radix et Rhizoma (Gan Cao chao; dry-fried) 12 liang (375g), Citri Reticulatae Pericarpium (Chen Pi) 1 jin (500g) |
【Method】 |
Grind all of the medicinals into powder and blend together evenly. Boil 9g for each dose, and take warm after meals and prior to bed time. Mix together with a decoction of sheng jiang for early stage wind-cold contraction. It can also be prepared as a decoction by adjusting the medicinal quantities based on the original ratio. |
【Action】 |
Diffuses and benefits the lung qi, disperses wind and relieves cough. |
【Indication】 |
Zhi Sou San is indicated for the pattern of wind pathogens attacking the lung. The symptoms are cough, itchiness in the pharynx, difficulty in coughing up sputum, or mild aversion to wind and fever. The tongue coating is thin and white, and the pulse is superficial and moderate. |
【Pathogenesis】 |
Zhi Sou San is indicated when an exterior pattern with cough is not relieved after taking exterior-releasing lung-diffusing remedies. When wind-pathogens attack the lung, they fail to diffuse and purify the lung qi. The use of scattering and dissipating medicinals is able to expel the majority of the pathogen. However, in this case, there are residual pathogens that cause cough, itchiness of the pharynx, aversion to wind and fever. The treatment is to rectify the lung and relieve cough by using a small amount of exterior releasing medicinals. |
【Application】 |
1. Essential pattern differentiation Zhi Sou San is a commonly used formula for cough caused by the failure of the lung to diffuse qi with a concomitant residual exterior pathogen. The clinical pattern is marked by cough, itchy pharynx, minor aversion to wind, fever, thin and white tongue coating 2. Modern applications This formula may be used, when the patient shows signs of a residual exterior pathogen causing failure of the lung to diffuse, in the following biomedically defined disorders: upper respiratory tract infection, bronchitis, and pertussis. 3. Cautions and contraindications This formula is warm and moistening but predominately warm. Therefore, it is inappropriate for consumptive cough caused by yin deficiency consumption or cough due to lung heat. |
【Additonal formulae】 |
Jin Fei Cao San (Inula Powder, 金沸草散) [Source]《Extensive Relieving Formulas》Bo Ji Fang《博濟方》 [Ingredients] xuan fu hua 3 liang (90g), ma huang 3 liang (90g), qian hu 3 liang (90g), jing jie sui 4 liang (120g), zhi gan cao 1 liang (30g), jiang ban xia 1 liang (30g), chi shao 1 liang (30g) [Preparation and Administration] Grind them into powder. 2 qian (6g) per dose. Add sheng jiang and da zao and a small cup of water and boil them until 60% of water remain. The decoction should be taken warm. [Actions] Disperses wind-cold, lowers counterflowing qi, and dissolves phlegm. [Applicable Patterns] Cough due to wind damage (common cold). Symptoms include: aversion to cold, fever, cough with large amount of phlegm, stuffy and nasal congestion, a white and greasy tongue coating, and a superficial pulse. |
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