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Neijing

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Pu Ji Xiao Du Yin Jia Jian普濟消毒飲加減

Modified Universal Benefit Decoction to Eliminate Toxin

Also known asModified Scute and Cimicifuga Combination

Medicinals
11

Composition

  • Jiu Chao Huang QinWine-fried Rx. Scutellariae6–15 g

    Clear Lung Heat, drains Fire, dries Dampness, detoxifies and stops bleeding.

    • Jiu Chao Huang Lian
    clears and drains toxic Heat from the Upper Jiao.
  • Jiu Chao Huang LianWine-fried Rz. Coptidis3–15 g

    Drains Fire, relieves toxicity, drains Dampness, clears Heart and Stomach Fire and stops bleeding. It reaches the head and eyes and cools Upper Jiao Fire to treat pain of the eyes, ears, or tongue and mouth ulcers due to pathogenic Fire or Heat.

    clear s and drains Heart and Spleen Fire with swelling of the gums, toothache and ulcerations of the mouth and tongue.
    for acute infectious diseases.
  • Lian QiaoFr. Forsythiae3–12 g

    Clears Heat, relieves toxicity, dissipates nodules, expels external Wind-Heat.

    • Ban Lan Gen
    for any externally contracted Heat disorder.
  • Jiang CanBombyx Batryticatus1–6 g

    Alleviates pain due to Wind-Heat, transforms Phlegm, dissipates nodules and stops itch.

  • Xuan ShenRx. Scrophulariae6–10 g

    Clears Heat, cools the blood, nourishes Yin, drains Fire, relieves toxicity, softens hardness and dissipates nodules.

    Niu Bang Zi and Jie Geng* for swollen, painful throat due to Wind-Heat.
    • Ma Bo
    clears the upper body, restores normal descent, nourishes Yin and stops pain and treats Wind-Heat obstruction leading to swelling and pain of the throat.
    • Jie Geng, Ma Bo
    Ban Lan Gen* for throat pain, with strong fever and chills and redness, swelling and burning pain of the face.
    for sore throat with Dryness and pain.
  • Ma BoFr. Lasiosphere3–9 g

    Clears Lung Heat, relieves Fire toxicity, improves the throat and stops bleeding.

    for Wind-Heat obstruction leading to swelling and pain of the throat.
  • Ban Lan GenRx. Isatidis3–12 g

    Drains Heat, relieves Fire toxicity, cools the Blood and benefits the throat.

    • Ma Bo, Jie Geng
    Xuan Shen,* for throat pain as part of a massive febrile disorder of the head with a strong fever and chills, with redness, swelling and burning pain of the face.
  • Jie GengRx. Platycodi3–9 g

    Opens the Lungs, spreads Lung Qi expels Phlegm, expels pus, benefits the throat and directs the effects of other herbs to the upper body.

    for hoarseness, pain and swelling of the throat due to Wind-Heat.
  • Gan CaoRx. Glycyrrhizae1–6 g

    Stops cough, clears Heat, relieves Fire toxicity, moderates spasms, alleviates pain and moderates and harmonizes the properties of other herbs.

    for pain and swelling of the throat.
  • Sheng MaRz. Cimicifugae1.5–6 g

    Releases the exterior, vents measles, clears Heat, relieves toxicity, raises Yang, lifts Sunken Qi and guides other herbs upwards.

  • Da HuangRx. et Rz. Rhei3–12 g

    Drains Heat and purges accumulations Drains Fire Clears Heat, transforms Dampness and promotes urination

    for a feeling of fullness and distention due to Heat accumulation.

Actions

  • Dispels Heat
  • Purges Fire toxin
  • Drains Yang Ming Fu
  • Harmonizes the throat

Patterns treated

An acute head fever arising from Yang Ming Fu

Manifestations

  • A fever that will not resolve
  • A markedly sore throat
  • A sensation of thirst
  • Trouble swallowing
  • The tonsils are red and swollen, showing a whitish patch of exudate
  • The patches of exudate can join together into a whitish film
  • Constipated bowels
  • Bad breath
  • Urine that is scant and dark
  • Agitation
Tongue body
The tongue is red
Coating
The coating is yellow
Pulse
A pulse that is both slippery and rapid

Indications

  • An acute inflammation of the tonsils
  • An unrelenting fever

Modifications

Cautions

Apply caution when treating patients who have Yin Deficiency.