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Shi Zao Tang十棗湯

Ten-Jujube Decoction

Also known asJujube Combination · Decoction of Zizyphi Jujube

Medicinals
4

Composition

  • Gan SuiRx. Kansui0.5 g

    Drains water downward, eliminates congested fluids and thin mucus and expels Phlegm.

    for suspended, thin mucus clogging up the chest and hypochondria with cough, shortness of breath, chest pain and hard focal distention in the epigastrium.
  • Da JiRx. Euphorbiae Pekinensis0.5 g

    Drains water downward and drives out thin mucus.

    for water accumulation in the chest and abdomen with urinary difficulty.
  • Yuan HuaFlos Genkwa0.5 g

    Drains water downward, drives out thin mucus and promotes urination.

    for accumulation of fluids in the chest.
  • Da ZaoFr. Jujube10pcs

    Tonifies the Spleen and Stomach, augments *Qi, nourishes the Blood, calms the Spirit and moderates and harmonizes the harsh properties of other herbs. (Drink as a warm decoction with the above capsules.)*

Actions

  • Forcefully purges and clears out thin mucus
  • Aggressively purges accumulated water

Patterns treated

  • The chest and hypochondrium blocked by Suspended Thin Mucus
  • Xuan Yin

Manifestations

  • A cough accompanied by stabbing pain in the chest and hypochondriac area
  • Firm, localized fullness in the epigastric region
  • Retching without bringing anything up
  • Breathlessness
  • Head pain
  • Bloating of the abdomen
  • A wheezy, whistling breath
  • A feeling of fullness within the chest
  • Pain that radiates from the chest to the back, making it hard to breathe in
  • Labored breathing brought on by severe pain in the chest and back
  • Feeling light-headed
  • A spinning sensation
  • Whole-body swelling that is more pronounced in the lower extremities
  • Trouble passing urine and stool
  • A whistling sound with each breath
Tongue body
Unremarkable
Coating
White in color and slippery in texture
Pulse
Deep in position and wiry in quality

Indications

  • Excess body weight
  • Fluid collecting in the pleural cavity
  • Inflammation of the pleura
  • Pleurisy with fluid exudate
  • Fluid around the heart (pericardial space)
  • Kidney inflammation
  • Schizophrenic disorder
  • Pain in the head
  • Uremic condition
  • A distended, full-feeling abdomen
  • Fluid retention (swelling)
  • Infection of the lungs
  • Cirrhosis of the liver accompanied by ascites
  • Excess acid in the Stomach
  • Hemorrhagic fever of epidemic origin
  • Fluid accumulation in the abdominal cavity
  • Queasiness and vomiting
  • Lupus erythematosus affecting the whole body
  • Nephrotic disorder
  • Difficulty breathing

Cautions

  • Exercise extreme caution when using during pregnancy.
  • For weakened patients, use with extreme caution and pair with a Qi tonifying formula.
  • Reserve for cases where it is truly necessary.
  • The first three herbs should not be decocted. (Processing them with vinegar may lessen side effects.)
  • Should not be combined with Rx. Glycyrrhizae Gan Cao.

Notes

  • Pulverize into powder and encapsulate in gelatin capsules; dose at 0.5–1g, taken in the morning between 3 and 5 am.
  • Should diarrhea fail to occur within an hour, repeat the dose.

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